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

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

patient with productive cough, rule out infection.

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The heart is of normal size with normal cardiomediastinal contours. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.

severe malnutrition. evaluate for cardiopulmonary process.

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There is an opacity in the mid right perihilar region, overall similar to the prior exam. The heart size is normal. Mild prominence of the hila, is suggestive of lymphadenopathy. The mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

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

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In comparison with study of <unk>, there is little overall change in the degree of the extremely prominent left pleural effusion. Right lung remains essentially clear. Old healed rib fracture is seen on this side.

recurrent effusion.

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The heart is normal in size. A mildly convex contour to the left mid mediastinum may be perhaps suggest a promient atrial appendage,. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the lower thoracic spine.

epigastric pain.

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Borderline enlargement of the cardiac silhouette is present. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal patchy right basilar opacity is new in the interval. Left lung is clear. No pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are seen in the thoracic spine.

history: <unk>f with weakness, left chest rhonchus

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The upper lungs are well-expanded. There is a small area of volume loss in the retrocardiac region but no definite infiltrate. No focal consolidation, edema, effusion, or pneumothorax. The cardiac silhouette remains enlarged, similar to prior exams. The mediastinum is not widened. Aortic knob calcifications are mild.

<unk>-year-old woman who has unresponsiveness and hypoglycemia; evaluate for occult pneumonia.

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Left-sided port-a-cath terminates in the low svc without evidence of pneumothorax. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with fever and cough // r/o acute infectious process

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There is slight blunting of the right costophrenic angle which may be due to a trace pleural effusion. No focal consolidation is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable, with a tortuous, right-sided aortic arch and the left ventricle pointing towards the right costophrenic angle.

history: <unk>m with doe // pulmonary edema?

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Mild hyperinflation of the lungs is again identified, the chronic interstitial opacities at the lung bases, either atelectasis or scarring. No new focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unchanged. There is a right pectoral pacer with leads in unchanged position. Note is made of a g-tube projecting over the left upper quadrant.

<unk>m with non-traumatic mouth bleed, worsening cough, concern for aspiration.

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Once again, there is significant prominence of the interstitial markings throughout the lungs as well as increasing bilateral pleural effusions, most compatible with pulmonary edema. Cardiac size remains stable. No evidence of pneumothorax.

history: <unk>f with recent surgery, fever, hypoxia // eval for pna

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. Osseous structures are grossly normal.

pleuritic chest pain.

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

history: <unk>f with chest pain

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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Specifically opacity within the right upper lobe has resolved compared to the prior chest radiograph on <unk>.

<unk> year old man with incidental ggos on mri assessing right arm pain. any evidence of acute process?

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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 cough, weakness // please eval for any pna

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Pa and lateral views of the chest are obtained. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumonia, pleural effusion, or pulmonary edema. The visualized osseous structures are unremarkable.

<unk>-year-old male with persistent cough, fatigue, diaphoresis, and malaise. decreased breath sounds and dullness to percussion of the right lower lobe.

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Pa and lateral views of the chest provided. The right pneumothorax is intervally increased, now moderate in size with increasing atelectasis in the right lower lung. No mediastinal shift. No additional findings.

<unk>m with r apical ptx. ?interval change since this morning

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.

chest pain.

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Frontal and lateral views of the chest. Right chest wall port is again seen with catheter tip at the ra svc junction. There is a new small right-sided pleural effusion. The lungs are otherwise clear noting that subsequent ct scan more clearly demonstrates multiple pulmonary nodules. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old male with history of osteosarcoma with recent resection and pleuritic pain and chest pain.

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Lungs are hyperinflated. Extensive bilateral opacities are similar to <unk>. This limits evaluation for superimposed infection, however, there is an increase in opacification in the right upper lobe and superior segment of the left lower lobe from <unk>. No pleural effusion or pneumothorax. Heart is normal size. No pulmonary edema. Mediastinal and hilar contours are unremarkable. Healed right rib fractures are again noted.

cough and fevers was shortness of breath.

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Lungs are hyperinflated compatible with mild emphysematous changes. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.

history: <unk>m with abdominal ascites, dyspnea

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Ap and lateral views of the chest. The lungs are clear without consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities seen.

