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

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Mild bibasilar reticular opacities are seen which could be due to chronic lung disease versus aspiration. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is top-normal to mildly enlarged.

history: <unk>m with a flutter // evidence pneumonia

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The heart is marked enlarged, as before. Mediastinal and hilar contours appear stable. Left posterior opacifications suggests atelectasis and possibly pleural effusion although otherwise the lungs appear clear. There is only a small pleural effusion on the right.

worsening chest pain and dyspnea.

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Cardiomediastinal contours are within normal limits. On the lateral view, there is increased retrocardiac opacification that is new compared to the prior study and could represent pneumonia in the appropriate clinical context. No pleural effusion or pneumothorax. Prominent anterior osteophytes are noted in the mid to lower thoracic spine.

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

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Frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal.

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

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Slightly lower lung volumes are noted. There are bibasilar opacities, potentially due to atelectasis. Mild cardiac enlargement is noted. Tortuosity descending thoracic aorta is seen. Compression deformities of lower thoracic vertebral bodies are noted. Interval progression of height loss is noted at what is likely t<num> since <unk>. Degenerative changes note the shoulder on the right.

<unk>m with dizziness // pna?

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Pa and lateral views of the chest. No prior. There are diffuse bilateral parenchymal opacities which are most dense in the right lower and middle lobes suggestive of pneumonia. There is a right-sided pleural effusion seen to track within the minor fissure as well. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with cough.

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Ap and lateral views of the chest. When compared to prior, there has been no significant interval change. Mildly diffuse increased interstitial markings are seen throughout the lungs likely representing mild interstitial edema. There is no overt pulmonary edema. There is no large effusion. Cardiomegaly is stable in configuration. No acute osseous abnormality detected.

<unk>-year-old female with presyncope.

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Pa and lateral chest views have been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Heart size is at the upper limit of normal variation but unchanged when comparison is made with previous studies. No typical configurational abnormalities identified. The aorta is of ordinary <unk> and does not show any local contour abnormalities or walled calcifications. The pulmonary vasculature is not congested. There are no signs of acute or chronic pulmonary parenchymal densities. The pleural spaces are free. There is no fluid in lateral or posterior pleural sinuses. No pneumothorax is present in the apical area seen on the frontal view. Skeletal structures of the thorax grossly unremarkable.

<unk>-year-old female patient with worsening cough, evaluate for pneumonia.

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Pulmonary vascular engorgement is unchanged, with improved interstitial lung markings compared with the prior radiograph. Mild cardiomegaly and hilar contours are unchanged. No focal consolidation or pleural effusions.

<unk>f with chest pain, l shoulder and elbow pain, difficult history. eval for acute process.

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The heart size is normal. The cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Visualized osseous structures are grossly unremarkable.

erythema nordosum. rule out sarcoidosis.

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The cardiac, mediastinal and hilar contours appear unchanged. The heart is at the upper limits of normal size. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.

left rib pain after assault.

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Ap upright and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. There is a right chest wall pacer device with lead tips extending to the expected level of the right atrium and right ventricle. The lungs appear clear bilaterally with no evidence of focal consolidation, effusion, pneumothorax, or pulmonary edema. Cardiomediastinal silhouette is normal. Bony structures appear intact. Degenerative spurring is seen within the thoracic spine. No free air is seen below the right hemidiaphragm.

<unk>-year-old male with syncope yesterday and fall.

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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 multilevel degenerative changes are seen within the imaged thoracic spine.

history: <unk>f with chest pain

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Linear atelectasis noted in the left lingular lobe and no evidence of pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Calcifications noted in the descending aorta.

<unk> year old man with diabetes , no respiratory symptoms but distinct rales left axilla // ? atelectasis

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The lung volumes are normal. Normal hilar and mediastinal structures. No pleural effusions. Normal size of the cardiac silhouette. No pneumothorax. No lung nodules or masses.

history of asthma, frequent cough, hemoptysis. assessment.

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Lung volumes are low bibasilar opacities which likely represent atelectasis, however could represent early infection in the appropriate clinical setting. There is no pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal.

history: <unk>m with chest pain. evaluate for pneumothorax.

