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

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Multiple clips are noted within the left mediastinum. Cardiac, mediastinal and hilar contours are within normal limits. Coronary artery stents are again noted. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Clips in the right upper quadrant of the abdomen indicate prior cholecystectomy.

history: <unk>f with chest pain, left lower extremity 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.

<unk>m immunocompromised, p/w n/v and tactile fevers, please assess for pna // <unk>m immunocompromised, p/w n/v and tactile fevers, please assess for pna

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Ap upright and lateral chest radiographs demonstrate low lung volumes. Heart is mildly enlarged and atherosclerotic calcifications are again seen along the aortic arch. Lungs demonstrate normal vascularity without focal consolidation. No pleural effusion or pneumothorax.

bilateral lower extremity weakness, evaluate for pneumonia.

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Patchy left base opacity may be due to atelectasis although consolidation is not excluded in the appropriate clinical setting. Previously seen bilateral pleural effusions have essentially resolved in the interval. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>f with ams

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A left chest wall pacemaker is present with leads in the right atrium and right ventricle. The lungs are well expanded. There has been improvement in the previously noted pulmonary edema. There is scarring at the lung apices bilaterally. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is mildly enlarged as seen previously. The bones are intact.

<unk>-year-old female with fall, on coumadin. question fracture, intracranial hemorrhage or pneumonia.

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Since the prior examination, there has been interval development of opacification within the right lower lobe, some of which demonstrate a nodular configuration. There are no pleural effusions or pneumothorax. There are no other focal areas of opacification. The cardiomediastinal and hilar contours are stable with changes relating to known esophagectomy and neoesophagus formation, and tortuosity of thoracic aorta. Pulmonary vascularity is not increased.

<unk>-year-old male with cough and fever with course right lower lobe breath sounds. evaluate for pneumonia.

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Right picc tip terminates in the mid svc. The heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.

history: <unk>m with abdominal pain found to have appendicitis on pet today. history of lymphoma and ulcer colitis//evaluate picc

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There is mild cardiomegaly, not significantly changed from prior examination. There is mild pulmonary vasculature congestion. There is no focal consolidation, pleural effusion or pneumothorax. Sternotomy wires are seen midline and there is evidence of mitral valve replacement.

dyspnea on exertion, history of chf. evaluate for fluid overload, cardiomegaly, infiltrate.

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There is no focal consolidation, effusion, or pneumothorax. Heart size is top normal. The aorta is mildly tortuous, as on prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

history: <unk>f with tachycardia // eval for chf/pneumonia

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Pa and lateral views of the chest provided. Rib deformities of the left seventh and eighth lateral rib arches noted which appear new from the prior exam. There is subtle underlying opacity which could represent pleural thickening. Otherwise the lungs appear clear. No pneumothorax or effusion. Cardiomediastinal silhouette appears normal.

<unk>m with alcohol intoxication. cough, head trauma.

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Heart, mediastinum and the lung fields appear normal. No pneumonia. No bony abnormality. No change from <unk>.

history: <unk>m with cp and sob // r/o pna

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There is no focal consolidation, effusion or edema. Linear opacity in the lateral view is most compatible with atelectasis, not localized on the frontal view. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with asthma exacerbation failing regular tx // ? pna

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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart is moderately enlarged, similar to the prior examination. The remainder the mediastinal contours are unchanged.

history: <unk>f with cough // pna

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There is been reaccumulation of a moderate left pleural effusion common new since the most recent previous study. There is likely also concomitant left basilar atelectasis. The right lung is clear. There is no pneumothorax. Calcified granuloma is are noted in the right lower lobe. The aorta is tortuous but unchanged in configuration.

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

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Frontal and lateral radiographs of the chest. Compared to the prior radiograph, there is no significant change. The cardiomediastinal silhouette including the neoesophagus is similar appearing. The lungs are clear with no pleural effusion or pneumothorax detected.

status post minimally invasive esophagectomy with postoperative leukocytosis. evaluate interval change.

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Minimal left basilar atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are stable. No overt pulmonary edema is seen.

