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

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Heart size remains normal. No configurational abnormality is present. Thoracic aorta unchanged. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses remain free. No pneumothorax in apical area. On previous examination identified minimal linear scar formations on the left lung base remain unchanged.

<unk>-year-old male patient with amiodarone. on amiodarone, evaluate for pulmonary toxicity.

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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Moderate overinflation, no pleural effusions. No other acute lung changes. Unchanged size of the cardiac silhouette.

copd, assessment for pneumonia.

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Compared to <unk>, there has been clearing of right lung base pneumonia. There is mild residual opacity at the right lung base. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

<unk> year old woman dx with pneumonia <unk>, needs repeat chest x-ray in <unk> weeks // <unk> year old woman dx with pneumonia <unk>, needs repeat chest x-ray in <unk> weeks

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The cardiac and mediastinal silhouettes are within normal limits. Calcifications of the mitral valve anulus are noted. There is no definite focal pulmonary opacity, pleural effusion, or pneumothorax. Atelectasis/scarring is seen at both costophrenic angles. Slightly increased lung markings are likely chronic changes. Surgical clips seen in the lower neck are probably from prior thyroid or parathyroid surgery. Severe degenerative changes and post fracture morphology of the right shoulder are noted.

fevers. evaluate for pneumonia.

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Ap upright and lateral chest radiographs provided. Interval removal of left ij central venous catheter. Mild elevation of left hemidiaphragm again noted. Lungs are clear. Heart size remains mildly enlarged. No signs of edema or congestion. No large effusion or pneumothorax. Mediastinal contour is unchanged with aortic knob calcifications. Bony structures are intact. A chronic compression deformity at the thoracolumbar junction is unchanged from <unk>.

<unk>f with fall and multiple lacerations.

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A right apical pneumothorax is unchanged in comparison to study performed earlier the same day, again measuring no more than <num> cm. There is no tension physiology, with rightward mediastinal shift reflecting volume loss related to recent lobectomy. Adjacent opacity may reflect a small amount of pleural fluid. No focal opacity to suggest pneumonia. Unchanged hilar and cardiomediastinal contours.

<unk>-year-old male, status post right upper lobectomy with small apical pneumothorax. assess for change.

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The lungs are hyperinflated, but clear. There is prominent of the hilar vasculature. There is no pleural effusion or pneumothorax. The heart is top normal in size.

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

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The lungs are clear without focal consolidation. No pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen, however, please note that this exam is not optimal for the evaluation of acute thoracic spine injury.

fall from standing.

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

<unk>-year-old female with recurrent syncope.

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Pa and lateral views of the chest. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

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

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The heart appears mildly enlarged. The mediastinal and hilar contours appear unremarkable aside from mild unfolding along the descending thoracic aorta. There is no pleural effusion or pneumothorax. Streaky medial left basilar atelectasis is most consistent with minor atelectasis. The lungs appear otherwise clear. The bones appear demineralized. Vertebroplasties have been performed along four lower thoracic spinal levels, not completely assessed. Immediately above these, there is a mild loss in height of a vertebral body, but not necessarily acute and difficult to assess. Prior fractures involve the right posterior lateral sixth and seventh ribs, and probably eighth rib, without displacement. On the left, no fracture is identified.

hallucinations and advanced <unk>'s disease.

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unremarkable. There is patchy opacification of the left costophrenic sulcus suggesting a small pleural effusion. There may be a small pleural effusion on the right side, but not definite. The lungs appear clear aside from patchy left basilar opacities suggesting minor atelectasis. There is no pneumothorax. Mild degenerative changes are noted along the thoracic spine.

prominent murmur and ascites. question pulmonary edema.

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Pa and lateral views of the chest provided. Midline sternotomy wires and a prosthetic cardiac valve are again seen. Cardiomediastinal silhouette is stable. Lungs are clear bilaterally. 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 cp // r/o infection

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Again seen is a right pectoral pacemaker device with leads in stable position projecting over the right atrium, right ventricle, and left ventricle. The heart continues to be enlarged and there is interval improvement in the previously noted retrocardiac opacity from <unk>. No focal consolidation is identified. There is no pleural effusion, pneumothorax, or pulmonary edema.

history: <unk>m presenting for icd eval // evaluate icd position

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Normal lung volumes. Normal size of the cardiac silhouette. Normal structure and transparency of the hilar and mediastinal structures. The structure and transparency of the lung parenchyma is unremarkable. There is no evidence for a lung mass. No pleural effusions. No acute lung disease.

hyponatremia, evaluation for lung mass.

