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

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old man with h.o ulcerative colitis, to start immunmosuppressive therapy. // eval for infiltrate, consolidation

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. No acute osseous abnormalities. Bilateral breast implants are noted.

<unk>-year-old woman with fever and malaise.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. Specifically, there is no evidence of mediastinal widening. There is no pleural effusion or pneumothorax.

<unk>-year-old man with chest pain radiating to the neck. evaluate for widening of the mediastinum.

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

history dyspnea on exertion x <num> weeks, please evaluate for intrapulmonary process.

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There has been previous median sternotomy. Cardiac silhouette is enlarged but stable in size. Aorta is diffusely tortuous and both the ascending and descending regions. Enlargement of central pulmonary vasculature suggestive of pulmonary arterial hypertension. In addition to these vascular findings, cardiomediastinal widening is in part due to excessive mediastinal fat deposition, mediastinal lipomatosis. Apparent sub cm nodular opacity is present in the right upper lung at the intersection of the right third anterior and seventh posterior ribs. Of note, a smaller nodule was present in this region on older chest cta of <unk>. Lungs are hyperexpanded but grossly clear except for linear scarring at the bases. Bones are diffusely demineralized. Healed right rib fractures are again demonstrated.

<unk> year old man with wheeze, h/o chf copd // r/o infiltrate/vol overload

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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 chest pain // cause of chest pain, pneumothorax

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In comparison with study of <unk>, the cardiac silhouette remains within upper limits of normal in size in a patient with well-positioned leads from a pacemaker. No vascular congestion, pleural effusion or acute focal pneumonia.

diabetic with chf and hypertension and weight gain.

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The heart is again at the upper limits of normal size. The aorta shows mild unfolding. A right upper mediastinal density produces an oval shadow measuring up to <unk> x <num> mm which can be compared to the prior radiographic appearance from <unk> when the same measurement within <unk> x <num> mm so there has been an increase. However, previous studies showed that there was a benign cyst at the site so the appearance is consistent with some long-term increase in the size of a benign cyst. The airway is again splayed minimally to the left but does not appear narrowed or under substantial mass effect. The lungs appear clear. There no pleural effusions or pneumothorax.

chest pain.

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There low lung volumes. Subtel retrocardiac opacity is likely atelectasis. There is no pulmonary edema or pleural effusion. There is no pneumothorax. Massive cardiomegaly is again seen, similar to prior exam.

chest pain, shortness of breath, crackles on exam.

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Heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Subsegmental atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is identified. Known pulmonary nodules are better assessed on the previous ct. No acute osseous abnormalities detected. Sclerotic metastases are also visualized better on the prior ct.

history: <unk>m immunosuppressed on chemotherapy for malignant melanoma presenting with confusion and fever. // 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.

history: <unk>m with lower extremity weakness, no focal findings on exam or history. assess for infectious source.

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

<unk>m with shortness of breath and abdominal distention // acute process in chest or abdomen?

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A left apical chest tube remains in place. There is no pneumothorax. Marked hyperinflation with flattening of the hemidiaphragms due to emphysema are unchanged. The heart and mediastinum are within normal limits. Left chest wall subcutaneous emphysema is unchanged.

<unk> yo m with l ptx // check interval change with ct on waterseal

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The lungs are hyperinflated. There is biapical pleural thickening. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips are noted overlying the left upper outer chest. Chain sutures are noted projecting over the medial left upper chest.

history: <unk>f with chest pain, h/o breast cancer // assess for ptx

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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Surgical clips seen in the neck. No acute osseous abnormalities.

<unk>f with acute onset left arm pain/tingling at <num>am // any cpd

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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.

<unk>-year-old with palpitations, evaluate for acute process.

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Dual-chamber pacemaker is unchanged in location. Heart size is stable. Lungs are relatively well aerated with no focal consolidation or pleural effusion. There are hazy interstitial markings bilaterally, which likely represent chronic scarring. No pleural effusion or pneumothorax.

<unk>m with cough and chills // r/o acute process

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The heart is mildly enlarged, which is best appreciated on the lateral view. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.

cough, chest pain and wheezing.

