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

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Heart is upper limits normal in size. There is a left pleural effusion. There is pulmonary vascular redistribution. There is volume loss in the retrocardiac region.

increased work of breathing

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The lungs are clear. There is no effusion or pneumothorax. No definite acute osseous abnormality identified. The cardiomediastinal silhouette is within normal limits. Deformity of the posterior right ninth rib suggests fracture, potentially old.

<unk>m with mcc yesterday. pain + echymosis // eval for injury

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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal. No subdiaphragmatic free air. No acute osseous abnormalities identified.

history: <unk>f with r facial weakness // eval for acute process

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Ap upright and lateral views of the chest provided. Opacity projecting over the right lower hemi thorax reflects known right breast implants. Elsewhere lungs are clear. Cardiomediastinal silhouette appears unchanged. No signs of congestion or edema. Bony structures appear intact. No free air below the right hemidiaphragm.

history: <unk>f with infectious work-up // eval pna

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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable.

fever and cough recently returned from <unk>.

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Frontal and lateral views of the chest. On the frontal exam, there are bibasilar opacities noting relatively low inspiratory effort. No definite consolidation identified on the lateral. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips seen in the right upper quadrant.

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

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Lung volumes are slightly low, but given this, there is no evidence of opacities to suggest infection. There is no pleural effusion or pulmonary edema. The heart size is normal. The mediastinal contours are unremarkable. A right sided cervical rib is incidentally noted.

seizure. question infiltrate.

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The left lateral lower ribs and costophrenic angle are excluded from view. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is enlarged including the left atrium, most notable on the lateral radiograph. Prominence of the pulmonary outflow tract is unchanged from <unk>. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen is unremarkable.

chest pain, here to evaluate for acute cardiopulmonary process.

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Ap upright and lateral views of the chest provided. Subtle opacity in the left lower lung could represent atelectasis versus an early pneumonia in the correct clinical setting. No large effusion or pneumothorax. Right lung is clear. Heart size appears grossly within normal limits. The mediastinal contour is unchanged with slightly unfolded thoracic aorta. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with cough // eval for pna

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The lateral and frontal views are now available. Whereas the left lung looks relatively unremarkable, the right lung bases shows a right lower lobe peribronchial opacity, better appreciated on the lateral than on the frontal radiograph. This opacity is highly suggestive of a right lower lobe pneumonia. There is no accompanying pleural effusion. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification.

cough and shortness of breath.

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Anterior cervical fusion hardware projects over the neck. Lungs are slightly hyperexpanded similar to the prior study but clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

fever and dyspnea. rule out pneumonia.

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. There is no focal consolidation. Cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema, pleural effusion, or evidence of pneumothorax. Imaged osseous structures and upper abdomen are without an acute abnormality.

<unk>-year-old female with syncope.

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There is minimal bibasilar atelectasis. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A small eventration of the left hemidiaphragm is unchanged. Cervical spine hardware is partially imaged, and unchanged from the prior exam.

<unk> year old woman with chf, asthma/copd with increasing cough, shortness of breath, wheezing // any acute changes

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There is a port-a-cath over the right upper chest with the tip terminating in the mid svc. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old woman with mantle cell lymphoma on maintenance rituximab, recurrent cough, low grade fever // pna?

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A left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Curvilinear opacity within the left lung base on the frontal view likely reflects atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

chest pain.

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Heart size is mildly enlarged. The mediastinal and hilar contours are unchanged. Previously seen pulmonary edema has resolved. Lungs appear hyperinflated. Small right pleural effusion has decreased in size compared to the previous study. No focal consolidation or pneumothorax is present. Marked dextroscoliosis of the thoracic spine is re- demonstrated.

history: <unk>f with hypotension, rales on exam

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Ap upright and lateral chest radiographs were obtained. The lungs are low in volume with an opacity in the superior segment of the right lower lobe. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.

cough and lethargy with lithium toxicity.

