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

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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 // infiltrate or pneumothorax

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As compared to the previous radiograph, the extent and severity of the pre-existing known right lower lobe opacity has decreased. However, the opacity is still clearly visible on both the frontal and the lateral radiograph. The size of the cardiac silhouette continues to be mildly enlarged, without, however, evidence of pulmonary edema. No pleural effusions. Normal hilar and mediastinal contours.

low-grade fever and tachycardia, concerning for infection. evaluation for pneumonia.

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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac, mediastinal and hilar structures are unremarkable. Evidence of prior breast reconstruction is seen on the right.

palpitations. evaluate for pneumonia.

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The lungs are clear focal consolidation, effusion, or pulmonary edema. Obscuration of the right cardiophrenic angle is compatible fat pad seen on prior ct scan. Cardiac silhouette is enlarged, similar compared to prior. Lower thoracic dextroscoliosis is noted. No acute osseous abnormalities. Fractures of the pedicle screws at t<num> appear are again seen.

<unk>m with sob // r/o pna/chf

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No pleural effusion, pneumothorax or focal airspace consolidation. Cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There is no free air under the diaphragm.

right upper quadrant pain and fever. rule out pneumonia.

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In comparison with study of <unk>, there again are low lung volumes. Cardiac silhouette is prominent, with some of the prominence of the transverse diameter of the heart, presumably related to the low lung volumes. There has been interval placement of a left subclavian pacer, with its tip in the region of the apex of the right ventricle. No definite vascular congestion or acute focal pneumonia. Of incidental note is an old healed fracture of the mid portion of the right clavicle.

stroke with cardiac aneurysm, to assess for pneumonia.

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The lungs are hyperinflated. There is no pneumothorax or focal airspace consolidation. Blunting of the posterior costophrenic angles may represent small pleural effusions, unchanged. Heart is mildly enlarged . No pulmonary edema. Mediastinal and hilar contours are unchanged. The bones are diffusely sclerotic, compatible with metastatic disease. There is no significant change from <unk>.

failure to thrive with shortness of breath. evaluate for pneumonia.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Diffuse cystic lung disease is better assessed on recent ct. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. S shaped scoliosis of the thoracolumbar spine is re- demonstrated.

history: <unk>f with ap and lateral chest tenderness, right wrist lesion <unk> <unk> etiology, possible retained needle. // please evaluate for fracture, foreign body

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear aside from minimal atelectasis at the left lung base. A stimulator device again projects over the left upper hemithorax.

seizure.

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There is a large opacity in the left upper lobe, which is new since the prior study compatible with pneumonia as well as atelectasis. Left lower lobe as well as the entire right lung appear clear. No pleural effusion is noted. Cardiac size remains stable. The aorta is slightly tortuous. The bones are intact, although evaluation of the upper thoracic spine is limited. There is no abdominal free air.

altered mental status, question cardiopulmonary process.

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There is is complete whiteout of the right lung, likely combination of worsened pleural effusion and atelectasis. Mediastinal structures are not deviated to the left. Left lung is clear. There is no left pleural effusion. Pulmonary vascularity on the left side is at the upper limits are normal. Feeding tube tip is near duodenum jejunal junction. There are no destructive rib lesions.

<unk> year old woman with pleural effusion, continued shortness of breath and hypoxia // evaluate for interval change

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Compared to <unk>, there is no relevant change. There is no evidence of edema, pneumonia, pleural effusion, or pneumothorax. Heart size is top-normal. Osseous structures are intact.

<unk>m with weakness // pna

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There is a new focal opacity at the left lung base confirmed with a spine sign on the lateral view worrisome for infection. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Vascular stents noted at the thoracic inlet on the right as well as a tracheostomy tube which is in stable position. Surgical clips project over the right chest wall. No acute osseous abnormalities identified.