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The lungs are well expanded. The right lung is clear. Linear opacity across the left lower lung field likely represents scarring vs atelectasis. There is moderate cardiomegaly and equivocal bulky hila, but the cardiomediastinal and hilar contours are unchanged from prior. There is no pleural effusion or pneumothorax. Sternotomy wires are noted in the midline and there are no other fractures.

a <unk>-year-old male with shortness of breath on exertion and a history of cabg. evaluate for evidence of pneumonia or chf.

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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Old left rib fracture.

<unk>-year-old with chest pain.

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The lungs are hyperinflated but clear without consolidation, effusion, or pneumothorax. Cardiomediastinum silhouette is stable. No displaced fractures identified. Hypertrophic changes are noted in the spine.

<unk>f with fall, assess for traumatic injury, infiltrate, other acute process

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Ap and lateral views of the chest. Ap view is limited due to poor inspiratory effort and patient's body habitus and technique. Increased interstitial markings seen throughout which may be accentuated by low lung volumes with superimposed mild vascular congestion. There is no large effusion or confluent consolidation. Cardiac silhouette is enlarged but unchanged. No acute osseous abnormality detected.

<unk>-year-old male with shortness of breath and hemoptysis.

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

history of persistent cough. please evaluate for pneumonia.

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Frontal and lateral radiographs of the chest demonstrate stable top normal heart size. The mediastinal silhouette and hilar contours are normal. Linear opacities in the left lower lung zone are consistent with atelectasis. No pleural effusion or pneumothorax.

s/p robotic splenectomy for <unk>, recently discharged now with cough rule out pneumonia

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Linear lateral left base atelectasis/scarring is seen. No definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. The aorta appears tortuous. No pulmonary edema is seen.

history: <unk>m with syncope // eval cardiomegaly

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Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart is severely enlarged but stable. Mediastinal and hilar contours are stable. Diffuse dense calcifications are again visualized in the aortic valve. Moderate-to-severe degenerative changes in the thoracic spine.

patient with aortic stenosis and cough, rule out infiltrate or chf.

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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is detected.

persistent cough. evaluate for pneumonia.

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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.

<unk>f with sudden onset chest pain, sob

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Lung volumes are low, accounting for some bronchovascular crowding. Mild pulmonary vascular congestion is present. Bibasilar atelectasis is present. However, there is a focus of consolidation in the left lower lobe that is new compared with prior and may represent a pneumonia. There are small bilateral pleural effusions. There is no pneumothorax. Cardiomediastinal and hilar contours are not significantly changed from prior. Clips are seen in the upper abdomen on the lateral view.

<unk>-year-old female with fever. evaluate for evidence of 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 stable.

history: <unk>f with chest pain/palpitations // eval for acute process

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The lungs are well inflated and clear. There is persistent prominence of the right paratracheal station, compatible with known lymphadenopathy. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. A right chest port-a-cath is noted terminating at the mid svc. Bilateral breast implants are identified.

history of diffuse b-cell lymphoma on chemotherapy, now with fever. evaluate for pneumonia.

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A right-sided double-lumen dialysis catheter is again identified. The tip terminates at the cavoatrial junction. The cardiomediastinal silhouette is unchanged and unremarkable. There is no pleural effusion or pneumothorax. No definite consolidation is identified.

history: <unk>f with dialysis catheter

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Streaky left basilar opacity is most suggestive of atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine. Vertebroplasty changes in the lumbar spine are partially visualized.

<unk>m with seizure // eval for acute process

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Pa and lateral views of the chest provided. Lung volumes are somewhat low. Allowing for this, 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 chest pain

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Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is stably enlarged with changes of prior valve repair and coronary bypass demonstrated. Previously described right sided nodule is not evident on the current examination.

shortness of breath and cough.

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Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Small nodular opacities projecting over the lower lungs bilaterally at the same level may reflect nipple shadows. Pulmonary vasculature is within normal limits.

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

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Compared to the prior radiograph, no significant change. A right-sided central venous catheter is unchanged, with its tip projecting over the cavoatrial junction. No focal consolidation, pleural effusion, or pneumothorax is identified. Cardiomediastinal and hilar contours are unchanged.

<unk>f with immunocomprised all nausea vomiting maliase. evaluate for pneumonia.

