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

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Since <unk>, small right pleural effusion is new, small left pleural effusion is stable, and bibasilar consolidation has increased, moderate in the right and small in the left, concerning for aspiration in addition to atelectasis . A surgical drain is seen only on the lateral view projecting posterior to the heart. <unk> thoracostomy tube, mediastinal drain, and right chest tube are unchanged. No pneumothorax. The cardiomediastinal silhouette and hilar structures are normal.

<unk> year old man s/p mie // check interval change

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The lungs are normally expanded. Opacity at the left costophrenic sulcus is unchanged since at least <unk>. There is no new focal airspace opacity to suggest pneumonia. There is no pulmonary edema. The heart is not enlarged. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

chest pain and shortness of breath. evaluate for edema, effusion or cardiomegaly.

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

history: <unk>f with pre-syncope

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Pa and lateral images of the chest demonstrate well expanded lungs with prominent interstitial markings bilaterally. A very small pneumothorax remains, now this has improved since previous imaging. Right pigtail catheter is seen again in place in the right lower chest. Left pleural effusion is again seen, unchanged from prior imaging. Again seen is a collapsed lower thoracic vertebra which appears to be chronic since at least <unk>. Other visualized osseous structures are unremarkable.

<unk>-year-old male with chf and right hydropneumothorax, status post thoracostomy with pigtail catheter placement.

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Bilateral pleural effusion is small. There is no pneumothorax. Linear opacity is identified in the left lower lobe. There is bilateral increased perihilar interstitial markings. Cardiac silhouette is mildly enlarged.

history: <unk>m with weakness s/p <unk> <unk> // eval for acute process

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. A vague right infrahilar opacity is noted, not definitively seen on prior exams. There is no pleural effusion or pneumothorax.

<unk>m with chest pain // evidence of pneumonia

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

history: <unk>m with dizziness, not feeling well // please eval for any infectious process

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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. The left hemidiaphragm is notably elevated of unclear etiology. No gastric bubble evident. Lungs are clear. No pleural effusion or pneumothorax. Multiple mid thoracic vertebral compression deformities present.

left upper quadrant pain, assess for infection.

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Heart size is mildly enlarged. The aorta remains tortuous and diffusely calcified. Mild pulmonary vascular congestion is present, however this is improved compared to the previous radiograph. There is mild elevation of the right hemidiaphragm, unchanged, with no focal consolidation, pleural effusion or pneumothorax identified. No acute osseous abnormalities seen. A vascular stent is noted within the region of the left axillary and subclavian vessels.

history: <unk>m with neck pain, esrd on dialysis here with new oxygen requirement

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The cardiac, mediastinal, and hilar contours appear unchanged. There are vague right mid lung opacities, which are for the most part fairly similar to the prior study, although with an increase in the left suprahilar region. There is no pleural effusion or pneumothorax. There are mild degenerative changes along the thoracic spine.

history of cirrhosis and alveolar proteinosis, presenting with malaise and orthostasis.

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The opacity in the right lower lobe has improved since the previous exam, likely improving infection. Again seen are small bilateral pleural effusions, unchanged from the prior exam. Lung parenchyma is otherwise unchanged. There is no pneumothorax. Cardiomediastinal silhouette is unchanged. Imaged upper abdomen is unremarkable.

history of weakness and cough, question pneumonia.

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There is no focal consolidation, pleural effusion, or pneumothorax. There is no evidence of pulmonary vascular congestion. Cardiac silhouette is mildly prominent but unchanged from prior exam. Osseous structures are unremarkable.

<unk>-year-old woman with orthopnea, question chf.

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Frontal and lateral chest radiographs demonstrate an unchanged cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.

history: <unk>f with shortness of breath // eval for pna

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Heart size is normal. The aorta is mildly tortuous. The pulmonary vascularity is normal. Hilar contours are unremarkable. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Linear calcifications along the anterior pleura within the left hemithorax likely reflect pleural plaques, and probably account for the <num> x <num>cm rounded opacity projecting over the left <unk> anterior rib. There are no acute osseous abnormalities.

chest pain.

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Since prior, there has been a mild interval increase of the moderate left pleural effusion with associated atelectasis. Small right pleural effusion is stable. Cardiomediastinal silhouette is unchanged. There is no pneumothorax. Right ij central venous catheter ends in the upper svc.

<unk> year old man s/p cabg, evaluate for interval change.