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Right-sided port-a-cath tip terminates in the mid svc. Heart size remains mildly enlarged. Mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Clips are noted in the upper abdomen.

history: <unk>f with ovarian cancer

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There are low lung volumes, accounting for some bronchovascular crowding. No focal opacities identified. Cardiomediastinal and hilar contours are unremarkable. Mild cardiomegaly is unchanged from prior. There is no pleural effusion or pneumothorax.

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

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An enteric catheter passes below the level of the diaphragm, seen to end within the stomach on accompanying radiographs from <unk>. There is minimal linear left lower lung atelectasis. Lung volumes are slightly low. The heart size is normal. Mediastinal contours are normal. Blunting of the bilateral posterior costophrenic angles could indicate trace pleural effusions. There is no pneumothorax. No free air is seen under the diaphragm.

recent abdominal surgery with nausea, vomiting, and abdominal pain. assess for free air.

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Widespread pulmonary nodules appear more conspicuous and slightly larger. This could represent progressive disease. No pleural effusion or pneumothorax. No lobar consolidation. No pulmonary edema. Heart size is normal.

<unk> year old man with metastatic cutaneous scc with worsening doe // r/u pleural effusion or pleural edema

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There is a large pleural effusion on the right with presumed associated collapse of the right middle and lower lobes. There is no net mediastinal shift. The left lung remains clear. The recent prior mrcp showed only a small right-sided pleural effusion.

shortness of breath.

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The cardiac silhouette size is normal. The aorta is unfolded. Mediastinal and hilar contours are relatively unchanged with fullness of the right hilum again be demonstrated. There is hyperinflation of the lungs with attenuation the pulmonary vascular markings towards the lung apices compatible with underlying emphysema. Streaky bibasilar airspace opacities are noted which appear slightly progressed in the interval, likely reflecting areas of atelectasis. No pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine.

shortness of breath.

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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation.

history: <unk>f with palpitations and intermittent shortness of breath for the past <num> weeks. // acute cardiopulmonary process

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There may be a minimal anterior mid lung atelectasis seen on the lateral view. The cardiac silhouette remains top-normal. Mediastinal contours are stable. No evidence of free air is seen beneath the diaphragms.

right upper quadrant pain, history of pancreatitis but lipase is normal today, question referred pain x.

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

chest pain and shortness of breath.

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The heart size is within normal limits. The mediastinal contours and hilar contours are normal. The lung volumes are slightly low with minimal basilar atelectasis, but there is no frank consolidation. There is no pleural effusion or pneumothorax.

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

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Chest, pa and lateral. The lungs are clear. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

chest pain. evaluate for pneumonia.

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

cough and shortness of breath. evaluate for pneumonia.

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Left-sided picc is seen, distal aspect not well seen on the frontal view, appears to overlie the distal svc/ cavoatrial junction. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac mediastinal silhouettes are unremarkable. Partially imaged catheter is noted projecting over the right upper quadrant.

history: <unk>f with picc line // eval for picc

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Except for tiny calcified granulomas at both apices, the remainder of the lungs are unremarkable. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

polyarthralgia, rule out lymph node.

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A port-a-cath again terminates in the lower superior vena cava. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Similar mild relative elevation is noted along the right hemidiaphragm. The lungs appear clear. There has been no definite change.

dyspnea.

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Mild enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. A small left pleural effusion appears slightly increased in size compared to the prior exam with associated left basilar atelectasis. The right lung is clear. No pneumothorax is present. There are no new focal consolidations. No acute osseous abnormality is visualized.

history: <unk>f with chronic kidney disease, nausea, vomiting

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Heart size is at the upper limits of normal or slightly enlarged. The aorta is minimally unfolded. Hilar an mediastinal contours are otherwise within normal limits. No chf, focal infiltrate or effusion is identified. Minimal atelectasis in the right cardiophrenic region, left lung base, and minimal scarring at the left lung apex noted. There are mild degenerative changes of the thoracic spine.

history: <unk>f with shortness of breath, left shoulder pain // eval heart and lungs

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The lungs are hyperinflated with flattening of diaphragms. Right lower lobe peribronchial wall thickening is noted. Small left pleural effusion. No right pleural effusion. No pneumothorax. Moderate aortic knob calcifications with tortuous aorta. Stable mild cardiomegaly. Mediastinal contour and hila are unremarkable. A left pacer device lead tips are in the right atrium and right ventricle. Limited evaluation of the osseous structures are notable for multilevel degenerative changes

<unk>m with dyspnea with exertion and cough. assess for pneumonia.