<unk>m with fever, weakness // 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 hypotension, tachycardia, cough

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Persistently low lung volumes. Overall improvement of ground-glass opacities better seen on prior ct. There are however peribronchial opacities in the left upper lobe and bilateral lower lobes, left greater than right. The cardiomediastinal and hilar contours are stable. The pleural surfaces are normal. Degenerative changes of the thoracic spine.

<unk> year old man with pmhx inc recently dx'd hiv s/p mult episodes pjp w/ slow recovery persist hypoxia. denies baseline lung dz prior to pjp dx. // surveillance xr to monitor improvement from pjp and quantify degree of residual scarring/damage

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The heart size appears mildly enlarged. The mediastinal contour appears unchanged, with tortuosity of the thoracic aorta again noted. Volume loss in the right lung with surgical chain sutures are again seen within the right upper lobe. Right-sided pleural thickening, along with right hilar enlargement and hazy opacification in the right lung, particularly the superior segment of the right lower lobe are re- demonstrated, compatible with known malignancy. Overall, the degree of opacification within the right hemithorax, particularly the right perihilar region appears slightly increased compared to the previous exam. Left lung is clear. There is no pneumothorax. Partially imaged is an inferior vena cava filter within the upper abdomen.

shortness of breath, prior pulmonary embolism with stage iv non-small cell lung cancer.

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The cardiac, mediastinal and hilar contours appear unchanged. The aortic arch is again densely calcified. The descending aorta shows more patchy calcification. The heart appears borderline in size. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The bones are probably demineralized.

generalized weakness and lightheadedness.

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The lungs are clear. Moderate cardiomegaly is again noted. Atherosclerotic calcifications are seen at the aortic arch. No acute osseous abnormalities. Surgical clips seen at the neck and within the right upper quadrant.

<unk>f with tachypnea // eval for chf/pneumonia

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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

<unk>-year-old woman with cough and fever for <num> days, evaluate for pneumonia.

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

history: <unk>f with overdose, pls eval pna for medical clearance for psych // history: <unk>f with overdose, pls eval pna for medical clearance for psych

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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. Of note, there is an impression in the right superior portion of the trachea which may be secondary to a thyroid abnormality.

<unk>-year-old male status post allogenic stem cell transplant who presents for evaluation of any acute intrathoracic process.

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The cardiomediastinal silhouette is normal. The pleura are normal. There is hilar enlargement with increased interstitial lung markings likely secondary to volume related process. No focal opacities, pleural effusions, pulmonary edema, or pneumothorax are seen.

<unk> year old man with sickle cell disease, c/o diffuse achiness, hoarseness, doe // assess for acute process

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

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

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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Scarring within the lung apices is demonstrated. No acute osseous abnormality is visualized.

chest wall pain.

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Right-sided picc terminates in the low svc without evidence of pneumothorax.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with aml presenting with low grade temperatures // eval for infiltrate

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Cardiac silhouette size is normal. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No subdiaphragmatic free air is identified. Stent is seen within the region of the common bile duct. No acute osseous abnormalities are demonstrated.

history: <unk>m with history of pancreatitis presenting with abdominal pain, diminished breath sounds on left

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Large right and small left effusions are unchanged. The right lower lobe large area of atelectasis and probably atelectasis in the right middle lobe have improved. There is a small right pneumothorax. Cardiac size cannot be evaluated. Mild vascular congestion is a stable

<unk> year old woman with rib fractures <unk> // expiratory film. pneumothorax interval change

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Residual small right pleural effusion status-post thoracentesis. Associated focal right lower and right middle lobe opacity that is most consistent with residual atelectasis and re-expansion pulmonary edema post-thoracentesis, less likely aspiration or developing infection. Stable small left pleural effusion with adjacent left retrocardiac opacity with air bronchograms. The left lung is otherwise clear. No pneumothorax. Stable cardiomediastinal silhouette.

<unk>-year-old woman with a new right pleural effusion, now status-post thoracentesis. re-evaluate the pleural effusion.

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As compared to the previous radiograph, no changes are seen. Normal lung volumes. No pneumonia, no pleural effusion. No pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.

history of melanoma, rule out disease.