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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. Of left-sided picc is seen terminating in the mid to low svc without evidence of pneumothorax.

history: <unk>f with fever, left picc line // fever, picc placement

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Pa and lateral chest radiographs demonstrate fibrosis at both cardiophrenic sulci, better appreciated on prior ct. The lungs are otherwise clear. There is no pulmonary vascular congestion, pleural effusion, or focal consolidation. The heart size is normal. The cardiac, hilar, and mediastinal contours contours are normal.

acute kidney injury. volume overload a concern for cardiopulmonary process.

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

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

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Pa and lateral views of the chest were compared to plain film from <unk> and ct chest from <unk>. There are diffusely increased interstitial markings seen throughout the lungs with a component of architectural distortion. There is no confluent consolidation identified. On the lateral view, posteriorinerior blebs are identified. There is no pneumothorax. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.

<unk>-year-old male with left-sided chest pain.

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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.

cough and fever.

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Lung volumes are relatively low. There is no focal consolidation, effusion, or edema. Moderate sized hiatal hernia is again noted. The cardiomediastinal silhouette is otherwise unremarkable. Mid thoracic dextroscoliosis is noted. Degenerative changes partially visualized at the shoulders bilaterally. No acute osseous abnormality.

<unk>f with repeated falls // r/o pna and cardiac etiology

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The heart is normal in size. The cardiomediastinal and hilar contours are within normal limits. There may be mild bronchial wall thickening. Bibasilar opacities persist however there is markedly improved aeration of the left lower lobe. There is no effusion or pneumothorax.

<unk> year old man with question of aspiration pneumonia vs. pneumonitis // further characterize findings on pa/lateral

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

pleuritic chest pain. evaluate for abnormality.

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Pa and lateral views of the chest provided. Lungs are 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 chest pain // acute process?

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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. There is no pleural effusion or pneumothorax.

<unk>f with cough, sob, hypoxia on doxycycline for outpatient treatment. evaluate for consolidation.

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Frontal and lateral radiographs of the chest were acquired. Patchy right lower lobe opacities are suggestive of atelectasis. The lungs are otherwise clear. The heart is mildly enlarged. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. The trachea is normal in course and caliber.

new-onset atrial fibrillation. evaluate for fluid overload.

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In comparison with study of <unk>, the amount of fluid in the right pleural space is probably increasing and the degree of air is decreasing. Isolated air-fluid levels are again seen consistent with areas of loculation. The left lung remains essentially clear, and there is no appreciable pulmonary vascular congestion. Extensive subcutaneous gas is again seen along the right lateral chest wall extending into the neck. This has not appreciably improved since the previous study.

pneumonectomy.

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Small to moderate left pleural effusion persists and appears increased with overlying atelectasis. Trace right pleural effusion may also be present. There is moderate enlargement of the cardiac silhouette. Aortic knob is calcified. Minimal prominence of the interstitial markings may be due to minimal interstitial edema.

weakness.

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Inspiratory volumes are slightly low. There is mild cardiomegaly. The aorta is calcified and slightly tortuous, similar to <unk>. There is upper zone redistribution possible slight vascular plethora, but no overt chf. The right hemidiaphragm is elevated, with crowding of vessels in the right cardiophrenic region. No discrete focal infiltrate or frank consolidation is identified. Linear densities in the lower lobe posteriorly on the lateral view are thought to represent superimposition of vascular and osseous shadows. No pleural effusion seen on either side. Tiny (<num> mm) calcified granuloma in the right upper zone laterally overlying the right fourth posterior rib. Osteopenia and degenerative change of the thoracic spine are noted. At the edge of this film, incidental note is made of degenerative changes in the shoulders.

history: <unk>f with ams // ? pna? ich

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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

<unk>m with near syncopal episode. assess for acute cardiopulmonary process.

