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

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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. Surgical clips are noted in the left upper quadrant.

<unk>m with sickle cell, back pain // ?acute chest

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There is a right port-a-cath, which terminates in the right atrium. Total left chest tube has been removed. The left pleural effusion has decreased in size. The poorly defined left lower lobe opacity persists. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are clear. No pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with tpc removal // ? ptx

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There is no residual pneumothorax. There is stable volume loss in the left hemithorax. Irregular density in the perihilar region consistent with known malignancy. There is no chf. Postoperative cervical spine surgery hardware is present.

<unk>m with right lung stage iiib nsclc, copd and pe. s/p spontaneous pneumothorax <unk>, treated with pigtail. // eval for 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. No free air below the right hemidiaphragm is seen.

<unk>f with cp // eval for consolidation

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Upright ap and lateral views of the chest provided. The lungs are clear and hyperinflated. 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 ams, hx copd // r/o infection

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The patient is status post median sternotomy and cabg. Large hiatal hernia is present. Heart size is normal. Mild tortuosity of the thoracic aorta is present. There is no pulmonary vascular congestion. Hyperinflation of lungs with flattening of the diaphragms and increased ap diameter of the thorax is compatible with underlying copd. Streaky bibasilar airspace opacities are nonspecific, and could reflect atelectasis. Infection and aspiration are not excluded. Previously noted left perihilar abnormality has resolved. There is no pneumothorax. No pleural effusion is identified. Diffuse demineralization of the osseous structures is noted with multilevel degenerative changes in the thoracic spine.

hematemesis or hemoptysis.

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There is stable severe enlargement of the cardiac silhouette. Extensive atherosclerotic calcification is noted in the aortic arch. The aorta is tortuous. There is no pleural effusion or pneumothorax. No focal consolidations concerning for infection are identified. There has been interval improvement in the mild bilateral pulmonary edema. Note is made of an enlarged main pulmonary artery, as better seen on the prior ct.

history of chf, who presents with cough, please rule out acute cardiopulmonary process.

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The lungs are clear without focal consolidation. Of note, a rounded structure button like density projects over the right lung apex, external in nature. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pneumomediastinum. There is no radiopaque foreign body.

<unk>m with esophageal foreign body presenting from <unk>. evaluate for evidence of foreign body.

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The cardiac silhouette size is normal. The aorta is diffusely calcified and tortuous. Hilar contours are normal. The pulmonary vasculature is not engorged. Bronchiectasis is noted within the right upper lobe. <num> cm focal opacity is noted projecting over the medial aspect of the right apex, and it is unclear if this reflects a superimposition of structures or a true pulmonary nodule. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are mild degenerative changes noted in the thoracic spine.

history: <unk>f with weakness

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Stable calcified left thyroid nodule. No evidence of foreign bodies along the airways or the esophagus. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. The lungs are clear.

<unk>-year-old woman with history of cva; foreign body after choking.

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Pa and lateral views of the chest provided. Mild cardiomegaly is noted. There is no hilar congestion or convincing signs of edema. Prominent breast tissue may in part account for subtle opacity projecting over the mid to lower lungs. No signs of pneumonia. No pleural effusion or pneumothorax. The mediastinal contour stable. Bony structures are intact.

<unk>f with chest pain // please eval for cardiopulmonary process

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Ap upright and lateral views of the chest provided. Cardiomegaly is again noted with a coronary stent projecting over the left heart border. No focal consolidation, large effusion or pneumothorax. Mild hilar congestion is noted. No frank edema. Mediastinal contours unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with chest pain // eval heart and lungs

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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. There is no evidence of pneumomediastinum. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.

chest pain after repeated vomiting, here to evaluate for evidence of pneumomediastinum or pneumothorax.

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There is new pacemaker with leads terminating in the right atrium and right ventricle. Cardiomediastinum and hilar silhouettes are stable. The lungs are well expanded and clear with the exception of a small granuloma in the left lung which is stable compared to prior. There is no pulmonary edema, pleural effusion or pneumothorax.

<unk>-year-old with new pacemaker placement.

