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

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The exam is limited by low lung volumes and body habitus. Within the limitations, there is no change in the diffuse interstitial prominence, possibly due to chronic vascular congestion. There is no focal air space consolidation, pleural effusion, or pneumothorax. The mediastinal contour remains slightly prominent, although unchanged. The heart size is normal. Extensive flowing anterior osteophytes are noted along the thoracic spine.

shortness of breath, tachypnea, and fevers. evaluate for pneumonia.

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Pa and lateral views of the chest provided. There is a mass in the left upper lobe measuring approximately <num> x <num> x <num> cm concerning for malignancy. Otherwise the lungs appear clear. The cardiomediastinal silhouette appears normal. No large effusion or pneumothorax. Imaged bony structures appear intact.

<unk>f with likely brain mets

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Compared to the prior study, there has been interval extubation, removal of right picc, and resolution of bilateral parenchymal opacities. There is minimal scarring or atelectasis in the left upper lung field, but no areas of residual opacity.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

<unk> year old woman with recent pna/ards // eval for resulotion of pneumonia

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Patient was examined in upright position using pa and lateral chest view projections. Patient is mildly tilted towards the left on the frontal view. One observes now a total white out of the right hemithorax with only mild degree of mediastinal shift towards the left. Considering patient's clinical history and radiographic evidence of several large right-sided pleural effusions treated with successful thoracocentesis (<unk> <unk> and <unk>) this most likely represents reaccumulation of the pleural effusion. The apparently massive pleural effusion obscures partially the central airways and the possibility of a centrally located right main bronchus narrowing or occlusion just distal to the carina cannot be excluded completely but is less likely the cause of the complete right-sided pulmonary white out. The left hemithorax does not show any evidence of acute infiltrates or pulmonary vascular congestive pattern. Heart size and configuration appears unaltered.

<unk>-year-old woman with ethanol cirrhosis complicated by recurrent hepatic hydrothorax. now reaccumulated effusion and dyspnea. evaluate.

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Cardiac, mediastinal and hilar contours appear stable. There is new slight blunting of each costophrenic sulcus so there may be very small new pleural effusions prior. However there is no evidence of parenchymal abnormality.

cough and decreased breath sounds.

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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. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.

history: <unk>f with right back pain // ? infectious 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. Dual lead left-sided pacemaker is seen with leads extending the expected positions of the right atrium and right ventricle.

history: <unk>m with pleuritic chest pain. // eval for effusion, pnemonia, acute process.

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No change as compared to the previous image. No lung parenchymal disease, in particular no evidence of fibrosis. No pleural effusions. No pneumonia, no pulmonary edema. Mild elongation of the descending aorta. Borderline size of the cardiac silhouette.

<unk> year old man with atrial fibrillation on amiodarone // evaluation of amiodarone toxicity

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Patient is status post median sternotomy and cabg. Mild enlargement of cardiac silhouette is unchanged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.

history: <unk>m with pleurisy, fever

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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 displaced rib fractures seen. The right clavicle appears intact. No free air below the right hemidiaphragm is seen. Nipple rings are in place.

<unk>f with r shoulder pain and r anterior chest pain after a fall

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Low lung volumes. The lungs are clear, cardiomediastinal silhouette and hila are normal. No pleural effusion and no pneumothorax. Mild right basilar plate-like atelectasis.

<unk>-year-old with diabetes and fevers.

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Lungs are clear without focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.

<unk> year old woman with hx of iddm and gastroparesis with concern for infectious source causing gastroparesis symptoms // any infection?

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Pa and lateral views of the chest were obtained. There has been interval placement of a tracheal stent, which appears in good position. There is mild left basilar plate-like atelectasis. The lungs are otherwise clear with no focal consolidation, pneumothorax or effusions. The cardiomediastinal silhouette is unchanged. Old right ribcage deformity is again identified.

recent tracheal stent placed, now with shortness of breath, question stent migration or pneumonia.

