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

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As compared to chest radiograph from <num> day prior, tiny right apical pneumothorax is marginally decreased. Small left -sided pleural effusion with retrocardiac and adjacent atelectasis are unchanged. The right lung is clear. No pulmonary edema. Mild cardiomegaly. The bones are diffusely sclerotic.

<unk> year old man with metastatic prostate ca and recent ct drainage of b/l pleural effusions. // interval change of right apical ptx; please assess also for recurrence of pleural effusion

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Mild bibasilar atelectasis. The lungs are also hyperinflated with flattening of the hemidiaphrgams. Otherwise, the lungs are clear without a focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.

difficulty breathing.

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There is no focal consolidation, pleural effusion, or pneumothorax. Prominence of the right hilum is unchanged. The cardiomediastinal silhouette is normal.

cough and fever. evaluation for infiltrate.

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The heart is borderline in size. The mediastinal and hilar contours are unremarkable. The chest is hyperinflated. The lungs appear clear. There is no pleural effusion or pneumothorax. Surgical clips project along the left axilla.

vomiting, facial contusions, neck and right hip pain.

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. An inferior vena cava filter is visualized.

left chest pain radiating to the jaw. history of coronary artery disease.

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Frontal and lateral views of the chest. The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. No acute osseous abnormality is seen.

fever.

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

<unk>-year-old with dyspnea.

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A left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. There is mild enlargement of cardiac silhouette, unchanged. Aortic knob calcifications are re- demonstrated. The pulmonary vasculature is normal, and the hilar contours are within normal limits. Known nodule in the lingula is better assessed on the prior ct. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.

chest pain.

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The lungs are well inflated and clear. No pulmonary edema. No pleural effusion or pneumothorax. Stable mild to moderate cardiomegaly. Mediastinal contour and hila are unremarkable. A left pacer device is seen with lead tips in the right atrium, right ventricle and coronary sinus.

<unk>m w/chf please assess for volume status, volume overload.

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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old male with chest pain and shortness breath.

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The lungs are clear despite low lung volumes. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with horse vocie vocal cord dysfunction // r/o pna aspiration

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In comparison with study of <unk>, there is little interval change. Cardiac silhouette remains at the upper limits of normal in size without definite vascular congestion, pleural effusion, or acute focal pneumonia.

shortness of breath with wheezing and chf.

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Cardiomediastinal silhouette is stable. Inreased intersitial marking throughout the lungs are unchanged compared to priors. There is persistent left base opacity. There is no evidence of a pneumothorax. The visualized osseous structures are unchanged with chronic posterior right rib fractures, right clavicular fracture and anterior cervicothoracic spine fixation hardware.

history of seizure, pneumonia. please evaluate for interval change compared to the prior exam.

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Slight blunting of the right costophrenic angle is stable may be due to pleural thickening or possibly very trace pleural fluid. No focal consolidation is seen. There is no evidence of pneumothorax. The aorta is tortuous. The cardiac silhouette is mildly enlarged. No pulmonary edema is seen.

history: <unk>m with fever, weakness, immunocompromised // infiltrate

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The lungs are clear. Cardiomediastinal silhouette is stable. Coronary artery stents are identified. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities identified.

<unk>f with altered mental status // acute process?

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Frontal and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits, noting a tortuous aorta. Several mid thoracic compression deformities the age of which is indeterminate. Osseous and soft tissues structures are otherwise unremarkable.

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

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The cardiac, mediastinal and hilar contours appear unchanged. The lung volumes remain low. The lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.

chest pressure and palpitations.

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are hyperinflated with flattened diaphragms, suggesting chronic underlying obstructive disease. Lungs are clear without focal abnormality. No pleural effusion or pneumothorax. Chronic-appearing right-sided rib fractures are again seen. No acute displaced rib fracture is visualized. Compression deformity of a mid-thoracic vertebral body is similar to prior. No radiopaque foreign body.

status post fall, now with rib pain. evaluate for fracture or pneumonia.

