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

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The lungs are clear. Cardiac contour is top normal and unchanged. There is no pleural effusion or pneumothorax. Deviation of the trachea towards the right has increased since <unk> and is explained by thyroid nodules already investigated by sonogram.

patient with shortness of breath, dyspnea on exertion chronically.

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The lungs are clear of consolidation or effusion. There is a <num> mm nodule projecting over the right lung apex and anterior right first rib. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with cough and green spututm one week // pna

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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. No subdiaphragmatic free air is present.

history: <unk>m with abdominal pain x<num> day, also with smoking history and cough x<num> month // mass vs. infectious process

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Minimal biapical opacities are compatible with pleural parenchymal scarring. The lungs are otherwise clear without focal consolidation, pneumothorax, or pleural effusion. No radiopaque foreign body. There are mild calcifications of the aortic arch. The osseous structures are unremarkable.

shortness of breath.

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The right-sided chest tube has been removed. There is no definite pneumothorax. Increased opacification of the medial right lung base may be due to an acute aspiration event, or possibly pulmonary contusion related to chest tube removal. There is no pleural effusion or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The small amount of subcutaneous gas is resolving. There is new gastric distention.

<unk> year old woman s/p rml // r/o ptx post ct removal

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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 s/p mechanical fall no chest wall injuries, pna

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Stable, top-normal heart size. Normal mediastinal and hilar contours. Clear lungs. Normal pleural surfaces. Interval resolution of minimal pulmonary edema.

<unk>-year-old man with exertional dyspnea.

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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. The visualized osseous structures are unremarkable.

history of substernal chest pain. please evaluate. patient endorses alcohol, cocaine, opiate use.

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Faint peribronchial opacification likely in the left lung base is of uncertain significance and may reflect atelectasis though very mild pneumonia or aspiration is not fully excluded. The remainder of the lungs are clear. The heart is normal in size. Normal cardiomediastinal silhouette.

new oxygen requirement. assess for aspiration pneumonitis.

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Ap upright and lateral views of the chest provided. Low lung volumes limits evaluation. Lungs are clear without focal consolidation, large effusion or pneumothorax. A small left bochdalek's fat containing hernia is better assessed on prior ct though accounts for a small posterior opacity at the level of the left hemidiaphragm. The heart is top-normal in size with an unfolded thoracic aorta again noted. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with hypotension // eval for infection

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Ap upright and lateral views of the chest provided. Acute rib fractures involve the right eighth and ninth lateral arch, minimally displaced. There is no pneumothorax or pleural effusion. Lungs are clear. A retrocardiac opacity on the lateral projection may reflect the presence of a hiatal hernia. Cardiomediastinal silhouette appears normal. Clips in the upper abdomen noted.

<unk>m with etoh intoxication, fell from standing onto r side with +headstrike and +loc, reporting r rib pain, neck and head pain

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Mild enlargement of the cardiac silhouette is not substantially changed in the interval. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with cough, shortness of breath

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Heart size is upper limits of normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for focal linear scar atelectasis at the left base. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old woman with hiv and latent tb, subjective fever + bodyache + cough x <num> days, weight loss. // r/o pulm disease

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The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.

appendectomy <num> hours previously with fever and tachycardia.

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Frontal and lateral views of the chest are correlated to ct abdomen and pelvis from <unk>. There is blunting of the left lateral and posterior costophrenic angle. This is thought to represent only small effusion with possible component of pleural thickening or scarring. There is increased opacity projecting over the left lower lung which is likely in part due to calcified pleural plaques better seen on ct scan from <unk>. The right lung is clear. The cardiac silhouette is enlarged. Triple-lead pacing device along the left chest wall is noted as well as median sternotomy wires. No acute osseous abnormality is detected.

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

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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.

history of word finding difficulties. please evaluate for infiltrate.

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

malaise, nausea, vomiting.

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In comparison with the earlier study of this date, there is little change and no evidence of pneumothorax. There is some residual atelectatic change with elevation of the left hemidiaphragm.

pleural effusion with drainage, to assess for pneumothorax.

