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

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Frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. The cardiomediastinal and pulmonary structures are unremarkable. Blunting of the posterior costophrenic angle may represent a tiny pleural effusion, which is unchanged from prior studies. Diaphragms are flattened, compatible with chronic obstructive lung disease. The patient is status post median sternotomy and cabg. There is no pneumothorax or consolidation to suggest infection. There are mild degenerative changes of the thoracic spine. The heart size is top normal.

hypotension, evaluate for infiltrate.

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Pa and lateral views of the chest. The lungs, heart, mediastinal, hilar, and pleural surfaces are normal. No pleural effusion or pneumothorax. No evidence of pneumonia.

chest pain and shortness of breath; evaluate for acute process.

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size remains within normal limits. Thoracic aorta unremarkable. No new pulmonary parenchymal infiltrates are identified. Similar as on the preceding examination one can identify an old rib fracture with callus formation in the right hemithorax located in the anterolateral portion of the fifth rib. Comparison demonstrates that there is a local pleural thickening along the right lateral chest wall involving either the fifth rib more proximally or perhaps the fourth rib. These changes are not surprising in this patient with history of multiple myeloma and may represent rib abnormalities related to this condition. Otherwise, no gross skeletal abnormalities are identified short of some degenerative changes in the thoracic spine but no evidence of vertebral body compression.

<unk>-year-old male patient with history of multiple sclerosis now status post chemotherapy and cough. evaluate for new infiltrates.

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The heart is mildly enlarged with a left ventricular configuration. Streaky left mid lung opacities suggest minor unchanged atelectasis or scarring. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax.

one day of constant right upper quadrant pain.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Lungs are hyperinflated with upper lobe predominant emphysema re- demonstrated. Subsegmental atelectasis is seen in the lung bases. Minimal blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions. No focal consolidation or pneumothorax is identified. There are no acute osseous abnormalities.

history: <unk>f with chest pain // etiology of right sided chest pain

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The lung volumes are low, accentuating the vascular markings. There is no evidence of consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. There is mild enlargement of the cardiac silhouette, unchanged from prior exam. Calcifications of the aortic arch are stable. No fracture is identified.

fall with facial lacerations.

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Pa and lateral views of the chest. The known hiatal hernia is seen with residual contrast from upper gi study <unk> earlier today. The previously seen thoracic compression fractures are unchanged. The lungs are clear. There is no evidence of pneumonia. The cardiac, mediastinal, hilar, and pleural surfaces are normal. No pleural effusion. No pulmonary nodules.

allergic cough.

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The heart is normal in size. The cardiomediastinal and hilar contours are within normal limits and stable. The lungs are hyperinflated consistent with emphysema. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is identified. Chronic fracture of the right posterior sixth rib is re- demonstrated. Right infrahilar surgical clips are re- demonstrated.

<unk>f with recent copd exacerbation admit now w/ sob*** warning *** multiple patients with same last name! // eval ? infilrtrate, effusion

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.

<unk>-year-old female with chest pain and mitral valve prolapse.

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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.

chest pain.

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Compared to <unk>, there is unchanged cardiomegaly. As before, the patient is status post median sternotomy. There is a left chest defibrillator with leads in expected and unchanged positions. Unchanged moderate to severe enlargement of the cardiac silhouette. There is mild pulmonary vascular congestion without overt pulmonary edema, improved since prior. No pleural effusion or pneumothorax. Prominent extrapleural fat is noted bilaterally. No acute osseous abnormalities.

<unk>m with dizziness and new oxygen requirement. evaluate for pneumonia

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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 <num> episodes of lightheadedness, dizziness, and nausea with <num> episode associated with substernal chest pressure.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Multiple chain sutures are demonstrated within the left lower lobe. Increased nodular opacification is seen about the suture site as well as within the posterior aspect of the left lower lobe. The right lung appears clear. There is no pleural effusion or pneumothorax.

gastroparesis, nausea, vomiting. history of rheumatoid nodules.

