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

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Left base atelectasis is seen. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with lightheadedness, visual changes // eval ? effusion, edema

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

<unk>-year-old male with fever and cough. evaluate for acute infectious process

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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>f w/cough, please eval for pna // <unk>f w/cough, please eval for pna

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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.

chest pain.

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Pa upright and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are stable in appearance in within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality. No air under the right hemidiaphragm is identified.

<unk>-year-old female with cough.

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Pa and lateral views of the chest are compared to previous exam from earlier the same day at <time> p.m. Lungs are clear of focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with mvc.

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Pa and lateral views of the chest provided. Right chest wall port-a-cath again seen with catheter tip in the region of the low svc near the cavoatrial junction. Lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is unchanged. Bony structures are intact.

<unk>m with fever // pna?

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Heart size remains mildly enlarged. The aorta is tortuous and diffusely calcified. Calcified pleural plaques are noted bilaterally and obscures the assessment of the underlying lung parenchyma. Mild interstitial abnormality within the lung bases is similar. No new focal consolidation, pleural effusion or pneumothorax is clearly noted. Rounded calcified structure projecting over the medial aspect of the right lung apex is likely vascular in etiology and unchanged. No pneumothorax is identified, and there are no acute osseous abnormalities.

confusion for <num> days.

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

<unk>f with cough, sob. // pneumonia?

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Heart size is moderately enlarged with the left ventricular predominance. The aorta is tortuous and demonstrates mild atherosclerotic calcifications. Hilar contours are within normal limits. There is minimal upper zone vascular redistribution suggestive of mild pulmonary vascular congestion. No overt pulmonary edema, focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is noted in the lung bases. Moderate multilevel degenerative changes are noted in the thoracic spine.

history: <unk>f with pedal edema

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The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable given slight differences in patient position. Right upper quadrant surgical clips noted. Mild compression deformity of the lower thoracic vertebral body is stable.

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

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

left upper quadrant pain.

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The lungs are well expanded. There are slightly asymmetric reticular opacities in the right middle lobe. There is no focal airspace consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal.

right-sided pleuritic chest pain. history of upper respiratory illness <num> weeks ago.

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Lungs well expanded clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Cervical fixation hardware is noted. Mild degenerative changes are noted in the spine.

history: <unk>f with worst headache this morning found to have subarachnoid hemorrhage on ct. // pre-operative cxr, please eval for cardio-pulmonary process

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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.

<unk>-year-old after renal transplant.

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The lungs are well expanded. Apart from minimal right lower lobe atelectasis, the lungs are clear without focal consolidation. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with shortness of breath and bilateral lower extremity swelling, evaluate for fluid overload.

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Pa and lateral views of the chest provided. Mild left basal platelike atelectasis noted. Otherwise lungs are clear. No evidence of pneumonia or edema. No large effusion or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with sob // ?pneumonia

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There is a descending aortic stent graft in place. The lungs are clear. Cardiomediastinal silhouette is enlarged. Hilar contours appear unremarkable. A right-sided line is actually external to the patient.

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

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The lungs are hyperinflated but clear without consolidation, effusion, or edema. Mild cardiomegaly is again noted as well as tortuosity of the descending thoracic aorta. Calcific densities projecting inferior to the right coracoid process are likely intra-articular bodies, unchanged. Degenerative changes are noted at the right shoulder.

<unk>m with chest tightness and cough // ?pneumonia

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The previously persisting postoperative pleural densities have markedly improved, the diaphragm now in almost normal position with a small blunting density obscuring the lateral right pleural sinus, but not extending significantly in the posterior area. Mild degree of pleural space thickening (less than <num> mm) remains along the right lateral chest wall and extends in the apical area. A vertically oriented density exists in the apical area of the right upper lobe and most likely represents scar formations after the apical blebectomy. No residual pneumothorax can be identified. Heart size is normal, and mediastinal structures are unremarkable. Left-sided hemithorax appears quite normal.