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Stable mild cardiomegaly. Lung volumes are slightly lower on this exam compared to the prior. A moderate left, loculated, pleural effusion may be slightly smaller. There is no evidence of pneumothorax. There is no evidence of focal consolidation in either lung. There are multiple loose bodies seen adjacent to the left glenohumeral joint.

<unk> year old woman with follow up film // f/u

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The lungs are clear without focal consolidation. Nodular opacity projecting over the right lung base is most likely a nipple shadow. There is no effusion. The cardiomediastinal silhouette is normal. Hypertrophic changes are noted in the spine.

<unk>m with l sided deficits // ? acute process

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Pa and lateral views of the chest demonstrate increased lung volumes, and diffuse bilateral focal lucencies, indicating moderate emphysema better seen on ct exam of <unk> exam. Right lower lobe mass with a fiducial marker has decreased in size since <unk>. There is no pleural effusion or pneumothorax. No focal consolidation is present. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

patient with history of adenocarcinoma right lower lobe, status post cyberknife treatment on <unk>, who now presents with persistent dry cough. assess for pneumonia.

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Lung volumes are slightly low, but clear. Heart size is exaggerated by ap technique and likely normal, unchanged since <unk>. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

left shift. evaluate for evidence of infection.

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The patient is rotated somewhat to the right. Left lower lobe opacity may be due to aspiration and/or infection. No large pleural effusion is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are grossly unremarkable. No pneumothorax is seen. Evidence of dish is seen along the spine.

history: <unk>m s/p fall // r/o intracranial bleed and/or c-spine injury

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Frontal and lateral views of the chest are compared to previous exam from <unk>. Compared to prior, there has been no significant interval change. Again seen is prominence of interstitial markings, potentially due to pulmonary vascular congestion or chronic underlying disease. There is no evidence of new consolidation, patient's arms are by her side on the lateral exam somewhat limiting this view. Cardiac silhouette is enlarged, but stable. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with low-grade temperature.

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Lungs are hyperinflated but clear. Cardiomediastinal and hilar contours are unremarkable. A pacemaker device is present, with leads ending in the right atrium and right ventricle. Allowing for slight differences in patient positioning, there has been no significant interval change in the appearance of the pacemaker or associated leads. There is no pneumothorax, pleural effusion, or consolidation.

<unk> year old man with fevers after pacemaker placement // r/o infection, visualize pacemaker

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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 sob

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In comparison with the study of <unk>, there is little interval change. There is hyperexpansion of the lungs with flattening of the hemidiaphragms, that could reflect some chronic pulmonary disease. Apical pleural thickening is again seen on the right. However, no evidence of acute pneumonia. Specifically, no cardiomegaly, pulmonary vascular congestion, or pleural effusion.

new onset of possible chf.

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Lung volumes are slightly low. This accentuates the size of the cardiac silhouette which is likely top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.

history: <unk>m with fever, cough

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.

chest pain.

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

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

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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>m with altered mental status s/p mvc, likely etoh, facial trauma // eval for ich, c-spine fracture, acute pulm process

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

hypertension associated shortness of breath.

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Frontal and lateral chest radiographs demonstrate low lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding. Retrocardiac opacity, better seen on the lateral view, is unchanged compared to <unk>, likely represents prominent vasculature projecting over the lower thoracic spine. No pleural effusion or pneumothorax is identified. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with fevers and cough.

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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.

leukocytosis

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A right port-a-cath is in place, with the tip terminating at the svc/right atrial junction. The lungs are hyperinflated and clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

chills and cough, here to evaluate for pneumonia.

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Frontal and lateral views of the chest. Leads of a left chest wall pacer are in stable position. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pacemaker was separately evaluated by dr. <unk>, who confirmed that this pacer is mri-compatible.

pacemaker needing leads checked for mri.

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There is subtle increased patchy opacity at the right lung base. Left lung is clear. No pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.

<unk>-year-old male with recent <unk> infection, now with nausea, vomiting, fever, and shortness of breath.

