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

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The lung volumes are hyperexpanded, compatible with copd and emphysema. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. The previously described right lung base opacity has resolved from <unk>. Increased lucency of the right lower lung zone is unchanged. The heart is normal size. There is no pulmonary edema. The mediastinal and hilar contours are unremarkable. Old bilateral rib fractures are noted.

chest pain and shortness of breath. evaluate for pneumonia.

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The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. A right infrahilar consolidation seen on pa view which corresponds to consolidation projecting over the anterior cardiac silhouette on lateral view, consistent with small region of right middle lobe pneumonia. No pleural effusions or pneumothorax are seen.

<unk> year old woman with hx lupus nephritis on mycophenolate with <num> weeks of cough, uri symptoms and intermittent fever // please evaluate for pneumonia

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There is stable enlarged cardiac silhouette without signs of pulmonary edema or pulmonary vascular congestion. There is poor definition of one hemidiaphragm suggestive of pleural thickening or pleural effusion. The lungs are otherwise clear. There is no pneumothorax. Dual-lead pacer is again seen with lead terminating in expected position at the right ventricle.

<unk>-year-old with signs and symptoms of chf exacerbation.

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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.

evaluation, with a history of ppd.

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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No typical configuration abnormalities identified. Thoracic aorta of ordinary <unk> and no significant calcium deposits are seen in the wall. The pulmonary vasculature is not congested. No evidence of acute parenchymal infiltrates are present. There is mild blunting of the right lateral pleural sinus, but as the posterior pleural sinuses are free, there is no evidence of free pleural effusion. No acute infiltrates can be identified. Skeletal structures are well preserved, considering the patient's high age causing mild degree of vertebral body demyelinization is seen in the thoracic spine, which demonstrates a mildly accentuated kyphotic curvature. No evidence of vertebral body compression fractures is seen.

<unk>-year-old male patient with aortic stenosis, progression of dyspnea symptoms, status post cardiac catheterization today, plan for aortic valve replacement, pre-operative chest examination.

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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Normal size of the cardiac silhouette. No pulmonary edema, no pleural effusions. No pneumothorax. Mild scoliosis persists.

productive cough, rule out pneumonia.

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Moderate to severe enlargement of the cardiac silhouette has increased compared to the prior exam. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized. No free air is seen under the diaphragms.

abdominal distention.

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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 sudden onset dyspnea, presyncope, tachycardia this evening otherwise asymptomatic // eval ? effusion, infiltrate, ptx

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Pa and lateral chest radiograph demonstrate innumerable diffuse nodular opacities as well as a dominant mass within the left upper lobe measuring <num> x <num> cm. Findings are in keeping with recent ct chest dated <unk> concerning for multiple metastatic nodules and dominant mass. Left hilar contours is consistent with hilar adenopathy. In comparison to radiograph dated <unk>, no large new opacity suggestive of pneumonia is identified. There is no pleural effusion or pneumothorax. No air under the right hemidiaphragm is identified. Heart is within normal limits in size.

<unk>-year-old male with cough.

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Right hemodialysis catheter terminates in the right atrium. Median sternotomy wires appear intact. Multiple clips project along the anterior left mediastinum. Moderate cardiomegaly is unchanged. There are equivocal trace bilateral pleural effusions blunting the costophrenic sulci posteriorly. There is no pneumothorax. Lung volumes are slightly low. There is pulmonary vascular congestion without overt edema. There is no convincing evidence of pneumonia. Evaluation of the osseous structures is limited on this study, however no displaced rib fractures detected.

history: <unk>f s/p fall, hx of multiple pneumonia // rule out pneumonia, or rid fracture

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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No focal parenchymal opacities. No pulmonary edema. No pneumothorax. Normal size of the cardiac silhouette, normal hilar and mediastinal contours.

evaluation for acute disease.

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The heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are identified.

shortness of breath.