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Upright ap and lateral views of the chest provided. Mild blunting of the right cp angle is again noted, likely representing trace effusion or pleural thickening. Otherwise lungs appear clear. There is no focal consolidation, large 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 hx epidural abscess presenting with neck pain // eval for pna

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The heart is mildly enlarged. Calcifications are noted in the ascending aorta. Lungs are clear with no evidence of focal consolidation to suggest pneumonia. Mild atelectasis is noted over the left base. No significant pleural effusions and no pneumothorax.

<unk>-year-old woman with hypoxia status post ureteroscopy, laser lithotripsy, ? aspiration pneumonia.

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Multiple focal patchy opacities are seen in the bilateral lungs, concerning for multifocal pneumonia. The heart size is normal. No pulmonary edema, pleural effusion, or pneumothorax. A radiopaque circular foreign body is seen projecting over the left lung base, possibly a nipple ring.

history: <unk>m with hiv, sob, cough // eval for consolidation

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In comparison with study of <unk>, there is little change. Retrocardiac opacification with blunting of the left costophrenic angle persists, consistent with atelectasis and effusion. In the appropriate clinical setting, supervening pneumonia would be difficult to exclude. Hemodialysis catheter tip again extends to the lower portion of the svc.

hematocrit drop, to assess for pulmonary hemorrhage.

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Pa and lateral views of the chest were reviewed and compared to the prior studies. Normal lungs, heart, pleural and mediastinal surfaces.

cough for two weeks in a patient on bactrim prophylaxis and high-dose steroids for systemic lupus erythematous.

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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Enlarged pulmonary arteries as seen on prior exam compatible with pulmonary hypertension. No acute osseous abnormalities. Surgical clips at the thoracic inlet are noted, potentially related to prior thyroid surgery.

<unk>f with cough and fever // asess for pna

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Moderate right pleural effusion with associated atelectasis, again seen, similar in size compared to the most recent prior study. Severe cardiomegaly is unchanged. There is no pneumothorax. Left lung is grossly clear. No overt pulmonary edema.

<unk>m with chf, sob, evaluate for pulmonary edema.

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No previous images. Port-a-cath extends to the mid-to-lower portion of the svc. No evidence of acute cardiopulmonary disease.

port-a-cath placement.

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The heart is moderately enlarged with biatrial enlargement, right more than left. The aorta is tortuous and demonstrates diffuse calcifications. Hilar contours are stable. Lungs are hyperinflated but no focal consolidation is present. There is no pulmonary vascular congestion. There is minimal blunting of the costophrenic angles posteriorly, which could suggest trace bilateral pleural effusions. No pneumothorax is present. There are mild multilevel degenerative changes in the thoracic spine as well as within the right acromioclavicular joint. No acute osseous abnormality is seen.

weakness and clamminess.

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There is moderate cardiomegaly. The left hilar contour is prominent, consistent with known pulmonary hypertension. There is right basilar atelectasis. No focal consolidation or pneumothorax.

<unk>f with ss disease here with abdominal pain, abnormal ekg, report of abnormal cxr from osh last night. evaluate for pneumonia or acute chest process.

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As compared to the previous images, the lateral radiograph now provides evidence of a near complete collapse of the right middle lobe. On the frontal radiograph, its collapse is reflected by increase in radiodensity in the right basal and perihilar lung regions. No other acute changes are seen. Known old rib fracture on the right, at the level of the ninth rib. Normal size of the cardiac silhouette. The atelectasis has evaluation by ct to rule out central obstructive lesions. At the time of dictation and observation, <time> a.m., on the <unk>, the finding and the recommendation for ct was posted to the radiology dashboard.

copd, chronic pneumonia.

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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Included upper abdomen is unremarkable. Osseous structures are grossly intact.

chest pain, evaluate for pneumothorax.

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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The pleura and hila are grossly unremarkable. No acute osseous abnormality. Bilateral shoulder prostheses.

<unk>-year-old female with acute chest pain // eval for acute cp process

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

<unk>f with cough + dyspnea x<num>wks // eval for pna

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Frontal and lateral chest radiographs demonstrate mildly hypoinflated lungs, resulting in mild prominence of the cardiac silhouette and bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

cough and fever. evaluate for pneumonia.

