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

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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 neck and chest pain

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Pa and lateral views of the chest provided. Overlying ekg leads are present. 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 chest pain // eval for acute process

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Sclerotic focus in the proximal left humerus is likely a bone island and unchanged from priors.

<unk>f with dyspnea, cough, chills // ?consolidation

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The bibasilar atelectasis has increased, now associated with small bilateral pleural effusions. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. An epidural catheter is in unchanged position. The small amount of pneumoperitoneum is stable.

<unk> year old man with oxygen requirement of <num>lnc to maintain over <unk>%. chest tube removed <unk>. s/p right adrenalectomy. // asses for interval change

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Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs remain clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

shortness of breath with exertion.

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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 mechanical fall hitting her left side.

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Since the prior exam, there is persistent mild vascular congestion, not significantly changed from the prior exam. There is no new opacity. Small-to-moderate bilateral pleural effusions are unchanged. There is no pneumothorax. The mediastinal contours are normal. The heart size is moderately enlarged, and unchanged. A left-sided pacemaker is present with leads in the right atrium and right ventricle.

history of congestive heart failure. evaluate edema.

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Again, there is minimal blunting of the left costophrenic angle, unchanged from prior, and likely related to pleural thickening. Biapical scarring is stable. The lungs are otherwise clear without a focal air space consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

sudden onset shortness of breath.

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

<unk>-year-old with left arm weakness.

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Pa and lateral views of the chest. Small left pleural effusion and trace left pleural effusion is unchanged. Opacification of the left lung base is unchanged and likely represents atelectasis. Heart size is top normal. The upper lungs are clear. No pneumothorax.

alcoholic cirrhosis and variceal bleed, now with low-grade temperatures.

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No focal consolidation is seen. There are relatively low lung volumes, which cause crowding of the bronchovascular markings. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with fever, tachycardia. // eval for pneumonia

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The heart is normal in size. The cardiomediastinal and hilar contours are within normal limits. The thoracic aorta is tortuous. The pulmonary artery is enlarged suggesting pulmonary hypertension. The lungs are hyperinflated consistent with emphysema. Opacities involving the bilateral lower lobes and within the right middle lobe could represents infection and are best appreciated on the lateral view. A focal rounded opacity in the left mid lung is seen. There is no pneumothorax or large pleural effusion.

history: <unk>f with sob, chest pain // ?pna

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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion or pneumothorax. Pulmonary vascular congestion and edema are mild. Moderate cardiomegaly. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

history: <unk>m with s/p fall, shortness of breath, chills // eval for trauma

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Trace blunting of the left costophrenic angle indicates small amount of fluid, improved since the prior. Mild bibasilar atelectasis. No evidence of pneumonia. Heart size is normal. No pneumothorax.

<unk> year old man with history of left-sided pleural effusion in <unk>. evaluate for residual effusion.

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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. Degenerative changes are partially imaged at the shoulder joints.

history: <unk>f with seizure, needs infectious workup // please eval for pna

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Lung volumes are relatively low, similar to prior. There mild pulmonary edema, slightly worse when compared to prior. Left chest wall pacing device is again noted. Degree of cardiac enlargement unchanged. There are trace bilateral pleural effusions.

<unk>m with sob // sob

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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

<unk>f w/chest heaviness // <unk>f w/chest heaviness

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Pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pleural effusion, pulmonary edema or pneumothorax. No subdiaphragmatic free air is identified.

epigastric pain and tenderness to palpation. evaluation for free air.

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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. A dual lead left chest wall pacemaker is noted with leads terminating in the right atrium and right ventricle as expected.

