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

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Frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. The cardiac silhouette is normal in appearance, and the mediastinal contours are normal.

<unk>-year-old male with cough, weakness, crackles at the bilateral bases; question pneumonia or chf.

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In comparison with the study of <unk>, there is little overall change. Specifically, no evidence of supervening pneumonia. Multiple old healed rib fractures are again noted.

fever and sore throat.

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Two pa and one lateral radiographs of the chest were obtained; initial radiograph was taken before removal of bra and navel jewelry. The lungs are clear. No effusion, pneumothorax, or consolidation is present. The heart and mediastinal contours are normal.

fall.

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Compared with prior examination, there has been minimal interval change. Redemonstrated is the unchanged appearance and positioning of both a right internal jugular and a left subclavian central venous line. Again seen is the stable appearance of bibasilar scarring. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.

history of aml, now with neutropenia and new cough.

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Frontal and lateral views of the chest were performed. The lungs are hyperinflated. Linear opacification is again seen at the left lung base which likely reflects scarring as demonstrated on the prior ct. The cardiac silhouette is mildly enlarged. The mediastinum is unremarkable.

recurrent hyperglycemia, evaluate for pneumonia.

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Ap and lateral views of the chest are compared to exam from <unk>. Lungs remain clear of consolidation or effusion. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.

<unk>-year-old male with change in mental status. question pneumonia.

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In comparison with the study of <unk>, there are lower lung volumes. Several streaks of atelectasis are seen at the bases, though no acute pneumonia, vascular congestion, or pleural effusion. Loss of height of several lower thoracic vertebrae again appreciated with kyphotic appearance to the thoracolumbar junction.

cough for two weeks, to assess for pneumonia.

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Tip of a right picc is not well visualized but likely terminates in the lower svc. Heart size and cardiomediastinal contours are stable. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

history: <unk>f with fever // eval for pna

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The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Elevation of the right hemidiaphragm has resolved. Findings are similar to remote baseline radiographs from <unk>.

asthma exacerbation.

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Chronic reticular nodular opacities at the left lung apex are re- demonstrated. Ill-defined medial right lung apex opacity is also stable. Previously seen right base opacity has significantly improved and essentially resolved in the interval. No definite new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Persistent left greater than right bilateral upper lung opacities, chronic.

history: <unk>f with syncope, hiv off antiretrovirals // any infectious process in lungs?

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The cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. There is no concerning parenchymal consolidation. The bony structures are unremarkable.

<unk>f with chest pain and dyspnea // evaluate for pneumonia, pleural effusion question pulmonary embolism.

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Mild cardiomegaly and tortuosity of the thoracic aorta is similar to prior examination. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. There is no distracted rib fracture. Mild compression deformity of the l<num> vertebral body is similar to prior study.

altered mental status and fall.

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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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No previous images. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Specifically, no evidence of hilar or mediastinal adenopathy or interstitial prominence to radiographically suggest sarcoidosis.

lymphadenopathy, worrisome for sarcoidosis.

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The cardiac and mediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. Minimal opacity is suspected in the right middle lobe to explain a slightly obscured right lateral cardiac border on the frontal view.

chest pain and shortness of breath, evaluate for pneumonia.

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The cardiac silhouette is enlarged. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax is identified. Faint opacity is noted in the retrocardiac region, which may represent early pneumonia. There is dextroscoliosis of the visualized thoracic spine.

history: <unk>f with ili, cough, r back pain, swelling // pna? effusion? ptx?

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Frontal and lateral views of the chest demonstrate low lung volumes. No focal consolidation or pneumothorax. Again seen minimal blunting of costophrenic angles, probable pleural thickening. The aorta is generally large, very tortuous, but stable in appearance longterm. Moderate to severe enlargement of the cardiac silhouette is also chronic due to a combination of cardiomegaly and pericardial effusion.

shortness of breath and cough.

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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

cough and fever. evaluate for pneumonia.

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Lung volumes are low. Lungs are clear. Mediastinal contour, hila, and cardiac silhouette are normal no pleural effusion or pneumothorax. No osseous abnormality within the limits of plain radiography.

<unk>m with history of rib fracture presenting s/p seizure by his report yesterday with worsening epig pain.

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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.

<unk> year old woman with shortness of breath // pulmonary cause of aortic stenosis

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Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No pneumoperitoneum identified. No osseous abnormality present.

epigastric pain, sharp. evaluate for pneumoperitoneum.

