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

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. There is mild left base atelectasis. A trace right pleural effusion is noted. A nodular opacity projecting over the left lower lung is again seen, now measuring <num> mm. As before, this is consistent with a calcified granuloma. No focal consolidation or pneumothorax is identified. No fracture is visualized.

rib pain after fall. evaluate for acute process.

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Bilateral lungs are clear. There is no pleural effusion or pneumothorax. Blunting of the left costophrenic angle and a linear opacity at the mid left lung are unchanged and likely reflect postoperative changes from left lower lobe wedge resection. Cardiomediastinal silhouette is normal size.

<unk> year old woman with + ppd, no chronic cough, fever, weight loss, night sweats. non-smoker. of note, patient had hypersensitivity pneumonitis in <unk>. // r/o pulmonary tb (job requirement)

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Left-sided pacer device is stable in position. Right-sided port-a-cath is seen terminating at the cavoatrial junction. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette moderately to markedly enlarged and the aorta calcified. Persistent blunting of the left costophrenic angle is seen consistent with a small left pleural effusion with overlying atelectasis. Possible trace right pleural effusion is also present. Chain sutures are again noted at the right lung base. Evidence of mitral annulus calcification is seen. No evidence of pneumothorax is seen.

history: <unk>f with altered mental status, cough // ?ich ?pneumonia

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No previous images. There is hyperexpansion of the lungs consistent with chronic pulmonary disease. However, no acute pneumonia, vascular congestion, or pleural effusion. Prominent scoliosis of the lower thoracic spine convex to the right.

elevated white count, to assess for pneumonia.

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Heart size is borderline enlarged. The aorta remains tortuous with marked calcifications of the aortic knob. There is no pulmonary vascular congestion. Bilateral calcified pleural plaques are re- demonstrated, with evidence of honeycombing, bronchiectasis and fibrosis within the lung bases, similar compared to the prior exam. No new focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.

generalized malaise.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Relative elevation of left hemidiaphragm is again noted. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities noted, hypertrophic changes seen in the spine.

<unk>m with headache // evaluate for bleed

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Biventricular icd noted over the left chest with leads properly projecting over the right ventricle, right atrium, and left ventricle. Sternotomy wires and surgical clips are unchanged. The heart is top normal in size. Opacification of the right lung seen previously, likely representing layering of pleural effusion is no longer seen in this upright radiograph. There is a small right-sided effusion seen better on the lateral radiograph. There is a new area of opacity at the right cardiophrenic angle, possibly representing an area of fluid or segmental atelectasis in the lower lobe. No pneumothorax.

<unk>-year-old man with new biventricular icd.

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Lung volumes are low. Subtle, increased density in the right middle lobe appears increased from the prior examination, and may reflect aspiration versus developing pneumonia. There is no pleural effusion, pneumothorax, or pulmonary edema. The heart is mildly enlarged.

history: <unk>f with h/o dm presenting with cough with some blood tinged sputum. // eval for pneumonia

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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unchanged. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. Blunting of the left costophrenic angle posteriorly is chronic, likely reflecting mild pleural thickening. No pleural effusion or pneumothorax is detected. There are mild degenerative changes in the thoracic spine.

mild cough and altered mental status.

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The lungs are clear. The cardiac silhouette is normal. The aorta is mildly tortuous with calcifications at the aortic knob. No pleural effusion, pulmonary edema, or pneumothorax. There is unchanged eventration of the right hemidiaphragm. Multilevel degenerative changes are seen in the thoracic spine.

<unk>m with ams // pneumonia?

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Right picc terminates in the mid svc, unchanged. No pneumothorax. Lung volumes are slightly increased with decreased left basilar atelectasis. No pulmonary edema. No pleural effusion.

<unk> year old woman with afib on apixaban with subdural bleed, with recent cxr c/w hap pna now with worsening wbc // ?worsening hap/vap

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

<unk>m with cp // ptx

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The cardiomediastinal and hilar contours are within normal limits. There is dense calcification of the aortic knob. Lungs are well expanded and clear. Pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.

nausea, weakness, sweats. evaluate acute cardiopulmonary disease.

