Datasets:
ChayanM
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MIMIC-MultiView-Findings-Query

Dataset card Data Studio Files Community
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Mild cardiomegaly is noted. Mediastinal contour and hila are unremarkable. Limited assessment of the osseous structures are notable for mild multilevel degenerative changes of the thoracic spine with anterior osteophytes, endplate sclerosis and disc space narrowing.
<unk>f w/ cp after falling directly onto her chest. one episode vomiting.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
productive cough. evaluate for infectious process.
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Lung volumes are low leading to crowding of the bronchovascular structures. Bibasilar and, in particular, right middle lobe airspace opacities are again noted. Upper lungs are clear bilaterally. There is no evidence pneumothorax, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette is unchanged.
history: <unk>m with cough // ? pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for unchanged focal scarring in the right middle lobe. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with known aortic stenosis now with dypnea symptoms s/p caria cath today. he was found to have lad stenosis and is now being referred to cardiac surgery for an aortic valve replacement and revascularization. // r/o acute pulmoary processes. pt location <unk> <num>: x <unk>surg: <unk> (aortic valve replacement)
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Dual lead left-sided pacemaker is stable in position. The patient is status post cardiac valve replacement. Previous seen right mid lung opacity has improved in the interval however, there is increased opacity at the right lung base, particular the lateral right lung base. There is blunting of the bilateral costophrenic angles which may be due to post trace pleural effusions. The cardiac and mediastinal silhouette is grossly stable with the cardiac silhouette enlarged but possibly slightly less so as compared to the prior study. No pneumothorax is seen.
history: <unk>m with significant cardiac hx, <num> days of unsteadiness //
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Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Previously seen diffuse parenchymal opacities are improved but not completely resolved on the current exam, consistent with improved infectious process. There is no new focal consolidation or pulmonary edema.
worsening hypoxia and shortness of breath.
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Pa and lateral chest radiographs. The lungs are mildly hyperinflated. The heart size is top normal and there is mild engorgement of the mediastinal veins. However, there is no pulmonary edema or pleural effusion.
altered mental status.
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Heart size is borderline enlarged. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear and the pulmonary vasculature is normal. No acute osseous abnormality seen.
neck pain and thoracic spine pain after being hit by car door.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Bilateral glenohumeral prosthesis are redemonstrated and unchanged in appearance in these limited views.
patient with chest pain.
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The lung volumes are normal. There is no evidence of pleural effusions. Normal structure and transparency of the lung parenchyma. No evidence of pneumonia or other parenchymal pathology. Normal size of the heart. Mild tortuosity of the thoracic aorta. Normal hilar and mediastinal structures.
sle, steroids, cough, status post <num> days of antibiotic treatment.
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There is no focal consolidation. Blunting of the right posterior costophrenic angle may represent small effusion. Slightly indistinct pulmonary vascular markings suggest pulmonary vascular congestion. There is no overt edema or focal consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, old healed posterior left rib fracture is noted.
<unk>f with afib w/ rvr // evidence of pneumonia
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. There is no pneumothorax, pleural effusion or consolidation. The cardiomediastinal and hilar contours are unchanged. Old healed rib fracture along the lateral right <num>th rib is again seen. There is atherosclerotic calcification of the aortic knob. No displaced rib fracture is identified.
rib pain and dyspnea. evaluate for pneumonia.
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Lung volumes are low. This causes crowding of the bronchovascular structures. Mediastinal contour is unchanged and a left-sided intrathoracic stomach is again demonstrated. Heart size is difficult to assess given the presence of the intrathoracic stomach. <num>-cm left hilar mass containing calcifications is re- demonstrated, similar in size compared to the previous study . Patchy opacities in the lung bases may reflect atelectasis though infection is not excluded. Additionally, a trace right pleural effusion may be present. There is no overt pulmonary edema. No pneumothorax is seen. Multilevel degenerative changes are noted in the thoracic spine.
shortness of breath.
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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.
<unk>f with weakness. evaluate for cardiopulmonary change.
