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

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Cardiac silhouette size is normal. Chain sutures are again seen within the right upper lobe. Extensive metastatic disease is again noted with widening of the superior mediastinum, right hilar lymphadenopathy, extensive nodular deposits and irregular thickening along the pleura bilaterally, and innumerable bilateral pulmonary nodules. A right upper lobe dominant mass appears unchanged. The lungs remain hyperinflated compatible with copd. A trace left pleural effusion is likely present. Compared to the most recent previous radiograph, there is increased opacification within the right upper lobe which could reflect infection in the appropriate clinical setting. No large pleural effusion or pneumothorax is present. Known osseous metastatic disease is better visualized on the recent chest ct.

history: <unk>f with hypotension, shortness of breath, cough

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Pa and lateral views of the chest were correlated to chest ct from <unk>. There is patchy opacity identified at the right lung base. Elsewhere, the lungs are clear. The cardiac silhouette is slightly enlarged but stable. Slight aortic tortuosity again noted. Left lateral rib fractures appear old. Osseous and soft tissue structures are otherwise grossly unremarkable.

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

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Lungs are well-expanded and clear. The heart is mildly enlarged, and the mediastinum is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacification.

history: <unk>f with sob, cough // r/o acute process

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.

chest pain.

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Low lung volumes are responsible for some bronchovascular crowding. There is a calcified pleural plaque in the left upper hemithorax, confirmed in lateral views to be in the anterior thoracic wall. There are no parenchymal opacities concerning for pneumonia. Heart size appears enlarged, although an ap exam limits accuracy of assessment of cardiac size. No cardiomediastinal and hilar contour abnormalities. Atherosclerotic calcifications of the aortic arch are noted. There is no pleural effusion or pneumothorax.

<unk>-year-old male status post fall with confusion. evaluate for evidence of pneumonia.

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Heart size is normal, and tortuosity of the thoracic aorta is unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear, with resolution of previously described right basilar lung opacification. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old woman with + ppd amd chest xray while in hosp with pneumonia that showed some patchy right baxilar opacity // ? parenchymal infiltrate.

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Heart size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacities are noted in both lung bases, findings which could reflect atelectasis as the lung volumes are somewhat low, but infection cannot be completely excluded. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with chest pain

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A left pectoral pacer/aicd is present with a lead ending in the right ventricle and the proximally migrated lead ending in the mid svc. The overall configuration of the wires is unchanged. The heart is moderately enlarged, increased in size from <unk>. There is new, mild pulmonary edema. Small bilateral pleural effusions. The lung volumes are normal. Bibasilar opacities could reflect atelectasis or pneumonia in the correct clinical setting. There is no pneumothorax. Clips are seen in the right breast and thyroid bed.

asthma and heart failure. evaluate for acute cardiopulmonary process.

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Lung volumes are low. Cardiac silhouette size is mildly enlarged but similar to the previous examination. Mediastinal and hilar contours are unchanged with similar enlargement of the pulmonary arteries bilaterally. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy atelectasis is seen in the lung bases without focal consolidation. Blunting of the right costophrenic angle persists, potentially reflective of a trace right pleural effusion. No left-sided pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with cirrhosis, portal hypertension

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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with bilateral shoulder pain. question chf.

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Persistent and mildly increased right base opacity likely represents combination of moderate pleural effusion overlying atelectasis, underlying consolidation is not excluded. Small left pleural effusion is seen, with overlying atelectasis. No pneumothorax is seen. The patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable.

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

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Pa and lateral views of the chest provided. Lungs are clear. No focal consolidation, large effusion or pneumothorax. Heart size is normal. Mediastinal contour is stable. No acute osseous abnormality.

<unk>m with several wks increasing anasarca, peripheral edema, hx of chf

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Normal heart size, mediastinal and hilar contours. No pleural effusion or pneumothorax. <num> mm nodule in the left mid lung seen on the frontal view corresponds to nodule seen on prior ct. A right upper lobe nodule is not as well seen on the current chest x-ray as on the prior ct.

<unk> year old man with history of metastatic non-seminoma to lungs s/p chemotherapy // eval for intrathoracic disease

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<num> mm right upper lobe lung nodule, level of the <unk> anterior interspace is confirmed. It was not present <unk> years ago on <unk>. Lungs are otherwise clear. There is no pleural abnormality or evidence of central lymph node enlargement. Heart size is normal.

<unk>-year-old man with nodular opacity on portable chest radiograph.

