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

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Moderate enlargement of the cardiac silhouette is re- demonstrated. The aorta is tortuous and diffusely calcified. There is mild pulmonary vascular congestion without overt pulmonary edema. A moderate size right pleural effusion is noted along with a small left pleural effusion. Patchy opacities in lung bases likely reflect areas of atelectasis. No pneumothorax is identified. Mild to moderate degenerative changes are noted in the imaged thoracolumbar spine.

history: <unk>m with history of cad, <unk> presents 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 pressure.

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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.

transient left upper quadrant pain.

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Patient is status post median sternotomy. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with increasing doe // evidence of acute cp process

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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified noting an minimal lower thoracic dextroscoliosis.

<unk> year old woman with shortness of breath. // r/o pneumothorax, pulm edema or pna

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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality is identified. There is an accentuated kyphosis of the spine.

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

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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. No acute fracture is seen.

history: <unk>f in <unk> with mild chest wall pain and mild neck pain. // any fractures

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Lung volumes are low. Heart size is within normal limits. The mediastinal and hilar contours are unchanged, with unfolding of the thoracic aorta again noted. The pulmonary vasculature is normal. Patchy and linear opacities in the lung bases likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are mild degenerative changes in the thoracic spine.

coughing, syncope.

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The lungs are well expanded. There is a retrocardiac opacity which can be confirmed with a spinal sign in the lateral view and is obscuring the posterior margin of the left hemidiaphragm. No other focal opacities are noted. Heart size cannot be accurately assessed in this ap view, but the heart appears mildly enlarged. There is no pleural effusion or pneumothorax.

<unk>-year-old male with fever. evaluate for pneumonia.

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The lungs are well-expanded and notable for left lower lobe atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Persistent posterior elevation of the left hemidiaphragm is most consistent with diaphragmatic eventration. No displaced rib fractures. Visualized upper abdomen is within normal limits.

<unk>f with lower b/l cw tttp s/p mvc. assess for rib fracture.

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Improved right pleural effusion and perihilar opacification. Small bilateral pleural effusions remain. Unchanged appearance of left picc. Heart size, borders, and mediastinal contours are unchanged.

<unk> year old woman s/p rul // check interval change

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The patient is status post median sternotomy and cabg. Left-sided aicd/pacemaker lead terminates in the right ventricle, unchanged. Moderate cardiomegaly is redemonstrated. The mediastinal and hilar contours are unchanged. Mild interstitial pulmonary edema is relatively similar when compared to the prior exam. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

dyspnea.

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There are slightly low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no pulmonary edema. The cardiac and mediastinal silhouettes are unremarkable.

cough.

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.

history: <unk>m with dm<num>, nausea, vomitting and hyperglycemia.

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The lungs are reasonably well expanded. A loculated left lower lateral chest pleural fluid collection or pleural thickening is seen with surrounding hazy parenchymal pulmonary opacities. Remainder of the lungs are clear. There is no pneumothorax. The heart is normal in size and cardiomediastinal contours.

left pleuritic chest pain with recent pneumonia diagnosis.

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Lungs are well expanded. Blunting of the left costophrenic angle may represent a small residual pleural effusion or pleural thickening. Linear opacities along the left lung base likely represent atelectasis or scarring. The lungs are otherwise clear, without focal consolidation or pneumothorax. The cardiomediastinal silhouette is normal.

history of cough and fatigue for <num> days and history of empyema.

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Heart size is normal. The cardiomediastinal and hilar silhouette is unremarkable. The lungs are clear without consolidations, effusions or pneumothorax. No radiopaque airway foreign body is identified. Surgical clips are visualized in the right upper quadrant. No acute bony abnormality.

tooth fracture without unknown location of fragments. evaluate for airway foreign body.

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Frontal and lateral views of the chest demonstrate top normal heart size and normal mediastinal and hilar contours. The thoracic aorta is mildly tortuous. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Trace left greater than right basilar atelectasis is present. There is no radiographically appreciable peribronchial cuffing. The airway is midline.

