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

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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiac silhouette is enlarged. Dual-lead pacing device is seen with lead tips in the right ventricular apex and right atrium. The osseous and soft tissue structures are grossly unremarkable, noting hypertrophic changes in the spine.

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

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Heart size is normal. The aorta is mildly unfolded. Mediastinal and hilar contours are otherwise within normal limits. Pulmonary vasculature is normal. Subsegmental atelectasis is noted in the left lower lobe. The lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.

history: <unk>m with shortness of breath

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Frontal and lateral views of the chest. The heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.

<unk>-year-old female with all status post allogeneic transplant with increasing cough and sputum production.

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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with cough // infiltrate

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Lung volumes are low. The heart size is mild to moderately enlarged, accentuated by low lung volumes. The aorta is tortuous. Pulmonary vasculature is not engorged. Linear and patchy opacities in the lung bases are most compatible with areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are seen within the thoracic spine. Surgical anchors project over the right humeral head.

history: <unk>m with chest pain

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There is mid left lung parenchymal opacity. The right lung parenchyma is unremarkable. There is no pleural effusion or pneumothorax. Heart size is again mildly enlarged. There is heavy calcification of the aortic knob.

history: <unk>f with cough, hypoxia // pna?

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Frontal and lateral views of the chest. There is new patchy consolidation identified at the right lung base. Linear opacities in the left lung base are also noted, as on prior, potentially atelectasis. Cardiomediastinal silhouette is unchanged. Moderate hiatal hernia is again noted. No acute osseous abnormality is detected.

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

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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 fever and history of uterine cancer. evaluate for pneumonia.

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There is persistent elevation/eventration of the anterior right hemidiaphragm. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

preoperative chest radiograph.

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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>m with likely ruq pain, hx autoimmune hepatitis // eval ? acute process rll

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Frontal and lateral chest radiographs <unk> lung volumes and bibasilar atelectasis. There is no pleural effusion or pneumothorax. Evaluation of the cardiomediastinal silhouette is limited.

abdominal pain and ct showing ascites. evaluation for mass or pneumonia.

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There are low lung volumes. There is moderate cardiomegaly. Widened mediastinum has improved. Vascular congestion has resolved. Small bilateral effusion with adjacent atelectasis have improved. Sternal wires are aligned. Patient is status post cabg. There is minimal pneumopericardium.

<unk> year old man s/p cabg // eval for effusion

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

fever and abdominal pain.

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Left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. Patient is status post tavr and coronary artery stenting. Heart size is normal. The aorta remains mildly tortuous with atherosclerotic calcifications noted at the aortic knob. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with recent avr, mi with multiple stents, ?hx of chf, with orthopnea and cough productive of white sputum // eval for pulmonary edema, pna

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

cough and fever. evaluate for pneumonia.

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Pa and lateral views of the chest provided. Partially visualized cervical fusion hardware noted. Moderate cardiomegaly is again noted. Coronary stents are seen on the lateral projection. There has been interval resolution of previously noted right lower lobe opacity. No new consolidation, large effusion or pneumothorax. No free air seen below the right hemidiaphragm.

<unk>m with hiv, copd, recent admission for <unk>, pna, abdominal pain presenting w/worsening abdominal pain.

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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Position of diaphragm is unremarkable. No pneumothorax in the apical area on the frontal view. Skeletal structure of the thorax grossly within normal limits. There exists no prior chest examination or records available for comparison.

<unk>-year-old female patient with cirrhosis, assess for lesions within the chest.

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The ng tube tip is in the stomach. Air-fluid levels are seen in non-dilated loops of small bowel in the left upper quadrant with some gas in the colon. The lungs are clear without infiltrate or effusion. Volume loss at both bases. The appearance of bowel could be due to early or partial sbo.

small-bowel obstruction. abdominal pain. check ng tube.

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Unchanged positioning of the right internal jugular line tip at the mid svc. Compared to the prior study, interval enlargement of the cardiac silhouette is new, along with a new pericardial effusion. A new left lower lobe opacity is concerning for atelectasis or pneumonia. Small bilateral effusions are new since the prior study. No evidence of pneumothorax.

