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

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Subtle linear opacity in the right lower lobe is new since <unk>. The remaining lungs are clear. The cardiomediastinal contours are unremarkable. No pleural effusions or pneumothorax.

<unk> year old man with cough, fever // r/o infiltrate

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Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is unchanged. Heart size is normal. Mediastinal and hilar contours are similar. Fiducial markers within two adjacent left upper lobe lesions are re- demonstrated, not changed in the interval. No new focal consolidation, pleural effusion or pneumothorax is identified. Lungs remain hyperinflated with emphysematous changes again re- demonstrated, most pronounced in the upper lobes. Pulmonary vasculature is not engorged. Mild multilevel degenerative changes are seen in the thoracic spine.

history: <unk>m with chest pain worse with deep breathing

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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 cp, sob

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The left hemidiaphragm continues to be elevated with blunting of the left costophrenic angle. There is persistent low lung volumes consistent with recurrence of atelectasis. There is no focal consolidation, pneumothorax or pulmonary edema. Heart and mediastinal contours are unchanged. The vertebral body compression lesions are again noted and unchanged.

<unk>-year-old male with elevated diaphragm and recurrent left lower lobe atelectasis, assess for any recurrent atelectasis.

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Compared to <unk>, the cardiomediastinal silhouette is grossly unchanged. Sternotomy wires again noted. Heart size is at the upper limits of normal, with a mild left ventricular configuration. The aorta is calcified. No chf, though mild thickening of the minor fissure is again noted. No pneumothorax or effusion. There is patchy opacity in the right infrahilar region which is probably similar to <unk>. Otherwise, no focal infiltrate detected. No rib fracture identified on these lung technique films. Note made of degenerative changes at the left greater the right acromioclavicular joints.

history: <unk>m with acute onset cp thisam. // assess for edema, acute process

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Extremely low lung volumes are seen particularly on the frontal view with secondary crowding of the bronchovascular markings. No large effusion nor confluent consolidation identified. Cardiomediastinal silhouette is grossly stable. No acute osseous abnormalities. Coils identified in the upper abdomen as well as presumed tips.

<unk>m with altered mental status // ? 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 displaced fractures are evident.

history: <unk>m with left sided chest pain after reported fall, but has tenderness on both sides of chest wall. no point tenderness to palpation, no ecchymoses. // assess for chest wall injury

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Note is made of stable asymmetric right pleural capping.

<unk> year old woman with persistant cough, wheeze // r/o pneumonia

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There is bibasilar atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is not enlarged. The aorta is calcified. Mild biapical pleural thickening is seen.

chest pain

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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. No acute osseous abnormality is detected.

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

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Cardiac, 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 seen.

chest pain, shortness of breath, tachycardia on oral contraceptives.

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Lungs are well-expanded and clear. Unchanged <num> mm nodule in the left midlung. Cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation.

history: <unk>m with neck pain and left arm weakness x <num> days // eval for suabcute stroke, pneumonia

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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Again seen are several calcified granulomas in the right lung, seen on prior studies.

hepatitis c cirrhosis with recent cholecystectomy, presenting with abdominal pain, new cough, query pulmonary 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. There is a stable calcified or metallic lesion in the left hilar region

history: <unk>m with new onset afib // evidence of pneumonia evidence of pneumonia

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The heart is top normal in size. There is tortuosity of the descending aorta. There is vascular engorgement of the right hilum. The mediastinal and hilar contours are otherwise within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural fluid effusion or pneumothorax.

chest pain. question cardiopulmonary anomaly.

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The lungs are clear without focal consolidation, effusion, or edema. Eventration of the right hemidiaphragm is again noted. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. Chronic degenerative changes seen at the shoulders bilaterally. Partially visualized lumbar fixation hardware is noted. Compression deformity of an upper lumbar level is also grossly unchanged.

<unk> y/o f with chronic bronchitis/copd p/w bronchitis exacerbatin // r/o pneumonia

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine

<unk> year old woman with h/o asthma persistent cough since a viral bronchitis in <unk>. // please evaluate for any abnormality.

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There are persistent small bilateral pleural effusions. Bibasilar opacities are similar compared to prior. There is no pulmonary edema. Cardiac silhouette is enlarged but stable. Atherosclerotic calcifications are seen at the aortic arch.

<unk>m with dyspnea on exertion // eval for pulm edema

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In comparison with the study of <unk>, there has been placement of a dual-channel pacemaker device with leads in the appropriate position in the region of the right atrium and apex of the right ventricle. There are atelectatic changes at the left base, but no evidence of pneumothorax.

pacer.