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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>f with asthma here with asthma exacerbation

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Heart size is normal. Re- demonstration of calcifications of the aortic knob. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. No pleural effusion or pneumothorax. Partial visualization of cervical fixation hardware. Stable mild elevation of the right hemidiaphragm.

history of vascular disease presenting with acute onset dyspnea and nausea.

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Frontal and lateral chest radiographs were obtained. Lung volumes are low, but the lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Osseous structures are unremarkable. No free air is seen under the hemidiaphragms.

abdominal pain, vomiting, diarrhea, evaluate for acute infectious process.

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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. Lung volumes are low limiting assessment. There is no focal consolidation concerning for pneumonia. Mild bibasilar atelectasis noted with overall improved aeration compared with prior. There is no convincing evidence for congestion or edema. Cardiomediastinal silhouette is unchanged. Bony structures are intact.

<unk>m with afib, symptomatic hypotension, please eval for consolidation for ?infectious source

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Patient is status post median sternotomy. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

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

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Pa and lateral views of the chest provided. Lung volumes are low. The heart appears top-normal. No large effusion or pneumothorax. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm. Mediastinal contour is normal.

<unk>m with chest pain and sob

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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>f with appendicitis // pre op eval

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Pa and lateral views of the chest provided. Right chest wall port-a-cath is present with right ij insertion and catheter tip in the mid svc. The lungs are clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette is normal. No signs of congestion or edema. Bony structures are intact.

<unk>f with all presenting with fever // ? infection

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Previous small right-sided pleural effusion is now trace in size. Left lung is essentially clear. No focal opacities are noted. Cardiomediastinal silhouette and hilar contours are unremarkable. There are no pneumothoraces.

<unk>-year-old woman with malignant pleural effusion, status post pleurodesis. question residual effusion.

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The lungs are clear of consolidation or effusion. Mild cardiomegaly is again noted. Atherosclerotic calcifications noted at the aortic arch. Mid thoracic dextroscoliosis is again seen.

<unk>m with cough sob // sob/cough

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

stroke.

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Ap and lateral views of the chest. Show slightly worsened consolidation at the left lung base compared to <unk>. Bilateral pleural effusions are evident, not large. The the right base is clear other than a calcified pulmonary nodule seen on the preop study. Calcified aortopulmonary window node is partially obscured on the current exam. Coronary stents are visible. Right-sided central venous catheter tip is in unchanged position. Persistent

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

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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Right chest port catheter tip is in the lower svc. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

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

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a focal consolidation projecting over the left lung within the lingula. Elsewhere, the lungs appear clear. There is a suspected trace pleural effusion on the left only. There is no pneumothorax. The osseous structures are unremarkable.

productive cough and fever with pleuritic chest pain.

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There is mild peribronchial cuffing suggesting bronchitis. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits.

<unk>f with ms <unk>/w presyncope, evaluate for acute cardiopulmonary process.

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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>m with cp // eval for ptx

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Lung volumes are low. Again seen is widening of the ap diameter suggesting chronic obstructive lung disease. There is no evidence of focal consolidation, pleural effusion or pneumothorax. Eventration of the right hemidiaphragm is stable. The aorta is tortuous but stable.

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

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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. Partially imaged is a percutaneous gastrojejunostomy catheter in the left upper quadrant of the abdomen.

history: <unk>f with eating disorder presents with <num> day of susbternal chest pain

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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lung volumes are low, but the lungs are clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.

<unk>-year-old with hypertensive urgency.

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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>f with shortness of breath for <num> week

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In comparison with the study of <unk>, there has been the development of a large right hilar and suprahilar mass measuring approximately <num> cm in diameter with fibrotic stranding extending to a region of pleural thickening in the lateral chest wall. This most likely represents a malignancy. Hyperexpansion of the lungs is consistent with the clinical diagnosis of copd. There is a right pleural effusion with suggestion of some apical thickening on the side. No evidence of vascular congestion or acute focal pneumonia.

