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

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Lungs are mildly hypoinflated with crowding of vasculature. Best seen on lateral view is increased opacity projecting over the posterior costophrenic angle which likely localizes to the right base on the frontal view. Left basilar linear atelectasis is noted. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

<unk>m with sob, history of recent pneumonia. assess for acute process.

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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Several right rib deformities on the right reflect old injury. No free air below the right hemidiaphragm is seen.

<unk>m with abdominal pain // abdominal pain

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While the patient always has had some prominence of his vasculature in the right hemithorax, on today's exam it appears to be more consolidative than on the prior exams. In addition, near the costophrenic angle on the frontal view, there is a halo-like opacity with a central clearing. The left lung is clear. Calcifications of the aortic knob are stable. Heart size is normal. There is no pneumothorax or pulmonary edema.

reported pneumonia.

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is top-normal in size. And aicd is present with leads within the right atrium, right ventricle and coronary sinus. Median sternotomy wires are intact. The imaged upper abdomen is unremarkable. The bones are intact.

history: <unk>m with chest pain // eval for pna, chf

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No focal consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. Elevation of the left hemidiaphragm and associated atelectatic changes are unchanged.

<unk>-year-old woman with lupus, now cough. rule out pneumonia.

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In comparison with study of <unk>, the patient has taken a much better inspiration. There are small bilateral pleural effusions with continued enlargement of the cardiac silhouette. No evidence of pulmonary vascular congestion. Atelectatic changes are seen at the left base.

cabg, to assess for effusions.

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. The osseous and soft tissue structures are unremarkable.

<unk>-year-old female with cough productive of green sputum. treated for flu last week.

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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 cough and chills. please evaluate for pneumonia.

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

chest pain.

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Pa and lateral views of the chest. There are low lung volumes which exaggerate the size of the mediastinum. The aorta is tortuous. There is no focal consolidation, pleural effusion or pneumothorax.

fever and chills, question pneumonia.

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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.

confusion, altered mental status.

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There is a large spiculated right perihilar mass, better assessed on ct chest performed one day prior. No focal consolidation is seen in the left lung. Known mediastinal and hilar lymphadenopathy is also better assessed on prior chest ct. The cardiac silhouette is not enlarged. There is no pleural effusion or pneumothorax.

<unk>-year-old woman with dyspnea, evaluate for pleural effusion.

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The lung volumes are low. Heart size is mildly enlarged. The aorta is mildly unfolded. There is no pulmonary vascular congestion. Minimal atelectasis in the right lung base is seen. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.

confusion.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable, without evidence of intraperitoneal free air.

evaluate for abnormality in a patient status post left partial nephrectomy.

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Mild cardiomegaly is persistent compared to exams dated back to at least <unk>. Mild bilateral perihilar vascular congestion appears overall stable compared to the prior exam. New opacity in the retrocardiac region is concerning for pneumonia. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of end-stage renal disease, restrictive lung disease, who presents for evaluation of cough, fevers and increased o<num> requirement. please evaluate for pneumonia.

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine. No acute osseous abnormalities are detected.

chest pain and near-syncope.

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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 cough/presyncope. please assess for pneumonia.

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There is stable severe cardiomegaly with a new large right-sided pleural effusion. The left lung is well inflated, without focal opacities but vascular cephalization is apparent - although improved from prior. A pacemaker is noted in the left axilla with leads ending in the right atrium and right ventricle, unchanged.

<unk>-year-old male with hypoxia and elevated jugular venous distention. evaluate for evidence of chf.

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Heart size is mildly enlarged, but unchanged. The aorta is unfolded. The mediastinal and hilar contours are otherwise within normal limits and similar compared to the prior study. Lungs are clear and the pulmonary vascularity is not engorged. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are seen.

pleuritic chest pain.

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The cardiomediastinal and hilar contours are within normal limits. The lungs are mildly hyperinflated. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with lower posterior chest discomfort // r/o atelectasis/ ptx

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Pa and lateral views of the chest were obtained. There are low lung volumes. No lung nodules or masses are visualized. The heart is top normal in size. No evidence of copd is seen on this study. There is no focal pneumonia, pleural effusion, or pulmonary edema.

