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

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. The bones are unremarkable aside from dextroscoliosis of the thoracic spine.

<unk>m with intermittent pleuritic r chest pain

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Pa and lateral views of the chest are compared to previous exam from <unk>. There is minimal opacity at the left lung base laterally, which has improved since exam from two days ago and is suggestive of atelectasis. Elsewhere, the lungs are clear. There are small persistent bilateral effusions which have not significantly changed. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female, postop fever.

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A right internal jugular central venous catheter is present. The tip is difficult to visualize, though appears to be in the low svc. Since the prior exam, the lung volumes are lower. Mild pulmonary edema seems similar allowing for the changes in the lung volumes. There is no new opacity, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart size is moderately enlarged.

increasing creatinine. evaluate for worsening edema.

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No previous images. The heart is moderately enlarged, and there is some tortuosity of the aorta. No vascular congestion or pleural effusion. No acute focal pneumonia.

hypertension with high platelet count.

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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pneumothorax or pleural effusion.

<unk>m with sudden onset chest pain and shortness of breath while exercising // evaluate for spontaneous pneumothorax

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The tracheostomy tube is visualized. There is atelectasis at the left lung base. Otherwise, the lungs are free of focal consolidations, pleural effusions or pneumothorax. Cardiomediastinal silhouette remains enlarged. Cholecystectomy clips are noted in the right upper quadrant. No acute osseous abnormalities are identified.

<unk> year old man with tracheostomy cough and blood clots in sputum // rule out pneumonia

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In comparison with the study of <unk>, the lungs are essentially free of acute consolidation. Cardiac silhouette is unchanged, and there is no definite vascular congestion.

drug-induced pneumonia.

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Heart size is normal. The aorta remains mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is clearly identified. No acute osseous abnormality is detected.

history: <unk>m with "feeling lousy"

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There has been interval removal of a right ij catheter. Right peritracheal mediastinal widening is again seen, stable, and may relate to underlying lymphadenopathy. Cardiac silhouette remains top-normal to mildly enlarged. There is increased interstitial markings bilaterally suggesting interstitial pulmonary edema. No pleural effusion or pneumothorax is seen.

history: <unk>m with sob and hypoxia // chf? pna?

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Lung fields are otherwise clear. The heart size is within normal limits. There is no pneumothorax. No fracture identified.

history: <unk>m with left upper chest pain and tenderness // pneumothorax, rib fracture

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A left subclavian port-a-cath ends in the mid svc. The lungs are clear. Heart size is normal. A retrocardiac rounded opacity is most consistent with a large hiatal hernia and not significantly changed in size compared to radiograph from <unk>. There are no pleural abnormalities.

seizures that were previously stable on medications, now with repeated seizures. evaluate for pneumonia.

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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.

<unk>-year-old female with fall, headache and seizure. evaluate for pneumonia.

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The patient is status post median sternotomy and cabg. The heart size is top normal, unchanged. Mediastinal and hilar contours are unchanged, and there is no pulmonary vascular congestion. Linear scarring in the left lung base is re- demonstrated as is scarring within the lung apices. No focal consolidation, pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine, but no acute abnormalities are seen within the osseous structures.

<num> day history of cough, status post kidney transplant on chronic immunosuppressive therapy.

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Right chest wall port-a-cath is seen with catheter tip in the right atrium. The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is suggestion of a small hiatal hernia. Surgical clips project over the upper abdomen. No acute osseous abnormalities

<unk>f with weakness // eval for pna

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Study is slightly limited due to kyphotic positioning. A left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. Moderate to severe cardiomegaly persists. Mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities seen.

left-sided chest pain.

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Bilateral pleural effusions are hard to compare because of different technique. Left pleural effusion is moderate with compressive atelectasis. Right pleural effusion is small more loculated posteriorly with right middle lobe partial collapse. Moderate cardiomegaly is unchanged. Very mild volume overload is also stable. Right-sided picc line ends in cavoatrial junction and dialysis catheter side ends in the lower atrium.

patient with multiple medical problems, new cough, decreased breath sound in the left base concerning for aspiration pneumonia infiltrate.

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Since the prior radiograph, there has been slight improvement in small bilateral pleural effusions. The left lung has re-expanded. There is no pneumothorax. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. Median sternotomy wires are intact. There is no evidence of hemothorax.

<unk>-year-old man status post thymectomy, evaluate for interval change, hemothorax.