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In comparison to the prior chest radiograph, all lines and tubes have been removed. The bilateral lung aeration has improved dramatically. There is a small left pleural effusion. There is a subtle right basilar opacity. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen.

<unk> year old man with new dx pancreatic ca, massive gi bleed, being treated for ventilator assoc pna // eval for interval change

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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila and pleura are unremarkable. The partially visualized bowel gas pattern in the upper abdomen is nonspecific and nonobstructive. No acute osseous abnormality.

<unk>-year-old female presenting with fever. evaluate for 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 fever, chills // pna

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As compared to the prior examination, there has been no significant interval change. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. Stable, mild cardiomegaly is noted. The aorta is slightly tortuous. Mediastinal and hilar contours are otherwise stable.

diastolic dysfunction, now with shortness of breath.

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Chin flexion obscures the medial lung apices. Calcified diaphragmatic and costal pleural plaques, most notable along the left costal pleura near the inferior angle of the left scapula, are unchanged. Streaky opacity at the left lung base suggest atelectasis. The lungs are otherwise clear. Mediastinal and hilar contours are stable. Heart size is normal.

<unk> year old man on hemodialysis // rule out tb

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Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion, focal consolidation or pneumothorax. No acute osseous abnormality.

history: <unk>m with hematemesis

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Pa and lateral views of the chest. The lungs are well expanded and clear of focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the left axilla. No acute osseous abnormality is identified.

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

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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 sz hx, recent syncopal event, increasing headaches // xr - gross cardiac abnormalities or occult pulmonary processes;

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There has been interval increase in right pleural effusion and associated right lower lobe atelectasis. There is an increased hazy opacity over the right hemithorax consistent with previous right-sided pleurodesis. No masses or lesions are seen. The left lung is unremarkable. The cardiomediastinal silhouette is stable and within normal limits. Lytic lesion of the eleventh right rib is better visualized on films taken earlier the same day. There is no pneumothorax.

<unk>-year-old male with lung cancer, complains of right flank pain.

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The cardiomediastinal and hilar contours are within normal limits. Note is made of bilateral nephrostomy tubes and surgical clips seen in the right upper abdomen. There is increased opacity at the left lung base concerning for infection. There is no pleural effusion or pneumothorax.

<unk>f with fever // evidence of pneumonia

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Pa and lateral views of the chest provided. Midline sternotomy wires and a prosthetic cardiac valve noted. Bilateral pleural effusions are noted, left greater than right. The right pleural effusion appears partially loculated. Lower lung opacities may represent pneumonia or atelectasis. No pneumothorax. No convincing evidence for pulmonary edema. Heart size cannot be assessed. Mediastinal contour appears normal. Bony structures appear intact.

<unk>m with sob // please evaluate for effusion v. pna.

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The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Small nondisplaced fractures seen on the recent chest ct are not visualized on this exam.

<unk>-year-old man with multiple rib fractures. please assess.

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

<unk>-year-old woman with skin vasculitis, evaluate for lung involvement.

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Left-sided pacer is re- demonstrated with leads terminating in the regions of the right atrium and right ventricle. The patient is status post median sternotomy and mitral valve replacement. Mild enlargement of the cardiac silhouette is re- demonstrated. Mediastinal contours are similar with atherosclerotic calcifications noted at the aortic knob. Moderate pulmonary edema persists. A more focal opacity is seen in the right lung base, potentially atelectasis but infection is not excluded. Small bilateral pleural effusions, right greater than left, have slightly increased in size. No pneumothorax is present. Multilevel mild degenerative changes are noted in the thoracic spine. Clips in the upper abdomen are from prior cholecystectomy. Patient is status post left mastectomy and breast implant.

history: <unk>f with cirrhosis, dchf, dyspnea

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The lungs are well inflated. The right pleural effusion has diminished. There is still minimal blunting of the right costophrenic sulcus. There has been partial resolution of the bilateral nodular densities said to be septic emboli. The mediastinum is not remarkable. Mediastinum is normal. The heart size is normal. The osseous structures are normal for age. The right picc line is unchanged in position.

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

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Large left-sided pleural effusion with mild associated mediastinal shift to the right is new. Left prepectoral dual lead pacemaker in-situ with the lead tips in the right atrium and right ventricle. Surgical clips in the mid abdomen in keeping with previous pancreatic surgery. Right prepectoral port-a-cath in situ with the tip in the proximal right atrium. No right lung lesions.