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Heart size is mildly enlarged, unchanged. Mediastinal contour is similar. Right internal jugular central venous catheter has been removed. There is a new focal consolidative opacity in the right upper lobe concerning for pneumonia. Minimal patchy opacities are also seen in the lung bases which could reflect additional sites of infection or atelectasis. Lungs are hyperinflated with mild emphysematous changes again noted. There is minimal blunting of the costophrenic angles posteriorly on the lateral view suggestive of trace bilateral pleural effusions. No pneumothorax is identified. No acute osseous abnormalities seen.

history: <unk>m with palpable left side chest pain

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Again, there is a triangular-shaped opacity in the right mid lung zone, consistent with right middle lobe atelectasis. Scarring in the right mid lung zone and along the left base is unchanged. The possible nodular opacity in the left upper lung zone appears similar to the prior exams and represents the costochondral junction. There is no new opacity, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal other than atherosclerotic calcifications at the aortic arch. An eventration of the right hemidiaphragm is unchanged. Surgical clips in the right upper quadrant are likely from a prior cholecystectomy.

gait instability. evaluate for infection.

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There are resolving right upper and right lower consolidations. The previously seen pulmonary vascular engorgement is improved in appearance. There are small bilateral pleural effusions. There is in interstitial abnormality, likely related to edema, which appears improved. There is mild cardiomegaly and the hila are grossly normal.

evaluation for pneumonia.

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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The thoracic aorta is moderately tortuous. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Multilevel moderate thoracic spondylosis is present.

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

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Pa and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear aside from mild left base atelectasis. No pleural effusion or pneumothorax. No displaced rib fracture identified.

cough and fever, question pneumonia.

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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.

<unk>m with fever // eval pneumonia

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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

cough. rule out an acute process.

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In comparison to the chest radiographs obtained <unk>, there is a decrease in the severity and extent of micronodular and interstitial opacities. No new lung opacities. Calcified granuloma in the left upper lung is unchanged since at least <unk>. Heart size is top normal without pulmonary vascular congestion or pleural effusions. Median sternotomy wires are midline and intact. A dual chamber pacemaker is unchanged in the position with appropriately placed leads.

<unk> year old man with afib, cardiomyopathy, who had ards and respiratory failure due to amiodarone. now off amiodarone for <num> months. // any improvement in the infiltrates

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The heart size is normal. The mediastinal and hilar contours are unchanged, with mild tortuosity of the descending thoracic aorta again noted. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. Scarring within the lung apices is present. There are no acute osseous abnormalities. Remote fractures of several left sided ribs are re- demonstrated.

chest pain and wheezing history.

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There is a moderate to large pleural effusion on the left which is similar in size allowing for differences in technique. There is probably associated atelectasis of the lingula and left lower lobe. On the right, there is a small pleural effusion with curvilinear peripheral opacification which suggests round atelectasis. The degree of effusion on the right side has decreased. Otherwise, there has been no definite change.

shortness of breath.

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The cardiomediastinal silhouette and hilar contours are unremarkable. The patient is status post cabg with median sternotomy wires and clips in place. Lungs are clear. There is no pleural effusion or pneumothorax.

known coronary artery disease with shortness of breath and chest pain.

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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, as are the hila contours. No displaced fracture is seen. The focus of superior right lower lobe opacity seen on subsequent chest ct is not appreciated on this less sensitive study.

syncopal episode last night.

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Pa and lateral images of the chest. The lungs are well expanded and clear. Mild prominence of the pulmonary vasculature is noted. No mass or consolidation is seen. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is mildly enlarged, stable from prior exam. Possible mitral annulus calcification is seen.

weakness, fall.

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A left-sided pacemaker generator and <num> leads are seen in appropriate position. Heart size is normal. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are clear. There is no pneumothorax. There are no pleural effusions. There are no acute osseous abnormalities.

