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

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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 productive cough // r/o acute process

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Since the chest radiograph obtained <num> days prior, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or effusions. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. Incidental note is made of a mild pectus excavatum.

<unk> year old woman with cough and crackles in lll on physical exam. // infectious process?

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Ap and lateral views of the chest are compared to previous exam from <unk>. Biapical scarring is again noted. The lungs are otherwise clear where not obscured by overlying cardiac pacing device. There is no effusion. Dual leads are in stable position. Cardiomediastinal silhouette is stable. Osseous and soft tissue structures are unremarkable.

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

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New opacity in the left lower lobe. The lungs are otherwise well inflated. Right lung is clear. Mild vascular congestion. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

<unk>f with chf p/w worsening ble edema in the past <num> days. eval for pulmonary edema.

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The lungs are mildly hypoinflated with crowding of vasculature and left lower lobe atelectasis. Mild perihilar interstitial prominence is noted. No vascular engorgement. No pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are unremarkable.

<unk>m w/productive cough. assess for pna

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There is a small area of plate-like atelectasis in the right lower lung. Otherwise, the lungs are clear without infiltrate or effusion, and there is no significant change compared to the prior.

hypotension.

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There is a spinal stimulator projecting over the mid thoracic spine. Lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.

<unk>f with copd with cough and sob // eval pneumonia

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Improved expansion of the lungs with deeper inspiration is noted on the second of two pa views. The lungs are clear its except for focal linear atelectasis at the left base. The heart size is top-normal. The mediastinum is unremarkable. Known millimetric pulmonary nodules are better assessed on the prior ct from <unk>.

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

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Left picc is seen with tip in the upper svc. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities, no displaced fractures identified.

<unk>m with confusion, fall // rib fracture, pna

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There has been no definite change.

epigastric and chest pain.

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Lung volumes are low with fibrotic changes present at the lung bases. In addition there is increased airspace opacities, most pronounced on the right. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. There is no acute osseous abnormality. Calcifications project in the right upper quadrant

<unk>-year-old man with bibasilar crackles, evaluate for pneumonia or chf.

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Mild cardiomegaly exaggerated by pectus deformity is unchanged. The lungs are clear without pleural effusion, pneumothorax, or focal consolidation concerning for pneumonia. The left pacemaker, right atrial and right ventricular leads are unchanged.

<unk> year old man with cough and sob. evaluate for pneumonia.

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

dyspnea.

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The heart size is top normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lung volumes are low, with mild streaky opacities in the lung bases most likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

asthma exacerbation.

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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 n/v/d chest tightness // acute process

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Massive cardiomegaly is unchanged. Single pacemaker lead terminates in the right ventricle. The mediastinal and hilar contours are normal. The aortic arch is again calcified. Opacities at the lung base on the lateral radiograph have worsened. A small pleural effusion is seen in the posterior costophrenic sulcus, however the laterality is unclear.

history: <unk>m with dyspnea // acute process?

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. No evidence of pneumomediastinum.

history: <unk>f with history of pneumomediastinum and vomiting. evaluate for pneumomediastinum.

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The right ij catheter has been removed in the interim. Median sternotomy wires and replaced bowels appear intact and unchanged. Mediastinal clips are again seen. The lungs are well-expanded and without evidence of edema, focal consolidation, effusion, or pneumothorax. The heart is moderately enlarged, overall unchanged.

history: <unk>m with anemia and sob // pulmonary edema

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Mild cardiomegaly has been stable compared to the prior exam from <unk>. There is an interval increase in pulmonary vascular congestion, and mild to moderate pulmonary edema compared to the prior exam. There is no pleural effusion, or pneumothorax.

history: <unk>f with hypoxia, confusion // eval for infiltrate

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Pa and lateral views of the chest provided. A left chest wall pacer device is again seen with <num> leads extending to the region the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are again noted. There is fragmentation of the inferior most sternotomy wire, unchanged. The cardiomediastinal silhouette is unchanged with mildly prominent heart size. Lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Imaged bony structures are intact. Left ac joint arthropathy appears significant.

<unk>m with b/l facial and ue swelling

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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip in the region of the right atrium. Midline sternotomy wires and prosthetic cardiac valve are again seen. Lung volumes are low limiting evaluation. A similar overall pattern is seen compared with multiple prior imaging studies with prominent bronchovascular markings which in the setting of low lung volumes likely reflect bronchovascular crowding. The possibility of mild pulmonary vascular congestion is difficult to exclude in the correct clinical setting. There is no overt evidence for edema, effusion, pneumothorax or pneumonia. Cardiomediastinal silhouette is stable. Osseous structures appear intact.