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There is no consolidation, pleural effusion or pneumothorax. Possible mild upper zone redistribution, without overt chf.. Cardiomediastinal contours are within normal limits. There is no subdiaphragmatic free air. No acute osseous abnormalities are identified. Note made of surgical clips surrounding the trachea immediately above the thoracic inlet.
history: <unk>f with chest pain // r/o acute process
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The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique. A patchy opacity in the left lower lung has largely resolved, although a residual component may be associated with slight atelectasis or scarring. More generally there is a diffuse interstitial abnormality suggesting mild-to-moderate pulmonary vascular congestion. A small pleural effusion is suspected on the left and a trace one on the right. Moderate degenerative changes are similar along the lower thoracic spine.
dyspnea on exertion.
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There is no new consolidation. The lungs are clear. Moderate cardiomegaly is unchanged in this patient with prior sternotomy and mitral valve repair. Atrioventricular pacemaker is in adequate position. There is no pleural effusion or pneumothorax.
the patient with asthma, crackles, rule out pneumonia.
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As compared to the previous radiograph, the lung volumes have increased, potentially showing improved ventilation. There is unchanged evidence of minimal calcified granuloma at the right and left lung apex. Also unchanged are areas of atelectasis at the right lung base. At the left lung base, however, better seen on the lateral than on the frontal radiograph, a triangular shaped parenchymal opacity with air bronchograms is visible. On the frontal radiograph, this opacity is projecting over the cardiac silhouette. The morphology of the opacity would be suspicious for pneumonia in the appropriate clinical setting. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta, moderate calcifications of the aortic arch. No pulmonary edema. The observation was made at <time> p.m., on <unk>, at the same time point the referring physician, <unk>. <unk>, was paged for notification and the findings were subsequently discussed over the telephone.
shortness of breath, copd, evidence of pneumonia.
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The previously fractured ninth right rib is not included in today's image. Today, there is full expansion of the middle lobe. No new rib fractures are detected. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta that is unchanged since the previous exam.
history of rib fractures, normal chest x-ray. evaluation.
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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no definite pleural effusion or pneumothorax. No definite focal consolidation is identified.
history: <unk>f with multiple complaints including abd fullness, dizziness, lightheadedness // ?cpd
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Heart size is normal. Amplatz closure device projects over the cardiac silhouette. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
<unk> year old woman with crohn's disease // ? cardiopulmonary process, screen for tb prior to initiating monoclonal ab therapy
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Frontal and lateral radiographs of the chest. Mild elevation of the right hemidiaphragm appears chronic and is accompanied by minimal adjacent right basilar atelectasis. Normal heart size. No pleural effusion or pneumothorax. Stable mediastinal and hilar contours. Multiple clips in the right upper quadrant are again seen.
anemia and fatigue for several days, evaluate for pneumonia.
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Lungs are clear without focal consolidation, effusion, or edema. The cardiac silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with chest pain // eval for structural process
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Since <unk>, the left upper lobe nodule that is stable in size and appearance. Moderate hiatal hernia stable. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old man with cad, s/p cabg, asbestos exposure, nonsmoker, prior cxr with note of lul nodule? // assess ?nodule
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Frontal and lateral radiographs of the chest demonstrate bibasilar atelectasis and small bilateral pleural effusions. In pulmonary markings and cephalization of pulmonary vasculature is consistent with moderate pulmonary edema. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or focal consolidation. The left-sided internal jugular central venous line ends at the cavoatrial junction.
<unk> year old woman with chest tenderness to palpating s/p fall // ? msk injury
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In comparison with the earlier study, the right chest tubes have been removed. No evidence of pneumothorax. The overall appearance of the heart and lungs is essentially unchanged.
chest tube removal.
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Ap and lateral views of the chest compared to previous exam from <unk>. Linear opacity at the right lung base may represent atelectasis. There is also, however, blunting of the lateral costophrenic angle suggestive of an effusion. Elsewhere, the lungs are clear. Please note that the lateral view is limited secondary to patient's arms down by his side. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unchanged.
<unk>-year-old male with lethargy, and abdominal pain. question pneumonia.
