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

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Pa and lateral views of the chest provided. Right chest wall port-a-cath is seen with catheter tip in the region of the low svc. There is elevation of the right hemidiaphragm. Innumerable pulmonary metastatic lesions are re- demonstrated. Interval resolution of right pleural effusion. No definite signs of edema though evaluation limited given extensive background metastatic disease. Cardiomediastinal silhouette appears grossly unchanged.

<unk>m with <unk> swelling, baseline sob // please eval for pulmonary edema

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The lungs are mildly hypoinflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

<unk>f with dyspnea. assess for acute process

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Cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is normal. There is no focal consolidation, pneumothorax, or effusion.

history: <unk>f with cp and sob // r/o pna

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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

chest pain.

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The right-sided pic line terminates at the junction of the brachiocephalic veins, however, does not appear to be in the svc. This position of the line has been stable compared to radiographs dating back to at least <unk>. There has been interval removal of a right-sided chest tube. Multiple surgical chain sutures are seen in the left medial hemithorax. The heart size is normal. The hilar and mediastinal contours are unremarkable. There are stable small bilateral pleural effusions. There is no evidence of pneumothorax. There has been interval improvement of the mild right lower lobe atelectasis, otherwise the lungs are clear without evidence of focal consolidations concerning for infection. The patient is status post median sternotomy with intact sternal wires.

history of right upper lobe wedge and prolonged air leak. please evaluate for interval change.

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The lungs are hyperexpanded and clear. The previously described focal opacity in the left midlung has resolved. Cardiac silhouette is top-normal in size. The aorta is mildly tortuous. No pneumothorax, pleural effusion, or consolidation. Biapical thickening is unchanged.

history: <unk>m with sob // r/o acute process

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Mild to moderate enlargement of cardiac silhouette is present. The aorta is tortuous. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Moderate degenerative changes are noted in the thoracic spine.

history: <unk>f with chest pain

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Lung opacity silhouettes the left heart border and is new since the prior ct of <unk>. Multiple nodular opacities were present on the prior chest ct of <unk> and represent known chronic lung disease. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

history: <unk>m with flu like sx, shoulder pain, cough // pneumonia

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There is hazy opacity projecting over the right mid to upper lung, in the distribution of ground-glass opacities on prior ct scan. There is also increased opacity on the lateral view over the lower spine new since prior lateral chest x-ray from <unk> potentially due to similar process. There is no effusion. Right picc is no longer visualized. The cardiomediastinal silhouette is stable, aortic valve replacement and median sternotomy wires again noted. Atherosclerotic calcifications are seen at the aortic arch. No acute osseous abnormalities identified.

<unk>m with weakness // eval pna

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Frontal and lateral views of the chest were obtained. The right lower lobe opacity is due to known mass and nodules seen on ct <unk>. No new opacity is seen. No pleural effusion and no pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. The patient is status post cabg with intact median sternotomy wires.

<unk>-year-old man status post ebus. assess for interval change.

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

<unk>-year-old female with left rib pain, question pneumonia or pneumothorax.

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The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. There is diffuse increase in interstitial markings bilaterally worrisome for moderate pulmonary edema. Bibasilar opacities are seen which could be due to infection and/or aspiration. No large pleural effusion is seen although trace effusions would be difficult to exclude. The cardiac silhouette is enlarged. Aorta is calcified and tortuous. No pneumothorax is seen.

weakness.

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The lung volumes are normal. Minimal bilateral pleural effusions are seen, combined to a small left basal plate-like atelectasis. No pneumonia is present. However, the presence of pleural effusion can sometimes be indicative of potential pulmonary embolism, notably if associated with atelectatic changes. If this impression is consistent with the clinical presentation, ct angiography of the pulmonary artery should be considered. At the time of observation and dictation, <time> p.m., on the <unk>, the referring physician, <unk>. <unk>, was paged for notification and the findings were discussed over the telephone.

cough and fever, rule out pneumonia.