<unk>-year-old man with persistent dyspnea on exertion. evaluation for copd.

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Moderate to large right, and small to moderate left, pleural effusions are re- demonstrated with a left basilar pleural catheter again noted. Fluid continues to be a loculated within the fissures, but slightly decreased compared to the prior study. There are persistent bibasilar airspace opacities likely reflective of compressive atelectasis. Left-sided port-a-cath tip terminates at the junction of the svc and right atrium. The cardiac, mediastinal and hilar contours are unchanged. No pneumothorax is seen. There is no pulmonary vascular congestion. Several clips are demonstrated within the right upper quadrant of the abdomen with a biliary stent.

dyspnea, known malignant pleural effusions.

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The lungs are hypoinflated which accounts for some bronchovascular crowding. No focal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Incidentally noticed bilateral cervical ribs. Low lung volumes account for bronchovascular crowding.

<unk>-year-old female with palpitations and subacute cough. evaluate for infectious process.

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Lungs are clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pneumothorax, pleural effusion, pulmonary edema. No focal consolidations are noted.

<unk> year old man with fevers, chills, cough, flu like symptoms // evaluate for pneumonia

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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.

fever and weakness.

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The cardiac, mediastinal and hilar contours appear stable including mild to moderate cardiomegaly. There is a persistent small to moderate pleural effusion on the left. What has changed is increased patchy opacity in the left mid and lower lungs. There is background mild interstitial abnormality suggesting some degree of coinciding fluid overload.

dyspnea.

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There is moderate cardiomegaly and pulmonary vascular congestion. No focal consolidation is identified. There are likely small bilateral pleural effusions. No pneumothorax is seen.

history: <unk>m with sickle cell, chest pain // evaluate for acute process

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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.

<unk> year old woman with aml // increased white count. assess for abnormality

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Frontal and lateral chest radiographs demonstrate appropriate positioning of a right atrial, right ventricular, and left ventricular lead. Small bilateral pleural effusions are again seen, there is resolving mild pulmonary edema. Right basilar opacity may refect atelectasis or infection. There is no pneumothorax. The cardiac silhouette remains markedly enlarged. The mediastinal contours are unchanged.

<unk>-year-old female status post biventricular pacemaker upgrade, question lead position.

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A port-a-cath terminates in the upper superior vena cava. The cardiac, mediastinal, and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear, although it would be difficult to exclude small nodules with radiography. Bony structures are unremarkable.

cancer and fever.

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There are scattered bilateral interstitial opacities in both lungs, none of which appear new since prior. Previously seen left upper lung opacity has resolved. There is no new focal consolidation or effusion. The cardiomediastinal silhouette is stable with mild cardiomegaly. Pulmonary artery enlargement and aortic arch calcifications again noted. No acute osseous abnormalities detected.

<unk>f with new afib // eval for pneumonia, pleural effusions, cardiomegaly

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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette with increasing vascular congestion. Some asymmetry at the bases, with more opacity on the right, could reflect developing consolidation in the appropriate clinical setting.

shortness of breath.

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Lungs volumes are normal. Subtle opacity in the left lower lobe could reflect early pneumonia. No pleural effusion or pneumothorax. Heart is normal size. Mediastinal and hilar contours are unremarkable.

cough, rule out pneumonia.

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Pa and lateral radiographs of the chest once again depict volume loss in the right lung consistent with right middle lobectomy, as well as surgical clips in the right hilum. The small layering right pleural effusion has resolved, and there is an expected collection of fluid occupying the right middle lobe resection bed, with possible pleural thickening at this location. Aside from tortuosity of the aorta, the hilar and mediastinal contours are normal. There is no pneumothorax, and the pulmonary vascularity is normal, without edema.

evaluate for interval change in a patient status post vats, right thoracotomy, and right middle lobectomy.

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As compared to the previous radiograph, there is unchanged evidence of a zone of increased opacity in the retrocardiac lung areas. In the appropriate setting, this change could represent pneumonia but this possibility remains unlikely given the stability over almost <num> months. No overt pulmonary edema. No pleural effusion. Borderline size of the cardiac silhouette. Unchanged position of the dialysis catheter.

fever, evaluation for pneumonia.

