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

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No focal consolidations are seen. No pneumothorax, pulmonary edema, or pleural effusion.

<unk> year old woman with hx of aml s/p allo transplant with cough and night sweats. // ? infection

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Pa and lateral views of the chest provided. Overlying ekg leads are present. Lung volumes are low. 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 h/o epilepsy well controlled with <num> seizures today, eval for infection // eval for pna

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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>f with generalized weakness, worried about occult infection // concern for occult infection

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There has been interval removal of the right pigtail catheter. The right pleural effusion has increased in size now moderate with associated atelectasis. An underlying infection cannot be excluded. There is a small left pleural effusion. The right middle lobe <num> cm mass is best seen on the lateral view corresponding to the mass seen on the ct. Multiple smaller bilateral nodules are not as well visualized on the chest radiograph. Stable cardiomediastinal contours.

<unk> year old man with chest pain // acute cardiopulm disease, effusion, pna

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There is interval removal of a right dialysis catheter and left subclavian central venous line. There is interval placement of a right axillary stent. Low lung volumes are seen with linear lung markings consistent with atelectasis and scarring. There is interval increase of pulmonary vascular markings consistent with mild vascular congestion.

patient with history of end-stage renal disease on dialysis, who presents with confusion, rule out pneumonia.

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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. Bilateral pleural effusions are slightly increased with increasing hilar congestion and mild pulmonary edema. Underlying emphysema again noted. Cardiomediastinal silhouette is unchanged. Atherosclerotic calcification of the thoracic aortic knob. There are acute fractures involving the right fifth and sixth posterior rib arches, which are newly conspicuous. No pneumothorax.

<unk>m with ?pna

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The lungs are well expanded and clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The visualized osseous structures are unremarkable.

palpitations.

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The lungs are clear. Cardiomediastinal silhouette is within normal limits. S-shaped thoracic scoliosis is again seen. No acute osseous abnormalities.

<unk>f with cough // evidence of pneumonia

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Prominent interstitial lung markings, are diffuse. Reticular opacities are noted at the left lung base. The cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable.

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

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Median sternotomy wires intact and aligned. Left pectoral pacemaker with leads terminating in the right atrium, right ventricle, and left coronary sinus. Stable cardiomegaly with pulmonary vascular congestion. No evidence of acute, focal pneumonia.

<unk>-year-old man presenting with cough. clinical concern 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>f with chest pain, dyspnea

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The lung volumes are low which accentuates the size of the cardiac silhouette. Heart size is borderline enlarged. The aorta is slightly unfolded. The mediastinal and hilar contours are within normal limits, and there is no pulmonary vascular congestion. Streaky opacities are noted in the lung bases, possibly atelectasis though infection or aspiration cannot be excluded. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.

chest pain.

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Eventration of the right hemidiaphragm is unchanged. Chronic changes centered at the lung bases are as previously noted compatible fibrosis. There is no new consolidation. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>m with bilateral crackles. no history of chf. recent dx of pneumonia // r/o pneumonia, chf

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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. Moderate cardiomegaly, no pleural effusions. No lung nodules or masses. No pulmonary edema.

influenza-like illness, hemoptysis, evaluation for pneumonia.

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The lungs are clear but hyperinflated with flattening of the diaphragms and increased ap diameter of the retrocardiac clear space. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax. Of note, in the partially imaged upper abdomen, there is a hyperdensity which projects over left upper quadrant which appears to be a foreign body. Correlate for prior history of trauma.

<unk>-year-old with confusion/ams. eval for pneumonia.

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The patient is status post median sternotomy and cabg. The heart size remains moderately enlarged. The aorta is tortuous, with the mediastinal contours appearing unchanged. There is no pulmonary vascular congestion. Small bilateral pleural effusions are visualized, possibly slightly increased on the left compared to the prior exam. Bibasilar atelectasis is also re- demonstrated. There is no pneumothorax. No acute osseous abnormalities are visualized though there are multilevel degenerative changes in the thoracic spine.

hypoxia after cardiac surgery.

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Pa and lateral views of the chest provided. Lungs are clear. 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 productive sick contacts // eval for pna

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Frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. There is a hiatal hernia. The cardiomediastinal contours are normal. The hilar structures are unremarkable.

cough, evaluate for pneumonia.