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There has been interval removal of a right-sided chest tube. The size of the right apical pneumothorax is stable. No evidence of tension. Stable postsurgical changes are seen in the right upper lobe and atelectasis at the right lung base. Pleural thickening and minimal effusion in the right is anticipated after pleurodesis. The left lung is clear and hyperinflated. A small left pleural effusion is unchanged. Stable cardiomediastinal silhouette. No acute osseous abnormalities.

<unk> year old woman w/ repeat spontaneous pneumothorax s/p pleuradesis and blebectomy, post chest drain pull. evaluate for interval change.

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Evaluation is limited due to patient body habitus. There are bibasilar opacities, right greater than left, which may be representative of small layering pleural effusions or overlying soft tissue structures. The lungs are otherwise without a focal consolidation. Mild cardiomegaly is stable. No acute fractures are identified.

chest pain.

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Frontal and lateral views of the chest were performed. There is opacification involving the right middle and left upper lobes concerning for pneumonia. There is no pleural effusion or pneumothorax. The cardiac silhouette is normal in size. Coronary calcifications are noted, otherwise, the mediastinum is normal. The imaged upper abdomen is remarkable for dilated loops of bowel which are better evaluated on the dedicated abdominal radiograph.

nonproductive cough and vomiting and worsening abdominal pain. rule out acute process.

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Frontal and lateral views of the chest were compared to previous exam from <unk>. The lungs are clear of confluent consolidation. Bibasilar opacities seen, more notably on the right than on the left, likely due to atelectasis, and less conspicuous when compared to prior exam. There is no pleural effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are notable for hypertrophic changes in the spine.

<unk>-year-old male with weakness, dyspnea, recent pneumonia.

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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. Atherosclerotic calcifications are diffusely noted within the thoracic aorta. The lungs remain hyperinflated with marked emphysematous changes again noted at the upper lobes. No focal consolidation, pleural effusion or pneumothorax is present. Diffuse demineralization of the osseous structures is present without displaced fracture. Deformity of the right proximal humerus is compatible with a remote fracture.

history: <unk>f with loss of consciousness

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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

right-sided chest pain.

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Multiple areas of subsegmental atelectasis are noted without focal consolidation. There is no pleural effusion, pneumothorax, or pulmonary vascular congestion. <num> intact median sternotomy wires are unchanged. The cardiomediastinal silhouette, including a tortuous descending aorta and mild cardiomegaly are stable.

<unk> year old man status post aortic aneurysm repair, evaluate for infiltrate or effusion.

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There has been no significant change. There is left-sided persistent pleural effusion and opacification of the left lung base as well as patchy right basilar opacification, all suggesting atelectasis. The cardiac, mediastinal and hilar contours appear stable.

left arm pain.

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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are stable. Heart size is normal. Surgical clips are seen in the left upper quadrant of the abdomen. Mild degenerative changes are noted in thoracic spine.

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

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The heart is enlarged, increased from the prior. The aorta is tortuous, but unchanged. There is calcification of the aortic knob. The pulmonary vasculature is normal. No definite consolidation identified. Lung are hyperexpanded. There is no evidence of pleural effusion or pneumothorax.

<unk> year old man with cough, fatigue, shortness of breath on exertion. // hx of cough, fatigue, shortness of breath on exertion; r/o infiltrate, chf

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On the right, there is unchanged evidence of upper lung lobar collapse. Staple lines are seen cranially to the right hilus. Minimal atelectasis at the bases of the left lung. No safe evidence of pneumothorax, given that lung structures are seen distal to the line created by the collapsed lung. Appearance of the cardiac silhouette.

status post vats, rule out pneumothorax.

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Heart size is normal. The aorta is tortuous, with the ascending aorta and aortic arch appearing dilated, unchanged. Atherosclerotic calcifications are noted at the aortic knob. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is demonstrated. Surgical anchors are seen within the right humeral head. Remote left-sided rib fractures noted. Several clips are seen within the upper abdomen on the lateral view. There are mild degenerative changes in the thoracic spine.

intermittent chest pain.

