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

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Healed posterior left rib fractures are unchanged. No acute fracture is identified.

cough and shortness of breath. evaluate for pneumonia.

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No focal consolidation is seen. Chronic deformity of several left-sided ribs and at least <unk> right-sided ribs are seen. No pleural effusion or pneumothorax is seen. The aorta is somewhat tortuous. The cardiac silhouette is not enlarged. No pulmonary edema is seen. There is diffuse osteopenia.

history: <unk>f with recent falls, ekg changes // evaluate for acs, rib fractures

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Ap upright and lateral views the chest. Lung volumes are low. There is a tiny left pleural effusion with minimal left basal atelectasis. Otherwise lungs are clear. No large 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 cirrhosis, here with leukocytosis*** warning *** multiple patients with same last name! // evaluate for pneumonia

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The right port-a-cath is in stable position. There unchanged appearance of the small right pleural effusion and small left pleural effusion. Adjacent atelectasis is seen. The heart size is stable. No overt pulmonary edema or pneumothorax is seen. No new focal consolidation is seen.

<unk>-year-old male with congestive heart failure and presents with fatigue and renal failure. evaluate for chf.

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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are unremarkable. Chronic healed left <unk> posterior rib fracture is incidentally noted.

<unk>-year-old female with cough and sweats. evaluate for pneumonia.

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The lungs are mildly hypoinflated with crowding of vasculature. In comparison to prior examinations there is apparent widening of the mediastinum which may be positional in nature. The contour of the descending aorta is smooth and unchanged since prior examination. Again seen is moderate cardiomegaly, stable since prior examination. A stable left basilar opacity likely represents a combination of small pleural effusion and atelectasis. Right lung is clear. Median sternotomy wires are intact. Mediastinal clips and right chest wall clips are again noted.

<unk>f with chest pain after aortic surgery. assess for congestive heart failure.

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The heart is at the upper limits of normal size. The aortic arch is partly calcified. The mediastinal and hilar contours appear unchanged. A calcified nodule in the left upper lobe appears not significantly changed. Areas of scarring at each lung apex are likewise stable. There is slight relative elevation of the left hemidiaphragm compared to the right that persists. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.

altered mental status. history of prostate cancer.

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The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. There are new bilateral lower lung opacities predominantly in the lower lobes, more extensive on the left than right, suggesting pneumonia. There is no pleural effusion or pneumothorax.

<unk>-year-old female with asthma, type <num> diabetes, and prior episodes of pneumonia, now with fever and cough.

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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, tachycardia, shortness of breath. current smoker on birth control.

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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. A bb marker overlies the lateral left tenth rib, which demonstrates cortical irregularity and a step-off, consistent with a minimally displaced rib fracture.

history: <unk>f with l rib cage pain and tenderness // assess for rib fx

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Two views were obtained of the chest. Diffuse bilateral pulmonary opacities with <unk> b-lines/septal thickening is consistent with moderate pulmonary edema. More focal right lower lung opacity is concerning for superimposed pneumonia. Moderate cardiomegaly is more prominent than on the previous examinations. Trace right pleural effusion is likely also present. There is no pneumothorax.

worsening shortness of breath x<num> days. fever, cough and dyspnea on exertion.

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

history: <unk>f with right upper quadrant pain with negative ct abdomen

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The heart size is normal. The mediastinal and hilar contours are within normal limits. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. Previously noted areas of subsegmental atelectasis in the left lung have resolved. Eventration of the right hemidiaphragm is unchanged. No acute osseous abnormalities are identified.

cough.

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Heart size remains borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Calcified granuloma is again noted within the posterior aspect of the superior segment of the left lower lobe. Mild degenerative changes are noted in the thoracic spine.

<unk>f with diffuse body rash and weakness. right second toe nail infection last week. concern for systemic infection, potentially 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 constitutional symptoms, left foot redness, elevated crp - infectious workup

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As compared to the previous radiograph, the position of the right pleurx catheter is not substantially changed. The pleural effusion on the right has minimally increased, the pleural air inclusion seen on the previous film is no longer present. On the left, the effusion has slightly decreased. Bilateral areas of atelectasis, caused by the pleural effusions, are unchanged. Unchanged appearance of the cardiac silhouette. No overt pulmonary edema. No pneumonia.

status post pleurx catheter, evaluation for pleural effusion.