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Heart size is borderline enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Minimal patchy opacity in the left lung base likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.

history: <unk>f with weakness // eval for pna

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Compared with prior radiographs on <unk>, there has been substantial improvement in bilateral tree-in-<unk> opacities, consistent with resolving aspiration or infection. Pleural thickening at the right base is stable. Esophageal stent in the neo esophagus is unchanged in position. A bronchial stent is not visualized, and was not present on radiograph or ct on <unk>. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Left chest wall pacemaker is stable in position, with leads terminating in the right atrium and right ventricle. Median sternotomy wires are intact.

<unk> year old man with hx minimally invasive esophagectomy, bronchial stent for bronchoesophageal fistula // ?bronchial stent displacement

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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>f with cp, sob // eval for pna

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The lungs are clear without evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

history of ms with fatigue. evaluate for pneumonia.

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Lung volumes are low. There is mild vascular congestion without frank pulmonary edema. Mediastinal contour, hila, and cardiac silhouette are stable from <unk>. The aorta is tortuous. Elevation of the left hemidiaphragm is chronic.

<unk>m with b/l <unk> edema, r>l, also systolic murmur // eval for pulm edema

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Tortuosity of descending thoracic aorta is again seen. No acute osseous abnormalities.

<unk>f with dyspnea, fever // eval for acute process, pna

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Pa and lateral radiograph demonstrates unremarkable mediastinal contrast. Heart demonstrates stable mild-to-moderate cardiomegaly. There has been interval development of multifocal opacifications, predominantly within the left perihilar region. Findings may represent asymmetric pulmonary edema, but are concerning for multifocal infectious process. Interval reaccumulation of left pleural effusion now small in size. Interval resolution of right pleural effusion.

history of pleural effusion, question reaccumulation.

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The lungs are well expanded. In the right upper lobe there is a <num> cm nodule, better seen in prior pet ct from <unk>. Bilateral apical pleuroparenchymal scarring is present. No other focal opacities are noted bilaterally. There is a small left-sided pleural effusion, new compared to <unk>. No right-sided pleural effusion is identified. There is no pneumothorax. Cardiomediastinal and hilar contours are unremarkable. Cardiac size is top normal.

<unk>-year-old female with chest pain and cough. evaluate for acute intrathoracic process.

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Pa and lateral views of the chest. No prior. Streaky left basilar opacities may be due to atelectasis or scarring. The lungs are otherwise clear, and there is no pulmonary vascular congestion or effusion. Cardiac silhouette is mildly enlarged. Mid thoracic compression deformity is seen, age indeterminate without prior exam. Osseous structures are otherwise unremarkable. Surgical clips in the right upper quadrant suggest prior cholecystectomy. Slight contour irregularity at the left lateral aspect of the trachea at the thoracic inlet possibility from underlying thyroid enlargement.

<unk>-year-old female with worsening back pain and lower extremity edema.

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Again seen are small bilateral pleural effusions. Mild interstitial edema is noted. The cardiac silhouette is enlarged but stable in configuration. Prosthetic valve is visualized as well as median sternotomy wires. No acute osseous abnormalities.

<unk>f with dyspnea and crackles on lung exam // pneumonia? volume overload?

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

possible left internal jugular occlusion. assess for evidence of a pancoast tumor. also assess for acute cardiac or pulmonary process.

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The cardiac silhouette is top normal in size.tortuosity of the aorta is noted. The hila are unremarkable. There is no pneumothorax or large pleural effusion. Lung volumes are low, but there is no focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. No acute osseous abnormality is detected.

<unk>f with chest pain // eval for infiltrate or widened mediastinum

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There is severe dextroscoliosis of the thoracic spine. Platelike scarring in the left mid lung is unchanged. Diffuse patchy opacities are worse at the right lung apex and right lung base. There is mild cardiomegaly. A right chest port ends in the mid svc.

history: <unk>f with hyperglycemia, hypoxia // eval for pna

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.

<unk>m with sp seizure.

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Cardiac, mediastinal and hilar contours. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

chest pain.