<unk> year old woman with copd, increase sob, phlegm, cough // r/o pneumonia r/o pneumonia

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Moderate cardiomegaly is unchanged from <unk>. Hilar contours are normal. Mild prominence of the pulmonary vasculature is unchanged. A nodular opacity is visible in the left upper lung at the junction of the anterior <unk> and posterior <num>th rib which in retrospect may have been present on the examination from <num> days prior. In addition, there are smaller nodular opacities scattered in the right mid and upper lung. There is no pleural effusion or pneumothorax.

multiple myeloma, on chronic steroid admitted with dyspnea found to have rsv valid worsening labored breathing and tachypnea

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Lung volumes are low compared to the previous exam which accentuates the size of the cardiac silhouette. Heart size is likely mildly enlarged. Mediastinal and hilar contours are unremarkable. There is mild crowding of the bronchovascular structures but no pulmonary edema is demonstrated. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are moderate degenerative changes noted in the thoracic spine.

history: <unk>f with chest pain

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Frontal and lateral views of the chest were performed. The lung volumes are low resulting in vascular crowding. There is no pleural effusion or pneumothorax. Heart size is enlarged. There are no fractures or suspicious osseous lesions seen.

motor vehicle collision.

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Since the prior radiograph, there has been removal of the left chest wall port and catheter. The right picc line terminates in the low svc. The airway is midline and the cardiac and mediastinal contours are normal aside from a mildly tortuous descending aorta. There is mild increase in interstitial markings bilaterally, possibly indicating mild pulmonary edema or an atypical infectious process. No pleural effusion or pneumothorax is seen.

patient with aml and mds, presenting with cough and hematuria. evaluate for atypical pneumonia.

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Mild bibasilar atelectasis is seen. No focal consolidation is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with cough, sob // eval for pna

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In comparison with the study of <unk>, the right basilar opacification is slightly less prominent, though there is still silhouetting of the right heart border. No definite opacification is seen overlying the cardiac silhouette on the lateral view. Remainder of the study is essentially unchanged.

recurrent pneumonia with new fever.

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal. Contrast material is noted throughout the colon consistent with patient's history of oral contrast administration. No free air is noted under the hemidiaphragms.

evaluation of patient with fever.

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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman with shortness of breath for one month and new-onset right-sided pleuritic chest pain. evaluate for pneumonia. at this time, the patient has no leukocytosis or fever.

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The lungs are clear besides left basilar atelectasis. The patient's chin obscures partial visualization of the lung apices. The cardiomediastinal silhouette is within normal limits. Dense atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.

<unk>m with cough and increased confusion/agitation // ? pna

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Prior right ij central venous line is no longer seen. The lungs are clear of consolidation. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. Healed posterior right seventh rib fracture is again noted.

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

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The heart size is within normal limits. The mediastinal contours demonstrate an unfolded aorta. Subtle opacity with air bronchograms coursing through in the right lung base is present. There is no large pleural effusion or pneumothorax. A mid-thoracic vertebral body compression fracture has been stable since <unk>.

<unk>-year-old female with hemoptysis.

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Heart size is normal. Normal-appearing mediastinum. Lung fields are clear. No pneumothorax. No pleural effusion. Conclusion: no change from <unk>.

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

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The patient is status post median sternotomy and cabg. There are low lung volumes. The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

chest pain.

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The patient is rotated somewhat to the left.re-demonstrated is a lateral left upper lung subpleural opacity. Evidence of medial left lung/paramediastinal radiation fibrosis is seen, better assessed on ct. The lungs remain hyperinflated, consistent with copd. No definite new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with dyspnea, hx of lung ca, tachycardia // acute cardiopulmonary process

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Cardiomediastinal silhouette and hilar contours are normal. A <num> cm left lower lobe nodule corresponds to previously described calcified granuloma on a ct study dated <unk>. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. An ng tube is seen projecting the in the midline but the tip is excluded on imaging.

cirrhosis with hepatorenal syndrome status post liver transplant; leukocytosis.

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Upright ap and lateral radiographs of the chest. There is a small left pleural effusion and left lower lobe atelectasis with chronic elevation of the left hemidiaphragm. Mild cardiomegaly is also chronic, with sternotomy wires noted. There is pulmonary vascular congestion, but no frank interstitial edema. Median sternotomy cerclage wires are intact. There is no pneumothorax.

one day of chest pain and shortness of breath in a patient with a history of coronary artery disease and congestive heart failure.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Safety pin projects over the upper abdomen to be confirmed clinically that this is external.