<unk>-year-old male patient, status post right-sided vats pleurodesis. evaluate for interval change and remaining pneumothorax.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding chest examination of <unk>. Unchanged appearance and location of previously described left-sided port-a-cath system terminating within the upper third of the right atrium. Heart size unchanged. No significant interval changes in mediastinal structures. The on previous chest examination identified and suspected early pneumonic infiltrates in right infrahilar and lower lobe position are less prominent but some residuals exist. Similarly, some hazy densities in the left lower lobe persist and appear to be stable when comparison is made with the previous study. No new acute parenchymal infiltrates are seen. There is no pneumothorax in the apical area. The lateral and posterior pleural sinuses are free from any fluid accumulation. The patient underwent a chest ct angiogram during the latest examination interval on <unk>, this procedure is also reviewed. There was evidence of multiple mostly peripherally located pulmonary emboli in the pulmonary circulation laterally as well as multiple ground-glass densities scattered in both lungs. These densities most likely accounted for the abnormalities present on the previous chest pa and lateral. Comparison thus states that these abnormalities have regressed at the present time. Obviously, the pa and lateral chest examination cannot demonstrate the lesions seen on cta in same detail.

<unk>-year-old female patient with cns lymphoma, recent deep vein thrombosis with pulmonary embolism and pneumonia, evaluate for effusions before high-dose mtx used, any interval change?

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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. Prominent degenerative spurring in the mid thoracic spine noted. No free air below the right hemidiaphragm is seen.

<unk>f with anginal symptoms

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Since chest radiographs dated <unk>, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or effusions. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.

<unk> year old woman with right upper chest pain with cough for a month. no fever or purulent sputum. never a smoker. // r/o lung disease

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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. Upper lumbar levoscoliosis is noted.

<unk>f with fever // eval infiltrate

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

history: <unk>f with sob, cough // eval for pna

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The lungs are hyperinflated without focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old male with productive cough and fever. evaluate for evidence of pneumonia.

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No significant interval change. The lungs are clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. Mediastinum is not widened. The hila are unremarkable. No fracture is identified. Surgical clips are noted in the right upper quadrant, unchanged.

<unk>f with ulcerative colitis now a fever to <num>.

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Frontal and lateral chest radiographs demonstrate a heart which is top normal in size, slightly increased compared to <unk>. The lungs are well aerated, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for edema, effusion, or pneumonia in a patient with dyspnea on exertion.

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Patient is status post of lvad placement in unchanged position. Left chest wall aicd with leads in standard positions. Median sternotomy wires and clips again noted.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Severe cardiomegaly is unchanged.

<unk> yo male from <unk> with a pmh of rheumatic heart dz c/b avr at age <unk> and mechanical mvr at age <unk>, dilated cardiomyopathy ef <unk>%, s/p heartmate ii lvad implant <unk> as dt, who presents with <num> weeks of dyspnea. // eval for volume overload

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Left-sided pacemaker device is re- demonstrated with leads in unchanged positions. Heart size remains mild to moderately enlarged. Dense mitral annular calcifications are again noted. Mediastinal and hilar contours are unchanged with diffuse atherosclerotic calcifications seen in the thoracic aorta. Pulmonary vasculature is not definitively engorged. Minimal atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are again seen in the thoracic spine. Clips are noted in the right upper quadrant of the abdomen. Degenerative changes of the right acromioclavicular and glenohumeral joints are re- demonstrated with probable chronic anterior dislocation of the right glenohumeral joint.

history: <unk>f with altered mental status

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Lung volumes are low. Heart size is accentuated as a result appearing mildly enlarged with a left ventricular predominance. Mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, large pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. Mildly distended colonic loops of bowel are seen within the upper abdomen.

history: <unk>m with weakness // ? infectious process

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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. Sternal wires are intact. Anterior thoracic vertebral body osteophytes are seen at several levels.

abdominal pain.

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The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

generalized weakness, nausea and vomiting.

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Relatively low lung volumes are noted with secondary crowding of the bronchovascular markings. Right basilar opacity is likely due to atelectasis. The lungs are otherwise clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with left septic knee and fever // preop, r/o pna

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours. There is minimal elevation of the left hemidiaphragm with gaseous distention of the stomach and or bowel beneath, not fully imaged. There is subtle deformity of the lateral left seventh rib of indeterminate age

history: <unk>f with h/o mva on <unk> and rib pain worsening with pressure and inspiration // rib fractures

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Since prior, there has been no significant interval change. Moderate left and small right pleural effusions are again seen with adjacent atelectasis. There is mild pulmonary edema, also similar. Moderate cardiac enlargement and atherosclerotic calcifications are noted. Median sternotomy wires are intact. Compression deformity in the lower thoracic spine is unchanged since <unk>.