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The patient is status post left thoracotomy and left upper lung pneumonectomy with unchanged deformities of the left lateral ribs and chest wall. Air-filled cavity within the left apex is re- demonstrated, but appears to contain increased opacification suggestive of increasing fluid. The size of this cavity is overall unchanged. Leftward shift of mediastinal structures is re- demonstrated. The heart size is normal. The pulmonary vasculature is not engorged. Streaky opacities in the left lung base may reflect atelectasis. Scarring within the right apex is unchanged. No acute osseous abnormalities demonstrated.

hemoptysis, left-sided chest pain for <num> weeks.

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The cardiomediastinal and hilar contours are within normal limits. Minimal platelike atelectasis or scarring involving the left mid lung is unchanged. There is no focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with cp, dyspnea*** warning *** multiple patients with same last name! // evidence of pneumonia

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As compared to the previous radiograph, there is evidence of bilateral dorsal pleural effusions of mild-to-moderate extent. The effusions are better appreciated on the lateral than on the frontal image. The effusions cause mild bilateral areas of atelectasis at the lung bases. Otherwise, the radiograph is unchanged. No cardiomegaly. Normal hilar and mediastinal contours. No evidence of pneumonia.

copd, evaluation for infection.

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Again noted is a postoperative esophagus. Opacity adjacent to the right mediastinal border is unchanged, likely platelike atelectasis, improved since prior. Assessment of the retrosternal region is limited due to technical limitations of the lateral radiograph. No definite pneumothorax is seen on ap view. The cardiomediastinal silhouettes are stable and within normal limits. The right hilum is obscured; the left hilum is within normal limits. There is no focal lung consolidation. There is no pleural effusion.

<unk>f with multiple nausea s/p esphogeal cancer.

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

<unk> year old man with cough // rule out infiltrate

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

chest pain. question acute cardiopulmonary process.

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The lungs are clear of consolidation, effusion, or edema. There is no pneumothorax. The cardiomediastinal silhouette is stable, prosthetic mitral valve is again noted. Median sternotomy wires are seen. Thoracic and lumbar compression deformities are again identified and were present on prior ct scans. Multilevel vertebroplasty changes are also noted. Ivc filter projects over the abdomen.

<unk>f with general weakness, cough // assess for pna

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The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No effusion or pneumothorax. Aorta is tortuous.

<unk>-year-old man with hypertension, presyncope, question pneumonia.

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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.

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

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Low lung volumes with kyphosis of the thoracic spine causing sub optimal assessment of the lung bases. Linear opacities in the left lower lobe extending to the hilum are new. Moderate hiatal hernia. No pleural effusions or pneumothorax.

<unk> year old woman with cough, fever // pneumonia?

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The lungs are hyperinflated, consistent with chronic obstructive pulmonary disease. There is streaky atelectasis seen at the left lung base. Otherwise, there is no focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax. The pulmonary nodules seen on the ct abdomen and pelvis from <unk> are too small to be seen on this study. There is a moderate size hiatal hernia. The cardiac and mediastinal contours are unchanged. A questionable subtle opacity is noted but appears unchanged from at least <unk>.

copd and new dyspnea on exertion with cough. evaluate for pneumonia or a mass.

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded with left apical thickening, likely a sequela of prior radiation treatment. The lungs are otherwise clear. Pulmonary vasculature is within normal limits. Surgical clips in the left axilla are noted.

elevated calcium and vitamin d.

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The lungs are clear aside from minimal right lower lobe atelectasis. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.

history: <unk>f with no pmh, p/w <num> wk burning cp, sob. // pna, ptx, acute process?

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Minor left base atelectasis/ scarring is seen. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Some degenerative changes are seen along the spine.

history: <unk>f with confusion // eval for pna

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Heart size is mildly enlarged. The mediastinal and hilar contours are unchanged with the aorta appearing somewhat unfolded. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

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

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The wedge-shaped left lower hemithorax opacification is consistent with recent left lingular segmenectomy. Normal post vats lingular segmentectomy changes are noted and dense surgical sutures are seen at the segmentectomy site. There is a small left pleural effusion. The right lung is well expanded and clear. There are no complications nor pneumothorax seen.

<unk> year old man s/p l vats lingular segmentectomy // check interval change

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

patient with history of cholestatic hepatitis, assess for pleural effusion.

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There is moderate to moderately severe right convex scoliosis. The heart is not enlarged. There is no chf, focal infiltrate or effusion. No pneumothorax detected. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy, pulmonary nodule, calcified granuloma, or apical infiltrate is identified. Apparent prominence of the left hilum is likely artifact due to the patient's scoliosis as no hilar enlargement is seen on the lateral view from the <unk> study and the frontal views are unchanged.