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Heart size is normal and unchanged. There is an unchanged right port catheter with tip in the mid svc. The aorta is calcified, indicating atherosclerosis. The mediastinal and hilar contours are stable. No pulmonary edema is seen. There is left basilar atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen.

history: <unk>m with fever // pna?

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Dual lead pacemaker/icd unchanged. Lung volumes are low. There is no airspace opacity. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

weakness.

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The lungs are hyperinflated. A vague nodularity is noted overlying the right upper lobe on the ap view and most likely representative of costochondral calcifications at the right anterior first rib. There is mild left basilar atelectasis. Otherwise, the lungs are without a focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures identified. Mild degenerative changes are noted throughout the thoracic spine.

cough.

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

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

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

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

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The lung volumes are decreased compared to the prior study from <unk>, with elevation of the minor fissure, which contains either a small amount of fluid or is thickened. There are moderate bilateral pleural effusions, difficult to quantify but likely increased, although decreased lung volumes are a confounding factor in evaluating for change. Bibasilar associated parenchymal opacities could represent compressive atelectasis, although concomitant infection in either lung base is not excluded. There is pulmonary vascular congestion without frank interstitial edema. The heart size is difficult to assess but appears moderately enlarged. The mediastinal contours are unchanged, with widening of the mediastinum attributable to known dilatation of the thoracic aorta. Midline sternotomy wires are intact. Scattered mediastinal clips are again seen. Multilevel degenerative changes of the thoracolumbar spine are noted.

recent thoracic aorta repair, now with nausea and shoulder pain. please evaluate postoperative appearance.

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Pa and lateral views of the chest demonstrate background pulmonary fibrosis, as before with decreased volume of right pleural effusion and persistence of left pleural effusion with bibasilar atelectasis. There is no pneumothorax. Although no focal consolidation is identified, an underlying infectious process in the setting of atelectasis and pulmonary fibrosis cannot be completely excluded. Multiple wedge compression deformities within the thoracic spine were present previously.

shortness of breath bilateral lower extremity swelling.

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Right chest cardiac device with associated dual leads is unchanged in appearance. There is a mildly tortuous thoracic aorta. The cardiomediastinal contours are unchanged. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.

<unk>-year-old man with immunosuppression evaluate for pneumonia.

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The heart is mildly enlarged. There are streaky left basilar opacities suggesting atelectasis or scarring that appears similar to the prior examination. There is no pleural effusion or pneumothorax. The bones are demineralized. There are mild degenerative changes throughout the thoracic spine. Mild compression of a thoracolumbar vertebral body appears similar. The bones are demineralized.

weakness.

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A right upper extremity picc courses into the mid svc. Small left pleural effusion is slightly larger. There is no right pleural effusion. No pneumothorax or focal airspace consolidation worrisome for pneumonia. The known pulmonary nodules, thought to be rheumatoid in nature, are partially visualized. The largest is seen in the left lobe lung and measures <num> x <num> cm, unchanged accounting for differences in technique. The known necrotic left lower lobe nodule is partially visualized through the left hemidiaphragm. There is an <num> mm nodular opacity seen in the right upper lung and a smaller, vague opacity in the left mid lung, which were not visualized on the chest ct from <unk>. The mediastinal and hilar structures are unremarkable. Heart size is normal. No pulmonary edema.

anemia, chronic kidney disease and right-sided pleuritic chest pain with hypertension. evaluate for pneumonia.

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As compared to the previous radiograph, the left chest tube has been pulled back. The sidehole is now in the chest wall. Minimal decrease in extent of the pre-existing left pleural effusion. Postoperative left basal changes, including a plate-like atelectasis. No pneumothorax. Normal size of the cardiac silhouette. Normal-appearing right lung, unchanged normal course of the left picc line.

status post vats decortication.

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. There is dextroconvex scoliosis of the thoracic spine.

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

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In comparison with the study of <unk>, there is little interval change. Again there is flattening of the hemidiaphragmatic contour with blunting of the costophrenic angle on the right. This most likely reflects pleural thickening related to prior effusion or infection. No evidence of acute focal pneumonia or vascular congestion.

cough and low-grade temperature.

