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

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Lung volumes remain low. Chronic interstitial opacities are again noted bilaterally, most pronounced within the periphery and lung bases, previously thought to reflect nsip. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are unchanged. Crowding of bronchovascular structures is likely due to the presence of low lung volumes without overt pulmonary edema. Slightly increased opacification at the lung bases may reflect superimposed atelectasis. No large pleural effusion or pneumothorax is present. Left humeral prosthesis is incompletely imaged.

history: <unk>f with cough

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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen. Clips are noted in the right upper quadrant of the abdomen.

history: <unk>f with weakness, gastric cancer on chemotherapy

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Ap upright and lateral views of the chest provided. Overlying ekg leads are present. Lungs are hyperinflated and 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> year old man with paf presenting with r sided weakness.

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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 hx of palpitations, hyperventilation, lupus

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Frontal and lateral radiographs of the chest were acquired. A left port-a-cath ends in the mid-to-low svc, not significantly changed in position. Nodular opacities in the right lower and left mid lung are not significantly changed in appearance. The lungs are otherwise clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

left neck and chest pain. evaluate for pneumonia or evidence of mediastinal widening.

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Heart size and cardiomediastinal contours are normal. Lung volumes are low, crowding bronchovascular markings. No focal consolidation, pleural effusion, or pneumothorax.

altered mental status.

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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman with a history of multiple myeloma presenting with <num> days of low grade fever. evaluate for pneumonia.

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Frontal and lateral views of the chest. There is new consolidation identified at the right lung base projecting over the spine on the lateral view. The lungs are otherwise clear. The cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again noted.

<unk>-year-old male with shortness of breath and cardiomegaly. question edema or infection.

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Pa and lateral chest radiographs. The lungs are clear, but the pulmonary vasculature is somewhat attenuated. There is no pleural effusion or pneumothorax. The cardiomediastinal is normal. Probable mediastinal fat pad is noted at the right pericardiophrenic angle.

syncopal episode with tachycardia.

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There is a new left pleural effusion with associated atelectasis. The right internal jugular catheter terminates in the low svc. There is no pulmonary vascular congestion or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits.

fever. concern for pneumonia.

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The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. Prominent costochondral calcifications are seen. No definite focal consolidation is seen. Small nodule opacity projecting over the right lower lung on the frontal view, not substantiated on the lateral view is again seen and most likely relates to costochondral calcification. Mild basilar atelectasis/scarring is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with chest pain and sob // chest pain and sob

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The lungs are hyperinflated. There are bibasilar opacities with blunting of the posterior and lateral costophrenic angles, new since prior. The cardiac silhouette is enlarged as on prior. Left chest wall single lead single lead pacing device and right picc are noted. Atherosclerotic calcifications of the aortic arch. Compression deformity in the lower thoracic/ upper lumbar region was present on prior.

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

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The lungs are clear. Heart size is normal. A round density overlying the right tracheobronchial angle is unchanged compared to exams dating back through <unk> and is probably a large costovertebral osteophyte or benign expansion of a vertebral transverse process. There are no pleural abnormalities. Multilevel degenerative changes of the thoracic spine are noted. A very dilated left piriform sinus is probably of no clinical significance.

status post seizure. evaluate for acute infectious process.

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Haziness over the mid to lower lung fields is felt to be due to overlying soft tissues without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.

history: <unk>f with r chest wall pain after fall // r/o fx

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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. No displaced fracture is seen.

chest pain.

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As compared to the previous radiograph, the previously seen opacity in the right upper lobe now occupies the entire right upper lobe. A small fluid level in the right lung apex is no longer visible. There is newly appeared almost uniform opacification of the middle lobe, better appreciated on the lateral than on the frontal radiograph. Finally, a small right pleural effusion has newly appeared. The left lung is unchanged. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification. Findings were discussed at the same time point with the referring physician, <unk>. <unk>, <unk> the telephone.

lung cancer, evaluation.

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Pa and lateral chest radiographs are provided. The lungs are well expanded. There is no focal consolidation or pneumothorax. Blunting of the posterior costophrenic angles suggests small efusions. Elevated left hemidiaphragm is unchanged. Cardiomediastinal silhouette is unchanged. Upper abdomen is unremarkable. A rounded density projecting over the middle of the mediastinum is external to the patient.

diplopia. evaluate for cardiopulmonary process.