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The lungs are normally expanded and clear, however the inferior most aspects of the costophrenic sulci are omitted from view on the frontal projection. There is no large pleural effusion or pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal.

history: <unk>m with cough fever cp on l // acute process

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There is patchy consolidation in the left lower lobe. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>-year-old female with cough and fever.

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Heart size appears normal. The mediastinal contours are grossly unremarkable. Prominence of both hila may reflect underlying lymphadenopathy. Extensive nodular opacities are noted diffusely in both lungs, but particularly within the lung periphery. More focal opacity within the right lung base could reflect an area of infection. No pneumothorax or pleural effusions. Mild pulmonary vascular congestion is also likely present. Gaseous distention of colonic loops of bowel in the left upper quadrant are demonstrated.

history: <unk>m with increasing shortness of breath, new oxygen requirement

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The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

history: <unk>m with dizziness // eval cardiomegaly, infiltrate

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A dual lumen hemodialysis catheter tip terminates at the cavoatrial junction. The heart is enlarged. The pulmonary vasculature is normal. There is no focal consolidation, pneumothorax, or effusion. There is a calcified left lower lobe granuloma.

question pneumonia or pulmonary edema.

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In comparison with study of <unk>, there is little overall change. Huge hiatal hernia is again seen. Cardiac silhouette is at the upper limits of normal in size. No evidence of vascular congestion or acute focal pneumonia. Prominent kyphoscoliosis of the thoracic spine is again noted.

chronic cough.

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Heart is normal size and cardiomediastinal contours are stable. Lungs are symmetrically expanded and clear. There is no pleural effusion or pneumothorax.

<unk>f with hx bmt, fever, // ? pna

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There is a dual-lead pacemaker/icd device whose leads terminate in the right atrium and ventricle, respectively, as before. The heart is at the upper limits of normal size. There is moderate unfolding and calcification along the thoracic aorta. There is no pleural effusion or pneumothorax. Aside from patchy posterior basilar opacity, probably due to atelectasis, the lungs appear clear. Bony structures are unremarkable.

chest pain.

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Bilateral hilar opacities, right greater than left, similar compared to the prior study from <unk>, compatible with moderate pulmonary edema. Moderate cardiomegaly is unchanged. Mild pectus deformity is again noted, likely accentuating the right lower lung opacity. There is no large pleural effusion pneumothorax.

<unk> year old man with cough, hx of esrd on hd, some chills // ? infiltrates ? edema

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No significant interval change. Stable radiographic appearance and size of the right paratracheal opacity. Stable loss of right lung volume. The large opacity at the right lung base probably reflects a combination of a subpulmonic right pleural effusion with lateral-shift of the right diaphragm apex and adjacent atelectasis. Stable small right apical pneumothorax. No new focal consolidation. No left pleural effusion. The cardiomediastinal silhouette is unchanged. No change in the position of the right port-a-cath or mediastinal surgical clips. Small amount of sub-cutaneous emphysema in the right lower lateral thoracic wall at the prior site of chest tube insertion. No acute osseous abnormality.

<unk>-year-old man with mediastinal non-hodgkin's lymphoma, status-post right thoracotomy and right upper lobectomy with hand-sewn closure and intercostal muscle buttress; evaluate for interval changes.

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Heart size is normal. Enlargement of the right paratracheal stripe and left hilus is compatible with lymphadenopathy as detected on the prior ct. Emphysematous changes are most pronounced within the upper lobes. Numerous calcified small pulmonary nodules are again seen bilaterally, likely due to prior granulomatous disease or previous varicella infection. New opacification of the right lower lobe with small right pleural effusion is concerning for pneumonia. No pneumothorax is identified. There is no pulmonary vascular congestion. Partially imaged is cervical spinal fusion hardware and laminectomies. No acute osseous abnormality seen.

shortness of breath.

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Pa and lateral views of the chest provided. There is mild central congestion without frank pulmonary edema. No effusion or pneumothorax. No pneumonic consolidation is seen. The heart and mediastinal contour appear normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with svt, evaluate for acute intrathoracic process.