<unk> year old man with new pacemaker // evaluate for lead placement and pneumothorax

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The lungs are hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with fever // evaluate for pneumonia

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There is mild cardiomegaly but no pulmonary edema. The mediastinum and the hila demonstrate likely calcified lymph nodes. Unchanged mild blunting of the left costophrenic angle, likely due to a small effusion. There is no pneumothorax and no focal lung consolidation.

<unk>-year-old with chest pain.

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Frontal and lateral chest radiograph demonstrates well-expanded lungs with no clear focal consolidation to suggest pneumonia. Within the left lower lobe but there is linear opacification, most likely atelectasis and which may represent proximal bronchial narrowing. The cardiomediastinal and hilar contours are within normal limits. No definite large pleural effusion is identified. Note is made of a lower thoracic compression fracture, new since <unk>, as well as left posterior rib expansion consistent with known history of myeloma.

<unk>-year-old male with myeloma and <num> days of coughing.

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Severe cardiomegaly with left atrial enlargement has worsened since the prior study. No pleural effusion or pneumothorax is seen. Central pulmonary vascular engorgement is seen. No definite focal consolidation. Median sternotomy is noted.

<unk>m with increasing confusion over the past few days, dizziness, unsteadiness this morning. on coumadin for mechanical valve and afib. // <unk>m with increasing confusion over the past few days, dizziness, unsteadiness this morning. on coumadin for mechanical valve and afib.

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The lung volumes are low. Allowing for this, there is no convincing evidence of consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.

<unk> year old woman with chest pain // please evaluate for pna

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Low lung volumes again cause bronchovascular crowding. There is no focal consolidation, effusion, or pneumothorax. Bibasilar atelectasis is mild. Cardiomegaly is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Left chest cardiac device, pacer leads, and mediastinal clips are in similar position compared to prior. Imaged sternal wires are intact.

history: <unk>m with weakness.*** warning *** multiple patients with same last name! // is there pna?

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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. The lungs are clear bilaterally. Prominent epicardial fat pads likely account for subtle effacement of the lower heart borders. 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 history of aortic dissection repair, cardiomyopathy, presenting with syncope.

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Chin flexion obscures each medial lung apex. Lung volumes are low. Within the limitations of technique, the cardiac, mediastinal and hilar contours are probably within normal limits. There is no pleural effusion or pneumothorax. The visualized lung fields appear clear.

cough. question pneumonia.

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In comparison to the most recent chest radiograph from <unk>, there is <unk> increased opacity <unk> the left lung base with silhouetting of the left hemidiaphragm. Otherwise, the right hemithorax demonstrates atelectatic changes, but without focal <unk>consolidation. Cardiomediastinal silhouette remains moderately enlarged. Atherosclerotic disease is again noted <unk> the aortic arch. No acute fractures are identified.

evaluation of patient with weakness.

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.

sudden onset chest pain.

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As compared to the previous radiograph, no relevant change is seen. The lung volumes remain low. Areas of plate-like atelectasis are seen at both lung bases. These are combined with a mild known right pleural effusion. No new parenchymal opacities. No pulmonary edema. No pneumothorax. Known subtle calcifications in the right lung apex.

acute pancreatitis, shortness of breath.

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The heart is moderately enlarged, as before. Central pulmonary arteries also appear mildly prominent. A calcified granuloma projects over the right lateral mid lung, as before. There is no pleural effusion or pneumothorax.

hypotension.

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Venous catheter tip in the upper svc. Pulmonary edema has nearly resolved. Mild pleural effusions have decreased. . Improved bibasilar opacities, likely improving atelectasis and edema, consider pneumonia, particularly on the left, if clinically appropriate. No pneumothorax. Decreased pulmonary vascularity. Stable heart size.

<unk> year old man with dyspnea overnight, non-productive cough, improved saturation with <unk>mg iv lasix. // interval change in chest x-ray. ?pulmonary congestion? any effusion? pna?