<unk>m w/ pckd s/p ddrt <unk>, now w/ increasingly symptomatic polycystic kidneys, now s/p open bilateral nephrectomies <unk>. evaluate for chf.

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The lungs are hyperinflated. There is a small left-sided pleural effusion, larger when compared to prior. Trace right pleural effusion is also noted. The lungs are clear of consolidation or edema. Moderate cardiomegaly is again noted. Atherosclerotic calcifications noted at the aortic arch. Left chest wall dual lead pacer again noted. Lower thoracic superior compression deformity is again seen.

<unk> year old woman with weakness, dyspnea, lll crackles // eval for pna

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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. There is a left lower lobe cough calcified granuloma. Cardiomediastinal silhouette is within normal limits and again notable for prostatic aortic valve. Median sternotomy wires are noted. No acute osseous abnormality detected.

<unk>-year-old female with left lower extremity swelling. history of aortic valve replacement. question congestive failure.

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Patient is rotated somewhat to the right. Given this, no focal consolidation is seen.there is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable. Old fracture of the mid to distal right clavicle with callus formation is partially imaged. There also appears to be subtle chronic appearing deformity of right-sided ribs.

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

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Frontal and lateral chest radiograph demonstrate a left port, the catheter which appears intact and terminates within the expected location of the right atrium. The heart is normal in size. Left hilar adenopathy and upper paramediastinal fibrotic changes are not significantly changed. Previously identified opacities projecting over the right mid to lower lung zone on prior radiograph performed <unk> are no longer visualized. There are however new nodular opacities within the left upper lobe concerning for infectious process. There is no pleural effusion or pneumothorax. Imaged osseous structures and upper abdomen are unremarkable.

<unk> year old man with relapsed hodgkins disease post allo transplant currently on pd treatment with new cough, chest congestion // ? infection

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The lungs are well inflated and clear. No focal consolidations. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax.

history: <unk>m with chest pain // assess heart and lungs

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The cardiac silhouette is enlarged. The mediastinal and hilar contours are normal. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

sickle cell disease, chest pain, viral uri. rule out consolidation.

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Lungs are relatively hyperinflated. There is blunting of the bilateral posterior costophrenic angles, suggesting trace pleural effusions. Mild interstitial edema is seen. The cardiac silhouette is moderately enlarged. The aorta is calcified and tortuous. Old appearing left-sided rib deformities, old fractures are re- demonstrated.

history: <unk>f with shortness of breath // eval for acute process

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Again seen is lingular pneumonia with evidence of volume loss. This is unchanged from <unk>. There may be tiny pleural effusions. There is no pneumothorax or vascular congestion. The heart size is within normal limits.

hemoptysis and productive cough. pneumonia diagnosed on chest radiograph from <unk>.

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There is no lobar consolidation, pleural effusion, or pneumothorax identified. Mild prominence of the central pulmonary vasculature and edema is noted. Mild cardiomegaly is unchanged. Cervical fusion hardware is again noted, incompletely imaged but unchanged appearance.

<unk>m with doe // r/o acute process

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Frontal and lateral views of the chest demonstrate low volumes, but clear lungs. The cardiomediastinal silhouette is stable and enlarged. Bibasilar atelectasis is unchanged. There is no pleural effusion or pneumothorax. Wedge-shaped compression deformity multiple thoracic spine vertebral bodies are unchanged.

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

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No comparison studies. There are multifocal bilateral nodular ground-glass opacities. Concurrent cta of the chest better evaluates this. The cardiomediastinal shilhouette and hila are normal. No pleural effusion, no pneumothorax.

<unk>-year-old with endocarditis and fever.

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Frontal and lateral radiographs of the chest demonstrate stablely enlarged cardiac sillouete. Normal mediastinal contours. The lungs are clear. No pleural effusion or pneumothorax. Colonic interposition is noted under the right diaphragm.

rigors, question pneumonia

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

<unk>f with hypoxia // int change?