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Cardiomegaly and tortuous aorta are unchanged. Small right pneumothorax is unchanged. Bibasilar atelectasis have increased on the right and decreased on the left. Bilateral effusions are small. Right chest tube remains in place. Right chest wall subcutaneous emphysema has decreased.
<unk> year old woman s/p r vats wedge with chest tube // perform at <num>am. r/o ptx
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Heart size is normal. Stable tortuosity of the thoracic aorta. No focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema.
<unk> year old woman with history of <unk> year shortness of breath. some atelectasis and bronchiectasis in the bases of the lung on abdominal ct scan <unk>. // any infiltrates or edema
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The lungs are well expanded and clear. There is no pneumothorax, pleural effusion, or focal consolidation. The heart is normal in size. Normal cardiomediastinal contours.
<unk>-year-old man with chest pain, shortness of breath, epigastric burning and reportedly a history of vomiting. assess for pneumonia, pneumothorax, free air or pneumomediastinum.
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There is patchy consolidation at the right lung base within the right lower lobe. Retrocardiac opacity is also seen on the left but less extensive. Superiorly, lungs are clear. The cardiomediastinal silhouette is within normal limits. Catheter projects over the upper abdomen as on prior.
<unk>m with ascites, bilateral rales, hypoxia, cough, fever // ?pneumonia, pulm edema
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Lung volumes are mildly decreased, and the lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is top-normal in size.
<unk>-year-old female with cough/abdominal pain, alcohol abuse. evaluate for acute process.
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A previously seen nodule at the base of the right lung is unchanged since <unk>. Otherwise, the lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
history of copd and cough for <num> weeks. evaluation for consolidation.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
<unk> year old woman with cough x <num> weeks, eval for interstitial changes
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Pa and lateral views of the chest provided. Lungs appear hyperinflated and clear. 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 pt with slurred speech, dizziness x <num> week // pt with abnormal romberg and slurred speech, dizziness x <num> week
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In comparison with the study of <unk>, there is little overall change. Intact midline sternal wires are again seen, though there is no evidence of cardiomegaly, vascular congestion, pleural effusion, or acute focal pneumonia. The elevation of the right hemidiaphragm is no longer appreciated. Medial displacement of the stomach again would be consistent with splenomegaly.
myelofibrosis with stem cell transplant, now with cough.
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Streaky left basilar opacity is likely atelectasis versus scar. The lungs are otherwise clear without consolidation worrisome for pneumonia. There is no effusion or edema. Mild cardiomegaly is again noted. Dense atherosclerotic calcifications at the aortic arch. Lower thoracic vertebroplasty changes are again noted.
<unk>f with hersob and is cough <num> daysx <num> days // assess for infiltrate i can call the dental
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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. There may be an opacity seen on lateral view in the lower lobe which could be a pneumonia. A chest ct is recommended for further evaluation.
<unk> year old man with history of pe with newly discovered leukemia with report of increased cough and mucus production // r/o acute pulmonary process
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. Coronary calcifications in at least the lad are moderate to severe. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old man with recent unexplained weight loss; remote history of cigarette smoking // evaluate for parenchymal lung disease
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The heart size is mildly enlarged. Mediastinal and hilar contours are unchanged. No pulmonary vascular engorgement is seen. Apart from minimal scarring in the left lung base, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. Cholecystectomy clips are again demonstrated in the upper abdomen.
shortness of breath.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are low. The lungs are clear. The aorta remains tortuous. There are no definite pleural effusions. No pneumothorax is seen. The heart size is normal. Degenerative changes of the thoracolumbar spine are redemonstrated including a compression deformity of a lower thoracic vertebral body, not significantly changed.
new-onset seizures starting yesterday. assess for infection.
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The cardiac, mediastinal and hilar contours appear unchanged including mild cardiac enlargement with a left ventricular configuration. An eventration of the right hemidiaphragm is unchanged. There is no definite pleural effusion or pneumothorax. The lungs appear clear view. There is a nodule or focus projecting over the mid portion of the thoracic spine. Although, an artifact is suspected, it may be appropriate to perform further imaging to reassess.
fever.