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Subtle opacity projects over the lateral right mid chest at approximately the level of the right lateral fifth and sixth ribs of unclear clinical significance. Consider shallow oblique radiographs for further assessment. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Subacute appearing deformities of the left anterior lateral fifth, lateral sixth, and lateral seventh ribs may be due to prior injury/fractures.

history: <unk>m with tachy and fever // pna?

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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. Small aortic valve calcifications are unchanged. Hyperinflation of the lungs is consistent with known emphysema. No focal consolidation, pleural effusion, or pneumothorax.

<unk>-year-old female with history of smoking, copd, and cough.

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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.

history: <unk>m with hypotension, leukocytosis, left shift // pna?

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The lungs are clear without focal consolidation, effusion, or edema. Moderate to severe cardiomegaly is again noted. No acute osseous abnormalities.

<unk>f with left-sided chest pain // pneumonia

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Pa and lateral chest radiographs demonstrate a left basilar opacity most consistent with atelectasis, though an underlying infectious process cannot be excluded. The lungs are otherwise clear and there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

syncopal event.

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The cardiac, mediastinal and hilar contours appear similar. There is no pleural effusion or pneumothorax. Indistinct interstitial abnormalities suggest minimal vascular congestion.

dyspnea.

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A frontal and lateral view of the chest demonstrates transvenous pacer leads ending in the right atrium, right ventricle, with a third lead within the left ventricle. There are small bilateral pleural effusions. Tracheal deviation to the left likely relates to enlarged right thyroid seen on neck ct in <unk>. The cardiomediastinal silhouette is stable. There is no pneumothorax.

biventricular pacer, evaluate lead positioning.

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The lungs are clear and the lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. Heart size is normal. Mediastinal and hilar structures are unremarkable.

syncope. evaluate for cardiomegaly, infiltrate or effusion.

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The heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.

several days of worsening shortness of breath, dyspnea on exertion.

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Again seen are multiple median sternotomy wires and mediastinal surgical clips suggestive of prior cabg. There is stable moderate cardiomegaly. There are low lung volumes. Centrally predominant diffuse interstitial prominence is consistent with pulmonary vascular congestion and mild to moderate pulmonary edema. There is no focal lung consolidation. There is no pneumothorax or pleural effusion.

<unk>-year-old man man with infection, rule out pneumonia.

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Lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Obscuration of the right heart border is likely secondary to the pectus excavatum. The heart is normal size. The mediastinal and hilar structures are unremarkable. There is no pulmonary edema. Right picc is no longer seen.

fevers and cough. evaluate for pneumonia

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The heart size is normal. The hilar and mediastinal contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear. There is chronic eventration of the right hemidiaphragm.

<unk>-year-old female with pain in the left anterior chest on palpation, who presents for evaluation.

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pleural effusion or pneumothorax. No focal consolidation is seen.

<unk>m with h/o carotid stenosis presenting with transient aphasia // ?acute abnormality, evidence of pna

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Again, the right hemidiaphragm is slightly elevated in comparison to the left, and unchanged from prior exams. The cardiomediastinal silhouette is normal.

non-hodgkin's lymphoma, on immunosuppression. presenting with cough. evaluate for pneumonia.

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In comparison with the study of <unk>, there has been complete clearing of the right basilar opacification. Substantial enlargement of the cardiac silhouette in the absence of vascular congestion suggests underlying cardiomyopathy or pericardial effusion. No acute focal pneumonia or pleural effusion.

nausea and vomiting with cough, to assess for pulmonary edema.

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There are low lung volumes with bilateral perihilar opacities likely reflecting atelectasis. There is no focal consolidation or pleural effusion. Heart size and mediastinal contours are normal. Osseous structures are intact.

<unk>m with ams // eval for pneumonia

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Previously seen left-sided chest wall pacing device is no longer visualized. Cardiomediastinal silhouette is within normal limits. Streaky right basilar opacity is noted. Elsewhere, lungs are clear. No acute osseous abnormalities.

<unk>m with infx workup // pna?