<unk>m with shortness of breath, history of cad // evaluate for pulmonary edema

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There appears to be interval improvement/near resolution of the previously seen right-sided pneumonia. No new focal opacities are seen. There is no pleural effusion or pneumothorax. The heart size is unremarkable. The mediastinal and hilar contours are normal. The visualized osseous structures are unremarkable.

<unk>-year-old male with a history of right lung pneumonia.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. There are mild degenerative changes seen in the thoracic spine.

history: <unk>m with chest pain

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Eventration of the right hemidiaphragm is unchanged. There is no focal lung consolidation. There is a small right pleural effusion. There is no pneumothorax. There is mild vascular congestion. The cardiomediastinal contour is normal.

<unk>m with cirrhosis, untappable ascites, weakness and confusion, headache, evaluate for acute process.

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The left pleural effusion has increased in size since <unk>, now moderate. Bibasilar opacities likely reflect atelectasis. No focal consolidations. Mild interstitial pulmonary edema. Stable enlargement of the cardiomediastinal silhouette. No pneumothorax.

history: <unk>f with known l pleural effusion s/p thoracentesis // assess for improvement of pleural effusion

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Opacity in the left mid to lower lung raises concern for pneumonia. There may also be a small left pleural effusion. Left apical opacity is again seen, likely combination of pleural thickening and known apical pulmonary nodule. Cardiac and mediastinal silhouettes are stable. Partially imaged cervical hardware is noted.

history: <unk>m with cp, non relived morphine // r/o pna

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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac, mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.

upper abdominal pain, here to evaluate for pneumonia.

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No previous images. There are relatively low lung volumes. Cardiac silhouette is within normal limits and there is no vascular congestion or acute focal pneumonia. Specifically, there is no evidence of pleural effusion.

cirrhosis, to assess for pleural effusion.

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Heart size and cardiomediastinal contours are stable. Moderate left pleural effusion has slightly increased since the prior exam with adjacent left base opacity, either atelectasis or consolidation. Small right pleural effusion is similar to prior with adjacent atelectasis. No pneumothorax. Sternotomy wires are intact.

<unk> year old man with hx. of cirrhosis, htn, hld, cad here with worsening cough // eval for cardiopulmonary process

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The <num>-<num> cm round opacity projecting over the superior thoracic spine on lateral views which likely correlates to an osteophyte or an apical lung nodule. This opacity may have been present on chest x-ray from <unk>. The ascending aorta is torturous and dilated. No pleural effusions. No pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours.

<unk> year old man with cough, recent exposure to family member with pna. rll ?bronchial breath sounds. // r/o pna

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Pa and lateral chest radiograph through the chest demonstrates low lung volumes with mild elevation of the right hemidiaphragm, present on prior examination and unchanged. No focal consolidation is identified, concerning for pneumonia. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax identified. No evidence of free air is seen beneath the diaphragms.

<unk>-year-old female with complaint of increasing abdominal pain and shortness of breath.

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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. A mild thoracic scoliosis is unchanged.

productive cough and fever. rule out acute process.

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The lungs are hyperinflated. There are no focal consolidations, pleural effusion or pneumothorax. Subtle prominence of the right pulmonary hilum reflects known mass. A subtle perihilar nodular opacity projecting over the right mid to lower lung may reflect spread of tumor, as seen on the prior pet-ct. The cardiac silhouette is laterally enlarged, which is unchanged. The aorta is tortuous. There is a chronic deformity of the distal left clavicle.

<unk>f with weakness, known lung cancer. assess for pneumonia.

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

<unk> year old man with right lower lobe pneumonia. // right lower lobe pneumonia

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Again seen is a right upper lobe opacity consistent with partial right upper lobe loss of volume and known right mass. There is no evidence of focal lung consolidation elsewhere. The cardiomediastinal silhouettes are stable. The left hilum is unremarkable. There is no pneumothorax or pleural effusion.

<unk>f with ruq pain radiating to r shoulder with nausea and vomiting, stage iv metastatic lung ca to brain and liver, evaluate for pneumonia.