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The patient is status post median sternotomy and cabg. Right internal jugular central venous catheter has been removed. The heart size remains mildly enlarged. Mediastinal and hilar contours are within normal limits. Small bilateral pleural effusions persist, left greater than right, not significantly changed in the interval. Persistent patchy retrocardiac opacity reflecting atelectasis is noted. No new focal consolidation is identified. No pneumothorax is present. There is no pulmonary vascular congestion. Mild multilevel degenerative changes are seen in the thoracic spine.

shortness of breath status post cabg.

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The lungs are clear. Azygos fissure is incidentally noted. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality.

<unk>m with right tibfib nonunion with cement through skin. // tibfib- eval nonunion. cxr - preop

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Frontal upright and lateral chest radiographs demonstrate well-expanded lungs. The cardiomediastinal contour is normal. The heart is normal in size. Streaky opacities at the right lung base are improved compared to the prior examination and likely reflect atelectasis. Again seen is high-density material projecting over the lower right chest, unchanged compared to the prior study. There is no free air under the diaphragm and no pneumothorax.

epigastric pain, evaluate for free air under the diaphragm.

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As compared to the previous radiograph, the fluid and pneumothorax on the right has mildly increased in extent and severity. Basal zones of atelectasis and the air-fluid level at the right lung bases are unchanged. Unchanged appearance of the heart and of the left lung.

pneumothorax, assessment.

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As compared to the previous radiograph, there is no relevant change. The lung volumes are normal. Moderate scoliosis of the thoracic spine with subsequent asymmetry of the rib cage. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No pneumonia, no pulmonary edema.

chest pain, fevers, rule out acute process.

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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident.

shortness of breath for two weeks, please for evaluate for cardiopulmonary process.

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Linq device seen in a somewhat horizontal orientation projecting over the medial left lower chest, approximately at the level of the anterior left fourth and fifth ribs. On the lateral view, the device is seen to be very superficial in the anterior skin of the chest, and possibly protruding from it.

history: <unk>f with h/o <num>nd degree mobitz <num> a/v block with ling ilr placement, dislodged. // check position of ling implant

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Elevation of the right hemidiaphragm is unchanged compared to the prior ct. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear atelectasis is seen in the right middle lobe. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.

history: <unk>f with dyspnea // any infection?

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Pa and lateral views of the chest provided. No picc line is identified. Clips are noted in the upper abdomen. 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 r picc

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There is moderate pulmonary edema, increased from the prior study. Moderate bilateral pleural effusions are seen with overlying atelectasis. Basilar consolidation is difficult to exclude. There is enlargement of the cardiomediastinal silhouette. No pneumothorax is seen.

history: <unk>m with weakness and sob // eval pneumonia vs chf

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Right picc tip terminates at the junction of the svc and right atrium. A post pyloric feeding tube is present, the tip of which is not visualized on the current exam. Percutaneous pigtail catheter within the left upper quadrant of the abdomen is re- demonstrated. Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Mild elevation of the left hemidiaphragm with a small left pleural effusion are again demonstrated. There is left basilar atelectasis. Aeration of the right lung base is improved. No pneumothorax or right-sided pleural effusion is visualized. No acute osseous abnormality is seen.

necrotizing pancreatitis status post drainage catheter placement with fevers to <num>.

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There has been interval placement of a right picc, which terminates in the low svc/ cavoatrial junction, without evidence of pneumothorax. There are low lung volumes. Left mid to lower lung linear atelectasis/scarring is seen. Blunting of the posterior costophrenic angles persists suggesting small pleural effusions. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with picc placement and decreased uop // edema? picc placement?

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation. The upper abdomen is unremarkable. Height loss of several mid and lower thoracic vertebral bodies is similar to <unk>.

history: <unk>m with <num> minute episode of cp this am, eval for mediastinal widening

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Pa and lateral views of the chest provided. Pacemaker leads are in good position in right atrium, right ventricle, and coronary sinus. There is no pneumothorax. Heart is stably enlarged. There is no pleural effusion.

<unk> yo female s/p biv-pacemaker placement.