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Dual lead left-sided pacer device is stable in position. The patient is status post median sternotomy and cardiac valve replacement.the cardiac and mediastinal silhouettes are stable. There are lower lung volumes on the current study than on the prior. There is blunting of the posterior left costophrenic angle concerning for a left pleural effusion. No right pleural effusion is seen. Left base retrocardiac opacity may be represent combination of pleural effusion and atelectasis, however, underlying consolidation is difficult to exclude. While there may be minimal central pulmonary vascular engorgement, no overt pulmonary edema is seen.

history: <unk>f with tachycardia, recent pacer // eval for acute process

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Ap and lateral views of the chest. Linear opacities in the right mid lung laterally suggestive of scarring. Low lung volumes likely account for bibasilar opacities suggestive of atelectasis. There is no pneumothorax or large effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old male with fall from standing.

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Pa and lateral views of the chest provided. Subtle opacity in the left lung base is noted which could represent a trace effusion, difficult to exclude a very subtle pneumonia. Right lung is clear. Cardiomediastinal silhouette is normal. Bony structures are intact

<unk>m with intraparenchymal hemorrhage // eval for pneumonia

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Lungs are well expanded and clear. Mediastinal contour, hila, and cardiac silhouette are normal. There is no pleural effusion or pneumothorax.

<unk>m with cough fever dka // eval for pna

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There is diffuse airspace opacification seen involving the majority of the left lower lobe, most notable at the left base. There is also small focal region of consolidation in the mid right lung. The left lung apex and remaining right lung are clear. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

<unk>f with cough, fever // eval for pna

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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 of patient with 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. Pectus excavatum deformity is again demonstrated.

<unk>f with wheezing following anaphylaxis, currently stable

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Bronchiectasis seen at the lung bases is re- demonstrated. The cardiomediastinal and hilar contours are within normal limits. The heart is normal in size. There is mild pulmonary vascular engorgement without frank pulmonary edema. A left lower lobe heterogeneous opacity is concerning for pneumonia. No focal consolidation is identified. There is no pneumothorax. Bibasilar reticular opacities are suggestive of small airways inflammation. Focal scarring in periphery of left

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

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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. There is mild anterior height loss of likely the t<num> vertebral body which is age indeterminate could be chronic. On the ap view, there is a lucency in the region of the left scapular spine.

<unk>f with s/p accident with shoulder, arm pain // ? traumatic injury

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Cardiomegaly is again present. Calcifications of the aortic knob are seen. There is mild vascular engorgement, overall improved from <unk>. There are no pleural effusions. No pneumothorax and no evidence of pneumonia.

chest pain.

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Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. A <num>-mm nodular opacity projecting over the right upper lung is stable since priors. Hilar and mediastinal silhouettes are unchanged. The descending aorta appears tortuous. Heart size is top normal. Perihilar vascular congestion is noted. There is mild intersitial pulmonary edema.

chest pain.

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.

history: <unk>f with s/p assault, chest pain, knee pain, right mcp pain // fx?

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Lung fields are more inflated with subtle improvement of right lung opacity, in particular in the right upper lobe. The left base opacification are stable. Cardiac size is persistently enlarged.

edema versus infiltrate.

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The lungs are well expanded without focal opacities. There is minimal bibasilar atelectasis. Cardiac size is top normal although assessment is limited in this ap view. There is no pleural effusion or pneumothorax. Bilateral hilar calcified lymph nodes are noted and unchanged from prior exam.

<unk>-year-old female with worsening confusion. evaluate for acute cardiopulmonary process.

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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Cardiac silhouette size is mildly unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar. There is mild pulmonary vascular congestion. Patchy opacities in the lung bases may reflect areas of atelectasis with minimal blunting of the left costophrenic angle on the lateral view suggestive of a trace pleural effusion. No pneumothorax is present. Deformity of the right fourth rib posteriorly is unchanged and may reflect a remote fracture.

history: <unk>f with episode agitation

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In comparison with the study of <unk>, there has been a substantial increase in the ill-defined consolidation in the right mid-to-lower zone, consistent with widespread pneumonia. There is also a large pleural effusion. On the lateral view, there is apparent increased opacification posteriorly and more superiorly, which could represent another focus in the upper lobe, though this is not definitely seen on the frontal view. The left lung is essentially clear. Pacer device remains in good position. The right subclavian picc line is somewhat difficult to see, but appears to extend to the lower svc. This information was telephoned to dr. <unk>.

aspergillus pneumonia.