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

<unk>m with cough fever // r/o pna

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The lungs are well expanded and appear clear without evidence of focal consolidation. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette and hilar contours are normal.

history: <unk>m with chest pain, cough // please evaluate for acute abnormality

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old woman with ?? aspiration pneumonia // pneumonia?

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Patchy areas of opacity projecting over the left mid to lower hemithorax are concerning for infection and/or malignant involvement. The osseous structures are heterogeneous, including areas of bilateral ribs (is for example the anterior right <num>th rib. The anterior ribs on the lateral seen. Increased sclerosis projecting over a lower thoracic vertebral body also raises concern for metastatic involvement. No large pleural effusion is seen although trace pleural effusion be difficult to exclude. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.

chest pain and shortness of breath, history of breast cancer.

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, evidence of pulmonary edema, or pleural effusion. No displaced rib fracture is identified.

<unk>f with chest pain s/p trauma // eval for rib fx

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Normal heart size with stable tortuosity of the thoracic aorta. Normal mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.

<unk> year old man s/p <unk>: laparoscopic right radical nephrectomy. clear cell rcc, two masses, <num> and <num> cm, grade <unk>, negative margins, <unk> lymph nodes involved. // please evaluate for any abnormalities

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Pa and lateral views of the chest provided. Left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle. There is a tiny coronary stent projecting over the heart as on prior. The lung volumes are low which somewhat limit the assessment. There is no focal consolidation, effusion or pneumothorax. A focal eventration again noted along the right posterior hemidiaphragm. Heart size is unchanged. Mediastinal contour is within normal limits.

<unk>m with productive cough and diminished breath sounds at left lung base.

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

history: <unk>m with chest pain. evaluate for pneumothorax

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Lungs are fully expanded. Subtle superior segment left lower lobe opacities have resolved. Lungs are clear. No pleural abnormality. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Interval placement of a left central venous port, which terminates in the mid svc. Numerous surgical clips project over the lateral right chest wall. Incidental note is made of mild thoracic dextroscoliosis.

<unk> year old woman with stage iii breast cancer // reassess left perihilar opacity seen on <unk> cxr. has this resolved or persists (worse?)

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

<unk>-year-old female with chest pain and history of multiple pneumonias.

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The patient is status post median sternotomy and cabg as well as valve replacement surgery. Moderate cardiomegaly is present. There is mild pulmonary edema. Mediastinal and hilar contours otherwise are unremarkable. Small bilateral pleural effusions are present. There is no focal consolidation. No pneumothorax is identified. No acute osseous abnormality is detected.

recent hip fracture with new hypoxia.

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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart is top normal in size. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is gaseous distention of the stomach.

shortness of breath and chest pain with rhonchorous breath sounds. assess for pneumonia.

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Compared to chest radiographs from <unk>, moderate multiloculated right pleural effusion has mildly improved, as well as adjacent right middle and lower lobe atelectasis. Left pleural effusion has resolved. Lungs are hyperinflated with vascular deficiency in the upper lobes, consistent with emphysema, better assessed on prior chest ct. There is no new focal consolidation concerning for mass or infection. No central vascular congestion or overt pulmonary edema. Cardiomediastinal silhouette is stable. Compression deformities of the thoracic spine are unchanged. Right port-a-cath tip terminates in the right atrium.

<unk> year old woman with met pancreatic cancer to lung. r breath sounds heard in upper lobe. // lung disease v fluid v other

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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. An air-fluid level is seen within the stomach. Prominent loops of small bowel project over the left upper quadrant. Nasogastric tube courses into the stomach and out of the field of view.

history: <unk>m with sbo, s/p ng tube // pre-op, ng tube placement

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The lungs are clear. There is no focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, healed right post oral lateral rib fractures are noted.

<unk>m with malaise // ? pneumonia

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As compared to the previous radiograph, the patient is after left upper lung surgery. <num> cm post-procedural left pneumothorax, the position of the left chest tube is unchanged. Minimal atelectasis at the right lung bases. Borderline cardiac silhouette without pulmonary edema.

left upper lobectomy, evaluation.

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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures are identified.

history: <unk>m with chest pain // acut eprocess?

