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

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The patient is status post coronary artery bypass graft surgery as well as posterior fusion along the thoracolumbar spine involving two separate segments, as before. The patient is also status post incompletely characterized lower anterior cervical fusion surgery. The lungs appear clear. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear stable.

chest pain.

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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. The lungs remain mildly hyperinflated, unchanged from prior. No displaced rib fracture identified.

history: <unk>m with chest pain // eval for acute process

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As compared to the previous radiograph, the right jugular vein catheter has been removed. The opacity in the right lung has substantially decreased in extent. The other monitoring and support devices, including the left-sided chest tubes are constant. There is no convincing evidence of left pneumothorax, but the chest wall post-surgical opacity is visible in unchanged manner. Unchanged size and shape of the cardiac silhouette.

radical excision of a left chest wall tumor, chest tube on waterseal.

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Moderate scoliosis with asymmetry of the rib cage. Normal lung volumes. Normal size of the cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. Lateral radiograph shows a relatively severely calcified coronary artery.

cough, questionable pneumonia.

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The cardiac silhouette is within normal limits. The hilar and mediastinal contours are normal. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with cp // eval for ptx

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The lungs remain hyperinflated, with relative flattening of the diaphragms. Subtle opacity is seen projecting over the lateral right lung base over the lateral right tenth rib. Unclear whether this represents a pulmonary nodular opacity versus being external to the patient. Shallow oblique chest radiographs would help further assess. There is mild left base atelectasis. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours unremarkable. No pulmonary edema is seen.

history: <unk>f with doe and lightheadedness // r/o acute process

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Ap and lateral views of the chest. The lungs are grossly clear noting linear bibasilar opacities which are most likely atelectasis. Please note that the lateral view is limited secondary to patient's arms being down by his side. There is no large effusion, although there may be trace right pleural effusion noting that the posterior costophrenic angle is obscured. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Orthopedic hardware seen in the right glenoid.

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

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Right-sided picc is seen terminating in the mid to low svc without evidence of pneumothorax. Single lead left-sided aicd is stable in position, the inferior most aspect not well seen due to underpenetration. No pleural effusion is seen. There is no definite focal consolidation. Enlargement of the cardiac silhouette persists. Mediastinal contours are grossly stable.

history: <unk>m with chest pain and cough // pna?

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Cortical irregularity at the lateral aspect of the left eleventh rib is concerning for a minimally displaced acute fracture. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with left sided rib pain // r/o fx r/o fx

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Frontal and lateral radiographs of the chest when compared to the prior study demonstrates increased lung volumes with hyperinflation, flattening of the diaphragms, and increased ap diameter, consistent with emphysematous change. Moderate left pleural effusion is relatively unchanged. The cardiac and mediastinal contours are normal. Surgical clips are again noted in the left axilla, likely from breast surgery. Left apicolateral lung fibrosis is seen, likely post-radiation changes. Calcified aortic knob is again seen.

breast cancer and left pleural effusion status post chest tube. evaluate for interval change.

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There is a single-lead pacemaker terminating in the right ventricle. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. There is similar mild elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. A very vague opacity in the right upper lobe is not as distinctly visualized.

suspected pneumonia. history of alcohol abuse.

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The lungs are clear without pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The pulmonary vasculature is normal. There is mid thoracic vertebral body wedgeing, likely age indeterminate.

<unk>-year-old male with facial trauma. question aspiration.

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Pa and lateral chest radiographs were obtained. Lung volumes are low. The lungs are clear. There is no consolidation, effusion or pneumothorax. Mild cardiomegaly is unchanged. Since <unk>, nearly all of the median sternotomy wires are fractured.

hypotension.

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Linear areas of atelectasis or scarring involving the bilateral mid to lower lungs are unchanged since <unk>. No new focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact.

<unk>m with anterior chest pain. evaluate for chf or other acute process.