<unk>f with tia // ?pneumonia

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Study is slightly limited by patient rotation. Heart size is mildly enlarged, unchanged. Atherosclerotic calcifications are again noted at the aortic knob. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is noted. Focal bilateral diaphragmatic contour irregularities again likely reflect localized diaphragmatic defects, unchanged. Remote left-sided rib fracture is present. No acute osseous abnormalities seen.

history: <unk>f with dizziness and nausea

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Patient is status post median sternotomy and cabg. Cardiac silhouette size is top normal with the left ventricular predominance. The aorta is calcified and mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Hypertrophic changes are seen throughout the thoracic spine.

history: <unk>m with chest tightness now resolved

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The patient is status post aortic valve replacement surgery. Mitral annular calcifications are prominent. The cardiac, mediastinal and hilar contours are probably unchanged allowing for differences in technique. There is increasing opacity at the left lung base including involvement of much of the left lower lobe with an opacity suggesting pneumonia. There is probably a coinciding pleural effusion. Better delineated is a small and probably new pleural effusion on the right. Surgical clips project over the right axilla and epigastric region. Thoracic compression fractures are unchanged. The bones appear demineralized.

lethargy and leukocytosis with decreased oxygen saturation.

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The cardiomediastinal and hilar contours are normal. There is no pneumothorax. There has been complete resolution of the previous left pleural effusion. There is no right pleural effusion. There is no focal consolidation concerning for pneumonia.

previous pleural effusion.

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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

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

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

altered mental status. rule out infection.

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Pa and lateral chest radiographs demonstrate hyperexpansion with flattening of the hemidiaphragms. The lungs are now clear. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal. The cardiac, hilar, mediastinal contours are normal.

dyspnea. evaluation for pneumonia.

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The cardiac silhouette is moderate to severely enlarged. No overt pulmonary edema is seen. There is no pleural effusion or pneumothorax. No focal consolidation is seen. Mediastinal contours unremarkable. Degenerative changes are incidentally noted at bilateral acromioclavicular and glenohumeral joints.

history: <unk>m with s/p fall. possible new onset seizure. // eval for acute process

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The lungs are symmetrically well expanded and well aerated without focal airspace opacity, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. Note is again made of dense calcifications at the aortic knob. There are multiple healed right-sided rib fractures and an old right distal clavicular fracture deformity.

<unk>-year-old man with history of melanoma, here to evaluate for intrapulmonary metastasis.

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As compared to the previous radiograph, there is no relevant change. Extensive bilateral parenchymal opacities are constant in extent and severity. Moderate cardiomegaly without evidence of pulmonary edema. The lateral radiograph confirms the presence of minimal pleural effusions. No other relevant changes. A previously placed drain projecting over the right upper quadrant is no longer visible.

fever, cough, evaluation for pneumonia.

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The heart is again at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There is no pleural effusion or pneumothorax. A thin flowing osteophyte is present along the anterior mid-to-lower thoracic spine, as before.

chest pain.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>m with chest pain

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is seen. Distal right clavicular fracture is noted.

history: <unk>f with fall with right shoulder, clavicle pain

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Pa and lateral views of the chest provided. Hilar engorgement likely indicates pulmonary vascular congestion. No frank edema, effusion. No convincing signs of pneumonia. Heart size is normal. No pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with leg swelling, dyspnea // edema?

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The small left apical pneumothorax has decreased in size. There has been interval improvement in mediastinal widening, with improved aeration bilaterally. There is a persistent opacity at the left lung base, likely representing a combination of pleural effusion and atelectasis, though superimposed pneumonia cannot be ruled out. There has been interval removal of the right ij introduction sheath. There is no pulmonary edema.

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

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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are seen at the aortic arch. Degenerative changes are seen at the shoulders. No acute osseous abnormality is identified. Somewhat rounded opacity projecting behind the heart on the lateral view and overlying the spine is compatible with a right bochdalek hernia identified on prior ct.

<unk>-year-old male with new atrial fibrillation with chest discomfort.

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Heart size and cardiomediastinal contours are normal. Sternotomy wires are intact. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

history: <unk>f with chest pain // pna?