<unk>-year-old female with cough and rhonchi. question pneumonia.

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There is no consolidation or pneumothorax. There are persistent trace bilateral pleural effusions posteriorly. Cardiac silhouette is top normal. There is no pulmonary vessel congestion or pulmonary edema. Plate-like opacity at the left lung base is likely mild atelectasis.

<unk> year old man with <unk>'s disease // patient with weight increase <num> to <num>#. on exam no chf. wish to confirm that on imaging to evidence chf. patient is not sob or having symptoms of chf

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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.

shortness of breath.

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In comparison with the earlier study of this date, there is again enlargement of the cardiac silhouette with left mid lung scarring. Tunneled dialysis catheter tip is in the right atrium. No evidence of acute pneumonia or vascular congestion.

cabg.

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

<unk>f presenting with chest pain.

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Heart size is top normal. The aorta is tortuous. The mediastinal contours are unremarkable. There is mild upper zone vascular redistribution suggestive of mild pulmonary vascular congestion without frank pulmonary edema. Streaky bibasilar airspace opacities could reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are moderate degenerative changes in the thoracic spine.

history: <unk>f with fever // eval for infiltrate

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The heart size is normal. Enlargement of the left and main pulmonary arteries is again noted, not significantly changed from the prior studies. The right hilar contour is within normal limits. Emphysema is again seen, most pronounced within the lung apices. Minimal streaky opacity in the left lung base is similar and may reflect minimal atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.

copd with shortness of breath, increasing phlegm and substernal chest pain.

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Nerve stimulator device projects over the left mid hemithorax with a single lead coursing cephalad into the neck. Heart size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. Streaky retrocardiac opacity may reflect atelectasis but infection is not excluded. No pleural effusion or pneumothorax is present. There is no pulmonary vascular congestion. Remote right mid clavicular fracture is re- demonstrated.

fever, tachycardia.

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As compared to the previous radiograph, the patient has developed minimal bilateral pleural effusions as well as areas of opacities in both lower lobes. Given the clinical presentation of the patient, the presence of pneumonia is likely. In addition, the cardiac silhouette is slightly enlarged as compared to the previous exam, so that mild fluid overload could be present. Defect in the posterior part of the fifth right rib, unchanged. Mild bilateral symmetrical apical thickening.

history of copd, productive cough, green sputum, low-grade temperatures. evaluation.

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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. Thoracic scoliosis is noted.

<unk> year old woman with diarrhea and brbpr, leukocytosis // eval for pneumonia

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The heart is again mild-to-moderately enlarged. The mediastinal and hilar contours appear unchanged. The pulmonary interstitium is slightly prominent bilaterally, which suggests slight mild congestion or fluid overload. In addition, the lateral view depicts a posterior opacity projecting over the lower lobes, which is difficult to visualize on the frontal view, but is suspected to relate to the left lower lobe, noting new mild relative elevation of the left hemidiaphragm which may suggest volume loss. There is no pleural effusion or pneumothorax. Mild rightward convex curvature of the thoracic spine is noted.

altered mental status in the setting of prior liver transplant. question pneumonia.

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Pa and lateral chest radiographs demonstrate no focal consolidation. Cardiomediastinal silhouette is within normal limits. Several left-sided rib fractures are identified which include lateral fifth sixth and seventh ribs as well as the seventh rib posteriorly. There is no evidence of a pneumothorax. Blunting of the left costophrenic angle may reflect atelectasis though a small pleural effusion cannot be excluded. Increased density within the soft tissues is likely reflective of focal hematoma as in association with the rib fractures. The upper abdomen is unremarkable.

<unk>-year-old male with pain to the left posterior chest status post fall.