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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. There is, however, small, new right-sided pleural effusion. There has also been enlargement of the cardiac silhouette. There is a suggestion of a right apical nodule. This is unlikely to represent a bone island as it was not seen on prior. Elsewhere, lungs are clear. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with right-sided chest pain. question cardiomegaly or pneumonia.

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Spinal fusion hardware is intact and unchanged in position. Heart appears normal in size and cardiomediastinal contours are unremarkable. Lungs are well expanded and clear. There are no focal areas of consolidation. No pleural effusions and no pneumothorax.

<unk>-year-old woman with history of smoking and chronic cough x<num> months,? mass.

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Ap and lateral views of the chest. There is an approximate <num> cm nodule identified at the left lung base not clearly seen on the prior. The lungs are otherwise clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Note is made of a probable hiatal hernia. Degenerative changes are noted in the spine. There is also a wedge deformity in the upper lumbar spine, age indeterminate. Osseous and soft tissue structures are otherwise unremarkable.

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

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Ap and lateral chest radiographs demonstrate a left chest pacer defibrillator, its leads appear intact in in stable position relative to prior study. Mediastinal clips project over the left mediastinal border. Bilateral pleural effusions are present, right greater than left. Pleural fluid appears increased relative to prior examination performed <unk>. There is no pneumothorax. Heart borders are obscured.

<unk> year old woman with recent cabg now with persistent dyspnea // ? pulmonary edema

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Frontal and lateral chest radiographs again demonstrate surgical clips projecting over the left mediastinum. The heart is unchanged in size, mildly enlarged. There is mild to moderate pulmonary edema, similar compared to <unk>. Previously noted more focal opacity in the left mid lung at that time appears improved. Patchy opacities in the right lower lung likely reflect atelectasis, though infection cannot be excluded. There are small bilateral pleural effusions. No pneumothorax is visualized.

history: <unk>f with dyspnea and cough x<num> days. bilateral wheezes and rales on posterior lung fields // please evaluate for causes of dyspnea

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The heart size is normal. The aorta remains tortuous, with the mediastinal and hilar contours otherwise unchanged. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. Elevation of the left hemidiaphragm is chronic. No displaced rib fractures are identified, and no acute osseous abnormalities are detected.

chest wall tenderness after motor vehicle collision.

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Pa and lateral views of the chest demonstrate there is slight elevation of the right hemidiaphragm and relatively low lung volumes. No focal consolidation is identified. There is no pleural effusion, pulmonary edema or pneumothorax. The cardiomediastinal silhouette is unremarkable.

<unk>-year-old male with vomiting. evaluation for pneumonia.

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Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified. Right neck iv is identified with adjacent subcutaneous air.

<unk>f with fever body aches // r/o pna

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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. There is minimal atherosclerotic calcification at the aortic knob. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Minimal is scarring is noted in the lung apices. There are mild multilevel degenerative changes within the mid thoracic spine.

history: <unk>f with chest pain, now resolved

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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 evidence of pneumomediastinum is seen. There is no evidence of free air beneath the diaphragms.

history: <unk>m with chest pain s/p vigorous vomiting. // ? free air from esophageal perforation

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Dual lead left-sided pacer device is again seen. Cardiac and mediastinal silhouettes are grossly stable. Tavr is in similar position. There are moderate bilateral pleural effusions with overlying atelectasis, underlying consolidation not excluded. Pulmonary vascular congestion has decreased in the interval. Left perihilar pleural plaque is re- demonstrated.

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

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There are low lung volumes. No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart is mildly enlarged. The pleural surface contours are normal.

back pain.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities are re- demonstrated within the mid lung fields bilaterally, with slight interval improvement in previously noted patchy opacities in the left upper and lower lung fields. More focal opacity is noted within the right upper lobe, which appears more conspicuous than on the previous radiograph. No new focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. Moderate multilevel degenerative changes are again seen.

history: <unk>f with liver disease, weakness

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The lungs are low in volume but clear with the exception of linear right basilar atelectasis. No pleural effusion or pneumothorax is seen. Left-sided port-a-cath terminates in the distal svc. The heart is top normal in size with normal cardiomediastinal contours. Mildly increased central pulmonary vascular congestion is noted.

<unk>-year-old female with chest pain, assess for pneumonia or other acute process.

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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted.

sweats and chills for the past two days. also with subjective fever and dry cough.

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Stable linear scar in the right upper lobe. The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.