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In comparison with study of <unk>, there is little change in the degree of opacification at the left base posteriorly consistent with pleural effusion. No vascular congestion or acute focal pneumonia.

pleural effusions and cml.

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Previously reported asymmetrical density in the left mid and lower hemi thorax is no longer evident and is probably technical in nature. Cardiomediastinal contours are remarkable for mild cardiomegaly and indwelling biventricular icd pacing device. Lungs are clear except for minimal linear stir atelectasis at the right base. There are no pleural effusions.

<unk> year old man with pmhx copd/chf presents with ?greater radiodensity over the left lower hemithorax as well as in the retrocardiac region // further characterization of radiodensity

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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

patient with epigastric pain for three days.

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Mild, bilateral blunting of the costophrenic angles likely suggests pleural scarring. Normal cardiomediastinal and hilar contours. Fully expanded, clear lungs. No visualized pulmonary nodules or masses.

<unk>-year-old man with symptomatic hyponatremia. evaluate for possible lung mass.

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Pa and lateral views of the chest are compared to previous exams from <unk> and <unk>. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is normal. Two right upper quadrant drains are again noted. Osseous and soft tissue structures are otherwise unremarkable.

<unk>-year-old male with fever. question pneumonia.

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Heart size is at the upper limits of normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The upper lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are multiple remote left posterior rib fractures.

history: <unk>m with ugib, hypoxia // eval for acute process

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Pa and lateral views of the chest. There is a large confluent opacification in the right upper lobe that likely represents a mass that likely arose from nodule seen on previous radiograph. In the right middle and lower lung, this are two rounded, slightly spiculated nodules that likely represent metastasis. The left lung appears relatively clear. There is no pleural effusion or pneumothorax. The cardiac, and mediastinal contours are normal.

weakness, evaluate for pneumonia.

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The lungs are clear. Cardiac silhouette is normal in size. No pleural effusion, pneumothorax or evidence of pneumonia.

left-sided chest pain.

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Pa and lateral views of the chest. Relatively low lung volumes are seen. The lungs remain clear of consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old male with altered mental status and cirrhosis. question infection.

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Ap upright and lateral views of the chest provided. Tracheostomy projects over the superior mediastinum with several clips noted projecting over the neck. The heart is mildly enlarged. No focal consolidation suggesting pneumonia. The lungs appear hyperinflated. No signs of edema. No pleural effusion or pneumothorax. A chronic left lower ribcage deformities noted. No acute fracture.

<unk>m with trach, bad cough.

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Lung volumes are low, resulting in bronchovascular crowding. Faint bibasilar opacities likely reflect atelectasis, however it is difficult to exclude aspiration or superimposed infection. The heart is not enlarged. There is no pneumothorax or pleural effusion.

<unk>m with cp // eval for pna

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Review of standard pa and lateral chest views with nipple markers did not demonstrate apparent <unk>-mm nodule in the left lower lobe on yesterdays chest radiograph. Although this nodular opacity did not correspond to nipple shadow, based on repeat standard views, possibility of lung nodule cannnot be confidently ruled out, since it may be obscured by the soft tissue and bone structure. For further evaluation, i recommend shallow oblique views (maximum <num> degrees). Dr.<unk> discussed findings and recommendations with dr. <unk> <unk> and dr.<unk> by phone on <unk> between <unk>.<unk> to <unk>.<unk> a.m.

chest x-rays with nipple marker to evaluate yesterday's lung abnormality.

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Heart size is normal. Enlargement of the left hilum is concerning for a neoplasm with widening of the superior mediastinum suggestive of mediastinal lymphadenopathy. Additional ill-defined opacity measuring approximately <num> cm within the left lung base may reflect a satellite lesion. There is no pulmonary edema, pleural effusion or pneumothorax. Patchy opacities within the right upper lobe are nonspecific, though infection is not excluded. No acute osseous abnormalities seen.

history: <unk>m with r lung mass, liver masses, increasing sob // acute cardiopulmonary process, evaluate reported r lung mass

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Pa and lateral views of the chest are made to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with ankle fracture, preop.

