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

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The chest is well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Sternotomy wires are noted. The most superior sternotomy wire appears to be small in size which may reflect remote sternotomy, correlate with clinical history. Ascending aorta appears either tortuous or dilated.

history: <unk>m with exertional vtach. // fluid?

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Interval increase in left pleural effusion is seen. No focal consolidation or pulmonary edema is seen. The cardiac silhouette has not changed from the most recent chest radiograph. The left central line tip is unchanged in position and appropriately ends within the lower svc.

<unk>-year-old woman with cardiac lymphoma, pleural effusions and drained pericardial effusion. assess for change in pleural effusions and cardiac silhouette.

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Pa and lateral views of the chest. The lungs are clear without evidence of consolidation. There is no pneumothorax. There is slight blunting of the left costophrenic angle seen on the lateral view that may represent pleural thickening. The cardiac, mediastinal, and hilar contours are normal. There is no pulmonary vascular congestion.

allergic cough.

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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are stable. Again visualized is an aortic corevalve replacement. Chronic elevation of the right hemidiaphragm is seen. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Exaggerated kyphosis of the thoracic spine with degenerative changes is noted.

chest pain.

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The cardiac, mediastinal and hilar contours are normal. Predominantly linear opacities within the left lower lobe likely reflect scarring and bronchiectasis with adjacent pleural thickening. More focal opacity within the periphery of the left lung base may also reflect an area of scarring, though infection cannot be completely excluded. No pleural effusion or pneumothorax is seen. There is no pulmonary vascular engorgement. There are no acute osseous abnormalities.

hiv, presenting with seizure activity.

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. There is visualization of the left inferior pulmonary ligament. The upper abdomen is unremarkable. Mild dextroscoliosis is noted centered in the mid thoracic spine.

<unk>f with l chest pain and dyspnea.

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no hilar adenopathy.

<unk>-year-old man with a rash and concern for erythema nodosum, evaluate for sarcoidosis.

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The lungs are well expanded and clear. There is no pleural abnormality. The hilar and mediastinal contours are normal. Curvilinear density in the left upper quadrant is seen. There is mild scoliosis.

history: <unk>f with altered mental status after fall*** warning *** multiple patients with same last name! // r/o ich, fx

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The patient is rotated and has a moderately well calcified right-sided aortic arch. There is no evidence of pneumonia, no pleural effusion and no pneumothorax. The overall prominence of the pulmonary vessels, however, suggests mild fluid overload. Normal size of the cardiac silhouette.

weakness, questionable pneumonia.

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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.

<unk> year old woman with pna <unk>- lll noted on chest ct <unk> distant hx smoking // f/u to pneumonia <unk> rule out any abnormalities

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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is unchanged. There is associated right basilar atelectasis. The left lung is clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>m with lethargy, encephalopathy

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Ap upright and lateral views of the chest provided. Low lung volumes somewhat limit the assessment. A catheter in the soft tissues of the mid back noted with catheter extending to the region of central spinal canal. There is mild right basal atelectasis. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. The cardiomediastinal silhouette appears unchanged. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with syncope // eval ? infiltrate, edema

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.

diffuse rash and chills.

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Pa and lateral views of the chest demonstrate a <num> mm circular metallic density in the soft tissues of the right medial chest wall anteriorly with an appearance consistent with a metal bb. Deep to this, in the right lower lobe posteriorly are chain sutures. The lungs are clear and well expanded, and heart and mediastinal contours are within normal limits in size and shape. Mild upper thoracic levoscoliosis is present.

question metal in chest from bullet. <unk>-year-old man with headache. plan for mri.

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Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.

<unk>-year-old woman with anorexia, evaluate for causes of weight loss.

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Stable position of the left upper chest device and associated single lead projecting over the apex of the right ventricle. There is stable cardiomegaly. The mediastinal contour is unchanged from prior examination. No evidence of pneumothoraces or effusions. There is bibasilar atelectasis present. Otherwise the lungs are clear without evidence of pulmonary edema.

<unk> year old woman with systolic heart failure presenting with worsening sob // rule out pulmonary edema

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Frontal and lateral views of the chest. Again, low lung volumes are seen. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits when taking into account low lung volumes. Osseous structures demonstrate no acute abnormality.

<unk>-year-old female with cough and fevers. chills.