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There is linear atelectasis at the left lung base. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Osseous structures are grossly intact.

<unk> year old man with copd with dyspnea, evaluate for acute pneumonia.

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There are new focal airspace opacities in the right lung base, with corresponding increased density in the lower lobe on the lateral view, concerning for right lower lobe pneumonia, possibly aspiration. A small-to-moderate left pleural effusion is unchanged from <unk>. Hyperinflation of the lungs is redemonstrated. No pneumothorax is detected. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. There is exaggerated kyphosis of the thoracic spine. A well-circumscribed density projecting within a mid thoracic vertebral body likely corresponds to a bone island. Multilevel degenerative changes are present in the visualized spine.

dyspnea and cough, here to evaluate for pneumonia or evidence of chf.

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Ap upright and lateral views of the chest provided. Right chest wall port-a-cath is seen with catheter tip in the mid svc. There are multiple bilateral pulmonary nodules compatible with known metastatic disease. Bilateral pleural effusions are present. Lower lobe consolidation, right greater than left is concerning for atelectasis and/or pneumonia. No pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.

<unk>f with colon cancer, mets, here w/ sob // pna? pleural effusions?

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No pneumothorax or pleural effusion. Vague opacity in the left upper lobe, at the site of biopsy, likely reflects hemorrhage. The lungs are otherwise clear. The cardiomediastinal contours are unremarkable.

<unk> year old woman s/p lung biopsy now with pleuritic chest pain // ?ptx

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The lungs remain hyperinflated. Slight blunting of the costophrenic angles posteriorly may be due to trace pleural effusions. Mild bibasilar atelectasis is seen. No definite focal consolidation. There is no pneumothorax. The cardiac silhouette is mildly enlarged. The aorta is somewhat tortuous. Mediastinal contours are stable.

history: <unk>f with abd v/d, recent pna. please r/o pna and ?sbo // pna? sbo?

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Streaky right lower lobe atelectasis/scarring is re- demonstrated, with slight improvement in aeration of the right lung base. There is also minor left base atelectasis/ scarring. No definite new focal consolidation is seen. Persistent blunting of the right costophrenic angle is seen, which may be due to a small pleural effusion. There is no left pleural effusion. No pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.

history: <unk>m with hcc and hepatic encephalopathy fell this morning after feeling dizzy. // intracranial bleed from fall?

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

cough, fever. please evaluate for pneumonia.

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Ap and lateral views of the chest were obtained. A calcified nodular opacity overlying the left lower lung field is consistent with a calcified granuloma and is better seen on ct performed in <unk>. A hazy opacity over the left lung base is most likely due to overlying gynecomastia; otherwise, the lung fields are clear bilaterally with no focal consolidation or nodules. No pleural effusion or pneumothorax. There is no free air below the right hemidiaphragm. There are atherosclerotic calcifications in the aorta. The cardiomediastinal silhouette is normal in size. Surgical clips in the left neck and sternal fixation wires are consistent with prior median sternotomy.

weakness, nausea, and vomiting.

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Cardiac silhouette size is normal. The mediastinal contour is unremarkable. Pulmonary vasculature is not engorged. Left perihilar, lingular, and left lower lobe ill-defined nodular and patchy opacities are new in the interval concerning for pneumonia. Right lung is clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.

history: <unk>m with cough and fever

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Right-sided port-a-cath tip terminates in the proximal right atrium. Lung volumes are low. Heart size is borderline enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Streaky opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with fever, abdominal pain

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

productive cough.

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Chronic fibrotic changes in the upper lobes and severe emphysema in the lower lobes are again noted. Heterogeneous opacity in the posterior aspect of left lower lobe is similar to <unk>, however it has been increasing since <unk>. No new opacity is identified since <unk> to suggest pneumonia. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unchanged.

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

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Heart size is top normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.

history: <unk>f with chest pain and shortness of breath

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There is a thin linear opacity overlying the patient's neck on the frontal view, presumably external. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

cough.

