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

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There are low lung volumes, but no focal consolidation or pleural effusion. Faint infrahilar opacities, likely represents atelectasis or early aspiration. Cardiomediastinal silhouette is within normal limits no pneumothorax. There is a right rib fracture, either subacute or chronic

history: <unk>m with seizure and ? aspiration. evaluate for pneumonia

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

<unk>-year-old male with <num> weeks of cough.

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There appears to be interval improvement of the previously seen vascular congestion. There is no evidence of frank interstitial edema. No focal consolidations are identified. There is no pneumothorax. There is a small left-sided pleural effusion. No new focal consolidations are identified. The heart size is unremarkable. The hilar and mediastinal contours are otherwise unremarkable.

<unk>-year-old male with a history of sepsis and new hypoxia status post aggressive fluid resuscitation, who presents for evaluation.

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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

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

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The heart is normal in size. The aortic arch is heavily calcified. Otherwise, the mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Streaky opacity in the left costophrenic sulcus suggests minor atelectasis or scarring. Otherwise, the lungs appear clear. There no pleural effusions or pneumothorax.

dizziness and unsteady gait.

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As compared to the previous radiograph, the lung volumes remain low. There are no pleural effusions. Unchanged left pleural calcifications. No pulmonary edema. No pneumothorax. Moderate cardiomegaly with mild enlargement of the left ventricle. Moderate tortuosity of the thoracic aorta.

post-polypectomy, oxygen requirement after blood transfusions.

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In comparison with the study of <unk>, the opacification representing thickening of the major fissure is less prominent on both frontal and lateral views. The remainder of the study is essentially unchanged.

to evaluate for change in right pleural thickening.

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In comparison with study of <unk>, there is little change in the appearance of the heart and lungs and no evidence of acute pneumonia or vascular congestion. There are, however, several healed rib fractures on the right that were not present on the previous study.

cough, to assess for pneumonia.

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The lungs are well-expanded and grossly clear. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is unremarkable.

history: <unk>f with fever and cough // ?pneumonia

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No previous images. The heart is normal in size and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. No definite evidence of parenchymal or skeletal metastasis.

melanoma.

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The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. A consolidation in the left upper lobe, seen on the prior study, has fully resolved. There is a trace pleural effusion on the right, but no clearly convincing one on the left. There is no pneumothorax.

cough and fever.

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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>f with requesting detox, need medical evaluation // r/o pna

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs, which are clear. Flattened diaphragms are suggestive of emphysematous disease. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Air-filled colon is seen above the liver in the right upper abdomen. There is no evidence of intraperitoneal free air.

cough, fatigue, vomiting, left flank pain.

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The heart is mild to moderately enlarged, perhaps somewhat larger than before. The mediastinal and hilar contours are unremarkable. There are new dense opacities involving both lower lobes, greater on the right than left, and there is probably also some degree of atelectasis or pneumonia seen on the lateral view anteriorly, probably referring to the right middle lobe. There is no pleural effusion or pneumothorax. Pulmonary vasculature appears essentially within normal limits.

rapid atrial fibrillation.

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The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. There is mild bibasilar atelectasis, right worse than left. There is no focal consolidation, pleural effusion or pneumothorax.

<unk>f with syncope and hypotension // any cpd

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A <num>-cm left upper lobe cavitary lesion has increased in size since <unk> <unk>. In addition, significant airspace opacity surrounding this cavitary lesion is new since that ct. Opacity in the lingula is also new. The right lung is clear. There is no pleural effusion or pneumothorax. Heart is normal.

<unk>-year-old man with metastatic colon cancer, weakness, leukocytosis.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. There has been interval removal of the right picc. Again seen are opacities in the left base, improved compared to <unk>. This is likely due to a large left pleural effusion, probable superimposed atelectasis. A new opacity is seen in the lateral right base, concerning for pneumonia. A left apical cavitary lesion is unchanged. No pneumothorax is seen.

shortness of breath and hypoxia.