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Moderate enlargement of the cardiac silhouette is increased compared to the previous radiograph. Mediastinal contour is unremarkable. There is mild pulmonary vascular congestion, as seen previously. New ill-defined focal opacity is seen within the right upper lobe concerning for pneumonia. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Multiple remote appearing bilateral rib fractures are present.

history: <unk>f with fever, tachycardia // eval for consolidation

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Frontal and lateral views of the chest demonstrate no focal consolidations to suggest pneumonia. There is stable left lateral subpleural scar and rounded opacity likely relating to old rib fracture in the right midlung. There is a nodule projecting over the seventh right rib anteriorly, that may represent nipple shadow. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

<unk> year old man with aml, and increasing cough, evaluate for pneumonia.

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There is a new opacification at the right base, localized to the right middle lobe on the lateral, likely representing pneumonia. There is also retrocardiac opacification, which raises the question of aspiration. The pulmonary vasculature is normal. The heart is not enlarged. No pneumothorax. No pleural effusion.

<unk> year old woman with parkinsons, cough, and new hypoxemia // rule out pna

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Pa 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 are moderate bilateral pleural effusions. Linear opacity also seen at the right lung base, unchanged, potentially due to atelectasis. Superiorly, the lungs are clear without significant pulmonary vascular congestion. Cardiomediastinal silhouette is stable as are the osseous and soft tissues.

<unk>-year-old female complains of lower extremity edema and shortness of breath. question worsening chf or pneumonia.

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Ap and lateral views of the chest. Left chest wall port seen with catheter tip in the lower svc. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is stable, and atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormality is identified.

<unk>-year-old male with weakness and failure to thrive.

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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.

history: <unk>m with history of asthma p/w difficulty breathing // eval for pna

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

<unk>m with sob s/p mvc, head strike // ? fx, bleed

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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

chest pain.

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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

shortness of breath.

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The lung volumes are low, accentuating the vascular markings. There is no consolidation or edema. There is no pleural effusion or pneumothorax. No definite pulmonary nodules are identified. The cardiomediastinal silhouette is normal. A right subclavian port-a-cath is present with the tip terminating at the atriocaval junction. It is unchanged in position. A right percutaneous nephrostomy tube is present. There is a compression deformity in a mid thoracic vertebral body which is new from <unk>, but of indeterminate age.

renal cell carcinoma and lethargy. evaluate for mass.

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Right lower lobe pneumonia has significantly improved. There is only residual minimal atelectatic band. <num> mm really dense basal left lung nodule is stable since the <unk> and could be a granuloma. Mediastinal and cardiac contours are normal.

patient with aspiration pneumonia, <unk> evolution.

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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. The aorta is prominent in this patient with known dilation of the thoracic aorta better assessed on prior ct. Heart size is normal. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with mvc // eval for trauma

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Pa and lateral views of the chest provided. Tripolar pacer again seen unchanged in position. Heart is mildly enlarged. The lungs are clear without focal consolidation, effusion or pneumothorax. Mild congestion difficult to exclude without convincing signs of edema. Mediastinal contour is normal. Bony structures are intact.

history: <unk>f with schf ef <unk>% presenting with worsening dyspnea // evidence of pulm edema vs infection

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The lungs are clear.moderate cardiomegaly is stable since <unk>. Mediastinal and hilar contours are normal.no pleural abnormality is seen.

history: <unk>f with sickle cell, <num> days of cough and fever // ? pneumonia

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Multiple right-sided rib fractures are again seen; a fracture through the right lateral <num>th rib appears new compared to most recent prior exam. The lungs are again noted to be hyperinflated. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The aorta is tortuous and calcified. Heart and mediastinal contours are stable.