<unk> year old woman with h/o +ppd (untreated) <unk> week h/o cough and pleuritic cp with breathing. // is there evidence of pleuritis or other pulmonary disease?

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Left pericardial opacity has slightly decreased measuring <num> mm. The lungs are otherwise clear. The mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion.

patient with left pericardial opacity noted on chest x-ray <unk>, with temperature and cough.

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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.

right-sided pleuritic chest pain.

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Pa and lateral views of the chest provided. Lung volumes are low. Bibasilar mild atelectasis is present. There is no convincing evidence for pneumonia, pleural 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, syncope // eval for acute process

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Pa and lateral chest radiograph demonstrate right middle lobe opacity which in the appropriate clinical setting may reflect early infectious process. Streaky opacities at the left lung base likely reflects atelectasis. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Cardiomediastinal and hilar contours are stable.

history: <unk>m with sob // short of breath/esrd, fluid?

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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. Right infrahilar opacity questioned on <unk> is no longer evident. There is still the suggestion of numerous tiny lung nodules, mild abnormality of the pulmonary interstitium and mild right hilar adenopathy. There is no focal consolidation or pleural effusion.

<unk>-year-old male with with fever and cough for <num> weeks.

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The lungs are hyperinflated but clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

history: <unk>f with weakness // ? acute cardiopulm process

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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 tachycardia, elevated white blood cell count, felt short of breath and syncopized today

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Increased interstitial markings bilaterally is indicative of moderate interstitial edema. There is no pleural effusion or pneumothorax. Heart size is normal. Osseous structures are intact.

history: <unk>m with dyspnea // acute 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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.

<unk>f with r sided rib pain, anteriorly

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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. Again, seen is slight scarring at the right lung base laterally, which is unchanged. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

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

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Compared with <unk> at <time> , small right and left effusions are new or better seen. A small amount of pleural fluid and/or thickening is also seen along the lower lateral right chest wall. There is bibasilar atelectasis. No definite consolidation, though confluence at the right lung base makes it difficult to exclude an early pneumonic infiltrate or focus of aspiration. The cardiomediastinal silhouette is enlarged, but unchanged. There is upper zone redistribution, but no overt chf. There is hyperinflation, consistent with background copd. Linear lucency overlies the left third posterior rib. While this most likely represents artifact due to multiple overlapping structures, in the appropriate clinical setting, a nondisplaced rib fracture could give rise to this appearance.

<unk> year old woman with metastatic cancer unknown primary pes with persistent oxygen requirement. // pulmonary edema? pna?

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Ap and lateral views of the chest. There are increased interstitial markings throughout the lungs and small right and moderate left effusion which are new since prior. Degree of cardiomegaly is unchanged. There is a moderate hiatal hernia. Degenerative changes seen at the shoulders. Mid lumbar levoscoliosis identified.

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

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Ap portable upright and lateral views the chest provided. As seen on prior exam, there is a small right pneumothorax without significant right lung collapse or shift of midline structures. There is a small right pleural effusion also noted. Large paraseptal blebs noted at the left lung base. Cardiomediastinal silhouette appears normal. Chronic left clavicular deformity noted. Otherwise the bony structures appear intact.

<unk>m with altered mental status, reportedly with pneumothorax on osh chest x-ray

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The cardiomediastinal silhouette has remained stable since prior examinations. The pulmonary vasculature is slightly more indistinct than on prior examination. Since the prior examination, there has been development of a moderate right-sided pleural effusion. Small fissure of fluid is also noted. There is no definite consolidation. Median sternotomy wires are intact and well aligned. There is evidence of prior cabg.

history: <unk>m with 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. Slight elevation of the left hemidiaphragm due to gaseous distention of the stomach is noted.

left chest pain after motor vehicle collision

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

cough, fever and lymphadenopathy.

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The lateral view is limited secondary to patient's arms being down by his side. Best seen on the frontal view is increased opacity in left mid to lower lung. They appear more conspicuous compared to recent exam from <unk> for similar compared to previous exams from <unk>. There is no effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. Old left rib fractures are again noted.