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There is extensive peribronchial cuffing with interstitial abnormality. In the left upper lobe in the perihilar region, there is a large consolidation. A small consolidation is seen in the right upper lung lateral to the hilus. No pleural effusion or pneumothorax is seen. Heart size is stably enlarged. The aorta is calcified and tortuous.

<unk>-year-old female with seizure, bradycardia, and cough.

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Lungs are hyperinflated. There is no lobar consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. Multiple left-sided rib deformities and healed left clavicular fracture are unchanged.

<unk>m with altered mental status. evaluate for pneumonia.

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Compared to <unk>, there is no significant change. Again seen is left basal opacity and pleural effusion, not significantly changed compared to prior. The left lung is mostly clear. The cardiac and mediastinal silhouettes are unchanged.

<unk> year old man with cirrhosis and new o<num> req // ?consolidation

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Lung volumes are slightly low, causing bronchovascular crowding. However, there is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits.

<unk>f p/w acute asthma exacerbation. evaluate for acute process.

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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease or old tuberculous disease.

positive ppd.

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The cardiomediastinal and hilar contours are within normal limits. As compared to prior chest radiograph from <unk>, there has been interval resolution of pulmonary edema. No new focal consolidation, pleural effusion or pneumothorax identified.

<unk>-year-old woman with recent mi. question cardiomyopathy, pulmonary edema and/or pneumonia.

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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 ams // eval for acute process

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

history: <unk>f with abdominal pain and palpitations // abdominal pain and palpitations

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There has been interval removal of the right picc line. The heart size is at the upper limits of normal although likely exaggerated by low lung volumes. The mediastinal and hilar contours are unremarkable. Minimal bibasilar atelectasis is seen. There is no pneumothorax or pleural effusion.

<unk>-year-old male status post renal transplant, now with shortness breath.

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Pa and lateral chest radiograph demonstrates bilateral patchy opacities which obscure the heart borders. Pulmonary vasculature redistribution, mild cardiomegaly, and bilateral pleural effusions suggests pulmonary edema. Relative to prior radiograph dated <unk>, overall appearance of the chest appears stable. No focal opacity convincing for pneumonia is identified.a left chest port is identified, its tip within the right atrium. No acute osseous abnormality is detected.

<unk>-year-old male with colon cancer, abdominal pain and fever.

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Lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>m with chest congestion // eval acute process

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Pa and lateral views of the chest were obtained. The lungs are clear bilaterally with no evidence of focal consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm.

headache, cough and fever.

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Right chest wall port is again seen with catheter tip in the upper svc. The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with dlbcl on r-chop with n/v/f/d // evidence of pneumonia

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Pa and lateral views of the chest provided. Lung volumes are low. There is increased opacity in the base of the left upper and lower lung compared to prior, likely from atelectasis. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Numerous surgical clips are again seen none appear unchanged. Coronary artery stent is again noted.

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

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Pa and lateral views of the chest. Hyperinflated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.

post-breast radiation, history of cop, several flares, on steroids.

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Left pectoral infusion port is unchanged in position and terminates at mid svc. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Mild dextroscoliosis of thoracic spine is unchanged.

<unk> year old man with poc for chemo administration. // port placement prior to attempting tpa

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In comparison with study of <unk>, there again are low lung volumes, which accentuate the transverse diameter of the heart. There are intact midline sternal wires after cabg. Extensive calcification is seen in the mitral annulus. No evidence of acute pneumonia or vascular congestion.

prerenal transplant.

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As compared to the previous radiograph, there is no relevant change. Borderline diameter of the azygos vein indicating minimal systemic fluid overload. However, there is no other indicator for pulmonary fluid overload, in particular no widening of the mediastinum, no presence of pleural effusions and no interval enlargement of the cardiac silhouette. Unchanged extensive bilateral interstitial opacities, in the context of known pulmonary fibrosis. No interval appearance of new focal parenchymal opacities.

pulmonary fibrosis and hypoxia, evaluation for pulmonary edema.