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The cardiac, mediastinal and hilar contours are unchanged with heart size is within normal limits. Pulmonary vasculature is normal. No focal consolidation or pneumothorax is seen. Minimal blunting of the left costophrenic sulcus on the frontal view suggests a trace pleural effusion. No right-sided pleural effusion is present. There are no acute osseous abnormalities.

trouble breathing with left arm and shoulder pain.

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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. Mild degenerative changes are noted in the lower thoracic spine.

history: <unk>f with cough, low grade fever. history of pneumonia.

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Left-sided port-a-cath tip terminates in the upper svc, unchanged. Heart size remains moderately enlarged. Mediastinal contour is similar with enlargement of the main pulmonary artery again noted. Mild upper zone vascular redistribution is present without overt pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax. Hypertrophic changes are again noted in the thoracic spine.

history: <unk>f with right sided chest pain

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No acute osseous abnormality is detected.

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

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Multiple remote bilateral rib fractures are present, more so on the right. Degenerative changes of the right glenohumeral joint are incompletely imaged. Mild to moderate compression deformity of a low thoracic vertebral body is likely chronic. There are moderate degenerative changes noted in the imaged thoracic spine.

<unk>m with cough , evaluate for pneumonia

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Pa and lateral views of the chest. Lungs are clear. Heart, mediastinum, hilum, and pleural surfaces are normal. No pleural effusion or pneumothorax. No evidence of cardiomegaly.

chest pain, question cardiomegaly.

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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.

<unk>-year-old male with increasing seizure frequency.

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The heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.

chest heaviness after viral illness.

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The patient is status post median sternotomy and cardiac valve replacement. The previously seen areas of atelectasis have improved, with now only minimal atelectasis at the lung bases. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. The hilar contours are also unremarkable.

left arm paresthesias and numbness.

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The lungs are clear. Cardiac size is normal. Hilar and mediastinal contours are normal. No pleural effusion of pneumothorax is seen.

dyspnea on exertion, chest pain. evaluate for pulmonary edema.

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The cardiomediastinal and hilar silhouettes and pleural surfaces are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

history: <unk>f with appendicitis, fever, cough and chest pain with cough. evaluate for pneumonia.

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Pa and lateral views of the chest were reviewed and compared to the prior study. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There are no concerning osseous or soft tissue lesions.

cough and fever in a patient with asthma.

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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.

chest pain.

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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 abdominal pain // eval for infiltrate

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There is minimal left lower lung scarring. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no definite pleural effusions, although tiny effusions cannot be excluded as the posterior costophrenic angles are not included on the lateral projection. There is no pneumothorax.

chest pain. evaluate for acute process.

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Compared to prior chest radiographs, there has been interval removal of the port-a-cath. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Minimal linear density in the left mid lung may represent a focus of atelectasis or post-radiation change. The aorta is mildly tortuous. Heart size is within normal limits, particularly given ap technique.

<unk>-year-old female with history of breast cancer, now with abdominal pain and near-syncope.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.

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

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Lung volumes remain low, but somewhat improved compared to the previous study. Cardiac, mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. There is improved aeration of the lung bases with residual patchy opacities likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.

<unk>m tachycardia please obtain standing lateral xr // <unk>m tachycardia please obtain standing lateral xr

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Pa and lateral views of the chest. Bilateral linear opacities consistent with atelectasis or scarring is unchanged. Low lung volumes. Surgical changes in the left upper and lower lobes are unchanged. No pleural effusions or pneumothorax. No new focal consolidation. Cardiomediastinal and hilar contours are unchanged. Upper thoracic vertebral body compression fracture and sclerotic lesion are unchanged.

diarrhea and bloody stools, shortness of breath, question pulmonary edema.

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Pa and lateral views of the chest provided. Coarsened interstitial markings within the right upper lung and left mid to lower lung concerning for carcinomatosis. Increasing opacity at the right lung base likely reflects known malignancy. A component of postobstructive collapse is difficult to exclude. Heart size difficult to assess. Hilar prominence reflects lymphadenopathy. No pneumothorax.

<unk>f with likely malignant cardiac effusion

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

increased seizure activity.

