Datasets:
ChayanM
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MIMIC-MultiView-Findings-Query

Dataset card Data Studio Files Community
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
<unk>f with dizziness // r/o infection
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Heart size is normal. Calcified lymph nodes are seen in the left hilar region as well as calcified nodules in the right lung base, compatible with prior granulomatous disease. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with syncopal episode
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The patient is status post sternotomy with surgical clips in the mediastinum. The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax. Calcification aree seen at the aortic arch. There are moderate to severe degenerative changes at the glenohumeral joints. There is a large hiatal hernia.
<unk>-year-old with dizziness.
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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 woman with chest pain // r/o infection, fluid overload
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The lungs remain hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // presence of ptx, pneumomediastinum
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Pa and lateral views of the chest provided. Stable thickening of the minor fissure. New retrocardiac opacity could simply be atelectasis, however in the appropriate clinical setting may represent pneumonia. No pneumothorax. Probable, minimal bilateral pleural effusions are mildly worsened. Hilar and cardiomediastinal contours are normal.
<unk> year old man with asthma, now with recurrent desaturations // r/o new focal infiltrate
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The patient is status post median sternotomy and aortic valve replacement. The heart size is normal. Mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
status post aortic valve replacement, now presenting with chest pain.
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In comparison with the study of <unk>, there is again evidence of previous right mastectomy with clips in the right axillary region. There is again mild left pleural effusion with atelectasis at the left base, improved from the previous study. The questioned nodule in the left mid zone is not appreciated at this time.
bronchitis, to assess for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart is top normal in size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with hemoptysis // eval for acute process
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No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Patient is status post aortic valve repair.
history: <unk>f with left femur fracture // pre-op
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
history: <unk>m with cough x <num> days,brown sputum // cough x <num> days
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There are minor bibasilar atelectatic changes, greater on the right than the left. Otherwise, the lungs are without a focal consolidation or effusion. There is no pneumothorax. Right chest wall port appears stable with catheter tip at the mid svc. Surgical clips are noted in the left chest anteriorly.
fever.
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As compared to the previous radiograph, there is a relevant change. At the level of the right azygos lobe, a new mass-like parenchymal consolidation in epihilar and paramediastinal location has newly appeared. The lesion causes partial obliteration of the paratracheal stripe and an enlargement of the mediastinum. In addition, there is new enlargement of the left hilus, presumably caused by lymph nodes. The changes are well documented on the previous ct examination of the chest performed on <unk>. No pleural effusions. Normal size of the cardiac silhouette.
known cll, now with cough, evaluation for pneumonia.
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Pa and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with wheezing and cough.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal concerning consolidations. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. No rib fractures are identified.
history of back pain and shortness of breath status post fall. please evaluate for rib fractures and pneumothorax.
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Upright ap and lateral views of the chest demonstrate mild cardiomegaly, with slight interstitial prominence, but no evidence of pneumothorax, overt pulmonary edema, pleural effusion, or focal consolidation concerning for pneumonia. Right humeral head deformity is noted, chronic.
<unk>-year-old female with weakness and vision changes. evaluation for pneumonia.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
chest pain, here to evaluate for pneumonia.
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Lung volumes remain slightly low. No focal consolidation, edema, effusion, or pneumothorax. The heart is top-normal in size, unchanged. Aortic knob calcifications are mild. Multilevel degenerative changes in the visualized spine are mild.
knee year old woman presenting with chest pain. evaluate for pna, chf, ptx.
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Frontal and lateral views of the chest. The lungs are clear consolidation. There is no effusion. There is mild indistinctness of the pulmonary vasculature but no frank pulmonary edema. Significant cardiomegaly is noted. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with severe or volume overload.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with dyspnea // pna?