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Pa and lateral chest radiograph demonstrate increased retrocardiac opacification new since prior examination concerning for infection. The right lung is clear with no convincing opacity concerning for pneumonia. Blunting of bilateral costophrenic angles is unchanged when compared to prior examination and may represent pleural thickening. The cardiomediastinal and hilar contours are stable in appearance. Osseous structures demonstrates no acute abnormality.

<unk>-year-old female with shortness of breath.

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There is stable elevation of the right hemidiaphragm. A right chest port ends in the low svc, unchanged. Vague opacity in the right lower lobe may represent pneumonia, is slightly more prominent than study on <unk>. No pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

crackles at the right lung base, mild leukocytosis, question infiltrate.

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The image is compared to <unk>. There has been interval drainage of left pleural fluid. However, there still is some fluid seen in the left interlobar fissure. Also, the lateral radiograph could indicate the presence of some subpulmonic air. There is no evidence of typical apical pneumothorax and no evidence of tension. The size of the cardiac silhouette is at the upper range of normal. There is no pulmonary edema. Cardiac silhouette continues to be enlarged. There is atelectasis at both lung bases, left more than right. At the time of dictation and observation, the referring physician, <unk>. <unk> was paged for notification, <time> p.m., on the <unk>, and the findings were subsequently discussed over the telephone a few minutes later.

history of right pleural effusion, evaluation for interval changes.

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The lung volumes are low. The mediastinal, cardiac and hilar contours appear unchanged. There is mild elevation of the right posterior diaphragm. Atelectasis has improved since the prior examination, and the lungs appear clear. There is no pleural effusion or pneumothorax. Surgical clips project about the undersurface of the medial left hemidiaphragm. Bony structures are unremarkable.

right shoulder and chest pain.

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

right-sided chest pain.

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Ap and lateral views of the chest. There is no focal consolidation. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.

<unk>-year-old male with chest pain, evaluate for acute cardiopulmonary process.

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

history: <unk>m with mvc right sided chest pain // ?traumatic injury

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There are multiple airspace opacities predominantly affecting the upper peripheral lung fields bilaterally, consistent with multifocal pneumonia, which has worsened compared to the prior ct and chest x-ray. There has been resolution of the previously visualized pulmonary edema. The cardiomediastinal silhouette is enlarged but stable. No pleural effusion or pneumothorax is seen.

<unk> year old woman with cad, chf, pneumonia with <num>lb weight gain // pulmonary edema, pleural effusion, pna.

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Cardiac silhouette is mildly enlarged, unchanged from <unk>. Mediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.

evaluate for pleural effusion.

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Previously identified multifocal consolidations are no longer seen. The lungs are hyperinflated but clear. Right chest wall port is again noted. Lower thoracic compression deformity with acute kyphosis is similar to prior.

<unk>f with sob // eval for pna or ptx

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Slightly low lung volumes, as before. Lungs are clear. No pleural effusion. No pneumothorax. Heart size is normal and unchanged.

<unk>m with fevers and weakness x <num> days // ? infection

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One ap frontal view of the chest and lateral view of the chest. There is a large posterior left fifth rib lesion that is similar compared to ct chest on <unk>, representing metastatic lesion. There are no new bone lesions. There are degenerative changes of the thoracic spine. There are low lung volumes which crowd the pulmonary vasculature. Bilateral linear areas of atelectasis with no evidence of confluent consolidation. There is no pleural effusion or pneumothorax.

shortness of breath, evaluate for pneumonia.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal.

<unk> year old woman with cough x few months, h/o ild with vasculopathy // eval for consolidation/parenchymal changes on cxr

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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>m with chest pain // e/o cardiac, pulm abnormalities

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Lung volumes are slightly low. The cardiomediastinal silhouette and pulmonary vasculature are stable since the prior examination and unremarkable. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.