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The left hemidiaphragm is elevated and the left lung appears to have decreased volume as compared to the right. Interstitial markings appear increased bilaterally but more so on the left. There is also left perihilar opacity. Findings could be due to asymmetric pulmonary edema on top of chronic lung disease, however atypical infection is not excluded. No pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.

history: <unk>m with sob. // pna?

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Again seen is a left retrocardiac opacity with minimal obscuration of the diaphragm, which after review of the concurrent ct scan, represents lower lobe consolidation. Haziness at the right base corresponds to focal opacities seen in the right lower lobe on ct. There is no pleural effusion or pneumothorax. Median sternotomy wires and valve replacement are again seen. Cardiomediastinal silhouette is unchanged. There are no acute skeletal abnormalities.

<unk>-year-old man with shortness of breath, question pneumonia, question.

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. The aorta is tortuous. There is no pneumothorax, pleural effusion, or consolidation.

<unk>m with dyspnea // chf or pneumonia

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As compared to the previous radiograph, there is no relevant change. Normal lung volumes, no evidence of pneumonia or pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. No pleural effusions.

pyelonephritis, productive cough, questionable pneumonia.

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Frontal and lateral radiographs of the chest demonstrates slightly decreased lung volume since the prior study. There is subtle opacification at the left lung base which is new since the prior study and may represent atelectasis or developing pneumonia. The heart size, hilar and mediastinal contours are unchanged. No pleural abnormality is identified.

cough and elevated white blood cell count. evaluate for pneumonia.

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Pa and lateral views of the chest. No prior. There is slight increased opacity identified at the right lung base medially, localizing to the lower lobe on the lateral exam. Elsewhere, lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with cough and fever, evaluate for pneumonia.

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Status post mitral valve replacement with intact sternotomy wires. The heart remains enlarged. There are small bilateral pleural effusions with associated atelectasis. Biapical small pneumothoraces have resolved. There is no focal consolidation.

<unk> year old man with s/p mvr // eval postop changes

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Frontal and lateral views of the chest are compared to previous exam from <unk>. Lung volumes are low. Increased interstitial markings seen diffusely throughout the lungs are similar compared to prior. There is no superimposed consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted. Osseous and soft tissue structures are notable for hypertrophic changes of the spine and surgical clips in the upper abdomen.

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

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The lungs are well expanded and clear. Mild cardiomegaly is stable. Otherwise the cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Sternotomy wires are intact.

left scapular pain.

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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.

<unk>-year-old male with chest pain, concerning for pneumothorax or pneumonia.

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Pa and lateral views of the chest demonstrate a persistent small apical pneumothorax on the left, not significantly changed since the prior study. No pneumothorax is identified on the right. There is mild left basilar atelectasis. The cardiomediastinal silhouette is unremarkable, and there is no evidence of tension. No displaced rib fractures are identified. There is no pleural effusion or focal airspace opacity.

<unk>-year-old man with known traumatic left pneumothorax.

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Retrocardiac opacity may reflect atelectasis and/or consolidation. The right lung is clear. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.

<unk> year old woman with splenic marginal zone lymphoma on rituximab with fever to <num>, hr <num>s, and hypoxia to <unk> on ra // ? source of hypoxia and fevers

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Pa and lateral radiographs of the chest demonstrate a left chest wall pacemaker generator with appropriately positioned atrial and ventricular leads. There is mild cardiomegaly, unchanged since the prior study. Nno discrete consolidation is seen. No pleural effusions or pneumothoraces are identified. The hilar and mediastinal contours are within normal limits.

chest pain and dyspnea. evaluate for pneumonia or other intrathoracic pathology.

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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 fevers x <num> week*** warning *** multiple patients with same last name! // eval pna

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The lungs are well expanded and clear. There is some flattening and sharp inclination of the right hemidiaphragm, suggestive of hyperinflation. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. There is no evidence of pneumonia or other acute pulmonary or cardiac process.