<unk>-year-old male with imbalance and headache.

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Ap upright and lateral views of the chest provided. Subtle opacity obscuring the left inferior heart border likely reflects a small epicardial fat pad. There is no pulmonary edema, focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with back pain // r/o pna

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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Visualized osseous structures are unremarkable.

<unk>m with pain s/p fall. assess for fx, shoulder or clavicle

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There is a focal consolidation in the right upper lobe demarcated by the minor fissure located in the anterior segment. No pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.

<unk>-year-old female with cough and body aches.

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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear, without focal consolidation, pleural effusion or pneumothorax. Pulmonary vasculature is engorged without overt pulmonary edema. Left pacemaker leads end in the expected locations of the right atrium and right ventricle. The heart is moderate enlarged. The aorta is tortuous, as described on the prior reports, but comparison cannot be made in the absence of the prior images.

fall with head strike.

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In comparison with study of <unk>, there is increased haziness at the bases with obscuration of the hemidiaphragms. This is consistent with bilateral layering pleural effusions. It is difficult to determine whether the effusions have increased or whether the apparent increase is related to difference patient position. There are compressive atelectatic changes at the bases in this patient with enlargement of the cardiac silhouette. Some element of elevated pulmonary venous pressure is present.

shortness of breath with pleural effusions.

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Ap and lateral chest radiographs were provided. Lung volumes are slightly low. There is no focal consolidation, pleural effusion, or pneumothorax. There is bibasilar linear atelectasis. The cardiomediastinal silhouette is notable for a likely dilated or tortuous ascending aorta. The heart is not enlarged. Imaged upper abdomen is unremarkable. The bones are intact.

history of falling, feeling unsteady, evaluate for infiltrate.

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Ap and lateral views of the chest. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with reported fever at home and altered mental status.

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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 hip and head pain after a fall at <unk> // acute process

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There is no pneumonia. Calcified lung nodule measuring <num> mm that could be either in the apicoposterior segment of the left upper lobe or in the superior dorsal segment of the lower left lobe. The cardiac contour is normal. Possible ascendant aortic dilatation. No pleural effusion. No pneumothorax. Bilateral breast prosthesis.

cough and fever, rule out pneumonia.

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Heterogeneous right infrahilar opacity may represent developing infection, or atelectasis. Heart size is top-normal. No pleural effusion or pneumothorax. Osseous structures are unremarkable.

history: <unk>f with fever, recent surgery. evaluate for pneumonia

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The impression of this study on the preliminary review was, "no acute intrathoracic process." the final interpretation by the attending radiologist is as follows: the lateral view suggests a nodule projected over the ascending thoracic aorta with no clear corresponding finding on the frontal view. The study is otherwise normal. Unless the patient's clinical condition dictates attention sooner, i would recommend a repeat examination in four weeks, with review by the radiologist before the patient leaves the radiology department to see if additional views, such as shallow lateral obliques, are needed. The ed qa nurses have been notified by email of this change from the preliminary reading.

chest pain and cough, assess for acute process.

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Fractured cerclage wires around left ribs and marked elevation of the left hemidiaphragm date back to <unk>. There is stable blunting at the right costophrenic angle. Lungs are otherwise clear. The heart size is normal. The hilar and mediastinal contours are normal.

<unk>-year-old male with decreased left breath sounds who presents for evaluation.

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Cardiomediastinal contours are normal and midline. Small right effusion has increased. Opacities surrounding the surgical chain in the right lower lung has improved. There is no pneumothorax. Subcutaneous emphysema has resolved. Patient has known emphysema

<unk> year old woman s/p video-assisted thoracic surgery right middlelobe and right lower lobe wedge resections, and mediastinallymph node <unk> <unk> <unk>/ eval for interval change

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No previous images. Cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. No evidence of acute focal pneumonia.

psoriatic arthritis, to assess for pneumonia.

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Pa and lateral views of the chest. The lungs are hyperinflated. There is asymmetric left apical pulmonary opacity worrisome for underlying nodule. Surgical chain sutures seen in the right mid lung. There is also subtle increased opacity projecting over the right breast shadow, anteriorly on the lateral view. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

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

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

history of chest pain. question pneumonia.