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Heart size is normal. The aorta is tortuous. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are chronically hyperinflated with flattening of the diaphragms. Minimal blunting of the left costophrenic angle is likely due to pleural thickening or scarring and is unchanged. No focal consolidation, pleural effusion or pneumothorax is seen. Numerous clips are again noted in the left upper quadrant of the abdomen.

history: <unk>m with asthma exacerbation

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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 palpitations, lightheadedness, dizziness; leukocytosis.

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Frontal and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

left-sided pleuritic 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 stable and unremarkable. The hilar contours are also unremarkable. No displaced fracture is seen.

right-sided chest pain.

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Ap and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity.

<unk>-year-old male. pre-operative evaluation prior to ankle fracture repair.

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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear left basilar opacities are again seen and could represent atelectasis versus scarring. Elsewhere, the lungs are clear. There is no consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.

<unk>-year-old male with lethargy.

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Frontal and lateral chest radiographs were obtained. Aside from the previously noted hiatal hernia and minimal venous engorgement, the cardiomediastinal silhouette is normal. Low lung volumes results in vascular crowding, but the lungs are clear. There is no pleural effusion or pneumothorax.

cough and persistent wheezing x <num> days. evaluate for pneumonia.

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A moderate size right pleural effusion is new in the interval with associated right basilar opacity, likely compressive atelectasis though infection cannot be excluded. Heart size is difficult to assess given the presence of the pleural effusion that appears at least mildly enlarged. The mediastinal and hilar contours remain unchanged with no pulmonary edema noted. The left lung is clear. No pneumothorax is identified.

history: <unk>m with shortness of breath

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Low lung volumes causes bronchovascular crowding. There is no effusion or pneumothorax. Hazy right perihilar opacity may represent pneumonia. The cardiomediastinal silhouette is normal. Healing distal right clavicle fracture is again seen. Imaged osseous structures are otherwise intact. No free air below the right hemidiaphragm is seen. Metallic density at the right anterior chest may be exterior to the patient.

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

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The lungs are hyperinflated with upper lung lucency, suggesting emphysema. Bilateral basilar opacities have largely resolved. There is no new consolidation worrisome for pneumonia. No pleural effusion or pneumothorax. Again, there is a linear opacity in the right upper lobe, unchanged from <unk>. Heart is normal size. The mediastinal and hilar contours are unremarkable.

recent admission for sepsis and pneumonia. evaluate for resolution of pneumonia.

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Increasing small left-sided pleural effusion with recent atelectasis. Clips are seen in the left upper lobe with decreasing surrounding opacity. Mild elevation and asymmetry of the left hilum can be post treatment changes. No pulmonary edema. The right lung is clear. The cardiac silhouette is not enlarged. Priortavr with aortic stent.

<unk> year old man with pleural effusion // eval

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Pa and lateral views of the chest. Bibasilar opacities are again seen, similar to prior. Overall lung volumes are relatively low. Superiorly the lungs are clear of new consolidation. Cardiomediastinal silhouette is unchanged. No acute osseous abnormalities detected.

<unk>-year-old female with dyspnea.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There has been interval placement of an icd, with the lead projecting over the right ventricle. There is no pleural effusion or pneumothorax.

status post icd placement. evaluate for pneumothorax and lead placement.

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There is a focal right basilar opacity which on the frontal view is more linear than on the lateral where it is more patchy in appearance. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits.

<unk>f with cough // r/o pna

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Again there is mild hyperinflation secondary to emphysema. The lungs are otherwise clear without evidence of consolidation, or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Again seen is a small hiatal hernia. Kyphosis of the thoracic spine, and mild loss of height in multiple vertebral bodies appears grossly similar to the prior radiograph from <unk>.

history of feeling unwell. please evaluate for pneumonia.

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

history: <unk>f with cp/sob // please eval for acute cardiopulm process (ptx, pna, enlarged heart etc)

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When compared to <unk> portable chest radiograph, the left ij has been removed and there is a new small right apical pneumothorax. The small left pleural effusion, moderate right pleural effusion has increased in size when compared to most recent study. There is moderate cardiomegaly without overt pulmonary edema. Tip of the right picc line terminates at the cavoatrial junction. Sternotomy wires are aligned and intact.