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Frontal and lateral chest radiographs demonstrate interval increase in a now moderate to large right pleural effusion with collapse of the right middle and lower lobes. A right tunneled ij hemodialysis catheter is unchanged in appearance with its tip projecting over the expected position of the right atrium. The cardiac silhouette is top normal in size, the mediastinal contours are normal. There is calcification of the aortic arch, and tortuosity of the thoracic aorta. The pulmonary vasculature is normal. The lungs are otherwise clear.
<unk>-year-old male with heart failure and right pleural effusion.
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Frontal and lateral radiographs of the chest demonstrate intact median sternotomy wires. Compared to the prior radiograph there has been interval increase in lung volumes with continued bibasilar atelectasis and small bilateral pleural effusions. There has been interval resolution of the left apical pneumothorax. No focal consolidation is identified. Stable cardiomegaly is again noted. Prosthetic aortic valve is seen on the lateral view. Expected post operative mediastinal air is noted.
status post aortic valve replacement. evaluate for effusions or pneumothorax.
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Moderate cardiomegaly is is stable. Aorta is tortuous. The lungs are grossly clear. There is mild vascular congestion and there is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
chf
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Pa and lateral views of the chest provided. Suture material in the right lower lung relates to prior resection. 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. A chronic left eighth rib deformity is noted.
<unk>f with cp, sob // pna?
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Ap and two lateral views of the chest were viewed. The cardiomediastinal and hilar contours are unchanged. There is no pleural effusion or pneumothorax. Bibasilar opacities may reflect atelectasis or aspiration.
confusion.
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Pa and lateral views of the chest provided. No radiopaque foreign body. No signs of pneumomediastinum. 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> year old man with <num> weeks of foreign body sensation in throat
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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 pmhx dilated cardiomyopathy p/w sob/epigastric pain x<num>week. // ? consolidation. ? heart failure exacerbation
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There is no focal consolidation to suggest pneumonia. Small bilateral pleural effusions are new. No pneumothorax. Heart size is mildly enlarged. Aorta is tortuous.
<unk>-year-old female presenting for evaluation of melena, found to have leukocytosis (wbc <unk>). evaluate for pneumonia.
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There is no radiographic evidence for focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Minimal bronchial cuffing is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with fever and asthma exacerbation.
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As compared to the previous radiograph, the extent of the pleural effusions has decreased. Also decreased are the pre-existing signs of interstitial lung edema. However, there is still some remnant mild interstitial lung edema on the current image. Atelectasis at the right lung bases. Minimal plate-like atelectasis on the left in the perihilar regions. Borderline size of the cardiac silhouette.
history of pleural effusions, evaluation for interval change.
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The lungs are well inflated and clear. No large mass identified. No pulmonary edema. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with ataxia x <num> day. assess for cardiopulmonary disease, abnormal vasculature or mass?
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Patient is status post median sternotomy, mitral and tricuspid valve replacements, and cabg. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. Hypertrophic changes are seen within the thoracic spine.
history: <unk>f with cough x<num> days, audible wheeze this morning and left lower lobe rhonchi on physical exam
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Frontal and lateral views of the chest demonstrate top normal size of cardiac silhouette. The mediastinal and hilar contours are unremarkable. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. There is mild displacement of the trachea to the right, possibly due to a goiter or tortuous enlarged innominate artery.
<unk>-year-old male with fever. question pneumonia.
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Pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of pneumothorax, overt pulmonary edema, or focal consolidation concerning for pneumonia. Coarse interstitial markings are noted bilaterally. The mediastinum is shifted towards the right, likely due to known history of transposition of the great vessels, status post repair. Multiple surgical clips are noted in the left upper quadrant, presumably from prior gastroesophageal hernia repair.
<unk>-year-old female with wheezing and sputum production. evaluation for infection. review of the<unk> medical record reveals further history of transposition of the great vessels, status post repair at age <unk>, with longstanding asthma. prior history of gastroesophageal hernia repair.
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The cardiomediastinal and hilar contours are stable. The aorta is tortuous and shows a calcified wall. There is moderate cardiomegaly. Lung volumes are low. No large pleural effusion or pneumothorax. There is mild pulmonary edema.