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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. An azygous fissure is noted. Mild right basal platelike atelectasis is present. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

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

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Lung volumes are low, and there is no focal consolidation, pleural effusion or pulmonary edema. The heart continues to be moderately enlarged.

<unk>-year-old male with seizure, quadriplegia.

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The small right apical pneumothorax has nearly completely resolved. A right pleural effusion is slightly increased compared to the prior chest radiograph performed <num> day prior. Right lung opacity is slightly decreased, consistent with prior right lower lobe wedge resection. Mediastinal clips and sternotomy wires are again noted. The cardiac and mediastinal contours are stable. The left lung is clear.

<unk> year old man s/p rll // r/o chf

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding ap single view chest examination of <unk>. Cardiac enlargement persists. No change in configuration. Unaltered appearance of moderately widened and elongated thoracic aorta. As before, there is evidence of bilateral pleural effusions blunting the lateral and posterior pleural sinuses and obliterating the diaphragmatic contours. The distribution of the pleural effusion on the right base has changed slightly, raising the possibility that pleurocentesis has been performed during the interval. There appears some mild improvement of aeration of the right lower lobe lung areas, but no new pulmonary pathology can be identified. No pneumothorax exists in the apical area.

<unk>-year-old female patient with pleural effusion, evaluate.

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

<unk>m with h/o <num> week non-prod cough with lt chest pain worse with deep inspiration and cough. // pna? pnemothorax? rib fracture?

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No focal consolidation is seen. Re- demonstrated left mid lung calcified nodules most consistent with a calcified granuloma. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with hx pe who presents with chest tightness x <num> days with sob // pna or effusion?

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Frontal and lateral chest radiographs demonstrate low lung volumes which result in exaggeration of the cardiomediastinal silhouette and bronchovascular crowding. Allowing for this, there is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. No nondisplaced rib fracture is identified.

evaluate for evidence of aspiration in a patient status post syncope and fall.

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Frontal and lateral chest radiographs show persistent right atelectasis of the lung base with elevation of the right hemidiaphragm. Lung are grossly clear. No focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar contours are unremarkable.

<unk>-year-old male with question of atelectasis on chest radiograph.

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pneumothorax or pleural effusion.

history of longstanding ms and four months progressive shortness of breath. please evaluate.

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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The cardiomediastinal silhouette is normal.

chest pain.

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There are low lung volumes. The lungs are clear with no evidence of nodule, mass, or consolidation. There is no pneumothorax or pleural effusion. The cardiac silhouette is top-normal in size. Osseous structures are unremarkable.

<unk>-year-old male with cough.

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The cardiac, mediastinal and hilar contours appear stable. Surgical clips are present along the mediastinum and base the left neck. There is no pleural effusion or pneumothorax. Medial right basilar opacity has partly resolved. A known large medial right basilar lung nodule is partly obscured. Patchy scarring and right lower lateral pleural thickening appear unchanged to somewhat decreased. Right suprahilar nodule persists but is difficult to assess for small changes with respect to the prior images. Pulmonary nodules were better delineated on recent ct imaging.

recent lung lesions and history of lymphoma.

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

<unk>f with cough, severe right upper quadrant pain, peritoneal signs

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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. No free air below the right hemidiaphragm is seen.

<unk>m with fevers, cough x <num>weeks // pna?

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

history of endometriosis, ic, ibs, and recent onset fever and rash. possible chickenpox.

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In comparison with the study of <unk>, the cardiac silhouette is at the upper limits of normal or slightly enlarged. No evidence of vascular congestion, pleural effusion, or acute pneumonia.

gradually progressive dyspnea, to assess for interstitial changes.

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Pa and lateral chest radiographs demonstrate small bilateral pleural effusions, greater on the left than right, and mild pulmonary edema. Additionally, more focal opacities in the right upper lobe and bilateral lung bases is concerning for multifocal pneumonia. The cardiac borders are not well visualized. There is no pneumothorax.

crackles in the lung.