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The lungs are well expanded. There is no focal consolidation. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with generalized weakness and cough. evaluate for acute process.

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or overt pulmonary edema. The heart size is top normal. The mediastinum is stable. No acute bony abnormality is detected.

cough, evaluate for pneumonia.

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A picc line terminates in the superior vena cava, inserted via a right-sided approach. An extensive opacity in the left upper lung is quite similar. A large cavitary component within the central part of left upper lobe consolidation appears unchanged. A left-sided pleural effusion appears likely decreased. However, the main change is that there is new patchy opacity in the left lower lobe with upward tenting of the left hemidiaphragm and volume loss. A mild-to-moderate lower thoracic compression deformity is unchanged.

fever.

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Frontal and lateral radiographs of the chest show stable air space consolidation the right mid lung field, consistent with pneumonia. The cardiac silhouette appears slightly smaller on this exam, likely secondary to technique. Small right sided pleural effusions is superimposed on known pleural thickening, and has increased slightly over the interval. There is blunting of the left costophrenic angle. No pneumothorax. .

<unk> year old man with fever, leukocytosis, pcxr with right sided opacity // better characterize right sided opacity

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Right picc tip ends in the low svc. The lungs are hyperexpanded with flattening of the hemidiaphragms suggesting chronic pulmonary disease, unchanged. Bronchovascular congestion is unchanged. Small right pleural effusion is also minimally changed. Blunting of the left costophrenic angle may indicate a trace left pleural effusion or scarring. No pneumothorax. The cardiomediastinal silhouette is within normal limits. No focal consolidation to suggest focal pneumonia.

history: <unk>m with history of aml, copd and recurrent pneumonia presenting with <num> days of shortness of breath w/ mildcough. // pneumonia, effusion, cardiomegaly?

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Frontal and lateral radiographs of the chest when compared to the prior study demonstrate new asymmetric opacity at the left base well seen on the frontal and in the retrocardiac region, well seen on the lateral, corresponding to a left lower lobe pneumonia. Additionally, there is mild increase in interstitial markings concerning for worsening pulmonary edema. Mild-to-moderate cardiomegaly is noted and stable. Intact median sternotomy wires are seen. A tortuous aorta alters the contour of the mediastinum which is otherwise unchanged. The remainder of the lung parenchyma is clear. No pleural effusion or pneumothorax is seen.

cml and neutropenia with worsening cough and diffuse rales. evaluate for pneumonia.

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Right-sided port-a-cath tip terminates in the high right atrium. Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Increased density at the left lung base is compatible with pneumonia. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.

<unk> year old woman with hx all with cough and congestion. // pna

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In comparison with the study of <unk>, there is little change. Mild hyperexpansion of the lungs consistent with chronic pulmonary disease. Prominence of the left pulmonary artery, which is essentially unchanged. No acute pneumonia or vascular congestion. Of incidental note are surgical clips in the lower right neck.

hoarseness, to assess for mass in region of recurrent laryngeal nerve on the right.

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No previous images. The cardiac silhouette is at the upper limits of normal or slightly enlarged. No evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

chest pain.

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Low lung volumes are noted. There is no focal consolidation, effusion, or edema. Scarring versus prominent extrapleural fat seen at the left lateral lung base, unchanged. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, old healed left lateral rib fractures are noted.

<unk>m with depressiion // pre-admission psych

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Frontal and lateral radiographs of the chest demonstrates low lung volumes which accentuates top-normal heart size. Volume loss in the right middle lobe with thickening of the minor fissure is unchanged. Lungs are otherwise clear. Right chest wall port-a-cath ends at the cavoatrial junction. No pleural effusion or pneumothorax. Thoracolumbar fusion rods are intact.

fever, question pneumonia.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Within the right cardiophrenic recess, a focal opacity reflects focal eventration of the right hemidiaphragm as seen on the subsequent chest ct. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities visualized.

history: <unk>f with shortness of breath

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Ap upright and lateral views of the chest provided. Pulmonary interstitial opacity is new from prior exam and may represent pulmonary edema. Pleural based opacity is noted at the right apex. The lower lungs are poorly assessed given low lung volumes. Small pleural effusions likely present. Heart size is poorly assessed. No large pneumothorax. Bony structures appear intact.