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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Prominent calcification along the costochondral junction noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with fall // eval for rib fx

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There is blunting bilateral posterior costophrenic angles, suggesting small pleural effusions. No definite focal consolidation is seen. There is no evidence of pneumothorax. Patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are grossly stable.

history: <unk>m with cabg <num> one week ago pw slurred speech since yesterday, neuro w/u // ?cpd

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Pa and lateral views of the chest provided. Peg tube projects over the left upper abdomen. 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 hx bariatric surgery s/p reversal, s/p g-tube placement, p/w abdominal pain

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Compared to the prior chest radiograph of <unk> bilateral lower lobe opacities have improved. New opacities in the right middle lobe and lingula are identified. There is no pleural effusion or pneumothorax the cardiac and mediastinal contours are stable.

<unk>-year-old woman with fever. evaluate for infiltrate.

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The lungs are overinflated but clear which likely reflect underlying copd. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. There is unchanged severe compression deformity of the t<num> vertebral body.

right-sided sharp chest pain, evaluate for acute cardiopulmonary process.

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Frontal and lateral views of the chest. The lungs are clear without effusion consolidation or pneumothorax. Cardiac silhouette is top-normal in size. Descending thoracic aorta is tortuous. No acute osseous abnormalities detected.

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

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. Deformity of the left first and second ribs is again noted.

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

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Tracheostomy tube and left-sided port-a-cath all remain in unchanged positions. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion, pulmonary edema, or pneumothorax is present.

cough and sputum production.

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In comparison with study of <unk>, there is little overall change. Again the cardiac silhouette is at the upper limits of normal in size and there is tortuosity of the aorta. Widening of the right upper mediastinum most likely is related to a tortuous vessel.

cough with shortness of breath.

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

<unk>m with chest pain // ? acute cardiopulm process

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There is mild enlargement of cardiac silhouette which is unchanged. Calcification of the aortic knob is re- demonstrated. The mediastinal and hilar contours are otherwise unchanged. No pulmonary vascular congestion is demonstrated. A rounded opacity measuring approximately <num> cm is demonstrated within the right mid to upper lung field, new compared to the previous exam. No focal consolidation, pleural effusion or pneumothorax is otherwise demonstrated. Multilevel degenerative changes are again seen within the thoracic spine.

weakness and dyspnea.

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Left upper lobe consolidation is most consistent with pneumonia. Or subtle linear opacities in the right upper lobe and bilateral lung bases more likely represent atelectasis or vascular structures. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with cough // cough

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Sternotomy wires are intact and aligned. The lungs are clear. Mild cardiomegaly with prominent epicardial fat is unchanged. There is no pneumothorax. Bony spurring at the inferior aspect of the left glenohumeral joint has increased. Old healed left rib fractures are unchanged.

ms. <unk> is a <unk> y/o female with pmh notable for cad s/p pci and cabg (<unk>, lima to lad, svg to om), hx. of chb, chronic systolic hf (<unk> lvef <unk>%), htn, hld, dm who presents from osh with black discoloration of toes consistent with necrotic skin lesions likely <unk> peripheral arterial disease. // please assess for pulmonary edema, evidence of a pacemaker.

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Frontal chest radiograph again demonstrates diffuse osteopenia and compression deformities of mid thoracic vertebra, better characterized on dedicated ct from the same day. The lungs are clear. Atherosclerotic calcifications of the aortic arch are unchanged. Trachea is deviated to the left at the thoracic inlet, secondary to known right thyroid lesion. The cardiomediastinal silhouette is stable.

fall. evaluation for fracture or pneumothorax.

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The heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. There are mild degenerative changes in the thoracic spine.

chest pain.