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The heart is again moderately enlarged. The aortic arch is calcified. The interstitium is mildly prominent suggesting mild vascular congestion. There is no pleural effusion or pneumothorax. Findings are similar to the prior study.

status post fall with injury.

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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. Significant soft tissue attenuation does limit fine parenchymal detail. Cardiac and mediastinal contours are normal.

cough.

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The heart is mildly enlarged. There is no definite pleural effusion or pneumothorax. The lungs appear clear. There is moderate rightward convex curvature centered along the lower thoracic spine. The bones are probably demineralized.

altered mental status.

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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.

<unk>-year-old male with chest pain. evaluate for acute cardiopulmonary process.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable and within normal limits. Imaged osseous structures are intact. Dextroscoliosis of the t-spine again noted. No free air below the right hemidiaphragm is seen.

<unk>f with intermittent cp since <num>am this am, exacerbation at <num>pm. hx of pes on lifelong coumadin // cause cp

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There is mild enlargement of cardiac silhouette. The mediastinal contours are unchanged. There is mild pulmonary edema. Small left pleural effusion is noted, decreased in size compared to the previous exam. Retrocardiac opacity likely reflects compressive atelectasis. No pneumothorax is identified. There are multilevel degenerative changes in the thoracic spine as well as involving the acromioclavicular joints.

dyspnea.

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The heart size is normal. The mediastinal and hilar contours are unchanged, with slight unfolding of the thoracic aorta. The pulmonary vascularity is normal and the lungs are clear. Blunting of the posterior costophrenic sulcus on the right may suggest the presence of a trace right pleural effusion. There is no pneumothorax. Multilevel degenerative changes are noted in the thoracic spine.

fracture of the wrist, preoperative evaluation.

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The previously described increased density in the right lower lung, is not re-demonstrated on today's exam. The lungs are clear and well-expanded. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal. Stable mild degenerative changes in the thoracic spine.

<unk>-year-old man presenting for followup of and increased density in the right lower lung that was seen on a shoulder radiograph.

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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. No displaced fractures.

<unk>f with acute onset left chest pain // ptx

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There is consolidation of the right perihilar region, consistent with pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal. The imaged upper abdomen is unremarkable.

cough and pleuritic chest pain. rule out pneumonia.

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Pa and lateral views of the chest provided. A feeding tube is in place extending into the upper abdomen. Lungs are clear. No 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 lethargy, cirrhosis // eval for pneumonia

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As compared to the previous radiograph, there is no clear visual evidence of a parenchymal opacity in the right lower lobe. The opacity is seen on both the frontal and the lateral radiograph. The opacity is peribronchial in distribution and displays mild air bronchograms. Pneumonia is the most likely differential diagnosis. This observation was made at <time> a.m., on <unk>, and the referring physician, <unk>. <unk> was paged for notification at <time> a.m. The findings were subsequently discussed over the telephone. Unchanged appearance of the cardiac silhouette. Unchanged course of the left picc line. Minimal pleural effusions but no evidence of pulmonary edema.

chronic heart failure, bacteremia, questionable of right lower lobe pneumonia on previous chest x-ray.

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Pa and lateral views of the chest were reviewed. Compared to the prior studies, the lung volumes have improved and the lungs are clear without evidence of vascular congestion, pleural effusion, or pneumothorax. The heart size is normal. Spinal fixation hardware is unchanged. There are no concerning osseous or soft tissue lesions.

cough and fever.

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No pleural effusion or pneumothorax. Given technical differences, moderate cardiac enlargement, hilar contours, and lungs are likely unchanged from prior examination, although mild vascular congestion cannot be excluded given slight diffuse increase in lung opacification. Cardiac and mediastinal silhouettes are unremarkable without focal consolidation. Left shoulder arthroplasty appears unchanged. Chronic left lung scarring is unchanged.

<unk>f with leg swelling and sob // chf

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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. An opacity projecting over the lower lungs on the lateral view only without a correlate on the frontal view radiograph may represent atelectasis or focal pneumonia. Fullness in the region of the azygous vein suggests increased central venous volume without overt pulmonary edema. There is no pleural effusion or pneumothorax. Heart size is upper limits of normal. Mediastinal silhouette and hilar contours are normal.

altered mental status.

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A cardiac pacer has leads ending in the right atrium and right ventricle. Right upper lobe opacity is new since the prior chest radiograph of <unk>. The right hilus appears similar to the prior chest radiograph. Left lower lobe atelectasis is again noted. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.