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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite consolidation is identified. Linear atelectasis is noted in the right middle and lower lobes. A small left pleural effusion is present. Distended loops of bowel in the upper abdomen are more fully assessed by concurrent abdominal ct.

history: <unk>m with abdominal pain, distension, cirrhosis // eval for pneumonia

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unchanged with mild unfolding of the thoracic aorta. Calcifications are noted at the aortic knob. There is re- demonstration of hyperexpansion of the chest with severe emphysema. Bibasilar opacities have since resolved compared to the prior examination. Increased opacity at the left apex corresponds to scarring as seen on prior ct exam. Additional areas of chronic scarring are noted in the right lung base. Pleural surfaces are clear without effusion or pneumothorax. The bones appear generally demineralized.

copd presenting with increasing shortness of breath.

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Improved inspiratory effort seen on the current exam when compared to most recent prior. Previously seen vascular congestion has also improved. There is mild left basilar atelectasis. There is no effusion or consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with history of asthma presents with worsened dyspnea over last day without infectious symptoms. // evaluate for consolidation vs pulmonary edema

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In comparison with the study of <unk>, there is further improved aeration of the lower lungs with some higher volumes. Mild blunting of the costophrenic angles is consistent with small residual effusions or pleural thickening. No evidence of acute focal pneumonia or vascular congestion.

bibasilar crackles.

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Patient is status post median sternotomy and cabg. Dense mitral annular calcifications are re- demonstrated. Mild cardiomegaly is again noted, unchanged. The mediastinal and hilar contours are stable. Pulmonary vasculature is minimally engorged. Linear opacity within the right upper lobe with right lateral pleural thickening is similar to the previous study. Moderate right pleural effusion appears somewhat increased in size compared to the previous study with worsening right basilar opacity, likely atelectasis. Infection however is not completely excluded. Left lung is clear without focal consolidation. Trace left pleural effusion is without change. No pneumothorax is demonstrated.

history: <unk>m with known nocardia pneumonia presents with new fever

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Heart size appears mildly enlarged, slightly increased from the prior study. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unchanged. Mild pulmonary vascular congestion is present along with small bilateral pleural effusions, increased from the previous study. Patchy opacities in the lung bases may reflect areas of atelectasis. No pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>m with dyspnea

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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. Fractures of the <num> most superior sternotomy wires are unchanged.

dizziness, rule out pneumonia.

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Ap and lateral views of the chest. Compared to prior, there has been no significant interval change. The lungs are hyperinflated but clear of consolidation. Cardiac silhouette is enlarged. Again seen is enlargement of the descending thoracic aorta compatible with aneurysm better characterized on cta chest from <unk>. No acute osseous abnormality detected.

<unk> year old female with chronic kidney disease, colon cancer with cough, sneezing and low-grade fever.

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The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. The heart is mild to moderately enlarged, as seen previously, possibly slightly increased. A left chest wall pacemaker is present with leads in the right atrium and right ventricle, unchanged in position. Clips are present in the upper abdomen. There are no displaced fractures.

<unk>-year-old with fall and head injury. evaluate for traumatic injury.

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no overt pulmonary edema. There is no focal consolidation. There is s-shaped scoliosis of the thoracic spine.

<unk>-year-old man with chest pain, evaluate for pulmonary edema.

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Pa and lateral views the chest provided. Tripolar pacer is unchanged with leads extending to the expected position of the right atrium, right ventricle and coronaries sinus. No focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is unchanged with mild cardiomegaly and unfolded thoracic aorta. Multiple chronic compression deformities in the thoracolumbar spine with evidence of prior vertebroplasty at l<num> and l<num> levels. T<num>, t<num> and t<num> compression deformities are unchanged.

<unk>f with complex medical hx incl mm on bortezomib, recent biv pacer placed c/b c.diff infx currently on treatment, chf, with dyspnea, malaise, and worsening abdominal pain

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The cardiac and mediastinal silhouettes are stable. Hilar contours are grossly stable. There is persistent mild increase in interstitial markings bilaterally which may be due to mild interstitial edema versus chronic lung disease. No pleural effusion or pneumothorax. No new focal consolidation.

history: <unk>f with sudden tachypnea and o<num> requirement // eval for pulm edema

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Ap and lateral views of the chest. Low lung volumes are again noted. There is, however, increased interstitial marking throughout the lungs as on prior, compatible with mild edema. Bibasilar opacities are most likely due to atelectasis. There is no large effusion. Cardiac silhouette is stable. Left chest wall dual-lead pacing device is again seen as well as median sternotomy wires and mediastinal clips.