<unk> year old woman with s/p redo, mvr // f/u effusions, atx

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Cardiomediastinal and hilar silhouettes remain stable and unremarkable. The lungs are clear with no focal consolidation, pleural effusion, or pneumothorax.

<unk>-year-old with coronary artery disease.

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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. The lungs are clear. No pleural effusion, focal consolidation or pneumothorax is demonstrated. No acute osseous abnormality seen.

fever.

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The lungs are well expanded and clear. Eventration of the right hemidiaphragm is unchanged. Median sternotomy wires and mediastinal clips from prior cabg are in the expected positions. There is no focal consolidation, effusion, or pneumothorax.

sudden onset chest pain.

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There is a persistent small right apical pneumothorax which is unchanged from prior study. There is stable right lower lobe atelectasis and a small effusion may be present if any. Left pleural effusion is unchanged. The cardiomediastinal silhouette is stable and within normal limits. The left lung is unremarkable. Right chest wall subcutaneous emphysema is reduced.

<unk>-year-old male with empyema, status post chest tube removal.

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There is some minimal atelectasis and a small pleural effusion at the left base. The right lung is clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax.

status post open cholecystectomy with bile duct exploration and placement of g-tube. evaluation for pulmonary process.

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Again seen are multiple bilateral nodule opacities compatible with metastases, not significantly changed from previous radiograph, which is better assessed on prior ct. Heart size is within normal limits. Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. Leftward scoliosis is unchanged. Left-sided port-a-cath tip terminates in the lower svc.

<unk> year old woman with metastatic rectal cancer now with nausea and vomiting. evaluate for pneumonia.

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The heart size is normal. The mediastinal and hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal streaky opacity in the retrocardiac region likely reflects atelectasis. There are no acute osseous abnormalities. Mild degenerative changes are seen within the thoracic spine.

weakness and hypoglycemia.

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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 leukocytosis, <unk> pain

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No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.

<unk>-year-old woman with history of primary biliary cirrhosis and compensated cirrhosis with night sweats. rule out focal lesion.

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There has been interval placement of a left axillary single-lead icd defibrillator with lead terminating in the right ventricle as expected. There is no pneumothorax or pleural effusion. The cardiomediastinal and hilar contours are normal. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.

icd placement.

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Pa and lateral chest radiographs again demonstrate paramediastinal radiation changes. Streaky ill-defined opacity extending from the left perihilar region to the left lower lobe is unchanged, and again likely reflects residual disease. Small left pleural effusion which is loculated laterally is unchanged, as is pleural thickening. There is no pulmonary vascular congestion or edema. Compared to <unk>, there is now blunting of the right costophrenic sulcus suggesting a tiny pleural effusion. Lungs are hyperinflated with mild emphysematous changes noted in the upper lobes. The cardiomediastinal silhouette is stable. No pneumothorax.

history of metastatic lung cancer. presenting with confusion.

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Pa and lateral views of the chest. The opacity within the left mid lung field compatible with known chest wall mass as seen on prior ct is again seen. Emphysematous changes and right upper lobe scarring are again seen and unchanged. Small right pleural effusion is new. No pneumothorax. The cardiomediastinal and hilar contours are stable.

lung cancer, altered mental status, evaluate for acute process.

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The lungs are hyperinflated but grossly clear without consolidation or edema. There is no pneumothorax. No large effusion identified. Cardiomediastinal silhouette is within normal limits. Hiatal hernia is suspected. No acute osseous abnormalities.

<unk>f with chest discomfort // ? ptx

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The left lung volume is low with elevation of left hemidiaphragm suggesting volume loss likely secondary to left basilar atelectasis. Small moderate left pleural effusion. Right basilar atelectasis. There are extensive indistinct interstitial markings which are more likely consistent with pulmonary edema but some may reflect chronic lung disease and/or interstitial lung disease. The cardiomediastinal silhouette is enlarged with associated pulmonary vascular congestion. Stable calcification of the aortic arch and descending aorta.