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There is streaky atelectasis or scarring at the left lower lobe. No focal consolidation is identified. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is persistent mild com asymmetric elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax.

history: <unk>m with left sided chest pain // please eval for pna, heart size

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Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Minimal patchy opacity is noted in the lung bases, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.

history: <unk>f with seizure

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Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Mild enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Lung volumes are low with minimal patchy opacity in the left lung base compatible with atelectasis. <num> cm elliptical nodule within the right lower lobe is unchanged. No new nodules are demonstrated. No pleural effusion or pneumothorax is present. Moderate degenerative changes in the thoracic spine and moderate to severe degenerative changes of the right glenohumeral joint are again noted.

shortness of breath, chest tightness, crackles.

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Compared with the prior study, lung volumes are slightly lower. Diffusely increased interstitial lung markings are again seen, compatible with known history of chronic interstitial lung disease. Evaluation of the ribs is limited by overlying structures, however there does not appear to be any evidence of acute rib fracture. Cardiomediastinal silhouette is unchanged since the prior study. No large effusion or pneumothorax. Degenerative changes of the glenohumeral and ac joints are similar. Similar appearance of the rightward deviated trachea.

history: <unk>m with fall, eye brow lac. evaluate for rib fracture.

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Frontal and lateral chest radiographs again demonstrate a pigtail catheter projecting over the left lung base. The cardiac silhouette remains mildly enlarged. The left hemidiaphragm is better visualized on today's exam, suggestive of resolution of left pleural fluid. Patchy opacities and pleural effusion on the right are unchanged. Gaseous distention of bowel loops is noted in the left upper quadrant of the visualized abdomen.

evaluate for interval change in a patient with loculated pleural effusion status post pigtail placement.

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

history: <unk>m with ascites and fever pls eval for effusion // history: <unk>m with ascites and fever pls eval for effusion

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Lung volumes are very low and exaggerate the pulmonary vascular markings. Bibasilar atelectasis is noted and the lungs are otherwise without a focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette remains stable and at the upper limits of normal. No acute fractures are identified.

palpitations.

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Pa and lateral chest radiographs: moderate bilateral pleural effusions and bibasilar linear opacities have increased slightly since the <unk> chest radiograph. There is no pneumothorax. The cardiac and mediastinal contours are unchanged.

<unk> year old woman with metastatic breast cancer (bone, abdomen) and known pleural effusions with intermittent mild hypoxia // please eval pleural effusions

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Mild cardiomegaly and a calcified aorta are again seen. Hilar contours are grossly stable. The lungs remain hyperinflated. There is a new consolidation in the right lower lobe. No pulmonary edema are or pleural effusion is seen. Bilateral diaphragmatic eventration is again noted. Dextroconvex thoracic scoliosis is again seen. The bones overall demineralized.

<unk>f with non productive cough, fever and hypoxia. evaluate for possible infiltrate in setting of cough and fever.

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Haziness over the right lower lung present on the prior study, likely re-expansion pulmonary edema, has resolved. However, there has been reaccumulation of right pleural fluid, resulting in a moderate right pleural effusion. Assessment of the cardiac silhouette is limited by this effusion; however, the mediastinal and hilar contours are stable. There is no left pleural effusion. There is no pneumothorax. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.

malignant pleural effusion.

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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. No displaced fracture is seen, but if clinical concern for fracture, suggest dedicated imaging of that region.

back pain in a <unk>-year-old female, assess for pneumonia or chf.

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema. Mild perihilar vascular congestion is noted. Partially imaged upper abdomen is unremarkable.

right upper quadrant pain. assess for pneumonia.

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Pa and lateral views the chest were viewed. Mild cardiomegaly is new since the prior study. The mediastinal and hilar contours are stable with median sternotomy wires and cabg clips. There is a small left pleural effusion, and there may be a small right pleural effusion. There is no pneumothorax. Increased interstitial markings diffusely are likely due to mild pulmonary edema. There is no focal consolidation concerning for pneumonia.