<unk> year old man with cml with new sob // ? infection

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The heart size is normal. Again appreciated is a tortuous aorta. There is prominence of the perihilar and basilar the pulmonary vasculature compatible with pulmonary congestion/edema. There is a right subpleural density which correlates to a calcified pleural plaque on ct. There is mild bibasilar atelectasis. There is no effusion or pneumothorax. No acute bony changes identified.

chf presents with chest pain and shortness of breath.

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

<unk>m with chest pain // ptx?

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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.

<unk>-year-old female with reported recurrent pneumonias, now with onset of subjective fevers and tachycardia and cough since yesterday.

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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. Clips projecting over the neck may be related to prior thyroid surgery.

asthma exacerbation and cough.

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Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Chronic elevation of the right hemidiaphragm is noted. Lungs are clear. There is no pulmonary edema. Vertebral body heights and alignment are maintained. There is no nondisplaced rib fracture.

fall.

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Small left pleural effusion appears stable. There is improved aeration at the lung bases with minimal bibasilar atelectasis. No pulmonary edema or pneumothorax is detected. Cardiomegaly persists. The aorta is tortuous and calcified. Right rib fracture is again noted.

<unk>-year-old male with shortness of breath, hypoxia, and cough.

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Frontal and lateral chest radiographdemonstrates hypoinflated lungs with crowding of vasculature. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is newly enlarged, likely accentuated due to low lung volumes. Mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

fever. assess for infectious process.

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk>

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Lungs are clear without focal consolidation, edema, or effusion. Eventration of the right hemidiaphragm is noted. Cardiomediastinal silhouette is within normal limits noting a tortuous thoracic aorta with atherosclerotic calcifications at the arch. No acute osseous abnormalities.

<unk>m with ams, weakness // eval pna

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Frontal and lateral chest radiograph. Evaluation limted through the lower lungs due to kyphotic angulation. There may be a vague opacity in thre right lower lung which in the correct clinical setting could reflect pneumonia. No pleural effusion or pneumothorax evident. There is exaggerated kyphosis of the thoracic spine. No vertebral compression deformities are noted in the visualized upper thoracic spine though lower thoracic spine obscured. Degenerative changes are present at the right acromioclavicular joint.

fever, shortness of breath, evaluate for a cardiopulmonary process.

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.

history: <unk>f with sob // ? pna

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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.

<unk>-year-old female with presyncope, question cardiomegaly.

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.

<unk>-year-old male pre syncope.

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Pa and lateral views of the chest demonstrate bilateral apical pleural thickening, greater on the right, with no focal consolidation or nodule seen. There is no pleural effusion, pulmonary edema or pneumothorax. The cardiomediastinal silhouette is unremarkable.

<unk>-year-old female with epilepsy with opacification of the right lung apex seen on recent ct of the cervical spine.

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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 sob on chemo // r/o pna

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The cardiac silhouette remains mildly enlarged. The mediastinal and hilar contours are within normal limits. Previously noted opacity within the right upper lobe has somewhat improved with residual linear opacities likely reflecting subsegmental atelectasis. Additionally, aeration of the left lung base is improved and subsegmental atelectasis in the left lower lobe is noted. No pleural effusion or pneumothorax is identified. Inferior vena cava filter is partially imaged.

hemodialysis line which was pulled.

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There is re- demonstration of a hiatal hernia. There is adjacent associated left basilar atelectasis. No pleural effusion is identified. Median sternotomy wires and cardiomegaly are unchanged. The right lung is grossly clear. There is no pulmonary edema or pneumothorax.

<unk> year old woman with high degree av block, diminished lll breath sounds. // r/o pna or effusion

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. A large hiatal hernia is again seen.

history: <unk>f with r chest pain, generalized myalgia, cough // eval for pneumonia, rib fracture

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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 chest pain // r/o pna

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Mild cardiac enlargement is unchanged. There is no pleural effusion or pneumothorax. Retrocardiac opacity seen on <unk> has improved. There are bilateral patchy opacities, overall also improved compared to prior. No new focal consolidations seen. A left chest wall port-a-cath terminates at the cavoatrial junction.

<unk>m with sickle cell disease, here w/ cough and fever, evaluate for acute chest, pneumonia.

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Cardiac, mediastinal, and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or focal consolidation is present. There is no pneumothorax. No acute osseous abnormalities seen. Previously described focal density projecting over the posterior aspect of a mid thoracic vertebral body is unchanged and likely related to overlapping osseous structures.

blackouts, fall downstairs, loss of consciousness.