<unk> year old man with sob, crackles all the way both lung fields // ? chf

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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. A right pectoralis dual lead cardiac pacemaker is unchanged in position with leads projecting over the expected locations of the right atrium and right ventricle.

<unk>m w/ cp x<num>h approx. <num>h prior now cp free.

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Lung volumes are low. No focal consolidation to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is top normal. There is tortuosity of the aorta and calcification of the aortic arch. The patient is status post median sternotomy. A previously seen left-sided picc has been removed.

fever. no history of cough or dyspnea.

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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 cough, shortness of breath and chest pain. evaluate for pneumonia.

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The lungs are poorly expanded but without focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is no evidence of abdominal free air.

<unk>-year-old female with mid epigastric pain. please evaluate for evidence of abdominal free air or pathology at the lung bases.

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The cardiac and mediastinal silhouettes are stable. There is mild prominence of the central pulmonary vasculature suggesting vascular engorgement with minimal vascular congestion, without overt pulmonary edema. No pleural effusion is seen. There is no pneumothorax. No definite focal consolidation is seen.

history: <unk>m with htn, adrenal adenoma, obesity, smoker who presents with chest pain and normal ekg. // evaluate for acute cardiopulmonary process

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

history: <unk>m with chest pain

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As compared to the previous radiograph, the pre-existing pleural effusions have completely resolved. No pleural effusions on today's radiograph. Minimal scars at the left lung bases but otherwise normal chest radiograph without evidence of pneumothorax or acute lung changes. Normal size of the cardiac silhouette.

status post left lower lobe wedge resection, followup.

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Pa and lateral chest radiographs dated <unk>. Since chest radiographs dated <unk>, there has been interval resolution of the right basilar and infrahilar opacities. Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.

<unk> year old woman with prior pneumonia // r/o pneumonia; resolution

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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 ap single view chest examination of <unk>. The heart size remains unchanged and is within normal limits. Unremarkable appearance of thoracic aorta. The pulmonary vasculature is not congested. No evidence of acute pulmonary parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. Again identified is a nodular round density superimposing the right hilar structures on the frontal view. The lateral view localizes this pulmonary mass into the anterior segment of the right upper lobe. The previously present left subclavian approach central venous line has been removed and there is no evidence of pneumothorax and no new suspicious pulmonary parenchymal densities or masses can be identified. It is noted that the patient has undergone sequential ct torso examinations with the latest ct examination dated <unk>. Although size determination based on chest x-ray cannot be easily compared with ct findings, comparison of the coronal view of the chest ct of <unk> suggests stable size or only minor progression. It can also be stated that a mass lesion directly within the hilum has not resulted in any marked progression. There is, however, a small prominent right-sided contour in the superior mediastinum at the level of the aortic arch. This contour is directly located over the right tracheobronchial angle. Evaluation of these possible minor changes would, however, require a repeat followup ct.

<unk>-year-old male patient with melanoma, evaluate.

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In comparison with study of <unk>, there is some increased opacification at the left base consistent with some combination of atelectasis and re-accumulation of small amount of pleural fluid. Extensive osseous metastases again seen.

bilateral effusions with left tap.

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

<unk>f with recurrent falls // ?pna

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Ap and lateral chest radiographs. There is mild interstitial edema and bilateral pleural effusions. Mild cardiomegaly is similar to priors. There is no pneumothorax.

history: <unk>f with altered mental status, // acute cardiopulm disease

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Cardiomediastinal contours are unchanged. Small to moderate right effusion high has decreased. Small left effusion has almost completely resolved. Right apical opacities are better seen in prior ct. There is a small right pneumothorax. Pleurx catheter is in-situ in the right lower chest. Sternal wires are aligned. Patient is status post avr.