<unk> year old woman with heart disease, metastatic pancreatic cancer. having shortness of breath. // any pleural effusions or evidence for chf as causes of dyspnea?

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No focal consolidation, pleural effusion, or pneumothorax is seen. There is mild enlargement of the cardiac silhouette without evidence for pulmonary edema.

<unk>-year-old female with productive cough.

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There is unchanged persistent elevation of the left hemidiaphragm. There is left basilar atelectasis, but no focal consolidations. The pulmonary vasculature is normal. The cardio mediastinal silhouette is stable. There is no pleural effusion. There is no pneumothorax.

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

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The heart is markedly enlarged. A dual-lead pacemaker device has leads terminating in the right atrium and ventricle, respectively. There is mild unfolding and patchy calcification along the aorta. Although there is a mild upper zone redistribution suggested among upper lobe pulmonary vessels, suggesting pulmonary venous hypertension, there is no frank evidence for congestive heart failure. No focal opacity is identified. There is no pleural effusion or pneumothorax. Mild degenerative changes are present along the lower thoracic spine. Two thoracolumbar vertebral bodies show a very mild and probably chronic anterior wedging.

malaise and weakness.

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In comparison with study of <unk>, the patient has taken a much better inspiration. The heart is normal in size and there is no vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia.

persistent cough.

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Right-sided picc tip terminates in the proximal right atrium. The right internal jugular central venous catheter has been removed. The heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Small bilateral pleural effusions have decreased in size compared to the previous exam. There is improved aeration of the lung bases with minimal residual atelectasis. No new areas of focal consolidation are demonstrated. There is no pneumothorax. Percutaneous transhepatic biliary catheter is partially imaged. There are mild degenerative changes in the thoracic spine.

likely pancreatic cancer, recently discharged after ptc placement complicated by aspiration and ards. now presenting with nausea and vomiting.

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Lungs are hyperinflated with flattening of the diaphragms. Tracheostomy tube is identified. There is persistent relatively streaky left basilar opacity. This may correlate with a linear opacity projecting over the fissure on the lateral view and could represent atelectasis or scarring. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is stable, atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.

<unk>m with left upper back pain // rule out infiltrate

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Chronically increased interstitial markings again seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with recent hospitalization for pneumonia presents with ongoing pain in her right middle back, reproducible with exam // ? worsening pneumonia

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A left pectoral pacemaker is unchanged in position with two leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy with intact appearing wires. Multiple mediastinal surgical clips are compatible with prior cabg surgery. The cardiomediastinal silhouette remains prominent but stable in comparison to the prior study. The inspiratory lung volumes are persistently low with mild bibasilar atelectasis. Mild pulmonary vascular congestion is unchanged. No focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. No acute osseous abnormality is identified.

syncope and chest pain, here to evaluate for pneumonia.

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Focal opacification of the left lower lobe is concerning for pneumonia. Linear opacities in the lingula and right lung base are compatible with areas of subsegmental atelectasis. A small left pleural effusion is noted. The cardiac and mediastinal contours are unchanged and the heart size within normal limits. The pulmonary vasculature is not engorged. No pneumothorax is present. There are no acute osseous abnormalities visualized.

history: <unk>f with fevers, cough sent from clinic for t<num>, tachycardia and possible left lower lobe rales, concern for pneumonia

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Severe cardiomegaly is unchanged. Aicd leads are stable. Mild-to-moderate diffuse pulmonary edema is slightly worse. There is no focal consolidation or pleural effusion. No pneumothorax.

<unk> year old man with systolic chf, dual chamber icd, admitted for chf exacerbation. // evaluate for edema, ?infiltrate

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Lung volumes are lower than on prior chest radiographs. There is increased opacity in the retrocardiac region on lateral view, likely corresponding to a region of linear opacity in the left lower lobe. There is no acute osseous abnormality.

<unk>f with left-sided chest pain.

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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. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with epigastric pain // eval for ptx

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Lung volumes are low. Chronic small bilateral pleural effusions have increased. Despite vascular crowding, mild pulmonary edema likely persists. The left lower lobe airspace opacity has increased, and is worrisome for pneumonia or atelectasis. The heart and mediastinum are magnified by the projection. Sternotomy wires and spinal fixation hardware are again noted.