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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No free air.

history: <unk>m with abd distension, abd pain // free air?

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The cardiac, mediastinal, and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are similar along the thoracic spine.

cough.

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Lung volumes are low. Cardiac silhouette size remains normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Patchy atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine.

history: <unk>m with cva symptoms.

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Lung volumes are low, causing bronchovascular crowding. However, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.

<unk>-year-old man with tachycardia. no leukocytosis. evaluate for pneumonia.

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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Tortuous thoracic aorta is noted. Deformities of anterior left fourth and fifth ribs suggest prior fractures.

<unk>-year-old female with fall and bruising and abrasions. question traumatic injury.

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

<unk>m with dyspnea, chest pain, // eval cardiomegaly

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Lung volumes are low. Lung volumes are low, with associated crowding of bronchovascular structures at the lung bases. Mediastinal contours, hila, and cardiac silhouette are stable from <unk>. No pneumothorax or pleural effusion. Pleural thickening within an elevated right minor fissure is stable from <unk>. The aortic arch is calcified and the aorta is tortuous.

<unk>f with cough and hemoptysis // pna? effusion? acute pathology?

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When compared to prior, there has been no significant interval change. Significant enlargement of the thoracic aorta which is tortuous is again noted, compatible with prior dissection. The lungs are clear. The cardiomediastinal silhouette is stable. Mid thoracic dextroscoliosis is noted. Median sternotomy wires are again seen.

<unk>f with hx of dissection p/w dizziness // widening of mediastinum (hx of type a dissection)

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax, and there is mild edema. The heart size is normal. The mediastinal contours are normal.

<unk> year old man with cml in remission, fevers. evaluate for pneumonia.

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There are extensive bilateral regions of consolidation most notable at the right lung base but also at the left lung base. These are seen on previous exam. There is also new focal opacity in the left mid lung as well. Blunting of the posterior costophrenic angles suggests small effusions. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with sob, hemoptysis // eval for pna

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Ap upright and lateral chest radiographs demonstrate interval placement of a left chest wall pacer device with leads projecting over the right atrium and ventricle. Sternal wires and a valve prosthesis are also new compared to <unk>. Cardiomediastinal silhouette appears grossly normal. A small to moderate left pleural effusion is noted with associated lower lobe atelectasis, difficult to exclude pneumonia. There is no pneumothorax. No free air below the right hemidiaphragm. Clips project over the right upper chest.

<unk>m with lle absent pulses, infection of great toe, also crackles on lung exam

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The cardiac silhouette is stable in size. Again noted is prominence of the hila consistent adenopathy seen on prior ct. A left posterior lower lobe mass is again seen, as demonstrated by opacity overlying the spine on the lateral view, better assessed on recent ct. Multiple metastases are better identified on chest ct. A right-sided bochdalek hernia is again demonstrated. Again seen is left basilar opacity, not significantly changed since recent examination. Subtle blunting of the posterior left costophrenic angle may be due to a trace pleural effusion or pleural thickening.

history: <unk>m with pmh of lll mass recent biopsy <num> days ago coming in <num>x hemoptysis // assess for effusion/opacities

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

<unk>m with symptomatic anemia, lower abd pain, sob, diarrhea // any cpd- cxrany diverticulitis- ctap

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There is no definitive evidence of a pneumothorax. Multiple right lateral and posterior rib fractures are redemonstrated, some with interval callus formation, like the right ninth posterior rib. A small amount of right pleural fluid, best appreciated on the frontal view may be loculated anteriorly and laterally. No left pleural effusion is present but there is mild left basilar atelectasis. The cardiomediastinal and hilar contours are within normal limits.

right pneumothorax, here to evaluate for interval changes.

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A single lead pacemaker device terminates in the right ventricle. The patient is status post sternotomy. The cardiac, mediastinal and hilar and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Kyphosis is again mildly exaggerated in association with mild loss in height of two mid thoracic vertebral bodies, chronic findings without change.

dyspnea.