<unk> year old man with chronic pleural effusion, lung nodule // evaluaiton of effusion

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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is present. Minimal scarring is noted in the lung apices. There are no acute osseous abnormalities.

chest pain and palpitations.

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Chest, pa and lateral. The lungs are hyperinflated and clear. Moderate cardiomegaly, particularly involving the right heart is unchanged. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Median sternotomy cerclage wires are intact and there are surgical clips in the mediastinum.

<unk>-year-old woman presenting with hypoxia, but no other complaints. evaluate for pneumonia or signs of copd.

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There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar structures are unchanged. Perihilar prominence is unchanged.

uri symptoms for <num> days with a productive cough.

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A dual-lead pacemaker/icd device has leads terminating in the right atrium and ventricle, respectively. The heart is mildly enlarged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bones appear demineralized with mild degenerative changes again seen and unchanged throughout the thoracic spine. There has been no significant change.

dyspnea.

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

immunosuppressed for renal transplant with cough and fever.

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

chest pain.

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The patient is status post median sternotomy and cabg. The heart size is mild to moderately enlarged but unchanged. The mediastinal and hilar contours are stable, with the thoracic aorta appearing mildly tortuous. Mild pulmonary edema appears relatively similar compared to the prior study. Subsegmental atelectasis is noted in both lung bases. Possible trace bilateral pleural effusions are present. There is no pneumothorax. Right picc has been removed. Degenerative changes of the imaged thoracic spine and right acromioclavicular joint are noted.

leukocytosis, crackles on exam.

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There is mild overexpansion of the lungs, potentially consistent with a clinical picture of copd. Borderline size of the cardiac silhouette without pulmonary edema. Tortuosity of the thoracic aorta. At the bases of the right lung, a well defined <unk> x <num> mm dense lung nodule is seen. The nodule could partly be calcified. Ct would be the next imaging choice in determining the nature of this nodule. Other lung nodules are not visualized. There are no pleural effusions. No atelectasis or pneumonia.

history of hilar lymphadenopathy and lung nodule. evaluation.

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No focal consolidation is seen. There are mild right mid to lower lung linear opacities most consistent with atelectasis/scarring. No pleural effusion is seen. There is no evidence of pneumothorax. The aorta is calcified and tortuous. The cardiac silhouette is top-normal. There is no overt pulmonary edema. No displaced fracture is seen, however, if clinical concern for scapular are shoulder fracture, recommend dedicated imaging of these regions.

left scapular pain x.

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The patient is status post median sternotomy and cabg. The heart size remains moderately enlarged but unchanged. The aorta is tortuous and diffusely calcified. There is mild chronic interstitial abnormality, similar compared to the prior exam. Emphysematous changes are most pronounced within the right lung apex. Minimal blunting of the costophrenic sulci posteriorly on the lateral view likely reflects chronic pleural thickening. No overt pulmonary edema is present. Streaky bibasilar opacities likely reflect atelectasis. There is scarring within the lung apices. No focal consolidation or pneumothorax is identified. There are no acute osseous abnormalities. Multilevel degenerative changes are seen within the thoracic spine.

hypoglycemia.

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As compared to the previous radiograph, the lung volumes have minimally decreased, likely because of a lesser inspiratory effort. No lung parenchymal changes are seen on the chest x-ray. In particular, there is no evidence of pulmonary fibrosis. No pleural effusions. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta.

history of joint pain, baseline chest x-ray before methotrexate.

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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No displaced rib fracture is seen. No free air is seen below the right hemidiaphragm.

<unk>-year-old female with fall down stairs with pain along the left flank assess for rib fracture or other acute intrathoracic injury.

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There is haziness of the pulmonary vasculature with mild cephalization suggestive of mild increase in central venous pressure. The cardiomediastinal silhouette remains top normal. The left costophrenic angle is not well visualized on the frontal view which may be due to overlying soft tissue.

evaluation of patient with dizziness, occipital pain.