<unk>m with hx of mr with <unk>/v, confusion // r/o infiltrate

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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 pmhx of cva who presents with syncope and unwitnessed fall // r/o pneumonia, rib fracture

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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Lower thoracic dextroscoliosis is noted. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with cough, sore throat // pna?

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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. Left basal consolidation is concerning for atelectasis and/or pneumonia. No large effusion or pneumothorax. Heart mediastinal contour is stable. Bony structures intact.

<unk>f with sob // acute process

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Given lordotic positioning, the lungs are clear. There is no focal consolidation nor effusion. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. Left chest wall device with lead extending to the neck is again noted. There is apparent malalignment of the right shoulder, suspicious for anterior dislocation which was present on prior.

<unk>f with prakinsons disease, now with fall, r/o infectious etiology // r/o pna

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Previously seen heterogeneous right lower lung opacities have essentially resolved. Dense consolidative opacities in the left retrocardiac region have also markedly improved. There is an area of reticular opacity projecting along the right paramediastinal upper lobe that is equivocally present on the prior study. The heart size is normal. The mediastinal contours are normal. A small left pleural effusion is decreased. There is no right pleural effusion. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted.

cough. assess for pneumonia.

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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is notable for prominent air-filled loops of bowel.

syncope.

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The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. The lungs demonstrate no evidence of focal pneumonia, pulmonary edema, pleural effusion or pneumothorax.

<unk>-year-old female with back pain. evaluation for pneumonia.

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Marked cardiomegaly is persistent and unchanged. No new focal consolidation, pleural effusion, or pneumothorax. No evidence of pulmonary edema. Patient is post median sternotomy with intact wires.

<unk> year old man with asthma, worsening cough, fever. evaluate for pneumonia or pulmonary edema.

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

anterior chest pain.

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Ap and lateral radiographs of the chest. Again seen is a well rounded opacity at the left lung base which corresponds to an area of rounded atelectasis on the previous ct scan. Additionally, there is an area of opacity adjacent to this, at the left lung base. In the lateral view, this opacity appears to project near an area of pleural thickening and it may represent a pleural fluid collection or acute consolidation. A port is seen in the right chest wall with the catheter terminating in the superior to mid svc.

due to start cycle <num> of chemotherapy today for waldenstroms. fevers and rigors for <num> days. evaluate for acute process.

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Lungs are severely hyperinflated with flattened hemidiaphragms, consistent with emphysema. No focal consolidation concerning for pneumonia, effusions, or pneumothorax. The aortic knob is calcified. Heart size is normal. Asymmetric thickening of the right greater than left apical margins is present.

<unk> year old woman with long smoking history. evaluate for cancer and copd.

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. No configurational abnormality is identified. Thoracic aorta unchanged and within normal limits. A right-sided port-a-cath system exists as before seen to terminate in the mid portion of the svc. No pneumothorax is present. The pulmonary vasculature is not congested. No evidence of acute pulmonary infiltrates is present, and the pleural sinuses are free. No pneumothorax in the apical area.

<unk>-year-old female patient with multiple myeloma, baseline examination for clinical trial.

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The patient is status post sternotomy, coronary artery bypass graft surgery and aortic valve replacement. A dual-lead pacemaker/icd device appears unchanged, with leads terminating in the right atrium and ventricle, respectively. The heart is again moderately enlarged. The mediastinal and hilar contours appear unchanged. There is asymmetric opacification of the right lung more so than left with an interstitial pattern suggesting an asymmetric form of vascular congestion, although overall similar to decreased, particularly in the left lung. Posterior patchy basilar opacities are most suggestive of coinciding atelectasis. There is a better defined opacity loculated along the right lower lateral chest wall, suggestive of a loculated pleural effusion. There is also a small pleural effusion on the left. There is no pneumothorax.

left-sided chest pain.

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Pa and lateral views of the chest. Lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

cough.

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Patient's chin overlies a medial lung apices, partially obscuring the view. The patient is status post median sternotomy. The cardiac and mediastinal silhouettes are grossly stable. There is moderate pulmonary vascular congestion. There is persistent elevation of the right hemidiaphragm and overlying atelectasis. Bilateral rib fractures, some of which are old and some of which are new for better assessed on preceding ct. No large pleural effusion or pneumothorax is seen.

history: <unk>m s/p mechanical fall to the left with left back pain // please do cxr if unable to do ct chest. fracture? acute pulmonary process?