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Inspiratory volumes are slightly low. Allowing for this, there may be mild cardiomegaly. No chf, focal infiltrate, or effusion is detected. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy or obvious pulmonary nodule is detected. Incidental note is made of eventration of the right hemidiaphragm. Mild degenerative changes of the thoracic spine are noted.

hepatic granuloma, rule out pneumonia, sarcoidosis. chest, two views. no previous chest x-rays on pacs record for comparison.

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

<unk>m with seizure // eval infiltrate

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Heart size is normal. The aorta is diffusely calcified. The mediastinal and hilar contours are unchanged with mild unfolding of the thoracic aorta. Pulmonary vascularity is normal. The lungs are clear. There is no pleural effusion or pneumothorax. Multilevel degenerative changes are seen in the thoracic spine. Mild contour irregularity of the right <unk> posterior rib could reflect a nondisplaced fracture.

fall from bed with right hip, thoracic and lumbar spine pain.

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Compared with the prior radiographs, no significant interval change. Specifically, there is no new focal consolidation or pneumothorax. As before, minimal blunting of the bilateral lateral cp angles may represent trace pleural effusions. An oblong radiopaque device overlies the region of the left heart, as seen in <unk>, cardiac rhythm recorder. Mild aortic calcifications are unchanged and the cardiomediastinal silhouette is within normal limits.

<unk>-year-old man with weakness. evaluate for infectious process.

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Pa and lateral views of the chest. The lungs are clear. Note is made of an azygos fissure. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.

<unk>-year-old female with seizures.

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Heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise within normal limits. The pulmonary vasculature is not engorged. Mild elevation of the left hemidiaphragm is of unknown chronicity. There are trace bilateral pleural effusions with mild left basilar atelectasis. No focal consolidation or pneumothorax is present. Degenerative changes are noted involving both acromioclavicular joints and throughout the imaged thoracic spine.

history: <unk>m with altered mental status// pneumonia?

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Interval removal of a right-sided central venous line. Dobbhoff feeding tube is again noted with the tip projecting over the left upper quadrant. Multifocal opacities on the prior radiograph have improved with residual coarse reticular basilar lung opacities. Trace left pleural effusion. Mild ectasia to the ascending thoracic aorta. The cardiomediastinal silhouette is otherwise within normal limits.

history: <unk>m with gbm hx of asn pna presenting with concern for ams/seizure // pls eval for pna

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The heart size is within normal limits. Mediastinal contour is grossly unchanged, with known lymphadenopathy better demonstrated on the previous ct. The hilar contours are unchanged. Pulmonary vasculature is normal. Lung volumes are low with mild bibasilar atelectasis. Previously demonstrated pulmonary nodules on ct are not visualized on the current radiograph. No focal consolidation, pleural effusion or pneumothorax is visualized. There are mild degenerative changes noted in the thoracic spine.

history: <unk>m with prostate cancer presents with fatigue and shortness of breath

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As compared to the previous radiograph, the preexisting evidence of pulmonary edema had completely resolved. Borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta. No evidence of hilar or mediastinal adenopathy. Moderate scoliosis with subsequent asymmetry of the rib cage.

hilar adenopathy.

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The lungs are normally expanded and clear. Heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There are numerous healed right rib fractures. There is gaseous distention of several loops of small bowel in the upper abdomen. Degenerative changes are incidentally noted in the partially imaged right ac joint

history: <unk>m s/p renal transplant, infectious workup // eval for pna or other acute process

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There is no interstitial lung disease related to amiodarone. Prior sternotomy with left-sided pacemaker with right atrial and ventricle leads is unchanged. Left lower lung minimal atelectasis is stable. There is no pleural effusion or pneumothorax.

patient with pacer, amiodarone. assess for fibrosis.

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The patient is status post spinal fusion. Right posterior sixth and seventh rib fractures are unchanged. Lung fields are clear besides suprahilar atelectasis on the right. There is no pneumothorax. There is no pleural effusion. The cardiomediastinal silhouette is unremarkable.

<unk>m with cough // acute process?

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The heart is markedly enlarged. There is mild interstitial prominence as well as upper zone redistribution of pulmonary vascularity suggesting mild vascular congestion. There is patchy opacification with a streaky character projecting over the right upper lung as well as the retrocardiac area, which appears unchanged. These areas are likely to reflect atelectasis. Pneumonia is difficult to exclude, however. Short-term followup radiographs may be helpful particularly if pulmonary symptoms were to persist.

dyspnea.