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The lungs are well expanded and clear. Hila and cardiomediastinal contours are normal. Trace apical scarring is unchanged from <unk>. No pneumothorax or pleural effusion.

<unk>-year-old man with left flank pain.

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Ap semi upright and lateral chest radiographs. The lungs are low in volume with bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Mild cardiomegaly is stable. Tortuosity and general enlargement of the thoracic aorta contributiing the increased width of the mediastinum remains stable over multiple prior examinations. The pulmonary arteries appear enlarged suggesting pulmonary hypertension.

chest pain and lower extremity edema. assess for cardiomyopathy or chf.

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When compared to prior, there has been no significant interval change. Right sided hemithorax volume loss with apical opacity is unchanged. Streaky right basilar opacity is likely due to scarring. Left apical pulmonary nodule is similar compared to the last month's ct. The left lung is hyperinflated but otherwise clear without consolidation. Cardiomediastinal silhouette is unchanged noting several clips and ivc stent. No acute osseous abnormalities. Surgical clips are noted in the left upper quadrant.

<unk> year old woman with hx of lung ca. s/p rll lobectomy, tv repair, transcatheter bioprosthesis to ivc/ra junction <unk>, p/w fevers, cough, +greenish sputum // please eval for pna; please eval for interval change from <unk> osh cxr

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

history: <unk>m with weakness

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Pa and lateral chest radiographs demonstrate mild cardiomegaly, unchanged from <unk>. There is no pulmonary vascular congestion, pleural effusion, or dilation of the azygos. There is no focal consolidation or pneumothorax. An old right posterior rib fracture is stable from <unk>.

dry cough for several months.

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Heart size remains mildly enlarged. The aorta is calcified at the aortic knob. Mediastinal and hilar contours are unchanged with similar prominence of the main pulmonary artery contour suggestive of enlargement. No pulmonary edema is demonstrated. <num> mm rounded opacity projecting over the right upper lobe is unchanged, likely a tiny granuloma, unchanged. Streaky opacity in the left lower lobe likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>m with abdominal pain, nausea, vomiting, cough. fevers, chills.

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Lung volumes remain decreased, accentuating the bronchovascular structures. The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.

lymphoma stage iii. rule out pneumonia.

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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Fullness of the ap window is often seen in normal young women; otherwise, hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. There is a fullness of the retrosternal space.

uncontrolled hypertension.

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Mild left basilar opacity is identified, likely atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted throughout the thoracic aorta. No acute osseous abnormalities detected.

<unk>f with nausea, generalized weakness // r/o ich

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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 focal consolidation, pleural effusion, or pneumothorax. Pulmonary vascular markings are normal. No radiopaque foreign body.

<unk>-year-old female with chest pain and retching. evaluate for widened mediastinum.

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Ap upright and lateral views of the chest provided. Midline sternotomy wires again noted. There is a left chest wall pacer device again noted with leads extending to the region the right atrium right ventricle and coronaries sinus. Cardiomegaly is again noted with hilar congestion. There is mild interstitial pulmonary edema with likely small bilateral pleural effusions. No convincing evidence for pneumonia. No pneumothorax. Aortic calcification again noted. Bony structures appear grossly intact.

<unk>f with systolic heart failure, increased <unk> edema

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Pa and lateral views of the chest provided. Mild elevation of the right hemidiaphragm is noted. Lungs appear relatively clear. No large effusion or pneumothorax. Heart is mildly prominent. Mediastinal contour is unremarkable. Bony structures appear grossly intact.

<unk>f with confusion // evaluate for pneumonia

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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. Evidence of dish is seen along the spine. No pulmonary edema is seen.

history: <unk>m with doe x <num> days with new afib // eval 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. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

diabetic ketoacidosis

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Cardiomegaly is mild. There is mild interstitial pulmonary edema. No focal consolidation, effusion or pneumothorax. Mediastinal contour is stable. Bony structures are intact.