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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable.

<unk>f w/chest pain and sob // <unk>f w/chest pain and sob

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Pa and lateral views of the chest are compared to prior from <unk>. There is subtle patchy opacity which silhouettes the right heart border compatible with a right middle lobe infiltrate. Elsewhere, lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with fever and cough, low saturation. question pneumonia.

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Patient is status post median sternotomy and cabg. Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Streaky opacities in lung bases likely reflect areas of atelectasis without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>m with chest pain at rest

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Pa and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The previously noted <num>mm right middle lobe nodule by ct is not clearly seen. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Note is made of a left fat containing bochdalek hernia.

dizziness, disequilibrium, and headache, evaluate for cardiopulmonary process.

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Pa and lateral views of the chest provided. Low lung volumes. Right hilar opacity is again noted consistent with treated malignancy. Overall appearance of the chest is not significantly changed from chest ct from <unk>. There is no new consolidation, large effusion or pneumothorax. The overall heart size is unchanged. Bony structures are intact.

<unk>f with pmh lung ca, presents with substernal cp after finishing chemo tx this pm.

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The cardiac, mediastinal and hilar contours are unchanged, with the heart size at the upper limits of normal. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Left apical pleural thickening is unchanged. Scattered calcified granulomas in the upper lobes are re- demonstrated. There are multilevel degenerative changes in the thoracic spine.

new onset atrial fibrillation.

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Ap upright and lateral chest radiograph demonstrates multi focal opacifications consistent with multilobar pneumonia involving largely the right hemithorax. There is increased density within bilateral apices for which attention on followup is recommended. Cardiomediastinal and hilar contours are otherwise stable. There is no pleural effusion. Patient is status post median sternotomy. Wires appear intact. No acute osseous abnormality is seen.

<unk>-year-old female with fever.

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There is a focal opacity best seen on the lateral view, potentially localizing to the right based on the frontal view. The lungs are otherwise clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk>m with diarrhea, white count, presenting from nursing home. evaluate for pneumonia.

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

<unk>f with back pain going to surgery today - preop chest.

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No previous chest radiographs. The heart is normal in size and there is no evidence of vascular congestion or pleural effusion. The lungs are essentially clear. Tiny subpleural nodules seen on ct are not visible on plain radiograph.

nodule seen on ct.

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The heart is moderate to severely enlarged with a globular configuration for which true cardiomegaly, pericardial effusion, or a combination of both could be considered. The lungs appear clear. There are no pleural effusions or pneumothorax. Surgical clips project over the right upper quadrant. Mild-to-moderate degenerative changes are present along the thoracic spine.

new onset of atrial fibrillation and pericardial effusion.

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There is no consolidation, pleural effusion, vascular congestion or pneumothorax. There is mild cardiomegaly and the aorta is tortuous, unchanged.

two-three-week history of cough and inspiratory crackles at the left base, treated with antibiotics.

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

<unk>f with severe persistent cough // ? pneumonia

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Pa and lateral views of the chest provided. Hilar congestion is noted with mild interstitial edema. No large effusion or pneumothorax. No focal consolidation concerning for pneumonia. The heart is mildly enlarged. The mediastinal contour is stable. Imaged osseous structures are intact.

<unk>m with fever, shortness of breath // eval heart and lungs

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The heart is normal in size. There is prominence of the right hilus, stable from <unk>. There is no pneumothorax or pleural effusion. Increased retrocardiac opacity, best appreciated on the lateral view is concerning for a focal area of infection.

history: <unk>f p/w diffuse body aches after cruise, fevers, nasal congestion // eval for infection

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Cardiomediastinal silhouette is unchanged. Lungs are hyperinflated, as before. The central pulmonary arteries remain prominent. A linear opacity at the right base is unchanged and likely represents scarring. There is no consolidation or pleural effusion. No pneumothorax.