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A left subclavian approach port-a-cath terminates at the cavoatrial junction. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

history of all with cough.

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Ap upright and lateral views of the chest provided. Lung volumes are somewhat low with mild left basal atelectasis. 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, fever // presence of infiltrate

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No focal consolidation is seen. There is slight blunting of the posterior left costophrenic angle which may be due to a trace pleural effusion versus pleural thickening. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with jaundice, known hx autoimmune hepatitis, completing an infectious w/u // concern for infectious process

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The lungs are relatively well expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal. Surgical material is noted within the left upper quadrant and right upper quadrant of the abdomen. There is no evidence of subdiaphragmatic free air.

history: <unk>f with luq abdominal pain hx perforated ulcer // r/o free air under diaphragm

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A new left chest wall dual lead icd is in place with leads in the expected location of the right atrium and right ventricle. A large hiatus hernia is present. Mild enlargement of the cardiac silhouette is improved compared to the prior study. An eventration in the diaphragm is noted. No focal consolidation, pleural effusion or pneumothorax.

<unk> year old woman s/p dual chamber icd // <unk> year old woman s/p dual chamber icd

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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. No free air is seen under the diaphragms.

abdominal pain after vomiting.

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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.

intermittent chest tightness.

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Compared to the previous radiograph, there is an increase of the lung volumes, likely reflecting improved ventilation. No evidence of pulmonary edema, pleural effusions or pneumonia. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.

fevers, questionable pneumonia.

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In comparison with the study of <unk>, there are slightly better lung volumes. Bibasilar opacification is consistent with atelectasis and probable pleural effusions. No definite vascular congestion.

effusion, to assess for change.

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The lung volumes are low. The heart appears normal in size. Patchy calcification is noted along the aortic arch. The mediastinal and hilar contours appear unchanged allowing for differences in technique. In addition to bilateral hilar fullness and upper zone redistribution of the pulmonary vascularity, there is a mild interstitial abnormality suggesting fluid overload or mild vascular congestion. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the thoracic spine.

altered mental status and hyponatremia.

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Patient had recent right upper lobe lobectomy for lung cancer. Residual small right apical pneumothorax has improved slightly. Chest tube and right jugular line have been removed. Pleural effusion is small and unchanged. Mediastinal and cardiac contours are stable.

patient with open right upper lobectomy, interval change?

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Evidence of left lower lobe with calcified granuloma is again seen. Additional smaller bilateral pulmonary nodules seen on prior ct are better appreciated on that study. Large right hilar lymph node and scattered additional smaller hilar and mediastinal nodes are also better evaluated on ct. No definite focal consolidation is seen. There is mild bibasilar atelectasis. No pleural effusion or pneumothorax is seen. Incidental note is made of an azygos lobe. The cardiac, mediastinal, hilar contours are stable.

fever.

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Lungs are mildly hyperexpanded. Heart size and mediastinal contours are stable. No pulmonary edema are pleural effusion. No evidence of pneumonia.

<unk>f with horseness and cough // infectious process or other acute

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The lungs are clear. There is no pneumothorax or pleural effusion. The heart size is normal. The cardiomediastinal silhouette is unremarkable.

cough.

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Cardiac silhouette size is normal. The aorta is mildly calcified. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are hyperinflated with no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are detected.

history: <unk>m with history of cva, atrial fibrillation presenting with dizziness, orthostatic hypotension and fatigue.

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Focal parenchymal opacities of multiple origin, most are located in the right lung, with judge annually, stable as compared to the previous examination. The pre-existing interstitial opacities are improving, suggesting improving interstitial pneumonia or mild interstitial fluid overload. The residual opacities might eight be healing pneumonia or metastatic disease. No opacities have newly occurred. Small bilateral pleural effusions, stable mild cardiomegaly.

history of metastatic pancreatic cancer, evaluation for pneumonia. concern for aspiration.

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Pa and lateral chest radiographs were obtained. Multiple bilateral pulmonary nodules are similar in size and number to <unk>, but have increased since <unk>. There is no consolidation, effusion or pneumothorax. Right hilar enlargement is unchanged. No new abnormal cardiac or mediastinal contours.

cough.