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Pa and lateral chest radiographs demonstrate mild pulmonary vascular engorgement, dilatation of mediastinal veins, and cardiomegaly, not seen on prior chest radiograph. There is no large pleural effusion or pneumothorax. Tortuosity and atherosclerotic calcifications are noted in the aortic arch. Kyphoplasty changes are noted and there is are new compression deformity in the mid thoracic spine just above the kyphoplasty and inthe upper lumbar spine, not present on prior ct.

evaluation for pulmonary edema.

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The airways are clear. The chest is well expanded and clear without focal consolidation, pulmonary edema, or pneumothorax. The cardiac and hilar contours are within normal limits. No pleural abnormalities or effusions noted. Mild degenerative changes of the mid-thoracic spine noted.

<unk> year old woman with myoclonus, r/o infxn as etiology // pna

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In comparison with the study of <unk>, there is little overall change. Small right apical pneumothorax persists with extensive subcutaneous gas along the lateral chest wall and extending into the lower neck and upper abdomen. No evidence of acute focal pneumonia. Left lung is clear.

chest tube removal.

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Heart size is mildly enlarged but unchanged. The aorta is markedly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Linear opacities in the right lung base likely reflect areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No subdiaphragmatic free air is present. Severe dextroscoliosis of the thoracic spine is re- demonstrated.

history: <unk>f with known pud, abdominal pain // ? free air under diaphragm

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Frontal lateral chest radiographs again demonstrate a loculated left pleural effusion, similar in appearance compared to <unk>. A left upper lobe cavitary mass is visualized, but better evaluated on ct. Patchy opacities in the right hemithorax may represent persistent foci of pneumonia or pulmonary nodules. Left lower lobe consolidations are not well seen secondary to overlying pleural fluid.

evaluate for interval change in a patient with a history of non-small cell lung cancer and pneumonia.

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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

<unk>m with chest tightness and chills, evaluate for pneumonia.

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. Linear scarring at the left lung base is unchanged since <unk>. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.

chest pain

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Moderate cardiomegaly is unchanged. The aorta is diffusely calcified. The mediastinal and hilar contours are unchanged. The pulmonary vascularity is not engorged. There is streaky opacities at the lung bases likely reflective of atelectasis. Minimal blunting the right costophrenic angle suggests a trace pleural effusion. No pneumothorax is identified. There are mild degenerative changes in the thoracic spine.

sudden onset light-headedness.

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The cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Multilevel mild to moderate degenerative changes are noted in the thoracic spine.

history: <unk>m with confusion

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Frontal and lateral radiographs of the chest were obtained. There are persistent low lung volumes with streaky bibasilar atelectasis. There is stable top-normal heart size. The mediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax.

abdominal tenderness, leukocytosis and altered mental status. evaluate for pneumonia.

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There is mild bibasilar atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Multiple coils project over the upper abdomen as well as a tips. No acute osseous abnormalities.

<unk>m with decompensated cirrhosis // eval for consolidation

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In comparison with the study of <unk>, there are low lung volumes that accentuate the central vasculature. No evidence of acute pneumonia or vascular congestion. Port-a-cath extends to the right atrium.

febrile neutropenia.

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There is moderate to large left-sided pleural effusion. Opacity at the right lung base laterally could be due to subpulmonic effusion and potential atelectasis. Lungs are otherwise clear. Right chest wall port catheter tip projects over the svc. Cardiac silhouette cannot be assessed due to silhouetting on the left. Left axillary surgical clips are identified. No acute osseous abnormalities.

<unk>f with pleural effusion, please evaluate for size // <unk>f with pleural effusion, please evaluate for size

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The lungs are clear. There are small bilateral pleural effusions which are increased, without pneumothorax. The cardiac silhouette is top normal in size, the mediastinal contours are unchanged, with calcification and tortuosity of the aorta again noted.

<unk>-year-old male with altered mental status and diffuse abdominal pain.

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The lungs are well inflated and clear. Calcifications are seen anterior to the catheter in the right upper lobe of uncertain significance. The cardiomediastinal silhouette and hilar contour are normal. There is no pleural effusion or pneumothorax. A right chest port-a-cath terminates at the upper right atrium, as before.

<unk>f with hx met melanoma, p/w frequent vomiting. evaluate for acute cardiopulmonary process.

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Pacer leads end in the expected location the lungs are hyperinflated but clear. There is bibasilar atelectasis. Pleural thickening on the left is likely postsurgical. The cardiac and mediastinal contours are stable.