<unk> year old man with hx of asthma; cough and shortness of breath // r/o pneumonia

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The lungs are clear without consolidation, effusion, or pneumothorax. Nodular opacity projecting over the right lung base is most suggestive of a nipple shadow. Right chest wall central venous catheter seen with tip at the ra svc junction. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Chronic changes seen at the distal left clavicle.

<unk>m with hiv, esrd, p/w acute onset cp during dialysis today // eval lung <unk>, heart size

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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable.

chest pain. rule out pneumothorax or infiltration.

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Frontal and lateral chest radiographs demonstrates well expanded and clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is mild scoliosis of the thoracolumbar spine.

<unk>-year-old female recently status post total laparoscopic hysterectomy and left salpingo-oophorectomy for ovarian cancer.

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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild cardiomegaly appears unchanged. Mediastinal contours are within normal limits. No evidence of free subdiaphragmatic air.

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

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. A wedge deformity of a mid thoracic vertebral body is unchanged across multiple prior examinations. There is no radiographic evidence of a sternal lesion. An chronic fracture of right clavicular head is again seen. Metallic densities overlie the right humeral head.

<unk>-year-old male with history of multiple myeloma complaining of rib pain and sternal pain and clavicular pain. evaluate for cardiopulmonary process.

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No previous images. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.

productive cough.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal are unremarkable. Aortic knob calcification is seen. Evidence of dish is seen along the thoracic spine.

history: <unk>f with chills, fatigue // infiltrate

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Ap upright and lateral views of the chest provided. Low lung volumes limits assessment. No focal consolidation, large effusion or pneumothorax is seen. There is mild interstitial pulmonary edema, less severe than on prior exam. Cardiomediastinal silhouette is stable. Bony structures are intact.

<unk>f with altered mental status, cough // ?pna

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Ap and lateral chest radiographs demonstrate clear hyperinflated lungs. A tortuous aorta is noted. Cardiomediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. Multi-level degenerative changes are noted throughout the thoracic spine. Numerous metallic biliary stents in the right upper quadrant are related to known cholangiocarcinoma.

<unk>-year-old male with cough.

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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history: <unk>f s/p mva w/ l clavicular pain // l clavicular fracture?

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Small bilateral pleural effusions with minimal compressive atelectasis. No pneumothorax is seen. The heart is moderately enlarged, unchanged compared to <unk>.

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

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Lung volumes are mildly decreased with bibasilar opacities likely reflective of atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size.

<unk>-year-old male with syncope. evaluate for pneumonia.

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Mild to moderate cardiomegaly is stable. Pacer lead is in standard position with tip in the right ventricle. . The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old man with recent icd placement, now with end-expiratory wheeze // any worrisome lesion?

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No previous images. No evidence of acute cardiopulmonary disease or old tuberculous disease. Of incidental note is an impression on the lower right side of the cervical trachea, raising the possibility of a thyroid mass.

possible old tb.

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Slight asymmetric increased opacity in the right lower lobe on the frontal view without a definite correlate on the lateral view could simply reflect atelectasis or early pneumonia. No pleural effusion, pneumothorax, or edema. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.

<unk>-year-old female presenting with fever. evaluate for pneumonia.

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Pa and lateral views of the chest provided. Right chest wall port-a-cath is seen with catheter tip in the mid svc region. Cervical fusion hardware is visualized. The lungs are clear without signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with fever, history anal cancer. // eval fro infection

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Lungs are clear. No pulmonary edema. Descending aorta is tortuous or dilated. No cardiomegaly. No pleural effusion. No pneumothorax.

history: <unk>m with syncope // ?cpd

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There relatively low lung volumes. Streaky linear mid to lower lung opacities bilaterally most likely are due to atelectasis. There is also probably a mild component of pulmonary vascular congestion. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are stable and unremarkable. Lucency under the right hemidiaphragm is felt to be within bowel.

history: <unk>m with confusion // r/o pna

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Frontal and lateral views of the chest. No prior. The lungs are clear of consolidation or effusion. There are prominent interstitial markings throughout the lungs, raising possibility of chronic underlying lung disease. Cardiac silhouette is moderately enlarged. Note is made of an azygos lobe and fissure. Hypertrophic changes are seen in the spine. Osseous and soft tissue structures are otherwise unremarkable.