<unk>f with recently diagnosed metastatic lung cancer p/w ams s/p fall. not moving lle spontaneously // consolidation, fracture

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The cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged, with evidence of prior left upper lobectomy and volume loss in the left lung. The lungs are hyperinflated with emphysematous changes again demonstrated. Focal patchy opacity in the right upper lobe was present on the prior ct from <unk>, and may reflect persistent or residual pneumonia. Additional previously noted areas concerning for early adenocarcinoma on prior ct particularly within the right lower lobe are not well seen on the current radiograph. No new areas of new focal consolidation are present. There is no new pneumothorax or pleural effusion. No pulmonary edema is present.

cough, fatigue, known lung cancer.

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

<unk>f with cp. // eval for infiltrate

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There has been interval placement of a dual-chamber pacemaker with leads projecting over the expected locations of the right atrium and right ventricle. Valve replacement hardware and sternotomy wires are again noted. There is persistent elevation of the right hemidiaphragm with minimal right basilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is detected. Aortic calcification is again noted.

<unk>-year-old male with new dual-chamber pacemaker.

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

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

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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A dense opacity in the medial right lower lobe is most consistent with pneumonia. Elsewhere the lungs appear clear.

cough, fever, and pleuritic chest pain.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Poor inspirational effort results in relatively high-positioned diaphragms obscuring partially the heart shadow. There is, however, no significant difference in heart size when comparison is made with the previous study. The high-positioned diaphragms result in a crowded appearance of the pulmonary vasculature on the bases with possibly a linear density in retrocardiac position on the left base suggestive of a peripheral plate atelectasis. Acute parenchymal infiltrates, however, cannot be identified and the lateral and posterior pleural sinuses are free from any fluid accumulation. The pulmonary vascular pattern is not congested and no pneumothorax is identified in the apical area on the frontal view. No gross skeletal abnormalities on the standard views. When comparison is made with the chest examination of <unk>, findings are stable short of the poor inspirational effort on today's examination. Suggestion of trace plate linear atelectasis on the left base was already mentioned on the preceding study.

<unk>-year-old male patient with newly diagnosed acute myelocytic leukemia, now with persistent cough and fever, evaluate for pneumonia.

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Patient is rotated to the right. Large left-sided pleural effusion with adjacent atelectasis is noted. Difficult to assess differences since prior ct but it has enlarged since <unk>. Superimposed infection would be difficult to exclude. Blunting of the right lateral costophrenic angle suggests small right pleural effusion as well. Streaky right basilar opacities laterally has a configuration of atelectasis versus scar. More superiorly, the lung is grossly clear. Cardiac silhouette is difficult to assess given rotation. There is apparent anterior dislocation of the left glenohumeral joint. This is not significantly changed since prior exam.

<unk>f with chest pain, altered mental status // eval for acute process

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Mild cardiomegaly, increased compared to <unk>. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

history: <unk>m with cough // ? pneumonia

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A small right pneumothorax persists and was not clearly seen on the prior radiograph, suggesting interval increase. No evidence of tension. Platelike atelectasis in the right lower lung is mild. Left infrahilar atelectasis persists. No focal consolidation, pleural effusion, or pulmonary edema. The heart size is normal. Multiple right lateral rib fractures are again noted in better seen on ct. Nonspecific gaseous distension of the imaged bowel without pneumoperitoneum.

<unk> year old man with ptx // interval eval

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The cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema. Previously noted bibasilar atelectasis and pleural effusions have resolved. There is no new focal consolidation. There is no pneumothorax. There is a healing sixth rib fracture on the left. Expansile lesion in the right fifth rib is consistent with patient's known diagnosis of multiple myeloma.

<unk>-year-old woman with multiple myeloma, low-grade fever and recent history of mild cough with sputum production. study requested to rule out pneumonia and/or an acute pulmonary process.

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Patient is rotated to the left. There is persistent marked elevation of the right hemidiaphragm and chronic blunting of the costophrenic angles. Subtle left mid lung opacity is stable since at least <unk>. Cardiac and mediastinal silhouettes are stable. Surgical clips seen in the right upper quadrant.

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

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In comparison with the study of <unk>, there is again mild enlargement of the cardiac silhouette with fullness of ill-defined pulmonary vessels. Given that this is an upright pa image, the vascular congestion is more prominent than on the previous study. No acute focal pneumonia.

chf.

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

<unk>-year-old female with cough for three weeks.

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Pa and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Gastric bubble is noted without evidence of free air under the diaphragm.