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As compared to the previous image, the patient has received a dual-chamber pacemaker. The pacemaker generator is implanted in the left pectoral region. One pacemaker lead projects over the right atrium and the second one is positioned in the right ventricle. Status post sternotomy and valvular repair. Although both lung apices are hyperlucent, there is no proof of pneumothorax. Atelectasis at the lung bases, but no overt pulmonary edema. No pneumonia. Status post right humeral partial replacement.

status post dual-chamber pacemaker, evaluation.

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Right chest wall port is again noted. Diffuse bilateral parenchymal metastases are identified. There is new retrocardiac opacity which silhouettes portion of the hemidiaphragm. Cardiomediastinal silhouette is stable. Diffuse sclerotic osseous metastases are identified.

<unk>f with fever, breast ca // eval for pna

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The lungs are hyperinflated, consistent with known emphysema. There is a linear area of opacity in the lung and left lung base, which likely represents scarring given that it was present in <unk>. A component of atelectasis in the left lung base may also be present. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. The aorta is noted to be tortuous.

history: <unk>m with sickle cell crisis // eval for infiltrate

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<num> views were obtained of the chest. Consolidation of the right middle lobe with additional less confluent opacity in the right lower lobe is concerning for multifocal pneumonia. The left lung is clear. A small right pleural effusion is present. The heart is normal in size with normal cardiomediastinal contours. No pneumonthorax.

recent pneumonia with continued productive cough assess for acute cardiopulmonary process.

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Pa and lateral views of the chest provided. Patient persistently rotated to the right. Subtle opacity at the right lung base is concerning for pneumonia. Left lung appears largely clear. No large effusion. No pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.

<unk> year old man with cough and fever. // ?pna

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The heart is mild to moderately enlarged. The aorta is tortuous. The vascular pedicle appears widened. There is a mild interstitial abnormality suggesting slight pulmonary vascular congestion. There is no pleural effusion or pneumothorax. Mild degenerative changes are present along the thoracic spine.

congestive heart failure.

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Heterogeneous opacities with air bronchograms are new in the right lower lobe and persistent in the right middle, compared to <unk>. There is minimal left perihilar opacification, that could represent early contralateral pneumonia. Heart size is normal. The mediastinal contours are normal. There are no pleural abnormalities.

question pneumonia on recent chest radiograph. now presenting with fevers. evaluate for acute cardiac or pulmonary process.

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Overall, no significant change from the prior exam. Tiny bilateral pleural effusions are overall unchanged. No focal consolidation. No pneumothorax. Moderate cardiomegaly is unchanged. Median sternotomy wires appear intact. Left-sided cardiac pacemaker also appears intact with leads in the right atrium, right ventricle, and region of coronary sinus. Right ij access dialysis catheter also appears intact and unchanged with tip terminating in the right atrium. Stable extensive calcification of the visualized thoracic aorta. Diffuse osteopenia. No acute osseous abnormality.

<unk> year old man with chest pain; evaluate for acute process.

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In comparison with study of <unk>, there is little overall change. Prominence of the ascending aorta raises the possibility of hypertension. No pneumonia, vascular congestion, or pleural effusion. Old healed rib fracture is again seen on the right.

seizures.

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Significant elevation of the left hemidiaphragm precludes evaluation of the cardiac contour and inferior left hilar contour. Per prior report this was present in <unk>. Plate-like atelectasis is noted at the left lung base. The lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.

incidentally noted left lung consolidation on cta neck.

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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, with the cardiac silhouette top-normal to mildly enlarged..

history: <unk>f with dyspnea, pleuritic chest discomfort // eval for acute process

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal.

dyspnea.

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The heart size is normal. Mediastinal contours are noted. Patchy opacity within the left lower lobe is concerning for aspiration or pneumonia. Upper lobe predominant emphysema is re- demonstrated. Fibrosis with bronchiectasis in the lung apices is unchanged. No pleural effusion, pulmonary vascular congestion, or pneumothorax is seen. There are no acute osseous abnormalities.

severe aspiration and chronic cough.

