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

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Ap and lateral views of the chest are compared to previous exam from <unk>. Lower lung volumes seen on the current exam. The lungs are clear of confluent consolidation. Linear atelectasis identified at the left lung base. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged.

<unk>-year-old female with advanced dementia, status post fall for unknown reason.

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Lung volumes are low, which accentuate the bronchovascular markings, but no definite focal consolidation seen. .no pleural effusion or pneumothorax is seen. The heart size is normal. The mediastinal contours are normal.

<unk>-year-old female with new onset seizures // please eval for any infectious process

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Lung volumes are low. Linear density at the right base likely represents atelectasis. Retrocardiac opacity could represent atelectasis or pneumonia. Heart size is mildly enlarged. Mediastinal contours are exaggerated by low lung volumes. No pleural effusion, pulmonary edema or pneumothorax is detected on these views.

<unk>-year-old male with right upper quadrant pain and shortness of breath.

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The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There are no masses, focal consolidations or pleural effusions. There is no pneumothorax.

<unk>-year-old man with hyponatremia. study requested for evaluation of mass.

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No previous images. The heart is normal in size, and the lungs are clear without vascular congestion or pleural effusion.

cough and shortness of breath with fever and chills.

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The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine. Old bilateral rib fractures are noted.

bilateral rhonchi.

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

<unk>f with acute onset pleuritic cp and sob // c/f enlarged mediastinum, pna

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. The bones are probably demineralized to some degree.

calcaneus fracture. preoperative.

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In comparison with study of <unk>, there is again chronic elevation of the right hemidiaphragm with atelectatic changes at the right base. Streaks of atelectasis are again seen at the left base and there is continued tortuosity of the descending aorta. No evidence of acute focal pneumonia.

pneumonia, to assess for resolution.

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Left chest wall dual lead pacing device is again seen. The lungs are clear of consolidation. Bilateral prominent extrapleural fat vs pleural thickening is seen bilaterally, unchanged. There is no consolidation, effusion or pulmonary edema. The cardiac silhouette is enlarged, similar compared to prior. Median sternotomy wires are again noted. No acute osseous abnormalities.

<unk>m with cp // evidence of pneumonia or effusion

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Heart size is borderline enlarged. Mediastinal hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal atelectasis in the left lower lobe. Right lung is clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.

history: <unk>f with constant dizziness since awaking this am

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.

throat pain and shortness of breath with ambulating. rule out infection.

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Lower lung volumes seen on the current exam. There is however new mild pulmonary edema and new small bilateral pleural effusions. Cardiac silhouette is enlarged since prior. Metallic density again seen in the left hilum. No acute osseous abnormalities.

<unk>m with chest pain, afib rvr // chest pain

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Opacity in the left upper lung with adjacent fiducial markers are unchanged. No focal consolidation, edema, or pneumothorax. No large pleural effusion. Cardiomediastinal contours are unchanged. Aortic valve replacement is similar in position and appearance. Incompletely imaged g-tube is noted. The stomach appears distended with gas and fluid contents. Extensive degenerative changes in the shoulders and ac joints are unchanged. Multilevel degenerative changes in the thoracic spine with probable calcification of the anterior longitudinal ligament is again seen. No evidence of an acute osseous abnormality on this nondedicated exam.

<unk>-year-old man, status post fall . evaluate for trauma.

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Hyperinflation of the lungs may reflect chronic pulmonary disease. The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

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

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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 confusion, lethargy, s/p liver transplant <unk>

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Pa and lateral chest radiographs demonstrate median sternotomy wires which appear intact. Surgical clips project over the left mediastinal border. Coronary artery stenting/calcification again noted. Heart size is upper limits of normal in size. There is no evidence of pulmonary edema. Lungs are otherwise clear without a focal consolidation convincing for pneumonia. There is no pleural effusion or pneumothorax. There is no air under the right hemidiaphragm.

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

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The lungs are clear and the cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no obvious rib fracture. Clavicles are intact.

history: <unk>m with crushing force on torso after being stuck between bucket truck and light pole.

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

<unk>-year-old female with severe headache and vomiting.

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In comparison with the study of <unk>, the patient has taken a much better inspiration. Bilateral pleural calcification is again consistent with asbestos-related disease. No evidence of acute focal pneumonia.

asbestosis with increased cough.