<unk>-year-old woman with epigastric pain radiating to the back, evaluate for cardiopulmonary process or presence of subdiaphragmatic free air.

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The patient has a known right middle lobe lung lesion which appears unchanged from the prior radiographs. There is a loculated right pleural effusion, partially assessed on the pet-ct from <unk>. However, the overall size appears to have increased. The patient is status post median sternotomy, mitral and aortic valve replacements. The left lung is essentially clear.

<unk>-year-old man with aortic valve vegetation and known right lung mass with the diagnosis of inflammatory pseudotumor. please evaluate for change in mass.

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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. A stent is again seen in the lad.

chest pain, evaluate for pneumonia.

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. No free air is seen underneath the diaphragm.

<unk>-year-old female with epigastric pain. please evaluate for free air underneath the diaphragm.

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There is a small left apical lateral pneumothorax, similar in size compared to prior. There continues to be volume loss/infiltrate in the right lower lobe. There continues to be retrocardiac opacity, however this has slightly improved aeration compared to prior

post pull, follow up pneumothorax.

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Frontal and lateral chest radiographs were obtained. A right ij terminates in the right atrium. Lung volumes are still low, but improved from prior study. The diffuse interstitial edema is also improved. Cardiomediastinal silhouette remains enlarged, but hilar contours and pleural surfaces are normal. A tiny left pleural effusion is present. There is no pneumothorax.

postop day #<num> from kidney transplant, increased cough, assess for evidence of effusion, exudate, atelectasis.

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Pa and lateral views of the chest provided. Lung volumes are somewhat 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.

<unk>f with with three days hx of cough and generalized weakness . cough is productive today

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Frontal and lateral views of the chest were obtained. Mild cardiomegaly is similar to prior. The contour of the main pulmonary artery is prominent, similar to prior, and likely reflective of pulmonary arterial hypertension. Lungs are clear without focal or diffuse abnormality. No pneumothorax or pleural effusion. No radiopaque foreign body. Osseous structures are unremarkable.

chest and arm pain. rule out infiltrate.

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Ap upright and lateral views of the chest provided. Overlying ekg leads noted. 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 syncope, unresponsive episode

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air under the diaphragm is noted. Osseous structures are intact.

history of chest pain, acute onset; ttp; history of duodenal ulcer. evaluate for aortic contour, occult pneumonia or free air under the diaphragm.

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The lungs are grossly clear were in not obscured by overlying devices, specifically a right chest wall dual lead pacing device and a left-sided vagal nerve stimulator. The cardiomediastinal silhouette is within normal limits. Calcified hilar/mediastinal nodes are suspected based on the lateral view. Atherosclerotic calcifications are noted in the thoracic aorta. Posterior fixation lower thoracic/ upper lumbar hardware is visualized.

<unk>m with chest pain // pna?

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

chest pain.

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Cardiac silhouette size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities in both lung bases are compatible with areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.

history: <unk>f with left sided chest pain

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Evaluation is limited by suboptimal inspiratory effort. Lungs are grossly clear. There is no pneumothorax. Mild cardiomegaly is unchanged. Although the right hilus appears slightly more dense than on the prior exam, this is likely due to vascular crowding.

<unk> year old woman with asthma symptoms that reportedly are not improving with prednisone // evaluate for underlying evidence of pneumonia

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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable without evidence of displaced fracture.

<unk>-year-old male status post bicycle versus car with pain at manubrium.

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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.

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

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Chronic appearing right rib deformity or pleural thickening is unchanged from prior studies. A left pectoral port catheter tip terminates in the mid svc. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

<unk>m with sob, wheezing, fever on chemo, please evaluate for pneumonia.

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The cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear and the pulmonary vasculature is normal. There is no pleural effusion or pneumothorax. No acute osseous abnormalities present.

hyperglycemia.

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In comparison with the study of <unk>, there are fibrotic streaks and calcified granulomas in the mid to upper zones. No evidence of acute pneumonia, vascular congestion, or pleural effusion.

smoking history with weight loss.

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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 sob and cough.

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Cardiomediastinal silhouette is within normal limits. The hilar contours are normal. Lung volumes are well expanded and clear. No focal consolidation concerning for pneumonia is identified. There are no pleural effusions or pneumothorax. There are severe degenerative changes along the lower thoracic spine.

<unk>-year-old male patient with cholangiocarcinoma, presenting with confusion. study requested for evaluation of acute cardiopulmonary process.