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Ap upright and lateral chest radiographs were obtained. The lungs are well expanded and clear without pleural effusion or pneumothorax. The heart is top-normal in size with normal cardiomediastinal and hilar contours.

cirrhosis and ataxia with weakness.

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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 pre-syncopal event // eval for acute process

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Pa and lateral views of the chest provided. Lungs appear hyperinflated and hyperlucent consistent with emphysema. There is blunted left cp angle consistent with small left effusion as seen on recent ct pet. Heart is mildly enlarged. No definite signs of pneumonia or edema. No pneumothorax. Bony structures appear intact.

<unk>f with dysphagia <unk> esophageal stricture with inability to manage secretions/solids/liquids, history of breast cancer.

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Cardiac, mediastinal and hilar contours are normal. There is no pulmonary vascular congestion. New focal consolidative opacity is seen within the left lower lobe, with a trace left pleural effusion. The right lung is clear. There is no pneumothorax. No acute osseous abnormalities are detected.

shortness of breath, cough and fever.

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The lungs remain relatively hyperinflated. Bilateral pulmonary opacities has significantly improved in the interval ; however, subtle left base retrocardiac patchy opacities be due to atelectasis or aspiration. No definite pneumonia is identified. No pleural effusion or pneumothorax is seen. Saccular outpouchings along the descending aorta seen on prior chest ct from <unk> better assessed on ct. The aortic knob appears larger on the current study as compared to <unk>, however, this could relate to differences in patient position, the patient was rotated in the opposite direction ; the aortic knob appears more similar, if not smaller, compared to chest radiograph from <unk>. . The bones are diffusely osteopenic. Thoracic dish is noted.

history: <unk>f with fall from standing <num> days ago p/w slurred speech x <num> days, left knee and left ankle pain // eval for fracture/dislocation, ich, pneumonia, chf

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Mild enlargement of the cardiac silhouette is unchanged. The hilar and mediastinal contours are stable with mild stable prominence of the main pulmonary artery, likely secondary to pulmonary arterial hypertension. No evidence of pneumonia. There has been interval improvement of the previously noted pulmonary edema with mild residual edema. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of chest pain, congestive heart failure. please evaluate.

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The lungs are clear. The heart is top-normal in size. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.

chest pain.

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The abdominal changes are described in detail on the abdominal radiograph performed today at <time> a.m. In the lungs, no acute process is visualized. Relatively extensive bronchial wall calcifications. No pleural effusions. No pneumothorax. No pulmonary edema. Normal size of the cardiac silhouette.

new dyspnea on exertion, evaluation for acute process.

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There are low lung volumes. Underpenetration of the lung bases due to patient body habitus makes assessment slightly suboptimal. Prominence and indistinctness of the hila and perihilar opacity suggest pulmonary edema. Linear left mid lung atelectasis/scarring is seen. Small right and possibly small left pleural effusions are seen. There is no evidence of pneumothorax. The cardiac silhouette is mild to moderately enlarged.

history: <unk>f with lethargy for <num> weeks, infectious work-up. // eval pna

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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 breast cancer and left-sided chest pain.

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The patient is status post median sternotomy as well as extensive cardiac surgery. There does not appear to be any evidence of pneumonia, pulmonary edema, pleural effusion or pneumothorax. Cardiac size is slightly enlarged.

syncopal episode.

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There relatively low lung volumes. Increased interstitial markings in the perihilar and basilar region suggests mild pulmonary vascular congestion. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is mildly enlarged. The aorta is tortuous.

history: <unk>f with s/p fall // eval for pre-op

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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mild bronchial wall thickening suggests bronchitis. Mediastinal and hilar contours are normal. Heart size is normal. No rib fractures are identified on this non-dedicated rib study.

history: <unk>m with cbhest pain // ?pneumothorax ?rib fractures

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Esophageal stent is noted in unchanged position. Platelike opacity at left lower lobe is likely atelectasis or parenchymal scarring. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal size.

history: <unk>f with chest pain s/p esophageal stent // ? location of stent, ? abnormality

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In comparison with the study of <unk>, there has been no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.

cough with fever, to assess for pneumonia.