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

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The lungs are mildly hypoinflated with crowding of vasculature. No pleural effusion. Heart size, mediastinal contour, and hila are unremarkable. Visualized osseous structures are notable for right eighth rib deformity related to prior surgery.

<unk>m with right hip and buttock pain. infectious work-up. assess for pneumonia.

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Calcifications are again noted along the posterior inferior right pleura. Previously noted calcific nodule in the right upper lobe and soft tissue nodule in the left lower lobe are not clearly delineated on this study. Otherwise, the lungs are without any new focal consolidation, effusion, or pneumothorax. Atherosclerotic calcifications are noted in a tortuous aorta. The heart appears at the upper limits of normal. Calcified mediastinal lymph nodes are again identified but better delineated on the dedicated chest ct. Known minimally displaced fractures of the right anterolateral fourth through sixth rib are not clearly delineated on this study. Subacute old fracture of the right posterior eleventh rib is also not clearly delineated on this study. Known t<num> compression deformity is not definitely delineated on this study.

evaluation of patient with rib fractures.

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The position of the aicd appears to be stable. Heart size is top normal. Trachea is midline and cardiomediastinal contours are unremarkable. The opacity within the left upper lobe corresponding to the primary lung malignancy is now more hazy and diffuse with corresponding loss of volume within the left upper lobe resulting in a slight upward shift of the left hilum. There is also an interval development of a left-sided moderate pleural effusion and compressive atelectasis. An overlying consolidation cannot be ruled out. There is a slight worsening of the small patchy infiltrates within the right base compared to the prior study. No evidence of pneumothorax. Bony structures appear to be intact and there does not seem to be any evidence of bone destruction in the proximity of the primary malignancy.

<unk>-year-old lady with stage iv non-small-cell lung cancer now with hypoxia and cough. please evaluate for evidence of progression of disease or infection.

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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality seen.

elevated white count.

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Lung volumes are low. Heart size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are seen.

left-sided chest pain.

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In comparison with study of <unk>, the left chest tube has been removed. There is a small residual pneumothorax in the left apical region. Opacification at the left base is consistent with some combination of atelectasis and effusion. In the appropriate clinical setting, supervening pneumonia would have to be considered. Opacification at the right base could reflect crowding of vessels or some atelectatic changes. Blunting of the right costophrenic angle is again seen on this side.

c tube removal, to assess for pneumothorax.

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Pa and lateral views of the chest provided. The lungs are hyperinflated. 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 sob

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Ap upright and lateral chest radiographs were obtained. The lungs are relatively well expanded with minimal increase in previous mild cardiomegaly likely related to ap technique. There is no pleural effusion or pneumothorax.

nonradiating substernal chest pain, assess for acute process.

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Bilateral interstitial reticular markings and bibasilar scarring are noted, more significant on the right and increased as compared to the prior chest radiograph dated <unk>. Surgical chain sutures from prior resection again projecting over the right upper lung. Redemonstrated is a dual lead cardiac pacemaker with leads intact and in their expected positions. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected.

<unk>m with dyspnea // pna

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Pa and lateral views of the chest are compared to previous exam from <unk>. Right ij line is seen in similar position. Left subclavian line however has been removed. The lungs are clear. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Note is made of surgical clips in the right upper quadrant suggesting prior cholecystectomy.

<unk>-year-old female with cough and shortness of breath. history of chemotherapy, pneumonitis. question pneumonia.

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Frontal ap and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. No nodule or mass is seen. Cardiac and mediastinal silhouettes and hilar contours with aortic knob calcifications are unchanged. No acute osseous abnormality is identified.

<unk>-year-old woman, status post fall with lesions concerning for metastases on head ct. evaluate for infection or malignancy.

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Ap upright and lateral views the chest provided demonstrate cardiomegaly without signs of congestion or edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. A pectus excavatum deformity of the sternum is noted. Degenerative spurring is noted in the thoracic spine.