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Ap and lateral views of the chest. Lateral view is limited secondary to motion. The lungs are clear of focal consolidation, effusion or overt pulmonary edema. The cardiac silhouette is mildly enlarged but unchanged. Sternotomy wires are identified as well as tricuspid and aortic valve replacements. No acute osseous abnormality is identified.

<unk>-year-old male with history of chf and cabg, avr with fever and altered mental status.

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As compared to the prior examination dated <unk>, there has been no relevant interval change. No lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.

<unk>f with hypoglycemia // eval for infiltrate

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In comparison with study of <unk>, there has been complete clearing of the left basilar pneumonia. No evidence of acute cardiopulmonary disease at this time.

prior pneumonia, to assess for resolution.

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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is mild right basilar linear atelectasis without pneumonia, pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes and hilar contours are normal allowing for low lung volumes. Eventration of the right hemidiaphragm is similar to the prior study. No acute osseous abnormality is identified.

chest pain and dyspnea.

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A round <num> cm opacity in the superior aspect of the left upper lobe and an ovoid <num> cm opacity in the inferior aspect left upper lobe are both most consistent with metastases. The lungs are otherwise clear. Heart size is top normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

left arm weakness, evaluate for acute process.

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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

<unk>m w/ seizure eval for cardiopulmonary change.

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

<unk>m with persistent cough after influenza // ?pna

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Upright frontal and lateral chest radiographs demonstrate hyperinflated lungs, without focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette remains normal in size, the mediastinal contours are notable only for tortuosity of the thoracic aorta.

<unk>-year-old female with history of copd and asthma who presents with one week of productive cough, wheezing, and dyspnea, evaluate for pneumonia.

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Pa and lateral views of the chest demonstrate unchanged elevation of the right hemidiaphragm. There is no evidence of pneumothorax, pleural effusion, pulmonary edema, or pneumonia. The cardiomediastinal silhouette is unremarkable.

<unk>-year-old male with history of aml. evaluation for pneumonia.

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Compared to the previous exam there has been improvement in pulmonary edema but re-accumulation of a moderate to large right pleural effusion. A small left effusion is present. The heart remains mildly enlarged. Atrial and biventricular pacemaker leads are unchanged. Median sternotomy wires are intact.

history of dyspnea, question acute process.

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The heart size is top normal with left ventricular configuration, which may be due to body habitus and a diminished ap diameter. Mediastinal and hilar contours and pleural surfaces are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.

<unk>m with <num>wk cough, fatigue, chest tightness. evaluate for pneumonia.

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Hazy opacities over the lung bases are likely due to gynecomastia. For focal nodular density of the left lung base may be a nipple shadow however repeat with nipple markers suggested to confirm. Small left pleural effusion is noted. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk> year old man with cirrhosis, low back pain, fever // evaluate for pneumonia, has known l rib fx

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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

<unk>m with left-sided chest that radiates down l arm, evaluate for cause of cp.

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Patient is rotated on the table. The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.

<unk>m with ongoing symptoms after recent completion of tx for pna. eval for acute process, attn to pna.

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Mild cardiomegaly and upper mediastinal contours are stable. The right hilum is prominent and streaky opacity along the right lung base is likely atelectasis. Stable linear opacity in the right upper lobe is consistent with scarring. Blunting of the right costophrenic angle is consistent with a new small right pleural effusion.

history: <unk>f with a-fib with rvr // eval edema

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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

syncope.

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Frontal and lateral views of the chest are compared to previous exam from <unk> and <unk>. Lungs are clear of focal consolidation or effusion. Cardiac silhouette is slightly enlarged. The aorta is tortuous. Dual-lead pacing device again seen with lead tips in unchanged position. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with weakness.

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Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with fever.

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The lungs are well expanded. No focal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

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

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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. Aside from mild cardiomegaly, the cardiomediastinal silhouette is normal.

chest pain.

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Pa and lateral views of the chest provided. Mild platelike left basal atelectasis noted. Otherwise lungs are clear. 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 asthma, cough w/ sputum // pna?