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Few punctate nodules are noted bilaterally, suggestive of previous visualized multiple bilateral nodules measuring up to <num> mm and better delineated on dedicated ct chest from <unk>. Otherwise, the lungs are without a focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. No acute fractures are identified.

cough.

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The lungs are well inflated. There is mild interstitial edema. The heart size is top normal. There is a trace unilateral, perhaps right pleural effusion. There is no pneumothorax.

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

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The cardiac, mediastinal and hilar contours appear stable including a stable bulging contour to the right lateral mid peritracheal stripe suggesting lymphadenopathy, probably unchanged. There is no pleural effusion or pneumothorax, but there is new very mild right lateral pleural thickening. The lungs appear clear. The right lateral seventh rib shows a new contour irregularity with a sclerotic line suggesting interval fracture, otherwise age-indeterminant.

hepatitis-c, sarcoidosis, and status post recent fall with right-sided reproducible chest pain.

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In comparison with the study of <unk>, the pneumothoraces have essentially cleared. Right ij catheter has been removed. Streak of atelectasis or fibrosis is again seen at the right base, though the left base is clear. Otherwise, little change in the appearance of the heart and lungs.

bilateral pneumothoraces after surgery.

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Mild linear left basilar atelectasis/scarring is seen. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema. No significant change since the prior study.

history: <unk>m with hiv, crackles rll // acute process

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Pa and lateral views of the chest were provided. Lung volumes are somewhat low. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top normal heart size. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.

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

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fracture or bony abnormalities are identified, although this study is not tailored for detection of rib fractures.

<unk>-year-old female status post fall. evaluate for thoracic injury.

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Slight increase in opacity projecting over the posterior lower lungs on the lateral view is stable since the prior study and may relate to overlapping structures. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Hilar contours are also stable.

hiv question infiltrate.

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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 unchanged. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. Mild thoracic dextroscoliosis again noted.

right lower leg pain and shortness of breath.

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The lungs are clear without focal consolidation. Lateral view is limited by a low lung volumes and secondary basilar atelectasis. There is no effusion or edema. Cardiomediastinal silhouette is stable. Prominent soft tissue the right aspect of the upper mediastinum is compatible with tortuosity of the great vessels as demonstrated on prior ct scan. No acute osseous abnormality.

<unk>f with anxiety, palpitations // eval for cardiomegaly

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In comparison with the study of <unk>, there is increased prominence of the cardiac silhouette with some engorged and indistinct pulmonary vessels, consistent with elevated pulmonary venous pressure. Mild atelectatic changes are seen at the left base.

cirrhosis with lower extremity edema, to assess for pneumonia.

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

<unk>m with intermittent chest pain // eval for acute process

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Frontal and lateral views of the chest. Left ventricular predominance is similar to prior. Cardiomediastinal contours are stable. Tortuosity of the aorta is similar to prior. Bibasilar linear opacities are compatible with atelectasis. No focal consolidation, pleural effusion, or pneumothorax. The pulmonary vascular markings are normal. No radiopaque foreign body.

<unk>-year-old male with shortness of breath. evaluate for chf.

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Significant decrease in pleural effusions with decrease in pleural fluid seen in the major fissure on the lateral view. There is possible residual opacity in the lower lobe seen on the lateral view consistent with pneumonia. No pneumothorax. The cardiac and mediastinal silhouettes are unchanged.

<unk> year old woman with recent x-ray showing ?pna in lll on lateral view, and pleural effusions, now s/p <num> week of increased diuresis with persistent cough. no fever // eval for interval changes, signs of infection

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Median sternal wires and a prosthetic aortic valve are unremarkable. Lungs are mildly hyperexpanded. No focal consolidation or pleural effusion. Heart size is normal. No pneumothorax. Small hiatal hernia.

history: <unk>f with history of atrial fibrillation, recently in sinus rhythm presenting with shortness of breath, found to be in atrial fibrillation. evaluate for focal opacity.