<unk> year old woman with ?pna // f/u cxr for pneumonia vs atelectasis. please evaluate for edema

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As compared to the previous radiograph, there is better visualization of subtle parenchymal opacity in the peripheral and basal zones of the right lung. In the appropriate clinical setting, the change could represent early pneumonia. There is no pulmonary edema and no larger pleural effusion. Healed rib fractures on the left. Moderate tortuosity of the thoracic aorta and borderline size of the cardiac silhouette without pulmonary edema.

copd, no pleural effusion, evaluation.

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The heart is normal in size. There is mild prominence of the contour associated with the left atrial appendage. There is no pleural effusion or pneumothorax. Streaky opacity in the lingula suggests mild atelectasis or scarring. Otherwise, the lungs appear clear. Mild rightward convex curvature is centered along the mid thoracic spine. The bones are possibly demineralized to some degree. Degenerative changes are mild.

cough.

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A vague opacity is seen at the left lung base on the frontal view with no clear correlate on the lateral view. There is no pleural effusion, or pneumothorax. Multiple calcified granulomas are seen throughout the lungs bilaterally. The hilar and mediastinal contours are normal. The heart size is normal.

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

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Frontal and lateral views of the chest were obtained. Right superior mediastinal widening is similar to <unk> and corresponds to tortuous vessels as seen on prior ct. The heart size is normal. Bilateral lungs are clear without focal or diffuse abnormality. An apparent calcified nodule overlying the right lower lung corresponds to a right breast calcification seen on prior ct. A moderate-to-large sized hiatal hernia is again identified as a retrocardiac opacity. The osseous structures are unremarkable. No radiopaque foreign bodies are present.

<unk>-year-old female with syncope and fall. evaluate for pneumonia or chf.

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

<unk>-year-old woman with <num> day of right-sided chest pain.

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Mild cardiomegaly without pulmonary edema. The thoracic aorta is tortuous. There is a focal reticular opacity at the right lung base, concerning of pneumonia vs. Atelectasis. Dish is seen at the thoracic spine. No pleural effusion and no pneumothorax.

<unk>-year-old man with fall. please assess for pneumothorax.

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Compared to the prior study there is interval partial clearing of the bilateral hazy ground-glass opacities. There continues to be pulmonary vascular redistribution and some hazy patchy areas of alveolar infiltrate.

<unk> year old woman with hiv, multiple pneumonias here with bilateral ground glass opacities and hypoxia. // eval status of ggos bilaterally prior to bronchoscopy on <unk>

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Cardiomediastinal contours are within normal limits. Mild tortuosity of the thoracic aorta is unchanged. Lungs and pleural surfaces are clear.

<unk> year old man with bladder cancer, dvt. new fever // eval for infiltrates

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The right ij cvc has been removed. There is no pneumothorax.there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

<unk> year old woman with lots of crackles at left base. // atelectasis vs pna

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Pa and lateral views of the chest. Since prior there has been resolution of the right anterior pleural-based density which was likely a hematoma. Biapical scarring right greater than left is again seen. The lungs are otherwise clear. Cardiomediastinal silhouette is unchanged. Osseous structures demonstrate no acute abnormality. Presumed coils seen in the anterior chest wall.

<unk>-year-old male confusion.

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In comparison with the study of <unk>, the patient has taken a much better inspiration. The cardiac silhouette is mildly enlarged, though the pulmonary vascularity is essentially within normal limits. No definite pleural effusion or acute focal pneumonia at this time. There is again some soft tissue prominence in the right apical region, but this has been stable for at least <unk> years and therefore is of no clinical significance.

leukocytosis, to assess for pneumonia.

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.

<unk>m s/p fall while skiing.

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Frontal and lateral chest radiographs demonstrate a moderate right pleural effusion and bibasilar opacity, likely atelectasis. The cardiac silhouette is enlarged. The pulmonary vasculature is mildly engorged. There is calcification of the aortic knob, the mediastinal contours are otherwise unremarkable. There is degenerative change of the lumbar spine.

<unk>-year-old male with agitation and altered mental status.

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The heart size is normal. Mediastinal and hilar contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax. Osseous structures are intact. Surgical clips are noted in the right upper quadrant.

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

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There lungs are well-expanded and clear of focal consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with af p/w dyspnea, orthostatic hypotension // ?acute process, infection

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There is a mild right peribronchial opacity which could be an early pneumonia. No pleural effusion or pneumothorax is seen. Cardiac, hilar, and mediastinal contours are normal. The right picc ends in the cavoatrial junction.

<unk> year old woman with intravascular b-cell lymphoma. has decreased lung sounds and asymmetrical chest expansion. // r/o pleural effusion

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggests prior cholecystectomy.