<unk>m with cp and sickle cell pls eval pna

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Low lung volumes are seen with secondary crowding of the bronchovascular markings. There is no evidence of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with h/o portal htn, esophageal varices with luq pain. concern for referred pain from lungs // r/o pneumonia

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Rounded opacity at the right costophrenic angle is compatible with a lipoma as seen on prior ct. Adjacent right basilar opacity is likely rounded atelectasis also unchanged. Elsewhere, the lungs are clear. Cardiac silhouette is enlarged but stable. Median sternotomy wires and mediastinal clips are again noted.

<unk>m with dyspnea // pulm edema?

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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

history: <unk>m with sob // eval for ptx

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In comparison to <unk> chest radiograph, there are no new findings. There are no consolidation, opacities, masses, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. The heart size is top-normal. . There is no acute bony abnormality nor evidence of acute fracture.

<unk> year old woman with cough // ? infiltrate

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Pa and lateral views of the chest. No prior. There is subtle opacity silhouetting the inferior left heart border with configuration most suggestive of epicardial fat. Mild biapical scarring is noted. Elsewhere, the lungs are clear. Costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits.

<unk>-year-old female with palpitations and shortness of breath. found to have bigeminy on ekg. question consolidation, pulmonary edema, cardiomegaly.

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pleural effusion, pneumonia, or pulmonary edema. A small focal opacity projecting over the left hemidiaphragm is likely a nipple shadow.

<unk> year old man with positive ppd, hx of bcg vaccine, cxr for general tb screening. pt is asymptomatic. // ppd positive, rule out tb

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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.

history: <unk>m with right shoulder/rib pain status post trauma

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. A curvilinear density projecting over right breast, may relate to calcifications associated with the breast prosthesis, unchanged since prior.

patient status post fall with right shoulder pain.

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Ap upright and lateral views of the chest provided. A left chest wall pacer device is again seen with single lead extending into the region of the right ventricle. Aortic corevalve noted. Cardiomegaly is moderate. Mediastinal contour is stable with aortic calcification. There is mild to moderate pulmonary edema. No large effusion or pneumothorax. Bony structures are intact.

<unk>m with sob

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Ap upright and lateral views the chest. Overlying ekg leads are present. Lungs are clear. Heart size is normal. Mediastinal and hilar contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with substance abuse.,ams

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There is minor left base retrocardiac linear atelectasis. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal with a left ventricular configuration. Mediastinal contours are unremarkable.

history: <unk>m with chest pain, dyspnea // eval for structural process

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There is increased left pleural effusion and pleural thickening. There is minimal right pleural effusion. Diffuse nodular opacities are unchanged. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Right-sided port-a-cath terminates in the right atrium.

<unk> year old woman with met breast ca // numerous pulm mets. compare to prior serial cxrs

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Elevation of the left hemidiaphragm is unchanged compared to the prior examination. Lungs are markedly hyperinflated suggestive of underlying emphysema. Relative lucency at the right base corresponds to bullous changes on a ct dated <unk>. Since the prior study, there is coarsening of the interstitium with associated parenchymal distortion and scarring, particularly in the upper lungs. There are scattered nodular opacities, some of which are stable, but some of which have developed, especially a <num>cm irregular opacity at the left apex. Further imaging evaluation with chest ct is recommended at this time. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is stable. Healed left sided rib fractures are noted.

<unk>m with dyspnea

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is mild prominence of the hila which may be due to central pulmonary vascular engorgement, underlying lymphadenopathy not entirely excluded.

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

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The lungs are clear. There is no effusion nor pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>m with no significant pmh p/w left-sided cp // ? acute cardiopulm process

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There has been interval placement of a nasogastric tube with the tip not visualized beyond the upper esophagus on the frontal view. While the lateral view demonstrates a catheter which courses in the expected region of the esophagus and into the upper abdomen, this cannot be confirmed on the frontal view. The heart size is mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is detected. Streaky atelectasis is noted in the lung bases. Compression fracture of a vertebral body at the thoracolumbar junction is noted, of indeterminate age. No subdiaphragmatic free air is present.

history: <unk>m with emesis, maroon positive, // please eval for obstruction and ng tube placement

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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 chest pain. please evaluate for pneumonia.