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

history: <unk>f with cough,fevers // infiltrate

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Cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. The lungs are well aerated and clear. The bones are unremarkable. No subdiaphragmatic free air.

<unk> year old man with abdominal pain, ulcerative colitis, evaluate for acute pathology.

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Mild bilateral apical pleural thickening is noted. The lungs are overinflated with flattened hemidiaphragms, compatible with copd. The lungs are clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable in appearance. Degenerative changes are seen in the mid thoracic spine. Irregularity of several left lower lateral ribs is likely due to prior fracture.

<unk> year old man with h/o dvt on warfarin, dm, presenting with cough and wheezing x <num> days // r/o pna

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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 <unk> <unk>. The heart size remains within normal limits. No typical configurational abnormalities identified. The thoracic aorta is generally widened to a moderate degree and shows some calcium deposits in the wall at the level of the arch, but there is no evidence of any local contour abnormality. The pulmonary vasculature is not congested. Similar as on the previous examination, the central pulmonary vessels are rather prominent and widened, a finding which may be related to chronic pulmonary hypertension. There is no evidence of any acute pulmonary infiltrate. Similar as on the preceding examination, a permanent pacer (<unk>) is identified in left anterior axillary position, seen to connect to a single intracavitary electrode, the tip of which reaches into the area of the apical portion of the right ventricle. Skeletal structures demonstrate mild-to-moderate degenerative changes mostly in the mid portion of the thoracic spine, but no other gross skeletal abnormalities are identified.

<unk>-year-old male patient with pacemaker, clearance for mri.

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Low lung volumes, old right-sided rib fractures. There is no focal lung consolidation. Possible small right pleural effusion. The cardiomediastinal shilhouette is normal. No pneumothorax.

<unk>-year-old with seizure.

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Ap and lateral views of the chest. The lungs are hyperinflated with diffusely increased interstitial markings suggestive of chronic underlying lung disease. The cardiac silhouette is slightly enlarged. The aorta is tortuous with atherosclerotic calcification of the arch. There is apparent increased lucency projecting over the cardiomediastinal silhouette on the frontal without definite correlative findings on the lateral. This could represent. This could be artifactual in nature however may also represent a portion of the right lung projecting anterior to the cardiac silhouette, just behind the sternum on the lateral view. In either case it is of doubtful clinical significance. Wedge deformity seen of likely the l<num> vertebral body, age indeterminate.

<unk>-year-old female with lethargy. question pneumonia.

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The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Anterior cervical spine fusion plate is noted incidentally; bilateral nipple ornamentation is also present.

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

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Frontal and lateral views of the chest were obtained. There is elevation of the right hemidiaphragm as also seen on outside hospital ct from <unk>. Again demonstrated is a large right-sided mass, which on ct was seen to invade the mediastinum from the right. No large pleural effusion is seen. There is no evidence of pneumothorax. No new focal consolidation is seen. The cardiac silhouette is unremarkable. Lower right peritracheal opacity likely relates to the right-sided mass which extends into the mediastinum.

known right sided pulmonary mass history of non-small-cell lung cancer here with worsening shortness of breath.

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Chest, pa and lateral radiographs demonstrate unremarkable mediastinal and hilar contours. Extensive calcifications noted within thoracic aorta. Heart size is top normal and stable. Minimal atelectasis is noted in the left lung base. Otherwise, lungs are clear. No pleural effusion or pneumothorax evident. No localizing information is given regarding possible rib fracture nor is there a dedicated rib series. Within this limitation, no displaced rib fractures are evident. There is a stable s-shaped thoracolumbar scoliosis. Significant degenerative changes of the bilateral glenohumeral joints as well as a mid thoracic wedge compression fracture identified.

aspiration pneumonia, question rib fracture.

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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Sternotomy wires are unchanged.

<unk>m with chest pain, evaluate for acute process.

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There appears to be a mechanical thumb drive overlying the left mediastinum, perhaps within the patients' shirt pocket. The heart size is normal. The mediastinal and hilar contours are unremarkable. The lung is well expanded and clear. There is no evidence of pneumothorax or a pleural effusion. The visualized osseous structures are unremarkable.

<unk>-year-old male on amiodarone, who presents for evaluation of shortness of breath.