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding ap single view chest examination of <unk>. There is status post sternotomy as before. Cardiac size cannot be assessed because of overlying pleural densities but probably unchanged. The on previous examination described bilateral pleural densities persist and apparently have even progressed on the right side. No new pulmonary parenchymal abnormalities are seen and the pulmonary congestive pattern has not increased. The lateral view permits assessment of pleural effusion which apparently is mild to moderate, apparently slightly more marked on the left side than the right. Paying attention to that, the patient was in rather recumbent position on the preceding portable chest examination and now in upright position the somewhat different appearance of the pleural densities can be ascribed to the positional changes of the patient during the interval. Grossly amount of pleural effusions appear to be stable. Observed that there is no evidence of pulmonary vascular congestion and no pneumothorax can be identified. Dr. <unk> was paged at <unk> at <time> p.m.

<unk>-year-old female patient status post repair of left atrial perforation, evaluate for pleural effusion.

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Frontal and lateral views of the chest demonstrate prominent cardiac silhouette, similar as compared to prior exam. There is slightly increased haziness in the lungs, likely reflecting mild interstitial edema. Linear bands of scarring and/or atelectasis in bilateral lung bases are unchanged. There is no pleural effusion or pneumothorax.

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

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Compared with <unk>, heart size is increased, with increased pulmonary vascular congestion. There is a left pleural effusion and probable right pleural effusion. No overt pulmonary edema. An opacity at the right lung base is concerning for pneumonia.

history: <unk>m with hypoxia // eval for acute process

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Pa and lateral views of the chest provided. Cardiomegaly is mild with mild pulmonary interstitial edema. No large effusion or pneumothorax is seen. Subtle confluent opacity in the right cp angle could represent a very early pneumonia. Followup to resolution is advised. No bony abnormalities are seen.

<unk>f with dyspnea on exertion // r/o acute process

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There is an irregular, rounded density projecting over the right heart border at the level of the posterior ninth rib on the frontal radiograph with an unclear correlate on the corresponding lateral view in the right lower lobe. There is also irregular thickening of the pleura involving the right apex along the lateral border adjacent to the right shoulder. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No skeletal abnormalities are noted.

<unk>-year-old male with new-onset fevers, cough, and extreme fatigue, here to evaluate for pneumonia.

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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. Tiny increased density projecting over the right posterior rib end just to the left of midline is most likely a vessel on end or a tiny calcified granuloma. No concerning pulmonary masses are identified. The heart size is normal. The mediastinum is not widened. Hilar contours are unremarkable. No evidence of a pleural abnormality. No evidence of an acute osseous abnormality including rib fractures on this nondedicated exam.

<unk>-year-old woman with chest pain. evaluate for pneumothorax.

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Severe cardiomegaly is re- demonstrated. Extensive mitral annular calcifications are noted. Svc stent appears to be in unchanged position, and a dual lumen catheter coursing within the inferior vena cava appears to terminate in the right atrium. The aorta remains diffusely calcified and tortuous. There is mild pulmonary edema which has increased compared to the previous exam. Small to moderate left pleural effusion appears relatively unchanged. Patchy bibasilar opacities likely reflect compressive atelectasis, more pronounced on the left. No pneumothorax is identified. There is diffuse demineralization of the osseous structures.

left lower lobe crackles, low-grade temperature.

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As compared to the previous radiograph, the lung volumes have decreased. There is a mild elevation of the right hemidiaphragm with minimal atelectasis at the right lung bases but without evidence of pneumonia, pleural effusion or pulmonary edema. The size of the cardiac silhouette is at the upper range of normal. Unchanged position of a right pectoral port-a-cath.

history of pancreatic cancer, evaluation for pneumonia.

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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 right costal margin pain s/p mvc // eval for fracture, ptx

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<num> lead left-sided pacer device is seen with leads in expected positions of the right atrium and right ventricle. The cardiac silhouette is mild to moderately enlarged. The aorta remains calcified. There may be minimal vascular congestion without overt pulmonary edema. Small left-sided bochdalek hernia may be present.

history: <unk>f with shortness of breath // pulmonary edema

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There is no significant change compared with prior examination. The lungs are hyperinflated with some flattening of both diaphragms. Bilateral interstitial markings, more prominent at the lung bases, are compatible with fibrosis. No new focal parenchymal opacity is seen. Prominent atherosclerotic calcifications of the aortic knob are present. Cardiomediastinal and hilar contours are unremarkable. There is no cardiomegaly. No pleural effusion or pneumothorax. Biapical pleural parenchymal scarring is present and unchanged.