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Consolidative opacity in the left lower lobe is concerning for pneumonia. Right lung is clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.

fever and cough.

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In comparison with study of <unk>, there has been some decrease in the still substantial right lower lung consolidation. The port-a-cath remains in place. Otherwise, little change.

pneumonia.

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The lungs are clear of airspace or interstitial opacity. Previously described interstitial opacities have improved. The cardiomediastinal silhouette is unchanged. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.

interstitial markings on chest radiograph

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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There are few prominent loops of small bowel in the left upper quadrant.

fever. evaluate for pneumonia.

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The heart is at the upper limits of normal size. The aorta is mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. Small osteophytes are present throughout the visualized thoracic spine.

neutropenia.

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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. Slight rightward rotation somewhat limits assessment. Allowing for this, note is made of bibasilar mild atelectasis and probable mild interstitial edema. Heart is top-normal in size. Mediastinal contour is likely within normal limits accounting for rotation. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with afib and b/l <unk> swelling // pulmonary edema

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Left-sided pacemaker device is noted with epicardial leads re- demonstrated, unchanged. Moderate enlargement of cardiac silhouette is again noted. Mediastinal contours are similar. Enlargement of the main pulmonary artery is re- demonstrated. There is mild upper zone vascular redistribution without overt pulmonary edema. Elevation of the right hemidiaphragm is re- demonstrated with patchy atelectasis noted in the right lung base. No pleural effusion or pneumothorax is seen. Clips from prior cholecystectomy are demonstrated in the right upper quadrant of the abdomen.

history: <unk>f with crackles right lung base, altered mental status

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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax, pneumomediastinum, or pleural effusion identified. Pulmonary vascularity is normal. There are no radiopaque foreign bodies within the airways, esophagus or imaged portion of the stomach.

dental avulsion status post motor vehicle collision. evaluate for aspirated tooth.

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Right chest wall port is seen with catheter tip at the mid to lower svc. The lungs are grossly clear. There is no obvious consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with syncope, difficult to arouse at<unk> clinic, infectious work-up // eval pna

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is retrocardiac opacity, probably referring to opacity in the left lower lobe, although best seen on the pa view, suggesting pneumonia. The lungs appear otherwise clear. There is no pleural effusion or pneumothorax.

fever.

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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. A tips catheter is seen within the right upper quadrant of the abdomen. Multiple embolization coils project over the epigastric region. No acute osseous abnormality is visualized. Previously demonstrated picc is no longer visualized.

history: <unk>m with weakness, cirrhosis, worsening liver function

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Pa and lateral chest radiographs were obtained. Exam is limited by soft tissue attenuation. Low lung volumes result in crowding of bronchovascular structures, especially at the lung bases. Cardiac and mediastinal contours are normal.

chest pain radiating to left arm and jaw.

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Frontal and lateral radiographs of the chest demonstrate low lung volumes which results in bronchovascular crowding. There are stable severe interstitial reticular-nodular opacities present, consistent with known chronic interstitial lung disease. No evidence of pulmonary edema, consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are unchanged.

weakness. evaluate for pneumonia.

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A metallic foreign body in the shape of a bullet projects in the posterior left lower lobe. Two surgical clips are seen projecting over the left upper quadrant. Adjacent left pleural and parenchymal scarring as well as a focal calcified pleural plaque in the left mid hemi thorax. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal.

<unk>m with seizure, evaluate for any evidence of an infection

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A right internal jugular catheter is in-situ, the tip is in the mid to distal svc. Median sternotomy sutures are unchanged in appearance compared to the prior study, coronary artery bypass graft clips also noted. There is persistent left basilar atelectasis, this has improved slightly when compared to the prior study. Persistent small left pleural effusion. The previously demonstrated tiny left apical pneumothorax is not visualized. Surgical clips in the right upper quadrant consistent with prior cholecystectomy.

<unk> year old man pod<num> cabg // effusion/atelectasis

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Cardiomediastinal and hilar contours are unremarkable. Minimal atelectatic changes noted within the lower lungs, particularly on the left. No focal opacifications or concerning pulmonary nodule identified. Mild s-shaped scoliosis of thoracolumbar spine with associated degenerative change. No suspicious lytic or blastic lesions are identified.

right upper extremity swelling and history of breast cancer. please evaluate for mass.