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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>m w adrenal insufficiency presents w weakness x<num>d please evaluate for occult infxn

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Cardiac silhouette size is normal. The aorta is mildly tortuous but unchanged. Pulmonary vascularity and hilar contours are normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There is diffuse demineralization of the osseous structures. The patient is status post right mastectomy.

tremors, weakness and chest tightness.

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Frontal and lateral views of the chest. The patient is rotated to the right. Within this limitation the lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is likely unchanged. No displaced fractures identified.

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

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Frontal and lateral chest radiograph demonstrates hyperinflated lungs with persistent bilateral scattered areas of parenchymal opacities many of which have nodular components, similar to <unk>. Chronic bronchiectasis is stable. Heart size, mediastinal contour, and hila are otherwise unremarkable. No pleural effusion or pneumothorax. Limited assessment of the upper abdomen is unremarkable.

weakness. assess for infiltrate.

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There is blunting of the bilateral costophrenic angles may be due to trace pleural effusions and/or related to atelectasis. The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is top-normal. No overt pulmonary edema is seen.

history: <unk>m with one week worsening sob, fatigue // ?cpd

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The lungs are well expanded and clear. An accessory azygos fissure is incidentally noted. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Compression deformities of multiple mid thoracic vertebrae is incidentally noted and stable from <unk>.

<unk>-year-old female with dyspnea.

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The patient is status post median sternotomy and cardiac valve replacements. A single lead left-sided pacemaker is seen with lead extending to the expected position of the right ventricle. The cardiac silhouette is mild to moderately enlarged with concern for left ventricular enlargement. There is slight prominence of the central pulmonary vasculature. No pleural effusion is seen. There is no pneumothorax. No focal consolidation.

lower abdominal pain, tenderness, fever.

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

<unk>-year-old man with shortness of breath. evaluate for acute process.

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Linear bibasilar atelectasis is seen without evidence of focal consolidation. There is no pleural effusion or pneumothorax. The heart is mildly enlarged with normal mediastinal contours.

<unk>-year-old woman with a history of renal transplantation and immunosuppression, presenting with fever, assess for pneumonia.

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Cardiac size is normal. Hiatal hernia is again noted. The aorta is tortuous. The lungs are hyperinflated <unk> grossly clear. There is no pneumothorax or pleural effusion. There is kyphosis and weight shaped deformities of several upper and mid thoracic vertebral bodies this is grossly unchanged from prior study

<unk> year old woman with ongoing cough and weight loss // ?infiltrate, malignancy

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The cardiomediastinal contours normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

<unk>f with congestion. parents sick, evaluate for pneumonia.

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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.

<unk> year old man with a chronic cough of unclear etiology // evaluate causes of chronic cough

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is normal. The aorta is unfolded with calcification along the knob. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with fall, ams, abdominal pain

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Low lung volumes are again noted with secondary crowding of the bronchovascular markings. Bibasilar opacities may be secondary to atelectasis and are grossly unchanged. There is no effusion. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.

<unk>m with hypotension // eval infiltrate

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

history: <unk>m with likely food impaction. chest discomfort. // eval for cardiopulmonary process

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Lung volumes are low. This limits assessment of the lung bases. Streaky and linear opacities in the lung bases most likely reflect atelectasis. No focal consolidation is demonstrated. No pleural effusion or pneumothorax is identified. Heart size is normal. The aorta remains tortuous and diffusely calcified. The pulmonary vasculature is normal. Partially imaged is cervical spine fusion hardware as well as <num> screws within the left proximal humerus. Multiple clips are demonstrated in the right upper quadrant of the abdomen. There are no acute osseous abnormalities.

<num> days of productive cough.

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

<unk>-year-old male with palpitations.

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The heart is normal in size. A density paralleling the right border of the heart is consistent with a gastric pull-up, better seen on prior ct from <unk>. There is no focal consolidation, pleural effusion or pneumothorax.