<unk>m with vomiting, evaluate for infiltrate, ich

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Heart size is normal. The mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted diffusely along the thoracic aorta. Fiducial marker is noted within a right lower lobe lesion, better assessed on the previous chest ct, and unchanged in position. Lungs are hyperinflated without focal consolidation. Scarring within the lung apices appears unchanged. No pleural effusion or pneumothorax is seen. The pulmonary vasculature is not engorged. There are no acute osseous abnormalities.

history: <unk>f with shortness of breath, hypoxia, right elbow pain

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Frontal and lateral views of the chest are compared to previous exam from <unk>. Right chest wall port is seen with catheter tip in the upper svc. Extremely low lung volumes are seen. Streaky opacities at the lung bases are suggestive of atelectasis. Blunting of the posterior costophrenic angle may represent small effusion versus atelectasis. Cardiomediastinal silhouette is grossly unchanged. Severe compression deformity in mid thoracic spine is not significantly changed from prior. Osseous structures are otherwise grossly unremarkable.

<unk>-year-old female with tachycardia and back pain. evaluate for acute process.

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Pa and lateral chest radiographs demonstrate numerous pleural plaques. However, there is no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal.

lightheadedness.

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There is a possible residual pleural line in the right apex. The lungs are otherwise clear. There is no pulmonary edema or pleural effusion. The cardiomediastinal and hilar contours are normal.

<unk>-year-old with pneumothorax.

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Pa and lateral views of the chest were reviewed and compared to the prior study. The right-sided line has been removed. The distribution of a small right pleural effusion has changed; however, the amount of pleural fluid is relatively similar. There has been a slight interval increase in the small left pleural effusion and an increase in moderate bibasilar atelectasis. There is vascular prominence and vascular venous engorgement. Normal cardiomediastinal contours.

evaluation for pulmonary edema and free air in patient with tachycardia.

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Mild cardiomegaly has been stable compared to exams dated back to <unk>. The aorta is mildly tortuous. Otherwise, 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 cabg, patient has hypotension. please evaluate for acute intrathoracic process.

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A right chest wall pacemaker leads are appropriately positioned. Median sternotomy wires are intact. There are moderate bilateral pleural effusions, right greater than left. Bibasilar opacities with patchy opacities in the right mid lung may represent atelectasis, but infection cannot be excluded. Partial collapse of the right lower lobe is better visualized on the concurrent ct. Prominence of the interstitial markings bilaterally with hilar fullness suggest pulmonary congestion. No pneumothorax. There are degenerative changes throughout the spine.

<unk>-year-old female with cough and abdominal tenderness. question pneumonia.

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There is a small to moderate-sized right pleural effusion, as seen on recent ct. Tiny left pleural effusion cannot be excluded. Heart size is enlarged, similar to recent ct, but increased since <unk>. Aortic calcification and tortuosity is seen. No focal consolidation, pulmonary edema or pneumothorax is detected.

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

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The lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. A large hiatal hernia is again seen with mild adjacent atelectasis. Surgical clips project over the right upper abdomen. Degenerative changes of the thoracic spine are moderate.

<unk>m with weakness, cough. evaluate for pneumonia.

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Frontal and lateral views of the chest demonstrate normal lung volumes. Elevation of the left hemidiaphragm appears longstanding. Patient is status post left mastectomy. No focal consolidation is seen. Hilar and mediastinal silhouettes are unremarkable. Tortuosity of the descending aorta is again noted. The heart size is normal. There is no pulmonary edema or pneumothorax. No pleural effusion is seen. Partially imaged upper abdomen is unremarkable.

patient with chest pain. assess for pneumonia.

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No previous images. Relatively low lung volumes most likely account for the prominence of the transverse diameter of the heart. No definite vascular congestion or acute focal pneumonia. Bibasilar atelectatic changes with possible small effusions. Band of atelectasis is seen at the left base.

oxygen requirement.

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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is no definite pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are similar along the thoracic spine. There has been no significant change.

dizziness.

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Two views of the chest demonstrate clear lungs without effusion or pneumothorax. Cardiac silhouette is normal in size, the mediastinal contours are normal.

<unk>-year-old female with palpitations.

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In comparison with the study of <unk>, there is little change and no evidence of acute pneumonia or vascular congestion. Chronic changes are again seen at the right base.

allergic reaction, to assess for consolidation or edema.