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Frontal and lateral views of the chest are compared to prior from <unk>. There is diffuse increased interstitial markings in the lungs, most notably at the bases and perhaps slightly progressed from previous exam. There is no large confluent consolidation. Cardiac silhouette is enlarged, but stable in configuration. Degenerative changes and potentially post-traumatic changes identified at the left glenohumeral joint. Hypertrophic changes are seen in the spine.

<unk>-year-old male with chest pain. question pneumonia or chf. history of nsip.

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As compared to the previous radiograph, areas of mild bronchiectasis at the right lung base are present in almost unchanged manner. In the interval, however, there are no new opacities, predominantly nodular, that have developed in both the right and the left lower lobe. These opacities are likely infectious in origin. At the time of dictation and observation, <unk>, on <unk>, the referring physician <unk>. <unk> was paged for notification and the findings were discussed. No evidence of complications such as abscess, pleural effusion, or pulmonary edema. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures.

questionable pneumonia.

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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Focal opacity within the left upper lobe is concerning for pneumonia. The right lung is clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality seen.

fever, muscle aches, shortness of breath.

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The cardiac, mediastinal, and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are within normal limits. There has been no significant change.

chest pain.

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Cardiac silhouette size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Linear opacity in the left lower lobe likely reflects subsegmental atelectasis or scarring. There are mild degenerative changes in the thoracic spine.

history: <unk>m with chest pain

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is subtly increased opacity in the right infrahilar region compared to <unk>, without a clear correlate on lateral view. No pleural effusion or pneumothorax is seen. The visualized upper abdomen is unremarkable, with high density contrast material within the colon.

chest pain and failure to thrive.

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Interval development of white out of the right hemithorax is likely due to a large right pleural effusion which is increased substantially since the prior study. The heart size is difficult to assess given the presence of the large right pleural effusion. No pulmonary vascular congestion is seen. The left lung is clear without pleural effusion or pneumothorax. No acute osseous abnormality is present. Mild leftward shift of mediastinal structures is noted.

history: <unk>m with 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>m with acute onset dyspnea and lightheadedness, pls eval for pna or effusion // history: <unk>m with acute onset dyspnea and lightheadedness, pls eval for pna or effusion

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Right-sided pleural effusion has minimally decreased when compared to the prior. Peripheral right upper lobe airspace opacity has substantially increased in size and density. The left lung remains clear. Moderate cardiomegaly with dystrophic calcifications of the mitral annulus. Median sternotomy wires and cabg are stable.

<unk> year old man with pleural effusion // eval

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Frontal and lateral chest radiographs again demonstrate severe cardiac enlargement. Extensive consolidation in the right lung is most likely due to pneumonia, involving predominantly upper and middle lobes. Of note the patient had a right lower lobe pneumonia in <unk>. <unk>. There is also mild pulmonary edema. There may be trace pleural effusions versus pleural thickening. No pneumothorax is appreciated.

evaluate for pneumonia in a patient with cough and fever.

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Lungs are hyperinflated. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

<unk>m with syncope without prodrome. please evaluate for cardiopulmonary change // <unk>m with syncope without prodrome. please evaluate for cardiopulmonary change

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A small amount of plate-like atelectasis is seen at the left base and stable. There is no consolidation or edema. There is no pleural effusion or pneumothorax. Since the prior radiograph on <unk>, the t<num> vertebral body has a worsened compression fracture. In the previous exam, there is a mild compression deformity, but now it has lost greater than <unk>% of its height. The previously noted sternal fracture is in good alignment. There is diffuse demineralization and small lytic lesions in the remainder of the osseous structures, which is consistent with the patient's known multiple myeloma. The cardiomediastinal silhouette is normal.

multiple myeloma, shortness of breath and new hypoxia.

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Compared with the prior radiograph, patient has been extubated with removal of the ng tube and right ij central line. The lungs are better aerated with platelike atelectasis in the right middle lobe and small bilateral pleural effusions. Stable postoperative the cardiomediastinal silhouette with likely postsurgical minimal retrosternal free pleural air on the left. No focal consolidation concerning for pneumonia.

<unk> year old man s/p cabg. eval for effusion.

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The cardiomediastinal silhouette is unremarkable. Again noted is bilateral hilar prominence, right greater than left, with calcified lymph nodes, and increased interstitial markings, consistent with patient's known sarcoidosis. There is no pleural effusion or pneumothorax. No definite consolidation is identified.