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

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Lung volumes are low. The lungs are clear. Mediastinal contours, hila, and mild cardiomegaly are stable. No pleural effusion.

<unk> year old man with metastatic rcc p/w n/v // eval for possible esophageal distention

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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 ? epig sxs, weakness since this am, ekg wnl.

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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are seen in the thoracic spine.

history: <unk>m with dizziness and light headed. tachycardic

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Subtle relatively linear left lower lobe opacities are seen and although this is not a focal consolidation and are not obviously apparent on the lateral view, an early pneumonia should be considered given the history. Increased vascularity in the right lower lobe is stable compared to the prior exam. Cardiac size and hilar contours are unremarkable. No pleural effusion or pneumothorax.

<unk>-year-old woman with low-grade fevers and rash.

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There are relatively low lung volumes, which accentuate the bronchovascular markings.given this. No large focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with chest pain started this am. // ? acute cardiopulmonary process

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Cardiac, mediastinal and hilar contours are normal. Bullous emphysematous changes are again seen at the upper lobes. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Scarring within the right upper lobe is re- demonstrated with associated calcifications. No acute osseous abnormality is present.

history: <unk>f with shortness of breath

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The heart appears mildly enlarged. The aorta is partly calcified and mildly unfolded. Patchy opacity projecting over the lingular area suggests minor residual scarring or atelectasis, but decreased. There are no pleural effusions or pneumothorax. Mild losses among mid and lower thoracic vertebral body heights appear unchanged. A contour abnormality of the left posterolateral fifth rib appears old and unchanged suggesting a prior fracture.

chest pain after motor vehicle collision.

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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 woman with ra // ? hilar <unk> or infiltrate

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Frontal and lateral chest radiographs demonstrate normal cardiomediastinal contours. No peribronchial cuffing identified to suggest asthma exacerbation. There is mild asymmetric increased density within the right infrahilar region which may represent atelectasis versus early infectious process. No pleural effusions or pneumothorax evident. Multilevel degenerative change detected.

outside hospital chest radiograph for asthma exacerbation, non-radiologist reported and hilar adenopathy and increased interstitial markings. please evaluate and compare.

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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. Moderate degenerative changes are seen within the thoracic spine.

history: <unk>m with fall while intoxicated with + head strike

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The right picc line has been removed. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila are unremarkable.

<unk> yo man with lymphoma, s/p chemo. now with fever <num> // <unk> yo man with lymphoma, s/p chemo. now with fever <num>. eval for pneumonia/infection

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

<unk>f with r sided chest pain, heart burn, and cough. // e/o pna or lung pathology

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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

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

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Pa and lateral views of the chest. Streaky opacity projecting over the retrocardiac region on the frontal view not seen on the lateral view is unchanged and unlikely to represent an acute process. The lungs are otherwise unremarkable. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.

<unk>-year-old male with seizure.

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Frontal and lateral views of the chest demonstrate interval improvement of pulmonary edema. Small pleural effusions remain. Hilar and mediastinal silhouettes are unchanged. The heart is mildly enlarged. Remote right-sided rib fracture is demonstrated. A subcentimeter calcified granuloma in the left lung base is present. No pneumothorax. Partially imaged upper abdomen is unremarkable.

patient with reported history of pulmonary edema, assess for interval change.

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Pa and lateral views of the chest. Mild cardiomegaly, compared with <unk>, the heart size has increased and the left atrium and left ventricle are more prominent. Previously seen mild interstitial pulmonary edema has decreased compared with <unk>. Aortic valve calcifications. No pleural effusion. No pneumothorax. No infiltration. The mediastinal and hilar contours are normal.

significant valvular abnormalities and chf and copd exacerbation, status post two liters of diuresis, question of pulmonary edema.