<unk>f with altered mental status // eval infiltrate
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Stimulator device pack is seen in the left anterior chest wall. Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
multiple seizure disorder with increasing seizures. evaluate for pneumonia.
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Compared to prior, there has been no change. Lung volumes remain clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with hypoxia // r/o infiltrate
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Pa and lateral views of the chest provided. Dual lead left chest wall pacer is again noted with leads in unchanged position. The heart remains stably enlarged. No edema or pneumonia. No pleural effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact.
<unk>m with chf, recent pacer placed //
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Improved inspiratory effort in lung volumes. Previously seen opacification of the right middle lobe has resolved and can be treated pneumonia. No new or consolidation. No pulmonary edema. Heart size is normal. No pleural effusion.
<unk> year old woman with recent pneumonia, treated and improved // follow up of abnormal cxr <unk> when she had pneumonia
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In comparison with the study of <unk>, there is stable substantial enlargement of the cardiac silhouette without definite vascular congestion. This discordance raises the possibility of cardiomyopathy or pericardial effusion. No acute focal pneumonia identified.
chf.
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Bilateral calcified pleural plaques are again noted. There is no obvious parenchymal consolidation. Surgical chain sutures project over the right mid lung. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted. No acute osseous abnormalities.
<unk>f with dizziness // ? acute process
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Pa and lateral views of the chest were reviewed and compared to the prior study. A dual-chamber pacemaker located in the left hemithorax has leads ending in the right atrium and right ventricle. A new retrocardiac opacity could represent pneumonia given the clinical history. The heart size is normal and there is no vascular congestion, pleural effusion or pneumothorax.
persistent cough.
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The lungs are well-expanded and well-aerated. Increased opacity in the right lung base likely reflects superimposition of vessels and bony structures. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The thoracic aorta remains moderately widened and tortuous with moderate calcification in the walls of the aortic arch and proximal descending thoracic aorta, similar in appearance to <unk>. The mediastinal contours remain within normal limits. The bilateral hila are symmetrical. Multilevel moderate degenerative changes are noted throughout the thoracic spine.
persistent cough and malaise, here to evaluate for pneumonia or pulmonary lesion.
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In comparison with study of <unk>, there is little overall change in the diffuse bibasilar reticular opacities that have been present sporadically on prior imaging studies. Findings may reflect atypical pulmonary edema, though reaction to periodic environmental or medication exposure would have to be considered.
abnormal chest with bibasilar reticular opacifications.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
neutropenic fever.
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There are non-displaced fractures of the third through sixth right posterior ribs, with segmental fractures of the fifth and sixth ribs. There is a small pneumothorax on the right. There is no shift of the mediastinum. There is no pleural fluid on the right. The left hemithorax is clear without pneumothorax or pleural effusion. There is no consolidation. The aorta is tortuous. There is mild cardiomegaly. The mediastinal silhouette is normal. Multilevel degenerative changes are noted in the thoracic spine.
right shoulder and rib pain after a fall.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f w/ chest pain, sob, dizziness, lightheadedness, lasting <num> minutes <num>h prior now resolved.
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Compared with the prior study, there has been an interval increase in the right pleural effusion. No pneumothorax. Upper right lung is clear. The left lung is clear without effusion or focal consolidation. Heart size, mediastinal, and hilar contours are normal.
<unk> year old woman with mpe s/p right <unk> with <num>ml removed <unk>. evaluate for recurrence of effusion.
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A large right hilar mass with associated post-obstructive atelectasis, including volume loss with moderate elevation of the right hemidiaphragm is more discretely visualized with a marked reduction of pleural effusion, but opacification has substantially improved in the right lower lung, either due to rapidly clearing atelectasis or interval thoracentesis. The left lung remains clear aside from streaky left basilar opacity suggesting minor atelectasis. The lateral view demonstrates that a major mass-like opacity is predominantly posterior and perhaps centered primarily in the right lower lobe, although not completely characterized. A vague nodular focus projects over the left upper hemithorax, in the same location as seen previously, but not as well visualized and potentially decreased. There is no pneumothorax. The bony structures are unremarkable aside from mild-to-moderate rightward convex curvature.
metastatic lung cancer, presenting with right-sided pleural effusion.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.
history of cad and asthma, now with cough and shortness of breath.