<unk> year old man with pacemaker placement. evaluate pneumothorax.

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Heart size is top-normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal atelectasis is noted in the lingula. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No subdiaphragmatic free air.

history: <unk>m with epigastric pain

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

cough and altered mental status. follow adrenal crisis.

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Heart size is top normal. The aorta is moderately tortuous but unchanged. Mediastinal and hilar contours are stable. Lungs remain hyperinflated with mild increased interstitial markings at the lung bases compatible with chronic interstitial abnormality, as seen on the prior ct. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

hypoxia and tachypnea.

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The study is somewhat limited due to patient rotation. Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Multiple mediastinal clips are again demonstrated. Moderate cardiomegaly is again seen. Left lower lobe opacification appears slightly worse when compared to the prior radiograph, likely reflecting a combination of patient's known malignancy with atelectasis and/or infection superimposed. There is mild pulmonary vascular congestion, which is increased compared to the prior study. Small bilateral pleural effusions are likely present. There is no pneumothorax.

sudden left-sided weakness with known brain metastases from lung carcinoma.

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In comparison with the study of <unk>, there is obscuration of the left hemidiaphragm with blunting of the costophrenic angle, consistent with pleural fluid and volume loss in the left lower lobe. Continued enlargement of the cardiac silhouette without vascular congestion or acute focal pneumonia.

pre-liver transplant workup.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with a portable chest examination <unk> <unk> and a pa and lateral chest examination of <unk>. The previously diagnosed enlargement of the heart silhouette has normalized completely and the heart size and configuration is now within normal limits. The thoracic aorta is mildly widened but does not show any local contour abnormalities or advanced walled calcifications. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly within normal limits. In comparison with the previous examination the earlier identified cardiac enlargement and presence of bilateral pleural effusions mostly on the left side have cleared up completely. Also at the examination of <unk> identified pulmonary vascular upper zone re-distribution pattern has normalized. The chest examination does not demonstrate any new acute abnormality or any suspicious lesion that might be the cause of the patient's weight loss. As identified on previous examination there is evidence of previous abdominal surgery with multiple surgical metallic clips in the right upper quadrant, probably gallbladder surgery.

<unk>-year-old male patient with past medical history of pericarditis and left pleural effusion as of chest examinations in <unk>. now recent weight loss, assess for interval change.

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There is a vague <num> cm nodular opacity projecting over of the right anterior sixth rib on the frontal view. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. A round dense opacity projecting over the mid thoracic spine appears to correspond to an osteophyte on the frontal view.

history: <unk>m with seizure // eval for pneumonia

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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 normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

patient with history of primary sclerosing cholangitis and crohn's disease, now with fever and chills.

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Left-sided pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. Mild enlargement of the cardiac silhouette is again noted. Marked enlargement of the main pulmonary artery is similar. Lung volumes are low compared to the previous study. There is crowding of the bronchovascular structures without overt pulmonary edema. Patchy opacity within the right lung base likely reflects atelectasis. No pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.

history: <unk>f with cough

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As compared to the previous radiograph, the pre-existing parenchymal opacity on the right, located in multifocal manner in both the right lower lobe and the right middle lobe, has decreased in extent and severity. No new parenchymal opacities. Unchanged size of the cardiac silhouette. Unchanged left pectoral port-a-cath.

metastatic breast cancer, increased shortness of breath, comparison.

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Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy, aortic valve replacement, and cabg. Cardiac silhouette size is normal. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are unchanged with fullness of the right superior mediastinal contour compatible with a thyroid goiter. There is no pulmonary edema. Linear opacity within the left lung base likely reflects scarring, and appears unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. Mild loss of height of a mid thoracic vertebral body is unchanged.

history: <unk>f with fall, right hip forshortened internally rotated

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Frontal and lateral chest radiographs were obtained. The right picc line has been removed. There is suggestion of asymemtric bilateral opacities, worse on the right, no confirmed on the lateral view. Cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

patient with esld, presents with shortness of breath and rising white count, rule out pneumonia.

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation. Minimal left basilar scarring versus atelectasis is identified. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

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

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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Known left upper lung nodule is less prominent on today's study.

cough on chemotherapy.