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The lungs are hyperinflated but clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chest pain, current cmv infection // ?cardiomegaly, pna, effusion
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No significant interval change. The right picc line is overall unchanged in position, terminating in the right atrium. The lungs are clear. No pulmonary edema or pleural effusion. Right lung sutures are again noted. No change in slight elevation of the right hemidiaphragm. The heart size is normal. Slight tortuosity of the descending aorta is unchanged. The mediastinum and hila are within normal limits. Wire projecting over the upper airway is unchanged and appears intact. Incompletely visualized compression deformity of the lower thoracic/lumbar spine is again noted.
<unk> year old woman with sob // e/o vol overload
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m status post motor vehicle collision with mediastinal blood noted on ct chest from last night // any evidence of widening mediastinum or other acute abnormality?
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiac silhouette is enlarged, similar in configuration to prior. Median sternotomy wires and mediastinal clips are again noted. Anterior and posterior cervical fixation hardware is visualized.
<unk>-year-old male with new onset of rv dysfunction with pleuritic chest pain.
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Ap view of the chest. Left-sided chest tube is been removed. The left minimal bibasilar atelectasis and likely small left pleural effusion unchanged. Cardiomediastinal and hilar contours are unchanged. Right lung is unchanged and unremarkable. Possible lucency over the left upper paramediastinal area may represent a miniscule pneumothorax if any.
left lung biopsy common by for pneumothorax status post chest tube removal.
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No acute consolidation is identified. Rounded opacity projecting over the right mid lung and the left chest wall are compatible with known destructive pleural myeloma tumors and better evaluated on prior ct torso. The cardiomediastinal silhouette and hilar contours are stable. Tortuous descending aorta is noted. A right chest port-a-cath terminates at the lower svc. There is no pleural effusion or pneumothorax. Cervical spine fusion hardware is noted.
<unk> year old woman with myeloma. worsening shortness of breath. evaluate for acute process.
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Patient is status post median sternotomy and cabg.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>m to or for hand surgery, preop cxr requested // preop
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Frontal and lateral views of the chest were obtained. Since <unk>, there has been interval reaccumulation of the right pleural effusion with adjacent associated atelectasis as seen on pet-ct from yesterday. The right upper lung zone and left lung are clear. No pneumothorax. Bilateral pulmonary nodules are better seen on recent cts. Heart size is normal. Mediastinal silhouette is normal. The right hilus is mildly enlarged compared to contralateral side, but on ct <unk>, no morphological explanation for this is seen.
<unk>-year-old man with pleural effusion status post thoracentesis last <unk>. evaluate for recurrence.
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Multiple calcified granulomas are noted projecting over the bilateral lung fields, the largest on the right measuring <num> mm and the largest on the left measuring <num> mm, are better assessed on recent ct chest from <unk>. The lungs are otherwise clear. The heart size is normal. Median sternotomy wires are intact and well aligned. No pneumothorax, pulmonary edema, or pleural effusion.
<unk> year old man with a h/o upper tract urothelial carcinoma and bladder ca.
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There are trace bilateral pleural effusions which have decreased in size since previous exam. The lungs are clear of consolidation or pulmonary edema. Cardiomediastinal silhouette is stable in atherosclerotic calcifications are noted at the aortic arch. Bold posterior right sixth rib fracture is noted.
<unk>f with weakness // infiltrate?
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Pa frontal and lateral chest radiograph demonstrate clear lungs with no focal consolidation. There is no pleural effusion or pneumothorax. The heart size is top-normal. There is no pulmonary edema and the pulmonary vasculature is within normal limits. Hilar and mediastinal contours are stable in appearance and unremarkable. There is elevated left hemidiaphragm secondary to gas distended bowel.
<unk>-year-old female with shortness of breath.
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Pa and lateral chest views were obtained with patient upright position. Comparison is made with the next preceding pa and lateral chest examination of <unk>. The heart size remains unchanged and is well within normal limits. No configurational abnormality is seen. The pulmonary vasculature is not congested. Again noted are bilateral patchy widely disseminated parenchymal densities in both lungs predominantly in the lower lung fields. They are of similar character as they have been seen on previous examinations. On the next preceding study of <unk>, the patient had undergone improvement of these lung changes, but they have now again increased and are similar to those encountered during examinations in <unk>. Noteworthy is that the pleural spaces remain now free both laterally and posteriorly. No pneumothorax has developed.