<unk>-year-old man with dyspnea. evaluate for pneumonia

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Heart size is mild to moderately enlarged. Mediastinal and hilar contours are unremarkable. Increased interstitial opacities bilaterally suggests mild pulmonary edema. More focal opacity in the right lung base could reflect atelectasis or infection, and there is and associated small to moderate right pleural effusion, for which a sub pulmonic component may account for the elevation of the right hemidiaphragm. No pneumothorax is present. No acute osseous abnormalities seen.

history: <unk>m with sharp midsternal chest pain

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Low lung volumes are again noted and there is left basilar atelectasis. Interval resolution of previously seen pleural effusions. There is a right basilar opacity silhouetting the right cardiac margin which on the lateral seen anteriorly in could be due to mediastinal fat. The lungs are otherwise clear. Median sternotomy wires and mediastinal clips are noted. Cardiac silhouette is within normal limits. No acute osseous abnormalities.

<unk>f w/ left-sided chest pain radiating to back and l arm since yesterday, constant. ?pna // <unk>f w/ left-sided chest pain radiating to back and l arm since yesterday, constant. ?pna

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Frontal and lateral chest radiographdemonstrates a right porta cath tip in the mid svc. The lungs are mildly hypoinflated with crowding of vasculature. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

endometrial cancer recurrence with inability to tolerate p.o. assess port.

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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy opacities are noted in the lung bases. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with fever, cough

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There is a new left lower lobe opacity consistent with pneumonia. There is unchanged appearance of elevation of the right hemidiaphragm with tenting compatible with chronic volume loss and increased opacity in the right mid lung likely representing scarring. The cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax is present. There is no evidence of pulmonary vascular congestion.

cough, shortness of breath, fever for <unk> days, rales halfway up on the right lower lobe and at the left base. rule out pneumonia.

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Frontal and lateral radiographs of the chest demonstrate increased opacification of the left lower lobe with air bronchograms, consistent with lobar pneumonia. There is a small left pleural effusion. The right lung is clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax.

cough and fever. evaluate for pneumonia.

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Lung volumes are normal and lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Mediastinal and hilar contours are unremarkable. Heart is normal size.

shortness of breath, cough and arthralgias. evaluate for pneumonia.

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Ap upright and lateral views of the chest provided. Lung volumes are low which limits assessment. An area of scarring on ct c-spine in the left upper lung is not clearly visualized. Pulmonary hilar prominence may reflect mild hilar congestion. There is no overt pulmonary edema or large consolidation, effusion or pneumothorax. The heart size appears grossly stable. Mediastinal contour is unchanged. Bony structures appear intact. No acute displaced rib fractures seen.

<unk>f with falls, weakness // eval for pna

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There are relatively low lung volumes. Bilateral perihilar opacities are worrisome for mild to moderate pulmonary edema. Superimposed infection not entirely excluded in the appropriate clinical setting. No large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.

history: <unk>m with sob after fall // pna? fluid? bleed? fracture

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.

dyspnea.

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Left chest wall port catheter terminates in the upper right atrium. Lungs are clear. There is no pleural effusion or pneumothorax. Cardiomediastinal contour is normal.

history: <unk>f with dyspnea. evaluate for pneumonia

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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with new onset of afib. question cardiomegaly.

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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 chest pain // acute process?

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A tracheostomy tube is in unchanged position. Compared to the prior study there is improved aeration of the left lower lobe. No pleural effusion or pneumothorax. Persistent low lung volumes with normal heart size.

<unk> year old man with plueral effusion // cxr

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In comparison with the study of <unk>, there is little overall change. Again there is hyperexpansion of the lungs consistent with chronic pulmonary disease and some tortuosity of the thoracic aorta. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion.

tylenol toxicity with leukocytosis, to assess for pneumonia.

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Cardiac silhouette size is mildly enlarged. The aorta is mildly tortuous. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. Deformity of the left seventh posterolateral rib likely reflects a remote fracture. Surgical anchor is noted projecting over the right shoulder.

history: <unk>m with pre-op

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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Patchy opacities are demonstrated within the left upper lobe, as seen on the same day cervical spine ct, as well as within both lung bases concerning for multifocal pneumonia. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with pneumonia, cough, si

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As compared to the previous radiograph, the patient has developed a new retrocardiac opacity that could be early pneumonia or atelectasis. Unchanged size of the cardiac silhouette. Unchanged position of the port-a-cath. No pulmonary edema. No pleural effusions.

retrocardiac opacity, evaluation.