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The patient is status post sternotomy. A three-lead pacemaker/icd device is in place with leads terminating in the right atrium, right ventricle and coronary sinus, respectively. The main pulmonary artery contour is mild-to-moderately enlarged. Calcifications are noted along the aortic arch. Moderate relative elevation of the right hemidiaphragm is present. There are streaky linear opacities in the left lower lobe, which are not entirely specific, but could be seen with atelectasis. Patchy medial right basilar opacity in association with elevation of the right hemidiaphragm is suggestive of atelectasis. A few probably colonic air-fluid levels are noted in the upper abdomen.

dyspnea. history of elevated hemidiaphragm and recent aspiration pneumonia.

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As compared to the previous radiograph, there is unchanged evidence of high lung volumes, associated with minimal decrease in right apical lung structure and flattening of the hemidiaphragms. Overall, these findings would be consistent with pulmonary emphysema and mild overinflation. Unchanged bilateral apical thickening with minimal dot-like calcifications. No other acute parenchymal change, in particular no evidence of recent pneumonia or pulmonary edema. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pneumothorax.

long history of tobacco abuse, evidence of lung disease.

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Compared to the prior exam there is no significant interval change in the right effusion with pigtail catheter and a small air collection within the effusion. There is also small left pleural effusion

<unk> year old woman with rt pleural effusion. test stability after clamping night before. // rt effusion

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The heart is top-normal in size. The aorta is tortuous and shows some mural calcification. The lung volumes are somewhat low which accentuates bronchovascular markings. Given that, there is increased opacity involving the right lower lobe which could represent atelectasis or infection in the appropriate clinical setting. The left lung appears clear. There is no pulmonary edema, pleural effusion or pneumothorax.

<unk> year old woman with cough and dyspnea // r/o infiltrate

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The heart size, mediastinal, and hilar contours are normal. The lungs are mildly hyperexpanded, but clear without pleural effusion, focal consolidation, or pneumothorax.the aorta is tortuous.

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

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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac enlargement is similar compared to prior. No acute osseous abnormalities.

<unk>m with chest pain // eval for acute process

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Prominence of the main pulmonary arteries suggests component of pulmonary hypertension. There is mild to moderate vascular congestion. The cardiac silhouette is mildly enlarged. The aortic knob is calcified. No large pleural effusion is seen. There is no definite focal consolidation. No pneumothorax is seen.

history: <unk>f with vomiting // r/o infiltrate

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Pa and lateral radiographs of the chest demonstrate clear lungs with low lung volumes. The cardiomediastinal contours are normal. No pleural abnormality is detected. No osseous abnormality is seen.

chest wall sternal and left shoulder pain post motor vehicle collision.

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

fever and cough

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The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

left-sided chest pain. history of anemia, schizophrenic and copd.

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Ap and lateral views of the chest. The lungs are clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified on this non-dedicated exam.

<unk>-year-old male with dyspnea status post fall.

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As compared to the previous radiograph, no relevant change is seen. The known cortical irregularity in the left rib is constant in appearance. The lung parenchyma shows normal structure and transparency. Borderline size of the cardiac silhouette without overt pulmonary edema. No pleural effusions. Normal mediastinal structures.

influenza pneumonia.

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There are multiple median sternotomy wires and mediastinal clips consistent with prior coronary artery bypass graft surgery. The cardiomediastinal silhouette is stable. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The hilar contours are within normal limits. Aside from minimal bibasilar atelectasis, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no evidence of free air beneath the right hemidiaphragm.

perforated appendicitis, here to evaluate for free air

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Frontal and lateral views of the chest. The lungs are clear of confluent consolidation, effusion, or pulmonary vascular congestion. There is moderate-to-severe enlargement of the cardiac silhouette. Mild compression deformity is seen in the mid thoracic spine which is age indeterminate.

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