<unk>m with brain ca also on warfarin s/p seizure please eval cardiopulm change / intracranial bleed

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There is blunt right posterior costophrenic angle raising concern for a small pleural effusion. No definite focal consolidation is seen. There is no pneumothorax. The right hemidiaphragm is mildly elevated. No overt pulmonary edema is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen along the spine.

history: <unk>f with tachycardia, malaise // eval for pna

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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>m with sob // infiltrate? pneumothorax?

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A catheter again ends in the superior vena cava. The aortic arch is partly calcified. Mild unfolding of the thoracic aorta is similar. The heart is normal in size. Streaky left basilar opacity suggests minor atelectasis or scarring. There is no pleural effusion or pneumothorax. Mild-to-moderate degenerative changes are similar along the thoracic spine.

malaise and hypotension following recent surgery.

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Lung volumes are low which accentuates the cardiac silhouette and pulmonary vasculature. Moderate cardiomegaly is unchanged given difference in technique with unchanged mediastinal contour. There is slight prominence of the central pulmonary vasculature suggestive of fluid overload. There is no frank interstitial edema. A left-sided <num> lead pacer remains in unchanged position. There is mild bibasilar atelectasis with some hazy peripheral opacity in the right lung field which may be related to check-in fluid from the small right-sided effusion. There is no pneumothorax. There is no distracted rib fracture although evaluation is difficult given technique. A compression deformity of a mid thoracic vertebral body is unchanged since <unk>.

fall from walker with left chest pain and right knee pain.

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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Note is made of an azygos lobe. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old male with fall, altered sensorium.

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Frontal and lateral radiographs of the chest demonstrate well-expanded lungs. A chest tube projects over the right hemithorax. There is elevation of the right hemidiaphragm. There is minimal right-sided pleural effusion. The previously noted consolidation in the right upper lobe is slightly less dense as compared to the prior study. There is stable rightward mediastinal shift. The left lung is clear.

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

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The previously seen right hilar asymmetry corresponding to hilar adenopathy on prior chest ct appear slightly increased in size compared with prior studies. A nodule in the right lower lung is more prominent compared with the prior study, and may represent summation artifact. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema.

<unk> year old woman with one week persistent cough, evaluate for pneumonia.

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The left hemidiaphragm is elevated with associated mild atelectasis in the left lung base, similar to prior exams. Otherwise, the lungs are well expanded and clear. The cardiomediastinal silhouette is stable from multiple prior exams. There is no pleural effusion or pneumothorax.

<unk>f with ams // eval for pna, eval for bleed

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Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

syncope.

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The cardiac, mediastinal and hilar contours appear unchanged. Mild coarsening of lung markings in the upper lungs is fairly similar to the prior study allowing for differences in technique. There is no pleural effusion or pneumothorax. The right hemidiaphragm is mildly elevated with respect to the left. The bones are probably demineralized.

worsening <unk>'s disease symptoms.

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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 chest pain

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The lungs are clear. Mild-to-moderate enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen.

history of sickle cell disease with recent admission and continued chest pain. assess for pneumonia.

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There has been interval resolution of the previously seen mild opacity in the left upper lobe.bibasilar linear atelectasis is noted. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.

<unk> year old woman with previous pneumonia <num> weeks prior // eval for resolution of pneumonia seen on cxr <unk>

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. Incidental note is again made of an azygos fissure, consistent with a normal variant. There is a patchy left basilar opacity, predominantly in the left lower lobe, which is nonspecific but probably compatible with atelectasis. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. A deformity involving the course of the right lateral seventh rib appears unchanged and may be due to remote prior trauma.

chest pain.

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As compared to the previous radiograph, the lung volumes have increased, potentially reflecting improved ventilation. There is unchanged evidence of multiple massive bilateral diffuse pulmonary nodules and now bilateral, left more than right pleural effusion. Unchanged size of the cardiac silhouette. Unchanged right pectoral port-a-cath.

pleural effusion, evaluation.

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Pa and lateral images through the chest demonstrate clear lungs bilaterally. Heart size is top normal. Mediastinal and hilar contour is otherwise unremarkable. There is no pleural effusion. There is no pneumothorax. Visualized osseous structures demonstrate no acute abnormality. Right sided port-a-cath is identified terminating within the right atrium.

<unk>-year-old female with dyspnea on exertion x<num> week.