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Lung volumes are low. Subtle basilar opacities are seen, which may be due to atelectasis or aspiration. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

<unk> year old woman with seizure disorder here for confusion medication titration // assess for pneumonia

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

cough, chest congestion and fever evaluate for pneumonia.

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Ap and lateral views of the chest. Ground-glass opacities at the lung bases seen on ct are most conspicuous on this exam, and when compared to <unk> are not significantly changed. Moderate cardiomegaly is again noted as well as atherosclerotic calcifications at the aortic arch. No acute osseous abnormalities identified.

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

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Frontal and lateral chest radiograph demonstrates moderate left pleural effusion and likely a small right pleural effusion. There is no new focal consolidation or significant change when compared to chest radiograph dated <unk>. There is no pneumothorax. Cardiomediastinal and hilar contour or stable in appearance. No overt pulmonary edema.

<unk>-year-old male with dyspnea and acute kidney injury. decreased air lumen at the bases. evaluate for pleural effusion.

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A pacemaker projecting over the left axilla is re-demonstrated. Two right ventricular, one right atrial and one left coronary sinus leads are unchanged in position compared with prior exam. Sternotomy wires are intact. Surgical clips are noted within the mediastinum compatible with prior cabg. Lung volumes are low, accounting for bronchovascular crowding. There is prominence of interstitial markings, but no focal parenchymal opacities. The heart size is moderately to severely enlarged. The aorta is tortuous. There is no pleural effusion or pneumothorax.

<unk>-year-old male pacemaker breakthrough through the skin. evaluate for lead migration.

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Pa and lateral views of the chest provided. A linear radiodense structure projecting over the right heart should be correlated clinically. 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 dizziness // eval for consolidation

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Pa and lateral chest radiographs were provided. The lungs are hyperexpanded and there is prominence of interstitial markings consistent with copd. There is no focal consolidation, pleural effusion, or pneumothorax. A calcified granuloma is present in the left upper lobe. Cardiomediastinal silhouette is normal and unchanged from the prior radiograph. Osseous structures demonstrate no bony abnormality.

<unk>-year-old man with altered mental status, evaluate for pneumonia.

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Cardiac silhouette size is borderline enlarged. The mediastinal and hilar contours are unremarkable. Patchy and somewhat nodular opacities within the right lung base and right mid lung field, likely involving the upper lobe, are concerning for infection. No pulmonary edema is clearly noted. There is no pleural effusion or pneumothorax.

history: <unk>m with chest pain, shortness of breath

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The lungs are clear without consolidations, nodules, or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Mild tortuosity of the aorta is unchanged.

weight loss and history of smoking.

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Pa and lateral chest radiographs demonstrate left basilar atelectasis seen only on the frontal view. There is no definite focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

altered mental status. evaluate for pneumonia.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A monitoring device is noted overlying the mid left chest.

patient with syncope. evaluate for acute cardiopulmonary process.

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Pa and lateral views of the chest. Incidental note is made of an azygos fissure and azygos lobe. Lungs are clear. There is no consolidation, pneumothorax, or pleural effusion. The cardiac, mediastinal, and hilar contours are normal. Pleural surfaces are normal.

new onset pleuritic chest pain, please evaluate for pneumothorax, pneumonia, or pulmonary embolism.

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

<unk>m with acute onset left sided chest pain while walking to study. any acute intrathoracic process? // left sided chest pain. any acute intrathoracic 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 normal. No pulmonary edema is seen.

cough.

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Prior vascular congestion in the lungs and mediastinum has resolved, and lungs are well expanded. There is a fine granular abnormality in the right midlung on the frontal view, probably in the superior segment of the right lower lobe. I can't be sure if it was present on the low resolution ap supine portable chest radiograph postoperatively on <unk>, and we do not have preoperative chest radiographs so i do not know if it is acute. However this could well be pneumonia, especially vertically due to aspiration when supine. Atelectasis in the lingula could also be contributing to cough, but probably not fever. Heart size is normal. Heart is normal size. There is no pleural abnormality.