<unk>f with queezing chest pain with lying down

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There are moderate bilateral pleural effusions which appear somewhat increased as compared to the prior study, with overlying atelectasis. Bibasilar opacities are most likely due to combination of pleural effusions and atelectasis, but underlying consolidation is not excluded in the appropriate clinical setting.the cardiac and mediastinal silhouettes are stable.

<unk>f w/copd, p/w acute dyspnea, right-sided rhonchi, bibasilar crackles, please eval for pna // <unk>f w/copd, p/w acute dyspnea, right-sided rhonchi, bibasilar crackles, please eval for pna

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In comparison with the study of <unk>, there is little overall change. There is minimal flattening of the hemidiaphragms that could reflect some chronic pulmonary disease. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion.

possible copd and dyspnea.

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As compared to <unk>, pulmonary interstitial edema has improved. Bibasal opacities have also improved. Slight increase in moderate left pleural effusion. Moderate cardiomegaly persists.

<unk>f with abdominal pain, transfer from osh for sma occlusion, acute vs chronic s/p negative ex-lap/embolectomy // interval change pulmonary edema

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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette without pulmonary edema. Tortuosity of the thoracic aorta. Calcified left lower lung granuloma. Bilateral apical calcified granulomas, associated with minor degree of scarring, right more than left. As compared to the prior images, there is no evidence of new parenchymal changes that could suggest neoplasm. No hilar or mediastinal abnormalities. No pleural effusions. The ventriculoperitoneal shunt is in unchanged position.

three months of cough, no shortness of breath, weight loss, evaluation.

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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. Mild degenerative changes are noted in the thoracic spine. There are no acute osseous abnormalities. No subdiaphragmatic free air is identified.

history: <unk>f with epigastric pain, sudden onset after vomiting. tender to palpation of sternum

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Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is noted within the lingula and both lower lobes. Small bilateral pleural effusions are noted. There is no focal consolidation or pneumothorax. No acute osseous abnormality is detected.

history: <unk>f with new ovarian masses concerning for cancer with malignant ascites

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Underpenetration limits evaluation. Cardiomegaly stable. No definite signs of pneumonia or overt chf. No large pleural effusions are seen. Bony structures are intact. Mediastinal contour is normal.

<unk>-year-old female with recurrent lower extremity cellulitis, morbid obesity with lower extremity pain assess for acute intrathoracic process or pulmonary edema.

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Pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation. Mild interstitial prominence is chronic, and unchanged. Previously demonstrated bilateral fat-containing bochdalek hernias are better assessed on prior ct of the chest. The heart is mildly enlarged. Otherwise, the cardiomediastinal silhouette is unremarkable. Multilevel degenerative changes are noted throughout the thoracic spine, with calcification of the anterior longitudinal ligament.

<unk>-year-old man with lightheadedness and weakness. evaluation for pneumonia.

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Pa and lateral radiographs of the chest demonstrate a focal patchy opacity in the mid left lung field that may represent an area of infection. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. The pulmonary vascularity is normal.

cough, evaluate for pneumonia.

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

<unk>f with cp // evidence of effusion or cardiomegaly

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Lung volumes are low. The heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal patchy left basilar opacity likely reflects atelectasis. No pleural effusion or pneumothorax is seen. There are mild degenerative changes noted in the imaged thoracolumbar spine.

history: <unk>m with hypoglycemia

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The lungs are relatively hyperinflated. Subtle increase in interstitial markings bilaterally, right slightly greater than left, may be due to mild interstitial edema. . No pleural effusion or pneumothorax is seen. The cardiac silhouette is moderate to severely enlarged. Aortic knob calcification is seen. Mild prominence of the hila may be due to pulmonary vascular engorgement.

history: <unk>f with new peritoneal dialysis, doe // eval for volume overload

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The heart is borderline enlarged but unchanged. The aorta remains tortuous with mild calcification of the aortic knob again noted. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

shortness of breath.