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The lungs are clear. Mild biapical scarring is noted. Mild retrocardiac parenchymal scarring. The cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

history: <unk>m with shortness of breath, wheezing. evaluate for pneumonia.

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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 woman with chest pressure for <num> day. evaluate for acute cardiopulmonary process.

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The lungs are not as well expanded as on prior but clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

<unk>f with hx of asthma, cough now, psl <unk> <unk> pna // history: <unk>f with hx of asthma, cough now, psl <unk> <unk> pna

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There are small bilateral pleural effusions, better seen compared the prior radiograph. Right picc line tip is near cavoatrial junction. Enteric tube tip is not included on the film, is below diaphragm. Shallow inspiration accentuates heart size, pulmonary vascularity.

<unk>f with gallstone pancreatitis (admitted <unk> <unk>) now with worsening abd pain/fever/n/v with worsening peripancreatic fluid collections w/ new locules of air. nocturnal desats, pleural effusions found on ct, persistent heartburn. // pls evaluate for-size of pleural effusions-acute intrathoracic process

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are stable with the heart mildly enlarged. No acute fractures are identified.

fever.

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Mildly enlarged heart. Pulmonary vascular congestion is improved from previous chest radiograph. No consolidation, pleural effusion or pneumothorax is seen. Left axillary surgical clips are seen consistent with history of breast cancer and resection.

<unk>-year-old woman with atrial fibrillation, breast cancer now with leukocytosis. evaluate for pneumonia.

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There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

panic attacks, syncope, fatigue.

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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. The bony structures are unremarkable.

chest pain.

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The lungs are well expanded and clear. Pleural surfaces are normal without pleural effusion or pneumothorax. The heart is mildly enlarged, however, is unchanged from prior study. Mediastinal and hilar contours are normal. Atherosclerotic calcification of the aortic arch noted. Visualized osseous structures are unremarkable.

fever. assess for pneumonia.

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Aside from aortic knob calcifications, the cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation. Chronic rib deformities in the right posterior upper ribs are again seen.

history: <unk>m with one week of mid epigastric pain, sob, chills.

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There are no significant changes since the prior radiograph on <unk>. The right port-a-cath terminates at the cavoatrial junction. There is an area of nodularity that obscures the distal right paratracheal stripe, which may be due to lymphadenopathy or other soft tissue lesion. It is unchanged since the <unk> cxr, and likely corresponds to the focus of fdg avidity on the <unk> pet-ct. No significant change in small right pleural effusion and adjacent atelectasis. The left lung is essentially clear. No pneumothorax or pneumomediastinum. Stable cardiomediastinal silhouette. No free air under the diaphragms.

<unk> year old woman with esoph cancer, s/p neoadjuvant chemorads then <unk> esophagectomy and j tube placement. // eval for interval change

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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 elevated white count, fever and chills, evaluate for pneumonia.

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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. Heart size is normal. Mediastinal silhouette and hilar contours are normal allowing for lung volumes.

lightheaded.

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. There is mild leftward convex curvature centered along the lower thoracic spine. There is no free air.

upper abdominal pain.

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Lung volumes are low, accentuating the heart size, and crowding the bronchovascular structures. Nodular opacities overlying the spine seen on the lateral view appear unchanged compared to the prior chest radiograph, as does atelectasis or scarring in the right mid and upper lung. Bilateral costophrenic angle blunting may likely represents small pleural effusions. There is no pneumothorax. Median sternotomy changes and densely calcified thoracic aorta are again noted. Severe vertebral compression deformity of the l<num> vertebral body is unchanged.

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

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There is an opacity seen within the right lung projecting over the seventh posterior rib. In the appropriate clinical context, this should be considered as pneumonia. Heart appears to be normal in size. There are calcifications within the arch of the aorta. No pleural effusion and no pneumothorax.

<unk>-year-old gentleman with cough and fever, onset three days ago, slightly decreased right lower lobe breath sounds.