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Lung volumes are low, which leads to bronchovascular crowding. No focal consolidation is identified. The cardiac silhouette is moderately enlarged, which is further exaggerated by lordotic view. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.

<unk>m s/p r tkr now with fever, concern for infection, assess for infiltrates.

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Pa and lateral views of the chest provided. Mild interstitial edema is noted with small bilateral pleural effusions. The heart is normal in size. The hila appear minimally in cord shin. No pneumothorax. Bony structures intact.

<unk>m with chest pressure and dyspnea

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Heart size and cardiomediastinal contours are normal. Lung volumes are low but the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

history: <unk>f with left sided numbness woke up the am concering for stroke // r/o pna

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Multiple bilateral ill-defined peripheral pulmonary opacities are increased in quantity and prominence from chest radiograph on <unk>. The heart is top-normal in size. There is no pulmonary edema, pleural effusion, or pneumothorax.

<unk> year old woman with suspected toxic lung injury, rising wbc and fever // ?interval change

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Pa and lateral views of the chest. There is no focal consolidation. There is no pleural effusion or pneumothorax. Heart size is top normal. The mediastinal and hilar contours are normal.

<unk>-year-old female with atrial flutter, evaluate for infiltrate.

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The lungs are hyperinflated without focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is interposition of the colon anterior to the mediastinum.

<unk>-year-old male with shortness of breath. please evaluate for acute cardiopulmonary process.

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In comparison with study of <unk>, decubitus views show a small amount of layering left pleural effusion. No evidence of right effusion. Otherwise, little overall change.

prior pleural effusions with shortness of breath, to assess for free fluid.

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Moderate enlargement of the cardiac silhouette is unchanged. There is mild interstitial pulmonary edema with perihilar haziness and vascular indistinctness. Small bilateral pleural effusions are present. There is no pneumothorax. Mild degenerative changes of the thoracic spine are visualized.

shortness of breath, history of congestive heart failure.

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The lungs are well inflated. Unchanged biapical pleural thickening and linear calcification in the right apex. No lobar consolidation present. There is no pleural effusion or pneumothorax. Stable cardiomediastinal silhouette. No interval change in bony thorax.

<unk> year old woman with h/o ra on prednisone, p/w cough productive of white sputum over the past <num> weeks, now associated with fatigue. // is there evidence of pneumonia?

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There is pleural thickening along the lateral right mid hemithorax of indeterminate age, given lack of priors for comparison, but related to recent injury is not excluded. No discrete rib fracture is identified however, dedicated rib series or oblique views are more sensitive. No pleural effusion or pneumothorax is seen. No definite focal consolidation. The cardiac and mediastinal silhouettes are unremarkable.

right rib pain status post blunt trauma.

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Frontal and lateral views of the chest demonstrate no focal consolidations, effusions, pneumothoraces. No signs of overt failure. Heart size is again top normal. Degenerative changes are seen in the spine.

<num> weeks of cough.

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The cardiac silhouette is normal. Mild aortic knob calcifications are present. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

cough.

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Diffusely increased reticulonodular interstitial densities likely represent chronic interstitial lung disease. Diffusely increased densities could hide a small pulmonary metastases. Chest ct is recommended for further characterization of interstitial lung disease and evaluation for possible metastases. The right chest wall port ends in the mid svc. There is no appreciable pleural effusion or focal consolidation. Heart size is normal and pulmonary vessels are not congested.

<unk> year old man with pancreatic cancer and mets // baseline chest xray. lungs sound consolidated

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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>m with cp // evidence of pneumothorax or pna

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In comparison with the study of <unk>, there are again multiple nodular opacifications in both lungs, consistent with the diagnosis of metastatic thyroid carcinoma. There is an area of right hemidiaphragm that is obscured on the lateral view with opacification at the base medially. This raises the possibility of developing pneumonia.

thyroid cancer, to assess for pneumonia.

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

history: <unk>m with fever, weakness // ?pneumonia

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Pa and lateral views of the chest provided. Possible consolidation at the right lung base in the appropriate clinical setting may represent pneumonia. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.

<unk> year old woman with leukocytosis, hypoxia // ?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.

history: <unk>f with chest pain, malaise

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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 traumatic cp // r/o rib fractures

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There are low lung volumes. Opacities in the left base could represent atelectasis. There is no pneumothorax or pleural effusion.