<unk>-year-old male with cough, subjective fever and dyspnea, now with wheezing on exam.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.

asthma and cough.

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The lungs are well inflated with no obvious consolidation; however, there is a suggestion of peribronchial opacification in the retrocardiac left lower lobe. Left anterior oblique chest radiograph is recommended to better image this area. A small round opacity in the right mid field is a vessel on end or calcified granuloma. The lungs are otherwise clear and there is no pleural abnormality. The cardiomediastinal and hilar silhouettes are normal.

<unk>-year-old female with new neurological findings and anemia.

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Right lower lobe opacity seen on the lateral view in the posterior costophrenic angle suggests pneumonia given the provided clinical history. Otherwise, no significant change in the radiographic appearance of the chest since <unk>. No pulmonary edema, pleural effusion, or pneumothorax. Slight blunting of the right costophrenic angle is overall unchanged. The cardiomediastinal silhouette and hila are also overall similar in appearance. Stable moderate enlargement of the heart. Stable mild degenerative changes of the thoracic spine. Scattered calcifications are unchanged and compatible with mctd. The left shoulder surgical hardware is new from <unk> but similar in appearance to the shoulder radiograph in <unk>. Degenerative changes are noted in the right shoulder.

<unk>-year-old woman with mctd on immunosuppresion with cough and fever for a week; evaluate for pneumonia.

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

<unk>f with chest pain/epigastric pain // acute process

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Pa and lateral views of the chest provided. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.

<unk> year old man with h/o right sided pneumonia treated in <unk> // follow up of pneumonia

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Redemonstrated are multiple bilateral nodules of varying sizes, with a dominent retrocardiac nodule seen within the posterior left lower lobe. Other nodules may be in the lungs and/or ribs as they overlie multiple ribs. No lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.

history of prostate cancer and fevers, now with intermittent cough following recent travel to <unk>. followup for left upper lobe nodule seen on prior exam.

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The cardiomediastinal hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are clear without focal consolidation concerning for pneumonia. There are no displaced rib fractures or other acute osseous abnormality. The upper abdomen is unremarkable.

<unk>m with nasal bone fx s/p fall vs assault // eval ? chest wall injuries

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The lungs are normally expanded and clear. The cardiomediastinal silhouette is borderline enlarged. Mild central pulmonary vascular prominence is unchanged. Mild peribronchial infiltration in the left lower lobe is new compared to one month prior. There is no pleural effusion or pneumothorax. Pectus excavatum deformity is redemonstrated.

cough, fever. evaluate for infiltrate.

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

<unk>m with chest pain x <num> day sob, doe. no // r/o pna vs pleural effusion

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Low lung volumes are seen with cephalization and interstitial markings consistent with pulmonary edema. Bibasilar opacities likely represent pleural effusions and associated atelectasis but infection cannot be fully excluded. Right middle lobe opacity could represent asymmetric edema or infection in the appropriate clinical setting. Degenerative changes and compression deformity is seen at the thoracolumbar junction.

respiratory failure. evaluate for pneumonia, effusion, pulmonary edema.

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Frontal and lateral views of the chest were performed. The lungs are hyperinflated. There is no focal airspace consolidation to suggest pneumonia. The previously seen small bilateral pleural effusions have resolved. There is no pneumothorax. A calcified and tortuous aorta is redemonstrated. The cardiac silhouette is top-normal in size and unchanged from the prior study accounting for differences in technique. The hilar structures are unremarkable. Pleural thickening and pleural plaques are seen over the right upper lung, representing prior asbestos exposure. Deviation of the trachea to the left is compatible with the known thyroid mass (suspicious for malignancy by cytology.) the degree of deviation has increased since <unk> but is unchanged from <unk>. The imaged upper abdomen is unremarkable.

left-sided chest pain, rule out pneumonia.