<unk> y.o. man with aml being evaluated for bmt and myeloid sarcoma presenting with fever and lethargy. // eval for pna

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The moderate left pleural effusion has increased compared to <unk>. There is no right-sided pleural effusion.there is no focal consolidation pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Patient is status post median sternotomy and partial right <num> rib resection.

<unk> year old man with recurrent b/l pleural effusions, r > l, s/p r vats/decortication for f/u

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The lungs are fully expanded and clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. No intra-abdominal free air is seen. Visualized osseous structures are unremarkable.

left upper quadrant pain evaluate for pneumonia..

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Pa and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Surgical clip projects over the left chest.

<unk>-year-old female with dizziness.

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Ap and lateral views of the chest. There is engorgement of central pulmonary vasculature with increased interstitial markings. More linear opacities in the left mid lung are suggestive of atelectasis or scar. There is no large effusion. Cardiac silhouette is moderately enlarged, similar to prior. No acute osseous abnormalities.

<unk>-year-old female with worsening leg swelling and orthopnea.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. There is mild enlargement of the cardiac silhouette without vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia.

cough with decreased peak flow, to assess for pneumonia.

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There is a dual-lead pacemaker/icd device with leads again terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. The interstitium is mild to moderately prominent suggesting interstitial pulmonary edema. There is no definite pleural effusion or pneumothorax. Fissures appear thickened. In the left lower lobe, in addition to new bronchovascular opacity, there is a rounded expansile opacity seen posteriorly. The latter is new and may be due to a somewhat atypical morphology of pneumonia.

cough and fever.

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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. There is mild cardiomegaly. A dual-lead left-sided pacemaker is in standard position. Known right scapular fracture and rib deformities are better evaluated on the prior ct. Lumbar spinal fusion hardware is partially imaged.

fall. bruising over right scapula.

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Frontal and lateral radiographs of the chest were acquired. The heart is normal in size. There is slight unfolding of the descending thoracic aorta. The mediastinal contours are otherwise normal. There are no pleural effusions. No pneumothorax is seen. The lungs are clear.

palpitations. assess for cardiomegaly.

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Compared with the prior study, heart size is top normal, without new focal consolidation, effusion, or pneumothorax. No overt pulmonary edema. Rightward curvature of the thoracic spine is again seen.

<unk>-year-old woman with chest pain and shortness of breath. evaluate for pneumonia.

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Cardiac silhouette size is moderately enlarged, as seen previously. The aorta remains tortuous and diffusely calcified. Enlargement of the hila bilaterally suggests pulmonary arterial hypertension. Lungs are hyperinflated with emphysematous changes re- demonstrated. Mild pulmonary edema is present along with small bilateral pleural effusions. Patchy opacities within the lung bases may reflect atelectasis, though infection in the right lung base cannot be completely excluded. No pneumothorax is identified. The osseous structures are diffusely demineralized with multilevel mild to moderate degenerative changes.

history: <unk>f with severe copd, hypoxia // edema, infiltrate, effusion?

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen. Clips likely from prior cholecystectomy are noted in the right upper quadrant of the abdomen.

history: <unk>f with chest pain shortness of breath, atrial fibrillation with rapid ventricular rate

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Cardiac silhouette size is normal. Coronary artery stent is noted. The aorta is mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine. Chronic bilateral rib fractures are present.

history: <unk>m status post rib fractures with persistent pain, lethargy

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Left-sided chest tube with pigtail projecting over the left lateral upper hemithorax is in unchanged position. Small left hydropneumothorax is unchanged. Minimal atelectasis is noted in the left lung base, similar to that seen previously. Cardiac and mediastinal contours are normal. Pulmonary vasculature is normal. Right lung is clear. No acute osseous abnormalities present.

history: <unk>m with worsening chest pain status post tube thoracostomy

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Pa and lateral views of the chest are compared to previous exam from <unk>. As on prior, lungs are hyperinflated. Bronchiectasis with areas of bronchial wall thickening are again seen. Retrocardiac region demonstrates slightly more conspicuous opacity when compared to prior raising possibility of superimposed acute infection. Elsewhere, the appearance of the lungs has not changed. Cardiomediastinal silhouette is stable. Lower cervical/upper thoracic anterior spinal fixation hardware again noted.