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Cardiomediastinal contours are normal. Aside from the right upper lobe granuloma, the lungs are grossly clear. There are minimal retrocardiac atelectasis. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old man with crackles on exam // eval for pneumonia/infectious process

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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 cp, sob

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The lung volumes are noted to be decreased. Rounded opacities overly the bilateral lower lobes and likely represent nipple shadows, although pulmonary nodules cannot be excluded. An additional rounded density is seen at the lateral aspect of the left upper lobe, and may represent a pulmonary nodule. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. Specifically, there is no evidence of intrathoracic metastases. The heart size is normal. Mediastinal and hilar contours are normal.

left-sided rcc, evaluate for lung metastasis.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Previously noted right basilar opacification has markedly improved, with near complete resolution of the right pleural effusion. Bibasilar streaky opacities could reflect atelectasis with mild pulmonary vascular engorgement noted. There is no pneumothorax. No acute osseous abnormalities are seen.

altered mental status.

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Cardiac silhouette size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is seen in the lung bases. A screw projects over the right humeral head. There are mild to moderate multilevel degenerative changes noted in the thoracic spine.

history: <unk>f with new oxygen requirement // pneumonia? acute process?

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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures. No pleural effusions. No evidence of pneumonia. No pulmonary edema.

right upper quadrant pain, concern for pneumonia.

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Frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contours. The lungs are well-aerated and clear. There is no pleural effusion or pneumothorax.

biopsy-proven sarcoidosis with worsening shortness of breath. evaluate for new infiltrate.

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Again seen is the left pectoral generator with leads terminating in the right atrium and right ventricle. There is no evidence of pneumothorax. Bilateral pleural effusions are unchanged. Moderate cardiomegaly is unchanged. There is mild improvement in pulmonary vascular congestion and pulmonary edema. Mediastinal silhouette is unremarkable.

<unk> year old man s/p ppm // lead placement

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Heart size is normal. The mediastinal contour is unchanged with mild atherosclerotic calcifications noted at the aortic arch. Hilar contours are similar compared to the prior chest ct with an infrahilar opacity re- demonstrated. The lungs are hyperinflated with severe emphysematous changes again seen. While scarring within the lung apices is again noted, there is a new patchy opacity seen within the left upper lobe concerning for an area of infection. No pleural effusion or pneumothorax is identified. No acute osseous abnormality seen.

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

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Pa and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, there is new mild indistinctness of the pulmonary vasculature with cephalization. There is no confluent consolidation. Blunting of the posterior costophrenic angles raises possibility of small effusions. Cardiac silhouette is enlarged but stable. Multiple lead pacing device again seen with tips about right ventricular apex, right atrium, and two within the coronary sinus. Osseous and soft tissue structures are unchanged.

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

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Frontal and lateral views of the chest. Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified based on this non-dedicated exam.

<unk>-year-old male with rib pain after kicked in the chest.

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Frontal and lateral views of the chest demonstrate hyperexpanded lungs without pleural effusion, focal consolidations or pneumothorax. Subtle left base opacity is noted. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Vascular congestion is noted.

cough, yellow sputum and wheezing.

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Pa and lateral views of the chest provided. Left chest wall port-a-cath is seen with catheter tip extending to the mid svc. A metallic cbd stent projects over the upper abdomen. Lungs appear relatively clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.

<unk>m w/productive cough

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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. Multiple healed right-sided rib fractures are noted which appear new from <unk>.

history: <unk>m with cp // eval for cp

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Ap upright and lateral views of the chest provided. Midline sternotomy wires are again noted. Diffuse increased ground-glass and reticular nodular opacities, progressed in the interval compatible with progressive pulmonary edema. No large effusion seen. The right hemidiaphragm is elevated. Overall heart size is unchanged. Hila are congested. Imaged bony structures are intact.

<unk>f with hypoxia // eval for chf/pneumonia

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Heart size is mildly enlarged, but the patient is rotated. No pleural effusions, pneumothorax, or focal consolidation concerning for pneumonia.

<unk>f with leg swelling and sob. evaluate for heart failure.

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As compared to the prior examination, there has been minimal interval change. Redemonstrated is a right-sided picc line seen terminating in the mid svc. The lungs are essentially clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema . The heart size is top normal. Mediastinal and hilar contours are stable.

history of lymphoma, now with chills and cough.

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The lungs are clear. Cardiomediastinal silhouette is within normal limits. Pectus deformity is incidentally noted. No acute osseous abnormalities.

<unk>m with doe // ? r/o infilatrate

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The heart is within normal limits. The mediastinal and hilar contours are within normal limits. There is no evidence of pneumomediastinum. Biapical scarring is noted. There is no focal consolidation, pleural effusion or pneumothorax.

<unk>f with chest discomfort/pain <unk>min following egd // eval for pleural effusions/fluid, evidence of mediastinal widening, perforation