<unk>m w low sats, cough, fevers // ? pna ? 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.

basilar crackles and cough. evaluate for pneumonia.

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There is moderate cardiomegaly. There is no evidence of pneumonia, pneumothorax, pulmonary edema or pleural effusion. Hilar contours are normal. The aorta is tortuous.

chest and back pain.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A right-sided port-a-cath catheter is present, with the tip of the catheter located at approximately the cavoatrial junction.

<unk>-year-old male with history of pancreatic cancer and dvt, on chemotherapy. now with tachycardia, tachypnea and low-grade temperatures, as well as right upper quadrant pain. evaluate for evidence of infiltrate or edema.

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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 epigastric fullness and chest congestion // acute cardiopulmonary process

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There is mild cardiomegaly. The aorta appears to be tortuous. No focal consolidations concerning for infection are identified. There is no pleural effusion or pneumothorax. Again noted is scarring at the left lung base, overall slightly increased compared to the exam from <unk>. Linear atelectasis at the right lung base is also noted.

history of generalized weakness, upper abdominal pain. please evaluate.

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Subtle right base opacity may be due to confluence of vascular structures, however, subtle consolidation is not excluded in the appropriate clinical setting. There is mild elevation the right hemidiaphragm and right base opacity could relate to atelectasis. No pleural effusion or pneumothorax is seen. Cardiac silhouette is mildly enlarged.

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

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Pa and lateral radiographs of the chest were acquired. The lungs are clear. Previously seen mild interstitial pulmonary edema on radiographs from <unk>, has resolved. There are no pleural effusions. No pneumothorax is seen. The cardiac and mediastinal contours are normal. There is unchanged resorption of the distal right clavicle.

altered mental status. evaluate for acute process.

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The heart is at the upper limits of normal size. The aorta is mildly tortuous. The lungs are clear. There are no pleural effusions or pneumothorax. Moderate anterior osteophytes are noted along the lower thoracic spine where there is also slight leftward convex curvature.

new supraventricular tachycardia.

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The lungs are clear of focal consolidation or effusion. The cardiac silhouette is top normal in size. No acute osseous abnormalities identified.

<unk> year old woman with dyspnea // ? infiltrate

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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending into the region the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are again noted. There is also a prosthetic cardiac valve. Cardiomegaly is unchanged with an unfolded calcified thoracic aorta again noted. There are small bilateral pleural effusions causing blunting at the cp angles bilaterally. No signs of edema or pneumonia. No pneumothorax. Mediastinal contour stable. Bony structures are intact.

<unk>f with shortness of breath // eval for pna

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Ap and lateral views of the chest. There is a large pleural effusion on the left which has increased in size and a moderate right pleural effusion which is also increased in size. There is likely mild pulmonary edema as well. Heart size is difficult to assess. Sternotomy wires are seen. No pneumothorax. The left picc is in appropriate position.

chest pain.

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The lungs are normally expanded. Faint opacity at the left base is not visualized on the lateral view. There is no pleural effusion or pneumothorax. The mediastinal and hilar contours are normal. The heart is not enlarged.

altered mental status. evaluate for acute process.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Mediastinal contours are within normal limits. Heart size is top normal.

<unk>-year-old female with subjective fever.

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Cardiac silhouette size is normal. The aorta is tortuous. Moderate size hiatal hernia is re- demonstrated. Hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.

history: <unk>f with chest pain

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The lungs are clear.the cardiac, hilar and mediastinal contours are remarkable for a tortuous thoracic aorta.no pleural abnormality is seen.

<unk> year old woman with dyspnea exertion. evaluate for cardiopulmonary process.

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Old left-sided rib fractures are seen. Partially imaged right shoulder prosthesis. Re- demonstrated compression deformity of a vertebral body at the lumbosacral junction.

<unk>f w/chest pain, multiple episodes of n/v, please eval for pna // <unk>f w/chest pain, multiple episodes of n/v, please eval for pna

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Left chest wall dual lead pacing device is again noted. Streaky left basilar opacity is likely due to atelectasis versus scarring. The lungs are otherwise clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Surgical clips noted in the lower neck and right upper quadrant. No acute osseous abnormalities.