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There is new mild moderate pulmonary edema mostly characterized by new bilateral perihilar opacification. Patchy opacity at the left lung base suggests minor atelectasis. The cardiac, mediastinal and hilar contours appear unchanged. There is a dual-lead pacemaker/icd device has leads terminating in the right atrium and ventricle, respectively. Trace pleural effusions are suspected. Moderate degenerative changes affect the lower thoracic spine.

fever, nausea and vomiting.

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A right-sided pleural effusion has increased substantially and is now large with associated parenchymal opacification, not specific but compatible with atelectasis. There is no net shift of mediastinal structures. The left lung remains clear. There is no pneumothorax. Mild degenerative changes are similar along the thoracic spine. Cholecystectomy clips project over the right upper quadrant.

pleural effusion.

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Cardiomediastinal silhouette is stable. Pacemaker leads are unchanged position. Increased airspace opacities projecting over the lower spine on the lateral radiograph could represent pneumonia in the appropriate clinical context. There is no pleural effusion or pneumothorax.

<unk> year old woman with cough, wheezing, rll rales // eval penumonia

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

<unk>f with food bolus in esophagus, no crepitus but pls eval for subq air //

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The lung volumes are normal. No evidence of metastatic disease. Normal appearance of the hilar and mediastinal structures. Normal appearance of the cardiac silhouette. No pleural effusions.

melanoma, rule out metastatic disease.

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Pa and lateral views of the chest demonstrate a ring-shaped opacity right upper lobe, previously seen on pet-ct from <unk>, and described as a cavitary nodule. Additional pulmonary nodules identified on recent pet-ct are not as well evaluated on this study, as ct is more sensitive. The heart size is stable and the aortic contour is tortuous, but unchanged since the prior study. There is no evidence of pulmonary edema or pleural effusion. No pneumothorax is present.

chest pain with radiation down the left arm. evaluation of the aortic contour.

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Single lead pacemaker device appears unchanged. The heart is normal in size. The aortic arch shows calcification. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.

weakness.

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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

chest pain.

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Ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Clips are noted in the right upper quadrant.

<unk>f with fever and ha // ? pneumonia

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The lungs are slightly hyperinflated. Otherwise, the lungs are clear without focal consolidation or pulmonary edema. No pleural effusion or pneumothorax. No suspicious pulmonary nodule or mass. No acute rib fracture on this nondedicated study. The cardiomediastinal silhouette, hila, and pleura are unremarkable. No pneumoperitoneum.

<unk> year old man with anterior rib pain and ? underlying malignancy. evaluate for bony abnormality.

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Frontal and lateral radiographs of the chest demonstrate no pneumothorax. As compared to the prior radiograph, the left chest tube has been removed and there is small amount of subcutaneous emphysema in the left chest wall. The right lung is unchanged in appearance.

history of tuberculosis and left pneumothorax. rule out pneumothorax post chest tube removal.

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There is subtle increased retrocardiac opacity which correlates with increased density projecting over the spine on the lateral view. Elsewhere the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with sob, s/p vocal cord surery, +green sputum pls eval for pna // history: <unk>m with sob, s/p vocal cord surery, +green sputum pls eval for pna

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Right-sided chest tube still projects at the right lung base. Residual small pleural effusion has improved. Small left pleural effusion is unchanged. The remaining of the lungs are unremarkable except for compressive atelectasis. Mediastinal and cardiac contours are normal. There is no pneumothorax.

patient with empyema, chest tube drain is still in place, evaluate for interval change.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. Posterior basilar opacity not apparent on the frontal view appears very similar to the prior examinations, so there is no evidence for an acute process. A remodeled left clavicle fracture appears old.

hypoxia.

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The cardiac, mediastinal and hilar contours are stable. The heart is mildly enlarged. There are patchy opacities in both lower lungs, including within the lingula and right lower lobe, possibly the left lower lobe as well. These could be seen with pneumonia but more generally, there is also a mild interstitial abnormality suggestive of interstitial edema. A trace pleural effusion is suspected on the right. Fissures are thickened. Bones are not well assessed but no abnormality is identified.

cough and sputum production.

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The patient is status post cabg and aortic valve replacement. Median sternotomy wires are well aligned and intact. The previous left basilar opacity is significantly improved or resolved. The right mid lung opacity is resolved. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are normal. There is no pulmonary vascular congestion. Mild volume overload on comparison exam is resolved. Apical pleural thickening, right greater than left, is re- demonstrated. There are no focal opacities concerning for pneumonia. Tiny bilateral pleural effusions are not appreciably changed. Tortuosity and calcification of the thoracic aorta is again noted.

mds and recent pneumonia, with worsening shortness of breath. evaluate for infiltrates.