<unk>f with syncope // ? infectious process

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Heart size is normal. 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. Patient is status post left shoulder arthroplasty, incompletely imaged.

history: <unk>f with pancreatitis, cystic fibrosis // eval for 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 free air below the right hemidiaphragm is seen.

<unk>m with palpitations, question pneumonia.

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Mild to moderate cardiomegaly and tortuous aorta are stable from prior exam. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Displaced fracture of the right sixth rib shows callus formation. There is a likely cortical interruption of the left ribs <num> and <num> at the lateral aspect. Mild left pleural effusion. No focal consolidation or pneumothorax is seen. Severe degenerative changes in the right shoulder. Borderline dilated large bowel at <num> cm.

<unk> year old man with shortness of breath // r/o mass

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Pa and lateral radiographs of the chest demonstrate several surgical clips in the left superior mediastinum, unchanged from the preceding radiograph. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The mediastinal and hilar contours are within normal limits. The cardiac silhouette is normal in size. No acute rib fracture is seen; however, the left lower lateral ribs are excluded from view on these images. The thoracic vertebral body heights are maintained without compression fracture.

<unk>-year-old female status post assault, here to evaluate for acute intrathoracic process.

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Frontal and lateral radiographs of the chest. Right upper lobe parenchymal abnormality is again noted, identified as scarring on a ct from <unk>. Otherwise, there is no other focal area of opacity concerning for pneumonia. The lungs are hyperexpanded with a flattened diaphragm. The cardiac and mediastinal contours are within normal limits. No pleural abnormality is detected.

relapsing polychondritis and recurrent bronchitis with persistent cough for several weeks. evaluate for pneumonia.

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Frontal and lateral views chest demonstrate decreased lung volumes. There is dense left retrocardiac opacity which may represent atelectasis, infection or aspiration. There is blunting of the left costophrenic angle which may represent a small pleural effusion. No pneumothorax is identified. The right hilum is prominent but stable compared to multiple prior radiographs. The aorta is ectatic and tortuous and the heart is mildly enlarged. There are degenerative changes in the thoracic spine.

shortness of breath. evaluation for edema or pneumonia.

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The cardiomediastinal and hilar contour are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No evidence of free intra-abdominal air.

abdominal pain status post colonoscopy. question free air under diaphragm.

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The visualized lung fields are clear without any focal opacity, pleural effusion or pneumothorax. Mild cardiomegaly is again noted, and a tortuous aorta is again seen. The mediastinal silhouette is stable.

weakness, evaluate for infiltrate.

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The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Linear opacities at the lung bases likely reflect atelectasis. No pleural effusion or focal consolidation is present. There is no pneumothorax. Mild multilevel degenerative changes are noted in the thoracic spine.

difficulty swallowing.

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear aside from streaky lingular opacity most consistent with atelectasis. Bony structures are unremarkable.

fever.

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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the mid svc level. Bilateral breast saline tissue expanders are in place. Basilar atelectasis is again noted with a small right pleural effusion again noted. Evaluation for pneumonia at the lung bases is limited due to atelectasis. No definite signs of pneumonia in the mid to upper lungs. No pneumothorax. Extensive osseous metastatic disease is better assessed on prior ct. No free air below the right hemidiaphragm.

<unk>f with fever, concern neutropenia // eval for infiltrate

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The cardiomediastinal and hilar contours are within normal limits. Nodular opacity projecting over the spine on the lateral view is compatible with prominent left-sided osteophyte at the costovertebral body junction on prior chest ct. There is very subtly increased density involving the right lower lobe, which may reflect areas of subsegmental atelectasis. There is moderate dextroscoliosis of the thoracic spine.

<unk>f with weakness // acute process

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Pa and lateral views the chest provided demonstrate midline sternotomy wires and mediastinal clips. The lungs are clear bilaterally without focal consolidation concerning for pneumonia. No effusion or pneumothorax. No congestion or edema. Cardiomediastinal silhouette is normal. Bony structures are intact.

<unk>m with cough, fever, uri like symptoms

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The lungs are essentially clear besides mild left basilar atelectasis versus scarring. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality. Significant amount of free intraperitoneal air seen below the right hemidiaphragm, although the degree of intraperitoneal air does appear to have decreased since earlier today.