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As compared to the previous radiograph, the patient is after left upper lobe wedge resection. The postoperative image shows a large pneumothorax with a diameter of approximately <num> cm. There is a small basal left air-fluid level. The shape of the left hemidiaphragm is comparable to the preoperative situation and there is no mediastinal shift. The abnormality was observed at <time> a.m. And at <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification. The findings were subsequently discussed over the telephone.

left upper lobe adenocarcinoma, status post left upper lobe wedge resection.

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The lungs are clear. There is no pneumothorax. Opacity at the left lung base is compatible with prominent fat pad seen on ct scan. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted. No displaced fractures. Hypertrophic changes noted in the spine.

<unk>m with right lower rib pain, on a/c s/p fall // hemothorax? rib fx?

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.

chest pain.

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There is no focal consolidation, no pleural effusion, vascular congestion or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits.

recent pneumonia in <unk> that has resolved but symptoms have returned.

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Previously visualized bilateral opacities involving the right mid and lower lung and left lower lobe are again noted and appear minimally increased over the right lung but improved on the left. Additionally, there is mild cephalization of the vasculature with interlobular septal thickening suggesting mild pulmonary edema. Cardiac mediastinal structures otherwise stable with atherosclerotic aortic arch. No acute fractures are noted.

history of recent pneumonia with decreased breath sounds at the left lung base.

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The lung volumes are low, resulting in crowding of the bronchovascular structures. Patchy opacity at the left lung base, best appreciated on the lateral view, is presumably atelectasis. There is no pleural effusion or pneumothorax. Heart is mildly enlarged and unchanged. There is no evidence of pulmonary edema. The aorta is calcified and tortuous, which results in rightward bowing of the trachea. Otherwise, the mediastinal and hilar structures are unremarkable. Severe degenerative changes involve the glenohumeral joints bilaterally.

dizziness and hyperglycemia. rule out an acute process.

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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Tortuosity of the descending thoracic aorta is unchanged.

chest pain, fevers, chills, cough.

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Chest, pa and lateral. Lung volumes are low and there is bibasilar atelectasis. This likely acount for opacity seen in the lower lobe on the lteral view. No definite infiltrate. No chf or effusion. The hilar and cardiomediastinal contours are within normal limits. There is no pneumothorax.

flank pain and diffuse abdominal pain.

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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Chest radiograph is insensitive in the detection of subtle trauma to chest cage, but no displaced rib fracture is identified. The lateral left lower ribs are excluded on this film.

status post assault.

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No focal consolidation, pleural effusion or pulmonary edema is seen, and the cardiomediastinal and hilar contours are normal. Left port-a-cath is unchanged in position with tip in the proximal right atrium, and the tracheostomy tube is midline. Chronic gaseous distension of the colon is unchanged from previous studies.

<unk>-year-old woman with tracheobronchomalacia, recurrent pulmonary infections, chronic trach. evaluate for new infiltrate.

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Frontal and lateral views of the chest were obtained. Slightly low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.

chest pain.

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Pa and lateral views of the chest. The lungs are clear. There is minimal left basilar atelectasis. There is no pleural effusion or pneumothorax. The left atrium remains dilated. Moderate cardiomegaly is again seen. The aortic and mitral valve replacements are unchanged in position.

cough and fever.

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.

weakness. evaluate for pneumonia.

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

<unk>m with n/v, leukocytosis, and elevated lactate. // pls eval for consolidation/ e/o aspiration.

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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are unchanged. The hilar structures are unremarkable. Old right rib fractures are again noted.

syncope.

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Pa and lateral views of the chest redemonstrate opacification of the left hemithorax, unchanged in appearance since the prior exam with air bronchograms and air-filled cystic structure adjacent to the left axilla. The right lung is grossly clear. Clips are seen within the right axillary region and right upper quadrant. No focal consolidation, right pleural effusion or pulmonary edema is identified.

cough. evaluation for pneumonia. history of non-small cell lung carcinoma and multiple recent necrotic pneumonia.

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Pa, lateral and an oblique view of the chest were reviewed and compared to the prior study. The subclavian line ends in the cavoatrial junction and follows and expected course without areas of kinking. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. Mild cardiomegaly and the mediastinal contours are unchanged. The third median sternotomy wire is fractured; however, remainder of the sternotomy wires are aligned and intact.

assessment of picc line placement in a patient with no blood return from picc line.

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Faint ground-glass opacities in the left upper lobe and lingula noted on ct are not clearly demonstrated on the radiograph. Otherwise, the lungs are clear. Cardiac and mediastinal silhouettes are normal. No acute fractures identified.

history of all status post intrathecal chemo and recent pneumonia with nausea, fevers, and chills.