<num> days of intermittent shortness of breath in a patient with congestive heart failure.

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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

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

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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. Mild degenerative changes in the spine. There are chronic appearing rib fractures on the right.

<unk> year old woman with cough,h/o tobacco use // cough for <num> weeks

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Pa and lateral views of the chest are compared to prior exam from <unk>. A subtle hazy opacity at the left lung base on the frontal not well seen on the lateral view. Elsewhere, the lungs are grossly clear noting stable right apical scarring. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged.

<unk>-year-old female who complains of palpitations and dizziness. question pneumonia.

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Moderate cardiomegaly is stable. Calcifications and tortuosity of the aorta are again seen. The underlying mediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with palpitations // ? acute cardiopulm process

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

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

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Cardiomediastinal contours are normal. There increased lung markings at the right base compatible with an early infiltrate. The left lung is clear the osseous structures are unremarkable

<unk> year old man with cough chf fever // r/o consolidation

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Increased interstitial markings seen throughout the lungs, not significantly changed since multiple priors and may be accentuated by overlying soft tissues. There is no effusion or confluent consolidation. The cardiac silhouette is enlarged but unchanged. No acute osseous abnormality is identified. Surgical clips identified in the upper abdomen.

<unk>f with aids, history of pcp with intermittent <unk> back/chest pain // pcp? other acute process?

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Mildly hypoinflated lungs with vascular crowding. No pleural effusion or pneumothorax. No focal opacity. Mild prominence of the heart is due to low lung volumes. Mediastinal contour and hila are unremarkable. Visualized upper abdomen is unremarkable.

<unk>f with depression, si, elevated wbc. assess for pneumonia.

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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

left chest pain.

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Pa and lateral views of the chest. Low lung volumes exaggerate top normal heart size. There is no focal consolidation, pleural effusion or pneumothorax. The mediastinal and hilar contours are normal.

syncope, evaluate for cardiomegaly.

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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> year old man with cough x <num> week

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On the frontal, the lungs are clear. However, on the lateral view there is increased opacity projecting in the subcarinal region, new since previous exam. This persists on multiple lateral views. While this may be due to superimposed shadows from hilar vasculature, left atrium and tortuous aorta, nonurgent chest ct is suggested to further evaluate. There is no effusion or pneumothorax. Mild cardiomegaly is noted as well as a prosthetic aortic valve. Median sternotomy wires are noted. No acute osseous abnormalities identified.

<unk>m with left distal femoral fracture // pre-operative clearance

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A pa and lateral chest radiographs demonstrate streaky opacity at the bases bilaterally almost certainly atelectasis. There is no opacity convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. There is no air under the right hemidiaphragm.

<unk>f with l shoulder pain, sob on exertion // pna?

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New bilateral lower lobe airspace opacities are worrisome for infection. There is also a new small left pleural effusion. The right lung is clear. There is no pneumothorax. The heart and mediastinum are within normal limits.

<unk> year old woman with fevers, malaise, bacteremia // ?pna

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As compared to the previous radiograph, there is no relevant change. Post-surgical wires seen over the manubrium sterni. Moderate widening of the mediastinum with increased soft tissue density that is, however, unchanged. Obliteration of the paratracheal stripe, also unchanged. No new parenchymal opacities. No pleural effusions. Unchanged borderline size of the cardiac silhouette with moderate tortuosity of the thoracic aorta.

right hemithyroidectomy and resection of substernal goiter, partial sternotomy.

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Compared with the prior radiograph, lung volumes have increased. The degree of the bilateral pleural effusions has decreased, but are still persistent. No new focal consolidation concerning for pneumonia or pneumothorax. Cardiomediastinal and hilar contours are stable. No change in the the spinal hardware.

<unk> year old woman with pleural effusion. evaluate for change.

