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

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Moderate pulmonary edema with mild to moderate bilateral pleural effusions are increased compared to previous on <unk>. Low lung volumes. No pneumothorax is seen. The cardiac size cannot be assessed given low lung volumes.

<unk> year old woman with increasing oxygen requirement, wheezing and doe. // rule out pulmonary process

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Cardiomegaly is mild. There is pulmonary vascular congestion and mild pulmonary edema. There is no pneumothorax probable bilateral tiny pleural effusions. Osseous structures are unremarkable. Calcifications of the aortic arch are dense. The positioning of a left pacemaker generator and leads are unchanged.

history: <unk>f with dementia, dm p/w "feeling off", poor historian, lives alone, +abdominal ttp // eval for ich, intraabdominal infection, chf, pneumonia

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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Orthopedic spinal fixation hardware is seen in the lower thoracic and upper lumbar spine.

dyspnea.

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The cardiac silhouette is mildly enlarged with tortuosity of the thoracic aorta. Hilar contours are unremarkable. Linear opacities in the right mid lung field likely represent focal scarring. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.

cough and shortness of breath.

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Moderate cardiomegaly is unchanged. The pulmonary arteries are severely enlarged. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. Elevation of the right hemidiaphragm is unchanged. There is no focal consolidation. There is mild interstitial edema. Left percutaneous pacer wires with overlying pacer device is again seen.

<unk>-year-old woman with weakness evaluate for pulmonary edema or pneumonia.

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In comparison with study of <unk>, there is no appreciable change in the appearance of the sternal wires in a patient with previous mitral valve replacement. No evidence of acute cardiopulmonary disease.

chest pain. had sternal wires.

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Frontal and lateral chest radiographdemonstrates <num> sternotomy wires with two fractures within the first sternotomy wire without separation of fractured wire fragments. No wire migration. No additional fractures identified. A prosthetic valve is unchanged in appearance. The lungs are moderately well expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

chest pain. assess for broken or moved sternotomy wire.

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Prominent mediastinal fat is noted. The cardiac silhouette and pulmonary vasculature are largely unremarkable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.

history: <unk>m with leukocytosis // evidence of pneumonia

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The heart is normal in size. Mildly prominent upper mediastinal contours appear stable, however, since prior examinations. There is a nodular density projecting over the left lower lung of approximately <num> mm in diameter, suspected to represent a nipple shadow, but a pulmonary nodule cannot be excluded. Otherwise the lung fields appear clear. There is no pleural effusion or pneumothorax. Mild degenerative changes are similar along the thoracic spine.

hallucinations and tachycardia. question infiltrate.

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Pa and lateral views of the chest provided. Midline sternotomy wires are again noted as well as mediastinal clips. Abnormal mediastinal contour reflects known mediastinal mass which per report likely represents thyroid goiter though clinical correlation is advised. The heart appears top-normal in size. There is mild hilar congestion without frank pulmonary edema. No large pleural effusion or pneumothorax. Bony structures are intact.

<unk> chf, ckd, now symptomatic anemia // pulmonary edema? worsening chf?

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There has been interval resolution of the bilateral pulmonary edema and improvement of the bibasilar atelectasis. Left small pleural effusion is stable. No new focal consolidations are seen. There is no pneumothorax. The median sternotomy wires are in place. There is stable, mild cardiomegaly. The hilar and mediastinal contours are otherwise normal.

<unk>-year-old female status post cabg, who presents for interval followup.

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There is borderline mild cardiomegaly, increased in size since <unk>. Hilar and mediastinal contours are within normal limits. As compared to prior chest examination, there is slight prominence of the interstitial pulmonary markings, likely reflective of mild pulmonary vascular congestion, without overt edema. Lung volumes are decreased. There is minimal atelectasis at the left lung base. There is no focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with chest pain // eval for pna, chf eval for pna, chf

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

history: <unk>m with dizziness // cardiomegaly

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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is top normal and unchanged. The cardiomediastinal and hilar contours are normal.

unprovoked dvt, evaluate for lung mass.