<unk>-year-old female with question of fall <num> days ago, now with right thoracic pain. technique: frontal and lateral chest radiographs were obtained.

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The heart is mildly enlarged. There is mild unfolding and calcification along the aorta. The right upper mediastinal contour demonstrates a converse contour, which is most frequently seen with tortuosity of the great vessels, but not specific. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild-to-moderate degenerative changes are incompletely characterized along the mid thoracic spine.

chest pain and shortness of breath. question pneumonia.

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Pa and lateral views of the chest. There is indistinctness of the pulmonary vasculature suggesting mild interstitial edema. There is no effusion or confluent consolidation. Cardiac silhouette is enlarged but unchanged. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality detected.

<unk>-year-old male with bilateral crackles and fatigue, shortness of breath.

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Bibasilar opacities are most suggestive of atelectasis. Right-sided port-a-cath is again noted. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormalities identified.

<unk>m with cough, productive // ?pneumonia

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

<unk>f with + blood cultures. now presenting with abdominal and left flank pain. // ? psoas abscess ? pyelonephritis

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

leukocytosis.

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When compared to prior, there has been no significant interval change. Moderate cardiomegaly is again noted. The lungs are clear without focal consolidation, effusion, or edema. No acute osseous abnormalities identified.

<unk>m with hx afib s/p failed ablation w/ chest pain, ? presyncopal sxs // eval ? acute chest process

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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

patient with testicular cancer, rule out lung metastases.

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The lung volumes are low accounting for crowding at the bases. No focal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with acute dysarthria. evaluate for acute cardiopulmonary process.

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Pa and lateral radiographs of the chest demonstrate dilated fluid-filled neoesophagus, with more fluid than on the prior radiograph. Chronic scarring at the right lung base. Again, there appears to be radioopaque contrast material posteriorly in the neoesophagus. Possible small right pleural effusion. The cardiac and hilar contours are normal.

recent <unk> esophagectomy, now presenting with fevers.

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Cardiac silhouette is top-normal. Mediastinal contours are unremarkable. Right base atelectasis/ scarring is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. Surgical clips are noted anteriorly in the lower thorax.

history: <unk>m with sob*** warning *** multiple patients with same last name! // infiltrate

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Calcified granuloma in the lingula anteriorly is re- demonstrated. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild multilevel degenerative changes are noted in the thoracic spine.

history: <unk>m with chest pain

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

cough, chills. evaluate for pneumonia.

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Left chest wall cardiac pacer with leads terminating in the apparent expected locations of the right atrium and right ventricle. There is no pleural effusion or pneumothorax. Mild prominence of the central vascular structures may reflect mild fluid overload.

<unk>m with hx of complete heart block complaining of chest pain. question pneumonia.

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

<unk>f with high lactate // ?pneumonia

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Mild bronchial wall thickening is new from prior studies in suggests bronchitis or small airways disease, particularly in the setting of moderate hyperinflation. Prominence of the right lower lobe vasculature is similar to multiple prior studies. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette, including severe cardiomegaly and a left pectoral dual-chamber pacemaker, is unchanged.

<unk>f with dyspnea, asthma hx, evaluate for acute cardiopulmonary process.

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The patient is rotated to the left on the frontal view. There is some external artifact projecting over the patient on the lateral view. Mild increase in interstitial markings bilaterally may be due to mild interstitial edema. It is difficult to exclude a very trace left pleural effusion. The cardiac silhouette is mildly enlarged.

fever.

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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. New patchy opacities are seen within both lung bases and mid lung fields, concerning for multifocal pneumonia. Linear scarring in the left lung base is unchanged. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>m with hypoxia, cough

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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. Lung volumes are somewhat low. There is mild scarring abutting the left heart border at the site of chronic rib deformities. No signs of pneumonia. The hila appear slightly congested without frank edema. The cardiomediastinal silhouette is unchanged. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with chest pain and shortness of breath

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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 dyspnea // evidence of pneumonia

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The lungs are mildly hyperexpanded. There is a left retrocardiac opacity projecting over the lower thoracic spine on the lateral view. Heart size is normal. The mediastinal and hilar contours are normal. Biapical pleural thickening and scarring is unchanged. There is no pleural effusion or pneumothorax. There are post vertebroplasty in the thoracic spine and upper lumbar spine. Height loss of the superior endplate of a mid thoracic vertebral body is also unchanged.