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There is a tiny right apical pneumothorax. Right pleural effusion is small. Postoperative changes are noted in the right upper lobe. Widened mediastinum has improved. Bibasilar atelectasis larger on the left have increased. There are moderate to severe degenerative changes in the thoracic spine

<unk> year old man s/p rul wedge resection s/p ct removal // post pull film, eval for ptx, please perform at <num>am

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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 ap single view chest examination of <unk>. The previously identified right-sided picc line and a left-sided internal jugular approach double-lumen catheter (probably dialysis line) have been removed. No pneumothorax identified now. Heart size and mediastinal structures are unchanged. The previously identified right-sided obliteration of the diaphragmatic contour and blunting of the right lateral pleural sinus persists and appears rather unchanged. The previously described mild blunting of the left lateral pleural sinus is less marked now and there is no conclusive evidence for remaining pleural effusion. No new parenchymal abnormalities are present.

<unk>-year-old male patient status post vats right lower lobectomy on <unk>, then requiring right middle lobe muscle flap reinforcement and decortication on <unk>. patient with stage ib scc. evaluate for interval change.

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Pa and lateral views of the chest were obtained. Port-a-cath is seen over the left chest with tip terminating at the cavoatrial junction. There is no focal consolidation, pleural effusion, or pneumothorax. Left upper lung density corresponds to one of several known pulmonary metastatic lesions. Known osseous metastatses.

<unk>-year-old woman with brca, on chemo, presenting with chills, nausea, vomiting; evaluate for acute process.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is no pulmonary edema. The cardiac and mediastinal silhouettes are stable and unremarkable.

shortness of breath.

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No previous images. Cardiac silhouette is at the upper limits of normal in size or mildly enlarged. There is tortuosity of the aorta. Dual-channel pacemaker device is in place with leads extending to the left atrium in the region of the apex of the right ventricle. No evidence of acute focal pneumonia, vascular congestion, or pleural effusion. Of incidental note is apparent calcification in the right upper quadrant consistent with gallstones.

pacemaker placement.

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Pa and lateral radiographs were obtained. The lungs are well inflated. There is a <num> cm density projecting over the head of the left clavicle. There is no consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal.

severe cough. purulent sputum and chills.

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The lungs are well inflated and clear. There is unchanged moderate cardiomegaly without evidence of pulmonary edema. The hilar contours are stable. There is no pleural effusion or pneumothorax. Degenerative changes of the thoracic spine with mild compression deformities are unchanged. A left chest wall pacer and leads are in unchanged positions.

<unk>f with shortness of breath, evaluate for chf or pneumonia.

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is mild cardiomegaly. There is no pneumothorax, pleural effusion, or consolidation.

<unk> year old woman with fever /cough // fever /cough

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Mild cardiomegaly and mild pulmonary vascular congestion are unchanged. Patient is post median sternotomy for cabg with intact median sternotomy wires, an unchanged prosthetic valve, and unchanged mediastinal clips. Mediastinal silhouette is normal. The lungs are clear without focal consolidation, effusion, or pneumothorax.

<unk> year old man with history of chf, morning time mild hemoptysis. evaluate for lung lesion.

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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is biapical scarring. No pleural effusion or pneumothorax is seen.

<unk>f with chest pain, evaluate for pneumonia.

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The cardiac, mediastinal and hilar contours are unchanged, with the heart size being top normal. Pulmonary vascularity is not engorged. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen. Cholecystectomy clips are detected in the right upper quadrant the abdomen.

cough.

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Pa and lateral radiographs of the chest demonstrates a right middle lobe opacity obscuring the right heart border on the frontal view. This corresponds to an opacity overlying the heart on the lateral view. The lungs are otherwise clear and the hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion and the pulmonary vascularity is normal.

two months of productive cough in a patient with down's syndrome.

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Frontal and lateral views of the chest. New compared to prior exam are patchy opacities identified within the lungs, more confluent in the left upper and lower lobes but also in the right mid lung as well. There is no effusion. Cardiomegaly is stable. No acute osseous abnormalities detected.

<unk>-year-old male with fever.