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

shortness of breath.

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The lung volumes are normal. Normal size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. Surgical clips in right upper quadrant consistent with prior cholecystectomy.

<unk> year old woman with arthralgias // ? hilar <unk> or infiltrate

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The heart is mildly enlarged. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes along the mid-to-lower thoracic spine are similar.

chest pain and shortness of breath. question acute process.

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In comparison with study of <unk>, there is again a large hiatal hernia. Cardiac silhouette is at the upper limits of normal in size. No evidence of acute focal pneumonia, vascular congestion, or pleural effusion.

fever.

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Frontal and lateral views of the chest. Linear opacity at the left lung base most suggestive of atelectasis. The lungs are otherwise clear without consolidation or large effusion. There is, however, blunting of the posterior costophrenic angles, raising possibility of trace effusions. Cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is again noted. No acute osseous abnormality is identified.

<unk>-year-old male with fever.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Mild cardiomegaly is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

history: <unk>m with cp, // r/o cardiopulm abnormality

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Frontal and lateral radiographs of the chest demonstrate a right chest wall port catheter with the tip terminating in the mid portion of the svc. This is unchanged since <unk>. Otherwise, the lungs are clear and the cardiac and mediastinal contours are normal.

lymphoma. assess line placement.

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Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Surgical clips are again seen in the left upper quadrant.

wheezing and cough.

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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The heart is normal in size. There is no pulmonary edema. Vascular calcifications involving the aortic arch and the descending aorta are noted.

left-sided weakness and numbness. assess for pneumonia.

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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormalities present.

history: <unk>m with chest pain

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The heart is at the upper limits of normal size. The mediastinal and hilar contours are unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Surgical clip projecting over the right upper quadrant of the abdomen suggest prior cholecystectomy.

right-sided chest pain, status post fall, worse at the inferior costal margin immediately lateral to the xiphoid.

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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. In particular, no displaced rib fractures are seen. No free air is seen below the right hemidiaphragm.

<unk>-year-old male with thoracic spine and rib pain after mva.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal. No pulmonary edema is seen. Incidental note is made of jewelry overlying the bilateral lower chest.

hypoxia.

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Lung volumes are low. The heart size is likely top normal, unchanged. Aorta is tortuous and demonstrates diffuse atherosclerotic calcifications. Mediastinal and hilar contours are otherwise stable. There is no pulmonary edema. Elevation of the left hemidiaphragm is chronic. Left lower lobe atelectasis is re- demonstrated. No large pleural effusion or pneumothorax is present. There are mild to moderate multilevel degenerative changes noted in the imaged thoracolumbar spine with a mild compression deformity of the t<num> vertebral body, unchanged from <unk>.

history: <unk>f with parkinsons, cough

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The lungs are well expanded. There is bilateral diffuse interstitial thickening and indistinctness of the hila. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Biapical pleural caps are identified. Degenerative changes of the bilateral ac joints are identified.

<unk>-year-old male with increasing shortness of breath and concern for chf exacerbation. evaluate.

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There is mild left base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.

lightheadedness, dyspnea.

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There is minimal new bronchial wall thickening in the right lung base without focal consolidation. The remaining of the lungs is unremarkable. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

patient with tobacco use, history of lung nodule in <unk> seen on ct, and viral infection. please evaluate for lesion or pneumonia. rule out lesion of concern and pneumonia.

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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax is evident. No osseous abnormality evident.

midsternal chest pain similar to prior pe. d-dimer negative, evaluate for acute cardiopulmonary process.

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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 of upper respiratory infection with ongoing dyspnea. please evaluate for interval change.

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There has been interval removal of a left-sided central venous line. Lung volumes remain low. Mild-moderate cardiomegaly and moderate pulmonary vascular congestion/interstitial edema have progressed. Small bilateral pleural effusions with adjacent atelectasis are largely unchanged. Gaseous distension of the stomach, as previously noted, has decreased. An ivc filter is again noted overlying the lower thoracic spine.

history: <unk>m with recent endovascular aaa repair p/w abdominal pain and periincisional erythema. // preop. eval for pneumonia

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Lung volumes are low. The heart size is accentuated as result, appearing mildly enlarged. Aortic knob remains calcified. The mediastinal and hilar contours are relatively unchanged. There is mild crowding of the bronchovascular structures but no overt pulmonary edema is seen. Patchy bibasilar airspace opacities most likely reflect atelectasis. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.

fever.