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. A drain is seen within the region of the right axilla.

history: <unk>f with chest pain and ?pneumothorax from prior lung biopsy // pneumothorax?

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There is persistent subsegmental atelectasis in the right lower lobe with associated small right-sided effusion. The lungs are otherwise clear. No pneumothorax. The cardiomediastinal silhouette is unremarkable.

<unk> year old man with severe right chest pain after trauma. not improving // ? atelectasis, infiltrate

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

<unk> year old man with renal pelvis ca, s/p left nephroureterctomy // please evaluate for any abnormalities

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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. The hilar contours are stable.

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

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Pa and lateral chest views were obtained with patient upright position. Comparison is made with the ap frontal view examination <unk> <unk>. Unchanged appearance of orif procedure in left clavicle. The left-sided chest tube remains in unchanged position and terminates in the apical area. Again no pneumothorax can be identified in the apical area. The previously described multiple rib fractures with considerable displacement and volume loss with lateral chest wall depression remains unchanged. No new acute pulmonary abnormalities are seen.

<unk>-year-old female patient status post mcc, now status post orif of left clavicle, left rib fractures, left hemo-pneumothorax. chest tube placed to water seal. evaluate.

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The heart size is at the upper limits of normal. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

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

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Pa and lateral views of the chest provided. The lungs are well-inflated and grossly clear. There is no pleural effusion, or pneumothorax. The hilar and cardiomediastinal contours are normal. Severe dextroscoliosis.

<unk> year old man with <num> days fever/sweats and productive cough with sao<num> <unk>% with ambulation // assess for pneumonia

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In comparison with the study of <unk>, there is little overall change. Persistent right basilar opacification primarily seen anteriorly, though there is also parenchymal opacification seen in the posterior portion on the lateral view. The findings are most consistent with pneumonia and pleural fluid. Postoperative changes are again seen in the right apex and in the region of the left hilus. There could be a somewhat ill-defined area of increased opacification in the left mid-to-lower zone that could also be a focus of consolidation.

pneumonia.

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In comparison with study of <unk>, the tip of the picc line extends to the mid portion of the svc. There are surgical clips overlying the right apical region and right axilla. However, the lungs are clear without vascular congestion or pleural effusion.

picc placement.

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Frontal and lateral views of the chest. Lung volumes are very low, exaggerating heart size and mediastinal width. There is small left base atelectasis but no focal consolidation, pleural effusion, or pneumothorax.

altered mental status.

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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Multifocal pneumonia has virtually cleared since <unk>. Lungs are otherwise clear and there is no pleural effusion.

<unk>-year-old female with recent right middle and right lower lobe pneumonia, now with worsening symptoms.

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In comparison with study of <unk>, there is bibasilar opacification consistent with moderate right and small pleural effusion with basilar compressive atelectasis. Air-fluid level is consistent with a substantial hiatal hernia. Unchanged moderate cardiomegaly with minimal fluid overload.

history of pulmonary embolism and breast cancer, increased oxygen requirement after incisional hernia repair.

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As compared to the previous radiograph, there is no relevant change. No pneumonia. Status post cabg with sternal wires and clips in normal position and alignment. No pleural effusions. No pulmonary edema.

cough since the weekend, evaluation 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>f with cough, mild hemoptysis, from <unk>

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Lung volumes are reduced compared to the previous exam. Heart size appears mildly enlarged, increased compared to the previous exam, but this is likely accentuated due to the lower lung volumes. Mediastinal contours are unchanged. Calcified right mediastinal node is compatible with prior granulomatous disease. There is crowding of the bronchovascular structures, with possible mild pulmonary vascular congestion but no overt pulmonary edema is demonstrated. Bibasilar opacities are seen in the lung bases, most compatible with atelectasis, without focal consolidation. No pleural effusion or pneumothorax is visualized. Right-sided indentation upon the trachea at the thoracic inlet may reflect an underlying thyroid goiter, and is unchanged. There are multilevel degenerative changes in the thoracic spine. Cholecystectomy clips are re- demonstrated in the right upper quadrant of the abdomen.