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There is a new right-sided pleural effusion. Vague opacities in the right lower lung are also seen and appear new as well compared with <unk>. There are also increased opacities projecting over the heart in the left. There is no left-sided effusion. Previous drainage has been removed. A left-sided picc ends in the lower svc. An accessory azygos fissure is redemonstrated. Clips from bilateral mastectomies are present.

<unk>-year-old female with history of bilateral mastectomy now with fever.

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Heart size is normal. The mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Pulmonary vasculature is normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Previously seen <num> mm spiculated nodule in the right apex is better assessed on the previous ct. No pleural effusion or pneumothorax is seen. Mild compression deformity of a mid thoracic vertebral body is unchanged.

dyspnea, chest pressure.

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The lungs are hyperinflated. There is no focal consolidation. The cardiac silhouette is normal. There is mild bulging of the right mediastinal contour for, likely secondary to the ascending aorta. There is no pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine.

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

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Pa and lateral views of the chest provided. Lungs are clear. Mediastinal and hilar contours are normal. Surgical clips in the left axilla is again seen.

<unk> year old woman with shortness of breath and cough, evaluate for pneumonia

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In comparison with study of <unk>, there has been placement of a right ij catheter that extends to the lower portion of the svc. The right pic line appears to extend into the right atrium. There is continued enlargement of the cardiac silhouette. Areas of opacification in the right mid and lower lung zones have decreased, but are still present. Widening of the upper mediastinum most likely reflects some combination of longstanding adenopathy and fat deposition.

fluid overload.

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. A feeding tube terminates below the diaphragm. No new radiopaque foreign body. Osseous structures are unremarkable.

<unk>-year-old male with cirrhosis. evaluate for pneumonia.

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The lung volumes are normal. The lung shows normal structure and transparency. With the exception of a small atelectasis at the left lung bases the lung parenchyma is free of parenchymal opacities. No lung nodules or masses. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures on both the frontal and the lateral image.

<unk> year old man with long history of smoking and now with myopathy // evaluate for mass

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Lung volumes are low causing crowding of the central bronchovascular structures. There is possible mild central vascular congestion. The heart is mildly enlarged and stable, and the patient is status post median sternotomy and coronary artery bypass. There is no pleural effusion, pneumothorax or overt pulmonary edema. The patient is status post cholecystectomy. No displaced rib fractures are seen.

<unk>-year-old female with left anterior rib pain post fall. evaluate for fracture or pneumothorax.

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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 hyperglycemia r/o inf // r/o inf

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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

patient with progressive lower extremity weakness, rule out intrathoracic process.

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Slight prominence of the interstitial markings at the lung bases likely correspond to patient's known chronic interstitial lung disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiomediastinal silhouette is stable.

<unk>-year-old male with syncope.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Tiny nodular density projecting over the upper lung field on lateral view only is likely external to the patient as it is not seen on frontal view. Heart and mediastinal contours are within normal limits.

<unk>-year-old male with lightheadedness and near syncope.

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Upright ap and lateral views of the chest provided. Dual lead pacemaker is unchanged in position with leads extending to the region of the right atrium and right ventricle. Bilateral pleural effusions are again seen, right greater than left. Associated compressive lower lobe atelectasis is likely also present. A retrocardiac density containing an air-fluid level likely represents a hiatal hernia. Coarsened curvilinear structures projecting over the heart likely represent mitral annular calcification. No pneumothorax is seen. Pneumonia is difficult to exclude in the lower lungs given effusions and subjacent consolidation. No acute bony abnormality is seen. Dish related changes of the thoracic spine with chronic appearing deformity of the right humeral head.

<unk>m with dyspnea, chest pain s/p fall.

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. The lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. No definite fracture is identified.

back pain, with right-sided thoracic pain for one month.

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There are bibasilar vague opacities. The lung volumes are low and there is significant overlying soft tissue which limits evaluation. There is likely pulmonary vascular congestion and mild cardiomegaly. Pneumonia at the lung bases cannot be entirely ruled out. There is no pneumothorax. There is a possible small right pleural effusion.

prostate cancer, fever, hypoxia.