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Frontal and lateral chest radiographdemonstrates mildly hyperinflated clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

cough and wheeze. assess for pneumonia.

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The patient is status post median sternotomy with intact appearing wires. Multiple mediastinal surgical clips are there is a small to moderate right pleural effusion with associated compatible with prior cabg surgery. The cardiac silhouette is enlarged but stable. The mediastinal contours are unchanged. There is a small to moderate right pleural effusion with associated atelectasis and fluid extending into the right major fissure. Linear scarring of the right lung apex is similar to prior studies. There is pulmonary vascular congestion. No left pleural effusion or pneumothorax is seen. Linear retrocardiac opacity is again seen likely in part due to scarring

<unk>-year-old man with dyspnea on exertion, here to evaluate for evidence of congestive heart failure.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. The lungs are hyperinflated with mild emphysema again noted within the lung apices. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Remote left-sided rib fractures are again seen. Mild degenerative changes are present within the thoracic spine.

cough, shortness of breath and rhonchi on exam.

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. Lung volumes are slightly low, with compressive changes at the bases. Cardiomediastinal silhouette is within normal limits. There is no focal consolidation, pleural effusion, or pneumothorax. There is no free air under the diaphragm.

history: <unk>m with h/o nephrolithiasis with epigastric pain, n/v and distention // r/o obstruction and free air

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. Dilated pulmonary arteries and increased pulmonary vascularity are consistent with a history of congenital heart disease. The cardiomediastinal and hilar contours are unchanged. Median sternotomy wires are in place. There is no pneumothorax, pleural effusion, or consolidation.

<unk> year old man with history of pna follow up pna // follow up pneumonia resolution

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Lung volumes remain low with bronchovascular crowding, but have improved since <unk>. Bilateral pleural effusions are small. Retrocardiac opacity may reflect atelectasis, similar the prior exam, although concurrent infection cannot be excluded. No pneumothorax. Cardiomediastinal silhouette is unchanged with mild to moderate cardiomegaly. Aortic knob calcifications are moderate, overall unchanged. Elevation of the right hemidiaphragm is overall unchanged. There appears to be significant compression deformity and marked loss of vertebral body height of an upper lumbar spine vertebral body, not clearly appreciated of prior chest radiograph and may correspond to the l<num> compression deformity on the lumbar spine ct from <unk>, but has progressed in the interim.

<unk>-year-old female presenting with right hand swelling.

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There is no focal consolidation, pleural effusion or pneumothorax. Atelectasis is noted at the left lung base. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

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

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The lungs are mildly hypoinflated with crowding of vasculature. Mild cardiomegaly is stable. Mediastinal contour and hila are normal. No focal opacity. No pleural effusion or pneumothorax.

<unk>m with chest pain. assess for acute cardiopulmonary process?

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There are minimal heterogeneous bibasilar opacities. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

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

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The lung volumes are stable. The cardiomediastinal and hilar contours are stable. The aorta is diffusely calcified and tortuous as seen previously. Mild bibasilar atelectasis. No focal areas of consolidation, pneumothorax or pleural effusions. The osseous structures are stable.

<unk> year old woman with cough/chills // assess for pna

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Ap and lateral views of the chest. Left chest wall port is seen with catheter tip coiled within the svc, similar to prior exams. Pleural based opacity over the right lower lung laterally is compatible with previously characterized lipoma. The lungs are otherwise clear. There is no effusion or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Hypertrophic changes seen in the spine. Surgical clips seen in the upper abdomen.

<unk>-year-old male with dyspnea on exertion.

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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 cough // eval for pna

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Frontal and lateral views of the chest. The lungs are clear. Midthoracic dextroscoliosis is again noted. The cardiomediastinal silhouette is within normal limits. Surgical clips seen in the right upper quadrant. No acute osseous abnormality.