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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities visualized.

substernal chest pressure.

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Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No acute fracture is seen. There is a small bony protrusion along the superior aspect of the distal right clavicle, which appears to have increased in size from prior exam.

fall off bike over handle bars with chest pain and arm pain.

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

<unk>m with shortness of breath // eval for pna

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Frontal and lateral radiographs of the chest show a dual-lead left pectoral pacemaker with leads terminating in the right atrium and right ventricle, unchanged. A right-sided port-a-cath has been placed with the tip terminating in the mid svc. Post-surgical changes in the right hemithorax with volume loss and scarring in the right upper lobe along the right paratracheal region is due to prior surgery and radiation. Multiple pulmonary nodules seen on ct of <unk> are below the resolution of radiography. There is no pleural effusion, pneumothorax, or focal consolidation. The pulmonary vasculature is not engorged. Fullness of the right mediastinum is explained by known subcarinal mass, better seen on recent ct of <unk>. An adjacent fiducial is seen at the right hilum. The cardiac silhouette is normal in size.

<unk>-year-old male with metastatic renal cell carcinoma and known endobronchial lesion, here to evaluate for interval changes.

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. The heart is normal in size. There is no pneumothorax, pleural effusion, pulmonary edema or focal airspace consolidation. Minimal atelectasis is present in the left lung base.

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

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. Subtle possible nodular opacities in the left and right lower lobe, not well seen on the lateral may reflect superimposition. No frank consolidation. The osseous structures are unremarkable.

<unk> year old woman with <num>pyh with complex pmhx including severe copd, htn, cad (s/p stentsx<num>), stroke, s/p cholecystectomy, osa on home cpap, malignant melanoma (shoulder, s/p excision <unk>), bladder cancer (low grade, non-invasive), transferred from <unk> for management of newly diagnosed presumed metastatic cholangiocarcinoma that presented w/ acute pancreatitis now improved w/ supportive care, now with leukocytosis and fever // evaluate for infiltrate

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Mild left base atelectasis is seen without definite focal consolidation. The lungs are relatively hyperinflated with flattening of the diaphragms and biapical scarring suggesting chronic obstructive pulmonary disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

history: <unk>m with new rbbb, sob // sob with activity, fa

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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 facial spasms, rule out sarcoid

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The cardiomediastinal contours normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

<unk>-year-old woman presenting with syncope, chills, and myalgias as well as a dry cough, evaluate for pneumonia.

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Pa and lateral radiographs of the chest re- demonstrate linear opacities in the bilateral lung bases greater on the right than the left, which are stable dating back to <unk> and may reflect changes associated with chronic bronchiectasis, atelectasis and/or scarring. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. Biapical scarring appear symmetrical. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. No acute osseous abnormality is detected.

chest pain and shortness of breath, here to evaluate for pneumonia.

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There is a left subclavian approach port-a-cath or tunneled line with internal <num> way valve with tip terminating at the distal svc unchanged from prior study. Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. The pleural surfaces are clear without effusion or pneumothorax.

positive blood cultures. evaluate for pneumonia.

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Frontal lateral views of the chest. Diffusely increased reticular markings seen within the lungs suggestive of chronic underlying parenchymal disease. There is no evidence of superimposed consolidation nor effusion. The cardiomediastinal silhouette is within normal limits. Degenerative changes noted at the right acromioclavicular joint and possible old lateral left clavicular fracture.

<unk>-year-old female with hyperglycemia. question infection.

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Pa and lateral radiographs of the chest were acquired. Compared to the prior radiographs from <unk>, there is new mild right cardiac enlargement as well as engorgement of the superior mediastinal vasculature, without evidence of interstitial pulmonary edema. No focal consolidations are seen. There are no pleural effusions. No pneumothorax is seen.

left jaw tingling as well as mid substernal chest heaviness. evaluate for acute process.

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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected. Multiple old right-sided rib fractures are re- demonstrated.

chest pain.

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There is no lymph node enlargement in this chest x-ray and if compared to <unk>, the enlarged lymph nodes in right paratracheal station have completely resolved. The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

patient with monoarthritis of right ankle, history of mediastinal lymphadenopathy, sarcoid?