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Pa and lateral views of the chest provided. Lung volumes remain low. 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.

history: <unk>m with hemoptysis, h/o multiple clots // ? acute cardoiuplm process

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Lung volumes remain low, resulting and accentuation of the cardiomediastinal contours and crowding of bronchovascular structures at the lung bases. Within this context, predominantly linear bibasilar opacities probably reflect atelectasis. The previously demonstrated left lower lobe opacity has decreased in extent on the lateral view. No pleural effusion.

<unk> year old man with htn, copd // ?pneumonia. decreased o<num> (<unk>%), increased cough, but sig coughing at baseline with severe copd. no fever. prior pneumonia <unk> so which to make sure that infiltrate has resolved.

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Left-sided volume loss is compatible with patient's history of left lower lobe segmentectomy. There is subtle loss of the medial left hemidiaphragm. There is no focal consolidation on the lateral view. Trace left pleural effusion is noted as suggested by blunting of the posterior costophrenic angle. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Degenerative changes noted in the lower thoracic spine.

<unk>f with dm ii and hyperglycemia. // please eval for infectious process additional history of left lower lobe basal segmentectomy.

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There are small bilateral pleural effusions and bibasilar platelike atelectasis, without focal consolidation concerning for pneumonia or pneumothorax. Heart size mediastinum, and hilar contours are stable.

<unk> year old man with cough, chest pain, post perc bili drain. evaluate for consolidation.

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Ap upright 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. Anterior spurring in the mid to low thoracic spine is noted. No free air below the right hemidiaphragm is seen.

history: <unk>f with falls // eval infiltrate

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The lung volumes are low. Nodular and linear opacities in the left lower lung may represent atelectasis or, less likely, mucoid bronchial impaction. Right lower lobe opacity is more typical of atelectasis. No pneumothorax or effusion is present. Subcutaneous emphysema is visualized along the left flank. There is mild prominence of the valvulae conniventes in a loop of small bowel in the left upper quadrant.

<unk>-year-old woman with shortness of breath after right partial nephrectomy.

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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.

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

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Frontal and lateral chest radiographs demonstrate a mildly enlarged heart. The lungs are well aerated and clear. There is no pneumothorax or pleural effusion. The left hemidiaphragm is somewhat flattened, unchanged in appearance compared to prior exam.

patient being evaluated for acute cva. evaluate for acute process.

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Mild cardiomegaly and enlargement of central pulmonary vessels is similar to <unk>. Previously present interstitial edema has resolved. Lungs are hyper expanded and grossly clear. No pleural effusion or acute skeletal findings.

<unk> year old woman with hx smoking ongoing cough productive for two weeks weak fatigue // pls eval pna copd exac

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The lungs are clear. Cardiac silhouette is normal in size. Low lung volumes contribute to a somewhat crowded hilar region. There is no pleural effusion. There is no pneumothorax.

chest pain.

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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with fever cough // r/o pna

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Chest, pa and lateral. The lungs are clear. Moderate cardiomegaly is unchanged. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

worsening right sided weakness with facial numbness.

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There is engorgement of the vascular pedicle with cephalized and indistinct pulmonary vascularity. No discrete focal consolidation is noted. The mediastinum is unremarkable otherwise. The cardiac silhouette is enlarged, but stable. No effusion or pneumothorax is noted. The osseous structures are unremarkable.

shortness of breath and chest pain.

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unchanged, with a tortuous thoracic aorta. The cardiac size is within normal limits. No pleural effusion, pulmonary edema, pneumothorax, or focal consolidation is seen.

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

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Right ij catheter ends in the distal svc. There has been interval removal of the enteric tube. There is a right lower lobe consolidation which has improved compared to prior chest x-ray. There is bibasilar atelectasis. Moderate cardiomegaly is stable.no pleural effusion or pneumothorax is seen. A calcified liver cyst is noted.

<unk>m hx hiv/anal cancer s/p chemo/rads with perf ileum now s/p exlap/<num>*repair slow to progress and leukocytosis // assess for abnormalities

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There is a small left pleural effusion. There is no focal consolidation, pulmonary edema or pneumothorax. The cardiomediastinal silhouette is normal.

<unk> year old male with alcoholic cirrhosis, right upper quadrant pain.