<unk>-year-old female with cough and fever. evaluate for evidence of pulmonary infiltrate.

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Increased interstitial markings in the lungs, similar compared to remote exam from <unk> and likely due to chronic underlying interstitial process. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Old healed left lateral rib fractures are again noted.

<unk>f with sob // eval for pulm edema

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated. Biapical scarring is again noted. Nodule in the right upper lung is stable compared to <unk>. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with productive cough.

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In comparison with study of <unk>, there is little overall change. There is some increased opacification at the left base, though this is not definitely confirmed on the lateral projection and has an appearance suggestive of some mild atelectatic streaks in addition to normal pulmonary vessels. No discrete pneumonia is appreciated. Port-a-cath tip extends to the mid to lower portion of the svc. No vascular congestion or pleural effusion.

cough and fever, on chemotherapy.

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation, 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 lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Radiopaque linear focus at the right upper lung is a skin fold. Cardiomediastinal silhouette is normal. No acute fractures are identified.

chest pain.

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Midline sternotomy wires and mediastinal clips as well as a prosthetic cardiac valve again seen. The heart remains mildly enlarged. No focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Subtle asymmetric opacity abutting the right diaphragm has been stable compared to multiple prior exams dated back to at least <unk>, and correlates with a prominent costochondral calcification on the prior ct. Mediastinal contour is stable. Chronic right mid shaft clavicle and ribcage deformities are chronic.

<unk>m with weakness, hyperglycemia

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No displaced rib fracture is detected on these lung technique films. Linear atelectasis is seen at the lung bases. There is a tortuous descending aorta. Cardiac and mediastinal contours are otherwise within normal limits. There is no pleural effusion or pneumothorax. The pulmonary vascularity is normal. The right hemidiaphgram is elevated. Clips are seen in the upper abdomen posteriorly.

status post fall with midline neck tenderness. evaluate for traumatic injury.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Minimal atelectasis is seen in the retrocardiac region. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

dyspnea on exertion.

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The cardiac silhouette is mildly . There is tortuosity of the descending aorta. There is redemonstration of calcified granulomas. There is no focal consolidation, pleural effusion or pneumothorax. Moderate hiatus hernia is larger today than in <unk>.

chest pain, pulsating inferior to diaphragm. please evaluate for pneumonia versus effusion.

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Compared to <unk>, lungs remain clear. Lung volumes are normal. No pleural effusion. No pneumothorax. Heart size is normal and unchanged.

history: <unk>m with acute onset sob and std inferior leads // ?cpd

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Frontal and lateral views of the chest. No prior. Lungs are clear of consolidation or pulmonary vascular congestion. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are essentially unremarkable, noting surgical clips in the right upper quadrant suggesting prior cholecystectomy.

<unk>-year-old female with non-st elevation mi.

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The lungs are clear. There is minimal right lower lung atelectasis. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions.

<unk> year old woman with cough asthma flare, fevers // r/o pneumonia

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A right port-a-cath terminates at the cavoatrial junction. The heart size is normal. The hilar and mediastinal contours remain within normal limits. A left . A left pleurx catheter is present. A small left pleural effusion is minimally changed since <unk>. There is no pneumothorax. Persistent left lung volume loss, reflective of prior pleurodesis, remains stable.

pancreatic cancer with new abdominal distention. post left pleurodesis in <unk>.

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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.

<unk>-year-old female with appendicitis, preop.

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The lungs are hyperinflated with flattening of the diaphragms. In comparison to prior studies, there is an increase in the already prominent interstitial markings, most predominantly affecting the lung bases. Upper lungs remain more lucent, compatible with emphysema. No pneumothorax. Heart is mildly enlarged and increased from <unk>. Mediastinal and hilar contours are unremarkable.

syncope and cough. evaluate for a focal consolidation.