<unk>f with sob and fever // eval pneumonia

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There has been interval increase in right-sided consolidation, predominantly involving the right middle lobe, but also with possible involvement of the inferior right upper lobe and right lower lobe. Difficult to exclude subtle left base consolidation. The cardiac, mediastinal, and hilar contours are stable. No pleural effusion or pneumothorax is seen.

cough.

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The lungs are grossly clear besides mild bibasilar atelectasis. The cardiomediastinal silhouette is within normal limits. There is no effusion or pneumothorax. Proximal right humerus fracture is partially visualized. Posterior lumbar spine fixation hardware is partially seen. Compression deformity of a lower thoracic vertebral body is grossly unchanged since <unk>.

<unk>f with s/p fall wbc <unk> // eval ? infection. eval axillary shoulder view

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The lungs are normally expanded and clear. There is no focal airspace opacity. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is stable dextroscoliosis of the thoracic spine.

chest pain, dyspnea. evaluate for acute cardiopulmonary disease.

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The lungs are clear of consolidation, effusion, or pulmonary edema. The cardiac silhouette is enlarged but stable. Left chest wall triple lead pacing device is again seen. Degenerative changes seen at the right shoulder.

<unk>m with h/o uri sx, productive cough // eval for cardiopulmonary process, pna

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Since the radiographs obtained <unk>, pulmonary vascular congestion and edema have resolved. Moderate cardiomegaly is unchanged and there are no pleural effusions. There is prominent calcification of the mitral annulus. Lungs are fully expanded and clear without consolidations. Cardiomediastinal and hilar silhouettes are normal. Multilevel compression fractures appear grossly unchanged since ct chest dated <unk>.

<unk> year old woman with diastolic hf and atrial fibrillation with crackles right base and increased weight // assess for chf

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No definite focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. A rounded density is seen overlying the left lower lung field on the anterior projection, without a correlate on the lateral view, and likely represents a nipple shadow. The cardiomediastinal silhouette is stable. No acute bony abnormality is detected.

immunosuppressed, now with fever.

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The patient is status post median sternotomy, cabg, and aortic valve replacement. There is evidence of coronary artery stenting. The heart size is mildly to moderately enlarged. The aortic knob is calcified. The mediastinal and hilar contours are unremarkable. There is cephalization of the pulmonary vascular markings with mild engorgement, suggestive of mild pulmonary vascular congestion. The lungs are hyperinflated with flattening of the diaphragms possibly due to underlying copd. Small right pleural effusion is present. There is adjacent compressive atelectasis in the right lung base. No pneumothorax is identified. No acute osseous abnormalities seen.

chest pain.

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There are multifocal lung opacities including a right basilar opacity which obscures the medial hemidiaphragm and a retrocardiac opacity. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. There is no acute osseous abnormality.

<unk>-year-old with shortness of breath a right-sided chest pain.

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Moderate enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.

history: <unk>f with cough, shortness of breath

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The lungs are clear of focal consolidation. There is no pleural effusion. Triple-lead pacing device is seen with lead tips in the right atrium, right ventricle, and coronary sinus. Calcification projects over the region of the left ventricle suggestive of prior infarct. Cardiomediastinal silhouette is otherwise unremarkable. Osseous and soft tissue structures are notable for hypertrophic changes in the spine.

<unk>-year-old male with elevated white blood cell count. question pneumonia.

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Pa and lateral views of the chest provided. There is airspace opacity in the left lower lobe which is concerning for an early pneumonia. Right lung is clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with <num> days malaise, abd pain, ua and ctap neg, now w/ c/o r flank vs r subcostal pain

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In comparison with the study of <unk>, there is increased opacification at the left base with obscuration of the hemidiaphragm and blunting of the costophrenic angle. Findings are consistent with pleural effusion and underlying compressive atelectasis at the left base. Remainder of the study is essentially within normal limits and unchanged from the previous study.

ovarian cancer relapse, to assess for 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>m with headache, fever

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Pa and lateral views of the chest. Mild blunting of the left lateral costophrenic angle is most suggestive of atelectasis. The lungs are otherwise clear without consolidation or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.