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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacities within the right middle and lower lobe are concerning for pneumonia. Left lung is clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.

history: <unk>f with recent appendicitis complicated by rupture and multiple intra-abdominal abscesses requiring iv antibiotics + drain, now presenting with new fever + cough

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Since <unk>, new opacities are seen in the right perihilar region, possibly reflecting radiation treatment changes and mild right adjacent atelectasis. Concurrent pneumonia cannot be excluded in the appropriate clinical setting. Even given ct chest from <unk>, direct comparison is difficult. Mild retrocardiac atelectasis is noted. The left lung is clear. The heart size is mildly enlarged. No pneumothorax or pleural effusion.

<unk> year old man with nsclc s/p xrt right hilum, with decreased pfts and decreased breath sounds in right base, ? effusion // any acute infiltrate or effusion

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Biapical pleural scarring is noted. There is a subtle retrocardiac airspace opacity, best appreciated on the lateral radiograph. Trace left pleural effusion with adjacent atelectasis is noted. The lungs are otherwise grossly clear without evidence of pneumothorax or overt pulmonary edema. The heart is normal in size. Calcifications are seen within the aortic knob.

history: <unk>m with fever // acute process?

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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are unremarkable.

fever. evaluation for pneumonia.

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The inspiratory lung volumes are decreased from the most recent prior study and considerably lower on the lateral radiographs. Low lung volumes accentuate the interstitial lung markings and cardiomediastinal silhouette. There is no focal consolidation concerning for pneumonia. Bibasilar atelectasis is greater on the left compared to the prior. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal contours remain prominent partially due to unfolding of the thoracic aorta. Calcification of the aortic knob is unchanged. There is mild kyphotic curvature of the thoracic spine and multilevel degenerative changes. Surgical clips projecting over the right upper quadrant of the abdomen are compatible with prior cholecystectomy.

productive cough for the past week, here to evaluate for pneumonia.

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In comparison to the prior radiograph performed on <unk>, lung volumes have improved slightly. Mild bilateral interstitial markings are likely a sequela of resolving pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is mildly enlarged. Remote left sixth and seventh rib fractures are again noted.

<unk>-year-old male with alcohol abuse, presenting with chest pain

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

<unk> year old woman with h/o +ppd but neg quantiferon gold . needs cxr for work // tuberculosis

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Improved aeration and decreased pleural densities on the right are seen compared to previous radiograph. Post surgical changes are noted in the right hemithorax. No focal consolidation or pulmonary edema is seen. Cardiac and mediastinal contours are unchanged.

<unk>-year-old male status post right thoracotomy, assess for interval change.

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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is top-normal. Mediastinal silhouette and hilar contours are normal without evidence of mediastinal widening.

chest pain. evaluate for widened mediastinum.

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Heart size remains borderline enlarged, unchanged. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.

history: <unk>f with <num> days of influenza-like illness

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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A large osteophyte arises from a mid thoracic level on the left.

history: <unk>m with hx asthma presenting with dyspnea. +low grade fever, productive cough // eval for cardiopulmonary process

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Frontal and lateral chest radiographs demonstrate sternal wires and a valve prosthesis, unchanged. There is a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. A nodular opacity projecting over the anterior sixth right rib likely represents a nipple shadow. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with new leukocytosis.

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Lungs are moderately hyperinflated, and a mild interstitial pulmonary abnormality is chronic. No pleural effusion. Borderline cardiomegaly is much improved. Hilar and mediastinal silhouettes are otherwise unremarkable. No pneumothorax. Partially imaged upper abdomen is unremarkable.

chest pain.

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As compared to <unk>, left hilar loculated fluid has slightly decreased. There is increasing opacification in left lower lobe. Small left-sided effusion persists. Minimal subsegmental atelectasis in the right lung. Mild to moderate cardiomegaly. No visible pneumothorax.

<unk> year old man with fever and fluid collection on ct post wedge resection // please do cxr around <unk> am on <unk>, eval for progression of fluid collection. please do this in the morning on <unk> as pt can be discharged after it is performed. thanks!!

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is stable. Redemonstrated are several chronic, left, lateral rib fractures, originally identified in <unk> via ct examination, and better evaluated on the dedicated rib series performed on <unk>. Additionally, there are wedge-shaped compression deformities of at least <num> thoracic vertebral bodies, one of which is new since the prior chest radiograph dated <unk>.

cough and left-sided chest pain.