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Two views of the chest were obtained. Re-demonstration of large left perihilar mass which appears unchanged since prior examination dated <unk>. No new focal consolidation is identified. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.

<unk> m-year-old male with altered mental status, fevers and cough. evaluate for pneumonia.

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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with cough, sob // ?cpd

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

fatigue, evaluate for acute cardiopulmonary process.

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Frontal upright and lateral chest radiographs demonstrate low lung volumes. Cardiomediastinal contour is unchanged compared to the prior study. The heart is normal in size. Eventration of the right hemidiaphragm is stable. The lungs are clear without focal consolidation. There is no pleural effusion and no pneumothorax.

chest pain, evaluate for infiltrate.

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Pa and lateral chest radiographs were obtained. A moderate right and small left pleural effusion are present with associated overlying atelectasis. Otherwise, the lungs are clear with no focal consolidation, nodule, or pneumothorax. The heart and mediastinal contours are normal.

<unk>-year-old man with abdominal pain, question free air or acute cardiopulmonary process.

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Diffuse bilateral pulmonary nodules and masses are again noted. There is apparent increase in the burden of disease when compared to prior exam. There is no definite consolidation worrisome for infection although one could easily be obscured. Cardiomediastinal silhouette is stable. Left-sided pigtail catheter is no longer visualized. Left chest wall dual lead pacing device is again noted. No acute osseous abnormalities.

<unk>m with fever // r/o infiltrate

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Heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Minimal atelectasis is seen in the left lung base. Multilevel mild degenerative changes are noted in the thoracic spine.

history: <unk>m with recent fall

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

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

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Heart size is normal. Mediastinal silhouette and hilar contours are unremarkable. Increased reticulation at the lung bases is suggestive of mild edema. Ovoid opacities in bilateral lower lung fields have no lateral correlate and likely represent nipple shadow. The lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.

asymptomatic hypoxia.

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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 chest examination of <unk>. Heart size within normal limits. No typical configurational abnormality is seen. Unremarkable appearance of thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on frontal view. Skeletal structures of the thorax grossly unremarkable. In comparison with the previous examination, no significant interval change has occurred.

<unk>-year-old female patient with weight loss, evaluate for mass.

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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.

cirrhosis with shortness of breath and chest pain.

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The cardiac, mediastinal and hilar contours are unremarkable. Heart size is normal. Diffuse atherosclerotic calcifications are noted throughout the aorta. Lungs are hyperinflated with bullous changes again noted most pronounced in the upper lobes. Patchy opacities are re- demonstrated most pronounced in the right lower lobe, but also involving the right upper and left upper lobes. Chain sutures are noted in the right apex. No new focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are seen in the thoracic spine.

known bullous emphysema with mechanical fall. increasing confusion.

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When compared to prior, there has been near complete resolution of the bibasilar opacities with some persistent irregular interstitial markings, particularly in the retrocardiac region. Superiorly, lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with cough, hemoptysis, recurrent pna s/p l sided vats <unk> abscess, recent d/c // eval ? pna

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Distal aspect of the right sided picc is difficult to see but likely terminates in the low svc/ cavoatrial junction. Patient is status post median sternotomy and cabg.there are small to moderate bilateral pleural effusions with overlying atelectasis. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with ftt // eval for acute process

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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Patchy opacity is noted within the left lower lobe which is concerning for pneumonia. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

cough.

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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Calcified right upper lobe nodule has been unchanged since at least <unk> signifying benignity.

history: <unk>m with neck/jaw pain x<num> minutes, htn, hld // evaluate for acute process

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The lungs are normally expanded. There is faint asymmetric opacity projecting over the right upper lung. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There are surgical clips in the anterior mediastinum.

history: <unk>m with tachycardia, fever, chills // eval for pna

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A chest tube remains in place with a small right apical pneumothorax. There is also a moderate-sized pleural effusion on the right. Allowing for slight differences in positioning and decreased lung volumes, the extent of fluid is not clearly changed. There is probably some degree of atelectasis at the right lung base, as before, although findings are not specific on radiography. A tips shunt projecting over the right upper quadrant shows some narrowing along the mid portion of the stent, similar to the prior findings, and again noted are vascular coils projecting over the epigastric region to the left of midline as well as patchy calcification in the left upper quadrant. The left lung remains clear with noting a very small pleural effusion only on the left.

shortness of breath. question effusion.