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

<unk>m with new ascites and osh ct showing ? pneumonia on right. // eval for prior right sided densities on osh ct. also new dx of cirrhosis and new ascities over one week. eval portal vein.

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Mildly hyperinflated lungs with flattening of the diaphragms. Lungs are clear. No pleural effusion, pneumomediastinum, or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable.

<unk>f with palpitations, cp, new murmur. assess for 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 or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with weakness. leaning towards the right with headache and vision changes.

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There are bilateral regions of consolidation, specifically within the right upper lobe as well as the left lower lobe compatible with multifocal pneumonia. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with fever, cough // evaluate for pneumonia

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

chest pain.

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Lung volumes are low, resulting in bronchovascular crowding. The cardiac silhouette is unchanged with mils cardiomegaly. No pneumothorax, pleural effusion, or consolidation.

history: <unk>f with sob // ?acuter cardiopulmonary process

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Pa and lateral views of the chest provided. Right-sided dual lumen central venous catheter tip terminates at the low svc. 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 tachycardia, central line erythema // please evaluate for acute abnormality

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Moderate emphysema is unchanged, and lungs are persistently hyperinflated. Previously described left upper lobe opacification and right upper lobe nodule are no longer detected. There is no new focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits.

<unk> year old smoker with recent lul pna and ? new rul nodule. reassess nodule, surveillance for resolution prior opacification.

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Right middle lobe and right lower lobe pneumonia has slightly improved. There is no pleural effusion or pneumothorax. The left lung is unremarkable. Mediastinal and cardiac contours are normal. Left-sided port-a-cath ends in lower svc.

patient with metastatic breast cancer and apparent right lower lobe infiltrate, pneumonia, followup.

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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. There is a very mild anterior wedge compression deformity of a mid thoracic vertebral body that appears likely chronic.

seizure and fall.

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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear with the exception of trace possible subsegmental atelectasis in the left base. There is no pneumothorax, vascular congestion, or pleural effusion. Prior coronary arterial stenting is unchanged. A hiatal hernia is noted. Mild multilevel thoracic spondylosis is noted.

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

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Pa and lateral views of the chest provided. Minimal scarring in the right lower lung is seen at the site of prior pneumonia. No focal consolidation is seen to suggest the presence of pneumonia. No effusion or pneumothorax. No signs of edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with dyspnea // eval for pna

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Relatively linear opacity at the left lung base is felt to more likely represent atelectasis rather than pneumonia. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with chest pain // eval ptx

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No previous images. The heart is within normal limits and there is mild tortuosity of the aorta. There is no evidence of pulmonary vascular congestion. There is a moderate right pleural effusion with compressive atelectasis at the base. No definite acute focal pneumonia.

fusion.

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Mild to moderate cardiomegaly is unchanged. The mediastinal contours are unremarkable. Mild pulmonary edema appears slightly worse in the interval. There is no focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities demonstrated.

fever, cough, shortness of breath.

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The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.

<unk> year old woman with history of malignant melanoma // please evaluate disease status

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The heart size is at the upper limits of normal. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old female with one day of constant chest pain.

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Frontal and lateral views of the chest demonstrate port-a-cath tip projecting at the cavoatrial junction. Post-operative changes at the right lower hemithorax with possible small right pleural efusion. No left pleural effusion is seen. No pneumothorax or pneumomediastinum. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. Mild tortuosity of the descending aorta is noted. There is no pulmonary edema. No new focal consolidation is seen to suggest pneumonia. Right paramedial opacity adjacent to neoesophagus, likely reflects post-surgical changes.

patient with recent pneumonia and esophageal surgery, now presents with fever. assess for pneumonia and pneumomediastinum.

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart continues to be enlarged. A left aicd is in stable position. The mediastinal contours are normal.