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Again visualized is right apical pleural thickening consistent with patient's resection. There is persistent chronic elevation of the right hemidiaphragm with no evidence of effusions, consolidations, or pneumothoraces. The cardiomediastinal silhouette is stable. Calcification of the aortic knob and arotic valve are again noted. Chronic post-surgical deformity of the right posterior fifth rib is again seen.

evaluation of patient with history of pleural effusion, unchanged.

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The cardiomediastinal and hilar contours are within normal limits. Lung markings are increased. There are small bilateral pleural effusions. There is prominence of the pulmonary vessels. Scarring in the right apex appears unchanged. There is no new focal consolidation or pneumothorax.

dyspnea, chf. rule out effusion, pneumonia.

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

<unk>m with fb sensation in upper chest // fb?

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Upright pa and lateral radiographs of the chest. The lungs are normally expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.

chest pain. assess for infiltrate.

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Cardiac silhouette size remains mildly enlarged. The mediastinal and hilar contours are grossly unchanged. There is mild cephalization of pulmonary vascular markings suggestive of mild pulmonary vascular congestion, new in the interval. Patchy opacities in the lung bases may reflect areas of atelectasis though infection is not excluded. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

history: <unk>f with congestive heart failure status post fluids

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The heart is at the upper limits of normal size. There is similar moderate unfolding of the thoracic aorta. Streaky linear opacities persist, but have decreased in the left lower lung, suggesting minor atelectasis. Patchy calcification in the right upper lobe also suggests minor scarring that is likewise unchanged. Although radiography is not sensitive for small metastases, no definite suspicious findings are demonstrated. There is no pleural effusion or pneumothorax. Mild spinal curvature is similar. Lower thoracic and upper lumbar compression deformities including two vertebroplasties appear unchanged. The bones appear demineralized.

axillary and cervical masses suggesting lymphadenopathy. question nodules or infiltrates. history of colon cancer.

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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 asthma hx, no wheezes, tachypneic/dyspneic

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Lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications again noted at the aortic arch. Surgical clips seen in the lower neck.

<unk>f hx of ami p/w chest pain since early am +sob, // r/o pna vs pulmonary edema

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The cardiomediastinal silhouette is stable with a top normal heart size. No focal consolidations pleural effusions, or pneumothorax are seen. Again seen are multiple healed rib fractures that are unchanged in appearance.

h<unk> year old man with hx waldenstroms macroglobulinemia w/ persistent cough // eval for pneumonia

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Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.

<unk>f with productive cough // eval for pna

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The lungs are hyperinflated but essentially clear. Linear left basilar opacity is most suggestive of atelectasis versus scar. Prominent right cardiophrenic fat pad is again noted. Cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis the similar to prior. No acute osseous abnormality is identified.

<unk>f with palpitation // eval for acute process

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In comparison with the study of <unk>, there is little change. The mediastinal bulge in the region of the ascending aorta is unchanged. Heart size is within normal limits and there is no vascular congestion or pleural effusion. No acute focal pneumonia. Of incidental note is an old healed rib fracture on the right.

epilepsy, to assess for pneumonia.

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The right picc line ends at the level of the mid svc, unchanged. Persistent left posterior consolidation, but otherwise overall interval improvement in the multi-focal consolidations. There is no pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. The old, well-healed left lateral rib fracture is unchanged.

<unk>-year-old man with schizophrenia presenting with mrsa pneumonia within interrupt course. evaluate for evolving empyema or worsening lung disease.

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The patient is status post median sternotomy, cabg, aortic valve replacement, and vascular stenting. Heart size is mildly enlarged with a left ventricular predominance. The aorta is unfolded. The hilar contours are normal. There is no pulmonary vascular congestion. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. Remote right <unk> posterior rib fracture is noted. No acutely displaced fractures are seen.

chest pain.

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Pa and lateral views of the chest were provided. There is no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.

<unk>-year-old female with chest pain x<num> days.

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The lungs are clear. Cardiac silhouette is normal. There is no pleural effusion or pneumothorax. No radiopaque foreign bodies are identified.

motor vehicle accident and small laceration. question foreign body in laceration.

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The lungs are clear of consolidation or edema. There is a small right pleural effusion. The cardiomediastinal silhouette is within normal limits. Right first rib resection changes are noted as on prior. No acute osseous abnormalities.