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Right-sided picc has been removed. Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Posterior fusion hardware spanning the thoracolumbar spine is incompletely imaged. Multilevel degenerative changes are noted in the thoracic spine.

history: <unk>m with chest pain

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The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. There is no focal lung consolidation. Equivocal basilar lung nodule.

<unk>-year-old with mental status change.

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The lungs are hyperinflated with streaky bibasilar opacities likely indicative of atelectasis. In the right midlung, there is a suggestion of a rounded opacity concerning for nodule, however this may be a summation of densities. Heart size is mildly enlarged. No focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. Mitral annular calcification is noted.

history: <unk>f with cough and malaise. evaluate for pneumonia

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The heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

<unk>-year-old female with new onset atrial fibrillation. rule out chf or pneumonia.

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Cardiomediastinal contours are unchanged. . The lungs are clear. There is no pneumothorax or pleural effusion. Right middle scoliosis is again noted. Sternal wires are aligned

<unk> year old man with known descending thoracic aortic dissection has <num> week of increasing shortness of breath the chest pressure // r/o chf/infiltrate/widening of mediastinum

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Frontal and lateral radiographs of the chest show improved, but persistent mild pulmonary edema and vascular congestion from <unk>. Small bilateral pleural effusions are decreased in size from the preceding radiograph with improved aeration at the lung bases. No focal consolidation or pneumothorax is present. The cardiac silhouette is enlarged but stable. The mediastinal and hilar contours are within normal limits. The aortic knob is moderately calcified with slight rightward deviation of the trachea.

<unk>-year-old male with aortic stenosis, here to evaluate for interval changes or pneumonia.

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Low lung volumes are seen particularly on the frontal view with secondary crowding of the bronchovascular markings. There is no confluent consolidation or overt pulmonary edema. Small bilateral pleural effusions are noted. Left chest wall dual lead pacing device is identified. No acute osseous abnormalities are noted.

<unk>f with generalized weakness and fatigue x <num> cough // r/o pna

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Frontal and lateral chest radiograph demonstrates well expanded lungs. There is no focal consolidation. No appreciable pleural effusion is identified. There is mild cardiomegaly without pulmonary edema. No pneumothorax.

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

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Ap upright and lateral views of the chest provided. Lungs appear 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.

<unk>m with near syncope, fatigue // ? pneumonia

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pleural effusion or pneumothorax. In the right infrahilar region and along the left heart border, opacities are noted, which, in the appropriate clinical context, may represent pneumonia.

<unk> year old woman with right side cp // ro worsening pna, fx

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Two pa and one lateral chest radiographs were obtained. The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal.

<unk>-year-old man with cough for one month.

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Cardiomediastinal contours are normal. Multifocal consolidations in the right lung have markedly improved. There are no new lung abnormalities. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine

<unk> year old woman with right middle lobe and lower lobe consolidations are larger since <unk>. this could be due to worsening pneumonia, possibly legionella. noninfectious conditions such as wegener's granulomatosis or cryptogenic organizing pneumonia are more unusual alternative diagnoses. <num>. there is a <num> mm nodular opacity in the right mid lung, which was not seen on prior exam. attention on followup chest radiograph is recommended. // nodule

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As compared to the previous radiograph, the lung volumes have decreased. On the lateral radiograph, there is fluid marking of the fissures and, in addition, there is minimal blunting of the dorsal aspects of the costophrenic sinuses, potentially indicative of minimal interstitial fluid overload. However, no overt pulmonary edema is seen, and no pneumonia is detected. At the time of dictation and observation, <time> a.m., on the <unk>, referring physician, <unk>. <unk>, was paged for notification.

poor breath sounds at the right lung base, questionable pneumonia.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.