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The lungs remain hyperinflated consistent with history of copd. There is persistent tenting of the right diaphragm and right upper lung scarring/fibrotic changes. Heterogeneous right mid lung opacities are again seen.subtle <num> cm nodular opacity projecting at the level of the posterior left eighth rib is not well assessed on this study but could represent a pulmonary nodule. Recommend nonemergent chest ct for further assessment. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

<unk> year old man with copd presenting with cough and wheeze // pulmonary edema? pneumonia?

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The lung volumes are normal. Normal structure and transparency of the lung parenchyma. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No evidence of pleural effusions or other pathologic changes.

one year of cough, evaluation.

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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There is scarring within the lung apices. No acute osseous abnormality is identified.

chest pain and aortic stenosis.

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Pa and lateral views of the chest provided. Lungs are clear. Cardiomediastinal and hilar contours are normal. There are no pleural effusions.

<unk> year old man with non-productive cough, hiv positive (last cd<num> greater than <num> in <unk>), evaluate for intrathoracic pathology to explain cough?

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There is now a small to moderate left pleural effusion. There is more consolidation in the left lower lung which is probably due to atelectasis. There is no pneumothorax. The right lung is clear. The cardiomediastinal silhouette is stable. Mild dextroscoliosis is unchanged.

<unk> year old man with pleural effusion.

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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.

history: <unk>m with eval for pna // r.o 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.

nausea, vomiting and pleuritic chest pain. evaluate for pneumonia.

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Patient's overlying chin partially obscures the lung apices. Given this, right apical opacity may relate to apical pleural thickening although a subtle underlying consolidation is not excluded. Ap lordotic view would be helpful for further evaluation. No definite consolidation seen on the lateral view. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. While the osseous structures of the spine are not well assessed, there appears to be possible subtle compression deformities, not well assessed. Degenerative changes are partially imaged at the shoulder joints.

history: <unk>f with fractured tibia, has "chronic r apical pneumo per nursing home recrord // pre-op cxr, ptx?

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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 increasing frequency of seizures, h/o resected astrocytoma.

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Compared with the radiograph on <unk>, there is no appreciable change. There is continued appearance of loculated small amount of pleural air at the right base within the right, likely from pleural restriction. Layering bilateral pleural effusion, right worse than left, may be mildly increased. Cardiomediastinal contour is unchanged. There is no evidence for pneumothorax. <num> right-sided chest tubes are seen, which course posteriorly, and are grossly unchanged in position. The most proximal port of the upper chest to remains extrapleural, and in the intercostal space.

<unk> year old woman with loclulated effusion.

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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 pulmonary edema is seen. No displaced fracture is identified.

recent increased frequency of seizures, also acute episode of shortness of breath.

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There is no focal consolidation, pleural effusion, or pneumothorax. Haziness at the left base likely represents mediastinal fat. Cardiomediastinal silhouette is unchanged. There are no acute skeletal abnormalities.

<unk>-year-old woman with green phlegm cough and bilateral bibasilar rales, question chf or pneumonia.

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There has been continued interval improvement in the bilateral opacities in the right upper and left mid to lower lung. On the lateral, however there is a new opacity projecting over the heart potentially localizing to the right middle lobe. Effusions have also decreased in size. The cardiomediastinal silhouette is within normal limits. Healed posterior left rib fractures are again noted.

<unk>m with altered mental status, fall from standing // eval for trauma

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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.

<unk> year old woman with fever and cough. // rule out pneumonia

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As also seen on multiple prior studies, there is marked elevation of the right hemidiaphragm. There is likely a small to moderate right pleural effusion with overlying atelectasis, difficult to exclude right basilar consolidation. The left lung is grossly clear. No left pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. Subtle chronic biapical and perihilar fibrotic disease, similar to prior.

fevers, dyspnea

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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or pneumothorax. There is no large pleural effusion. The cardiomediastinal silhouette is within normal limits. S-shaped thoracic scoliosis is identified. No acute osseous abnormality is identified.