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

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Pa and lateral views of the chest provided. Cardiomegaly is again seen with diffuse ground-glass opacity within the lungs consistent with pulmonary edema. No large effusion or pneumothorax. No convincing signs of pneumonia. The mediastinal contour stable. Compression deformity involving upper and mid thoracic vertebral bodies appear stable from the prior ct exam with associated kyphotic angulation. No free air below the right hemidiaphragm is seen.

<unk>m with hyponatremia, history emphysema now with increased sob, overall malaise.

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

<unk> year old woman with <num> day hx of uri sx, fine rales r posterior base. please rule out pneumonia.

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The lung volumes are low, limiting evaluation and accentuating the bronchovascular structures. Within the limitations, there is no focal opacity, pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart size is moderately enlarged, and unchanged from the prior exam.

headache and vision loss. evaluate for pneumonia.

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The cardiomediastinal and hilar contours are within normal limits. Lungs are hyperinflated. There is paucity of pulmonary markings at the upper lobes, suggestive of underlying emphysema. Note is made of reticular opacities in both lower lobes. There is no focal consolidation, pleural effusion or pneumothorax. Moderate hiatal hernia.

history: <unk>m with fatigue and shortness of breath // eval pneumonia eval pneumonia

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Low lung volumes cause bronchovascular crowding. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal.

<unk>f with ruq pain/chest pain, evaluate for cholecystitis.

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

left lower chest pain

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The patient is status post coronary artery bypass graft surgery. Left-sided cardiac and hilar borders are obscured, but otherwise cardiac, mediastinal borders are visualized and appear unchanged. The right lung remains clear without pleural effusion. On the left, the lower half of the hemithorax is opacified with a large pleural effusion and probably extensive atelectasis, noting no net shift in mediastinal structures. Projecting over the lateral left lung apex, a small new vague area of nodularity measuring up to about <num> mm is noted either within the lung parenchyma or perhaps associated with subpleural thickening or sclerosis in the left second rib, but new since the prior study.

large left pleural effusion.

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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.

history: <unk>m with cough // eval infiltrate

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.

cough and chills. question pneumonia.

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

history: <unk>m with l flank pain*** warning *** multiple patients with same last name! // assault, l flank pain

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The lungs remain hyperinflated. Right greater than left biapical pleural thickening is again seen, stable. Pectus deformity is again noted. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

not feeling right.

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There is a port-a-cath terminating at the cavoatrial junction. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Patchy scarring at each lung apex appears unchanged. Otherwise, the lungs appear clear.

chemotherapy and fever. history of breast cancer.

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

history: <unk>f with new neutropenia with borderline fever, headache

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

history: <unk>f with back pain and dyspnea // r/o acute process

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There are diffuse bilateral increased interstitial markings, hilar indistinctness and vascular upper redistribution compatible with interstitial pulmonary edema. Of note a <num> cm irregular nodule is seen adjacent to the mediastinum in the left mid lung. A small right-sided pleural effusion is present. No left-sided effusion is identified. There is no pneumothorax. Moderate cardiomegaly is stable. Sternotomy wires are intact.

study <unk>-year-old male with lower extremity swelling, shortness of breath, dizziness.

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Heart size is normal. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Patchy opacities are again seen within the lung bases bilaterally, more pronounced on the left, similar to that noted on the prior study. Lungs are hyperinflated. Trace pleural effusions the likely account for the blunting of the costophrenic angles posteriorly. There is no pneumothorax. Diffuse demineralization of the osseous structures with dextroscoliosis of the thoracic spine is re- demonstrated. Fusion hardware within the thoracolumbar spine is incompletely assessed.