<unk>-year-old male with coronary artery disease with chest pain.

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Chain sutures project over the apex of the left lung as before. 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.

<unk> year old man s/p l vats, blebectomy now with fevers, chills, productive cough // evaluate for infiltrate

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Upright ap and lateral radiographs of the chest show perihilar fullness and prominent indistinct vascularity most suggestive of mild to moderate pulmonary edema. No focal consolidation is identified convincing for pneumonia. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear stable.

<unk>-year-old female postop day #<num> from appendicitis, now with fevers.

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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracic spine are noted.

lower extremity swelling and diagnosis of hepatitis at outside hospital. evaluate for pulmonary edema.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. Widening of the left acromioclavicular joint is difficult to compare because of patient rotation, but it was also present on prior radiograph <unk> <unk>. Left diaphragmatic contour abnormality posteriorly on the lateral view, has not changed since <unk> but is a change from <unk>. Old rib fractures bilaterally.

<unk> year old woman with h/o <unk> pack year, copd who presents with left chest pain. // please eval for fracture vs malignancy

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Minimal elevation of the right hemidiaphragm is seen. Slight opacity projecting over the inferolateral right lower lung on the frontal view may relate to scarring or atelectasis, not substantiated on the lateral view. Small rounded opacities projecting over the bilateral lower thorax at the same level bilaterally are most consistent with nipple shadows. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.

cough and fevers.

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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.

evaluate for pneumonia in a patient with fatigue.

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In comparison with study of <unk>, allowing for improved degree of inspiration, there is little change and no acute cardiopulmonary disease. Specifically, no evidence of parenchymal or skeletal metastases.

possible metastases.

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The heart size is normal. Mediastinal and hilar contours are unremarkable and unchanged. Lungs are clear and mildly hyperinflated. No focal consolidation is identified. Minimal blunting of the left costophrenic angle on the posterior view may suggest a trace left pleural effusion. No right-sided pleural effusion is demonstrated, and there is no pneumothorax. No acute osseous abnormalities are present.

homogeneous and cough.

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The cardiac and mediastinal silhouette is unremarkable. The chest is hyperinflated. There is an otherwise unexplained thin left apical line, a possible trace left-sided pneumothorax.

history of marfan's syndrome now with chest pain after cocaine use. evaluate for pneumothorax.

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

<unk>f with cough, chills // eval for consolidation

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Pa and lateral views the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.

cough and fever.

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As compared to the previous examination, the lung volumes have decreased. At both lung bases, band-like consolidations are seen. Their extent is better visualized on the lateral than on the frontal radiograph, they predominate in the lower lobes. Overall, the size of the cardiac silhouette is within normal limits. The patient has no pleural effusions. The hilar and mediastinal contours are unremarkable.

complains of cough and bibasilar crackles. evaluation.

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Pa and lateral views of the chest provided. Port-a-cath is unchanged with tip residing in the low svc region. 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 chest pain

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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>m with seizure ? infection. // ? pneumonia

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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is stable when compared to prior. Hypertrophic changes are seen in the spine without acute osseous abnormality.

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

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The heart size remains moderately enlarged. The mediastinal contours are stable with calcification of the aortic arch again noted. The hilar contours are unremarkable. No pulmonary edema or focal consolidation is demonstrated. No pleural effusion or pneumothorax is seen. Attenuation of the pulmonary vasculature towards the apices may reflect emphysema. There are no acute osseous abnormalities.

copd with weakness and light-headedness.

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Right hilar opacity corresponds to the previously seen right hilar mass noted on ct. A subtle right basilar opacity is equivocal for mild consolidation. There is no pleural effusion or pneumothorax. No superimposed consolidation is detected. The heart size is normal.

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

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Pa and lateral chest radiographs demonstrate intact median sternotomy wires and cabg clips. Crowding of bronchovascular bundles in the retrocardiac region likely represents atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal.

altered mental status.

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The lungs are hyperinflated with flattening of the diaphragms, suggestive of copd. Again seen is chronic atelectasis/scarring notable at the right base. No new focal parenchymal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is within normal limits. There is mild tortuosity of the aorta with dense atherosclerotic calcification.

weeks of shortness of breath.

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Cardiac silhouette is normal. Widened mediastinum with loss of the right paratracheal stripe and enlarged hilum represent enlarged lymph nodes, similar in appearance to <unk>. The lungs are clear. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.