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Dual lead left-sided pacemaker is seen, relatively stable in position. Prominence of the right hilum is similar compared to <unk>. The cardiac silhouette remains mildly enlarged. Mediastinal contours are stable. No focal consolidation is seen. There is no large pleural effusion or pneumothorax.

history: <unk>f with abd pain, general weakness //

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There is a vague retrocardiac opacity, best seen on the lateral projection, which may in the proper clinical setting reflect a developing consolidation. Prominent interstitial markings are noted, likely secondary to chronic parenchymal changes. There is no pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal. Multilevel degenerative disease is noted throughout the thoracic spine, without evidence of an acute bony abnormality.

cough.

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There is mild prominence of the right hilum and right infrahilar region opacity raising question of developing consolidation with possible right hilar lymphadenopathy, with possible superimposed prominent hilar vasculature. Mild wedging of several thoracic vertebral bodies is again noted.

evaluation of patient with progressive fatigue.

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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.

<unk> year old woman with cp and sob // any evident reason for chest pain?

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Ap and lateral views of the chest. There are low lung volumes. Diffuse increased interstitial markings are again seen, similar prior exam and consistent with mild to moderate pulmonary edema. Focal consolidative areas are seen in the right lung base, right upper lung, left perihilar region, which may represent focal areas of pulmonary edema vs. Multifocal pneumonia. Bilateral pleural effusions are again seen, similar to prior exam. There is no pneumothorax. The cardiomediastinal silhouette is mildly enlarged, stable from prior exam.

pulmonary edema, question pneumonia.

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Frontal and lateral chest right radiographs demonstrate a normal cardiomediastinal silhouette. The lungs are well aerated and clear, with no focal consolidation or pulmonary edema. There is a small right pleural effusion. There is no pleural effusion on the left, and no pneumothorax.

status post tracheobronchoplasty. evaluate for interval change.

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The cardiac, mediastinal and hilar contours appear unchanged. The lung volumes are low. There is no pleural effusion or pneumothorax. Blunting of the left costophrenic sulcus on the frontal view suggests minor atelectasis. Otherwise, the lungs appear clear. A right internal central jugular venous catheter is somewhat difficult to follow in the mediastinum but it appears to terminate in the superior vena cava.

altered mental status.

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Pa and lateral views of the chest. Tracheostomy tube is in stable position. Left chest wall port is seen with tip at the ra/svc junction. Relatively low lung volumes are seen. There is, however, no region of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.

<unk>-year-old female with history of bronchopulmonary dysplasia with tracheostomy and increased sputum for two weeks.

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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 overt pulmonary edema is seen. There are some degenerative changes along the spine.

chest discomfort.

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with chest pain // ? chf

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As compared to prior chest radiograph from <unk>, lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. There has been interval removal of a right-sided picc line. There is no focal consolidation, pleural effusion or pneumothorax. Visualized osseous structures are grossly intact. There is gaseous distension of visualized loops of bowel.

<unk>-year-old woman with break through szs. rule out pneumonia.

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There is no focal consolidation, pleural effusion, or pneumothorax. There is flattening of both hemidiaphragms suggesting hyperinflation. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.

<unk>-year-old man with asthma, uncontrolled despite maximal therapy, bilious sputum production, any evidence of infiltrates.

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Frontal and lateral views of the chest demonstrate mildly increased perihilar vawscular congestion since the preceding exam. There is new blunting of the left costophrenic angle suggestive of a small pleural effusion with streaky bibasilar atelectasis. There is no pneumothorax or consolidation. High-grade compression deformity of l<num> vertebral body with greater than <unk>% loss of height is similar as compared to <unk>, and present since at least <unk>.

<unk>-year-old female with diastolic dysfunction, shortness of breath and weight gain. question pulmonary edema.

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There is hyperinflation and mild biapical scarring. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with cough, fever // eval for pna

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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with fatigue and dizziness, ?infection, tenderness over right medial malleolus // ?pneumonia, ?right ankle frx

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The cardiomediastinal contours are stable. A rounded density posterior to the carina on the lateral projection is new since the prior study. There is no pleural effusion or pneumothorax.

abdominal pain.

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The lungs are hyperinflated and there may be trace bilateral pleural effusions. Prominence in relative indistinctness of the hila, perihilar region suggest vascular engorgement. There is also prominence of the upper vesicles. No pneumothorax is seen. The cardiac silhouette is not enlarged. Mediastinal contours are unremarkable. Degenerative changes are again seen along the spine.

history: <unk>m with sob, rhonchi is smoker // r/o infiltrate

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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is no free air under the diaphragm.

chest pain after endoscopy. evaluate for free air.