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

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There is persistent increased opacity at the left lung base likely due to component of left lower lobe atelectasis. Superimposed left-sided effusion has decreased in size. The lungs are clear otherwise without consolidation or edema. The cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again noted. Vertebroplasty changes are noted as well surgical clips in the right upper quadrant.

<unk>f with weakness // pna?

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Linear opacity in the right lower lung is compatible with atelectasis. Otherwise no focal consolidation or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies.

<unk>-year-old female with weakness, cough, and green sputum. rule out infiltrate.

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As on the prior studies, there is some obscuration of left hemidiaphragm on the frontal view, seen dating back to at least <unk>. The cardiac and mediastinal silhouettes are stable since that time. No pulmonary edema is seen. No large pleural effusion or pneumothorax is identified. No focal consolidation is seen.

history: <unk>m with chest pain // chest pain/sob

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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.

history: <unk>f with tachycardia, seizure, feeling unwell // eval for pna

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The lungs are fully expanded and clear. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.

<unk>m with increased seizure frequency, evaluate for pneumonia.

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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. Sclerosis is noted along the right distal clavicle of uncertain significance but perhaps reflecting prior injury. Small osteophytes are noted along the thoracic spine.

malaise and jaundice.

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The patient is status post aortic valve replacement. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

dyspnea.

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The heart is moderate to severely enlarged with a globular configuration. The right costophrenic sulcus is not entirely imaged posteriorly, but there is no evidence for pleural effusion. There is no pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the thoracic spine.

high fever.

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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 presented with left sided chest pain this morning associated with cough. // infiltrates ?

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Pa and lateral views of the chest demonstrate the right hemidiaphragm is slightly persistently elevated, and there is some atelectasis of the right lung base. Otherwise, the lungs are clear with no evidence of pulmonary edema, pleural effusion, pneumothorax or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is stable and the heart is top normal in size.

<unk>-year-old female with syncope. evaluation for cardiopulmonary process.

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Pa and lateral views of the chest provided. Lungs are clear. There are no pleural effusions. Cardiomediastinal and hilar contours are normal. Right-sided central catheter terminates in the right atrium. Mild dextroscoliosis is again seen.

<unk> year old woman with lymphoma and with pleural effusion status post thoracentesis, evaluate for interval change.

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Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected.

history: <unk>f with chest pain

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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

leukocytosis.

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Pa and lateral images of the chest demonstrate two circular opacities in the right lower lung which likely respresent loculated fluid in the major fissure. A subpleural opacity in the right mid lung region is also seen, which likely represents loculated fluid, as well. Previously seen pleural effusion on the right has improved and has nearly resolved. There is no effusion or opacity in the left lung. There is no pneumothorax. Orthopedic hardware is again noted on the right clavicle. Several right rib fractures are seen.

<unk>-year-old male with multiple traumas complicated by right lower lobe pneumonia, now requiring assessment for interval change in the right lower lobe opacity.

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Mild elevation of the right hemidiaphragm is stable. The lungs are slightly low volume. Clear lungs. No pleural effusion or pneumothorax.

history: <unk>f with fever and luq pain // pna

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. There is no consolidation worrisome for infection. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema.

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

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The heart size is enlarged. The mediastinal and hilar contours are unremarkable. The lung volumes are low, likely exaggerating the heart size. Ample chest wall soft tissues are present. No pleural effusion or pneumothorax is seen.

<unk>-year-old female with increased agitation.

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As compared to the previous radiograph, the pleural effusion at the left lung base has decreased in extent. However, both the frontal and the lateral radiographs show a minimal remnant effusion. Moreover, minimal left basal atelectasis persists. Normal lung volumes. Mild cardiomegaly without pulmonary edema. Mild tortuosity of the thoracic aorta.

pleural effusion secondary to medication. evaluation for interval changes.

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Pa and lateral views of the chest were obtained. Heart is normal size and cardiomediastinal contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old man with back pain, preoperative evaluation.

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As compared to the previous radiograph, the lung volumes have returned to normal. There is minimal atelectasis of the left lung bases, but otherwise the lung parenchyma appears unremarkable. No pneumonia or pulmonary edema. No pleural effusions. Double-lumen dialysis catheter, correct course, the tip projects over the right atrium.

renal failure, indwelling dialysis catheter, evaluation.