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

<unk> year old man with <num> week hx of cough (recently turned productive), with 'borderline' oximetry // please rule out pneumonia

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Ap upright and lateral views of the chest provided. Chronic elevation of the left hemidiaphragm again noted with left basal atelectasis. No large consolidation, effusion or pneumothorax is seen. The heart size cannot be assessed due to left hemidiaphragmatic elevation. The mediastinal contour is grossly stable with calcification noted. Bony structures are grossly intact with chronic appearing deformity of the left humeral head. There is a prominent dextroscoliosis of the t-spine again noted.

<unk>f s/p fall // ? acute process

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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.

<unk>-year-old female with fevers and cough.

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No effusion or pneumothorax is seen. There are no acute osseous abnormalities.

cough and fever.

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The lungs are well inflated and clear. Elevation of the right hemidiaphragm is stable. No focal consolidation, effusion, or pneumothorax is present. A left internal jugular port-a-cath tip remains in the upper svc. The cardiac and mediastinal contours are normal.

<unk>-year-old woman with history of aml, neutropenia and cough.

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The recent radiographs documenting the pneumonia are not available for comparison. There is a moderate hiatal hernia and moderate tortuosity of the thoracic aorta. Mild cardiomegaly without evidence of pulmonary edema. On the lateral image, better than on the frontal one, a small peribronchial opacity is seen, located at the right medial lung base. This change could reflect the healing pneumonia. No evidence of recent infection. Normal hilar and mediastinal structures. No pleural effusions.

history of pneumonia, now asymptomatic, evaluation for resolution.

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There is a retrocardiac consolidation on the lateral view with air bronchograms, possibly localizing to the right lung, which could represent pneumonia. There is no definite pleural effusion. No pneumothorax. Heart size is difficult to assess given the ongoing parenchymal abnormality. Splaying of the carina with narrowing of the mainstem bronchi is compatible with known lymphadenopathy, which is better evaluated on the prior cta chest. Clips are seen in the left axilla.

shortness of breath on oral chemotherapy. rule out pneumonia

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Cardiomediastinal silhouette is unchanged. An opacity projecting over the heart on the lateral view and a right lower lobe opacity are concerning for pneumonia. Retrocardiac opacity is likely due to underpenetration and atelectasis. Osseous structures are unremarkable.

<unk> year old woman with hypoxia, worsening cough // pna?

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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.

<unk>-year-old female with postoperative fever. please evaluate for pneumonia.

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There is stable elevation of the left hemidiaphragm with adjacent platelike atelectasis and/or scarring at the left lung base. The cardiomediastinal silhouette and pulmonary vasculature are stable since the prior exam. Again seen is a dual lead pacemaker, with expected position of the leads. No focal consolidation is identified. There is no pleural effusion or pneumothorax.

history: <unk>m with hypoxia during exertion, known elevated left hemidiaphragm // ?acute cardiopulmonary process

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An opacity in the left costophrenic angle on the frontal view but not well seen on the lateral view may represent an early pneumonia or atelectasis. Otherwise there is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.

history: <unk>f with chills // eval for pna

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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. There is mild left basal atelectasis which appears unchanged. There is likely mild hilar congestion with mild stable cardiomegaly. The aorta is calcified and somewhat unfolded. No convincing evidence for pneumonia, large effusion or pneumothorax. Visualized osseous structures appear intact.

<unk>f with seizures // ?pna

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The cardiomediastinal and hilar contours are stable with calcification of the aortic knob. There is no pleural effusion or pneumothorax. There is scarring at the left lung base, which is unchanged compared to the radiograph from <unk>. Again demonstrated are severe upper lobe predominant emphysematous changes. There is no focal consolidation concerning for pneumonia.

cough, increased sputum production, dyspnea on exertion.

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Cardiac size is top-normal. . The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine

<unk> year old man with cough, wheeze, rhonchi // r/o pna

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Ap upright and lateral views of the chest provided.lungs appear hyperinflated with prominent retrosternal clear space consistent with emphysema/ copd. Pleural effusions are noted bilaterally, small, right greater than left. There is no convincing evidence for pneumonia or edema. Asymmetric scarring is noted in the right mid lung as on prior. Cardiomediastinal silhouette appears normal. Chronic left clavicle deformity noted.