<unk>m with sarcoid and hep c-induced cirrhosis p/w n/v // ?pna..

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Lung volumes are slightly low which accentuates the size of the cardiac silhouette which is borderline enlarged. Mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal patchy opacities in the lung bases likely reflect atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities.

history: <unk>f with <num> day history of productive cough, right upper quadrant pain, nausea; no fevers

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Pa and lateral views of the chest provided. <num> cm lower lobe nodule is only seen on the lateral projection, however appears unchanged. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.

<unk> year old man s/p lung biopsy now with pain on left side // ? ptx or other acute process

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Frontal and lateral chest radiographs demonstrate a left chest port with the catheter terminating in the low svc. Heart size is borderline enlarged. Mildly tortuous aorta is demonstrated. Hilar contours and pulmonary vasculature are normal. The lungs are well expanded, without focal consolidation, pleural effusion, or pneumothorax. Other than clips projecting over the right upper quadrant, the visualized upper abdomen is unremarkable.

history: <unk>f on chemotherapy with two weeks of shortness of breath and chest pressure // acute cause of chest pain, pericardial effusion, pericarditis

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Heart size is mild to moderately enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are moderate multilevel degenerative changes seen in the thoracic spine.

history: <unk>f with shortness of breath, cough, possible bronchitis

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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Again appreciated is mild hyperinflation with a wide ap diameter of the chest well and flattening of the diaphragms is suggestive of a chronic process such as emphysema. No acute bony abnormality is identified.

stage iiic melanoma <unk> years post therapy.

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation convincing for pneumonia is seen. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is seen. Upper abdomen is unremarkable.

history: <unk>f with dyspnea // acute process

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. There is no evidence of pneumothorax, pleural effusion or focal consolidation. No pulmonary edema is present. The cardiomediastinal silhouette is unremarkable. Since the prior study, there has been interval removal of esophageal ph monitoring and interval placement of left upper quadrant surgical anchor devices. Cholecystectomy clips are present in the right upper quadrant.

chest pain. evaluation for pneumonia.

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Frontal and lateral chest radiographs demonstrate stable cardiomediastinal and hilar contours. No cardiomegaly evident. There are new bibasilar opacification, left greater than right, which may be related to worsening chronic lung changes given the appearance of background emphysema; however, developing infectious process is a consideration. No pleural effusion or pneumothorax evident. No osseous abnormality evident.

copd, congestive heart failure, presenting with worsening shortness of breath for two days, evaluate for pneumonia versus pulmonary edema.

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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 itp s/p splenectomy p/w fevers, cough // any e/o pna

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Pa and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal. The bones are intact.

history of chest pain. evaluate for pneumonia.

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Frontal and lateral chest radiographs demonstrate intact sternal wires and a left chest wall pacer device with leads overlying the right atrium and ventricle. Lung volumes are slightly low, with exaggeration of the cardiac silhouette. Allowing for this, the heart is top-normal in size. Scattered bilateral opacities are similar in distribution compared to prior exams, and likely related to extensive calcified pleural plaque as seen on ct from <unk>. No focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with chest pain and shortness of breath.

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The patient is status post median sternotomy, cabg, and left-sided pacer placement with leads terminating in the right atrium and right ventricle. Moderate cardiomegaly is re- demonstrated. Atherosclerotic calcifications are noted at the aortic arch. Mild pulmonary edema is slightly worse in the interval as are small bilateral pleural effusions. Bibasilar opacities likely reflect areas of atelectasis. No pneumothorax is detected. There are no acute osseous abnormalities.

history: <unk>f with chf exacerbation, ruq/epigastric pain, scleral icterus

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A left chest wall port-a-cath terminates in the right atrium. Numerous pulmonary metastatic lesions are seen within the lungs bilaterally. Given the size and number of these lesions, it is difficult to exclude an underlying pneumonia. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with dyspnea, metastatic sarcoma // eval for pulm edema, acute process

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The cardiac, mediastinal and hilar contours appear stable, including borderline cardiomegaly and a substantial epicardial fat pad on each side of the mediastinum. There is no pleural effusion or pneumothorax. The lungs appear clear.

shortness of breath.