<unk>-year-old female patient with down syndrome and history of multifocal pneumonia, here with <unk> and <unk> cough concerning for vasculitis versus infection. evaluate for focal pneumonia, pulmonary edema, vasculitis changes.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lung volumes are low. Patchy opacities in the lung bases likely reflect atelectasis. The pulmonary vasculature is normal. Obscuration of right costophrenic angle could reflect trace pleural fluid or pleural thickening. No pneumothorax is identified. There are multilevel degenerative changes in the thoracic spine.
uncontrolled diabetes mellitus, chf, several months of anasarca. crackles in the lingula and right lower lobe.
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The patient is status post median sternotomy and cabg. Heart size remains within normal limits. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is seen. Osteophytic spurring is noted within the thoracic spine.
history: <unk>m with exertional shortness of breath
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Again seen is a chest tube at the left lung base. On the current examination, there is an apparent small left upper lobe pneumothorax, with calcifications seen along the edge of the lung. There is a tiny left effusion, with possible small left hydro pneumothorax. The dense opacification in the left mid/lower zone is somewhat different n configuration, but overall similar in appearance. The cardiac silhouette is partially obscured by the opacity -- no definite change in the silhouette. There is calcification at the right lung apex, slight offset from the ribs. This is similar to the prior film and could reflect pleural thickening rather than pneumothorax. Hazy opacity at the right lung base laterally could reflect the opacity seen on the recent chest x-ray or alternatively could be artifact due to overlying breast tissue. Minimal blunting of the right costophrenic angle is new, is consistent with a small right pleural effusion. The right lung is otherwise grossly clear. Background parenchymal distortion is likely related to background copd. Scattered nodular densities are suggestion both lungs, but best demonstrated on the recent ct hand.
<unk> year old woman with chest tube in place on l due to c/f empyema // please perform at <num>am on <unk>. chest tube placement, evaluate empyema/pleural effusions/etc
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Pa and lateral views of the chest. Again seen is opacification of the right hemithorax from prior right pneumonectomy. There is persistent shift of the mediastinum to the right with hyperexpansion of the left lung. The left lung is clear without evidence of focal consolidation, pleural effusion or pneumothorax.
shortness of breath.
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Patchy right lower lobe opacity is worrisome for pneumonia or aspiration. Blunting of the posterior right costophrenic angle may be due to a trace pleural effusion. No left pleural effusion is seen. The cardiac and mediastinal silhouettes are stable. There is no pulmonary edema. Skin fold noted overlying the right hemi thorax. Midline tracheostomy tube is noted. Vascular stenting is noted at the thoracic inlet.
history: <unk>m with syncope episode // eval for pna
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The heart is mildly enlarged. There is a dual lead pacemaker/icd device that appears unchanged. The mediastinal and hilar contours appear similar. The aortic arch is again calcified. There is mild relative elevation of the anterior right hemidiaphragm, as seen previously and suggesting a small eventration. Patchy basilar opacities suggest minor atelectasis or scarring and appear unchanged. In addition, there is a vague retrocardiac opacity with increased density which potentially indicates early infection. There is no pleural effusion or pneumothorax.
syncope and weakness.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination of <unk>. On the present pa and lateral chest views, the diaphragms are relatively high positioned, somewhat obscuring the cardiac silhouette. Thus precise assessment of heart size cannot be performed. Significant cardiac enlargement or left-sided heart failure, however, is unlikely as the existing pulmonary vasculature is not congested. Thoracic aorta mildly widened but without local contour abnormalities. There is mild blunting of the right-sided lateral pleural sinus, corresponding blunting of the posterior pleural sinuses noted on the lateral view. Left-sided pleural space, however, is free. There is no evidence of new acute parenchymal infiltrates. No pneumothorax is seen in the apical area. Pleural thickening is noted in the apical area but smoothly delineated, not changed from previous examinations. When comparison is made with the next preceding portable chest examination, the patient at that time was status post liver transplant and had bilateral pleural densities. A wide-bore double-lumen catheter had been placed via the left internal jugular approach with the catheter tip resting in the right atrium. This line has been removed. Impression: right-sided lateral and posterior pleural densities representing post-operative pleural scars in this patient status post liver transplant. Presently, no new acute infiltrates and no evidence of pulmonary congestion. No pneumothorax and the previously present wide-bore dialysis catheter has been removed.