<unk> year old man s/p esophagectomy with delayed gastric emptying // ?evaluation of gastric conduit discussion

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Frontal and lateral chest radiographs again demonstrate moderate cardiomegaly. Calcifications are noted in the aortic arch. Cardiomediastinal contours otherwise unremarkable. Lungs are clear without focal areas of consolidation. There is no large pleural effusion. There is no pneumothorax.

extensive coronary history and known pericardial effusion with new pleuritic chest pain, evaluate for source.

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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. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits.

shortness of breath, evaluate for pneumonia.

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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. Slight unfolding of the thoracic aorta is noted. The lungs are clear, but appear mildly hyperexpanded, raising question of emphysema. There is no pneumothorax, vascular congestion, or pleural effusion. A <num> mm rounded density overlying the third right anterior rib was present on <unk>, but not identifiable <unk> <unk>.

<unk>-year-old male with renal transplant presents with nausea and vomiting. question aspiration.

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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

left-sided chest pain. evaluate for acute process.

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

<unk>f with hx of renal txp with fever // eval for pna

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The lung volumes are low with bilateral basal atelectasis and pleural effusion, moderate on the left, minimal on the right. There is no pneumothorax. Mediastinal and cardiac contours are normal.

patient with left percutaneous nephrolithotripsy with increased o<num> requirement, rule out acute cardiopulmonary process.

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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion, pulmonary edema or pneumothorax.

history: <unk>f with luq pain // luq pain

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

history: <unk>f with chest pain

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Cardiac silhouette size is mild to moderately enlarged but unchanged. The mediastinal contour is similar with atherosclerotic calcifications noted at the aortic knob. Mild pulmonary vascular congestion is re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is present. Hypertrophic changes are seen within the thoracic spine.

history: <unk>f with 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.

h/o latent tuberculosis, asymptomatic // ? active tb

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of thymectomy. please evaluate for interval change.

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Frontal and lateral views of the chest were obtained. The heart size is mildly enlarged with a left ventricular configuration. The aorta is unfolded, accounting for prominence of the vascular pedicle. There is mild interstitial edema with kerley b lines and trace pleural fluid bilaterally. Small atelectatic changes are seen at the right lung base, similar to prior. No pneumothorax is seen. Osseous structures are unremarkable. No radiopaque foreign bodies are seen.

<unk>-year-old male with epigastric pain. evaluate for mediastinal widening.

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Moderate right pleural effusion persists with concurrent consolidation. Trace left pleural effusion is seen. No pneumothorax is detected. Heart size is difficult to assess in the setting of adjacent pleural effusion and right basilar opacification. Lung volumes are low with prominent pulmonary vasculature without frank edema. Hilar surgical clips reflect recent lobectomy. Right apical, anterior and posterior air-fluids level likely represents post-operative loculations.

<unk>-year-old female with stage iiia adenocarcinoma status post vats right lower lobectomy and right chest tube removal.

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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.

upper respiratory tract infection symptoms x<num> weeks, now with dizziness and productive cough.

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Loculated posterior right apical pleural fluid is seen now with likely associated air-fluid level, which may relate to recent drainage. There is persistent blunting of the right costophrenic angle overlying atelectasis there may be a trace right pleural effusion. The left lung is clear. Cardiac and mediastinal silhouettes are stable. There has been interval removal of a right-sided picc.

history: <unk>f with fever, chest pain // eval for worsening lung abscess/empyema

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Compared with most recent prior radiographs, pleural effusions and associated atelectasis have resolved. There is no change in severe leftward thoracic scoliosis and hiatal hernia. Lungs are clear. No pleural effusion or pneumothorax.

history of renal cell cancer, resected. question pulmonary nodules.

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Patchy right middle lobe opacity on the frontal view is not well substantiated on the lateral view may be due to atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.

shortness of breath.

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The tracheostomy tube is no longer visualized. Diffuse bilateral interstitial opacities with perihilar predominance have increased as compared to the prior examination. There is also increased airspace consolidation in the lower lobes. Small bilateral pleural effusions are stable. Cardiomediastinal silhouette is unchanged including engorgement of the azygos and central venous structures.