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Tracheostomy tube is in standard position. An increased patchy opacity in the right upper lobe is suspicious for pneumonia. The chest is hyperinflated. A gastrostomy tube projects over the left upper quadrant of the abdomen.

history: <unk>m with fever, increasing in sputum production. evaluate for pneumonia

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Subtle left base opacity is felt to more likely represent atelectasis and consolidation. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The aorta is calcified. Coronary artery calcification/stenting is noted.

history: <unk>f with productive cough, renal tx on immunosuppressive agents // evidence of pneumonia, bronchitis

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Pa and lateral views of the chest provided. The lungs are well-inflated. The lungs are clear. The patient's pneumonia is resolved. There is no pleural effusion, or pneumothorax. The hilar and cardiomediastinal contours are normal. Chronic right rib fractures are unchanged.

<unk> year old man with multiple myeloma. recent hospitalization for lll pneumonia. // follow up for lll pneumonia.

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The lungs are well-expanded. There is a left basilar hazy opacities, new when compared to prior. Superiorly, lungs are clear. Cardiac silhouette is top-normal. Tortuosity of the thoracic aorta is again noted. No acute osseous abnormalities.

<unk>m with cough // pna

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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax.

n/v chest discomfort, r/o pna

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No fractures are identified. There is slight indentation of the superior trachea in the region of the thryoid gland.

evaluation of patient with high blood pressure and chest pain.

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There is a new left lower lung opacity which appears to involve the inferior lingular segment, which may represent pneumonia or atelectasis.there has been partial decrease in size of right subpulmonic effusion in comparison to prior exam. There is no left pleural effusion. The cardiomediastinal silhouette is unchanged. Additionally, there is a small area of sort tissue gas adjacent to the most lateral border of the right rib margins which is seen on multiple prior radiographs. This most likely represents a pocket of subcutaneous emphysema status post right thoracotomy, however, persistence on multiple examinations raises the possibility that this may represent focal lung herniation. This would be more likely in the presence of significant focal patient pain in the region. Otherwise, the lung parenchyma are grossly unchanged in appearance. There is stable biapical pleuroparenchymal scarring. There is no pneumothorax.

<unk> year old woman with post-operative // observe for changes

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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. In aortic valve replacement again noted. Elevation of the right hemidiaphragm again noted. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. There is mild bronchovascular crowding in the lower lungs. No convincing signs of edema or congestion. The heart is mildly enlarged. The mediastinal contour is normal. No acute bony abnormalities seen.

<unk>f with increased bilat leg swelling // ?fluid overload

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Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal atelectasis in the lung bases without focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is identified.

history: <unk>m with chest symptoms, possible cocaine usage

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No pulmonary edema is seen.

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

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

<unk>f with chest pain and sob // r/o pneumonia, chf

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Right-sided picc is seen terminating in the mid to lower svc. No pneumothorax is seen. Lung volumes remain low without definite focal consolidation. No pleural effusion is seen. Cardiac and mediastinal silhouettes are stable.

history: <unk>m with confusion and rash // eval for pna

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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

<unk>f epigastric pain. assess for cardiopulmonary change.

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The heart is normal in size. The aorta is mild to moderately tortuous. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

tia.

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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 ap single view chest examination of <unk>. On the present examination, the heart size is unchanged and within normal limits. No configurational abnormality is present. The pulmonary vasculature is not congested. The on previous single view chest examination identified right lower lobe area hazy infiltrate has disappeared. No new abnormalities are seen in the right hemithorax. On the other hand, there is now a smaller hazy infiltrate on the left-sided lung base and the lateral view suggests it is located in the periphery of the left upper lobe lingula abutting the heart border. No development of pleural effusions and no pneumothorax in the apical area.

<unk>-year-old male patient with hiv and pneumonia, evaluate for interval change.

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Left port-a-cath terminates in the low svc, unchanged from <unk>. Ill-defined bilateral opacities in the lower lungs are new in the right and more prominent on the left than on <unk>. Mediastinal contours, hila, and cardiac silhouette are normal. No pleural effusion or pneumothorax.

<unk> year old man with hx of myeloma. cough. please r/o pna.

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable given differences in inspiration. Slight increase in interstitial markings diffusely bilaterally may be due to minimal interstitial edema

history: <unk>f with cp*** warning *** multiple patients with same last name! // acute process

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Ap and lateral views of the chest. Compared to prior, there has been no significant interval change. Streaky opacities at the lung bases are again noted likely due to scarring. There is no new consolidation, effusion or evidence of pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Trachea is deviated to the left at the thoracic inlet secondary to right thyroid lesion seen on prior ct. No acute osseous or soft tissue abnormality.