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Heart size is top normal. The mediastinal and hilar contours are within normal limits. There is minimal atherosclerotic calcification at the aortic knob. The pulmonary vascularity is normal. Minimal streaky opacity in the left lung base is felt to reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

diabetes mellitus type <num>, hypertension, shortness of breath.

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The cardiac, mediastinal and hilar contours appear within normal limits allowing for low lung volumes. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.

chest pain and right-sided weakness.

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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unchanged with a moderate-sized hiatal hernia re- demonstrated. The pulmonary vasculature is not engorged. A trace left pleural effusion is noted with blunting of the posterior costophrenic sulcus on the lateral view. Lungs are otherwise clear. Mild degenerative changes are noted in the thoracic spine.

history: <unk>m with chest pain // ?pneumonia

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Pa and lateral views of the chest provided. There is increased right effusion now large in size, with associated compressive atelectasis of the right middle and lower lobe. Left lung is clear. No pneumothorax. Heart size is difficult to assess due to effacement of the right heart border. Mediastinal contour stable. Bony structures are intact.

<unk>m with sob // ?effusion

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Heart size is normal. Mediastinal contour is unremarkable. Atherosclerotic calcifications are noted at the aortic knob. Asymmetric enlargement of the left hilar region corresponds to the known posterior perihilar left lower lobe superior segment mass which is somewhat partially obscured on this exam, but appears grossly unchanged compared to the previous ct. Lungs are hyperinflated with emphysematous changes re- demonstrate in the upper lobes. No focal consolidation, pneumothorax, or pleural effusion is demonstrated. No acute osseous abnormality is detected.

history: <unk>m with newly diagnosed lung cancer with new onset atrial fibrillation

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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 c/o cp // ? pna

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In comparison to the prior exam, there appears to be increasing opacities particularly in the right upper lobe which may be related to worsening pulmonary edema versus redistribution of the moderately sized right pleural effusion. There may be a tiny left pleural effusion. Heart size remains normal. The patient is status post median sternotomy as well as cabg and mastectomy. Right-sided volume loss remains with shift of the mediastinum towards that side.

history: <unk>f with dyspnea // ? pulmonary edema

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. No rib fractures are seen.

history: <unk>m with assault // please eval for any evidence of trauma

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The right port-a-cath terminates at cavoatrial junction. Pacemaker leads terminate in right atrium and right ventricle. No consolidation. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is unchanged.

<unk> year old man with pacemaker and left temporal anaplasticastrocytoma // check pacemaker placement

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Large right pleural effusion is unchanged in size, with adjaent atelectasis of the right middle and lower lobe. The previously seen pulmonary venous congestion and interstitial edema has improved. Nonspecific right apical scarring is again seen.

<unk>-year-old male with liver disease and recurrent pleural effusions, evaluate pleural effusion

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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.

<unk>-year-old female with fever, question pneumonia.

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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 fevers, chills, ha. // ? pneumonia

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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 recen pna, pesistent cough, evel effusion // eval for effusion

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The lungs are well-expanded clear. The cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation.

history: <unk>f with cough and fever // r/o 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>f with h/o asthma, p/w productive cough, pleuritic pain // consolidation?

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In comparison with the study of <unk>, there is no interval change and no evidence of acute cardiopulmonary disease.

pre-transplant study.

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There is a new moderate pleural effusion on the left. There is associated atelectasis at the left base and a small amount of atelectasis at the right base. There are no consolidations. The cardiomediastinal silhouette is normal. There is no pneumothorax.

lower chest pain and decreased breath sounds on the left.

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The lung volumes are normal on the left. On the right, however, there is a large area of apical pleural thickening, combines to subtotal atelectasis and deviation of the minor fissure towards the lung apex. Hilus is also moved towards the lung apices. These findings are typically seen in old tb. In addition, two calcified granulomas are seen in the subpleural areas of the left hemithorax. Overall, prior exposure to tb is very likely, but no evidence of active disease is seen on the current radiograph. The well-ventilated lung parenchyma is unremarkable. No pleural effusions. Normal size of the cardiac silhouette.

ppd, rule out tb.

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The heart size seems to be mildly enlarged, but also exaggerated by ap projection. The mediastinal contours are normal. The right hilar structures are full and diffuse reticular nodular pattern is seen about the right lung. The left lung is clear. There is no appreciable pleural effusion or pneumothorax.