<unk>f with recent <num>st rib resection for venous thoracic outlet syndrome. // pneumonia, pleural effusion, rib fracture

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In comparison with study of <unk>, the midline sternotomy wires remain intact. Extensive pleural calcification is again seen with opacification in the left apex causing shift of the trachea to that side. Severe chronic pulmonary changes are again noted. No definite acute focal pneumonia, though this would be difficult to identify given the extensive pulmonary changes.

post-cardiac surgery with copd and shortness of breath.

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Cardiac silhouette size remains mildly enlarged. A moderate-sized hiatal hernia is again noted. Increased interstitial opacities are noted diffusely, more pronounced on the lung bases, likely reflective of chronic interstitial lung disease. Mild superimposed interstitial pulmonary edema is not excluded. More focal opacity within the right upper lobe could reflect an area of infection. There is no pleural effusion or pneumothorax. No acute osseous abnormality is demonstrated.

history: <unk>f with shortness of breath

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Pa and lateral views of the chest provided. Cardiomegaly is re- demonstrated. There is mild hilar congestion and subtle interstitial pulmonary edema. Small left pleural effusion is noted. No pneumothorax. Mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with dilated cardiomyopathy // pulm edema?

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

history: <unk>m with abdominal pain s/p colonoscopy yesterday // please evaluate for subdiaphragmatic free air

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

<unk>m with cough

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Right-sided picc tip terminates in the proximal right atrium. Moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal contour appears unchanged. Bilateral hilar enlargement with perihilar haziness and vascular indistinctness is compatible with mild pulmonary edema, slightly worse in the interval. A large right pleural effusion is substantially increased in the interval. A small left pleural effusion is also likely present. Bibasilar opacities likely reflect areas of atelectasis. No pneumothorax is identified.

history: <unk>f with cough

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Cardiac silhouette size is borderline enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No displaced rib fracture is identified. Mild degenerative changes are noted in the thoracic spine.

history: <unk>f status post fall with right pleuritic chest pain and tenderness to palpation over ribs <unk> // please eval for rib fracture

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

history: <unk>f with abdominal pain s/p lap appy last <unk> // eval free air under diaphragm

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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, degenerative changes noted at the shoulders.

<unk>f with fevers/cough // pna

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Chest pa and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. There is slight increase in a small right-sided pleural effusion but without evidence of overt pulmonary edema. Faint opacification noted within the medial aspect of the right upper lobe as well as in the lateral aspect of the left upper lobe, correlate with patient's known pulmonary masses. No focal opacification concerning for pneumonia identified. There is a right-sided port-a-cath with tip terminating at the cavoatrial junction and a newly evident pigtail drain in the right upper abdominal quadrant. Sternotomy sutures are midline and intact.

metastatic non-small cell lung cancer, on chemotherapy, with subjective dyspnea and weakness, question reaccumulation of pleural fluid, cardiomegaly, evidence of volume overload.

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Mild cardiomegaly has been stable compared to prior exams dated back to <unk>. Mild pulmonary vascular congestion is persistent however no definite evidence of overt pulmonary edema. Calcifications are seen within the aortic knob. Note is made of mild bibasilar atelectasis. There is no large pleural effusion or evidence of a pneumothorax.

history of dyspnea on exertion. please evaluate for heart failure.

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Ap upright and lateral views of the chest provided. Slightly rotated positioning somewhat limits assessment. Focal tenting of the right hemidiaphragm is unchanged which may reflect the presence of an accessory fissure. Lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of edema or congestion. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.

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

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The lungs are clear. There is no evidence of pneumomediastinum. Cardiac size is normal. Pleural surfaces are unremarkable with no pleural effusion. Hilar contours are normal. There is no free air. There is a chronic t<num> vertebral body compression deformity.

<unk>-year-old female with protracted vomiting. evaluate for pneumomediastinum.

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Pa and lateral views of the chest provided. Left chest wall pacer again noted with leads extending to the region the right atrium and right ventricle. Lung volumes are low with mildly elevated left hemidiaphragm again noted. Hila appear mildly congested and there is mild interstitial pulmonary edema. No convincing evidence for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with cough

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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is persistent elevation of the right hemidiaphragm. No focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Partially imaged upper abdomen is unremarkable.

dyspnea on exertion.

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Pa and lateral views of the chest provided. Lungs remain hyperinflated with flattened diaphragms suggesting copd. The heart is unchanged and normal in size. Mediastinal contours normal. No pleural effusion or pneumothorax. Bony structures appear grossly intact.

<unk>f with weakness // infiltrate?

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

<unk>f with headaches, left side vision changes // eval for pneumonia