<unk>-year-old female with history of bronchiectasis with cough, fevers and shortness of breath. question pneumonia.

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Support devices: the catheter of the right subclavian infusion port terminates at the cavoatrial junction. There is a mild increase in interstitial lung markings, which is stable from the prior study. There is no focal airspace consolidation. There is no pneumothorax or pleural effusion. Pulmonary vascular markings are normal.

history: <unk>m with s/p chemo with fever. r/o pna.

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Patient is status post median sternotomy and cabg. Heart size is normal. Coronary artery stenting is noted. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Lungs are hyperinflated. Subsegmental atelectasis in the lung bases is present without focal consolidation. No pleural effusion or pneumothorax is seen. Moderate degenerative changes are noted in the thoracic spine.

history: <unk>m with chest pain

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The lungs are clear without focal consolidation, effusion, or pulmonary edema. The cardiac silhouette is enlarged, similar to prior. No acute osseous abnormalities identified.

<unk>f with productive cough // pna?

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Consolidation and volume loss in the anterior segment of the right upper lobe which developed between <unk> and <unk> has not cleared. This is either an unresolving pneumonia or an indication of bronchial obstruction (impaction, mass, foreign body or stricture). If the abnormality does not clear with antibiotics and bronchodilators, as evaluated with conventional chest radiographs in two weeks, ct scanning is indicated. Since mediastinal caliber has not decreased, the extensive adenopathy seen on chest ct in <unk> is still present, probably increased in the right lower paratracheal station, and in the right hilus as well. The cardiac silhouette is severely enlarged, but stable compared to prior studies. Pulmonary artery dilatation and moderate peripheral vascular congestion are chronic. No pleural effusion or pneumothorax is detected. Elevation of the right hemidiaphragm is stable.

cough, here to evaluate for pneumonia.

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Multiple bilateral nodules are visualized throughout the lungs, consistent with patient's known metastatic disease. Right apical mass is again noted. Cardiomediastinal silhouette remains mildly enlarged but stable. There are mild bibasilar atelectatic changes as well as small right pleural effusion. Spinal fixation hardware and median sternotomy wires appear intact. The right hemidiaphragm is chronically elevated, possibly due to phrenic nerve palsy.

evaluation of patient with known metastatic thyroid cancer with upper back pain.

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As seen previously, elevation of the right hemidiaphragm contour is unchanged. Heart size is normal. The mediastinal contours are unremarkable. Enlargement of the hila bilaterally is unchanged, and no pulmonary vascular congestion is identified. There is a streaky opacity within the left lung base which is concerning for an area of infection. No pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine.

shortness of breath and cough.

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The cardiac, mediastinal and hilar contours are unremarkable. Heart size is normal. Mild atherosclerotic calcifications are seen within the aortic knob. The lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are mild degenerative changes within the imaged lumbar spine.

hypoglycemia.

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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with sob/fevers // acute process

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Frontal and lateral chest radiographs demonstrate and unchanged cardiomediastinal silhouette, with mild cardiac enlargement. Mild interstitial prominence is likely related to the patient's sickle cell disease. There is a new retrocardiac opacity, which could represent a sickle crisis or pneumonia. A <num> mm nodule in the left lung apex is unchanged dating back to <unk>. There is no pleural effusion or pneumothorax. The bones appear somewhat dense and there are h-shaped thoracic vertebrae, also consistent with the patient's sickle cell diagnosis.

hyperglycemia in a patient with sickle cell disease. evaluate for pneumonia.