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The patient is status post median sternotomy and cabg. The cardiac, mediastinal and hilar contours are stable and within normal limits. The pulmonary vascularity is normal. The lungs are clear without focal consolidation. Trace right pleural effusion is noted. Previously noted small left pleural effusion has resolved. No pneumothorax is identified. There are no acute osseous abnormalities.

chest pain.

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Pa and lateral views of the chest demonstrate clear lungs at this time. The upper lobe opacity has resolved. Cardiac size is normal. Aorta is slightly tortuous but otherwise unremarkable. There is no pleural effusion or pneumothorax. Apical scarring/pleural thickening is noted bilaterally.

<unk>-year-old woman who is a smoker with a recent pneumonia. question clearance of pneumonia.

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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 pe, s/p fall hit head, on coumadin, increasing confusion

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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is enlarged. Atherosclerotic calcifications noted at the arch of the aorta. Multiple vertebroplasties seen in the lower thoracic upper lumbar regions.

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

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Dextroscoliosis of thoracic spine is re- demonstrated. The cardiac and mediastinal silhouettes are grossly stable. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. No pulmonary edema is seen.

history: <unk>m with right hand weakness, dysarthria. // pneumonia?

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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are mildly hyperinflated but otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.

recent egd, now with fevers and chills.

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Ap upright and lateral radiographs were obtained of the chest. The lungs appear clear aside from mild left-sided atelectasis due to large hiatal hernia as on previous examination. No pleural effusion or pneumothorax is seen. The heart is obscured by the hiatal hernia. Mediastinal and hilar contours are otherwise unremarkable.

altered mental status concerning for occult infection.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Hyper expansion of the lungs is again demonstrated. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with history of melanoma // please evaluate disease status

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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. There is no focal consolidation. Cardiomediastinal and hilar contours are within normal limits. Pulmonary vasculature is unremarkable. No evidence of pulmonary edema. There is no pneumothorax or pleural effusion. Blunting at the left costophrenic angle may reflect pleural thickening. Hardware is noted involving the right proximal humerus.

<unk>f with hypertensive urgency // pulmonary edema

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There is faint right basilar opacity likely representing atelectasis, consolidation from infection or aspiration cannot be excluded in the appropriate clinical setting. No pleural effusion, no pneumothorax. There is a fracture of the upper most sternal wire, unchanged.

<unk>-year-old with chest pain.

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Lungs are clear and mildly hyperinflated. Heart is mildly enlarged. Mediastinal contours are normal. No pleural effusion or pneumothorax. No evidence of pneumonia. No lytic bone lesions are identified.

<unk> year old man with multiple myeloma // lytic lesions. prior to initiating chemotherapy

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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old girl with chest pain. evaluate for pneumonia.

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The lungs are clear. Cardiac silhouette is normal in size. No pleural effusion or pneumothorax.

syncopal episode.

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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 chest pain

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The lungs are well inflated and clear. Elevation of the medial segment of the right hemidiaphragm, most likely an eventration, is longstanding. No diaphragmatic abnormalities on the left are noted. The cardiomediastinal silhouette is normal except for a tortuous but normal caliber aorta, unchanged for more than <unk> years. No pleural abnormalities are noted. The distal right clavicle has been resected. There are extensive degenerative changes of the acromioclavicular and glenohumeral joint on the left. No pneumothorax or pneumoperitoneum is present.

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

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The heart size is top normal with a left ventricular configuration. The mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Atherosclerotic calcifications are seen at the aortic arch. Lung volumes are low. There is no pulmonary edema or focal consolidation. Minimal bibasilar atelectasis is visualized. No pleural effusion or pneumothorax is seen. Marked degenerative changes of both acromioclavicular and glenohumeral joints are re- demonstrated. There are no acute osseous abnormalities detected.

hypoxia and cough.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.

chest pain and shortness of breath; history of pancreatitis.

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Compared to the prior radiograph there has been significant improvement in pulmonary edema. Scattered opacities at the lung bases bilaterally likely represent atelectasis. The cardiomediastinal silhouette is top-normal in size in the aorta is tortuous. The imaged upper abdomen is unremarkable. .

history: <unk>m with r leg abscess // pre-op

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Left diastasis catheter and right axis port-a-cath are unchanged with the tips of the catheter is in the svc. The heart is enlarged as previously. There is a new opacity in the right lower lobe ascending for pneumonia.