<unk> year old woman with pneumoperitoneum after egd/<unk> with aspiration of air at bedside // assess degree of intraperitoneal air

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The heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. Elevation of the right hemidiaphragm is noted with associated right basilar atelectasis. Left lung is clear. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are visualized.

chest pain radiating to the back.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No vascular congestion, pleural effusion, or acute focal pneumonia. Continued hyperexpansion of the lungs consistent with chronic pulmonary disease with atelectatic streaks at both bases.

atypical chest pain with remote smoking history.

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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Diffuse sclerotic changes are present in the bones consistent with metastatic disease.

patient with history of prostate cancer with chronic cough, rule out intrathoracic abnormalities.

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The heart size is mildly enlarged but unchanged. The aortic knob is calcified. Mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. The lungs are hyperinflated with flattening of the diaphragms compatible with copd. No focal consolidation, pleural effusion or pneumothorax is identified. Diffuse demineralization the osseous structures is noted. Clips in the right upper quadrant of the abdomen are present. On the lateral view, rounded calcifications within the upper abdomen are within a tortuous splenic artery.

nausea, vomiting, diarrhea, faint right lower lobe.

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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are clear without evidence of focal consolidations. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air identified.

history of epigastric pain. please evaluate for free air.

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The cardiac silhouette is enlarged. A pacemaker is in place, with the leads terminating in the regions of the right ventricle and right atrium. In comparison to the prior examinations, pulmonary edema is significantly improved. There is no pleural effusion or pneumothorax. No definite focal consolidation is identified.

history: <unk>m with esrd not on hd with cough and mild fluid overload // eval for edema, effusions, infiltrate

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The lungs are hyperexpanded, consistent with copd. The cardiomediastinal silhouette is normal. A chronic wedge compression fracture is noted in the mid thoracic spine, unchanged from prior exams.

chest pain.

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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 chest pain

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

history: <unk>f with chest pain // eval infiltrate or cardiomegaly

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Lines and tubes: none lungs: well inflated and clear. Pleura: there is no pleural effusion or pneumothorax mediastinum: there is no cardiomegaly. Mediastinal silhouette is within normal limits. Bony thorax: no significant interval change.

<unk> year old woman with new onset wheezing and pfts show obstructive reversible airway disease // new onset asthma? vs other eetiology for new onset wheezing/reactive airway disease

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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 left rib pain, left shoulder pain and lumbar spine pain

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

<unk>f with chest pain. evaluate for acute process.

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Lung volumes are low and respiratory motion limits the evaluation. Faint left retrocardiac opacity is also seen on the lateral view projecting over the spine. Heart size is exaggerated by low lung volumes and is likely top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

<unk>m with chest pain // eval for chf/pneumonia

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Pa and lateral views of the chest. The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is normal. Metallic density in the ap window seen in the region of the ligamentum arteriosum. No acute osseous abnormality detected.

<unk>-year-old female with sudden onset of chest pain.

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Again seen are several pulmonary nodules which by radiography do not appear significantly changed. There is a known right hilar mass. A lesion of the left posterior fifth rib also appears grossly similar. No new focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. A small amount of atelectasis or scarring is present at the right base. The cardiomediastinal silhouette is normal.

hemoptysis. known metastatic renal cell carcinoma.

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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. Thoracic scoliosis is noted.

itp and worsening cough.

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

chest pain. evaluate for cardiopulmonary process.

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Upright pa and left lateral radiographs of the chest demonstrate bibasilar bronchovascular crowding without evidence of focal consolidation on the lateral radiographs. No pleural effusion or pneumothorax is detected. The cardiomediastinal silhouette is stable and within normal limits. The pulmonary vasculature is not engorged.

<unk>-year-old female with lower extremity swelling, here to evaluate for pulmonary edema.

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Lungs are mildly hyperinflated. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Mild levoscoliosis is noted in the upper thoracic spine.

<unk> year old woman with <unk> days severe cough, chest congestion, purulent sputum, temp <unk>.<num>. h/o pneumonia. lung exam shows scattered expiratory wheezing, no crackles. non-smoker. // r/o pneumonia

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Frontal and lateral chest radiographs demonstrate interval removal of the right hepatic. The cardiomediastinal silhouette is normal and the lungs are clear, without focal consolidation, pleural effusion, or pneumothorax. Visualized upper abdomen is unremarkable.

fever. evaluate for pneumonia.

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Again seen, is an s shaped scoliosis of the thoracolumbar spine. There is no focal consolidation, effusion, or pneumothorax. Again noted is the chronic inferior subluxation of the right humeral head.

<unk>f with c/o cp // ? pna