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Ap and lateral views of the chest. Biapical scarring is again noted. Cardiac lead obscures nodular opacity seen projecting over the right lung laterally on the previous exam. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormality is identified.

<unk>-year-old male with chest pain, dyspnea and cough.

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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 woman with cough, wheezing and sob // pneumonia

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Ap upright and lateral views of the chest provided. Hazy right lower lobe opacity may represent pneumonia or atelectasis. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Aortic calcifications and dense mitral annular calcifications are similar to prior.

history: <unk>f with altered mental status // eval for pneumonia

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear. No pleural effusion, focal consolidation, or pneumothorax. No radiopaque foreign body.

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

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Both right-sided pigtail catheters have been removed. There continues to be a right apical pneumothorax. There is also increased lucency inferiorly, likely representing an inferior component to the pneumothorax with increased subcutaneous emphysema. There is a small left effusion that is increased in the interval. The fiducial placement and right upper lobe mass are again seen.

ct-guided biopsy with pneumothorax post-ct .

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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Mild cardiomegaly without evidence of pulmonary edema. Moderate tortuosity of the thoracic aorta. Mild bilateral areas of atelectasis at the lung bases, but no evidence of acute changes. No pleural effusions. Normal appearance of the hilar and mediastinal contours.

diarrhea, chest pain, evaluation for thoracic pathology.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains within normal limits. Unchanged presentation of thoracic aorta, which is mildly widened and elongated but without local contour abnormalities. The pulmonary vasculature is not congested. Irregular distribution of the pulmonary vessels in the periphery is consistent with copd. Furthermore, one can identify the surgical clips in the lower portion of the right hilum as the patient is status post right lower lobectomy in the past. Mild degree of pleural adhesion on the right lung base, but no evidence of pleural effusion as the posterior pleural sinuses are free. Comparison with the next preceding examination does not disclose the presence of new acute infiltrates.

<unk>-year-old female patient with copd exacerbation. questionable pneumonia.

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Bilaterally, the lungs are mildly hyperexpanded. There are no lung opacities concerning for infectious process. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old woman with cough with multiple recurrences requiring increase in steroids. question any recurrence in pneumonia.

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Frontal and lateral views of the chest demonstrate irregular opacity punctuated with small lucencies possibly representing dilated bronchi. This could represent asymmetric edema versus infection, and could potentially represent entities such as bronchioloalveolar carcinoma. There may also be additional opacities in the right middle and left infrahilar lungs. There is no pneumothorax or pleural effusion. There is appearance of severe emphysema. Mild cardiomegaly is unchanged. Mediastinal and hilar contours are within normal limits. A left pectoral dual-channel pacer/aicd appears stable in location with leads terminating in the right atrium and right ventricle. Upper thoracic lordosis is unchanged.

<unk>-year-old male with shortness of breath and cough. question pneumonia.

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The heart size is normal. The aorta remains tortuous and demonstrates mild mural calcifications. Mediastinal and hilar contours otherwise are unchanged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. Thickening of the minor fissure on the right is unchanged. Old right <unk> posterior rib fracture is again noted. No acute osseous abnormalities are otherwise seen.

weakness.

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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are unchanged, particularly prominence of the superior right mediastinum which is likely due to tortuosity of the brachiocephalic vessels. There is no pleural effusion or pneumothorax. Degenerative changes are present in the thoracic spine. Calcific densities are again seen at the left glenohumeral joint, likely representing loose bodies.

history: <unk>f with epigastric pain, dizziness // r/o ich, infiltrate, cholecystitis

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Lung volumes are low. Again seen is a left-sided <num> lead pacemaker with the leads terminating in the right atrium and ventricle. There appears to be more pronounced right perihilar prominence than on prior examinations, which in the appropriate clinical context, may represent asymmetric pulmonary edema or perihilar infiltrate .the cardiac silhouette is mildly enlarged. Small bilateral pleural effusions are present. There is no pneumothorax.

history: <unk>f with recent fall. // plz eval for infectious process

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Pa and lateral views of the chest were obtained. In comparison to the prior study, there is no substantial change. Heart is normal in size, and cardiomediastinal contour is within normal limits for age. No chf, focal consolidation, pleural effusion or pneumothorax detected

<unk>-year-old man with epigastric pain, evaluate for pneumonia.