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In comparison with prior radiographs, again seen is near complete opacification of the left hemithorax owing to lower lobectomy and total collapse of the residual upper lobe as well as leftward mediastinal shift. The right lung however shows increased vascular congestion and interstitial thickening as well as a probable small pleural effusion. Lucency projecting over the mid chest, best seen on the latera view, is of unclear etiology, but could related to dilated, air filled esophagus. Minimal fibrotic changes are unchanged. Lumbar spine hardware is redemonstrated. Stable severe compression of a lower thoracic vertebra.

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

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Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating heart size. Mediastinal contours are normal. Bronchial cuffing and diffuse prominent interstitial markings suggest an interstitial abnormality, possibly bronchitis. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax.

<unk>-year-old male with fever, cough, and right-sided chest pain.

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A right infrahilar opacity is unchanged from the immediate prior study and may represent subsegmental atelectasis related to low lung volumes. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.

<unk>m with cough, and fever, evaluate for pneumonia.

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The lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Scarring or atelectasis is seen at the right lung base. Heart is normal size. Mediastinal and hilar contours are unremarkable

hiv and subjective fevers. rule out infection.

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Lungs are hyperinflated which could reflect emphysema. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax. Cardiomediastinal silhouette is stable. The aorta is calcified and slightly unfolded. Bilateral apical pleural scarring is unchanged overall. Bones appear grossly intact.

<unk>-year-old woman presenting with dizziness; evaluate for infiltrate.

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. There is no pleural effusion, pulmonary edema, or pneumothorax. Subtle left base opacity is likely due to combination of minor atelectasis and overlapping vascular structures. No definite focal consolidation is seen. The cardiomediastinal silhouette is unremarkable.

seizure.

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The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities.

<unk>m with chest pain // ?chest pain

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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is top normal. Osseous structures are intact.

cough, evaluate acute process.

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There is no focal consolidation, effusion, or pneumothorax. Heart size is top normal. The mediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Biapical pleural thickening is noted. Degenerative changes are seen in the spine.

history: <unk>f with rib pain // r/o rib fx

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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. <num> mm calcification projecting over the right upper lobe likely reflects a granuloma. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>m with cough, subjective fevers for <num> weeks

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Pa and lateral views of the chest provided. Lungs are clear without focal consolidation, large effusion, or pneumothorax. There are no signs of congestion or edema. There is minimal right basal atelectasis. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m ams eval for cardiopulm change

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified. Orthopedic hardware noted in the right humeral head.

<unk>m with doe and new a. fib // r/o acute process

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Mild blunting of the right costophrenic angle may be due to a small pleural effusion. No large pleural effusion is seen on the left. No focal consolidation is seen. The right sided the heart appears enlarged. Overall the cardiac silhouette is moderately enlarged. No pulmonary edema is seen. There are emphysematous changes at the right lung apex. Old right-sided rib deformity presumed from prior fracture.

history: <unk>m with sob and ascities // effusions?

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Subtle right basilar opacity may be due to atelectasis although infectious process is not excluded in the appropriate clinical setting. The left lung is clear. No pleural effusion or pneumothorax is seen. Subtle lucency along the mediastinum including along the upper left cardiac border and upper mediastinum is concerning for pneumomediastinum. Mediastinal lucency also seen on the lateral view. The cardiac silhouette is not enlarged.

history: <unk>m with psychotic break // eval for pna or infection

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Pa and lateral views of the chest were compared to previous exam from <unk>. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with chest pain intermittently for two weeks.

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The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal.

<unk>-year-old woman, total right hip replacement.

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Frontal and lateral views of the chest demonstrate stable cardiomegaly with ventricular prominence. The thoracic aorta is tortuous with arch calcifications. Mild distention of azygos vein and kerley b lines in bilateral bases are unchanged. Perihilar congestion is similar to slightly increased. There is, however, no florid edema or large pleural effusion. There is no confluent consolidation to suggest pneumonia. Multilevel thoracic spondylosis is present.

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

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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 hiv cd<num> <unk>% <unk> // ?infiltrate. hiv pos on harrt with <num> hrs of chills, body aches, sweats, suspected fever(no thermometer in home)accompanied by dry cough. ?infiltrate

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Pa and lateral chest radiographs were provided. Prominence of interstitial markings is consistent with mild pulmonary edema, slightly worsened from the prior exam. There is no definite focal consolidation, pleural effusion, or pneumothorax. Retrocardiac opacity likely due to atelectasis. Patient is status post median sternotomy. There are fractured wires superiorly, which appear different in configuration since <unk> with wire fragments in different positions. Cardiomegaly is unchanged with dense aortic valvular calcifications. Osseous structures are intact.