<unk>-year-old female with chest pain and cough as well as a recent upper respiratory tract infection.

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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 pulmonary edema is seen.

history: <unk>f with presyncope and ekg std lateral leads // eval for cardiomegaly vs edema vs pna

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Low lung volumes without evidence of lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild asymmetric elevation of the right hemidiaphragm is noted. The cardiomediastinal silhouette appears within normal limits.

history: <unk>m with neck pain, preop for likely cervical fusion // eval preop

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The cardiomediastinal and hilar contours are stable. The hila are prominent, which is accounted for by prominent vasculature. There is no pleural effusion or pneumothorax. The lungs are hyperexpanded with flattening of the hemidiaphragms, consistent with copd. There is no pneumonia or pulmonary edema.

<unk>m with sob // eval for volume overload

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Frontal and lateral chest radiograph demonstrates well-expanded and clear lungs, unchanged in appearance <unk>. Stable bulge at aortic arch corresponds to patient's known pseudoaneurysm as seen on ct chest dated <unk>. No pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are unremarkable.

weakness, nausea, vomiting, palpitations. assess for acute process.

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The lungs are clear without focal opacity, pleural effusion or pneumothorax. The heart is not enlarged. Prominence of the right hilum is likely in part due to the projection technique. Recommend repeat pa and lateral chest radiographs when the patient's clinical condition improves.

<unk>-year-old man with right arm numbness. evaluate for c-spine fracture.

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There are low lung volumes. There is elevation of the right hemidiaphragm, persistent since the prior study, with overlying atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema is seen. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.

<unk>f h/o hypertension-induced cardiomyopathy ef <unk>%, esrd p/w dizziness, sob // infection, congestion, any abnl

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There is new left basilar opacity silhouetting the hemidiaphragm. Elsewhere, the lungs are clear. Cardiac silhouette is mildly enlarged. Atherosclerotic calcifications are noted at the aortic arch. Left chest wall dual lead pacing device is seen with tips in the left ventricle left atrium. Calcified breast implants are noted. No acute osseous abnormalities.

<unk>f with cough // evidence of pneumonia

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The heart is moderately enlarged. Mitral calcifications are prominent along the annulus. The cardiac, mediastinal and hilar contours appear unchanged including tortuosity of the aorta and calcification along the arch. There is no pleural effusion or pneumothorax. The lungs appear clear. Moderate rightward convex curvature centered along the mid thoracic spine. The bones are probably demineralized.

shortness of breath.

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The patient is status post coronary artery bypass graft surgery. The heart is at the upper limits of normal size. The aortic arch is partly calcified. Prominence of right infrahilar vascularity is probably due to leftward rotation from the heart. The lungs appear clear. There is no pleural effusion or pneumothorax. Small osteophytes are noted along the thoracic spine.

chest pain.

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Normal cardiomediastinal and hilar contours. There is linear atelectasis at the left base. There is no focal consolidation to suggest acute pneumonia. Normal pleural surfaces.

<unk>-year-old man with presyncope. evaluate for evidence of pneumonia.

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The lungs remain hyperinflated, with flattening of the diaphragms and increased ap diameter.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with mild enlargement of the cardiac silhouette. The aorta is tortuous. No pulmonary edema is seen.

history: <unk>f with new afib // eval for infiltrate

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

question congestive heart failure.

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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 cp // r/o infiltrate

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The patient is status post median sternotomy and cabg. There is a single lead right-sided pacemaker with distal aspect of the lead not well seen due to underpenetration but grossly, unchanged in position as compared to the prior study. There are relatively low lung volumes which accentuate the bronchovascular markings. There is basilar atelectasis, particularly on the left. No definite focal consolidation is seen. The posterior costophrenic angles are not fully fully included on the lateral view but no large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.

altered mental status, 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>f with stroke-like smptoms

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

history: <unk>f with chest pain // r/o acute process

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In comparison with study of <unk>, there are continued low lung volumes with accentuate the transverse diameter of the heart. Persistent engorgement of ill-defined pulmonary vessels, consistent with vascular congestion. Small pleural effusions with compressive atelectasis at the bases. Of incidental note is an abnormal appearance to the distal clavicle on the right, possibly related to previous surgery.

chf, on amiodarone, to assess for change.