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Pa and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. No displaced rib fracture is identified.

<unk>-year-old woman presenting with pain status post fall, evaluate for posterior rib fracture.

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Heart size at the upper limits of normal. The lungs are otherwise without a focal consolidation, effusion, or pneumothorax. No overt pulmonary edema is seen. No acute fractures are identified.

seizure.

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Mild pulmonary edema including right basal reexpansion edema is continuing to improve. Residual focal opacities in the right lower lung is concerning for pneumonia. Left severe pleural effusion is unchanged. There is no pneumothorax. Left-sided pacemaker has one lead in the right ventricle. Moderate cardiomegaly is stable.

patient with pacemaker placement for heart block, micro perforation of rv causing tamponade, pulmonary edema versus pneumonia.

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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 congested cough

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Ap and lateral views of the chest. Previously seen bilateral parenchymal opacities have resolved. There are new bilateral diffuse interstitial opacities most consistent with mild interstitial pulmonary edema. Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax.

shortness of breath.

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Frontal and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal contours are within normal limits. Lungs are clear without focal areas of consolidation. There is no pleural effusion and no pneumothorax.

history of nstemi status post pci with stents, presenting with chest pain, now resolved. evaluate for effusion or consolidation.

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The cardiac and mediastinal silhouettes are within normal limits. There no focal pulmonary opacities, pleural effusion, or evidence of pneumothorax. Osseous structures are unremarkable aside from mild degenerative changes of the thoracic spine.

chest pain. evaluate pneumonia.

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Blunting of the posterior costophrenic angle suggests small effusions, as on prior. Chain sutures seen over the right mid lung. Linear opacity in the retrocardiac region is likely atelectasis. Superiorly, the lungs are clear. Moderate cardiac enlargement is unchanged. Atherosclerotic calcifications seen in the thoracic aorta as well as degenerative changes in the spine. No displaced fracture seen on this nondedicated exam.

<unk>f with s/p fall, anterior superior cw bruising, weakness // fracture or bleed?

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In comparison with the study of <unk>, the opacification at the left base is somewhat less prominent. Volume loss and architectural distortion again is seen in the right lung consistent with prior upper lobectomy. No evidence of pneumothorax.

lung cancer.

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Lungs are well expanded. Areas of scarring in bilateral mid and lower lung are longstanding and stable since <unk>. There are no new lung opacities concerning for pneumonia, aspiration or atelectasis. Heart is normal size and hilar contours are normal. Lobulated opacity just lateral to the junction of the aortic arch and descending thoracic aorta is from a known pseudoaneurysm of the aortic arch and is better evaluated and described on multiple prior chest cts. However, based on the radiographic appearance alone, this is unchanged since at least <unk>.

<unk>-year-old woman with history of allo transplant and shortness of breath to rule out infiltrate.

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Little change in comparison to prior study from <unk>. The lungs are clear with no focal consolidation, effusions, or pneumothorax. Hyperlucency of the apices is again noted suggestive of emphysema. Cardiomediastinal silhouette is normal. Bilateral humeral prostheses are again noted.

evaluation of patient with history of cough and wheezing.

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax.

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

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At the left lung base, small calcified granuloma of <num> mm in diameter is seen. Otherwise, the lung parenchyma is normal, and there is no evidence of metastatic disease. No pleural effusions. No other pleural changes. The cortical contours of the ribs are unremarkable. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.

prostate cancer, renal mass, evaluation for metastatic disease.

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Frontal and lateral radiographs of the chest demonstrate persistent small-to-moderate bilateral pleural effusions, which are overall unchanged from <unk>. Stable mild interstitial edema. Stable moderate cardiomegaly. No pneumothorax. Picc line ends in the mid svc.

<unk>-year-old man with pleural effusion.

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Patchy opacities seen within the left lower lobe concerning for pneumonia. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with cough, fever, tachycardia.