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Pa and lateral chest radiograph demonstrate linear opacity at the left lung base, present on examination dated <unk>, likely atelectatic in etiology. No opacity convincing for pneumonia is present. Cardiomediastinal and hilar contours are stable relative to prior examination, the cardiac silhouette mildly enlarged. Pulmonary vasculature is normal. There is no pneumothorax or pleural effusion. There is no evidence of pulmonary edema.

history: <unk>m with hx cad, chf, recent d/c for chf // eval ? edema, pna

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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. There is no focal consolidation convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pneumothorax, pleural effusion, or pulmonary edema. Imaged upper abdomen is without air under the right hemidiaphragm.

history: <unk>f with chest pain // ? acute cardiopulm process

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The pleural effusion seen within the right lower lobe on the previous study is relatively unchanged. There is also a density noted within the right upper lobe projecting over the fifth posterior rib that was present on the previous study as well. Heart size and cardiomediastinal contours are unremarkable. Left lung is clear. There are no bony abnormalities.

<unk>-year-old lady with a new effusion and lung masses per previous report.

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The heart remains moderately enlarged with left atrial enlargement. Mediastinal and hilar contours are stable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.

chest pain.

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Heart size and cardiomediastinal contours are normal, allowing for patient rotation. Lung volumes are low with minimal bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax.

<unk> year old woman with chest pain, palpitations. // assess for intrapulmonary process

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Pa and lateral views of the chest provided. Left chest wall port-a-cath is seen with its catheter tip in the mid svc region. No free air below the right hemidiaphragm. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Right scapula, though not fully imaged appears grossly intact.

<unk>m with history of cirrhosis, right scapular pain.

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Dual lead left-sided pacemaker is again seen with leads extending the expected positions of the right atrium and right ventricle. There are small bilateral pleural effusion. The patient is status post median sternotomy. The cardiac silhouette remains moderately enlarged. The aorta is calcified. No definite focal consolidation is seen. There is no pneumothorax. Prominence of the right hilum is grossly stable.

shortness of breath

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Volume loss in the left hemithorax with elevation of the left hemidiaphragm. Surgical clips are also seen. These findings suggest left sided likley lower lobectomy. There is opacity at the left costophrenic angle laterally and posteriorly potentially due to scarring or small effusion. There is a nodular opacity projecting over the right lung apex which could be confluence of shadows of the anterior second rib and scapula. Focal opacity at the right lung base as well abutting the diaphragm. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with cough.

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Images are under penetrated. Allowing for this, lungs appear clear. Lung volumes are low resulting in bibasilar atelectasis. Cardiomediastinal and hilar contours appear stable, heart which is enlarged. There is persistent prominent central pulmonary arteries consistent with pulmonary arterial hypertension. There is no evidence of pulmonary edema. There is no pneumothorax.

<unk>f with asthma presenting with persistent sob // pulmonary edema? changes from prior?

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The heart is normal in size. A number of calcifications project over the lower central mediastinum and suggest calcified subcarinal lymph nodes. A calcified granuloma is noted in the right lung. The lungs appear otherwise clear, however, without evidence for acute process. There is no pleural effusion or pneumothorax. Bony structures are unremarkable aside from mild degenerative changes along the mid thoracic spine.

chest pain. chronic alcoholic.

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A dual lead pacemaker/icd device appears unchanged. Left-sided abandoned pacer wires are also similar. Cardiac enlargement, as well as the mediastinal and hilar contours appear similar. Indistinct upper zone redistribution of pulmonary vasculature and perihilar fullness is somewhat increased suggesting mild-to-moderate interstitial pulmonary edema. Mild elevation of the right hemidiaphragm is similar. There is no definite pleural effusion or pneumothorax. Degenerative changes along the lower and mid thoracic spines are similar. No free air is demonstrated.

abdominal pain. question free air.

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

history: <unk>f with <num> days of cough with shortness of breath and chest pain // rule out pneumonia

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Large left apical mass invading the mediastinum is unchanged. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Left pectoral transvenous pacer leads terminate in the right atrium and right ventricle.