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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormalities identified. Thoracic aorta of ordinary <unk>. No wall calcification or local contour abnormalities are seen. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. Skeletal structures of the thorax are grossly within normal limits. No pneumothorax identified in the apical area on the frontal views. Our records do not include a previous chest examination available for comparison.

<unk>-year-old male patient with alcoholic hepatitis, rising bilirubin and <unk>'s df of <num>, may need to start steroids. evaluate for infection prior to initiating steroids for alcoholic hepatitis.

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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with chest wall pain

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Heart size is normal. Mediastinal contours are unremarkable with mild prominence of the hila bilaterally. Streaky bibasilar airspace opacities likely reflect atelectasis. There is no pulmonary vascular engorgement. No pneumothorax or pleural effusion is present. There are no acute osseous abnormalities.

syncope.

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There is a right picc line, which terminates in the low svc. The cardiomediastinal silhouette is stable. There is moderate pulmonary edema. There is a small right pleural effusion, and a larger layering left pleural effusion. There are no focal consolidations. No pneumothorax is seen. The patient is status post vertebroplasty of an upper lumbar vertebrae, but no new compression fractures visualized. An ivc filter is partially visualized projecting over the upper abdomen.

<unk> year old man with esrd s/p tx on immunosuppression with chronic productive cough // evaluation for pna, atelectasis, aspiration

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Right-sided prepectoral port-a-cath in situ with the tip seen in the distal svc. Evidence of previous gastric pull-through. Air-fluid level seen in the distal stomach (intrathoracic). The density projecting over the lower vertebral bodies is presumed to be a fluid-filled stomach. There is attenuation of the cervical esophagus with shift to the left in keeping with known peritracheal adenopathy. Widening of the right paratracheal stripe in keeping with paratracheal adenopathy. Chronic, healed right-sided rib fractures. No airspace consolidation. No pleural effusions. No pulmonary edema.

<unk> year old man with esophageal adenocarcinoma, here with worsening dysphagia // r/o pneumonia

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Ap upright and lateral chest radiographs demonstrate low lung volumes. Subtle nodular opacities at the left upper lobe are present as demonstrated on prior radiograph. The right lung is clear. Bibasilar atelectasis is present. There is no large pleural effusion or overt pulmonary edema. The heart is stably enlarged. A right sided dialysis catheter is in stable position.

<unk>-year-old male with dyspnea.

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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 cough and <unk>'s esophagus

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When compared to prior, there has been interval resolution of the right upper lobe and left lower lobe regions of opacity. The lungs are now clear. The cardiomediastinal silhouette is within normal limits. Anterior cervical hardware is visualized.

<unk>m with recent pna, recurrent falls, ? loc // pna, ich

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Since the prior radiograph performed in <unk>, the right port-a-cath has been removed. Lung fields are clear, without focal consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with syncope // r/o chf

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Pa and lateral views of the chest were reviewed. Compared to the most recent prior, on the frontal view, the costophrenic angles are sharper, however, on the lateral view the bilateral pleural effusion appear relatively unchanged. The lungs are clear without focal consolidation, pulmonary edema or pneumothorax. Cardiac and mediastinal contours are stable.

evaluation of pleural effusion in patient with dyspnea and wheezing.

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Cardiomediastinal contours are normal. Aside from linear scarring in the lingula, the lungs are clear. There is no pneumothorax or pleural effusion. There is a scoliosis

<unk> year old woman with screening for malignancy // any lesions?

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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. Small mid thoracic anterior osteophyte is unchanged compared to the prior study. No large pleural effusion or pneumothorax.

history of cirrhosis with cough and improving upper respiratory infectious symptoms. please evaluate for pneumonia.

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Ap and lateral views of the chest demonstrate the lungs are well expanded and clear. The heart is top normal in size, otherwise the cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal parenchymal opacity.

<unk>-year-old female with chest and arm pain. worse with inspiration. evaluation for acute process.

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In comparison to the prior examination, the right basilar opacity has improved significantly. The cardiac silhouette is stably enlarged. The pulmonary vasculature is unremarkable. No definite consolidation is identified. There is no pleural effusion or pneumothorax.