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There is no focal consolidation, pleural effusion or pneumothorax. Bibasilar opacities are likely atelectasis. The cardiomediastinal silhouette is top-normal in size. The imaged upper abdomen is unremarkable. The bones are intact.

<unk>f with nausea/vomiting and some chest pain // r/o pna

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Pa and lateral views of the chest provided. Lungs are hyperinflated. 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.

history: <unk>f with dyspnea // eval infiltrate or effusion

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The lungs are well expanded. The right lung is clear without focal opacities. The left lung demonstrates apical scarring with hilar traction unchanged from prior. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Air cavities noted in the anterior mediastinum in the lateral view were seen in the prior ct of the thorax and represent postop changes. Surgical clips are noted in the upper abdomen. Of note, aneurysmatic dilatation of the ascending aorta is better evaluated on ct.

<unk>-year-old female with chest pain. evaluate for evidence of acute cardiopulmonary disease.

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Pa and lateral views of the chest provided demonstrate midline sternotomy wires and mediastinal clips. The heart remains top-normal in size. The aorta is mildly calcified. This been no significant change from prior exam with mild coarsening of interstitial markings which could reflect chronic lung disease possibly emphysema. There is no large effusion or pneumothorax. No signs of pneumonia. Imaged osseous structures appear intact.

<unk>-year-old man with dyspnea, history of aortic stenosis. assess for pulmonary edema.

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In comparison with the study of <unk>, cardiomediastinal silhouette is stable. There is hyperexpansion of the lungs raising the possibility of chronic pulmonary disease, without definite acute focal pneumonia. Blunting of the costophrenic angles is again seen, consistent with pleural thickening or pleural effusion and some atelectatic changes at the bases.

fever, to assess for pneumonia.

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The heart appears mildly enlarged. Widened right mediastinal contour is associated with thyroid nodules that have been previously characterized. A nodular focus projects over the lingula measuring about <num> mm. Gastrostomy tube projects over the left upper quadrant.

shortness of breath.

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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>f with chest pain // acute process

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In comparison with the study of <unk>, following thoracentesis, there is small residual pleural effusion without evidence of pneumothorax. The lungs are essentially clear and there is no vascular congestion. Of incidental note is interposition of the right colon between the liver and hemidiaphragm.

left effusion status post thoracentesis, to evaluate for pneumothorax.

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.

<unk>-year-old female with productive cough and recently completed course of azithromycin. evaluate for consolidation.

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Left-sided pacemaker with the tips in the right atrium and right ventricle. No pneumothorax. The lungs are clear. The cardiomediastinal silhouette is unremarkable. No pleural effusions.

<unk> year old man s/p dual chamber ppm implant and linq explant. // please assess lead placement and r/o ptx.

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A right chest port terminates in the mid svc. The cardiomediastinal silhouette is unchanged. Intrathoracic lymphadenopathy involving the aortic o pulmonary window and left hilum is seen to better detail on recent pet-ct of <unk>. The lung fields are clear. There is no pneumothorax. No pleural effusion.

history: <unk>m with fevers, hx of cll // evaluate for infiltrate

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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

sore throat, wheeze, fever.

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Frontal and lateral views of the chest demonstrate low lung volumes and bibasilar opacities. Prominence of the cardiomediastinal silhouette likely relates to low lung volumes. There is no pleural effusion or pneumothorax. There is no evidence of tuberculosis.

<unk>m with productive cough, fever, myalgias x <num> days. moved to <unk> for <unk> <unk> years ago evaluate for pneumonia or tb.

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There has been apparent interval increase in the cardiac silhouette which is mildly enlarged although differences likely due to changes in technique. Lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old man with history of sickle cell disease presenting with weakness and shortness of breath, rule out infectious process.

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Frontal and lateral radiographs of the chest were acquired. There is minimal left basilar linear atelectasis. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Mild degenerative changes are noted along the lower thoracic spine.

left hand numbness/tingling as well as left shoulder pain. ekg shows t-wave inversions and st elevations in the inferior leads.

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There is a faint rll opacity concerning for pneumonia. Otherwise, the lungs are without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal.

evaluation of patient with shortness of breath and fever.

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Cardiac silhouette size is normal. Mediastinal contour is unremarkable. Hila are symmetrically prominent without evidence for pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Small amount of fluid is seen within the right major fissure. No acute osseous abnormalities detected.