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

<unk> year old woman with chest pain.

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Right-sided port-a-cath tip terminates within the cavoatrial junction, unchanged. The cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. Multiple clips are demonstrated within the right upper quadrant of the abdomen along with a biliary stent.

fever.

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Pa and lateral views of the chest provided. Left ij access central venous catheter is again seen with its tip in the low svc. Mild elevation of the right hemidiaphragm again noted. Lungs are clear. 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 increased confusion for the past six months, increasing daily falls for the past <num> weeks, acutely delirious in the past two days. history ms. <unk> <unk> for <unk> change or head bleed

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Cardiomediastinal silhouette and hilar contours are unchanged from prior study. Again seen is an esophageal stent which appears unchanged in position from prior examination. Visualization is also made of a tracheo-bronchial stent which also appears patent and unchanged in position. Compared to prior study, there is new consolidation of the left lung base which may be atelectatic, however, infection in the correct clinical circumstance cannot be excluded. There is redemonstration of a roughly <num> cm mass in the right lung apex with apparent area of internal cavitation, unchanged from prior study. A left-sided infusion port remains unchanged in position. The osseous structures are grossly unremarkable.

recent esophageal stent placed, now anorexic. evaluate stent placement and position.

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In comparison with study of <unk>, there again are low lung volumes with some enlargement of the cardiac silhouette and evidence of vascular congestion with bilateral pleural effusions and compressive atelectasis at the bases. Intact midline sternal wires. The right picc line has been removed. The left picc line is essentially unchanged.

post-operative with shortness of breath, to assess for effusion or edema.

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There is a moderately-large left pleural effusion, with underlying collapse and/or consolidation. There is a small right effusion. Compared to <unk> (outside chest x-ray), the left effusion is very slightly smaller. The right effusion is very slightly more pronounced on the ap view, but not significantly changed on lateral view. The patient is status post sternotomy, with unchanged cardiomegaly and dense vascular calcification. No chf. Curvilinear haziness in the left mid/upper zone probably represents some layering fluid or atelectasis. No pneumothorax detected.

<unk> year old woman with schf recurrent pleural effusions hypoxia // eval for r-sided effusion/pna

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Minimally increased interstitial markings in the lung bases likely represent mild interstitial pulmonary edema. There is no focal consolidation, pleural effusion, or pneumothorax. The left pectoral pacemaker and its leads project in unchanged location. Hyperinflation suggesting underlying copd is unchanged. The cardiomediastinal silhouette, including mild cardiomegaly, is unchanged.

<unk>m with altered mental status, evaluate for source of infection

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Lungs appear hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Streaky opacities at both lung bases most likely represent atelectasis. Cardiomediastinal silhouette is within normal limits.

history: <unk>f with cough and increased falls // ?pneumonia

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Pa and lateral views of the chest provided. A moderately sized loculated right pleural effusion appears unchanged. A small left pleural effusion appears larger and may have a subpulmonic component. Mediastinal and hilar lymphadenopathy appears unchanged. Geographic marginated opacities in the right upper lobe, likely represent post radiation changes. Multilevel mid thoracic vertebral body compression fractures appears unchanged. No free air below the right hemidiaphragm is seen.

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

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Lungs remain hyperinflated. Increased reticular opacity projected the lung bases are consistent with chronic lung disease. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. The patient is status post median sternotomy and cabg with the superior most sternal wire fractured at several locations, new since the prior study. The cardiac and mediastinal silhouettes are stable.

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

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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. No pleural effusion or pneumothorax. Limited assessment of the osseous structures are unremarkable and visualized upper abdomen is within normal limits. Metallic nipple rings are present bilaterally.

<unk>f with <num> week of cough. assess for pneumonia.

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Frontal and lateral views of the chest demonstrate the patient is status post median sternotomy. Heart size is enlarged within prominent central vasculature and cephalization consistent with vascular congestion. There is flattening of the left hemidiaphragm, stable in appearance since prior examinations. No focal opacity is identified.