history: <unk>f with recent diagnosis of pneumonia, worsening symptoms

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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 chest examination of <unk>. The heart size is normal. No configuration abnormality is identified. The pulmonary vasculature is not congested. Appearance of thoracic aorta is unremarkable. Mediastinal structures and thoracic spine are partially obscured by two stabilization rods and multiple penetrating fixation screws into the vertebral bodies covering the entire thoracic and upper portion of the lumbar spine. The orthopedic hardware appears unchanged in position. No new pulmonary parenchymal abnormalities are identified. Similar as seen on the previous examination, there is some local thickening of the left-sided interlobar fissure most likely representing postoperative scar formations. No gross changes in appearance of the skeletal structures within the thorax, as seen on the routine pa and lateral chest projections. Review of our image records indicates the performance of a unilateral rib examination of the left-sided chest performed <unk>. On that examination, small metallic markers had been placed in the lower thoracic edge showing some local deformities of the ribs, but no evidence of acute fracture. This area is not included in the present routine chest pa and lateral examination. Comparison is extended to a chest pa and lateral examination of <unk>, the thickening of the left-sided interlobar fissure did not exist at that time. Gross skeletal abnormalities beyond what exists in relation to the spinal stabilization procedure were not identified in this patient with history of multiple myeloma. Telephone call was placed to extension <unk>in an effort to contact with referring physician, <unk>, in order to explore if patient had new trauma and new symptoms after the latest chest examination of <unk>.

<unk>-year-old female patient with mm status post fall on the left side, stat x-ray needed pre-ect, scheduled for tomorrow. status post fall, evaluate for fracture.

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Ap upright and lateral views of the chest were performed. Lung volumes are low. Allowing for this, the lungs appear clear without focal consolidation, effusion, or pneumothorax. The overall cardiomediastinal silhouette appears stable. Bony structures appear intact. There is no free air below the right hemidiaphragm.

<unk>-year-old female with change in mental status, question pneumonia.

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A dual-lead pacemaker/icd device appears unchanged with the leads again terminating in the right atrium and ventricle. The heart appears mildly enlarged with a left ventricular configuration. The mediastinal and hilar contours appear unchanged. There is streaky opacity obscuring the left hemidiaphragm suggesting minor scarring or atelectasis. There is no evidence for pulmonary edema. There is persistent mild-to-moderate relative elevation of the right hemidiaphragm, compared to the left, particularly anteriorly, which may suggest an eventration. There are similar degenerative changes along the thoracic spine and suspected bony demineralization.

sudden onset of dyspnea.

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The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. There is no acute osseous injury.

history: <unk>m with history of shoulder injury, with inability to fully abduct. also tendernss over the left clavicle. // please eval for fx, dislocation of shoulde

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Persistent severe cardiomegaly, unchanged since <unk>. Since <unk>, pulmonary interstitial edema has improved. Moderate right pleural effusion with a loculated component is mildly improved. Right pectoral pacemaker with lead in right atrium. Abdominal pacemaker with lead in left and right ventricle. There is no pneumothorax.

<unk> year old woman s/p tiss tvr // follow up effusion/edema

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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. A right coracoclavicular screw is noted.

<unk> year old man with fevers, elevated crp, history of bladder cancer and bcg exposure // ? granulomatous disease, pneumonia

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Frontal and lateral radiographs of the chest demonstrate mild atelectasis at the right base. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Old healed right rib fracture.

history: <unk>m with chest pain // r/o acute process

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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal allowing for low lung volumes. No displaced rib fracture is seen. No t-spine fracture is seen, although ct is more sensitive for detection of these.

mvc with back pain.

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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination. The aorta is tortuous. The patient has undergone prior median sternotomy and cabg. Wires are intact and well aligned. There is no focal consolidation. There is no pleural effusion or pneumothorax.

<unk>m with left sided chest pain, history multivessel cad and type b aortic dissection // eval for pneumothorax or mediastinal widening

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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 chest pain // ?pneumonia

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Lungs are clear despite low lung volumes. The cardiomediastinal silhouette is within normal limits. The cardiomediastinal silhouette is within normal limits. Mid left clavicular fracture is as seen on dedicated clavicle films.