<unk>m with episode of chest pain, now leukocytosis, <unk>, concern for sepsis

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Scarring within the lung apices is unchanged. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with chest pain

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The patient is status post sternotomy. Within the normal-appearing heart, the metallic components of a right bileaflet mechanical mitral valve prosthesis is identified. The position is unchanged. The heart size remains within normal limits. The pulmonary vasculature is not congested and there are no signs of acute or chronic parenchymal infiltrates anywhere in the lungs. The lateral and posterior pleural sinuses are free, and there is no pneumothorax in the apical area. In comparison with the next preceding study of <unk>, no significant interval change can be identified. Our records include now a total of six followup chest examinations beginning in <unk>. At that time, the patient already had received the mitral valve prosthesis and the chest findings have continuously remained within normal limits. There is no evidence of acute pneumonia or pleural effusion.

<unk>-year-old male patient with pedal edema and history of mitral valve regurgitation, now with mechanical valve prosthesis. evaluate for pulmonary edema or pleural effusion.

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There are relatively low lung volumes which accentuate the bronchovascular markings. Relative opacity at the medial right lung base is felt to more likely be due to vascular structures rather than consolidation. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

stroke.

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There is a partially calcified rounded density projecting over the mediastinum near the ap window compatible with calcified lymph nodes. Several scattered punctate parenchymal densities, may be granulomas, sequela of prior granulomatous infection such as histoplasmosis versus vessels on end. Lungs are otherwise fully expanded and clear. No pleural effusion or pneumothorax. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.

<unk>f with luq pain

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The lungs are clear without evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Specifically, there is no evidence of mediastinal widening.

shortness of breath, back pain, and an abnormal ekg.

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Linear opacities in the right lung base laterally are likely atelectasis versus scarring. Focal opacity at the left cardiophrenic angle is compatible with a prominent epicardial fat pad as seen on prior. The lungs are otherwise clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with chest pain,sob // eval for pneumonia, other acute process

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. Remote right-sided rib fractures are noted along with a chronic fracture deformity of the right mid/distal clavicle. No acute osseous abnormality is demonstrated.

history: <unk>m with left hand numbness

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The lungs are well inflated and clear bilaterally with no evidence of focal consolidation, pleural effusion, masses, lesions, or evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable.

<unk>-year-old male, hiv positive with cd<num> count of <num>, presents with three to four months of cough, mild shortness of breath, and increasing dyspnea on exertion.

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Frontal and lateral radiographs of the chest demonstrate moderate cardiomegaly, which is unchanged. Small right-sided pleural effusion has developed over the interval. There is a small left-sided pleural effusion as well, which is unchanged. There is an intrafissural component of the left-sided pleural effusion, seen on the lateral view. There has been interval removal of the right-sided internal jugular central venous line. No pneumothorax.

<unk>-year-old female status post cabg. evaluate for effusion or pneumothorax.

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

tuberculosis.

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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. The osseous structures are unremarkable.

tachycardia.

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The right hemidiaphragm is markedly elevated. There is slight blunting of the posterior right costophrenic angles may be due to a trace pleural effusion and/ or atelectasis. No definite focal consolidation is seen. There is minimal left base atelectasis. There is no pneumothorax. The aortic knob is calcified. Cardiac silhouette is not enlarged.

history: <unk>m with hep c cirrhosis c/b he // ? consolidation

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Diffusely increased interstitial markings likely reflect chronic lung disease. Focal opacity is identified in the left lung base which may reflect atelectasis, however pneumonia is possible in correct clinical setting. There is small left pleural effusion. Cardiac silhouette is moderately enlarged. Heavy calcification is noted in the aorta.

<unk>f with left crackles on exam // evaluate for pneumonia

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The heart size is normal. The aorta remains tortuous. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion, focal consolidation or pneumothorax is visualized. Dextroscoliosis of the thoracic spine is again noted with multilevel degenerative changes.

hypertension, chest pain.

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There appears to be a more conspicuous focal consolidation at the right lower lobe. No pleural effusions or evidence of a pneumothorax is identified. Again seen is mild cardiomegaly. The mediastinal silhouette and hilar contours are unremarkable. The visualized osseous structures are unremarkable.

history of shortness of breath, orthopnea and pnd. please evaluate for infiltrate/edema.

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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with right shoulder/upper back pain and pleuritic pain

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

<unk>-year-old woman with chest pain, right-sided weakness and tingling, question of infection.

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The lungs are well inflated and clear. Mild cardiomegaly and tortuous aorta are unchanged. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.

altered mental status, evaluate for pneumonia.

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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

history: <unk>m with chest pain shortness of breath // eval for pna