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Frontal and lateral radiographs of the chest show persistently low inspiratory lung volumes. Mild biapical pleural thickening is unchanged. No focal consolidation, pleural effusion, or pneumothorax is present. Mild mediastinal and pulmonary vascular engorgement is noted. Mildly increased interstitial lung markings are equivocal for mild pulmonary edema in the setting of low lung volumes. The cardiac silhouette is mildly enlarged with ring shadowing at the cardiac apex suggestive of myocardial calcification which could be related to aneurysm formation or prior myocardial infarction. The thoracic aorta is slightly unfolded and heavily calcified, particularly along the descending portion. The mediastinal and hilar contours are stable with prominence of the azygos vein. The patient is status post median sternotomy with wires intact and multiple surgical clips projecting along the left cardiac border consistent with prior cardiac surgery. A left supraclavicular dual-channel dialysis catheter is unchanged in position with the tip terminating in the right atrium. Surgical clips are noted in the right upper quadrant of the abdomen consistent with prior cholecystectomy.

<unk>-year-old female with leukocytosis and fever, here to evaluate for pneumonia.

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The heart size is top normal. The aorta is mildly tortuous. Widening of the right superior mediastinal contour and rightward deviation of the upper trachea likely reflect underlying mediastinal lymphadenopathy. Hilar contours are within normal limits. There is no pulmonary vascular congestion. Small bilateral pleural effusions, left greater than right are noted. Adjacent retrocardiac atelectasis is seen. There is no pneumothorax. No acute osseous abnormalities are detected. Multiple clips are demonstrated within the left upper quadrant of the abdomen.

non-hodgkin's lymphoma with recent recurrence, now with malaise, fatigue and dyspnea.

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A port-a-cath terminates in the right atrium. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. A relatively dense nodule projects over the left upper lobe. This corresponds to a known nodule seen on previous chest ct without evidence for change (small changes would be difficult to detect with radiography, however). There is no pleural effusion or pneumothorax.

cough.

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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. Right humeral head prosthesis noted. Chronic deformity the left shoulder noted. Lungs are clear without focal consolidation, large effusion pneumothorax. The heart size is normal. The aorta is markedly unfolded and appears a ectatic and partially calcified. No definite pneumothorax or effusion.

<unk>f with diminished breath sounds at bases and crackles, ? worsening cxr from prior today

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The heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. No displaced fracture is seen.

right lower chest/right upper quadrant pleuritic chest pain.

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As compared to the prior examination dated <unk>, there has been no relevant interval change. Again, there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild bibasilar atelectasis is unchanged. The heart remains mildly enlarged.

<unk>f with chest pain // ?pneumonia

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The heart size is normal. Tortuosity of the aorta is stable. The lungs are well expanded and clear. There is no pneumothorax or pleural effusion. The hilar and mediastinal contours are unremarkable.

<unk>-year-old male who presents for evaluation of leukocytosis and cough.

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Surgical clips seen at the right aspect of the hilum and surgical chain sutures identified in the left suprahilar region and right mid lung. Known right mainstem bronchus stent is not clearly identified. There has been continued interval improvement of the bibasilar regions of consolidation. The lungs remain clear superiorly. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Surgical clips seen in the right upper quadrant pain

<unk>f with non-small cell lung ca on chemotherapy presents with productive cough x <num> week. // pneumonia?

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The heart is at the upper limits of normal size with a left ventricular configuration. There is mild unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged. There are streaky posterior basilar opacities in the left lower lobe and probably in the lingula which are more suggestive of atelectasis than pneumonia, although an infectious process is difficult to completely exclude. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the mid thoracic spine with slight minimal wedging of mid thoracic vertebral bodies that appears unchanged.

cough, fever and sore throat.

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The patient is status post sternotomy and cabg, with sternotomy wires that appear intact and appropriately aligned. There is a new rounded opacity projecting over the right mid lung, localized to the the right upper lobe on the lateral view. The moderate sized right pleural effusion is unchanged. There is a new small left pleural effusion. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There is heavy calcification of the mitral annulus. There are no acute osseous abnormalities.