<unk>m with shoulder pain. s/p mvc // acute process

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Ap and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are unchanged with the heart size appearing normal. Mild biapical scarring is similar to the prior exam.

syncope without prodrome

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Surgical clips are noted in the left upper abdomen near the gastroesophageal junction. No signs of esophageal distention radiographically.

<unk>-year-old male with ee and food impaction, pending endoscopy for removal. evaluate for pneumomediastinum.

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Ap upright and lateral views of the chest provided. The lungs appear lucent suggesting emphysema. There is mild elevation of the left hemidiaphragm which is unchanged. No convincing signs of pneumonia, edema. No pleural effusion or pneumothorax. The aorta is unfolded. Heart size appears normal. Bony structures are intact.

<unk>m with dizziness // eval infiltrate

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In comparison with the study of <unk>, there is increased opacification at the left base with silhouetting of the hemidiaphragm and obscuration of the costophrenic angle. This most likely reflects postoperative atelectasis and effusion. However, the descending aorta is not as well seen in the retrocardiac region. This combination of findings could reflect lower lobe pneumonia in the appropriate clinical setting. The remainder of the study is unchanged except for evidence of free intraperitoneal gas beneath the right hemidiaphragm.

postoperative fever, to assess for pneumonia.

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Frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. Cardiomediastinal and hilar contours are unremarkable. There are no pleural effusions, pneumothoraces, or consolidations.

<unk>-year-old female with long smoking history and pain in the left upper chest below the clavicle. evaluate for abnormality.

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Left-sided port-a-cath is seen, terminating in the proximal to mid svc without evidence of pneumothorax. Right upper lung nodular opacity likely corresponds to that seen on chest ct from <unk>, not seen on chest radiograph earlier from <unk>. Additional pulmonary nodules noted from <unk> chest ct are better assessed on the ct. No lobar consolidation, pleural effusion, or pneumothorax. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged.

weakness

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are mild multilevel degenerative changes in the thoracic spine.

history: <unk>m with chest pain

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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Compression deformity in a mid thoracic vertebral body is unchanged.

<unk>m with hep c cirrhosis and altered mental status // r/o pneumonia

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Minor basilar atelectasis/ scarring is noted..

history: <unk>f with near syncope, multiple falls, and wheezes // r/o infiltrate

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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. Old rib deformities on the right. High riding right humeral head suggests chronic rotator cuff disease.

nausea and vomiting, shortness of breath. evaluate for infiltrate.

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Frontal and lateral views of the chest. The lungs are grossly clear noting relatively low lung volumes. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>-year-old female with palpitations.

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. Previously visualized compression fracture in a mid thoracic vertebral body appears unchanged.

evaluation of patient with sudden onset shortness of breath and chest pain.

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Median sternotomy wires and prosthetic cardiac valves are re- demonstrated. Clear lungs. No pneumothorax or pleural effusion. Cardiomediastinal and hilar contours are within normal limits. No evidence of pulmonary edema.

history: <unk>f with h/o chf, no diuretics for <num> days, coughing, has uri // ? pulmonary edema or other acute cardiopulm process

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Lung volumes are low with bibasilar atelectasis and linear segmental atelectasis in the right mid lung. Cardiomegaly is stable. Pulmonary vascular congestion is increased from <unk>. Small bilateral pleural effusions are unchanged.

<unk> year old woman with cough, fever // evaluate for acute process, pneumonia

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Lung volumes are lower compared to the previous study which accentuates the size of the cardiac silhouette which appears moderately enlarged.the mediastinal contour is unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities detected.

history: <unk>f with chest pain

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The patient is rotated to the left, somewhat limiting evaluation, however no focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal. There are calcifications of the aortic arch. The patient is status post median sternotomy and cabg. Degenerative changes of the thoracic spine are present including bridging osteophyte formation.

cough and fever.

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The cardiac, mediastinal and hilar contours appear unchanged. Lung volumes are low. In that setting streaky opacities at the lung bases suggest minor atelectasis. Otherwise, the lungs appear clear. There no pleural effusions or pneumothorax.

right-sided chest pain and cough.