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Pa and lateral views of the chest provided. There is diffuse increased interstitial markings. There multiple small patchy opacities in the right lung with a large confluent opacity in the right lower lobe. The bones are diffusely demineralized. Patient is status post posterior fusion with pedicle screws and rods in the thoracic spine. Evaluation of perihardware lucency and fracture is limited due to low bone density. Vascular stents are seen in the left upper chest and axilla. No free air below the right hemidiaphragm is seen.

<unk>m with esrd, copd, w/ bibasilar crackles and congestion. evaluate for pneumonia.

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Small right pneumothorax has decreased. Cardiomediastinal contours are normal. The lungs are clear. There is no pleural effusion. The osseous structures are unremarkable. No other interval changes

<unk> year old woman with r ptx s/p chest tube to suction // perform at <time>am on <unk>. r/o interval change

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There is again a three-lead pacemaker/icd device with leads terminating in the right atrium, right ventricle, and coronary sinus. The cardiac, mediastinal and hilar contours appear unchanged including mild-to-moderate cardiomegaly and moderate unfolding of the thoracic aorta. Similar to prior findings, there is upper zone redistribution of pulmonary vasculature and peribronchial cuffing suggesting a state of very mild vascular congestion. There is no definite pleural effusion or pneumothorax. There has been little if any change.

altered mental status.

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Moderate cardiomegaly is stable. The lungs are hyperinflated. Bilateral effusions are small. There is minimal interstitial pulmonary edema. There is no pneumothorax. There are mild degenerative changes in the thoracic spine. Pulmonary arteries are prominent

<unk> year old woman with persistent cough // r/o infiltrate, fluid

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Pa and lateral views of the chest provided. Left chest wall pacer again noted with leads extending to the region of the right atrium and right ventricle. There is elevation of the left hemidiaphragm, new from prior with opacity in the left lower lung which likely represents atelectasis given the associated volume loss though difficult to exclude a pneumonia in this region. Right lung is clear. Cardiomediastinal silhouette is unchanged. Bony structures appear intact.

<unk>m with cough x several days // r/o infiltrate

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Linear opacities at the lung bases are most consistent with atelectasis. There is no pleural effusion or pneumothorax.

history: <unk>f with hx asthma, with cp, sob. // pneumonia?

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Pa and lateral views of the chest. No focal consolidation, pleural effusion or pneumothorax. There is mild left basilar atelectasis. The cardiomediastinal and hilar contours are normal.

fever and cough.

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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 and dyspnea

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The cardiomediastinal and hilar contours are normal. There is no pneumothorax or pleural effusion. Lung volumes are slightly low, but there is no focal consolidation concerning for pneumonia. Degenerative changes are seen throughout the thoracic spine.

<unk>m with cough, fever.

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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormalities identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area on frontal view. Skeletal structures of the thorax grossly unremarkable. There exists no prior chest examination or records available for comparison.

<unk>-year-old female patient with persistent cough, evaluate.

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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila and pleura are normal. No acute osseous abnormality.

<unk>-year-old man with abdominal pain, fevers, s/p sleeve gastrectomy. evaluate for pneumonia, pleural effusion.

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There is a left pectoral pacemaker with the leads in satisfactory position within the right atrium and right ventricle. Linear opacities at the bilateral bases are most likely atelectasis. There is no pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The right hemidiaphragm is mildly elevated in comparison to the left.

status post pacemaker. evaluate lead placement.

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Heart size is normal. The mediastinal and hilar contours are normal. Interval development of bibasilar atelectasis and probable small pleural effusions. Distended loops of bowel in the imaged upper abdomen are have been more fully assessed by abdominal radiograph is performed the same date and dictated separately.

<unk>f s/p lap chole with ruq pain, cough, and pleuritic chest pain, c/f atelectasis vs pna. // assess for atelectasis vs pna

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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 cough // evaluate for infiltrate

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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. No change from prior with minimal scarring in the left lower lung. Lungs otherwise clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.

<unk>m with new <unk>, sirs, crackles