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

<unk> year old woman with cough x <num> weeks // evaluate for pneumonia

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Right-sided port-a-cath tip terminates within the cavoatrial junction, unchanged. Patient is status post median sternotomy and cabg. Heart size is normal. Mild calcification of the aortic arch is present. The mediastinal hilar contours are unremarkable. The pulmonary vascularity is not engorged. Focal hazy opacity within the left mid lung field appears new, and is concerning for infection. There is no pleural effusion or pneumothorax. No acute osseous abnormality seen.

generalized weakness.

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Frontal and lateral views of the chest demonstrate clear lungs with no focal consolidation. Lung volumes are low. No evidence of fluid overload, vascular congestion or pulmonary edema. The heart is top normal in size. There is abnormal soft tissue density within the right hilum on the frontal view not seen on the lateral. The left hilum and aortic contour is within normal limits. Eventration of the right hemidiaphragm is incidentally noted. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormality.

<unk>-year-old female with dyspnea and dizziness.

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Pa and lateral views of the chest provided. There is a left lower lobe opacity which appears new since <unk> and concerning for pneumonia. There also bibasilar linear opacities which appear unchanged from comparison study and likely represents scarring. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable.

history: <unk>m s/p vats who p/w persistent productive cough // pna, abscess

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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 cp x<num> days // eval for cardiomegaly

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.

<unk>-year-old female with palpitations.

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Pa and lateral views of the chest provided. Overlying ekg leads are present. 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. Gas-filled bowel loops projects below the left hemidiaphragm.

<unk>m with shortness of breath and cough // r/o chf, pneumonia

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Pa and lateral views of the chest provided. The previously seen lucency is caused by platelike atelectasis immediately superior to the diaphragm. Otherwise, the lungs are grossly clear. No pleural effusion or pneumothorax. No pneumoperitoneum. Hilar contours are normal. The aorta is tortuous.

<unk> year old man with recent sdh in setting of supratherapeutic inr now with new leukocytosis. prior portable cxr showed ?free air, no pna. // ?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. A fracture of the proximal left humerus is not imaged in detail on this examination, but is better characterized on a separate series from the same day. Mild degenerative changes affect the lower thoracic spine.

cough and shortness of breath.

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Improved aeration seen on the current exam. There is some persistent left basilar opacity. Elsewhere the lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.

<unk>m hiv +, last cd<num> <num>, complaining of sob, fever, chills and cough. // sob, pneumonia

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax, pleural effusion, pulmonary edema or focal consolidation concerning for pneumonia.

cough.

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The cardiac, mediastinal and hilar contours are normal. Patchy ill-defined opacity in the right lower lobe is concerning for pneumonia. The left lung is clear. There is no pulmonary vascular engorgement. No pneumothorax or pleural effusion is demonstrated. There are no acute osseous abnormalities.

hiv, high spiking fevers, lightheadedness.

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Compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The heart size is upper limits of normal, unchanged.

<unk> year old woman with hx of myeloma on dialysis. progressive cough. r/o pna. // <unk> year old woman with hx of myeloma on dialysis. progressive cough. r/o pna.

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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.

<unk>-year-old female with intermittent unresponsiveness. question acute process.

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Since the most recent radiograph, there is new interstitial prominence, bronchovascular engorgement, and mild-to-moderate pulmonary edema. There is a probable small right pleural effusion, which is new from the prior exam. There is no pneumothorax. The aorta is calcified and tortuous. There is also calcification of the aortic valve and annulus. The cardiac silhouette is moderately enlarged and increased in size from the prior radiograph.

coughing and pleuritic chest pain for one day.

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Since the prior cxr on <unk>, the lungs are better aerated. The small to moderate left effusion appears better, but this may be partially due to erect positioning. There is still significant retrocardiac atelectasis. No new areas of consolidation. Right lung is essentially clear. No pneumothorax. Stable cardiomediastinal silhouette.