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Cardiac silhouette is top-normal in size. There is mild vascular congestion. The thoracic aorta is tortuous. Lungs are grossly clear. There is no pneumothorax or pleural effusion. There is no acute osseous abnormality. There are degenerative changes of the bilateral acromioclavicular joints.

<unk>-year-old woman with confusion.

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Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. No displaced rib fractures are identified.

fall with posterior rib pain.

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Pa and lateral views of the chest were reviewed and compared to the prior study. Normal lungs without pulmonary edema, pleural effusion, or pneumothorax. Severe cardiomegaly is unchanged. Median sternal wires are intact and aligned. Left pectoral pacer has a defibrillator lead ending in the apex of the right ventricle and a pacer lead courses in the coronary sinus and ends in a vein adjacent to the left ventricle. An old right abandoned pacemaker lead is unchanged. Right-sided pleural thickening is most prominent over the seventh anterior rib and is unchanged.

cough and right expiratory wheezes.

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Central line has been removed. Sternotomy. Band of linear atelectasis left lung base. There is small right pleural effusion, new or better seen since prior. No pneumothorax. No left pleural effusion. Pneumopericardium has decreased. Shallow inspiration accentuates heart size. Normal pulmonary vascularity. Minimal retrosternal air, in keeping with recent sternotomy. Minimal subcutaneous presternal air.

<unk> year old man s/p mvr/asd closure // interval chnage

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or effusion or pneumothorax. Cardiomediastinal silhouette is at upper limits of normal. Osseous structures are unremarkable without visualized displaced rib fracture.

<unk>-year-old female with right back and chest pain status post fall. question rib fracture.

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Chronic changes noted in the lungs compatible with honeycombing and bullous changes, particularly at the right lung apex. On the current exam, there is more dense opacity at the right upper lung raising the possibility of a superimposed infection. Component of edema would be difficult to exclude. Moderate cardiac enlargement and tortuosity of the descending thoracic aorta is again noted. Prior right-sided central venous catheter is no longer visualized.

<unk>f with sob, right arm pain. // pna? ue dvt?

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Lung volumes are low. This accentuates the size of the cardiac silhouette which is mildly enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged though there is crowding of the bronchovascular structures. Small to moderate right pleural effusion is demonstrated with streaky bibasilar airspace opacities, likely atelectasis though superimposed on the patient's known chronic interstitial lung disease. <num> cm focal opacity is seen projecting over the right upper lobe, which was previously noted to be appear as a more vague opacity on the prior exam. No pneumothorax is identified. No acute osseous abnormality is visualized.

history: <unk>f with right sided chest pain and right sided back pain beginning <num> weeks ago // known pleural effusion and mass in the right upper lobe on outside hospital x-ray <num> week ago

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Right picc tip terminates in the mid/ lower svc, unchanged. Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion, focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with picc line, patient concerned with sensation of movement of line

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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

<unk>m with chest pain // r/o infection

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Compared with <unk>, interval change is minimal. Right midzone atelectasis is slightly more pronounced. Small right pleural effusion which tracks along the right lateral chest wall is overall similar. Small left pleural effusion may be slightly improved. Otherwise, doubt significant interval change. No pneumothorax is detected.

<unk> year old woman pod<unk> s/p tbp // evaluate for interval change

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The lungs are well inflated and clear. There is no focal atelectasis, pleural effusion, or consolidation. No pneumothorax. Osseous structures are intact. No radiopaque foreign body is visualized.

history: <unk>f with chicken bone // acute process

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Mild cardiomegaly appears slightly improved compared to the prior exam from <unk>. There is mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are unremarkable. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of diffuse body weakness, chest pain. please evaluate for pneumonia.

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Frontal and lateral radiographs of the chest demonstrate interval decrease in the degree of interstitial edema and partial clearing of the right lower lobe opacity. Again seen are small bilateral pleural effusions, right greater than left, which are stable. The heart is enlarged. There is no pneumothorax.

<unk>-year-old female with congestive heart failure, copd and possible pneumonia with ongoing dyspnea. evaluate for pulmonary edema and size of pleural effusions.