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The lungs are clear without infiltrate or effusion. The heart is upper limits normal in size. There are mild degenerative changes of the spine.

cirrhosis new onset h e. question pneumonia.

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There is persistent opacity at the right lung base, similar to <unk>. Bibasilar bronchiectatic changes and left hemidiaphragm elevation are similar to <unk>. Cardiomediastinal silhouette is within normal size. Left picc terminates in mid svc.

<unk> year old woman with immunosuppression s/p renal transplant, seizures, aspiration risk, now with bilateral rhonchi at bases // query pneumonia, aspiration, other process

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

history: <unk>m with left back pain // r/o pna, pneumothorax

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The lungs are normally expanded and clear without focal airspace opacity to suggest pneumonia. The aorta is again tortuous and unfolded. The heart is top normal in size. The hilar and mediastinal contours are stable. There is no pleural effusion or pneumothorax. Surgical clips project over the upper abdomen. There are mild-to-moderate degenerative changes in the thoracic spine.

chest pain. evaluate for pneumonia, effusion.

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The lungs are well inflated and clear. The cardiomediastinal and hilar contours are unchanged. The heart is not enlarged. There are trace bilateral pleural effusions and mild pulmonary edema. No pneumothorax or consolidation.

<unk>f with fever, suprapubic pain, recent cough // pneumonia?

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Compared with prior chest radiograph on <unk>, there is new ill-defined opacity adjacent to the right hilum. There is linear atelectasis in the right upper lung.the left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk> year old man with hx of myeloma on chemo with cough. please r/o pna. // <unk> year old man with hx of myeloma on chemo with cough. please r/o pna.

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The lungs are well inflated and clear. A right lower lobe calcified granuloma is again noted. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

<unk> year old woman with cough, rule out pneumonia.

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Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Moderate to severe cardiomegaly is re- demonstrated. The mediastinal contours are unchanged with tortuosity of the thoracic aorta again noted. Hilar contours are stable, and there is no pulmonary edema demonstrated. Vague focal opacity is seen within the right upper to mid lung field, which is nonspecific, but not clearly demonstrated on the previous exam. No focal consolidation, pleural effusion or pneumothorax is otherwise demonstrated.

weight gain, history of congestive heart failure.

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable ap chest examination <unk> <unk>. Right-sided diaphragmatic elevation persists and appears unchanged. Significant cardiac enlargement as before. Configuration includes prominence of main pulmonary artery and consistent with previously diagnosed pulmonary hypertension. We on previous portable chest examination suspected right-sided pleural effusion with blunted right-sided lateral pleural sinuses confirmed as the present lateral view demonstrates rather extensive pleural densities reaching into the posterior pleural sinus. The left-sided pleural space remains free. There is no evidence of any pneumothorax in the apical area on either side. Comparison with the pa and lateral chest examination of <unk>. The at that time existing pulmonary congestive vascular pattern does not exist anymore.

<unk>-year-old female patient with crackles, egophony at right base. evaluate for possible pneumonia.

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Pa and lateral views of the chest provided. Emphysema is again noted. There is subtle reticulonodular opacity in the left lower lung which could represent an early pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Chronic left rib deformities are again noted. No free air below the right hemidiaphragm.

<unk>m with dyspnea on exertion // pna? pleural effusion

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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.

history: <unk>m with productive cough // ?cpd

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There are new heterogeneous opacities within the left lower lobe, concerning for pneumonia versus aspiration pneumonitis. Subtle heterogeneous opacities are also seen medially within the lower right lung, likely atelectasis, although aspiration or infection is not excluded. The lungs are otherwise clear. The heart is normal in size. The mediastinal contours are normal. There are left greater than right small pleural effusions. There is no pneumothorax.

<unk> year old man with doe, hx pneumonia // ? pulmonary cause

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The frontal view is not symmetrical and difficult to evaluate, but there is a vague patchy opacity in the lingula, although most likely due to minor atelectasis. A nipple shadow is visualized on the right side. Hemidiaphragms appear flattened suggesting hyperinflation. There is no definite pleural effusion or pneumothorax. Bony structures are unremarkable.

weakness and fatigue.