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

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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Again there is calcification in the lower right neck, most likely within the region of the carotid bifurcation.

copd in a smoker with cough.

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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. Bilateral low lung volumes identified with minimal atelectatic changes present in the bilateral bases. Small left and possibly trace right pleural effusion present. Right-sided port-a-cath with tip terminating at the cavoatrial junction. No pneumothorax present.

cough and abdominal distention.

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Mild enlargement of cardiac silhouette is unchanged. The mediastinal and hilar contours are stable. There is diffuse atherosclerotic calcification of the thoracic aorta. The pulmonary vasculature is normal. Lungs remain hyperinflated with diffuse increased interstitial markings, similar to the previous exam, suggestive of a mild chronic interstitial lung disease. No new focal consolidation ,left-sided pleural effusion, or pneumothorax is present. Blunting of the right costophrenic angle on the lateral view may suggest the presence of a trace pleural effusion. There is diffuse demineralization of the osseous structures. Compression deformity of a mid thoracic vertebral body appears new when compared to the previous exam. An inferior vena cava filter is partially imaged within the upper abdomen. There are clips noted within the left axilla and postoperative changes in the left breast.

syncope.

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The lungs are well expanded and clear. The cardiac and mediastinal silhouettes are stable. There is no pleural effusion or pneumothorax. Moderate dextroscoliosis centered in the mid thoracic spine is unchanged.

<unk>-year-old female with syncope. evaluate heart size.

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Lungs remain relatively hyperinflated. There is persistent blunting of the right costophrenic angle worrisome for trace pleural effusion. No new focal consolidation is seen. The patient is status post median sternotomy and cabg. Cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.

history: <unk>f with chf, as, cad, who presents with presyncope // e/o acute process, such as pulmonary edema?

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The cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with mild unfolding of the thoracic aorta again noted. Pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine.

shortness of breath and cough.

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable elevation of the left hemidiaphragm is unchanged

<unk> year old man with persistent cough // eval for opacity

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A right chest wall port-a-cath ends in the proximal right atrium. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

<unk>-year-old man with fever, right lower chest discomfort, evaluate for pneumonia.

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No definite focal consolidation is seen. There is mild basilar atelectasis. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Patient is rotated slightly to the right. No overt pulmonary edema is seen. Multilevel anterior osteophytes are noted.

history: <unk>m with new osnet atrial fibrillation // eval acute process

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Again seen slight prominence at the ap window could be due to underlying lymph node or mildly prominent pulmonary artery.

history: <unk>f with syncopal episode // eval for cause of syncope

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There is mild cardiomegaly. Lung volumes are low, exaggerating the hilar mediastinal contours, which are otherwise unremarkable. There are mild bibasilar opacities. There is an opacity overlying the right upper lung, along the mediastinum. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.

<unk>f with <num>-week history of fevers. // pneumonia?

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Pa and lateral views of the chest are compared to previous ct abdomen from <unk> and chest x-ray from <unk>. Linear opacities at the left lung base suggest atelectasis. Slight increased focal opacity at the right lung base laterally could potentially also be due to atelectasis; however, acute infection is also possible. Increased density at the right cardiophrenic angle is compatible with previously identified prominent epicardial fat. Blunting of the right latter costophrenic angle may be due to small effusion or atelectasis in this region. Cardiomediastinal silhouette is stable, as are the osseous and soft tissue structures.

<unk>-year-old man with breakthrough seizure. evaluate for pneumonia.