<unk> year old man with shortness of breath and crackles on right lung // evidence of pleural effusion

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. There is bilateral peribronchial cuffing possibly reflecting bronchitis or atypical edema. The heart is normal in size, and the mediastinal contours are normal.

<unk>-year-old female with chest pain. evaluate for infiltrate.

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There is a large hiatal hernia, causing lower lobe atelectasis . Otherwise, the lungs are grossly clear. There is no pleural abnormality. The hilar and mediastinal contours are improved from prior. Bone-on-bone degenerative changes of the right glenohumeral joint is seen. There is compression fracture of a lower thoracic vertebra, unchanged from <unk>. Heavy calcification in the mitral annulus and thoracic aorta are seen.

history: <unk>f with mg p/w dysarthria // ?cpd

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Pa and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal contours are normal.

hyperglycemia.

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The lung volumes are low. The ascending aortic contour is convex, and there is also mild unfolding along the descending thoracic aorta. The heart appears normal in size. Minimal opacification at the lung bases is consistent with very minor atelectasis. Otherwise, the lung fields appear clear. There is no pleural effusion or pneumothorax.

cough.

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Cardiac, mediastinal and hilar contours are stable. There is increased opacification within the left lower lobe, which given the short time interval, likely reflects a combination of the patient's known malignancy with possible superimposed pneumonia or aspiration. There is unchanged pleural thickening of the left costophrenic angle. Right lower lobe lung nodule appears grossly unchanged. Other known lung nodules are not well assessed on the current radiograph. There is no new focal consolidation in the right lung or right-sided pleural effusion. Emphysematous changes are again seen. No pneumothorax is present. No definite acute osseous abnormalities are present. The pulmonary vasculature is not engorged.

non-small cell lung cancer with persistent nausea and vomiting.

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There is no focal consolidation or pneumothorax. Trace left pleural effusion. Diffusely increased interstitial markings suggest mild pulmonary edema. Cardiomediastinal silhouette is mildly enlarged, as on prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk> year old woman with sob // evaluate for chf vs. copd exacerbation

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. A cluster of calcified nodules in the left upper lobe appears unchanged. Otherwise, the lungs appear clear. There is no pleural effusions or pneumothorax.

shortness of breath.

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The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is again seen.

<unk>m with recent dental infection and fevers // please eval for pna, effusion, acute process.

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Frontal and lateral chest radiograph demonstrates retrocardiac opacity consistent with a left lower lobe pneumonia. The right lung is grossly clear. There is no pleural effusion or pneumothorax. Cardiac silhouette is within normal limits.

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

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The heart is normal in size. Coronary calcification is present. The mediastinal and hilar contours appear unchanged. There is vague opacity projecting over the left lower lung which is not well localized on the lateral view although suspected to reside in the left lower lobe. There are no pleural effusions or pneumothorax.

shortness of breath and long-term smoking history.

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Frontal and lateral views of the chest were obtained. There is mild right basilar atelectasis without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. A right port-a-cath ends in the right atrium. The right hemidiaphragm is elevated, likely due to hepatic metastases seen on subsequent ct.

right upper quadrant pain.

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As compared to the previous radiograph, there is a newly appeared plate-like atelectasis at the right lung base. No changes seen on both the frontal and the lateral radiographs. No current evidence of pneumonia. No pleural effusions. Unchanged normal aspects of the cardiac silhouette.

copd and consistent cough. rule out pneumonia.

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. A millimetric calcified granuloma in the left lower lobe is unchanged. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.

upper abdominal pain.

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Lung volumes are low. There is mild bibasilar atelectasis, but no focal consolidation is identified. Mild-to-moderate cardiomegaly is present but not significantly changed from prior. Otherwise, cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Remote deformity of the left distal clavicle is again noted.

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

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Left chest wall port is again seen. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>f with intermittnet palpitations // eval pna

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Two subcentimeter nodules, really dense, are seen in right upper lobe and could possibly be calcified. Lung volumes are low with bibasilar mild atelectasis. The patient has prior history of sternotomy for cabg, and the mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

patient with nash cirrhosis, tips, fatigue, possible sbp, evaluation for right upper lobe crackles.