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

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Frontal and lateral views of the chest demonstrate increased lung volumes without pleural effusion, focal consolidation, or pneumothorax. Underlying emphysema is apparent. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Right breast implant is deflated.

shortness of breath.

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The heart size is normal. The hilar and mediastinal contours are unremarkable. The left pectoral pacemaker leads end in the right atrium and right ventricle, in appropriate position. The sternal wires are intact and clips from prior cabg are noted. There is no pulmonary vascular congestion. No focal consolidations concerning for infection, pleural effusions or pneumothoraces are identified. There is mild bibasilar atelectasis. Visualized osseous structures are unremarkable.

history of low-grade temperatures. please evaluate for infectious process.

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As compared to the previous radiograph, there is unchanged evidence of a left-sided parenchymal opacity with air bronchograms strongly suggestive of pneumonia. In addition, similar changes have now appeared on the right, in both the upper and the lower lobes. There is minimal fluid in the pulmonary fissures. At the time of dictation and observation, <time> a.m. On <unk>, the referring physician, <unk>. <unk> was paged for notification and findings were discussed over the telephone.

crohn's disease, questionable pneumonia, evaluation.

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There are slightly increased lung markings, more so on the left than on the right, which may be related to pulmonary vascular congestion. No definite pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are grossly within normal limits. There is elevation of the right hemidiaphragm, which is relatively unchanged since the prior examination. There are deformities of left-sided ribs related to old, healed fractures. Degenerative changes of the acromioclavicular joints are mild.

substernal chest congestion. question pneumonia.

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There is poor inspiratory effort and low lung volumes. Focal opacity at the left costophrenic angle is likely secondary to atelectasis. The heart size, mediastinal, and hilar contours are normal. The lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax. Colonic interposition between the right hemidiaphragm and the liver is identified. No free subdiaphragmatic air.

<unk>m with three day history of fever. please evaluate for pneumonia.

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Cardiomediastinal and hilar contours are unchanged and unremarkable. Calcified tortuous aorta is unchanged. Calcified tortuous aorta is also unchanged. There is bibasilar atelectasis, however no focal consolidation or pleural effusion.

<unk>m with weakness, elevated crp. evaluate for pneumonia.

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In comparison with the most recent available study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Mild elevation of the right hemidiaphragmatic contour persists.

cough.

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As compared to the previous radiograph, the pre-existing opacities in the right lung, both at the level of the right hilus and at the lung bases on the right have almost completely cleared. The current image shows no newly appeared parenchymal opacities. Elevation of the left hemidiaphragm persists. Contrast in the stomach and intestine in the left upper quadrant.

known copd, frequent pneumonia, fevers, and decreased breath sounds.

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Surgical clips are noted overlying the lower right hemithorax.

dizziness. evaluate for pneumonia.

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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with sore throat, headache, nasal congestion, runny nose, nausea/vomiting, and cough for the past <num> days. // ? pneumonia

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

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

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

<unk>f with hx of pleural effusions requiring chest tubes now p/w chest pain

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Frontal and lateral views of the chest. The lungs are clear without effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.

<unk>-year-old female with left lower extremity tenderness and chest pain and shortness of breath.

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The cardiac, mediastinal and hilar contours appear stable including mild to moderate cardiac enlargement including a left ventricular configuration. The aorta is mildly tortuous and calcified. The cardiac, mediastinal and hilar contours appear stable. Streaky scarring in the lingula is unchanged. Fissures are slightly thickened, which is somewhat increased suggesting mild vascular congestion. There is a new trace pleural effusion on the left. Slight pleural thickening of the right is probably unchanged. Increased interstitial opacity in the right lower lung, although regional, may represent vascular congestion. There is no pneumothorax. No definite fracture is seen.

right fourth rib pain in the axial after a fall.