<unk>-year-old male with coronary artery disease and multiple stents presenting with lower extremity edema. question chf.

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In comparison with study of <unk>, the patient has taken a much better inspiration. Again, there is severe unfolding with tortuosity of the aorta. However, no evidence of acute focal pneumonia or vascular congestion. Mild atelectatic changes are seen at the bases.

cough, to assess for pneumonia.

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Left lower lobe opacity has resolved. Stable enlargement of cardiac silhouette and unchanged position of dual lead pacer.

<unk> year old man with myasthenia <unk>, copd, recent cxr showed lll opacity, was treated for pneumonia // resolution of lll opacity

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Two views were obtained of the chest. The lungs are clear without pleural effusions or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. There is no free air under the right hemidiaphragm. Extensive right acromioclavicular and thoracic spine degenerative changes are seen.

chest and epigastric pain.

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There are low lung volumes. The heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are similar. There is crowding of the bronchovascular structures with streaky bibasilar opacities. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen.

pleuritic chest pain.

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Right chest wall port is again seen. Linear lingular opacity is compatible with atelectasis versus scarring. The lungs are otherwise clear. Lower esophageal stent is new since <unk>. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with recent esophageal stent placement here w. fever // ?aspiration pna ?pneumomediastinum ?mediastinitis

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In comparison with the study of <unk>, the dual-channel pacemaker device is again seen with unchanged leads. Cardiac silhouette remains at the upper limits of normal in size. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure and there is blunting of the costophrenic angles bilaterally. The area of opacification at the right base laterally is again seen, which could represent a parenchymal nodule extending into the region of the minor fissure. The sclerotic metastases in the lower thoracic region seen on ct are not definitely appreciated on this study.

chf and metastatic renal cell carcinoma.

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Frontal and lateral chest radiograph demonstrates right lower lobe opacity obscuring the right hemidiaphragm.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

chest pain, wheezing, fever, hypoxia. assess for pneumonia.

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Since the prior study, there has been slight decrease in conspicuity of the left lower lobe opacity. The lungs are otherwise clear, heart size is stable, and there is no pleural effusion or pneumothorax.

<unk> year old woman with copd/asthma. evaluate evolution of left lower lobe opacity.

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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

chest pain.

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Chronic emphysematous changes are not significantly changed. Multiple small nodules measuring up to <num> mm are present predominantly in the upper lobes. Some appear to have slightly increased in size. There is no pneumonia, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

long smoking history with weight loss and cough. evaluate for cancer.

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The lung volumes are normal and the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar contours are unremarkable. Cholecystectomy clips are noted.

chest pain.

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There are no old films available for comparison. There are increased lung markings in the right lower lobe, and it is unclear if this represents an early infiltrate or some volume loss. Attention should be paid to this area on followup. Otherwise, the lungs are clear. Heart is upper limits normal in size. Minimal degenerative changes are seen in the thoracic spine.

tia, possible question intrathoracic process.

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Pa and lateral chest radiographs were obtained. There is no focal consolidation, pleural effusion, or pneumothorax. There is stable scarring at the left lung base likely from prior vats procedure. The cardiomediastinal silhouette and hilar contours are stable. There is no subdiaphragmatic air.

metastatic melanoma on chemotherapy with abdominal pain status post left lower lobe vats, evaluate for bowel perforation.

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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.

chest pain.

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Frontal and lateral radiographs of the chest demonstrate hyperinflated lungs. There is increased opacification of the bilateral bases, consistent with bibasilar atelectasis. Cardiomediastinal and hilar contours are unchanged. There is no pleural effusion, consolidation, or pneumothorax.

fall from standing with lightheadedness.

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Leftward deviation of the upper trachea is again noted and likely due to a thyroid goiter, mass or vascular prominence. There is no evidence of consolidation, pulmonary edema, or pneumothorax. New small bilateral posterior pleural effusions are present. The aorta is ectatic, but unchanged from prior exam. The cardiac silhouette is normal in size.

fever and low oxygen saturation. evaluate for pneumonia.