<unk>f with progressively worsening dyspnea on exertion // interval change

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Frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. There is no intraperitoneal free air.

<unk>-year-old female with abdominal pain.

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Lungs are hyperinflated. The heart is not enlarged. The aorta is markedly tortuous and enlarged. No pneumothorax, pleural effusion, or consolidation. Pacemaker device is present, with leads ending in the right atrium and right ventricle.

history: <unk>m with syncope, leukocytosis // ? acute cardiopulm process or pneumonia

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Irregularity and attenuation of lung markings in the upper lungs is consistent with a emphysema. There are also cuffed dilated airways in each upper lung, more so on the right than left. Although vague there is widespread increased density in the right mid to upper lung compared to the left suggesting pneumonia with an predominantly interstitial pattern.

fever, cough and malaise.

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Pa and lateral radiographs of the chest. Normal heart size and mediastinal contours. There is a <num> mm nodular opacity in the peripheral right midlung which was present on the prior radiograph; however, no prior ct is available to evaluate. On the lateral view there an interphase corresponding to overlying arm. No focal consolidation or pleural effusion. No pneumothorax.

left arm pain. evaluate for infiltrate.

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Severe cardiomegaly is stable. Pacer leads are in standard position in the right atrium, right ventricle and through the coronary sinus. There is no pneumothorax. There is no pleural effusion. Patient is status post aortic valve and mitral valve repair

<unk> year old man with crt-d icd // lead placement

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Pa and lateral views of the chest. Previously seen left-sided central venous catheter is no longer identified. The lungs are clear. The cardiomediastinal silhouette is normal. There is no effusion or pneumothorax. No acute osseous abnormality is identified.

<unk>-year-old female with dyspnea.

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Moderate scoliosis of the thoracic spine is unchanged when compared to previous studies. The cardiomediastinal silhouette is stable compared <unk> study with a normal heart size. The left pulmonary artery appears prominent and may be enlarged but is likely in part attributed to anatomical changes. No focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen.

<unk> year old man with htn, diabetes, ckd, presenting with episodes of syncope // eval for pneumonia, cardiac size

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

chest pain and shortness of breath.

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There are low lung volumes, which results in bronchovascular crowding. Mild cardiomegaly is unchanged. There is no pleural effusion, consolidation, or pneumothorax.

<unk>f with ams // eval for pneumonia

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

<unk>f with chest pain, cough // acute cardiopulmonary disease

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Since <unk>, small pleural effusion is unchanged. The cardiomediastinal silhouette and hilar contours are normal. A feeding tube is seen in the stomach and continues out of view. A right picc line tip terminates in the lower svc. No pneumothorax.

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

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Ap and lateral chest radiographs. There is a large bullae in the left lower lobe that has enlarged from prior and causes adjacent atelectasis. Subsegmental atelectasis also involves the right lower lobe. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

cough and vomiting.

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

weakness, nausea.

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No significant change from the prior chest radiograph. The ground-glass opacities described on recent chest ct are not clearly demonstrated on chest radiograph today. No pulmonary edema, pleural effusion, or pneumothorax. Stable appearance of the cardiomediastinal silhouette and hila. Stable moderate tortuosity or dilatation of the descending and ascending aorta. Median sternotomy wires appear intact and unchanged in position. Degenerative changes in the bilateral ac joints.

<unk> year old man with history of hemoptysis // chest ct <unk> for hemoptysis "ground glass rul c/w hemoptysis; f/u eval. on warfarin for avr

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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 rib pain s/p fall

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There has been interval displacement of the left pigtail catheter outside of the pleural space. There is an associated large pneumothorax with resultant collapse of the left lung and mediastinal shift to the right. The right lung is clear, and the heart is normal in size. A cardiac matter a pack is noted over the left chest.

<unk>-year-old male with pneumothorax. the pigtail seems out of place.

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Ap upright and lateral views of the chest provided. The lungs are hyperinflated. There is subtle left perihilar opacity without definite correlate on the lateral view, potentially concerning for a very early pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.

<unk>f with hx of copd presents with dyspnea/hypoxia

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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.