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There is small to moderate left and small right pleural effusions. Bibasilar opacities may represent combination of pleural effusion and atelectasis although underlying infection and/or aspiration are of concern. There are additional smaller patchy opacities in the mid lung zones bilaterally, decreased as compared to the prior study. No evidence of pneumothorax is seen. The patient is status post median sternotomy and cabg. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous. Coronary stenting/calcification seen.

altered mental status.

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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. No mediastinum is seen. The lungs appear clear. Bony structures are unremarkable.

chest pain.

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Pa and lateral views of the chest were obtained. The left costophrenic sulcus is excluded from the pa view. Lungs are well expanded and clear. Heart is normal in size and cardiomediastinal contour is unremarkable. Pulmonary vasculature are within normal limits. There is no pleural effusion or pneumothorax.

<unk>-year-old man with heroin use today, chest pain, evaluate for pulmonary edema.

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Left lung base opacities are noted. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. An ivc filter is in place.

chest tightness. assess for pneumonia.

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

history: <unk>f with intermittent chest pain // evaluate for acute process

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Pa and lateral views of the chest. There are low lung volumes, which crowd the pulmonary vasculature. There is elevation of the right hemidiaphragm. There is moderate cardiomegaly. Given the significant overlying soft tissue, low lung volumes are difficult to assess for subtle consolidation; however, no definite consolidation is identified. No pleural effusion or pneumothorax.

lower extremity infection, plan the or, evaluate for cardiopulmonary process.

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In comparison with the study of <unk>, there is substantial increase in the degree of right pleural effusion. Small left pleural effusion is seen. Continued enlargement of the cardiac silhouette without definite elevation of pulmonary venous pressure. Compressive atelectatic changes are seen at both bases.

heart failure with pleural effusion, to assess for pulmonary edema.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

fever and chills.

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Lower lobe opacity on the lateral view may be within the left lower lobe, worrisome for mild pneumonia. No pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

cough, fever, subcostal pain

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Frontal and lateral radiographs of the chest demonstrate clear lungs. The previously noted patchy opacity at the left base, which was attributed to atelectasis, is no longer seen. The cardiac and mediastinal contours are normal. No pleural abnormality detected.

evaluate for infiltrate or lesion.

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Lung volumes are slightly low, but the lungs are clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. Nipple rings are noted.

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

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Interval removal of right ij catheter.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 hx of liver transplant, sepsis, now s/p hospitalization with pleural effusions and pleuritic chest discomfort. please assess for remaining pleural effusions. // assess for pleural effusion

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Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. A subtle nodular opacity overlying the left sixth anterior rib and a second subtle nodular opacity overlying the right seventh posterior rib may represent nipple shadows. The cardiomediastinal silhouette is normal. Imaged bones are intact.

history: <unk>m with syncope // eval ich

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The right pleural effusion is decreased compared to the immediate prior study of <unk>. However, there is persistent opacification of the right lower lung field, corresponding to the right middle lobe on the lateral projection. Given the persistent rightward mediastinal shift, there is likely persistent right middle lobe collapse. The left lung is unremarkable. There is no pneumothorax. There is an age-indeterminate right posterior seventh rib fracture.

<unk> year old woman with right mpe s/p <unk> with <num>ml removed // ? ptx, ? full re-expansion

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Cardiac, mediastinal and hilar contours are normal. Lungs are hyperinflated with attenuation of pulmonary vascular markings towards the upper lobes compatible with emphysema. Pulmonary vascularity is not engorged. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is demonstrated. Mild reduction in height anteriorly of a mid thoracic vertebral body is stable. Cervical anterior fusion hardware is partially assessed.

fever.

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The cardiomediastinal and hilar contours are within normal limits. As compared to prior chest radiograph from <unk>, lung volumes have decreased. However, there is is no focal consolidation, pleural effusion or pneumothorax.

chronic kidney disease, hypertension presenting with chest pain for <num> days. evaluate for consolidation, effusions colitis mediastinum.