confusion

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<num> lead left-sided pacer device is seen, unchanged in position. There is a small to moderate left pleural effusion with overlying atelectasis. Left basilar opacity may be due to combination of pleural effusion and atelectasis, underlying consolidation is not excluded. Left basilar opacity is grossly stable to possibly minimally increased as compared the prior study. Prominence and indistinctness of the hila suggest vascular engorgement. Right base airspace opacity is increased as compared to the prior study, which may relate to fluid overload, however, underlying infection, pulmonary hemorrhage, or aspiration is not excluded. The cardiac and mediastinal silhouettes are stable. Mild anterior wedging of a lower thoracic vertebral body is grossly stable compared to the prior study. No obvious rib fracture there is seen, however, dedicated rib series or ct is more sensitive.

history: <unk>m s/p mvc, hit chest on steering wheel //

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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 liver disease and <num> week history of confusion //

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There is mild left base linear atelectasis/scarring. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. Evidence of dish is again seen along the thoracic spine.

syncope.

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Compared to the chest radiograph obtained <num> hours prior, a moderate right pneumothorax is increased in size. Apparent leftward mediastinal shift is less conspicuous, however. Right lower lobe atelectasis is more prominent. No pleural effusion. Heart size is normal. Cardiomediastinal hilar silhouettes are unremarkable.

<unk> year old man with spontaneous r ptx. // assess for progression of ptx. please time for <time>am <unk>.

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The lungs are well expanded and clear. Hila and cardiomediastinal contours and pleural surfaces are normal.

<unk> year old woman with shortness of breath and sensation of something taking her breath away // abnormality

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Lungs are fully expanded and clear. No focal consolidation, effusion, or pneumothorax. Widening of the cardiomediastinal silhouette has improved, probably due to decrease in fat deposition. Cardiomegaly is mild.

<unk> year old man with bronchitis and rales on the right // pneumonia?

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Frontal and lateral views of the chest demonstrate large right pneumothorax, which has significantly increased since <unk> exam. There is no leftward shift of hilar or mediastinal structures. The left lung is essentially clear. No pleural effusion. No left pneumothorax. Cardiomediastinal silhouettes are unremarkable. Heart size is normal. Partially imaged upper abdomen is unremarkable.

patient with history of pneumothorax, assess for interval change.

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Pa and lateral views of the chest provided. Cardiomegaly is unchanged with a small left pleural effusion. A linear density in the left mid lung may represent a focus of atelectasis. There is retrocardiac opacity suggestive of left lower lobe pneumonia. The right lung is clear. Bony structures are intact.

<unk>m with syncope, cough // infiltrate

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Lung volumes are low causing exaggeration of the cardiac size as well as minimal bibasilar atelectasis. There is no evidence of pneumonia, pleural effusion, or frank pulmonary edema.

malaria. question pulmonary edema.

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In comparison to <unk> chest radiograph, there are no changes noted. There are no consolidations, opacities, masses, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. The heart size is normal.

<unk> year old man with chest pain with deep breathing // r/o pleurisy

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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. The visualized osseous structures are unremarkable.

history of chest pressure. please evaluate.

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Surgical clips are noted in the right axilla. The trachea is mildly deviated towards the right, likely from the aortic arch. Heart size is normal. Lungs are clear. No pleural effusion or pneumothorax.

history: <unk>f with ankle fracture, pre-op // eval pna, heart size

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Bilateral lower lung volumes, partially due to patient positioning and lack of full inspiration. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. Stable moderate cardiomegaly. Median sternotomy wires appear intact and unchanged in position.

<unk> year old woman with cough, fever, anorexia x <num> days, o<num> sat <unk>% today. hx parkinsons disease. coarse bibasilar breath sounds r>l. evaluate for pneumonia.

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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Low lung volumes are present, with mild bibasilar patchy opacities which likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.

history: <unk>f with productive cough and shortness of breath

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The exam is somewhat limited by technique and body habitus. Within the limitations, mild vascular congestion is significantly changed from the most recent radiograph. There is no overt pulmonary edema. There is no focal airspace opacity, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart size is moderately enlarged, and unchanged. A compression deformity in a lower thoracic or upper lumbar vertebral body is unchanged.

chest pain. evaluate for pneumonia or pulmonary edema.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.

<unk>-year-old female with dizziness and shortness of breath.