<unk> year old man with s/p kidney transplant. low grade temperature and cough // r/o pneumonia

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There are somewhat low lung volumes, but the lungs are clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

cough with green brown sputum.

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Pa and lateral views of the chest provided. Mild cardiomegaly again noted. The aorta is unfolded with unchanged mediastinal contour. A retrocardiac opacity containing an air-fluid level is consistent with a hiatal hernia. There is mild left lower lobe compressive atelectasis related to this hernia. No evidence of pneumonia or edema. No large effusion or pneumothorax. Bony structures are intact.

<unk>f with new afib // ? acute cardipulm process

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. There is a vague nodular opacity projecting over the right upper lung, suggesting a small focus of pneumonia in the appropriate clinical setting. Elsewhere, the lungs appear clear. The osseous structures are unremarkable.

shortness of breath and extra lung sounds in the left lower lobe. patient has remote history of chest tube placement.

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As on prior, there is a large left-sided mediastinal mass. Small left pleural effusion is unchanged. There is no pneumothorax. The right lung remains clear. No acute osseous abnormalities identified.

<unk>f with cp // ptx? pna? effusion?

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for a questionable new peripheral subcentimeter nodule in the left lower lung at the level of the sixth anterior left rib. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old woman with history of malignant melanoma // please evaluate disease status

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Frontal and lateral views of the chest are compared to previous exam from <unk>. Linear opacities again seen in the left mid lung laterally suggestive of scarring as they were seen on the previous exam. The lungs are otherwise clear without consolidation or pulmonary vascular congestion. There is no effusion. Cardiomediastinal silhouette is within normal limits. Prior median sternotomy changes are noted. Osseous and soft tissue structures are grossly unremarkable.

<unk>-year-old female with congestive heart failure and lower extremity edema.

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Known large left upper lobe pulmonary mass is seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. Slight prominence of the left hilum may relate to known underlying lymph nodes.

history: <unk>f with lung cancer and recent fever // lung cancer on chemo with a fever

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As compared to prior chest radiograph from <unk>, there is increased opacity at the right lung base and possible increased density overlying the cardiac silhouette, best seen on lateral views. The heart is moderately enlarged, slightly increased from prior examination. There is mild pulmonary vascular congestion. There is no large pleural effusion or pneumothorax.

fever and cough. evaluate for pneumonia.

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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.

fall while running.

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Severe cardiomegaly is unchanged. There is no pleural effusion or pneumothorax. There is no definite focal consolidation to raise concern for pneumonia. There is pulmonary vascular congestion with mild to moderate pulmonary edema. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>-year-old man with nicm with shortness of breath for a week.

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Heart size is normal. There is a small to moderate size hiatal hernia. The aorta is tortuous and diffusely calcified. Hilar contours are unremarkable. Lungs are hyperinflated without focal consolidation. Streaky opacities in lung bases likely reflect areas of atelectasis. Pulmonary vasculature is not engorged. There is no pleural effusion or pneumothorax. Moderate multilevel degenerative changes are seen in the thoracic spine. Clips are noted in the upper abdomen on the lateral view. Fractures of the left fourth, fifth, sixth, seventh and eighth posterior rib fractures appear acute. Multiple remote bilateral posterior rib fractures are also present.

history: <unk>f with unwitnessed fall. tenderness to palpation in the left upper back.

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Lungs: the lungs are well inflated. There is no consolidation. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: mild hypertrophic changes are noted. Other findings: none

history: <unk>f with cough x <num> week // r/o pna

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Ap upright and lateral views of the chest provided. The tubing again noted traversing the right hemi thorax consistent with vp shunt. Lungs are clear. Cardiomediastinal silhouette appears normal. No acute osseous injury. Vertebroplasty changes are noted at the thoracolumbar junction and in the mid lumbar spine.

<unk>f with fall, l-spine pain // eval for acute fracture

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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. Mild pectus excavatum.