<unk>-year-old female patient with dyspnea on exertion, status post liver transplant, assess for interval change.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Prosthetic aortic valve is noted. Median sternotomy wires are seen with interval fracture of the superior most wire since <unk>. No acute osseous abnormalities. Partially visualized vascular stent projects over the neck on the right. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with syncope and palpiatations // eval for infiltrate
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Compared to prior, there is no significant change. The lungs are well expanded and clear. The heart size is normal. The mediastinal and hilar contours are normal. No pleural abnormalities are seen.
<unk> year old woman with history of ewing sarcoma <unk> years ago, routine surveillance x ray.
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Frontal view is somewhat limited by patient rotation. Heart size is likely unchanged and within normal limits. The aortic knob is calcified. Hilar contours are unremarkable. Lung volumes are reduced. No focal consolidation, pleural effusion or pneumothorax is seen. No pulmonary edema is present. There are marked degenerative changes in the thoracic spine with large anterior osteophytes.
shortness of breath.
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Frontal and lateral radiographs of the chest show a left pectoral dual-chamber permanent pacemaker with two leads terminating in the right atrium and along the left ventricle. The course of the lead is unremarkable without evidence of pneumothorax. The patient is status post median sternotomy and mitral valve replacement with wires appearing intact. The cardiac silhouette is moderately enlarged but stable. The mediastinal and hilar contours are within normal limits and unchanged. The lungs show diffuse multifocal opacities predominantly in the left lung base and right perihilar region which are not significantly changed from <unk> and may represent residual multifocal infection or scarring. A lucent area in the left mid lung raises the possibility of a pneumatocele. A small right pleural effusion is unchanged from <unk>. No pulmonary vascular congestion or edema is present.
<unk>-year-old female with new permanent pacemaker and left ventricular lead via the coronary sinus, here to evaluate lead position.
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Pa and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
alcoholic hepatitis, rising white blood cell count, on steroids, evaluate for infiltrate.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Osseous structures are unremarkable.
<unk> year old man with cough
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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.
history: <unk>m with cough x<num> days // eval for pna
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Lungs are hyperexpanded, as before. Heart size is normal. Aorta is calcified, indicating atherosclerosis. The aorta is tortuous. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. There is consolidation in the right lower lung, which has decreased compared <unk>. Lungs are otherwise clear. Again seen is blunting of the bilateral costophrenic angles, which may represent small pleural effusions or pleural thickening. No pneumothorax is seen. There are no acute osseous abnormalities. There are multilevel degenerative changes of the visualized spine.
history: <unk>f with dyspnea. evaluate for pneumonia
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Pa and lateral views of the chest provided. Allowing for low lung volumes, there is no overt evidence of pneumonia or chf. There is mild retrocardiac opacity which is most compatible with atelectasis, though a very early pneumonia is impossible to exclude. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cough and fever // r/o 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 pleuritic chest pain // infiltrate?
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Heart size is normal. Patient is post aortic valve replacement, with overlying median sternotomy wires. A right-sided port catheter terminates in the low svc. Compared with the prior radiograph, there are mildly increased interstitial lung markings, which is likely due to crowding of the bronchovascular structures. However, there is no pleural effusion, focal consolidation, or pneumothorax. Mild degenerative changes of the thoracic spine are also present.
<unk>f with ams, found down by family. please evaluate for acute cardiopulmonary process.