<unk>m w sudden cp/sob <num>h ago pls r/o ptx, subq air // <unk>m w sudden cp/sob <num>h ago pls r/o ptx, subq air <unk>m w sudden cp/sob <num>h ago pls r/o ptx, subq air

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The heart size is normal. Mediastinal and hilar contours are unchanged, with mild upward retraction of the right hilum compatible with postsurgical changes. Apart from subsegmental atelectasis in the left lung base, the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Sclerotic osseous metastatic lesions with remote fractures are again demonstrated in the ribs bilaterally.

lung cancer, prior pulmonary embolism, copd with increased cough, chest pain and fever.

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Pa and lateral chest radiographs. The lung volumes are low. There is no focal consolidation, effusion, pneumothorax. There are no new abnormal cardiac and mediastinal contours. Coronary calcifications are again noted.

fall

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old male with vague chest symptoms. rule out pneumonia.

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The cardiomediastinal and hilar contours are within normal limits. There is a new area of increased opacity in the right lower lung, which may be related to recent hemorrhage, however superimposed infection cannot be excluded. The left lung is clear. No pleural effusion or pneumothorax identified. Patient is status post median sternotomy.

hemoptysis. evaluate for pneumonia, pneumothorax, effusion.

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Frontal and lateral chest radiographs demonstrate moderate left-sided pleural effusion, improved since <unk> and unchanged since <unk>. Small right-sided pleural effusion noted. Lungs are grossly clear well with no focal consolidation. There is no pneumothorax. Heart size is top normal. Pulmonary vasculature is unremarkable.

<unk>-year-old female with recurrent pleural effusion status post thoracentesis <unk>.

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Heart size is top-normal. Mild calcifications of the aortic knob. Fluid filled neoesophagus is unchanged. The cardiomediastinal silhouette and hilar contours are unremarkable. Right subclavian approach port-a-cath tip terminates in the distal svc. Lungs are clear. No pleural effusion or pneumothorax. No pneumomediastinum or subdiaphragmatic free air.

vomiting. history of esophageal cancer. evaluate for pneumoperitoneum or pneumomediastinum.

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Ap upright and lateral views of the chest provided. Midline sternotomy wires are again noted. The heart remains markedly enlarged and there is diffuse pulmonary edema which is increased in extent compared with the prior imaging study. There is no large effusion. No pneumothorax. The bony structures appear intact.

<unk>f with c/o cough with hx chf

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Low lung volumes. Unchanged mild cardiomegaly. Unchanged left chest defibrillator with electrodes in expected positions. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.

history: <unk>m with presyncope, shortness of breath since this morning . evaluate for pneumonia

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The patient is status post cabg with sternotomy wires midline and intact. Mild cardiomegaly is unchanged from the prior examination. Curvilinear calcification within the left ventricular apex is compatible with a prior infarction and ventricular aneurysm. Bilateral pleural effusions. The lungs are clear with no focal consolidation or pneumothorax. Resolution of previous pulmonary venous congestion.

patient with chf, status post cabg, copd with cough.

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Lung volumes are relatively low. Again seen are diffusely increased interstitial markings throughout the lungs. Given differences in technique, there has been no significant interval change since prior exam. There is no new confluent consolidation or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>m with dementia with recent worsening in mental status // ?consolidation

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal to mildly enlarged. The aorta is calcified and tortuous.

history: <unk>f with chest pain after fall // chest pain after fall

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The lungs are underinflated. There is no evidence of pneumothorax, and no overt pulmonary edema or pleural effusion. The cardiomediastinal silhouette is unremarkable. No focal opacities are seen. Bilateral degenerative changes are seen at the glenohumeral joints.

<unk>-year-old female with crackles in the left lower lobe. evaluation for pneumonia.

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The patient is status post cabg with multiple clips seen in the left hemithorax. The left heart border and left mediastinal border are not well seen, likely secondary to a small left pleural effusion with adjacent focal opacity, which may be secondary to atelectasis, however a superimposed infectious process cannot be excluded. Median sternotomy wires appear to be intact. The right lung demonstrates mild pulmonary vascular congestion, otherwise is unremarkable. There is mild right-sided atelectasis. There is no evidence of pneumothorax.

history of stroke-like symptoms. please evaluate for pneumonia.