<unk> year old man with left empyema s/p left vats total decortication // assess for interval change

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There are calcified parenchymal micronodules in both lower lobes, seen to better detail on prior abdomen/pelvic ct dated <unk>. Superimposed on these findings are new patchy bibasilar lung opacities as well as a focal area of atelectasis in the right mid lung region. Cardiomediastinal contours are stable compared to the previous exam. No pleural effusion.

<unk>m dmi c/b gastroparesis and retinopathy with esrd previously on pd on hd s/p kidney-pancreas transplant <num> weeks ago with takeback for bleeding with postop course c/b ileus/gastroparesis and now febrile with elevated creatinine and lipase // assess for pneumonia assess for pneumonia

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Lung volumes are low, resulting in bronchovascular crowding. The cardiac silhouette is not enlarged. The hilar are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>m with chest and jaw pain lasting <num> minutes. // ?acute cardiopulmonary process

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The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There no concerning osseous or soft tissue lesions.

fever and a <num> month history of cough in a patient with a history of endometrial cancer.

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The heart remains moderately to severely enlarged. The mediastinal and hilar contours are stable. There is mild pulmonary vascular congestion without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are seen.

shortness of breath.

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The cardiac and mediastinal silhouettes are stable. Left-sided aicd is stable in position. There is persistent chronic blunting of the right costophrenic angle. The lungs are clear. No pulmonary edema is seen. There is no pneumothorax. There has been no significant interval change since the prior study.

history: <unk>m with history of mi and chf, now in <unk> // please evaluate for effusion, pneumonia

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Pa and lateral views of the chest provided. Left upper extremity access picc line is again seen with its tip in the low svc. An aortic valve is again noted. Previously noted pulmonary edema is slightly improved with slightly decreased bilateral pleural effusions. Left basal opacity likely atelectasis though difficult to exclude pneumonia in the correct clinical setting. No large pneumothorax. Heart size difficult to assess though appears grossly unchanged.

<unk>m with neutropenic fever // r/o pna

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. On the present examination, the patient is mildly rotated to the left, which accounts for slightly asymmetric presentation of the frontal chest view. The heart size remains within normal limits. No pulmonary congestive pattern is identified. A left-sided pneumothorax has increased and is specifically well demonstrated along the left lateral chest wall and the basis at the diaphragmatic level where an air-fluid level can be identified. There is no evidence of new pulmonary parenchymal infiltrates.

<unk>-year-old male patient with pneumothorax, status post pigtail placement, evaluate for interval change.

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are unremarkable. No pulmonary edema, pleural effusion, pneumothorax, or pneumonia. There is eventration of the right hemidiaphragm.

history: <unk>m with a history of asthma, presents with productive cough and chest pain // pna? other process to explain cough or chest pain?

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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

history: <unk>m with cough for <num> month // eval for infiltrate

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. The pleural surfaces are clear without effusion or pneumothorax. There is persistent mild elevation of the left hemidiaphragm.

increasing confusion over the past <num> days.

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Pa and lateral views of the chest demonstrate relatively low lung volumes, with crowding of the pulmonary vasculature and minimal bibasilar atelectasis. There is no pneumothorax, pleural effusion, or overt pulmonary edema. The cardiac size is top normal, and otherwise the cardiomediastinal silhouette is unremarkable.

<unk>-year-old man with acute leukemia. evaluation for pneumonia or volume overload.

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Compared to prior, there has been no significant interval change. Lateral bibasilar opacities are stable and chronic. There is no frank pulmonary edema. Linear right base opacity may be scar or atelactasis. Difficult to exclude very trace bilateral pleural effusions. The cardiomediastinal silhouette is stable. Mitral annular calcifications and dual lead pacing device are again noted with tips projecting over the right atrium and right ventricular apex. Atherosclerotic calcifications noted along the aorta.

dyspnea on exertion, question cardiomegaly.