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In comparison with the study of <unk>, there is little change and no convincing evidence of acute pneumonia, vascular congestion, or pleural effusion. Of incidental note is a shoulder arthroplasty on the right.
cough, to assess for pneumonia.
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Cardiac silhouette size is normal. Mediastinum and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with chest pain, shortness of breath
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Pa and lateral views of the chest provided. Overall lung volumes are low with crowding of the vessels at both bases. Bands of atelectasis are seen within the right middle lobe. There is no focal consolidation, effusion, or pneumothorax. Heart size is top-normal and exaggerated by low lung volumes. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old man with persistent cough // assess for pna
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Lungs appear well inflated and clear. The cardiomediastinal and hilar contours are unchanged. The patient is status post cabg, with intact median sternotomy wires. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain, pls eval pna and edema // history: <unk>f with chest pain, pls eval pna and edema
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A single-lead pacemaker terminates in the right ventricle, as before. The heart is moderately enlarged. The mediastinal and hilar contours appear stable. The lungs appear clear. There is no pleural effusion or pneumothorax. The right hemidiaphragm is mildly elevated compared to the left. The bones are probably demineralized.
weakness and dizziness and head strike.
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Ap upright and lateral chest radiograph demonstrates clear lungs bilaterally. There is no pleural effusion the are pneumothorax. Visualized osseous structures are without an acute abnormality. A chronic left rib deformity is present. Left humeral head degenerative changes noted, present on prior studies. Cardiomediastinal and hilar contours are within normal limits.
<unk>m with tachypnea.
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Cardiac silhouette size is mild to moderately enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. Mild loss of height of a mid thoracic vertebral body is of indeterminate age.
history: <unk>f with chest pain/epigastric pain.
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The heart is not enlarged. Aorta is calcified and minimally unfolded. The mediastinal and hilar contours are otherwise within normal limits for age. No chf, focal infiltrate or effusion is identified. No pneumothorax is detected. The right hemidiaphragm is slightly elevated.
history: <unk>m with cough // ?pneumonia
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There are no pleural effusions or pneumothorax. The lungs appear clear. There is no evidence for free air. Small osteophytes are noted along the lower thoracic spine. There has been no significant change.
epigastric pain. history of pancreatitis.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Coronary artery calcifications and stent are noted. Old healed anterior left fifth rib fracture is again noted.
<unk>m with fevers, neutropenia // ?acute intrapulmonary process
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Ap and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear of focal consolidation or effusion. There is, however, central pulmonary vascular engorgement and slightly indistinct pulmonary vascular markings. Cardiac silhouette is enlarged but not significantly changed given differences in technique. Surgical clips identified in the upper abdomen, potentially from prior cholecystectomy. Osseous and soft tissue structures are otherwise unremarkable. No free air.
<unk>-year-old female with epigastric and right upper quadrant pain. question perforation.
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Frontal and lateral views the chest were provided. Lung volumes are low with poor visualization of the retrocardiac space. No convincing signs of pneumonia or pleural effusion. No pneumothorax is seen. Cardiomediastinal silhouette appears stable. Bony structures appear intact.
<unk>f with generalized chest pain.
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The patient is status post median sternotomy. There is focal eventration of the posterior right hemidiaphragm which may relate to a bochdalek hernia. There is slight blunting of the right costophrenic angle on the frontal view. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Some degenerative changes are seen along the spine with disc space narrowing in the mid to lower thoracic spine as well as loss of vertebral body height in the mid thoracic spine.
confusion.
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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 dyspnea // r/o chf
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There is no radiopaque foreign body identified. Lungs are equal in volume, without evidence for air trapping. There is no pneumothorax, pneumomediastinum or air seen underneath the diaphragm. Cardiac, mediastinal and hilar contours are unremarkable.
foreign body sensation, evaluate for acute intrathoracic process.
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Pa and lateral chest radiographs are obtained. Right large pleural effusion seen previously extending to the level of mid thorax appears slightly worse. Cardiomediastinal contours are stable. Dialysis catheter is unchanged. Left lung and visualized portion of the right lung are clear. No pneumothorax.