<unk> year old man with fever // pna?

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There is a new small consolidation at the right lung base. Otherwise the lungs are clear. There is no pneumothorax or pleural effusion. There is enlargement of the right mediastinum. The heart remains moderately enlarged, and the aorta remains large and tortuous. There is abnormal contour of the left upper mediastinum which suggests an aberrant right subclavian artery, which has been present on prior studies. The osseous structures are unremarkable.

<unk>-year-old woman with fevers.

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Hypertrophic changes are seen in the spine with mild vertebral body loss of a mid thoracic vertebral body which may be old.

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

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In comparison with the study of <unk>, there is again bilateral pleural effusions, the left pleural effusion has increased now moderate to large. Small right-sided pleural effusion is stable. Densely calcified lymph nodes are again seen in the left hilum and there are intact midline sternal wires and a cervical fusion device. No pulmonary edema.

<unk> year old woman with hx of left pleural effusion, hx of mitral valve replacement, shortness of breath // evaluate for left-sided pleural effusion; please wet read and page dr <unk> beeper <unk>

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There is an ill-defined left upper lung mass measuring approximately <num> x <num> cm with spiculated margins, corresponding to the mass seen on prior ct. There is no consolidation, pleural effusion, or pneumothorax. The lung are hyperexpanded and the diaphgrams flattened, consistent with pneumonia. The sclerotic right rib noted on prior ct is not well visualized on this modality.

stage iv non-small-cell lung cancer with new cough.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. A very mild interstitial process is noted with peribronchial cuffing, which could be seen with airway inflammation, infectious bronchitis or possibly slight fluid overload.

tachycardia and shortness of breath.

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Frontal and lateral chest radiographs demonstrate a heart which is top normal in size. There is bilateral bronchial wall thickening, which is consistent with bronchiectasis. There is probably no pneumonia. There is no pleural effusion or pneumothorax.

cough and coarse inspiratory rales at the right base. evaluate for pneumonia.

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

<unk> year old man with productive cough. // any pulmonary infiltrates?

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Right-sided port-a-cath tip terminates in the proximal right atrium. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Previously demonstrated nodules on chest ct are not well assessed on the current radiograph. No acute osseous abnormality is seen. Several clips project over the epigastric region.

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

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Pa and lateral views of the chest provided. Suture material is noted projecting over the left hilar region with left lung volume loss consistent with prior wedge resection. Lungs are clear without pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No bony abnormality.

<unk>f with worsening r sided rib pain

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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Lung volumes are low, which crowds pulmonary vessels in the lung bases. Small hiatal hernia is noted.

history: <unk>f with leg swelling, pls <unk> <unk> edema //

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Moderate severe cardiomegaly is stable. Central catheter is in standard position. Vascular congestion has improved. There is no pneumothorax. Left pleural effusion is small. Bibasilar atelectasis are larger on the left, improved from prior. There are mild degenerative changes in the thoracic spine. There are low lung volumes. Several healed left rib fractures are again noted

<unk> year old man with multiple myeloma work up for auto transplant recent pna on local x-ray // pna

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite focal consolidation is identified. Right basilar opacity likely represents atelectasis. There is no pleural effusion or pneumothorax.

<unk>f with chest pain, h/o pericarditis // eval for structural process, pleural effusion

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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation.

<unk> year old man with tia // rule out infection

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Lung volumes are low. This accentuates the size of the cardiac silhouette which appears mild to moderately enlarged. Coronary artery stent is demonstrated. Mediastinal and hilar contours are unremarkable with crowding of the bronchovascular structures noted. No pulmonary edema is visualized. Streaky opacities in the lung bases likely reflect areas of atelectasis, without focal consolidation, pleural effusion or pneumothorax detected on this supine exam. Multilevel degenerative changes are noted within the thoracic spine.

history: <unk>f with multiple co-moribities including chf, presenting with elevated wbc, abdominal distention, diarrhea, overall feeling ill

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Previously seen bibasilar opacities and pleural effusions are no longer visualized. The lungs are now clear. Cardiomegaly is stable in configuration. No acute osseous abnormality is identified.

<unk>-year-old female with possible subacute stroke. question pneumonia.