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Moderate cardiomegaly is a stable. The aorta is tortuous. New retrocardiac opacities associated with small effusion, corresponds to pneumonia, given the clinical history. There is bronchial cuffing in the hila bilaterally. There is mild biapical pleural thickening. There is no pneumothorax. The osseous structures are unremarkable

<unk> year old woman with cirrhosis, worsening hyperbilirubinea, hemolysis, cough // eval for pna

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The lung volumes are normal. Normal size of the cardiac silhouette. Normal position of the hemidiaphragms. Mild scoliosis, as documented on the frontal projection. The lung parenchyma shows normal transparency and structure, there is no evidence of pneumonia or other acute or chronic change. No pleural effusions. Normal hilar and mediastinal contours.

cough, evaluation for pneumonia.

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Moderate cardiomegaly is noted. There is no focal consolidation, large effusion or pneumothorax. No pulmonary edema or congestion. Mediastinal contour appears within normal limits with atherosclerotic calcification along the aortic knob. Bony structures appear intact.

<unk>m with cough and fever over the past <num> days

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Pa and lateral views of the chest. A left icd device is seen with its tip in the right ventricle. A right-sided chest tube has its tip in the medial right mid hemithorax. Subcutaneous emphysema mostly on the right including the right pectoralis muscle as well as the right and left side of the neck is unchanged. Small right apical pneumothorax is unchanged. Tiny pleural effusions are unchanged. No consolidation. The cardiac, mediastinal, and hilar contours are normal.

status post mediastinoscopy and vats right upper lobe and right middle lobectomy for adenocarcinoma, rule out pneumothorax.

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Lung volume is low. There is no consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is exaggerated by low lung volumes.

history: <unk>f with n/v, dyspnea, abd pain, vomiting //

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Previously seen pleural effusions are no longer visualized. There is streaky right basilar opacities which may be due to atelectasis. There is no consolidation worrisome for pneumonia. The cardiac silhouette is enlarged and there is tortuosity of the descending thoracic aorta as on prior. Median sternotomy wires are again noted. No acute osseous abnormality is identified.

<unk>m with wheezing, s/p esophageal-aortic fistula repair // eval aorta, trachea

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The patient is status post median sternotomy and ascending thoracic aortic graft placement. Cardiac silhouette size remains mildly enlarged. Mediastinal contour is similar. New perihilar ill-defined alveolar opacities are demonstrated. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.

history: <unk>f with shortness of breath

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Single lead left-sided pacer device is again seen with lead extending to the expected position of the right ventricle. The cardiac silhouette remains enlarged. The aorta is calcified. There has been interval decrease in and pulmonary edema with now mild central pulmonary vascular engorgement seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.

chf, brachial edema.

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Lungs are clear of focal consolidation, effusion, or vascular congestion. No acute osseous abnormalities identified. Surgical clips in the right upper quadrant suggest prior cholecystectomy. There is no free intraperitoneal air.

<unk>f with epigastric pain. history of chronic pancreatitis // r/o free air

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Lungs are hyperinflated with flattened diagrams consistent emphysema. Changing pattern of focal opacities in the right middle lobe with multiple heterogeneous focal opacities new since <unk>. Bronchiectasis in the apices and bilateral lower lungs appears unchanged. The mediastinal contours, hila, and heart borders are normal. No large pleural effusion.

<unk> year old woman with chronic lung infection, now with increased sputum and low grade temperature. // r/o new infiltrate

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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. Subtle suggestion of subcutaneous gas is seen projecting over the left supraclavicular region. No definite pneumomediastinum is seen.

history: <unk>m with subq air in neck on ct

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<num> views were obtained of the chest. The lungs are somewhat low in volume with linear left basilar opacities, most likely atelectasis. There is no pleural effusion or pneumothorax. The heart is top normal in size and intervally increased over the prior two days which may reflect pericardial effusion. Mediastinal and hilar contours are normal.

chest pain and cough with fever. assess for pneumonia.

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The layering right pleural effusion is decreased in size, now moderate. The left lobe is clear. The heart size is normal. No pneumothorax. Markers over the right apex and another over the right lateral lung may be from prior biopsy.