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Pa and lateral views of the chest provided. Lungs are clear bilaterally. No focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Visualized bones and soft tissue are normal. No free air below the right hemidiaphragm.

<unk>f with chest tightness w hx of asthma

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In comparison with the study of <unk>, there is little change. Again there are relatively low lung volumes, which may accentuate the transverse diameter of the heart. The pacer wire again extends to the region of the apex of the right ventricle. There is no evidence of vascular congestion or acute focal pneumonia. Of incidental note is the old healed fracture of the mid portion of the right clavicle.

tia versus seizures, now with lung crackles.

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There has been interval removal of the right-sided picc. No pneumothorax. Lung volumes are low and the lungs are clear. Mediastinal contours, hila, cardiac silhouette are normal. No pleural effusion.

<unk>m with picc placed last week, concerned for displacement. // picc line placement

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There is limited assessment of the medial lung apices due to patient positioning. Bibasilar opacities likely represent atelectasis. The previously noted pulmonary vascular congestion has resolved. There is a small right pleural effusion, similar to <unk>. No pleural effusion on the left. Moderate cardiomegaly.

history: <unk>m with hfpef, p/e dyspnea and pedal edema // please eval pulmonary edema

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The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. There are pleural effusions or pneumothorax. Right chest port with a catheter tip that terminates in the right atrium and is unchanged from previous studies. Right-sided anterior chronic healed fractures are stable. A subcentimeter nodule lateral to the inferior-most fracture site which is likely benign finding not seen on chest x-ray on <unk> study. This may represent a margin of the fractured rib, however supplemental imaging is recommend further characterization.

<unk> year old woman with progressive multiple myeloma // new fever, r/o active infectious process

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The cardiomediastinal silhouette is normal. The hila are normal. The lungs are well expanded and clear. No mass or nodules. No pleural abnormalities. No pneumothorax. No fractures.

<unk> year old woman with stage iiia melanoma <unk> years ago // rule out metastatic disease

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

history: <unk>f with chest pain // effusion, infiltrate, edema, ptx

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Patient is status post right mastectomy, surgical clips overlying the right hemithorax. Volume loss in the right lung with elevation of the right hemidiaphragm is chronic and related to radiation fibrosis seen at prior ct.the lungs are clear without focal consolidation. Calcific densities projecting over the right lung apex are within the anterior right first rib. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk>f with weakness // ? infectious process

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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized. Clips are seen within the right breast.

history: <unk>f with presyncope

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Pa and lateral views of the chest provided. There is interval development of interstitial pulmonary edema. Elevated right hemidiaphragm is again noted. Bibasilar linear opacities likely represents mild atelectasis. No large effusion is seen. Cardiomediastinal silhouette is stable. No pneumothorax. Bony structures are intact. Clips in the right upper quadrant noted.

<unk>f with code stroke // ? ptx

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Frontal and lateral views of the chest were obtained. The small right apical pneumothorax is slightly improved. Small right pleural effusion and right basilar and right upper lung atelectasis are similar. Linear opacity at the left base is likely atelectasis. Cardiac and mediastinal silhouettes are stable. An right clavicular fracture is again noted. The right rib fractures are not well seen.

right rib fractures and right clavicle fracture with right pneumothorax.

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Pa and lateral views of the chest provided. There is no focal consolidation or pneumothorax. There may be trace bilateral pleural effusions. There is mild bibasilar atelectasis. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Sternal wires are intact. Mediastinal surgical clips are similar to prior.

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

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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. No displaced fracture is seen.

chest pain.

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Heart size is normal. There is no pulmonary edema. Linear lucencies projecting over left neck are noted, represent patient hair. Left superior hilar opacity is new since prior.

chest pain.

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Again seen, is a small left pleural effusion. Cardiomediastinal contour is unchanged. Also is unchanged is a rounded consolidation around the clips in the left upper lobe, likely postprocedural. No new focal consolidation is seen. Right lung is grossly clear. There is no pneumothorax. There are severe bilateral degenerative changes of the acromioclavicular joints.

<unk>-year-old man with chf, s/p rfa of left lung nodule and left thoracentesis, with new <num>l o<num> requirement and fevers to <num>, evaluate for pneumothorax or pneumonia