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Pa and lateral views of the chest provided. Lung volumes are low with faint bibasilar atelectasis noted. No convincing signs of pneumonia, edema, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with chest heaviness and recent cardioversion

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Ap and lateral views of the chest show no focal airspace consolidation. The lung volumes are low in comparison to the prior exam. There is increased interstitial prominence, which is likely due to low lung volumes. There is no definite pulmonary edema, pleural effusion or pneumothorax. The cardiac size is mildly enlarged, unchanged from the prior exam. The mediastinal contours are stable. There is a sclerotic lesion in the right humerus. The remainder of the bones are markedly dense and irregular, which is consistent with the patient's history of known metastatic prostate cancer. Degenerative changes are noted in the right glenohumeral joint. No fracture is identified.

fever. history of metastatic prostate cancer.

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Frontal and lateral views of the chest demonstrate small bilateral pleural effusions. Pulmonary edema is new since prior exams. Hilar and mediastinal silhouettes are unremarkable. Heart has slightly increased in size since prior. No pneumothorax. Sternotomy wires appear intact. Multiple clips project over cardiac silhouette. Partial imaged upper abdomen is unremarkable.

cough. assess for pneumonia.

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The lungs are well expanded and clear. An ovoid radiopacity in the upper left lung field is unchanged since at least <unk> and represents calcification of the sternoclavicular joint as noted in the prior ct. Cardiomediastinal and hilar contours are unremarkable. Right hilar calcified lymph nodes are unchanged and compatible with prior granulomatous disease. There is no pleural effusion or pneumothorax. Mild aortic tortuosity is present.

<unk>-year-old female with acute change in mental status. evaluate for acute cardiopulmonary process.

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Patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable. Left base opacity is similar, likely representing combination of pleural effusion and atelectasis underlying consolidation difficult to exclude. Again seen slight interstitial prominence in the mid to lower lung fields bilaterally, left greater than right, may be chronic or due to mild edema or aspiration or infection.

history: <unk>m with fever, cough // pna

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The cardiac, mediastinal and hilar contours appear stable. There is severe emphysema with unchanged areas of scarring in the right lower lobe. The chest is hyperinflated. The upper part of an aortic stent graft is partly visualized. There is no evidence of superimposed acute process. There has been no significant change.

fever.

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Frontal and lateral views of the chest. Left chest wall dual lead pacing device is seen with leads in unchanged position. Calcified granuloma projects over the left lower lung. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is stable. No acute osseous abnormality is identified. Colonic interposition seen with colonic loops below the right hemidiaphragm similar to prior.

<unk>-year-old male with prior hypotension and altered mental status.

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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. Streaky opacity in the lingula is consistent with minor scarring or atelectasis. Otherwise, the lungs appear clear. Bony structures are unremarkable.

chest pain.

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Frontal and lateral views of the chest are compared to previous exam from <unk>. Low lung volumes again seen on the current exam with discoid atelectasis at the left lung base. Lungs are clear of large confluent consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

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

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The heart is normal in size. There is a prominent epicardial fat pad. The lungs appear clear. There is an expansile lytic area along the suspected along the anterior lateral fourth rib, which is incompletely characterized. There are streaky opacities in the adjacent parenchyma. There is no pleural effusion or pneumothorax.

thalamic bleed. fever.

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Frontal and lateral views of chest show no pleural effusion, pneumothorax or focal airspace consolidation. The lungs are well inflated. The cardiac and mediastinal contours are unremarkable. The hilar structures are normal.

fever, evaluate for pneumonia.

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The patient is rotated. Increased retrocardiac opacity with less distinctness of the lateral border of the thoracic aorta since <unk> probably reflects increasing atelectasis in the setting of new elevation of the left hemidiaphragm which supports volume loss. However, underlying infection in the appropriate clinical scenario cannot be completely excluded. Slightly increased opacity in the right lower hemithorax on the frontal view may reflect positional changes. A right lower lobe subpleural nodule is better appreciated on the ct from <unk>. The heart remains moderate to severely enlarged, similar to the prior exam. Mediastinal contours and position of the trachea on the frontal view are also similar to the prior ct from <unk>. No pneumothorax or pleural effusion. No frank pulmonary edema. Degenerative changes in the thoracic spine are extensive in the bones appear relatively demineralized, unchanged. Surgical clips in the left upper abdomen are new from the prior chest radiographs, but present on the prior ct.