<unk>-year-old man with latent tb, recurrent pleural effusions, esrd on hd, pleural effusions.
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Frontal and lateral views of the chest. The lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. No acute osseous abnormality is seen.
<unk> year old woman with chest pain.
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with weakness // infiltrate?
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No previous chest radiographs. There is some hyperexpansion of the lungs with prominence of interstitial markings, raising the possibility of some underlying chronic pulmonary disease. Apical pleural thickening is seen bilaterally. No evidence of acute focal pneumonia. The rib lesion seen on ct is not definitely appreciated on the plain radiographs.
new diagnosis of multiple myeloma, to assess for pulmonary process.
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Frontal lateral views of the chest were performed. There is apparent obscuration of the right heart border, however, without a consolidation seen on the lateral view, likely positional. There is no pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The hilar structures are unremarkable. The imaged upper abdomen appears normal.
shortness of breath and cough, evaluate for pneumonia. the patient also has a history of asthma.
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
cough. evaluation for pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unchanged, including mild cardiomegaly and a tortuous descending aorta. A single chamber pacemaker, prosthetic valve, sternotomy wires, and mediastinal clips project in unchanged location.
<unk>m with weakness, chest pain, evaluate for acute abnormality
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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Bibasilar atelectasis is mild. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
cough, fatigue.
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Pa and lateral views of chest were examined. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Chronic fibrotic changes are again seen, but there is no increased opacification concerning for acute superimposed pneumonia.
shortness of breath with diffuse wheezing.
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There is persistent opacity at the right base which is essentially unchanged. No new airspace opacity is detected. The lungs are normally expanded. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
cough, evaluate for pneumonia.
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The lungs are clear of focal consolidation. There is suggestion of prominent extrapleural fat bilaterally. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with sob, numbness r lower face and r arm. // mediastinal mass?
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Very ill-defined and faint localized increase in density in the right lower lung on the frontal view is not clearly localized on the lateral radiograph and is new since <unk>. This localizing increase is a nonspecific finding and if there is a clinical concern for pneumonia, this can be appropriately followed up after treatment at six weeks. Left lung is clear. The pleural spaces are normal. Heart size is normal, mediastinal and hilar contours are unremarkable.
to rule out infiltrates.
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The patient is status post coronary artery bypass graft surgery and mitral valve repair. There is still marked enlargement of the right hemidiaphragm but atelectasis at the right lung base has decreased and appears minimal. The left lung appears clear. There is no pleural effusion or pneumothorax.
shortness of breath and chest pain. status post cabg.
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The lungs are again hyperexpanded although clear. Cardiac size is unremarkable. Hilar contours and mediastinal silhouette are normal. There is no pleural effusion or pneumothorax. Old rib fractures bilaterally are again noted.
<unk>-year-old man with copd, cough, wheezing, recent fevers, evaluate for pneumonia.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Eventration of the right hemidiaphragm is re- demonstrated. Mild degenerative changes are again noted in the thoracic spine.
history: <unk>f with cough
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>f with shortness of breath // acute process?
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Compared with the prior radiograph, there is a persistent, but smaller, loculated right apical pneumothorax. Initially, a nodular opacity projecting over the left first rib was not seen on the chest ct of <unk>. Chain sutures denote prior right middle lobectomy. Previous small right pleural effusion has resolved. No new focal consolidation. Cardiomediastinal silhouette is normal. Mediastinal surgical clips are unchanged.
<unk> year old woman with nsclc s/p rmlobectomy and mediastinal ln dissection, check interval change. check for interval change.
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Heart size is mildly enlarged. The aorta is tortuous but unchanged. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is noted within the right middle lobe. Lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities visualized.
history: <unk>f with chest pain
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Chest, pa and lateral radiographs demonstrate unremarkable mediastinal and cardiac contours. Mild engorgement of the bilateral hila as well as the upper pulmonary vasculature is evident. Bilateral low lung volumes with vascular crowding noted. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen.
shortness of breath, cardiopulmonary process. please evaluate for cardiopulmonary process.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart, mediastinal and pleural surface contours are normal.
transient ischemic attack.