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Left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. Moderate cardiomegaly is present. The aorta is mildly tortuous. Mild upper zone vascular redistribution is present without overt pulmonary edema. Streaky right basilar opacities may reflect atelectasis, however infection cannot be completely excluded. Minimal blunting of the costophrenic angles bilaterally could be due to pleural thickening or trace bilateral pleural effusions. No pneumothorax or focal consolidation is present. There are mild degenerative changes noted in the thoracic spine. Orthopedic hardware within the region of the right shoulder is not completely imaged on this examination. Remote right-sided rib fracture is demonstrated.

history: <unk>f with tachypnea // eval for infiltrate

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The lungs are moderately hyperexpanded with relative lucency of the apices consistent with the diagnosis of emphysema and copd. There is blunting of the left costophrenic angle in this patient with history of left lower lobectomy, the result of scar. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size. The mediastinal contours are normal, known calcified lymph nodes from prior granulomatous infection are not well seen.

<unk>-year-old male with fatigue, chills and lung cancer, question infiltrate or atelectasis.

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Left chest wall port seen with catheter tip at the ra svc junction. Tracheostomy tube is in stable position. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with trachea, cough green sputum / eval for pna

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Lung volume is low. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

history: <unk>f with weakness, confusion // eval infiltrate

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There are small to moderate pleural effusions bilaterally with opacities at the lung bases suggesting minor atelectasis. Effusions are somewhat smaller than on the prior radiographs on each side. On the right, there is again some tracking of effusion along the major fissure. Elsewhere, the lung fields remain essentially clear. The cardiac, mediastinal and hilar contours appear unchanged.

alcoholic cirrhosis and hydrothorax presenting with malaise.

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Right base opacity is worrisome for pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk> year old man with cough and weight loss. // pna?

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Heart size is normal. The aorta is mildly tortuous but unchanged. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or focal consolidation is demonstrated. No pneumothorax is identified. There are no acute osseous abnormalities.

cough.

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The heart is normal in size. The aorta demonstrates atherosclerotic calcification along the arch. In the lateral right upper lobe, there is a small calcified granuloma or perhaps a bone island along the course of the overlying right anterolateral fourth rib. A small band-like opacity in the lingula is consistent with minor atelectasis. The lung field appear otherwise clear. There is no pleural effusion or pneumothorax. Moderate anterior osteophytes are noted along the mid-to-lower thoracic spine.

elevated blood sugar.

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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>m with n/v and hematemesis with brb // r/o perforation, pneumomediastinum

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Frontal and lateral chest radiographs demonstrate well-expanded lungs. There is a calcified granuloma with adjacent scarring in the right upper lobe, which is unchanged from the prior study. The cardiomediastinal and hilar contours are unremarkable. No pneumothorax. An icd is seen in place with the lead projecting over the right ventricle, heading towards the anterior wall. Median sternotomy wires are in place. Patient is status post cervical spine fixation.

<unk>-year-old man status post icd implantation. evaluate for pneumothorax and rv lead placement.

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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. There is minimal subsegmental atelectasis within the left mid lung field. Remainder of the lungs are clear. No pleural effusion or pneumothorax is visualized. No displaced rib fractures or other acute osseous abnormality is detected.

trauma, low oxygen saturation.

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Lungs are hyperinflated and diaphragms are flattened, consistent with copd. The heart is moderately enlarged. Coronary artery calcification noted. Aortic calcification and mediastinal contours are similar to prior. Bibasilar streaky opacities are consistent with atelectasis. No focal consolidation, pleural effusion, or pneumothorax.

<unk>f with chest pain // r/o acute process

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Frontal and lateral chest radiographs demonstrate a large hiatal hernia with air-fluid level minimally increased in size when compared to radiograph dated <unk>. Although limited by presence of hiatal hernia, the lungs appear grossly clear with no focal consolidation. There is adjacent left lower lobe atelectasis. No appreciable pleural effusion or pneumothorax is identified. The cardiomediastinal and hilar contours are within normal limits.

<unk>-year-old female with gi bleed and known hiatal hernia. please assess hiatal hernia.

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

likely ovarian hyperstimulation syndrome, presenting with abdominal pain and dyspnea. assess for an acute intrathoracic process.

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A right-sided ventriculoperitoneal shunt courses across the right side of the chest. The cardiac, mediastinal, and hilar contours appear unchanged. Hazy left basilar opacification has resolved. There is a persistent opacity projecting over the left upper lung that has decreased somewhat and may correspond to radiation-related changes, scarring, or atelectasis; since it has decreased, infection seems less likely though not entirely excluded.

hypotension and altered mental status.