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The cardiac, mediastinal and hilar contours are normal. Diffuse, bilateral symmetric airspace opacities have progressed significantly compared to the previous exam. No pleural effusion or pneumothorax is seen. No pulmonary vascular congestion is present. There are mild degenerative changes in the thoracic spine.

dyspnea, cough, recent pneumonia, immunocompromised.

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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

syncope.

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Normal cardiomediastinal and hilar contours. Hyperinflated lungs reflect underlying copd. New bronchial cuffing and fine linear opacities at the left base may reflect aspiration or asymmetric pulmonary edema. Similar opacities were seen at the right base on <unk> with subsequent resolution on later radiographs and this pattern of rapidly emerging and resolving basilar opacities suggests recurrent aspiration. Normal pleural surfaces.

<unk>-year-old man with a history of copd, now with productive cough and rales on exam. clinical concern for left lower lobe pneumonia.

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There are relatively low lung volumes and bibasilar atelectasis. Lateral view is slightly suboptimal due to slight patient motion and under penetration, possibly due to body habitus. No pleural effusion is seen. There is no evidence of pneumothorax. Subtle bibasilar opacities may be due to atelectasis although underlying infectious process is not excluded in the appropriate clinical setting. The cardiac silhouette is top-normal. No evidence of free air is seen beneath the diaphragms.

history: <unk>m with fever and wekaness, pls eval for pna, pls perform as upright chest, had recent colonoscoypy and want to also r/o free air in abd // history: <unk>m with fever and wekaness, pls eval for pna, pls perform as upright chest, had recent colonoscoypy and want to also r/o free air in abd

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Relatively linear opacity in the right midlung is similar compared to prior, potentially atelectasis. There is no focal consolidation worrisome for pneumonia. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with worsening dyspnea over <num> weeks hiv // pna

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

<unk> year old woman with hx of intermittent angina, htn presenting with exertional chest pain // assess for acute cardiopulmonary process

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Lungs are well-expanded and clear. Heart is not enlarged. No pneumothorax, pleural effusion, or consolidation. Large hiatal hernia.

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

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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is minimal atelectasis in the left mid lung. There is no pleural effusion or pneumothorax. No displaced fracture is seen. A partially imaged stent projects in the right upper quadrant.

history: <unk>f with fall from wheelchair, r orbital hematoma, r hand swelling, chest tenderness // eval for evidence of trauma

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Ap upright and lateral views of the chest provided. Lung volumes are low with linear opacities in the lower lungs again seen likely representing atelectasis versus scarring. There is mild interstitial edema which is new from prior exam. No large effusion or pneumothorax is seen. The heart size appears within normal limits. Mediastinal contour is normal. No bony abnormalities are detected.

<unk>f with diffuse pain, c/o intermittent sob, decreased breath sounds on exam // acute process in chest?

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Patient is status post cabg with median sternotomy wires in place. Moderate cardiomegaly is unchanged. Triangular opacity in the superior segment of the left lower lobe is new since prior chest radiograph. Small left pleural effusion. No pleural effusion on the right. There is no focal consolidation. No pneumothorax. No central vascular congestion or overt pulmonary edema.

<unk> year old woman with recurrent aspiration pneumonia // any infiltrate

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Right-sided dual-lumen central venous catheter is noted with tip terminating in the proximal right atrium. Heart size is normal. Mildly widened mediastinal contour is unchanged, compatible with fat as noted on the prior mrv. Hilar contours are normal and the pulmonary vascularity is not engorged. There are lungs are clear. No pleural effusion or pneumothorax is seen. There is no acute osseous abnormalities.

evaluate port-a-cath placement.

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Projecting over the right upper lung is a questionable nodular opacity, a possible lung nodule. Elsewhere, the lungs appear clear. No pleural effusion or pneumothorax. Moderate degenerative changes are present along the mid thoracic levels.

left arm swelling and chest pain.

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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. There is no focal consolidation or pleural effusions. No pneumothorax is identified. The cardiomediastinal and hilar contours are within normal limits. The tip of a hickman catheter is seen within the right atrium unchanged in position when compared to radiograph dated <unk>.

<unk>-year-old male with history of aml. status post stem cell transplant with atypical chest pain.

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Lung volumes are low. Heart size is mildly enlarged with a left ventricular predominance. Mediastinal contours are unremarkable. There is no pulmonary vascular congestion. Patchy opacity is noted within the right lower lobe concerning for pneumonia. Minimal patchy opacities also noted within the right perihilar region. There is prominence of the left hilum. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

chest pain and dyspnea.