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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.

history: <unk>f with chest pain/epig pain // chest pain evaluation

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A right chest wall port-a-cath ends in the low svc. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with hodgkins lymphoma on chemo p/w fever w/o clear source. // e/o pna

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The large hiatal hernia seen on previous exam is not clearly delineated on the current exam. There is dense left basilar opacity silhouetting the hemidiaphragm, likely in part due to pleural effusion with underlying consolidation and/or atelectasis suspected. Small right pleural effusion is also noted. Superiorly, the lungs are clear. Cardiac silhouette is grossly unchanged. Prosthetic aortic valve is again noted.

<unk>f with recent surgery, ? delirium, hypoxia, cough // eval for pna

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

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

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

dyspnea.

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Frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs. Small right-sided pleural effusion with adjacent atelectasis is unchanged. Scattered hazy opacification of the left lung is stable, and likely reflects aspiration or pneumonia. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.

<unk> year old woman s/p thoracotomy and right upper lobectomy // ? interval change or pnx

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

chest wall injury after motor vehicle collision. question sternal or rib injury.

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As compared to the previous radiograph, the extent of the known spontaneous left pneumothorax has minimally decreased. There is no evidence of tension. The postoperative changes in the left lung apex are constant. Unremarkable appearance of the right lung.

spontaneous left pneumothorax, evaluation for interval change.

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Subtle opacity at the right base is most likely atelectasis when correlated with the ct abdomen from the same day. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable aside from the right upper quadrant drainage catheter.

history: <unk>m with chills, fever transplant // evaluate for acute process

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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. Prominent anterior osteophytes are again noted in the thoracic spine.

chest pain.

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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. Overlying ekg leads are present. There is mild left basilar atelectasis without convincing evidence for pneumonia. No large effusion or pneumothorax. Heart size is normal. The aorta is unfolded with calcifications noted. Bony structures appear grossly intact.

<unk>m with ftt, recent falls, decreased bs r base

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There is a right lower lobe consolidation. There is no evidence for pulmonary edema or pleural effusion. Cardiac, mediastinal, and hilar contours are unremarkable. Mild anterior wedging of multiple mid thoracic vertebral bodies is again seen.

history: <unk>f with productive cough and fever x <num> days. . evaluate for pneumonia.

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Diffuse reticular opacities most pronounced at the lung bases, compatible with interstitial lung fibrosis, overall similar to prior allowing for differences in technique and patient position. No focal opacity seen. No pleural effusion or pneumothorax. The cardiac silhouette is stably enlarged. Calcification of the descending thoracic aorta is again noted. There is a cervical rib on the right.

<unk>-year-old woman status post fall.

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Cardiomegaly is mild and unchanged. Mild bibasilar atelectasis. Hila appear slightly congested. No frank edema. No large effusion or pneumothorax. No acute fracture is identified.

intermittent dizziness and falls

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Right picc tip terminates in the mid svc. Heart size is normal. Patient is status post esophagectomy and gastric pull-through with unchanged mediastinal contour. Emphysematous changes are most pronounced in the upper lobe. A fiducial marker is noted within a spiculated lesion in the right apex, not substantially changed from the prior study, with associated apical pleural thickening. Atelectasis is seen in the right lung base. A trace left pleural effusion is likely present. No focal consolidation or pneumothorax is identified. Post thoracotomy changes are seen in the right chest.

history: <unk>m with altered mental status. picc line in place.

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation, effusion, or pneumothorax. There is no pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>-year-old female with falls and unsteadiness.

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In comparison with study of <unk>, there is little overall change. Continued elevation of the right hemidiaphragm with mild enlargement of the cardiac silhouette. No vascular congestion or pleural effusion or acute focal pneumonia.

shortness of breath and cough.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax. Hyperinflation is present. The bony structures are unremarkable.

shortness of breath and cough. question pneumonia.