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The heart is of normal size with normal cardiomediastinal contours. Lung volumes are low. A right perihilar rounded opacity appears new and may represent lymphadenopathy, although an osseous lesion or a lung lesion cannot be excluded. No pleural effusion or pneumothorax. Patchy demineralization of the left humerus head is compatible with metastatic disease, correlating with abnormalities seen on the prior pet-ct. The patient is status post gastric banding.

shortness of breath.

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Pa and lateral views of the chest provided. Faint linear atelectasis noted in the lower lungs. Otherwise, lungs are clear. No focal consolidation, effusion or pneumothorax. No evidence of pulmonary edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Surgical anchors in the right humeral head noted. No free air below the right hemidiaphragm is seen.

<unk>m with cough and shortness of breath

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There are streaky bibasilar opacities likely due to atelectasis. There is mild pulmonary vascular congestion without overt edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>f with <unk> days cough, fever, now w/ afib with rvr // eval ? infiltrate

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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm.

<unk>f with epigastric and chest pain, evaluate for acute coronary syndrome.

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The newly placed left pectoral coli pacemaker appears intact and in satisfactory position with <num> lead in the right atrium and the other in the right ventricle. The lungs are well-expanded. A small left pleural effusion is new. No pneumothorax or pneumomediastinum. The cardiomediastinal silhouette is unchanged. Aortic knob moderate calcifications are also unchanged. No focal consolidation or edema. There is moderate levoconvex scoliosis of the visualized thoracolumbar spine. Surgical clips project over the right upper abdomen. Degenerative changes at multiple levels in the thoracic spine are similar to the prior exam.

<unk> year old woman with pacemaker placement ; evaluate for pneumothorax and lead placement.

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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

lower quadrant pain.

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The heart size is mildly enlarged. Aortic knob is calcified. The mediastinal and hilar contours otherwise are unremarkable, and no pulmonary vascular congestion is present. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are low lung volumes noted. There are no acute osseous abnormalities.

weakness.

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Diffuse opacities extending from the hila are consistent with mild edema. Additionally, there is moderate cardiomegaly. Retrocardiac opacity on the frontal radiograph is not confirmed on the lateral. No definite consolidation is seen. There are likely bilateral small pleural effusions. No pneumothorax. A density in the right mid thorax likely corresponds to a known right upper lobe pulmonary nodule not well evaluated by radiograph; however, appears grossly stable. No displaced fracture is identified.

left-sided chest wall pain.

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Frontal and lateral views of the chest. Vague opacities project over the right lower lung laterally, likely scarring or atelectasis as seen on prior ct. Elsewhere, the lungs are clear. There is no effusion, no pneumothorax. Cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormalities identified. Vascular stent projects over the upper abdomen in the midline.

<unk>-year-old female with coronary artery disease status post mi with chest pain.

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As compared to the previous radiograph, there is no relevant change. Areas of plate-like atelectasis at both the left and right lung base. Minimal scarring in the left upper lobe. No evidence of acute lung changes, notably no evidence of pneumonia. An area of minimally increased density at the lower aspect of the right hilus is completely unchanged as compared to the previous examination. Substantial scoliosis with subsequent asymmetry of the rib cage. Borderline size of the cardiac silhouette. Tortuosity of the thoracic aorta.

large hiatal hernia with cough, right lower lobe crackles, assessment for pneumonia.

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The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. There are small new pleural effusions bilaterally since the prior radiographs. Streaky opacities at the lung bases are probably due to associated atelectasis but there is no definite parenchymal edema. Fissures appear slightly more thickened, however.

aortic stenosis and stents presenting with fluid overload versus pneumonia.

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Patient is slightly rotated. The lungs remain clear without consolidation, effusion, or edema. Mild cardiac enlargement is unchanged. There are atherosclerotic calcifications in the aortic arch. Hypertrophic changes noted in the spine.