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Patchy left base opacity is worrisome for a left lower lobe pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

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

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<num> mm rounded radiopaque nodular density projecting over the lateral right upper lung is seen, unclear whether this is external to the patient or pulmonary. Findings the further assessed with shallow obliques. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

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

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Patchy left basilar opacity is seen, raising concern for pneumonia, alternatively atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with productive cough, fever // eval for pneumonia

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Pa and lateral chest radiographs were obtained. The lungs are well expanded. There is a subtle interstitial abnormality in the left lower lobe. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.

fever

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There is focal consolidation in the left lower lobe. Elsewhere, the lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with fevers, productive for <num> days // eval for pneumonia

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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. Picc line terminates at the cavoatrial junction

history: <unk>m with lymphoma on chemo w/ fever // eval ? pna

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The lung volumes are low. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Allowing for low lung volumes, vague lower lung opacities are probably due to minor atelectasis. The right shoulder is not fully imaged, but there is an indication that the acromion may be depressed with respect to the right clavicle, although the appearance may be essentially a projectional artifact. Bony structures are otherwise unremarkable.

trauma.

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Lung volumes are slightly low. There is increased opacity throughout both lungs, predominantly at the bases. There is a small pleural effusion and no pneumothorax. The pulmonary vasculature is mildly enlarged. Cervical fixation hardware is re- demonstrated.

<unk> year old male with paroxysmal a fib, mild aortic stenosis, htn, prior stroke w/ residual left-sided hemiparesis, and recent viral pna w/subsequent recurrent of a fib s/p successful dccv (still on amio and warfarin), and crf <unk> focal and segmental glomerulosclerosis s/p cadaveric renal transplant p/w dyspnea. // any evidence of pna?

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New interstitial opacities in the left mid lung and lower lobe are suspicious for pneumonia. A nodular opacity in the left retrocardiac region was more fully characterized on the recent ct of <unk>. Pleural thickening and calcified pleural plaques are again noted. Basilar predominant interstitial lung disease has progressed since <unk> and has been more fully characterized on recent chest ct of <unk> the interstitial lung disease have progressed since <unk>. Lungs are hyperinflated. There is no pleural effusion. Cardiomediastinal silhouette is normal size.

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

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Ap and lateral views of the chest were obtained. There are bilateral confluent opacifications in the dependent areas of the lower lungs posteriorly. Patchy opacifications in the mid and upper lungs are also noted. There is some upper mediastinal widening and hilar prominence likely due to vascular distention but lymphadenopathy could appear similar. Heart size is top normal and there is no pleural effusion or pneumothorax.

<unk>-year-old female with suboxone and heroin overdose, possible tylenol overdose, with cough and possible aspiration.

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There is a small right pleural effusion which has decreased in size from <unk> study along with interval removal of pigtail pleural drainage catheter. The left lung is clear. The heart is top-normal in size stable from previous studies. The mediastinal silhouette and hilar contours are normal.

<unk> year old man with pleural effusion // eval

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Frontal and lateral chest radiographs demonstrate cardiomediastinal contours are unchanged. Appearance of a left lower lung opacification on the frontal view appears to correspond with a prominent pericardial fat pad, better assessed on the lateral view and stable across multiple prior chest radiographs. Overall, lungs appear clear. No pleural effusion or pneumothorax is identified. Aortic knob calcifications again identified.

chest pain and arm discomfort, assess for consolidation.

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Opacification at the lung bases is largely moderate atelectasis on the right, combination of moderate left pleural effusion and moderate atelectasis on the left. Upper lungs clear. Heart size normal. No pneumothorax. No pneumoperitoneum. Left of diaphragmatic pleural drain in similar position, of of known peritoneal collection.

<unk> year old man with fever to <num>.<unk> s/p <unk>'s procedure c/b peritoneal fluid collection // ?pna may take as first routine scan at <unk>

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history: <unk>f with fevers, prod cough of greenish sputum x several days // eval pna

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Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The hilar contours are stable. Cardiac and mediastinal silhouettes are stable.

<unk>f with hypotension // eval infiltrate

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In comparison with study of <unk>, the small patchy area of opacification in the left lower zone has cleared. Continued low lung volumes with minimal atelectatic changes, and no evidence of acute focal pneumonia or vascular congestion.

pulmonary emboli with left-sided pleuritic chest pain.

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Frontal and lateral chest radiographdemonstrates heterogeneous left lower lobe opacity with elevation of the left hemidiaphragm which has improved since previous examination. Interval decrease in size of small left pleural effusion is noted. No right pleural effusion. No pneumothorax. Mild cardiomegaly is stable. Mediastinal contour, and hila are otherwise unremarkable and unchanged in appearance since previous examinations..

recent valve replacement with left lower extremity swelling. chest pain.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits. There has been no significant change.

hyperglycemia.