<unk> year old woman with rll pneumonia // ?clearance

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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 chest pain

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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.

chest pain.

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The lungs are well expanded without new focal consolidation. Stable postoperative right lung distortion and scarring and right apical rind are unchanged. No pleural effusion or pneumothorax.

<unk> year old woman s/p neoadjuvant chemorads then s/p rml lobectomy and wedge upper lobe <unk>. persistent dry cough. // eval for interval change

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The lungs are well inflated. There is a left lower lobe ill-defined peribronchial opacity concerning for pneumonia. There no pneumothorax nor pleural effusion appreciated. The cardiomediastinal and hilar silhouettes are normal . The heart size is normal. There is no acute bony abnormality nor evidence of acute fracture.

<unk> year old woman with advanced cervical cancer p/w fever // r/o consolidation

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical clips are noted in the upper abdomen on the lateral view.

asthma, presenting with dyspnea, fever.

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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>f with history of asthma, allergies here with worsening shortness of breath

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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The cardiomediastinal and hilar contours are normal. There is no pneumothorax or pleural effusion. Pleural surfaces are unremarkable. There is no mediastinal air.

lightheadedness and diffuse abdominal pain, history of bulemia, evaluate for mediastinal air.

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Heart size is normal. Mediastinal and hilar contours are unremarkable without evidence of pneumomediastinum. Pulmonary vasculature is not engorged. Ill-defined nodular opacities are again seen within the left upper lobe, right upper lobe, and both lower lobes, slightly improved in the interval, and likely reflective of improving multifocal pneumonia/aspiration. No new focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.

history: <unk>m with status post egd. evaluate for perforation.

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A left-sided biventricular pacemaker remains in unchanged position. The heart is enlarged. There is unchanged right pleural thickening. No focal consolidation concerning for pneumonia. No pneumothorax.

<unk> year old man with biv ppm upgrade. // rule out pneumothorax and change lead position rule out pneumothorax and change lead position

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The lungs are normally expanded. There is no focal airspace opacity to suggest pneumonia. The heart size is top normal. The mediastinal and hilar contours are normal. Median sternotomy wires are intact. A new device in the left upper chest wall. There is no pleural effusion or pneumothorax.

low blood pressure. evaluate for pneumonia.

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The patient is status post median sternotomy. There are low lung volumes. Bilateral pleural effusions persists, slightly increased as compared to the prior study, with overlying atelectasis, underlying consolidation not excluded. There is no pneumothorax. The cardiac silhouette is partially obscured due to the bibasilar opacities/pleural effusions, however, is grossly stable in appearance.

atrial fibrillation, shortness of breath.

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

<unk>f with sob // eval for any infiltrates

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Lung volumes are low. The lungs are clear. Mediastinal contours, hila, cardiac silhouette are normal. No pleural effusion or pneumothorax.

<unk>m with cough // pna?

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There are relatively low lung volumes. Patchy right upper lung opacity is worrisome for pneumonia. The left lung is clear. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

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

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Frontal and lateral views of the chest demonstrate an enteric tube extending to the stomach. The side port is not readily discernable. The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.

<unk>-year-old female with chest pain. question acute process.

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Pa and lateral views of the chest provided. Left hilar prominence is consistent with known left hilar mass. Left perihilar opacity is unchanged from recent ct and likely reflects a combination of bronchial thickening and tumor. No convincing signs of pneumonia. No large effusion, pneumothorax or definite signs of edema. Cardiac silhouette is stable. Mediastinal contour is unchanged. Bony structures appear intact. Dish related changes of the t-spine noted. Lungs are hyperinflated and lucent consistent with emphysema.

<unk>m with r posterior rib pain, s/p xrt. extensive small cell lung ca // r/o infiltrate/assess for cancer progression

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A left bronchial stent appears in unchanged position. There is complete collapse of the left lower lobe, with contiguous large mass in the lingula. Left pleural effusion has increased in size in the interval and is now moderate to large. Again demonstrated are multiple additional bilateral pulmonary nodules, consistent with diffuse metastases. No pneumothorax. Cardiac silhouette is enlarged.

history: <unk>f with weakness. // pneumonia?