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The lungs are well expanded and clear. Mild atelectasis or scarring is seen in the left lung base, unchanged from prior exam. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.

history of and standing and status post des in left circumflex who presents with chest pain.

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Pa and lateral views of the chest were obtained. Cardiomediastinal silhouette is stable. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion, or pneumothorax.

<unk>-year-old woman with dry cough, fever, chills, evaluate for pneumonia.

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Moderate cardiomegaly is unchanged. There are small bilateral pleural effusions. Elevation of the left hemidiaphragm is new from <unk>. Right lung is grossly clear. There is mild interstitial edema. Median sternotomy wires are intact. Postsurgical catheter overlies the left hemithorax. Multiple lower thoracic compression deformities are new from <unk>. There are severe degenerative changes of the right acromioclavicular joint.

<unk>-year-old woman with weakness in <num> extremities x <num> weeks with subjective unilateral numbness.

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The lungs are hyperinflated similar to prior. There are no focal opacities. The cardiomediastinal silhouette and hilar contours are normal. On the lateral view the left posterior costophrenic sulcus is blunted, possibly a small pleural effusion or pleural thickening. The mitral anulus is chronically heavily calcified. There is no large pneumothorax.

unresponsiveness, weakness. evaluate for acute cardiopulmonary disease.

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There is evidence of volume loss in the right chest with right apical pleuroparenchymal scarring. Suture chained material and multiple surgical clips are noted along the right upper mediastinal border suggesting prior lung resection. There is no evidence of focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. There is mild calcification of the aortic knob. No acute osseous abnormality is detected. There are multilevel degenerative changes, predominantly in the lower thoracic spine.

<unk>-year-old man with chest pain // r/o acute process

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

history: <unk>f with sudden onset cp // ptx?

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Frontal and lateral views of the chest are compared to prior chest x-ray from <unk> and ct chest from <unk>. The lungs remain clear. There is no focal consolidation, effusion, or evidence of pulmonary vascular congestion. Cardiac silhouette is stable. Atherosclerotic calcifications noted at the arch. Again noted is a left fat-containing bochdalek hernia, confirmed by chest ct. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with abnormal breath sounds. question infiltrate.

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Pa and lateral chest radiographs were provided. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal. A pacemaker is in place with leads in the right atrium and right ventricle. The imaged upper abdomen is unremarkable. Bones are intact.

<unk>-year-old with cough, question pneumonia.

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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures identified.

<unk>m w/ ? l sided impact by passing car w/ rib pain // eval ? rib injury, ptx

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Pa and lateral views of the chest are obtained. The lungs are well expanded and clear. Cardiomediastinal silhouette and pleural surfaces are normal. The indwelling right central venous catheter is in standard position terminating in the low svc. Note is made of asymmetry of the clavicular heads, palpation and clinical correlation recommended.

<unk>-year-old man with all and neutropenic fever.

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Right chest wall port is again seen. Since prior, there has been interval enlargement of the now moderate left-sided pleural effusion with adjacent atelectasis. Small left pleural effusion is also noted. There is new right mid lung linear opacity, potentially in part due to fluid in the fissure and underlying atelectasis. Cardiomediastinal silhouette is grossly unchanged although difficult to accurately assess. No acute osseous abnormalities.

<unk>f with chest pain, abnormal ekg. // ? pulmonary edema, cardiomegaly

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The heart is again mild-to-moderately enlarged. The mediastinal and hilar contours appear unchanged. There is a persistent small-to-moderate left-sided pleural effusion with patchy associated opacity probably due to atelectasis. A trace pleural effusion cannot be excluded on the right. Mild interstitial prominence suggests slight fluid overload including <unk> b-type lines along the right costophrenic sulcus. There is no pneumothorax. Bones appear demineralized. There is no definite evidence of injury.

status post fall.