<unk>-year-old female with shortness of breath, question pneumonia.

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Cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

chest pain.

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There is hilar engorgement in indistinct pulmonary vascular markings. Pleural effusions now moderate have increased since <unk>. Cardiac silhouette is stable, left chest wall dual lead pacing device is again noted. No acute osseous abnormalities.

<unk>m with sob // r/o acute process

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Assessment of the lung apices is limited by the patient's neck and chin obscuring these regions. Heart size is unchanged, appearing mildly enlarged. Mediastinal and hilar contours are unremarkable. There is mild pulmonary vascular engorgement. Linear opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or large pneumothorax is identified. Fusion hardware within the lower cervical and upper thoracic spine is not completely assessed on this study. Mild compression deformity of an upper/ mid thoracic vertebral body appears unchanged.

history: <unk>f with weakness, concern infectious source

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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 elevated lactate and cough // ?pneumonia

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As compared to the previous radiograph, the right basal parenchymal opacity on the frontal radiograph is unchanged. On the lateral radiograph, the opacity located at the posterior aspect of the right lung. The opacity continues to be suspicious for pneumonia. Normal lung volumes. No pleural effusions. No evidence of pulmonary edema. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification and findings were discussed over the telephone.

fever, rule out pneumonia.

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Calcific density projecting over the anterior right third rib may be osseous in nature or due to calcified granuloma. The lungs are otherwise clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with cough // r/o acute process

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There are low lung volumes. The heart size is top normal. The mediastinal contour is likely within normal limits accounting for low lung volumes. There is no hilar enlargement. The pleura vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is definitively noted. There are multilevel degenerative changes in the thoracic spine with anterior bridging osteophytes.

chest pain.

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Again there is mild hyperinflation, likely due to emphysema. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Kyphosis of the thoracic spine is unchanged. Mild loss of height in multiple vertebral bodies appears grossly similar to the prior radiograph.

left-sided abdominal pain and confusion. evaluate for pneumonia.

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No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal hilar contours are unremarkable. There may be minimal vascular congestion.

history: <unk>f with subjective fevers // infiltrate?

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Frontal and lateral views of the chest demonstrate top normal cardiac size and normal mediastinal and hilar contours. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.

<unk>-year-old male with recent ablation and increased edema. question congestion.

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Mediastinal and hilar widening is consistent with known lymphadenopathy. Right upper lobe geographically marginated consolidation as well as left juxta hilar consolidation are consistent with previous radiation treatment. Biapical pleural thickening may also be due to this process. A subtle patchy opacity is present at the left lung base, and is not evident on the prior pet-ct. There is also a probable small left pleural effusion.

<unk> year old woman with lung cancer, hypotension // infiltrate?

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. No free air is noted under the hemidiaphragms.

nausea and abdominal pain.

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The lungs are clear without focal consolidation, effusion, or edema. Calcified granuloma again seen at the right upper lung laterally. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Surgical clip noted in the right upper quadrant.

<unk>f with headache and tachycardia // evaluate for pulmonary congestion, acs

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As compared to the previous radiograph, the left chest tube was removed. There is a <num> mm left apical medial pneumothorax. No evidence of tension. Mild atelectasis in the mid right lung and the basal left lung. Moderate cardiomegaly, no pulmonary edema. At the time of the dictation, <time> on <unk> the referring physician <unk>. <unk> was paged for notification.

pericardial window, rule out pneumothorax.

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The patient is status post median sternotomy and cabg. Left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. Moderate cardiomegaly is unchanged with evidence of left atrial enlargement. The mediastinal and hilar contours are stable. The lung volumes are low. No focal consolidations concerning for infection are identified. There are no pleural effusions or pneumothoraces. No definite rib fractures are identified on this non-dedicated exam.

history of altered mental status, rule out pneumonia. rule out rib fractures.

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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>m with cough // eval for pna

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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the low svc or possibly into the cavoatrial junction. The dual lead pacer is unchanged with lead tips in the region the right atrium and right ventricle. Tiny surgical clips project over the left breast. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. Right hemidiaphragm remains mildly elevated. No free air below the right hemidiaphragm is seen.

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

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The lungs are hyperinflated with flattened diaphragms, consistent with known copd. There is a sublte predominantly linear opacity in the right lung base. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

<unk> year old man with copd cough, decr basilar bs // r/o bibasilar pna