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As compared to prior chest radiograph from <unk>, there has been no significant change. The heart is mildly enlarged. Pulmonary vasculature is normal. Streaky bibasilar opacities likely reflect atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are seen.

<unk>-year-old woman with ams. rule out pneumonia.

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No previous images. There is some hyperexpansion of the lungs on the lateral view, consistent with the clinical diagnosis of chronic pulmonary disease. However, no acute pneumonia, vascular congestion, or pleural effusion.

smoking history, to assess for copd changes.

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The right pigtail catheter has been removed. No reaccumulation of the pneumothorax seen. Apical bullous changes are similar in appearance. No consolidation or pleural effusion seen. The cardiomediastinal contour is normal.

<unk> year old man with right spontaneous pneumothorax // please schedule for <num>pm today. evaluate for interval change; s/p <num> hr chest tube clamp trial.

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

<unk>m with cough and congestion

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Compared with the prior radiograph, the large left pleural effusion with associated left lower lobe collapse has worsened. On the lateral view, there may be pleural fluid along the left major fissure. Left pleurx catheter ends in the left pleural space. No pneumothorax. The heart size is indeterminate, as it is obscured by the pleural effusion. Mild edema in the right lung has improved. No new focal consolidations concerning for pneumonia.

<unk> year old man with metastatic lung ca s/p pleurx, decreased drainage, please eval for effusion re-accumulation.

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As compared to the previous radiograph, the lung volumes have slightly decreased. The size of the cardiac silhouette has consequently increased and is moderately above the upper range of normal. The hilar structures are borderline in diameter. Tortuosity of the thoracic aorta. No pleural effusion, no pulmonary edema. No pneumonia.

acute renal failure, evaluation for fluid overload.

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There is persistent moderate enlargement of the cardiac silhouette with mild to moderate pulmonary edema, perhaps slightly worsened than the prior radiograph. Band like opacity in the left lower lobe may reflect developing infection. Aortic knob is calcified, unchanged. Bibasilar atelectasis is unchanged.

<unk>m with mild volume overload on cxr yesterday, feeling worse with increasing dyspnea, productive cough x <num> days. evaluate volume status, reassess for interval development of infiltrate.

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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. Rounded calcified bodies projecting over the left shoulder joint again may reflect synovial osteochondromatosis.

history: <unk>m with seizure

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The lungs are clear. There is no pneumonia. The mediastinal and cardiac contour are normal. There is no pneumothorax or pleural effusion.

patient with alcoholic hepatitis, rule out 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. No displaced fracture is seen.

pain query acute injury.

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The cardiac, mediastinal and hilar contours appear stable. The heart is normal in size. Streaky opacities at the left lung base suggests minor unchanged scarring. A similar finding is also unchanged in the right costophrenic sulcus. Right basilar opacity has continued to decreased as best judged on the frontal view. There is no pleural effusion or pneumothorax. There again widespread sclerotic skeletal bony metastases. Right-sided rib deformities appear unchanged.

fever and chemotherapy.

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There is a large right pleural effusion and small left pleural effusion, both with overlying atelectasis. Mild fluid overload is demonstrated. The cardiac silhouette remains enlarged. Mediastinal contours are stable. No pneumothorax seen.

<unk> year old man with cirrhosis, volume overload // eval for pulm edema

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This is a complex case in which the ct of <unk> showed new ground-glass opacities, nodules and interlobular septal thickening for which a broad differential diagnosis was mentioned including amiodarone, cop, vasculitis. The lung opacities on today's exam have worsened since <unk>. It is indeterminate on this chest x-ray if this represents the worsening of the known interstitial lung process or superimposed acute process due to hemoptysis or edema for example. There is no pleural effusion. Moderate cardiomegaly is unchanged. There is no pneumothorax.

patient with new hemoptysis, worsening of dyspnea, rule out intrathoracic process.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusions or pneumothorax.

shortness of breath. history of asthma.

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The heart size, mediastinal, and hilar contours are normal. Except for faint bibasilar atelectasis, the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.