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Lung volumes are low. Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are normal. There is crowding of the bronchovascular structures without overt pulmonary edema. Streaky opacities are seen within the lung bases, likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen.

history: <unk>f with weakness, fatigue

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Pa and lateral chest radiograph demonstrates improved aeration of the lungs relative to examination dated <unk>. Heart is enlarged with a tortuous aorta. There is mild pulmonary edema . There is a probable trace right pleural effusion. No opacity convincing for pneumonia is seen. There is no air under the right hemidiaphragm. There is no pneumothorax. Large ossific density inferior to the left humeral bone may reflect large osseous loose body. Note is made of right seventh rib fracture, previously present.

history: <unk>f with sob // ? infectious process

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Pa and lateral views of the chest provided. Left chest wall port-a-cath is seen with catheter tip in the region of the low svc. Multiple surgical clips are noted in the left upper quadrant. A small left pleural effusion is present, significantly improved from prior ct. The lungs are clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette is stable. Bony structures appear intact. Outline of a right breast implant noted.

<unk>f with altered mental status for <num> minutes earlier today now resolved. h/o breast ca

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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Dedicated views of the left shoulder and left humerus were provided. There is severe left ac joint arthropathy with bony hypertrophy and loss of joint space. There is mild high-riding of the left humeral head suggesting chronic rotator cuff disease. No worrisome calcifications. No acute fracture seen.

<unk>m with fall, r clavicle pain, l humerus/shoulder pain

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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

productive cough for <num> days. assess for pneumonia.

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Again seen is extensive apical pleural calcifications bilaterally consistent with old tuberculous disease. Opacification in the left mid lung corresponding with previously demonstrated pneumonia with abscess in the lingular lobe has now decreased and likely represents fibrous scarring and healing from the pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk> year old woman with mac being treated now with cough for <num> weeks // rule out infiltrate,

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As compared to the previous radiograph, signs suggestive of centralized pulmonary edema are improved but still visible. They are more extensive on the right than on the left. In addition, the bilateral small pleural effusions persist, they are better visible on the lateral than on the frontal image. Unchanged mild cardiomegaly. No newly appeared focal parenchymal opacity suggesting pneumonia.

increased bilateral lower extremity swelling, change in pulmonary edema.

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

history of myelodysplastic syndrome, evaluation prior to bone marrow transplant.

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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.

history: <unk>m with sudden onset cp tonight // ptx?

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The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are mild degenerative changes involving the right acromioclavicular joint.

cough and fever.

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Lung volumes are low. Left lower lung opacity overlies the spine on lateral view, new since <unk>. Mediastinal contour, hila, and cardiac silhouette are normal. A small right pleural effusion is new since <unk>. No pneumothorax or radiographic evidence of fracture.

<unk>f with fall // pna? 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 with fever // please eval for pneumonia, other pulmonary 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.

chest pain.

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The cardiomediastinal and hilar contours are within normal limits. Lung volumes are low, however the lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

<unk>m cough febrile*** warning *** multiple patients with same last name! // <unk>m cough febrile

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Frontal and lateral views of the chest. Multifocal bilateral pulmonary nodules and masses are seen, significantly enlarged since <unk>. Given differences in technique there is no clear difference since exam from earlier the same month. Given the extent of disease, it would be difficult to exclude a superimposed infection. The cardiomediastinal silhouette is grossly unchanged overall less well evaluated on the current exam due to silhouetting of the left. No acute osseous abnormality identified.

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

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The lungs are clear. Cardiomediastinal silhouette is normal. No pleural effusion, pneumothorax, pulmonary edema. Scoliosis and a tortuous thoracic aorta are stable.

metastatic breast cancer. new fevers.

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In comparison with the study of <unk>, there is little change. No evidence of acute focal pneumonia or vascular congestion. Axillary clips and central catheter remain. Of incidental note is an azygos fissure.

relapsed lymphoma after transplant, now with fever.

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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. Minimal anterior wedging appears chronic along the mid to lower thoracic vertebral body.

chest pain and known chronic lymphocytic leukemia.