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In comparison with study of <unk>, there is little overall change. Continued low lung volumes with the cardiac silhouette mildly enlarged. No evidence of acute pneumonia, vascular congestion, or pleural effusion.

cough and fever.

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There is mild pulmonary vascular congestion. The cardiomediastinal silhouette is unremarkable. No focal consolidation, pleural effusion, or pneumothorax.

<unk> yom with hiv, dmii, htn, presenting with complaints of episodes of sob, and chest pressure. evaluate for acute intrathoracic process.

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Moderate to severe enlargement of the cardiac silhouette is present. The aorta is mildly tortuous with atherosclerotic calcifications noted at the aortic knob. The pulmonary vasculature is normal and the hilar contours are unremarkable. Minimal atelectasis in the lung bases is demonstrated with longitudinally oriented linear opacity in the right lung base, likely an area of scarring. Remainder of the lungs are clear without focal consolidation. No pneumothorax or pleural effusion is evident. There mild degenerative changes seen in the thoracic spine.

history: <unk>f with fall with headstrike, left periorbital ecchymosis

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There is moderate cardiomegaly, unchanged. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Streaky retrocardiac and right basilar opacity may reflect atelectasis though infection cannot be excluded. Mild pulmonary vascular congestion. Small bilateral pleural effusions cannot be completely excluded posteriorly. There is no pneumothorax. Clip is noted within the right upper quadrant of the abdomen.

dyspnea.

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There are new diffuse bilateral opacities concerning for multifocal pneumonia. The cardiac silhouette cannot be fully assessed. There is no pneumothorax. There is no large pleural effusion.

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

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with chest pain // r/o pneumothorax, pna

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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again noted as well as prosthetic aortic valve. No acute osseous abnormalities.

<unk>m with syncope // eval for acute process

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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending into the region the right atrium and right ventricle. Cardiomediastinal silhouette is unchanged with marked cardiomegaly again noted. Elevation of the right hemidiaphragm is again noted. There is no focal consolidation, large effusion or pneumothorax. No convincing evidence for edema. Bony structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with bradycardia and cough // eval for pna

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Frontal and lateral radiographs of the chest demonstrate persistent massive diffuse bilateral micronodular pattern in both lungs, not significantly changed from the prior study. Again seen is scarring or atelectasis along the medial aspect of the left lung, likely representing prior radiation. The cardiomediastinal and hilar contours are unchanged. There is a tiny left pleural effusion. A right-sided port-a-cath ends at the right atrium. There is no pneumothorax or consolidation.

<unk>-year-old female with a history of non-small cell lung cancer and new hypoxia. evaluate for pleural effusion, worsening parenchymal disease, or pneumonia.

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Left-sided port-a-cath terminates in the low svc/ cavoatrial junction. Lung volumes remain low without focal consolidation seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

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

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Small left pleural effusion is seen. Linear opacity in the left lower lobe is likely due to chronic atelectasis or scarring. Bilateral interstitial opacities and prominent pulmonary vasculature is non specific and not likely from pulmonary edema. The heart is enlarged, unchanged from prior. The mediastinum and hilar contours are unchanged. There is evidence of vertebroplasty. Surgical clips are noted in the abdomen. Left-sided dual lead pacemaker is again seen, with leads in unchanged position.

<unk> year old woman with hyponatremia/possible siadh. evaluate for mass/abnormality

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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours or unremarkable. There is no pleural effusion, pneumothorax, or consolidation.

<unk>-year-old female with cough, fever, and crackles at the lower lung bases. evaluate for pneumonia.

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Frontal and lateral views of the chest. Moderately severe cardiomegaly is similar to prior with enlargement of the left atrium. Mediastinal contours are otherwise unremarkable. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

<unk>-year-old male with shortness of breath status post ablation.

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Median sternotomy wires are unchanged in position. Bibasilar opacities are again noted, slightly improved on the left side when compared <unk>. There are small pleural effusions bilaterally. No evidence of pneumothorax. The heart size is within the upper limits of normal. The mediastinum appears normal.