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A dual lead left anterior chest wall pacer is again noted and is unchanged in position. Moderate cardiomegaly is unchanged from prior study. Atherosclerotic calcifications are noted along the aortic arch. Subtle increased density is noted in the right middle lobe with questionable lateral correlate in the posterior lower lung fields. There is no pleural effusion or pneumothorax. A right humeral head replacement is incompletely imaged. The osseous structures are otherwise grossly unremarkable.
hypoxia.
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Previous large scale consolidation has cleared entirely. Predominantly in the left lower lobe and to a lesser degree in the right middle lobe is a new abnormality consisting of fine linear opacities and, best appreciated on the lateral view, bronchial wall thickening. This is more likely to be an atypical infection, due to a virus or mycoplasma (or given the appropriate clinical circumstances, pneumocystis), than bacterial pneumonia. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk> year old man with hiv, cvid with cough x <unk> weeks // eval for consolidation
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. No triangular opacity to suggest pulmonary infarct. The cardiomediastinal silhouette is within normal limits. Background hyperinflation is noted.
<unk>m with right arm weakness, evaluate for pneumonia, vessel occlusion.
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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. There are multiple wedging deformities of the midthoracic vertebral bodies with greater than <unk>% loss of vertebral body height at multiple levels.
history: <unk>m with sob with recent dvt // sob
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Dual-chamber pacemaker with generator is in left pectoral region with leads ending in right ventricle and body of right atrium. Distal tip of right internal jugular line is at origin of right brachiocephalic vein. Sternotomy wires are in correct placement. Increase in bilateral basilar pleural effusions left greater then right. No focal consolidation, pulmonary edema, or pneumothorax. Heart size and mediastinal contours are normal.
female with new pacemaker. assess for lead placement and pneumothorax.
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Pa and lateral views of the chest provided. There is collapse of the right lower lobe. The left lung is clear. Clips in the left axilla noted. No pneumothorax. Heart size is not enlarged. No acute osseous abnormality.
<unk>f with possible mass on osh xray // please eval for mass in the right hilar region
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As compared to the previous radiograph, the patient has undergone a left thoracocentesis. A substantial part of the left pleural effusion was removed, but there is a small to moderate predominantly basal left pneumothorax. No signs of tension are currently visible, but the change needs further radiologic monitoring. The size of the cardiac silhouette and the right lung are constant. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification.
new left pleural effusion, status post thoracocentesis, questionable pneumothorax.
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Frontal and lateral chest radiographs demonstrate normal heart size. Confluent opacity in the left upper lobe posteriorly could represent aspiration. Peribronchial cuffing could represent mild peribronchial edema or chronic airways disease. No pleural effusion or pneumothorax.
aspiration after overdose. evaluate for reason for hypoxia to low <num>s.
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There is persistent right basilar opacity which is somewhat improved when compared to the most recent x-ray. Linear bibasilar opacities may be due to a combination of atelectasis or scarring. There is no large pleural effusion although blunting of the right lateral and posterior costophrenic angles could represent small residual effusion, potentially in part loculated laterally. Persistent left lower lobe atelectasis medially is also less conspicuous. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Left picc is seen with tip in the upper right atrium.
<unk>f with picc dysfunction, known empyema // eval pleural effusion/empyema, eval picc
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Well-inflated lungs are clear. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal. No discrete nodules are appreciated.
<unk>-year-old male with testicular masses concerning for germ cell carcinoma. for evaluation of metastatic disease.
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The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>f with chest pain. evaluate for pneumothorax.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Again seen is elevation of the left hemidiaphragm. The lungs remain clear. 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 lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged aside from new perihilar congestion bilaterally. There is also a new indistinct interstitial abnormality affecting each lung, most suggestive of pulmonary edema. There is no pleural effusion or pneumothorax.
chest pain.