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Pa and lateral views of the chest provided. Lungs appear hyperinflated with upper lobe lucency suggesting underlying emphysema. Cardiomediastinal silhouette is stable. There is subtle opacity in the lateral right lung base which in the correct clinical setting may represent a very early/mild pneumonia. No large effusion or pneumothorax seen.

<unk>f with cough // ? pna

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Again is seen a left-sided pacer unit with leads in the right atrium and right ventricle. Sternotomy wires and mediastinal clips associated with post-cabg changes are stable. The heart size is stably enlarged. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob with a mildly tortuous aorta. The lungs are clear of consolidation and while the pulmonary vasculature is prominent, there is no septal thickening to suggest pulmonary edema. There is no pleural effusion or pneumothorax.

<unk>-year-old female with upper abdominal pain radiating to the back.

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.

history of cough. please evaluate.

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Pa and lateral chest radiographs. There is a <num> mm nodular opacity in the right mid lung, not present on prior imaging. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. There is no pulmonary edema.

unwitnessed fall.

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The heart is normal in size and there is no evidence of vascular congestion or pleural effusion. No acute focal pneumonia. No evidence of fracture or pneumothorax. Of incidental note are multiple surgical clips in the right axillary region and a port-a-cath with its tip in the mid portion of the svc.

right rib injury.

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Pa and lateral views of the chest provided. There is prominence of the main pulmonary artery contour which raises concern for pulmonary arterial hypertension. Please correlate clinically. Lungs are clear without focal consolidation, large effusion or pneumothorax. The heart size is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f w/fever and tachycardia, please eval for occult pna

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Streaky bibasilar atelectasis is mild, slightly more prominent on the right. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

history: <unk>m with <num> days of sore throat, r eye drainage, l ear pain; also chest pressure/cough // eval for consolidation

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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Note is made of mild diffuse bronchial wall thickening, which may relate to bronchitis.

history: <unk>f with lupus, splenectomy on immunosuppressants. // pneumonia

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

patient with fever status post turp. evaluate for 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 unchanged with mild cardiomegaly again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f w/fever, crackles in bases, please eval for occult pna

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Median sternotomy wires are intact. Prosthetic aortic valve is present. Cardiomediastinal contours normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no pulmonary edema. There is no acute osseous abnormality.

<unk> year-old man with tachycardia, evaluate for acute process.

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There is a fan shaped opacity in the left upper lobe consistent with pneumonia. Moderate-sized left pleural effusion is essentially unchanged from prior study. There are no other areas of focal consolidation suspicious for infection. There is no pneumothorax. The cardiomediastinal silhouette is stable and top normal in size.

<unk>-year-old female with history of pleural effusion and breast cancer.

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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

history: <unk>m with sensation of food bolus in chest. // eval for cardiopulmonary process

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The lungs are moderately well expanded. Hazy opacity in the left lung base is similar to prior and likely represents known chronic atelectasis. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged. A pacer is seen overlying the right anterior chest with intact leads in appropriate position.

history: <unk>m with chf now with <num>h hx of ruq pain no n/v/d // eval for hepatitic congestion

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There are small bilateral pleural effusions posteriorly. There is no consolidation or pneumothorax. Cardiomediastinal silhouette is normal size. Mild degenerative changes of the thoracic spine is noted.

<unk> year old man with persistent fevers cough // eval for pna

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear without effusion or consolidation. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. Surgical clips suggestive of cholecystectomy in the right upper quadrant.

<unk>-year-old female complains of chest pain with recently diagnosed lupus and hypothyroidism.

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Compared to the prior study, the left lower lobe pneumonia is significantly improved. There is mild central pulmonary vascular congestion. The lung volumes are normal. The cardiomediastinal contour is normal. There is no pleural effusion. Glenohumeral and acromioclavicular joint degenerative disease noted bilaterally, with bilateral high riding humeral heads consistent with chronic rotator cuff disease. Otherwise, the bones and soft tissue structures are unremarkable. There is no free air underneath the right hemidiaphragm.

<unk>m with chest pain x <unk> mins resolved after nitropaste. evaluate for acute cardiopulmonary process.