<unk> year old man feeling unwell and on chronic immunosupression // eval for inflitrate

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There is new large right pleural effusion and new mild pulmonary edema. Cardiac silhouette is slightly enlarged. Icd device wires end in the right atrium and right ventricle. A right-sided picc line ends at the right cavoatrial junction. Chronic compression fractures are stable.

<unk>-year-old with shortness of breath, please assess acute process.

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

history: <unk>m with cough // eval infiltrate

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Minor bibasilar atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Some degenerative changes are seen along the spine.

history: <unk>m with bilateral crackles, wheezing and dysnpnea. // ?pneumonia

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.

<unk> year old woman with shortness of breath history of effusions // evidence of ild or effusion

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Around <num> mm opacity projecting over the left lung apex could be a lung nodule, perhaps calcified. Mild interstitial pulmonary edema has worsened. Increased opacification of the left lower lobe concerning for a pneumonia. Bibasilar atelectasis and pleural effusions are noted. No pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.

<unk> year old man with cll, admitted with fevers, concern for possible retrocardiac process, now with rapid recovery // further characterization of retrocardiac process, signs of pneumonia

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Opacity in the lingula is new since <unk>. There is no, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

history: <unk>f with cough despite albuterol // r/o pna

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A left basilar opacity is concerning for pneumonia. No over pulmonary edema or pleural effusions are noted. The heart is normal in size. The bones have a mottled appearance compatible with the clinical history of multiple myeloma.

<unk> year old man with fever, neutropenia.

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Patient has had left thoracotomy and resection of most of a left middle rib, accounting for irregular left pleural thickening and some scarring in the left lower lung as documented on a chest cta <unk>. Borderline cardiomegaly is exaggerated by a pectus deformity of the sternum. Mediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. The lungs are otherwise well expanded without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.

<unk>f with epigastric pain // eval pna

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Patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is a peripheral wedge-shaped opacity at the base of the left chest associated probably with the lingula, most likely atelectasis. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax.

chest pain that worsens with deep breath. status post recent fall two days ago.

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Frontal and lateral chest radiographs demonstrate slightly low lung volumes resulting in exaggeration of the cardiac silhouette and bronchovascular crowding. Allowing for this, heart size is top-normal to mildly enlarged in size. There is mild vascular congestion and pulmonary edema. There is no appreciable pleural effusion or pneumothorax. No focal consolidation is identified. A mildly elevated left hemidiaphragm is similar appearance compared to multiple chest radiographs dating back to <unk>.

evaluate for pneumonia in a patient with weakness.

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged, the aorta calcified, and possible slight prominence of the main pulmonary artery. There is minimal vascular congestion. 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 cough x <num> month, hx of esrd/chf // evaluate for pneumonia, chf

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. A small lung nodule projects over the lateral left lower lobe without any indication that it may have changed. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. There is a similar moderate reversed s-shaped convex curvature to the thoracic spine with mild multilevel degenerative changes. The bones appear demineralized.

chest pain.

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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

history: <unk>f with weakness // weakness

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This exam is limited due to the patient rotation. The lungs are hyperinflated. Atelectasis is seen in the right mid lung field. There is moderate cardiomegaly. There is no pneumothorax or pleural effusion. Degenerative changes are noted throughout the spine, including a compression deformity at the thoracolumbar junction. Atherosclerotic disease of the major vessels is seen.

<unk>-year-old female with weakness.

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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

patient with dyspnea on exertion, evaluation for cardiopulmonary process.

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Two pa and one lateral radiographs of the chest were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac contours are normal.

chest pain after marijuana inhalation.

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Pa and lateral views of the chest. Left-sided pacemaker with leads in appropriate position. Cardiomediastinal and hilar contours are normal. There is scoliosis of the spine. Decrease in previously seen vascular congestion and mild interstitial edema. No evidence of pulmonary edema. There are trace bilateral pleural effusions. No focal consolidation. No pneumothorax.

status post pacemaker placement, evaluate lead placement.