<unk>-year-old woman with a history of palpitations. evaluate for pneumonia.

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Frontal and lateral chest radiographs demonstrate a heart which is top-normal in size, unchanged. There is no concerning focal consolidation, pleural effusion, or pneumothorax. An elevated left hemidiaphragm is confirmed on ct from the same day. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with altered mental status and fractures.

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Compared with <unk>, inspiratory volumes are improved. Heart size at the upper limits of normal, but unchanged. No chf. Again seen is platelike opacity at both lung bases, more pronounced on the right. Compared to <unk>, the right base opacity is slightly larger. The lungs are otherwise grossly clear, without focal infiltrate or consolidation. Possible minimal blunting of the costophrenic angles, but no gross effusion.

<unk> year old man with new fever // ?pna

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Pa frontal and lateral chest radiograph demonstrates well expanded and clear lungs with no focal consolidation. There is no pleural effusion or pleural abnormality identified. Cardiomediastinal and hilar contours are remarkable only for tortuous descending aorta. Heart size is normal. There is no pulmonary edema. No findings to suggest large mediastinal lymphadenopathy. No pneumothorax.

<unk>-year-old female with churg <unk> vasculitis on immunosuppression. <num> week of cough and upper respiratory infection symptoms.

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Frontal and lateral views of the chest were obtained. Mild cardiomegaly is chronic. Cardiomediastinal contours are stable. The lungs are hyperinflated, suggestive of copd. No focal consolidation, pleural effusion, or pneumothorax. An electronic device, potentially a usb drive, projected over the left chest is similar to prior and appears external to the patient.

<unk>-year-old male with altered mental status and cough.

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Two frontal and one lateral views of the chest. The lungs are clear of consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.

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

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The cardiac silhouette size is normal. The aorta is tortuous and diffusely calcified, unchanged. Moderate size hiatal hernia is re- demonstrated. Pulmonary vascularity is normal. Lungs demonstrate minimal atelectasis within the lung bases, but no focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected.

abdominal pain.

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine

<unk> year old man with cough x <num> weeks // r/o pna

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. No free air is noted under the hemidiaphragm

right upper quadrant pain.

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

chest pain. evaluate for pneumothorax.

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The patient is status post sternotomy. The heart is moderate to severely enlarged, as seen previously. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. An opacity in the right lung has resolved. Mild loss in height of a few lower thoracic vertebral bodies appears stable and not substantial. Slight rightward convex curvature is centered at the thoracolumbar junction.

fever and asthma exacerbation.

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Pa and lateral views of the chest provided. Airspace consolidation is noted within the right middle lobe and right lower lobe. Subtle opacity in the left lung base may also represent a focus of pneumonia. The upper lungs are well aerated. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with pmhx hiv <num> day sob, r sided cp // eval for consolidation, ? pjp

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A dual-lead pacemaker/icd device appears unchanged, with leads again terminating in the right atrium and ventricle, respectively. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. The chest is hyperinflated. Fissures are perhaps slightly more thickened. There is no pleural effusion or pneumothorax. A mild interstitial abnormality appears increased, overall probably slight congestion.

dyspnea.

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The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. No focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen.

<unk> year old man with + ppd // <unk> year old man with + ppd read questions of active tb

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The lungs are well inflated and grossly clear. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation worrisome for pneumonia. The cardiomediastinal silhouette is unremarkable.

<unk> year old woman with left neck pain and left pleuritic/rib pain // evaluate for pneumonia

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The lung volumes are low but without focal airspace opacity to suggest pneumonia. The heart is not enlarged. Again there are calcified mediastinal lymph nodes. The aorta is calcified. There is no pleural effusion or pneumothorax. No displaced rib fracture is seen.

fall.

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Heart size is normal. Mediastinal contour is unchanged. Prominence of the hila bilaterally may be due to underlying lymphadenopathy, and appears grossly unchanged. Pulmonary vasculature is not engorged. Severe cystic bronchiectasis is noted in both lung bases, with marked wall thickening and increased patchy and nodular opacification in the lung bases concerning for bronchitis and bronchopneumonia. No large pleural effusion or pneumothorax is present. There are no acute osseous abnormalities detected.

history: <unk>f with chest pain // eval cardiopulmonary process

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Cardiac size is normal. Enlargement of the pulmonary arteries is again noted. There is minimal vascular congestion, otherwise the lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old woman with pre vq scan // pre vq scan