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No focal consolidation concerning for pneumonia is present. Indistinctness adjacent to the aortic arch have been present since <unk> and likely represent atelectasis, however this should be further characterized on a non-urgent basis with ct. There is no pleural effusion or pneumothorax. Mild vascular congestion is unchanged from recent prior studies. Cardiac size is top normal. Mediastinal and hilar contours are otherwise unremarkable.

<unk>-year-old male with chest pain and recent catheterization. question chf or pneumonia.

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In comparison with the study of <unk>, there has been the development of a substantial right pleural effusion. Compressive atelectasis is present at the base and there is no appreciable shift of midline structures to the opposite side. No vascular congestion or acute focal pneumonia. There is extensive opacification involving the liver, consistent with a huge calcified mass.

decreased breath sounds on the right, to assess for pleural effusion.

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The lungs are clear. Prior effusions are no longer seen. The cardiac silhouette is top-normal. No acute osseous abnormalities.

<unk>m with sob

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There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal. No acute osseous abnormalities identified. No subdiaphragmatic free air.

<unk>f with sob, leg swelling // evaluate for acute process

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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal atelectasis in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>m with exertional chest pain and dyspnea

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.

hypertension.

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. Low lung volumes cause bronchovascular crowding.

<unk> year old woman with crohn's, h/o cva, neuropathy, etc with <num> month of worsening sob and <unk> edema with new onset sob, r/o fluid, infiltrates

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Pa and lateral views of the chest were obtained. Cardiomediastinal silhouette including cardiomegaly is unchanged. There are dense bilateral opacities with perihilar predominance consistent with severe pulmonary edema. Small bilateral pleural effusions are likely present. No pneumothorax. Partially imaged cervical spine fixation hardware.

<unk>-year-old woman with cough and shortness of breath, evaluate for pneumonia.

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The patient is status post median sternotomy and cabg. The heart size is top normal. The mediastinal and hilar contours are unremarkable. Bilateral calcified pleural plaques are seen diffusely which limits assessment of the underlying pulmonary parenchyma. No focal consolidation, pleural effusion or pneumothorax is clearly demonstrated. There are no acute osseous abnormalities.

history: <unk>m with headache, cough

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Ap and lateral views of the chest are compared to previous exam from <unk> and <unk>. There are new bibasilar opacities, seen both on the frontal and lateral views. Superiorly, the lungs are clear. Blunting of the lateral costophrenic angles may represent small effusions. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted over the regions of the axillae. Osseous and soft tissue structures are otherwise unremarkable.

<unk>-year-old male on dialysis, treatment missed for past three weeks, now with weakness, shortness of breath.

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

chest pain and syncope. hypertension.

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The heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.

cough and fever.

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Frontal and lateral views of the chest. As on prior exams, there is diffuse increased reticular markings and known bronchiectasis. There is no definite superimposed acute process; however, subtle interval change would be difficult to exclude given the extent of the parenchymal disease. The cardiomediastinal silhouette is unchanged. No acute osseous abnormality is identified. Posterior right sixth rib deformity is again seen.

<unk>-year-old female with fall and hip fracture. question pneumonia.

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Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. Considering this factor, heart size is upper limits of normal. Lungs are grossly clear on the pa view. Localized opacity in the infrahilar region the lateral view is probably due to confluence of vascular structures accentuated by the low lung volumes.

<unk> year old woman with pleuritic chest pain with respirations. // ? pna

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. No displaced rib fracture is identified.

<unk>-year-old female with no medical history, tripped while playing softball with right chest wall pain.

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Frontal and lateral chest radiographs were performed. The lungs are hyperexpanded from known emphysema. Consolidation at the lung base, side indeterminate, is best appreciated on the lateral view, si there is no pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged. The mediastinal contours are unchanged. Degenerative changes of the shoulders are appreciated. The bones are osteopenic.

cough and fever, evaluate for infiltrate.