<unk>f with delirium // eval for pna

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Lines and tubes: bilateral chest tubes project over the lower lateral chest wall. The pigtail of the right-sided chest tube projects outside the chest wall may be in the subcutaneous tissues. Lungs: well inflated with unchanged bilateral diffuse coarse linear and patchy opacities. Pleura: there is no pleural effusion or pneumothorax mediastinum: unchanged cardiomegaly and mediastinal silhouette. Bony thorax: no interval change

<unk> year old man with bilaterla pulm infilitrates, pleural effusions s/p bilateral chest tubes // assess for interval change; please do between <num> and <num> am

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Low lung volumes. Bibasilar atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. Mild degenerative changes of the visualized spine.

history: <unk>f with vertigo. evaluate for acute process

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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, ili // eval for pneumonia

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Frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. There is an area of increased opacification of the right base, which partially obscures the right heart border, concerning for right middle lobe pneumonia. The cardiomediastinal contour is unremarkable. There is no pneumothorax or pleural effusion.

cough for <num> weeks. evaluate for pneumonia.

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The lungs are clear of consolidation or large effusion. The cardiomediastinal silhouette is within normal limits. Dobbhoff tube is seen with tip in the region of the gastric antrum.

<unk>m with hepc cirrhosis now with increased weakness // r/o pna

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The heart is normal in size. The aorta is mildly tortuous. There is no pleural effusion or pneumothorax. A small calcified granuloma projects over the right upper lobe. Otherwise the lungs appear clear.

atrial fibrillation.

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

cough and fever.

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In comparison with the study of <unk>, there is little overall change. Again there is substantial enlargement of the cardiac silhouette with mild vascular congestion, a discordancy that raises the possibility of pericardial effusion or cardiomyopathy. Three-channel pacer defibrillator device is in place. Specifically, no definite evidence of right basilar pneumonia.

chf with decreased breath sounds at right base.

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Right chest wall dual lead pacing device is again seen with lead tips in the right atrium and right ventricle. Mitral valve replacement and median sternotomy wires are again noted. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>f with fall from standing. on coumadin. reports pain in the left hand and left knee // eval for ich, fracture/dislocation

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

chest pain.

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Moderate left pleural effusion is unchanged and a small right pleural effusion is smaller in comparison to chest radiograph <unk>. The heart size is mildly enlarged. Focal atelectasis associated with the patient's moderate left pleural effusion is noted on the lateral view. Patient is status post median sternotomy with wires intact.

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

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Pa and lateral views of the chest provided. Overlying ekg leads are present. The heart is mildly enlarged. There is mild hilar congestion without frank edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. The mediastinal contour appears normal though the aorta is mildly calcified. The bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with progressive edema // eval for acute process

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The heart is normal in size. The aortic arch appears calcified. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.

chest pain and crackles at the right lung base.

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A left port tip is seen in the right atrium/ cavoatrial junction, unchanged in position since prior examination. The lungs are clear. There is no pleural effusion or pneumothorax. The heart size, mediastinal contour, and hila are unremarkable.

<unk>f with rapid heart rate, cough. has port // eval port position, chf, pneumonia

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New left upper lobe opacity is suspicious for pneumonia. Right hemithorax volume loss and increased density in the right peritracheal region is stable in may be related to prior infection or radiation treatment. At chest tube is noted at the right lung base. Stent is noted in the descending thoracic aorta and abdominal aorta. Bilateral pleural effusions are small. Mildly enlarged cardiac silhouette is stable.

history: <unk>f with chest pain // acute process

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The cardiac, mediastinal and hilar contours appear stable. There has been prior sternotomy and probably coronary artery bypass graft surgery. There is no pleural effusion or pneumothorax. Mild subpleural thickening is unchanged at each lung apex. Pulmonary edema has resolved.

uncontrolled diabetes.

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.

evaluation of patient with hyperglycemia.

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<num> views were obtained of the chest. The lungs are mildly hyperexpanded, which can be seen in chronic obstructive pulmonary disease. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

chest pain.

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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 fall, eval for ptx or fx. // pain

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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

history: <unk>m with edema // ? pleural effusion