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

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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.

<unk> year old man with productive cough, fever, sob. evaluate for pneumonia.

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In comparison with study of <unk>, the right subclavian catheter has been removed. Otherwise, little change. Cardiac silhouette remains at the upper limits of normal in size, but there is no vascular congestion or pleural effusion or acute focal pneumonia.

chest and back pain.

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Cardiomediastinal and hilar contours are stable. There is worsening moderate right pleural effusion and associated basilar atelectasis. There is also a small left pleural effusion. The lungs are otherwise clear. There is a lytic lesion of the left second rib with additional bony destruction associated with the known left apical mass.

<unk>-year-old status post thoracentesis, now with crit drop.

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Frontal and lateral views of the chest. Again seen is elevation of the right hemidiaphragm, similar in configuration compared to prior exam. Multifocal predominantly basilar rounded opacities are compatible with known metastatic lesions. The lungs are clear of new consolidation or effusion. The cardiomediastinal silhouette is unchanged. No acute osseous abnormality detected. Multiple air-fluid levels identified in small bowel loops which are distended worrisome for small bowel obstruction.

<unk>-year-old male with abdominal pain and distention. question pneumonia or metastatic lesions.

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Frontal and lateral views of the chest. Streaky opacities identified at the left lung base laterally, potentially due to atelectasis or scarring. Elsewhere, the lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. Slightly tortuous thoracic aorta is identified. Hypertrophic changes are noted in the spine. No free intraperitoneal air seen below the diaphragm.

<unk>-year-old male with weakness and vomiting. question 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. Hypertrophic changes noted in the spine.

chest pain,assess for infiltrate, edema.

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The cardiac silhouette and pulmonary vasculature are unremarkable. There are small, bilateral pleural effusions. Midline sternotomy wires are intact and well aligned. Evidence of prior left rib trauma is noted. There has been interval removal of a right-sided internal jugular sheath.

<unk> year old man with s/p cabg // eval postop changes

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Compared to <unk>, there is no significant change. A small right pleural effusion persists. Heart size and mediastinal contours are normal. There may be a small left pleural effusion.

history: <unk>m with ams // eval for pna

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Diffuse bilateral opacities, including more confluent opacities at the lung bases bilaterally are worsened from ct <unk>. Bilateral pleural effusions are small. The cardiomediastinal silhouette is unremarkable. No pneumothorax.

history: <unk>m with ersd // eval for pna

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Right-sided pacemaker seen with intact leads in appropriate positions. Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No evidence of acute fracture. Aorta is general large but not clearly aneurysmal.

history: <unk>m with fall and posterior head lac // eval for traumatic injury

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As compared to the previous radiograph, there is no relevant change. All monitoring and support devices have been removed with the exception of the nasogastric tube. No evidence of pneumonia, no pulmonary edema. No pleural effusions. Postoperative elevation of the right hemidiaphragm.

fever, questionable pneumonia.

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The heart size is mildly enlarged, stable compared to the exam from <unk>. The hilar and mediastinal contours are normal. No focal consolidations, pleural effusions, or pneumothoraces are seen. The visualized osseous structures are unremarkable.

<unk>-year-old female with cough and fever x<num> days with decreased breath sounds in the right lower lobe who presents for evaluation.

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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>m with new onset bilateral lower extremity edeam

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

<unk>-year-old female with dyspnea, cough, fever. please evaluate for pneumonia.

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Small-to-moderate left pneumothorax whose apical border has risen from the level of the fourth posterior rib to the third posterior interspace, is minimally smaller. The anterior component of the pneumothorax is unchanged. Mild-to-moderate right lower lung atelectasis has changed in distribution, more pronounced at the base, but not in overall severity. Substantial left basilar atelectasis persists. Subcutaneous emphysema is unchanged. There are no areas of focal consolidation concerning for infection.

<unk>-year-old male status post apparent left-sided vats [correction of information in request]; recent removal of chest tube.