<unk> year old man s/p cabg // predischarge eval

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The mediastinal contours are unremarkable.

cough and chest pain.

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As compared to the prior examination, there has been minimal interval change. The lung volumes are decreased. Redemonstrated is a right-sided aicd with leads noted to terminate within the right atrium and right ventricle. There is no evidence of associated pneumothorax. The patient is status post valve replacement with median sternotomy wires noted to be well-aligned. Redemonstrated is mild to moderate cardiomegaly, likely exaggerated by the decreased lung volumes. Stable, widening of the mediastinum is noted.

aicd lead placement.

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Streaky left base retrocardiac opacity is felt to be due to combination of vessels and atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with sob // r/o pna

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Lung volumes are markedly low. This accentuates the cardiac and mediastinal contours, with the heart size appearing borderline enlarged. Crowding of the bronchovascular structures is present without overt pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis in the setting of low lung volumes. No pleural effusion or pneumothorax is clearly identified. Loss of height of a low thoracic vertebral body is of indeterminate age. No displaced rib fractures are demonstrated, though the left lateral chest wall is not completely included in the field of view.

history: <unk>m status post fall complaining of pain when breathing

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.

history of pneumonia presenting with productive cough and wheezing.

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Subtle patchy opacity along the left heart border on the frontal view, not substantiated on the lateral view, may be due to atelectasis/ scarring or epicardial fat pad, less likely consolidation. No focal consolidation seen elsewhere. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No overt pulmonary edema is seen. Chronic changes at the right acromioclavicular joint are not well assessed.

history: <unk>m with dyspnea with exertion // ? acute cardiopulm process

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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. Old healed rib fractures are noted on the right fifth and sixth anterior ribs.

history: <unk>m with multiple myeloma on pomalidomide who presents with dysphagia and dyspnea x<num> week // etiology of dyspnea

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Unchanged, calcific hilar nodes. Normal cardiomediastinal contours. Fully expanded, clear lungs with interval resolution of right basilar process. Normal pleural surfaces.

<unk>-year-old man with a history of chronic lung disease from m. <unk> infection, now with cough for <num> month since return from <unk>. evaluate for pneumonia.

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The heart is at the upper limits of normal size. There is mild unfolding of the thoracic aorta. The aorta is partly calcified along the arch. Slight subpleural scarring is noted at each lung apex. Otherwise, the lungs appear clear. There is mild hyperinflation with flattening of the hemidiaphragms and an expanded anteroposterior dimension to the chest. There is no pleural effusion or pneumothorax. Mild degenerative changes are noted along the thoracic spine where small anterior osteophytes can be seen. There is no free air.

severe abdominal pain, with rebound and guarding, with gastrointestinal bleeding and diverticulitis. question air or perforation.

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The heart size is normal. The mediastinal and hilar contours are similar compared to the prior study. Previous pattern of pulmonary edema has improved. Linear opacities within the lung bases likely reflect atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. There are multilevel degenerative changes in the thoracic spine.

asthma and shortness of breath.

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The lungs are hyperinflated but clear. Nipple shadows project over the lung bases bilaterally. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.

<unk>m with lethargy // eval for pna, chf

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Pa and lateral views of the chest demonstrate persistent elevation of the right hemidiaphragm, unchanged since the prior study. Cardiomediastinal sillouette is unchanged and appears enlarged due to prominent mediastinal fat seen on prior ct. Median sternotomy wires are again noted, along with prosthetic aortic valve. The lungs are clear, with no evidence of pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. The mediastinal contours are unchanged.

<unk>-year-old female with altered mental status. evaluation for pneumonia or chf.

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The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified.

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

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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 chest pain and shortness of breath // eval for pna pneumothorax

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is again moderate relative elevation of the left hemidiaphragm. Streaky associated opacities are most likely due to associated atelectasis.

intermittent chest pain.