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The lung volumes are slightly low but grossly clear without focal airspace opacity. The heart is somewhat globular in shape and may reflect pericardial effusion. Left chest wall pacemaker again has leads terminating in stable position. There is small left pleural effusion but no pneumothorax. There is no pulmonary edema.
fever. evaluate for pneumonia.
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Left heart and mediastinal contours are normal. Right heart border and lower mediastinal contours are obscured by a large multi loculated pleural abnormality including fissural fluid loculation. Moderate volume loss in the right hemithorax indicates that severe atelectasis in the right middle and lower lobes exceeds volume displacement by the pleural effusion. Right hilus may be enlarged. Two subcentimeter nodules are seen in the middle and upper left lung. Left pleural effusion is tiny. The tip of a right central venous infusion port catheter is in the right atrium. No pneumothorax.
<unk> year old man with met. esophageal ca, is sob. recently had ablation of chest wall tumor at <unk>. // degree of pleural fluid? extent of masses?
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old man with cough. r/o pneumonia.
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As compared to the previous radiograph, the extent of the left-sided pleural effusion is virtually unchanged. There is unchanged evidence of a retrocardiac atelectasis. Moderate cardiomegaly without acute pulmonary edema. Unchanged appearance of the sternal wires.
small left effusion, evaluation for interval change.
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Ap and lateral chest radiographs demonstrate stable cardiomegaly. Aicd again noted with leads in unchanged position. Lungs are well expanded with minimal pulmonary edema. No large pleural effusions and no pneumothorax.
shortness of breath, missed a dose of lasix, evaluate heart and lungs.
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Frontal and lateral views of the chest. There is elevation of the right hemidiaphragm. There is retrocardiac opacity and additional streaky left basilar opacity is seen more laterally. Superiorly the lungs are clear. Cardiomediastinal silhouette is within normal limits given patient rotation and midthoracic dextroscoliosis. The bones are diffusely osteopenic but there is no acute osseous abnormality detected.
<unk>-year-old female with restrictive lung disease and known collapsed right lower lobe from childhood with <num> week of upper respiratory symptoms and low oxygen saturation.
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Frontal and lateral chest radiographs demonstrate well expanded and clear lungs. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unremarkable. A left pectoral aicd is seen with its intact single lead terminating in the right ventricle.
<unk>-year-old male with cough and sputum production. evaluate for infiltrate.
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Frontal and lateral chest radiographs were obtained. Multiple areas of ill-defined opacities are present in bilateral lungs. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. There is complete destruction of the right scapula and visualized portion of the right humeral head and lateral clavicle. There is also a fracture of the right mid clavicle.
patient with melanoma, eval intrathoracic lesions.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
hypertension.
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The lungs are clear without focal consolidation, effusion, or edema. Calcific density again projects over the left lung base, likely a granuloma. The cardiomediastinal silhouette is stable. Thoracic s-shaped scoliosis is noted. No acute osseous abnormalities identified.
<unk>f with cdough, fever // presence of infiltrate, edema
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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.
chest pain, shortness of breath, and recent pharyngitis.
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Transdermal pacing pads are in place. The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. The sagittal diameter of the chest is very narrow.
<unk>-year-old female with supraventricular tachycardia.
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A right-sided dialysis catheter terminates in the right atrium. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Subtle airspace opacities are demonstrated throughout both lungs (right greater than left), predominantly at the bases which could represent atypical infection or mild pulmonary edema. No pleural effusion or pneumothorax is seen.
<unk>m with esrd on hd // eval for pulmonary edema
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with cp // evidence of pneumothorax
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There is interval placement of a left picc line with tip terminating in the cavoatrial junction. There is no pneumothorax. The lungs are well expanded and clear with no pleural effusion or pulmonary edema. The cardiomediastinal and hilar contours are normal.
<unk>-year-old with new picc line placement.