<unk>f with substernal chest pain radiating to the back. eval for acute process, infection, enlarged mediastinum.

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The cardiomediastinal silhouette is normal. The hila are normal. The lungs are well expanded and clear. The previously seen wedge-shaped opacity adjacent to the left hemidiaphragm has resolved. The left hemidiaphragm is chronically elevated and unchanged from prior. No pleural abnormalities. No pneumothorax. No fractures. There is increased radiodensity in the spine consistent with the history of chronic kidney disease. The fracture stabilization wires are unchanged.

<unk> year old man with decreased breath sounds // history of left lobe consolidation

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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.

history: <unk>f with cough and dyspnea // r/o infiltrate

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The lungs are clear with no evidence of consolidation or pneumothorax. There is slight prominence of pulmonary vasculature, suggestive of mild increase in central venous pressure. No acute fractures are identified.

evaluation of patient with severe epigastric pain.

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Frontal and lateral radiographs of the chest were acquired. There has been interval removal of both a dobbhoff tube and left picc. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

epigastric pain. assess for pneumonia.

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In comparison with the study of <unk> from an outside facility, the patient has taken a somewhat better inspiration. Cardiac silhouette is within normal limits, and there is mild tortuosity of the aorta. No acute pneumonia, vascular congestion, or pleural effusion. Minimal atelectatic changes at the bases. Of incidental note is a kyphoplasty involving a mid-to-lower thoracic vertebral body.

hypertension and reflux.

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Moderate left pleural effusion with overlying atelectasis. The right lung is clear. No pneumothorax identified. The size and appearance of the cardiac silhouette is unchanged.

<unk> year old man with cll/sll // worsening dyspnea, concerning for re-accumulation of pleural effusion, please re-evaluate

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Subtle reticulation at the lung bases was seen previously in a similar distribution. The lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.

history of ckd and hypertension with altered mental status.

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A right internal jugular approach central venous dialysis catheter is present with tip terminating in the low svc. Bilateral pleural effusions are present, small to moderate on the right and small on the left, with moderate pulmonary edema. Opacification of the right lung base may be accounted for by the pleural effusion with associated atelectasis, but an underlying consolidation is not excluded; the right hemidiaphram also appears elevated. There is no pneumothorax. There is moderate cardiomegaly, and the mediastinal contours are unremarkable.

<unk>-year-old male, preoperative assessment.

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Frontal and lateral views of the chest were obtained. Large bore central catheter terminates in the right atrium, in similar position to prior. Ivc filter has a stable orientation. Heart size and cardiomediastinal contours are normal. Linear opacity in the right mid lung is unchanged and consistent with atelectasis. No focal consolidation, pneumothorax, or substantial pleural effusion.

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

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Frontal and lateral views of the chest are compared to previous exam from <unk>. There are increased interstitial markings similar to previous exam. There is also left basilar opacity which partially silhouettes the hemidiaphragm and descending thoracic aorta. Elsewhere the lungs are clear of confluent consolidation. Cardiac silhouette is enlarged but stable. There is no large effusion. Compression deformities in the lower thoracic and upper lumbar spine are as on previous exam. Acute slighlyt displaced left posterior <unk> through <num>th rib fractures are seen.

<unk>-year-old female with afib and chf, status post fall one week ago, now with shortness of breath.

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The cardiomediastinal shadow is unchanged. Left-sided prepectoral port-a-cath in situ with the tip in the distal svc. Right perihilar opacity is slightly more dense and shows a configuration change compared to prior imaging (it is not known of how much the decreased lung volumes contribute to this finding). Interval increase in the right basilar opacity which may reflect atelectasis or consolidation. Small associated pleural effusion. Left basal atelectasis with small effusion unchanged. No pneumothorax.

<unk> year old woman with breast cancer poc in place // no blood return, check location of catheter tip

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The heart size is mildly enlarged. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There is no pneumothorax or pleural effusion. No definite fracture is identified in the ribs bilaterally. Again seen is the expansile right lateral <num>th rib lesion. Although this appears slightly more prominent, this could be secondary to technique.

<unk>-year-old male with a history of one month of rib pain. rule out left lower rib fracture.