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Lungs are clear. Suture is noted projecting over the right mid lung. Heart size is normal. No free air below the right hemidiaphragm. Clips are noted in the upper abdomen. This preliminary report was reviewed with dr. <unk>, <unk> radiologist.

<unk> year old man with fever of unknown origin, post hepatic transplant // r/o pneumonia

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Since chest radiographs dated <unk>, there has been interval resolution of pulmonary edema. Severe cardiomegaly is unchanged. Lungs are fully expanded and clear. The pleural surfaces are normal.

<unk> year old man with cough // cough

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Compared to the prior study, no significant change is detected. Possible minimal atelectasis/ scarring at the right lung base is similar to the prior film. The lungs are otherwise grossly clear, without focal infiltrate, chf, or effusion. The cardiomediastinal silhouette is stable.

<unk> year old woman with cough, recent rml pneumonia which had improved, now with slight cough, no fever, normal lung exam // r/o pneumonia

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Streaky retrocardiac opacity is likely atelectasis. Lungs are otherwise clear. Azygos fissure is again noted. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>f cough/chest pain for the past <num> days, eval ?pna //

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The heart is enlarged consistent with mild cardiomegaly. There is prominence of the interstitial markings bilaterally which may be due to body habitus. There is a subtle confluent opacity in the right lower lung field concerning for pneumonia. There is no pleural effusion or pneumothorax. Osseous structures are unremarkable.

cough, evaluate for pneumonia.

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Frontal and lateral chest radiographs demonstrate well-expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Incidental note is made of pectus excavatum.

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

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The lungs are clear. There is no consolidation, effusion or pneumothorax. Cardiac silhouette is top-normal. No displaced fractures identified.

<unk>f with chest pain s/p mvc // acute process?

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

history: <unk>f with ruq pain // r/o cholecystitis, infiltrate

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Ap upright and lateral chest radiographs were obtained. The lungs are well expanded with perhaps mild increase in right pleural effusion which tracks to the apex and along the mediastinal pleural surface. Small left pleural effusion appears unchanged. Though no focal consolidation is seen, right basilar opacities are similar in appearance to that of <unk> and could relate to atelectasis or fissural fluid. Increase in interstitial abnormality likely reflect mild pulmonary edema. The heart remains enlarged with a calcified aortic contour and superior vena cava stent noted. Catheter projecting over the right aspect of the vertebral bodies is likely a dialysis catheter terminating in the distal svc.

chest pain and atrial fibrillation.

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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. Previously noted left lower lobe pulmonary nodule seen on ct is not clearly assessed on the current radiograph. No pleural effusion, focal consolidation, or pneumothorax is present. Diffuse degenerative changes are seen throughout the thoracic spine with anterior bridging osteophytes compatible with dish.

history: <unk>m with several weeks of dry cough

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Heart size is mildly enlarged. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. S-shaped scoliosis of the thoracic spine is present.

history: <unk>m with sickle cell disease, fever, chest pain

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

<unk> year old man with cp and sob // r/o pna

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Persistent elevation of the right hemidiaphragm, most likely reflecting an eventration. Evidence of apparent interbody spacers in the cervical spine.

prolonged cough.

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In comparison with the study of <unk>, the previously described pulmonary nodules appear stable. There is some increased opacification at the left base in the retrocardiac region. Although the appearance most likely suggests atelectatic changes, in the appropriate clinical setting, supervening pneumonia would have to be considered.

readmission for small bowel obstruction, now with fever.

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

<unk>f w/weakness

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Frontal and lateral views of the chest were obtained. The lungs are mildly underpenetrated due to patient body habitus. There is persistent elevation of the right hemidiaphragm. Slight blunting of the right costophrenic angle seen on the frontal view, not substantiated on the lateral view, is most likely due to overlying soft tissue. No large pleural effusion and pneumothorax is seen. There is no definite focal consolidation. The cardiac silhouette appears mildly enlarged, likely accentuated by ap technique. No overt pulmonary edema is seen. Slight prominence of the aortic knob is stable compared to scout radiograph from ct from <unk>.

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