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

history: <unk>f with dyspnea // evidence of pneumonia

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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.

fevers and chills.

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The lungs are free of focal consolidations, pleural effusions or pneumothorax. No pulmonary edema. The mediastinum, hila and heart are within normal limits. No acute osseous abnormalities.

<unk> year old woman with sob, fever, cough after getting an endoscopy // pneumonia? effusion?

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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.small well-circumscribed rounded lucency overlying the proximal left clavicle is possibly a small bone cyst.

<unk>m who had a bike accident today with pain on shoulder movement and point tenderness over clavicle. fracture?

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Heart size is normal and unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is consolidation in the right lower lobe, likely representing pneumonia. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk>-year-old man with fevers x<num> week, pleuritic chest pain/hemoptysis this morning . evaluate for acute process.

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As in the previous examination, there is unchanged hyperexpansion of the lungs and relatively subtle increasing interstitial structures, creating a reticular pattern, notably in the perihilar and peripheral lung regions. However, there is no evidence of superimposed pneumonia, pulmonary edema, or acute lung pathology. No pleural effusions. No lung nodules or masses. Calcified granulomas in the left apex are unchanged. Minimal tortuosity of the thoracic aorta. No pneumothorax.

cough, breath sounds, rule out pneumonia.

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The lung volumes are normal. There is a moderate left pleural effusion, appreciated on both the frontal and the lateral radiograph. Subsequent areas of atelectasis at the left lung bases. Moderate cardiomegaly without evidence of pulmonary edema. No evidence of pneumonia. At the time of dictation and observation, <time> a.m., <unk>, the referring physician, <unk>. <unk> was paged for notification.

large cell lymphoma, decreased breath sounds, evaluation for pleural effusion.

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The lungs are clear of focal consolidation, pleural effusion or pulmonary edema, and the cardiac, mediastinal and hilar contours are normal.

<unk>-year-old woman with new left stroke, rule out intrathoracic process.

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The cardiac, mediastinal and hilar contours are normal. The left picc has been removed. The pulmonary vascularity is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is seen.

altered mental status. hypoglycemia.

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Pa and lateral views of the chest provided. A right pleural effusion is better assessed on same-day ct chest on which exam it appeared simple. Right rib deformities are better assessed on outside hospital ct involving the right upper posterior rib arches. No definite left-sided rib fractures are seen. Streaky perihilar opacities may reflect bronchovascular crowding. A component of pulmonary contusion is difficult to exclude on the right. No pneumothorax. Cardiomediastinal silhouette is normal.

<unk>f with rib fractures (l vs r?) // eval for ptx/hemothorax

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Linear scarring and possible bronchiectasis in the left midlung is unchanged since <unk>. The <unk> x <num> mm oval opacity projecting over the anterior end of the right fourth rib could be a lung nodule or sclerosis and the rib or even the right nipple. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.

history: <unk>m with shortness of breath // r/o chf/pneumonia

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. There is flattening of bilateral hemidiaphragms, which raises suspicion for possible chronic obstructive pulmonary disease. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications are noted at the aortic arch. The patient is status post left mastectomy. Post-surgical changes are also noted with clips in the right axilla.

altered mental status.

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Multiple median sternotomy wires are re-identified. There are mediastinal surgical clips, as well as a left mediastinum vascular stent. The cardiac silhouette is mildly enlarged. The bilateral hila are unremarkable. There is suggestion of pulmonary vascular congestion without overt pulmonary edema. There is no definite focal consolidation. There is no pneumothorax or pleural effusion.

<unk>f with dyspnea, evaluate for pneumonia.

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The lungs are clear. There is no pleural effusion or pneumothorax. Lobulation of the mediastinal contour of the main pulmonary artery and the left hilus could be due to mild adenopathy. Any prior radiographs should be obtained to see if this is a new finding. If stability cannot be determined, i recommend repeat cxr in <num> weeks.

<unk>-year-old male with a rash in need of evaluation for pneumonia.

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In comparison with the study of <unk>, the endotracheal tube and dobbhoff tube have been removed. Diffuse prominence of coarse interstitial markings persists, consistent with the diagnosis of pulmonary edema. Volume loss in the left lower lobe with associated effusion again seen, probably with a small right effusion as well. The possibility of supervening pneumonia is difficult to exclude on this study given the extensive changes in the lung.

pneumonia and hypoxia.