<unk> year old woman with myeloma. respiratory infection for the past <num> weeks. pleuritic pain in the left // ?effusion, infiltrate

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There has been interval removal of a right internal jugular venous catheter. Sternotomy wires are stable. The cardiomediastinal silhouette is unchanged in size from <unk> and postoperative cardiac and mediastinal changes are seen, improving from the prior exam. Lung volumes are low and there is a persistent retrocardiac opacity. Additional opacity involving the right lower lobe is seen and also not significantly changed. No large pneumothorax is identified.

<unk> year old man with cabg // r/o inf, eff

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Right central venous catheter seen with tip at the ra/svc junction. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities. No free intraperitoneal air.

<unk>m with epigastric pain // pna? chf?

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Again seen are multiple right lateral rib fractures with mild pleural thickening, not significantly changed from <unk>. Known old left rib fractures are not well visualized radiographically. Deformity of the manubrium is consistent with the fracture identified on the <unk> chest ct. There is minimal degenerative spurring along the t-spine. Review of <unk> chest ct raises the question of minimal concavity along superior endplate of an upper thoracic vertebral body, ? T<num> (s<num>b:im <unk>), of indeterminate acuity, without frank loss of vertebral body height. No pneumothorax is detected. The lungs are well expanded, except for possible trace atelectasis at the right lung base. No chf, focal infiltrate or gross pleural effusion is identified. Minimal blunting of the posterior right costophrenic angle could reflect a small right effusion. Mild cardiomegaly is unchanged from prior.

known rib fractures and worsening pain. evaluate for evidence of pneumothorax.

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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.

history: <unk>m with hx htn, dm with left sided chest pain. // pneumonia? pulm edema?

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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 and unremarkable.. No pulmonary edema is seen.

history: <unk>f with history of hypertension, crackles at lung bases. // volume overload

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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette without signs of overt pulmonary edema. No pleural effusions. Normal hilar and mediastinal structures. Left pectoral pacemaker in situ.

systolic chronic heart failure, questionable pulmonary edema.

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Left-sided port-a-cath tip terminates in the mid svc. Heart size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>f with fever/ cold symptoms

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As compared to the previous radiograph, there is no change in position of the leads in the right atrium and right ventricle. No evidence of pneumothorax. Borderline size of the cardiac silhouette. Mild retrocardiac atelectasis. No edema, no pleural effusion.

new icd placement. evaluation for lead position.

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Dual lead left-sided pacer device is stable in position. There is persistent left-sided pleural effusion. Left base opacity/ left-sided volume loss are similar in appearance compared to the prior study. Small left apical pneumothorax persists. Extensive left-sided subcutaneous emphysema has decreased slightly in the interval.

history: <unk>f with effusion on xray. recent lung biopsy and segmental removal // eval for effusion

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No subdiaphragmatic free air is demonstrated.

epigastric pain, shortness of breath, cough and vomiting.

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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. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with coughing

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Right upper lobe consolidation has resolved since <unk>. The left lower lobe consolidation is improved; however, hazy increased density persists, possibly due to overlying soft tissue. No new focal consolidation. Normal heart, mediastinum, hila and pleural surfaces.

assess for resolution of pneumonia.

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In comparison with study of <unk>, with the chest tube on waterseal, there is no appreciable expansion of the pneumothorax. Otherwise, little change.

chest tube placed on waterseal.

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The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine.

fever.

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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

chest pain and shortness of breath.