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There is a focal opacity within the right midlung, within the upper lobe and potentially component in the right middle lobe new since prior. Lower lung volumes seen on the current exam. Elsewhere the lungs are clear where not obscured by the left chest wall pacing device. The <num> leads are in stable position. Cardiomediastinal silhouette is stable, atherosclerotic calcifications again noted at the aortic arch. No acute osseous abnormalities identified.

<unk>m with fevers, dyspnea, chronic cough // any pneumonia?

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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>f s/p mvc with left clavicle and anterior chest wall pain from seatbelt

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Heart size is normal. The cardiomediastinal silhouette is unremarkable. The hilar contour is unremarkable. The lungs are clear without consolidations, effusions or pneumothorax. No acute soft tissue or bony abnormality.

chest pain.

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In comparison with the study of <unk>, the pigtail catheter has been removed from the right base. There has been reaccumulation of pleural fluid with underlying compressive atelectasis. The remainder of the study is essentially unchanged with the left lung generally clear.

pleural effusion.

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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 fever/cough

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pe left pleural effusion. Small right pleural effusion is new the osseous structures are unremarkable

<unk> year old man with cirrhosis and cough // please eval for pna

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Patient is status post median sternotomy and cabg. There is moderate enlargement of the cardiac silhouette. Mediastinum is stable. There is increase in bibasilar and right mid lung opacities ; the setting of trauma could be due to aspiration, pulmonary contusion, or infection. There is mild central pulmonary vascular congestion. No large pleural effusion is seen. There is no evidence of pneumothorax. No displaced fracture is identified.

history: <unk>m with a fib on coumadin, <num> recent unwitnessed falls, decline in mental status // ?bleed

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The lungs are hyperinflated but there are no focal opacities. Thyroid enlargement as seen on a prior ct chest likely accounts for superior mediastinal enlargement. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

chest pain. evaluate for pneumothorax or pneumomediastinum.

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The patient is status post coronary artery bypass graft surgery. The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is an unchanged pleural effusion on the right. Bilateral nipple shadows are visualized. Otherwise, the lung fields appear clear. There is no pneumothorax. Mild degenerative changes are similar along the thoracic spine.

weakness and fatigue.

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There are small bilateral pleural effusions. The lungs otherwise remain hyperinflated, suggesting chronic obstructive pulmonary disease. Right greater than left upper to mid lung peripheral patchy opacities again noted. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with dyspnea, hx pna // pna?

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Ap and lateral views of the chest are compared to previous exam from <unk>. There is massive cardiomegaly, similar to previous exam. Dual-lead pacing device again noted as well as right-sided dual-lumen central catheter. There is indistinct pulmonary vascular marking seen throughout, suggestive of pulmonary vascular congestion without frank pulmonary edema. There is no pleural effusion. Osseous and soft tissue structures are unchanged.

<unk>-year-old female with fall and bilateral crackles at bases. question pneumonia or congestion.

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The lungs are clear. There is no consolidation, effusion, or edema. Mild cardiac enlargement is again noted. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with seizures, cough // please evaluate for acute process

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The lung volumes are stable. Known numerous metastatic pulmonary nodules are not as apparent on current chest radiograph as on prior ct. The right cardiophrenic nodule identified in <unk> is not as conspicuous on today's chest radiograph. No focal consolidation. Cardiomediastinal and hilar contours are enlarged but stable. The pleural surfaces are normal. The right port-a-cath terminates in the lower svc without radiographic evidence of obstruction. The left pacemaker is intact with leads terminating in the appropriate positions.

<unk>f with rcc and port not working // port placement

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette remains mildly enlarged. The aorta is slightly tortuous. There is no overt pulmonary edema.

cough and low-grade fever at triage.

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The cardiomediastinal contours are within normal limits. Bulging of hilar contours may reflect lymphadenopathy compatible with the patient's known sarcoidosis. The lung volumes are low but clear of consolidation. There is no pleural effusion or pneumothorax.

<unk>-year-old female with a history of pe, now with hemoptysis.