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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Minimal retrocardiac opacification is likely atelectasis. No pleural effusion or pneumothorax is evident.

chest discomfort. assess for pneumonia.

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There is no evidence of mediastinal lymphadenopathy. Cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax. Lungs are clear.

<unk>-year-old woman with atypical lymphocytes, night sweats and fatigue. question mediastinal adenopathy.

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Pa and lateral views of the chest provided. Implanted anterior chest wall of device is noted. The lungs appear clear. A retrocardiac gas filled structure could represent a small hiatal hernia. Cardiomediastinal silhouette appears grossly unremarkable. Bony structures are intact. No free air is seen below the right hemidiaphragm.

<unk>f with jaw pain

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Upper thoracic spinal hardware is intact. The lungs are clear, and the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.

<unk>-year-old post-stem cell transplant with fevers.

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The lungs are normally expanded. Faint opacity at the left base may represent atalectasis or early infiltrate. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

shortness of breath, cough. evaluate for pneumonia.

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Pa and lateral views of the chest. No prior. There are bibasilar parenchymal opacities identified. Given low lung volumes, however, these could be due to atelectasis. There is no pleural effusion. Cardiomediastinal silhouette is within normal limits, as are the osseous and soft tissue structures.

<unk>-year-old male with cough and fever. question pneumonia.

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The heart is at the upper limits of normal size with a left ventricular configuration. The mediastinal and hilar contours appear within normal limits. The lung volumes are low. There is mild relative elevation of the right hemidiaphragm compared to the left side. There is no pleural effusion or pneumothorax. The lungs appear clear. Cholecystectomy clips project over the right upper quadrant of the abdomen. Bony structures appear within normal range.

chest pain. question pneumonia.

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The lungs are relatively hyperinflated without consolidation, effusion, or vascular congestion. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with chest pain // focal infiltrate? cardiomegaly?

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Dual lead pacemaker and median sternotomy wires are unchanged and in good position. There is increasing linear atelectasis and bilateral small pleural effusions. No interstitial pulmonary edema. No acute focal consolidation. The cardiomediastinal silhouette is unchanged.

<unk> year old woman with pacemaker for mri. // patient with pacemaker please assess integrity.

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There is no focal consolidation, pleural effusions or pneumothorax. There is mild bronchial wall thickening, which may be due to asthma or bronchitis. Cardiomediastinal silhouette is within normal limits. Surgical clips are noted in the right upper quadrant. No acute osseous abnormalities.

<unk> year old woman with hx of asthma complaint of several months of cough, sob // infiltrate?

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

<unk> year old woman with history melanoma status post resection, evaluate for metastatic disease.

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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic cardiac valve noted. The lungs are hyperinflated with streaky reticular markings as seen previously likely representing a component of fibrosis. No lobar consolidation, effusion or pneumothorax. No overt edema. Heart and mediastinal contours are stable. Bony structures are intact. Dish related changes of the t-spine noted.

<unk>m with dyspnea // acute cardiopulm disease

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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 cough // infiltrate?

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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Linear opacity at the right lung base likely represents atelectasis. No focal consolidation to suggest pneumonia. No displaced rib fractures are seen.

<unk>f with shortness of breath after fall <num> days ago and left upper rib pain.

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Patient is status post median sternotomy and aortic valve replacement. Mild cardiomegaly is unchanged. The aorta remains diffusely calcified and tortuous. Pulmonary vasculature is not engorged. Patchy ill-defined opacities are seen within the left upper lung field and left lung base concerning for infection. The right lung is grossly clear. There is no pleural effusion or pneumothorax present. There are mild diffuse degenerative changes of the thoracic spine.

history: <unk>m with tachycardia

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Moderate cardiomegaly is unchanged. Calcifications in the aortic knob are once again re- demonstrated. There is central pulmonary vascular predominance with cephalization with mild interstitial edema. There are tiny bilateral pleural effusions. Previously seen increased opacities in the right base have improved. A calcified granuloma in the left lung is unchanged. There are subtle bibasilar densities which could represent atelectasis. There is no pneumothorax.

ascites. evaluate for pleural effusions.

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The cardiomediastinal hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation. Pulmonary vasculature is within normal limits. An air-fluid level is again seen within the stomach. The left hemidiaphragm remains slightly elevated compared to the right.

<unk>m with syncope // eval for cardiopulmonary process

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lung volumes are slightly low, but the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.

history: <unk>f with cough productive of yellow sputum

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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.

cough.