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No previous plain radiographs. The nodular opacification at the right base medially seen on the scout radiograph and ct is again suggested on the frontal view. It is somewhat difficult to appreciate on the lateral projection, but appears to be at the mid chest level. The cardiac silhouette is mildly enlarged but there is no evidence of vascular congestion or pleural effusion.

lesion seen on cat scan in right lower lobe.

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Pa and lateral views of the chest provided. A subtle focal hazy opacity projecting over the right mid lung is new from prior may represent an early focus of pneumonia. There is mild left basal atelectasis. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact. No free air below the right hemidiaphragm peer

<unk>f with ? pseudoaneurysm s/p recath yesterday p/w hypotension and cp

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Heart size is top-normal is calcified. Hilar contours are unremarkable. There is a small linear opacity in the left lower lobe, not seen previously. There is no pulmonary edema or pleural effusion. There are mild endplate degenerative changes in the spine.

history: <unk>f with cough and sore throat. evaluate for pneumonia, other acute process.

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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman with a history of cardiomyopathy presenting with chest pain.

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Frontal and lateral views of the chest. Lower lung volume is seen, particularly on the frontal view. There is faint opacity at the right lateral costophrenic angle, which could be due to atelectasis. The posterior costophrenic angles are sharp, compatible with resolution of previously seen effusions. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>-year-old male with anemia.

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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 history of hb sc presenting with knee pain, sob.

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

cough and weakness.

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Low lung volumes cause bronchovascular crowding. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is remarkable for left ventricular configuration of the heart. The descending aorta is mildly tortuous. Bilateral shoulder chondrocalcinosis is noted.

<unk>f with chest pressure, evaluate for acute cardiopulmonary process.

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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. Lateral view limited due to motion. No large consolidation, effusion or pneumothorax is seen. Cardiomediastinal silhouette is unchanged. The aorta is unfolded. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m new hypoxia after aspiration eval for developing pna

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

history: <unk>m with right sided weakness and previous stroke, being admitted to stroke service // stroke protocol

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There is persistent increased opacity in the right hemithorax. There is however improved aeration of the underlying right lung when compared to prior. There is no pneumothorax. There is no mediastinal shift. The left lung remains clear. No acute osseous abnormalities.

<unk>f with pleural effusion, s/p thoracentesis // eval pleural effusion, s/p thoracentesis

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Pa and lateral chest radiographs show hyperinflated lungs. When compared to most recent radiograph dated <unk>, there is minimal residual left lower lung linear opacity likely atelectasis or scarring. Redemonstration of left apical calcified granuloma, unchanged in appearance. No pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unremarkable.

<unk>-year-old female with persistent cough and lung smoking history.

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On the current examination, there is no definite enlargement of the right heart border. The cardiac morphology is probably within normal limits. The aorta is within normal limits for edge. The vascular pattern is within normal limits. No focal infiltrate, effusion or pneumothorax is detected. Again seen is the left-sided picc line with tip over distal svc.

<unk> year old woman with heart prominence // eval prominence of right heart border seen on portable

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There is a pacemaker overlying the left chest, with the leads terminating in the right atrium and right ventricle, which appear unchanged in comparison to the prior chest radiograph. Stable enlargement of the cardiac silhouette. The right lung mass appears unchanged in size since <unk>. The lungs are otherwise clear. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.

<unk> year old woman with chf who presents with worsening sob and pnd. // eval for pulmonary edema

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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural abnormalities. A slight cortical step-off in the lateral aspect of the right <num>th rib is likely a minimally displaced fracture. No additional fractures are identified.

tenderness over the <unk> ribs, status post fall, evaluate for fracture or pneumothorax.

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding ap single view portable chest examination of <unk> and pa and lateral chest examination of <unk>. Frontal view demonstrates unchanged mediastinal structures including mild cardiac enlargement. The left basal densities persist with a drainage catheter in place. Small amount of local pleural density remains, but no evidence of major pneumothorax. The amount of pleural density has not increased since the next preceding examination of <unk>. The pulmonary vasculature is not congested. No new abnormalities in the right hemithorax. No significant mediastinal shift. Again as identified on several previous examinations, there are demineralized vertebral bodies mostly in the lower portion of the thoracic spine with one marked compression of the lowermost vertebral body, probably t<num> as seen on the lateral view.

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