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

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. A picc ends in the right atrium at a level <num> cm below the carina. For placement within the superior vena cava the line would need to be withdrawn <num> cm. Cardiomediastinal silhouette is unremarkable. Blunting of both the lateral and posterior pleural sulci could be due to either small effusions or, particularly on the right where there is pleural calcification, pleural scarring. Lungs are clear.

<unk>-year-old male with recent picc placement at outside hospital.

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As compared to the previous radiograph, there has been complete resolution of the parenchymal opacity in the perihilar area of the left lung. There are unchanged postoperative findings in the right lung with suture material and several parenchymal scars. The cardiac silhouette is borderline enlarged but unchanged. No pleural effusion or pneumothorax is seen.

followup new parenchymal opacity noted on prior radiograph of the chest, <unk>.

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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear. There is no pneumothorax or large effusion. No displaced rib fracture. No bony injuries seen.

<unk>f with s/p fall on right shoulder, tender on clavicle and just inferior to axilla on right

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Fibrotic changes as seen on prior ct are noted in the lungs, right greater than left with associated volume loss in the right hemithorax. There is no definite superimposed acute consolidation given differences in technique. There is no pleural effusion or pneumothorax. There is mild cardiomegaly. Chronic changes noted at the right shoulder and old proximal left humeral fracture is also noted.

<unk>f with fall, left periorbital ecchymosis, malaise // ?fx, ?infection

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There is prominence of the interstitial markings. Tcardiomegaly or pleural effusions. The mediastinal silhouette and hila are normal. There are moderate atherosclerotic calcifications of the aortic arch. There is no focal lung consolidation. There is no pneumothorax.

<unk>-year-old with epigastric pain, please assess for acute process.

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Pa and lateral views of the chest provided. Tiny clips project over the right base of neck. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Anterior spurs in the mid to lower t-spine noted. No free air below the right hemidiaphragm is seen.

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

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No significant interval change. Slight increased opacity in the right lower lobe is nonspecific and probably atelectasis, less likely aspiration, and similar in appearance to <unk>. No pleural effusion or pneumothorax. The heart is top-normal in size, overall unchanged. The descending thoracic aorta appears slightly tortuous or ectatic. The hila and pleura are stable in appearance. Stable flattening of the diaphragms suggests hyperinflation. The incompletely visualized spinal hardware in the lower thoracic and upper lumbar spine appears intact and it is grossly unchanged in position from <unk>.

<unk>-year-old woman with history of cardiovascular accident who presents with a cough; evaluate for 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. There is no evidence of subdiaphragmatic free air. A spinal stimulator is noted at the level of the lower thoracic spine.

<unk>-year-old male with hiatal hernia, now with right upper quadrant pain. evaluate for subdiaphragmatic air.

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Frontal and lateral radiographs of the chest were acquired. There is redemonstration of two adjacent masses within the right upper lobe and right perihilar region, not significantly changed in size compared to the prior radiograph from <unk>. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are not significantly changed. There are no pleural effusions. No pneumothorax is seen.

fevers after chemo. evaluate for pneumonia.

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

lethargy. rule out pneumonia

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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.

<unk>-year-old female with chest tightness. fever.

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Frontal and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.

<unk>-year-old male with dyspnea on exertion.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Lung volumes are low with crowding of bronchovascular structures. Mild upper zone vascular redistribution suggest mild pulmonary vascular congestion. Streaky atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present.

history: <unk>m with cirrhosis, presenting with encephalopathy

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Right chest port a catheter terminates in the low svc. Diffuse reticular pattern is consistent with underlying interstitial lung disease, better assessed on chest ct from <unk>. Opacity at the right lung base obscures the hemidiaphragm. Mediastinal contours, hila, and cardiac silhouette are unchanged from <unk>. No pleural effusion or pneumothorax. Anterior wedging of a thoracic vertebral body is unchanged from <unk>. Surgical clips are seen in the right upper quadrant.

<unk>m with fever, immunosuppression on chemo, cough // ? pneumonia or other acute cardiuplm process

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The lungs are slightly hyperinflated but clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch and there is slight tortuosity of the descending thoracic aorta. Thoraco lumbar posterior fixation hardware is partially visualized.

<unk>m with new dyspnea lying flat, worse with exertion // ?effusion vs infiltrate