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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. A cbd stent projects over the medial right upper quadrant.

<unk> year old man with new metastatic pancreatic cancer // eval for cause of deceased bs on the r compared to the l

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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal.

altered mental status.

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Ap and lateral views of the chest provided. Right pacemaker and leads appear to be in normal position. Prominence of the pulmonary vasculature and diffuse interstitial opacities are concerning for mild pulmonary edema. Moderate bibasilar atelectasis is unchanged. No pneumothorax. A small left pleural effusion is unchanged. A small to moderate right pleural effusion is unchanged. Hilar contours are normal. Moderate cardiomegaly is stable.

<unk> year old man with dyspnea, <unk> edema // please eval for pulm edema

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.

history: <unk>f with cough x <num> weeks, son with atypical pneumonia // (pending ucg), cough x <num> weeks

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As compared to the previous radiograph, the pre-existing right upper lobe pneumonia has completely resolved. On today's image, no evidence of infection is seen. Otherwise, unchanged left rib deformities and postop status. Normal size of the cardiac silhouette.

status post right upper lobectomy, assessment for resolution of a previous pneumonia.

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Pa and lateral chest radiographs are provided. Lung volumes are low. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is top normal. Wedging of mid thoracic vertebral bodies appears unchanged.

history of back pain and angina. evaluate for cardiopulmonary process.

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Lung volumes are low. Heart size mediastinal contours are normal. The lungs are clear there is no pulmonary edema, pleural effusion, or consolidation. No displaced rib fractures appreciated.

<unk>m with ms <unk>/p fall today with left shoulder pain

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

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

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When compared to prior, there has been interval development of a right basilar opacity. Retrocardiac opacity is somewhat improved although there is a probable small residual left pleural effusion. Superiorly the lungs are clear. The cardiac silhouette is enlarged but stable. Mitral valve replacements and left chest wall pacing device are unchanged.

<unk>m s/p cabg with malaise, increased dyspnea // ? pulm edema

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There is continued elevation of the right hemidiaphragm with adjacent right basilar atelectasis. Atelectasis is also noted in the left lung base. Cardiac silhouette size is within normal limits. Mediastinal and hilar contours are unremarkable. No pulmonary edema, focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.

history: <unk>m with cirrhosis and shortness of breath.

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Soft tissue attenuation from bilateral breasts limits evaluation of the lung parenchyma on frontal view. Clips are noted overlying the breasts and anterior chest. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk>f with l arm band like pain and paresthesias // acute process?

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The cardiomediastinal shadow is normal. No airspace opacification. No pleural effusions. No suspicious pulmonary nodules or masses. Spondylotic changes of the thoracic spine. Bilateral shoulder arthroplasty prostheses in situ.

<unk> year old woman with cough // please evaluate for paneumonia

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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. A metallic aortic stent is partially seen in the upper abdomen. Calcified nodular structures projecting over the left hemidiaphragm on the frontal projection likely correspond with calcified granulomas.

<unk>m with ams // r/o pna

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Pa and lateral views of the chest. The lungs are clear given low lung volumes. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.

syncope.

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The heart size is mildly enlarged. The aorta is slightly unfolded. The hilar contours are normal. The pulmonary vascularity is not engorged and the lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are present.

chest pain.

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. The ascending aorta is prominent. Aortic arch calcifications are seen. The left pulmonary artery is enlarged. The heart size is normal. No pulmonary edema. Prominent interstitial markings are unchanged.

couph. assess for 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.

intermittent left-sided chest pain since yesterday. rule out pneumonia or effusion.

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Ap and lateral views of the chest were compared to previous exam from <unk>. The lungs are clear of focal consolidation. Calcified right mid lung granuloma is again noted. Retrocardiac opacity is compatible with a large hiatal hernia. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.

<unk>-year-old female with weakness.