<unk>-year-old female with cough for past <num> months.

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In comparison with the study of <unk>, the patient has undergone interval cabg procedure with intact midline sternal wires. There is some hyperexpansion of the lungs with flattening of the hemidiaphragms, but no evidence of acute focal pneumonia. Cardiac silhouette is within normal limits and there is no evidence of pulmonary vascular congestion. Mild blunting of the left costophrenic angle persists.

cabg with chest pain, to assess for failure.

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Correlation is made to ct torso performed at <unk> earlier the same day at <time> p.m. Linear opacity is again seen at the left lung base. Previously identified left-sided pneumothorax is not clearly identified on the current exam. Left lateral third rib fracture is noted. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are otherwise notable for mild chronic wedging of mid thoracic vertebral bodies, similar to ct scan. Trace left-sided effusion is identified.

<unk>-year-old male status post bicycle crash with left rib fracture. small basilar pneumothorax. assess for interval change.

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The costophrenic angles are not fully included on the frontal image. Given this, there is small to moderate right pleural effusion. A trace left pleural effusion is difficult to exclude. The lungs are hyperinflated, consistent with chronic obstructive pulmonary disease. Relative lucency at the lung apices may be due to underlying pulmonary emphysema. There is bibasilar atelectasis. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous.

<unk>-year-old male with mild cough, generalized weakness.

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The lungs are clear, with low volumes. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

history: <unk>f with no significant pmh presents with anterior neck pain radiating. evaluate for pneumonia.

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In comparison with the study of <unk>, the consolidation at the left base posteriorly has cleared. Extensive fibrotic changes again seen in the right upper zone extending to the hilum. No evidence of acute focal pneumonia or vascular congestion at this time.

recurrent cough, to assess for new pneumonia.

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As compared to the previous radiograph, there is no relevant change. No evidence of metastatic lung disease. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.

evaluation for metastasis, renal cell carcinoma.

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Intact midline sternotomy wires and mediastinal clips. The lungs are mildly hypoinflated with vascular crowding. No pleural effusions or pneumothorax. Stable top-normal heart size. Mediastinal contour and hila are otherwise unremarkable. Tortuous aorta noted. Mild kyphosis as well as chronic right rib cage deformity is seen. Visualized upper abdomen is within normal limits.

<unk>m with concern for pneumonia. assess for pneumonia.

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Frontal and lateral radiographs of the chest demonstrate top normal heart size. Tortuous aorta. Left basilar opacity could represent atelectasis; however, pneumonia is also possible. No pneumothorax or pleural effusion

weakness cells and shortness of breath. evaluate for pneumonia.

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The inspiratory lung volumes are appropriate. No focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no evidence of pulmonary edema. Cardiac silhouette is normal in size. The aorta is calcified and elongated, unchanged from prior examination. The mediastinal and hilar contours are within normal limits.

<unk>-year-old female patient with ongoing cough for more than four weeks, not improving. study requested for evaluation of lung abnormality and to rule out pna.

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There are relatively low lung volumes. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

<unk>-year-old male with hypertension, positive lactate, question pneumonia.

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The lungs are hyperexpanded but clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax or pulmonary edema. There is a prominent left pulmonary artery. A <num> cm lesion overlies the mid-to-lower thoracic vertebral bodies, likely a large osteophyte. The trachea is deviated slightly to the left.

hypoglycemia.

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Frontal and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with asthma, fever and sputum.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No acute pneumonia, vascular congestion, or pleural effusion.

cough and expiratory wheezes.

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There are low lung volumes and the patient is somewhat kyphotic in position. Given the above, the cardiac and mediastinal silhouettes are grossly stable, particularly similar to chest radiograph from <unk>. There may be minimal pulmonary vascular congestion without overt pulmonary edema. No focal consolidation is seen. There is no large pleural effusion or pneumothorax.

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