<unk> year old man s/p dual chamber ppm // assess leads placement and r/o ptx.

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Pa and lateral chest radiographs demonstrate median sternotomy wires, the most superior appears to be broken. There is mild cardiomegaly without pulmonary vascular congestion, pleural effusion, or interstital edema. The lungs are clear. The cardiac contours are within normal limits.

end-stage renal disease. preoperative evaluation for transplant.

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No focal consolidation is identified. There is a new small right pleural effusion with adjacent basilar atelectasis or consolidation. . The cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion. Focal left pleural plaque is noted. A left chest aicd and leads are in unchanged positions. Median sternotomy wires and mitral valve replacements are noted. Indwelling icd with biventricular pacing leads is also noted.

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

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There is increased consolidation of the left hemi thorax, with a known left upper lobe pulmonary mass and lymphangitic tumor extension throughout the left lung. Compared with the prior radiograph, there is a new moderate right pleural effusion and subtle right lower lung consolidation. The remainder of the right lung is clear.

history: <unk>m with hx stage <num> lung ca with hemoptysis and fever. pneumonia?

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Pa and lateral views of the chest. There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart size is normal. There are normal cardiomediastinal contours.

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

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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. Limited assessment of the abdomen is unremarkable.

history: <unk>f with cp, sob // r/o acute process

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

cough, fever, and chills.

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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. There is tortuosity of the thoracic aorta. Left chest wall dual lead pacing device seen with right atrial right ventricular leads. Hypertrophic changes noted in the spine. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with icd firing // eval for intrathoracic process

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

syncope.

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

history: <unk>f with pkd pd fevers //

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Frontal and lateral chest radiographs demonstrate hyperexpansion but no focal consolidation, pleural effusion, or pneumothorax. Additionally, there is probably a component of emphysema in the lower lobes. The hila are elevated, suggesting scarring. Pleuroparenchymal scarring is noted in the apices. The cardiomediastinal silhouette is normal.

history of asthma and worsening shortness of breath.

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Post cabg changes stable. Slight interruption of the second from superior sternal wire. Heart size normal. Normal hila. Atherosclerotic changes of the aortic arch. No airspace consolidation. No pleural effusions. No pneumothorax. No pleural thickening. Spondylotic changes of the thoracic spine.

<unk> year old man with persistent cough. // any changes?

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.

history: <unk>f with cp // ?chf

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In comparison with study of <unk>, there has been some increase in the left pleural effusion with little change in the effusion on the right. Compressive atelectasis is at both bases. Pacer device remains in place. No definite vascular congestion or acute pneumonia.

recurrent bilateral effusions.

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Fine reticular lung markings are not appreciably changed since <unk>, and likely reflected chronic interstitial abnormality in the setting of emphysema. The lungs are mildly hyperinflated. There is no new consolidation or pleural effusion. Mild cardiomegaly is stable. Generalized osteopenia and spinal degenerative changes have slightly progressed, including a chronic mid thoracic vertebral body compression fracture.

<unk> year old woman with history of ? pulmonar nodule and ?bronchiectasis presents with one week of productive cough // please evaluate for pneumonia

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The right picc line tip projects in the region of the cavoatrial junction. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable.

<unk>m with presyncope. evaluate for infection.

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Prominence of the hila is stable to slightly increased consistent with vascular congestion and enlargement of the pulmonary arteries. Right perihilar opacity is slightly more prominent as compared the prior study, which could relate to differences in patient position or underlying pneumonia and/ or lymphadenopathy. No large pleural effusion or pneumothorax is seen. Bibasilar atelectasis/scarring is noted. Partially imaged thoracolumbar hardware is again noted. Cardiac and mediastinal silhouettes are stable.

history: <unk>m with lethargy, increasing o<num> requirement, on o<num> for copd // ? pneumonia or other signs of infection

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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again seen. The lungs appear clear. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable with moderate cardiomegaly re- demonstrated. Mediastinal contour appears normal. Bony structures are intact though appears slightly sclerotic which could reflect underlying renal osteodystrophy.