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Compared with prior radiographs on <unk>, there is no significant change in air fluid levels in the left hemithorax, suggesting previous apparent increase in air fluid levels on radiographs on <unk> was secondary to patient positioning versus a bronchopleural fistula. There is continued near opacification of the entire left hemithorax status post left pneumonectomy. There is slight decrease in subcutaneous air in the left chest wall. The right lung is clear without focal consolidation, pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are difficult to assess given pneumonectomy. A right-sided port-a-cath terminates at the cavoatrial junction.

<unk> year old man s/p l pneumonectomy // check interval change

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As compared to the previous radiograph, an upright frontal and lateral chest radiograph is provided. The chest tubes on the left have been removed. There is a residual hemopneumothorax on the left with post-surgical reduction of left hemi-thoracic volume and elevation of the left hemidiaphragm. In the retrocardiac areas, mild atelectasis is seen. There are no changes in the normal appearance of the cardiac silhouette and normal appearance of the right lung.

status post thoracotomy and left upper lobectomy, evaluation for interval change.

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.

chest pain and shortness of breath.

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There is a retrocardiac opacity which is resulting in obscuration of the medial and posterior margin of the left hemidiaphragm, better assessed in the lateral view. There are small bilateral pleural effusions. There is no evidence of pulmonary edema. Moderate cardiomegaly is present, and heart size is significantly worsened compared with <unk> when there was no cardiomegaly. Otherwise, mediastinal contour is unremarkable. There is no evidence of pneumothorax.

<unk>-year-old female with dyspnea and history of chf. evaluate for pulmonary edema.

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The lungs are clear. Cardiac silhouette is top-normal in size. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities. No free intraperitoneal air.

<unk>m with recent gastrectomy, cabg, presenting with fever and wbc abnormality. coming from rehab. // evidence of infiltrate

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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 woman with past history of cancer presenting with cough // evaluate for pneumonia

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In comparison with the earlier study of this date, pa and lateral view shows some opacification posteriorly which could represent pleural thickening or atelectatic changes at the right base. No unequivocal evidence of acute pneumonia, though this would still have to be considered in the appropriate clinical setting.

possible pneumonia.

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Feeding tube tip is in the distal stomach. Stable bilateral mid and lower lung pulmonary infiltrates and consolidations, with nodular components on the left, consistent with infection. Stable cavitary lesions in the left lung apex. Mild left, small right pleural effusions are stable. Multiple distended bowel loops in the partially seen upper abdomen.

<unk> year old woman with anorexia, multiple fractures s/p car collision, and a uti. now spiking fevers and worsening sob + cough // ?worsening infiltrates, pleural effusions

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Pa and lateral views of chest demonstrate low lung volumes but clear lungs. Cardiac, mediastinal, and hilar contours are normal. No pleural effusion or pneumothorax.

chest pain.

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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with atherosclerotic calcifications along the thoracic aorta. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

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

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Ap upright and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with tortuous ascending aortic contour. Cholecystectomy clips noted in the right upper quadrant.

weakness and fall. assess for acute process.

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Heart size is upper limits of normal. The mediastinal and hilar contours are normal, with no evidence of lymphadenopathy to suggest sarcoidosis. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old woman with peripheral inflammatory arthritis // r/o bilateral hilar lymphadenopathy associated with sarcoid

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Lung volumes are low. No focal opacity or consolidation is seen. There bilateral pleural effusions. There is no pneumothorax. The cardiomediastinal silhouette is top-normal in size.

history: <unk>f with c/o abd distention. r/o fluid retention // c/o abd distention. r/o fluid retention

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Since the scout images from <unk>, a large right pleural effusion with a loculated fissural component and dependent component. Right sided atelectasis that exceeds the amount of r pleural fluid, as reflected by the rightward mediastinal shift. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.no pneumonia, no pulmonary edema.

<unk> year old man with metastatic renal cell carcinoma // baseline prior to clinical trial enrollment for metastatic renal cell carcinoma

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. No evidence of a radiopaque foreign body.

history: <unk>m with esophageal strictures that presents with foreign body sensation in esophagus // eval for foreign body in esophagus

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Assessment is limited due to the patient's body habitus the lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female status post fall with hyperglycemia.

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There is moderate enlargement of cardiac silhouette. A moderate to large hiatal hernia is present with air-fluid level noted. The aorta is tortuous and diffusely calcified. The pulmonary vasculature is normal. Linear opacities in the lung bases likely reflect subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are moderate multilevel degenerative changes in the thoracic spine.

syncope.