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Interval removal of right chest tube. Suggestion of tiny right apical pneumothorax, not definitely seen on prior exam. Marked enlargement cardiac silhouette, stable. Tiny right pleural effusion. Stable bilateral perihilar, right basilar opacities. Mild gastric distension, new. Stable right chest wall subcutaneous emphysema. Right thoracotomy. Arterial calcifications.

<unk> year old woman with rib fxs and hemoptx, s/p <num>ct, now with last ct d/c'd // ?ptx post-pull of ctplease take cxr at <unk> (<num>hrs post-pull)

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Frontal and lateral chest radiographs demonstrate a mild cardiomegaly. The lungs are well-aerated without focal consolidation, pleural effusion, or pneumothorax. Minimal atelectasis is noted in the lingula. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with dyspnea and chest pain.

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Pa and lateral views of the chest were provided. The heart is enlarged though this is stable. There is mild pulmonary interstitial edema. No large effusion. No focal consolidation to suggest pneumonia. Bony structures are intact. Clips in left axilla with evidence of prior left breast resection is again noted.

<unk>-year-old female with hyperglycemia, dizziness, obesity, question pneumonia.

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. There is redemonstration of a punctate metallic density overlying the left clavicle which is unchanged from prior study.

increased cough and decreased breath sounds at the right lung base.

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Pa and lateral views of the chest provided. Left chest wall aicd is noted with single lead extending to the region the right ventricle. The heart is mildly enlarged. There is no focal consolidation, effusion, or pneumothorax. Mild interstitial edema is likely present. The mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

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

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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. The thoracic spine shows no evidence of compression deformity or malalignment and no change from prior exam. Clips in the right upper quadrant of the abdomen are compatible with prior cholecystectomy.

<unk>-year-old female with upper back pain.

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Patient is status post median sternotomy with mitral and tricuspid valve replacements. Moderate to severe cardiomegaly is re- demonstrated, unchanged. Mediastinal and hilar contours are similar with marked mediastinal lymphadenopathy again noted. There has been interval removal of the previously noted left subclavian central venous catheter. Moderate to large loculated right pleural effusion remains unchanged with continued right basilar opacification. Left lung is clear. No pulmonary edema or pneumothorax is seen. No acute osseous abnormality is detected.

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

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Since <unk>, a moderate right pleural effusion and small left pleural effusion persists. Bibasilar atelectasis is improved since <unk>, appearing mild on the left and moderate on the right. Lungs are better aerated since <unk>. The heart size is unchanged. Median sternotomy wires are intact and aligned. Note is made of a replaced mitral valve. There has been interval removal of a right internal jugular introducer. No pneumothorax.

<unk> year old woman with continued need for oxygen // eval for effusions, atelectasis

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Frontal and lateral chest radiographs were obtained. The cardiac silhouette is mildly enlarged. The aorta remains tortuous. There is prominence as well as haziness of bilateral pulmonary vasculature consistent with mild interstitial pulmonary edema. A focal opacity is noted posteriorly within the lower lobes, likely in the right lower lobe, concerning for pneumonia. Linear atelectasis in the right mid lung field is noted. Small right pleural effusion is seen. No pneumothorax. Osseous structures are grossly unremarkable.

evaluation of patient with shortness of breath.

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In comparison with study of <unk>, cardiac silhouette remains at the upper limits of normal in size. No definite vascular congestion or pleural effusion. No focal consolidation.

cough with left lower lobe chest pain.

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The lungs are clear. The cardiac silhouette is normal. No pleural effusion, pneumothorax or focal consolidation is seen. No evidence of free air beneath the diaphragms.

abdominal cramping, rule out free air.

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Since <unk>, mild cardiomegaly, an otherwise normal mediastinum are stable, and small layering pleural effusions are stable, but mild pulmonary edema is worse. Bilateral lower lung opacification has increased. Whether this is dependent edema and atelectasis alone, or hides pneumonia is radiographically indeterminate. There is no pneumothorax.

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

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Right lung volume remains low but there is no focal lung abnormality on either side. Mediastinal fat is interposed between the cardiac apex and base of the left lung. Right subclavian infusion port terminates in the low svc. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of lymphoma on chemotherapy with fever. please evaluate for pneumonia.

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

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

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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. Limited assessment of the abdomen is unremarkable.

history: <unk>f with b/l <unk> swelling, mild "pulling by l upper chest // effusion?