<unk>m with hx of cad, cardiomyopathy p/w dyspnea on exertion // r/o edema, effusion, infiltrate

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

<unk>f with dyspnea // pneumonia or other acute process?

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Ap and lateral images of the chest. There are low lung volumes. There are increased interstitial lung markings throughout the lungs but more confluent at the bases. In conjunction with prior ct, these finding likely reflect a chronic interstitial process, but the lack of old prior studies for comparison precludeds evaluation for change and a superimposed component of edema or infection would be possible. The posterior costophrenic angles are excluded from this exam, but there is no evidence of large pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is top-normal is size, accentuated by low lung volumes there are right lateral rib fractures involving right ribs <unk>, which more clearly demonstrate callous formation on recent ct. A linear calcific density is noted in the retrosternal region on the lateral, raising the possibility of calcified pleural plaque.

history of dementia, now presenting from<unk> with nausea and vomiting, found to have acute on chronic subdural hematomas and also bibasilar consolidation on ct.

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Fiducial seeds in the left mid chest are unchanged. A linear opacity in this region either represents atelectasis or tumor recurrence, and is better characterized on the recent chest ct. No new opacity or nodule is identified. There is no pulmonary edema. Since the prior ct, a left-sided pleural effusion has decreased in size. A small pleural effusion persists. There is no right pleural effusion. There is no pneumothorax. There is stable volume loss in the right hemithorax with shift of the cardiomediastinal silhouette. The cardiomediastinal silhouette is otherwise normal.

reevaluate known left effusion.

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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal. Incidentally noted are three, rounded, tiny radiodensities noted in the soft tissues of the upper thorax, likely representing foreign bodies.

cirrhosis, smoker, shortness of breath. evaluate for pulmonary process.

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The previously seen masses in the right hilum and right base are slightly larger than on the previous radiograph. The right hilar mass measures <num> cm as compared to <num> cm. The mass at the right base measures <num> cm as compared to <num> cm. A small rounded opacity superior to the larger mass also appears more well-defined with sharp borders. There are no new masses or consolidations. There is no edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Stable calcification of the aortic arch is noted. A compression fracture in the mid thoracic spine is unchanged.

evaluate non-small cell cancer.

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Pa and lateral views of the chest were reviewed and compared to the prior studies. A right-sided port-a-cath ends in the lower superior vena cava. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. Cardiac, hilar, and mediastinal contours are normal.

evaluation for evidence of sarcoma recurrence.

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Ap upright and lateral views of the chest provided. Right chest wall port-a-cath is new from prior exam with catheter tip extending to the mid to lower svc region. Lung volumes are low limiting assessment though allowing for this, the lungs are clear. No signs of pneumonia, edema, large effusion or pneumothorax. The cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with infectious w/u

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The patient is status post sternotomy and cabg. The sternotomy wires are intact. The cardiomediastinal silhouette is normal. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The osseous structures are unremarkable. There is no evidence of free air beneath the hemidiaphragms. Atherosclerotic calcifications are noted in the aorta.

nausea and vomiting. evaluate for acute process.

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Costophrenic angles are partially obscured due to overlying soft tissue/ patient body habitus. Given this, no focal consolidation is seen. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with asthma, osa, recent lightheadedness // ?cpd

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. An azygous fissure is noted. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

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

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

<unk>m with dka, evaluate for acute process.

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The lung volumes are low. Minimal linear opacification in the right mid lung is stable from the prior exam and likely represents scarring. There is no evidence of consolidation or edema. There is no pleural effusion or pneumothorax. A dual-chamber pacemaker is present and in unchanged position with the leads in the right ventricle and coronary sinus. Mild cardiomegaly is unchanged from the prior exam. Atherosclerotic calcifications are noted in the aortic arch. Compression deformities in the lower thoracic spine are stable.

chest pain for one week and fatigue. hit head on parking gate.