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Right-sided picc terminates at the junction of the svc and right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities within the left lung base likely reflect subsegmental atelectasis. Scarring within the lung apices is noted. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
history: <unk>f with chronic immunosuppression with extreme fatigue and elevated wbc
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Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is seen. There is no pulmonary edema. The cardiac silhouette is accentuated by low lung volumes and ap projection.
<unk>-year-old female with fall, weakness. please assess for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Left upper lobe calcified nodule is better appreciated on the chest ct obtained on the same the later, as well as left lower lobe rounded atelectasis. Cardiomegaly is unchanged from <unk> images from ct chest <unk>. Cardiomediastinal silhouette is unchanged from <unk>. Tortuosity of the thoracic aorta is again noted. Sternotomy wires and aortic valve prosthesis is noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with syncope, hx cardiac arrest, pes. // wide mediastinum?
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Heart size is mildly enlarged, unchanged. The mediastinal contour is similar with mild tortuosity of the thoracic aorta again noted. Bilateral hilar enlargement is unchanged likely reflective of enlargement of the pulmonary arteries and suggestive of pulmonary arterial hypertension. Pulmonary vasculature is not engorged. Patchy opacity in the left lung base likely reflects atelectasis, without focal consolidation. No pleural effusion or pneumothorax is present. Compression deformity in the upper lumbar spine is unchanged. No acute osseous abnormalities detected.
history: <unk>m with cough, fever
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are slightly hyperinflated, overall similar to the prior exam. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of renal transplant with increased fatigue and lethargy. please evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable. Surgical clips seen in the left upper quadrant. No free air seen below the diaphragm.
<unk>-year-old female with cough and shortness of breath.
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The cardiac, mediastinal and hilar contours are unchanged and within normal limits. Linear and streaky opacities are noted in both lung bases similar compared to the prior exam, likely reflective of atelectasis. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. Scarring is seen within the right apex. Mild elevation of the right hemidiaphragm is again noted.
history: <unk>m with altered mental status, on chemotherapy
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is slightly tortuous. The cardiac silhouette is not enlarged. Punctate her rounded density projecting in the left lower lung may represent a calcified granuloma versus vessel on-end.
history: <unk>f with cough // pneumonia?
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Frontal and lateral views of the chest demonstrate normal lung volumes. Trace right apical pneumothorax is unchanged since <unk>. No focal consolidation or pleural effusion. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pleural effusion. Partially imaged upper abdomen is unremarkable.
patient with history of pneumothoraces and shortness of breath for two months.
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The lungs are well expanded and clear. The right basilar opacity/effusion on the most recent chest radiograph has resolved. There is increased soft tissue density in the anterior mediastinum seen on lateral radiograph above the aortic arch, causing mass effect and posterior displacement of the trachea. This density is seen as a vague opacity in the left apex on frontal radiograph. It may have been present in <unk> but is more conspicuous today. Given no correlative finding on thyroid u/s, recommend non-urgent ct neck. The aorta is elongated and tortuous. The cardiomediastinal silhouette reveals stable, mild cardiomegaly. The hilar contours and pleural surfaces are normal. There is no pneumothorax or pleural effusion. Thoracic scoliosis and degenerative changes in the thoracic spine are redemonstrated. Surgical clips are in the abdomen.
syncope, possible fever. evaluate for acute intrathoracic process.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia or other pathologic lung parenchymal processes. The minimal peribronchial changes described in the examination from <unk> are not visible on the chest radiograph. Size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures.
dry cough for two months, evaluation for pneumonia.
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Pa and lateral views of the chest. There is elevation of the right hemidiaphragm. There is a small right pleural effusion. There is mild pulmonary edema. No pneumothorax. Sternotomy wires and mediastinal clips are stable. There is at least mild cardiomegaly. There is an unchanged right glenoid spur.
altered mental status.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Moderate thoracic kyphosis and multilevel wedge deformities are unchanged.
left chest pain.
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Frontal and lateral views of the chest demonstrate normal lung volumes, which accentuate bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. There is a right lung base opacity, which is likely atelectasis. Partially imaged upper abdomen is unremarkable. There is no pulmonary edema.
patient with altered mental status. assess for pneumonia.
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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.
presyncope.