<unk>m with shortness of breath

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Pa and lateral views of the chest. Previously seen left sided central venous catheter is no longer visualized. Vascular stent projects over the left brachiocephalic vein/ upper svc. There is a small right pleural effusion, similar to prior. The left pleural effusion is now moderate in size. Suspected underlying atelectasis and possible consolidation. Cardiomediastinal silhouette is difficult to assess. Superiorly the lungs are clear. No acute osseous abnormalities detected.

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

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

<unk>f with <num> week history of deep, throbbing l arm pain with no findings on physical exam

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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 pleuritic flank pain // conern for pulmonary pathology causing referred flank pain.

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Cardiac and hilar contours are normal. The aorta is mildly tortuous. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.

epigastric pain for <num> weeks.

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormalities identified. Fusion hardware is noted in the cervical-thoracic spine.

<unk>f with chest pain // eval for infiltrate

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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. There is a small nodular focus projecting over the left mid lung, although likely a summation artifact or focus of sclerosis along the end of the left third rib. The lungs appear otherwise clear.

increased leg weakness. history of multiple sclerosis.

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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.

<unk>f with c/o cough // ? pna

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The lungs are clear without focal consolidation. There is apparent scarring in the right upper lobe abutting the mediastinum and at the apex with superior retraction of the hila. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with dyspnea // acute process

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Ap and lateral views of the chest. Low lung volumes seen on the lateral view. The lungs are clear of consolidation, effusion or significant vascular congestion. Cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormality detected.

<unk>-year-old female with history of chf now with volume overlie the overload and generalized weakness.

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Frontal and lateral chest radiograph demonstrate well expanded and clear lungs without focal consolidation. There is no pleural effusion or pulmonary edema. The heart size is normal and hilar contour or unremarkable. No displaced rib fracture or rib lesion is identified. There are degenerative changes in the lower thoracic spine.

<unk>-year-old female with pleuritic chest pain. evaluate for intrapulmonary process.

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Compared with the prior chest radiograph, the top-normal heart size is unchanged. No focal consolidation, pleural effusion, or pneumothorax. Mediastinal and hilar silhouettes are unchanged. Rightward bowing of the trachea may be due to the origin of the innominate artery.

<unk>m with weakness, diaphoresis. evaluate for acute process.

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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 chest examination of <unk>. The heart size is unchanged and remains within normal limits. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta. The pulmonary vasculature is not congested. No signs of acute parenchymal infiltrates are present. Similar as observed on the preceding examination, the diaphragms are in relatively low position and appear flattened, a finding suggestive of copd. Again, acute or new infiltrates cannot be identified. The lateral view discloses again moderate degree of degenerative changes in the thoracic spine, mostly in the lower half, but there is no evidence of any vertebral body compression fracture.

<unk>-year-old male patient with cough and chest pain in right upper thorax. smoker, assess for infiltrate or other abnormalities.

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Comparison is made to radiograph dated <unk>. Heart size appears stable allowing for differences in technique. Central vascular engorgement and increased interstitial opacities bilaterally is concerning for heart failure and mild pulmonary edema. Obscuration of the bilateral costophrenic angles is compatible with small pleural effusions. There is no pneumothorax. Osseous structures are without an acute abnormality. Several thoracic vertebral bodies compression fractures are unchanged

<unk>-year-old female status post fall.

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There are no lung opacities which are concerning for pneumonia. Heart size is normal, mediastinal and hilar contours are unremarkable. There is no pleural effusion.

to evaluate for consolidation/infiltrates. patient with history of nasopharyngeal carcinoma status post cycle <num> on tpf, now with neutropenic fever.

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The patient's chin overlies the right lung apex, partially obscuring the view. Given this, no focal consolidation is seen. There is mild basilar atelectasis. Slight blunting of the left costophrenic angle is chronic, similar in appearance seen back to <unk>, most likely representing pleural thickening. The cardiac and mediastinal silhouettes are stable.

weakness, lethargy are, cough.

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Cardiomediastinal contour for is unchanged. Elevation of the right hemidiaphragm is also stable and a long-standing finding. The lungs are clear. There is no pneumothorax or pleural effusion. Multiple healed rib fractures are again seen.

<unk>-year-old man with right-sided chest pain, evaluate for pneumothorax.