<unk> year old woman with likely metastatic cancer, with sob // pls eval for effusion vs. consolidation vs. 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.

<unk>m with pmh of jaw surgery <unk>, now with increased pain and locking of jaw and drainage from prior incision site. please evaluate for airway or soft tissue abnormalities of neck

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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>m with ruq pain, diminished breath sounds in rll // eval for free air

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Opacity projecting over the right mid lung is again noted likely representative of the scarring versus atelectasis. Chronic left upper lobe volume loss is again noted. The lungs are otherwise clear. Cardiac and mediastinal silhouettes appear stable with atherosclerotic calcifications at the aortic arch. There is no pleural effusion or pneumothorax. The bones appear diffusely osteopenic but there is no evidence of an acute fracture.

hypoglycemia.

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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. No evidence of free intraperitoneal air. A metallic cbd stent projects over the right upper abdominal quadrant.

<unk>f with nausea vomiting, fever, active cancer, evaluate for pneumonia, free air under diaphragm.

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.

<unk>f with chest tightness.

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Lung volumes are low. Cardiac silhouette size appears mild to moderately enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy and linear opacities are noted in the lung bases. There are small bilateral pleural effusions. No pneumothorax is detected. No acute osseous abnormality is present. Gaseous distention of colonic loops of bowel are seen in the left upper quadrant of the abdomen.

history: <unk>m with fever, cough

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Frontal and lateral views of the chest were performed. The lung volumes are low which has resulted in vascular crowding and apparent prominence of the hilar vasculature. There are no overt signs of pulmonary edema. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation to suggest pneumonia. The cardiac silhouette is top-normal but unchanged from the recent ct.

altered mental status, evaluate for pneumonia.

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Frontal lateral radiographs of the chest demonstrate normal heart size and mediastinal contours. No focal consolidation, pleural effusion or pneumothorax. Multiple old healed right rib fractures, but no acute displaced rib fracture. Mild anterior wedging of a mid thoracic vertebral body.

status post fall with raccoon eyes bilaterally evaluate for fracture.

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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with chest pain starting <unk> as well as shortness of breath today // acute cardiopulmonary process

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Frontal and lateral chest radiograph demonstrate interval retraction of a right picc tip which is now within the right mid subclavian vein. For optimal positioning in the mid to lower svc the catheter must be advanced <num>-<num> cm. Persistently symmetrically hypoinflated lungs with stable bilateral perihilar interstitial opacities consistent with vascular crowding. Stable retrocardiac atelectasis with stable small left pleural effusion. Significant decrease in size of a previously identified loculated left pleural effusion along the lateral left chest wall. No right pleural effusion. Stable air-fluid level seen on lateral chest radiograph is consistent with known hiatal hernia. No new focal opacity. No pneumothorax. Limited assessment upper abdomen is unremarkable and visualized osseous structures are notable for prior healed left femoral head fracture, unchanged from previous examination. Kyphosis again noted with diffuse osteopenia and multiple thoracic compression fractures, unchanged from previous examination.

history: <unk>f with recent traumatic sah presents with seizure like activity, congested cough. assess: for consolidation. <unk> read: read uploaded ct head from <unk>

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Cardiomediastinal contours are unchanged with tip cardiac size top normal. . The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine

<unk> year old man with chest pain // r/o intrathoracic pathology

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Ap and lateral views of the chest. There is a new left lower lobe opacity which slightly blurs the left hemidiaphragm on the lateral cxr and may represent early pneumonia or aspiration. No pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.

chest pain.

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.

history: <unk>f with bilateral lower rib pain with radiation to jaw // eval for infiltrate, cardiomegaly, effusion

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Lung volumes are low, but the lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. The minor fissure is prominent. Cardiomediastinal and hilar silhouettes are normal. Degenerative changes of the thoracic spine are noted.

<unk>m with dementia presents after fall. evaluate for acute infectious process.

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A picc line has been removed. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no definite change.

chest pain. question acute process.

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No previous images. The heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

anorexia.

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The heart size is normal. The mediastinal contours are unremarkable. Streaky ill-defined opacities within the lung bases, more so on the left than on the right could reflect infection, aspiration, or atelectasis. No large pleural effusion or pneumothorax is present. There no overt pulmonary edema is seen. Mild cephalization of the left pulmonary vascular markings is noted. No acute osseous abnormalities present.

fever.

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The lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with cp // ? chf/cardiomegaly.