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Pa and lateral views of the chest provided. The heart is top normal in size. No focal consolidation, large effusion or pneumothorax is seen. There is no overt edema though mild interstitial edema is difficult to exclude. Mediastinal contour stable. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with luq pain and gi bleed // r/o free air, pneumonia

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The heart is probably normal in size, although with a left ventricular configuration. The mediastinal and hilar contours appear within normal limits. There is mild elevation of the right hemidiaphragm. The colon appears at least partly interposed beneath the right hemidiaphragm and anterior to the lateral side of the liver. The lungs appear clear. There are no pleural effusions or pneumothorax. There is no free air.

alcoholic cirrhosis. patient with encephalopathy.

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There is no focal consolidation, pleural effusion, pneumothorax, or evidence of aspiration. The cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities.

<unk>-year-old man with recurrent chest pain, high risk for aspiration.

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The lungs are hyperinflated compatible with known emphysema. A small right-sided pleural effusion is new compared with prior exam. Streaky bibasilar opacities suggest bibasilar atelectasis versus scarring. A nodular opacity in the soft tissues of the lateral aspect of the right thoracic wall is better assessed in prior ct and represents a sclerotic lesion within the scapular tip. There is no pneumothorax. The upper sternotomy wire is fractured, but the remaining sternotomy wires are intact. Multiple surgical clips within the mediastinum correspond to prior surgery. The aorta is tortuous, with atherosclerotic calcifications of the aortic knob.

<unk>-year-old male with chest pain. evaluate for acute cardiopulmonary process.

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

<unk>m with fever // eval for pna

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Patient is status post median sternotomy and cabg. Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.

history: <unk>m with hypertension and shortness of breath

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The cardiac silhouette is mildly enlarged. The aorta is tortuous. No focal consolidation, pleural effusion, evidence of pneumothorax is seen. There is minimal vascular congestion.

history: <unk>f with chest pain // ? acute cardiopulm process

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There are bilateral pleural effusions, moderate on the right and small on the left, which may be minimally increased from the prior radiograph on <unk>. There is a similar degree of background pulmonary edema. Bibasilar consolidations may represent atelectasis or pneumonia. No focal consolidation is identified within the upper lungs. No pneumothorax. Mediastinal contours are normal. Cardiac silhouette is slightly obscured by the pleural effusions, but appears enlarged.

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

<unk>f with fever, cough. assess for pneumonia.

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The prominence of the hila suggest pulmonary vascular engorgement. There is mild elevation of the right hemidiaphragm. Right basilar opacity may be due to atelectasis but infectious process is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax seen. The cardiac silhouette is top-normal to mildly enlarged. The aorta is tortuous. Mediastinum is more similar in appearance as compared to <unk> than on the more recent prior study.

history: <unk>f with asymmetric <unk>, cp // volume overload?

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Multiple old right-sided rib deformities are again seen. No definite new focal consolidation is seen. There is basilar and mid lung minor atelectasis/scarring. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.

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

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Since <unk> there has been no change in the collapsed, largeley cavitated right upper lobe distal to bronchial obstruction. New consolidation in the lingula could be spillover pneumonia from aspiration of purulent secretions. Emphysema may be present. Heart size is top normal. Destruction of the fifth right posterior rib is again noted, likely metastasis.

evaluation of patient with lung cancer with fever and cough.

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The patient is status post median sternotomy and coronary artery bypass. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.

<unk>-year-old male with coronary artery disease status post cabg and prior cerebral vascular accident. the patient presents with nausea, vomiting and chest pain.

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Mild enlargement of the cardiac silhouette is present. The aorta is slightly tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.

history: <unk>m with cough and hemoptysis

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Subtle patchy opacity projecting over the right upper lung could be due to overlap of vascular structures, but infection may be present. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

diabetes mellitus i, now with hyperglycemia.

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There is no pneumothorax. If any there is a small left effusion. Bilateral opacities are better seen in prior ct from <unk>. There are no new lung abnormalities. Post surgical changes are seen in the right upper lobe. Cardiomediastinal contours are within normal limits

<unk> year old woman with asthma and tree-in-<unk> opacities s/p r vats wedge x <num> pod#<num> // confirm no ptx <num> hrs post ct pull (<time>).