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

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Moderate cardiomegaly is redemonstrated, and unchanged. The patient is status post aortic and mitral valve replacement. The left atrium remains dilated. Mediastinal and hilar contours are unchanged. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

newly diagnosed c-anca positive scleritis with left gingival pain and nasal pain.

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The lungs are hyperinflated. There are small bilateral effusions. Increased interstitial markings are seen throughout the lungs. The cardiac silhouette is moderately enlarged. Compression deformity in the upper lumbar spine is age indeterminate.

<unk>f with dyspnea // infiltrate?

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Enteric contrast is noted along the visualized splenic flexure of the colon. There is no free air. Cholecystectomy clips project along the right upper quadrant. Bony structures are unremarkable.

abdominal pain, hematemesis.

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Frontal and lateral views of the chest were obtained. The lungs are well expanded. A new right lower lobe opacity is likely a right lower lobe pneumonia given the provided history. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.

<unk>-year-old woman with cough, wheeze and fever.

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Heart size is normal. The mediastinal and hilar contours are unchanged. Lungs are hyperinflated with coarse diffuse interstitial opacities and bronchiectasis noted bilaterally, concerning for chronic <unk> infection as seen on the previous chest ct, and slightly progressed since the prior chest radiograph. Additionally, a fiducial marker is noted within a spiculated opacity in the right lower lobe, which overall has increased in size compared to the previous study now measuring approximately <num> x <num> cm, previously <num> x <num> cm on the prior chest radiograph. There is mild volume loss in the right lung with a probable trace right pleural effusion. There is no pulmonary edema or pneumothorax. Scarring is seen within the lung apices, more pronounced on the right. The osseous structures are diffusely demineralized.

history: <unk>f with fall

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The heart is mildly enlarged with a left ventricular configuration. The aorta is tortuous. The arch is calcified. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is new asymmetric opacification of the left suprahilar region concerning for pneumonia. There are perhaps patchy additional vague opacities in the right mid and lower lungs but not as definite.

cough. report of left hilar infiltrate.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Relative lucency at the lung base is suggestive of an unusual pattern of lower-lung predominant severe bullous emphysema. Hyperinflation is present. Aside from unchanged bibasilar scarring, the lungs appear clera. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.

shortness of breath.

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Heart size is mild to moderately enlarged but unchanged. The aorta is diffusely calcified and tortuous. There is mild pulmonary edema, worse when compared to the prior exam. No focal consolidation is seen. There is no pleural effusion or pneumothorax although the lung apices are obscured due to the patient's chin. Moderate compression deformity of a lower thoracic / upper lumbar vertebral body is again noted. This is age indeterminate.

severe aortic stenosis and worsening shortness of breath.

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New right lower lobe opacity with associated volume loss favors right lower lobe atelectasis over infectious pneumonia. Small right pleural effusion. Left lung is clear. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Posterior cervical fusion hardware is partially visualized. A drain is noted in the upper left abdomen. Left chest port with tip in the mid svc.

<unk> year old man with duodenal perforation. s/p g-j tube placement on <unk>. now with fevers, and crackles on physical exam. // please evaluate for any focal consolidation

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Compared with the prior film, vascular markings are slightly increased. Inspiratory volumes are lower. Again seen is platelike atelectasis at both lung bases, slightly more pronounced. Interval increase in the degree of retrocardiac opacity could reflect low lung volumes/atelectasis. Again noted is cardiomegaly, with prior sternotomy and tavr. Compared with the prior study, there is a new single lead right-sided pacemaker with lead tip over the right ventricle. No pneumothorax detected.

<unk> year old woman s/p single chamber pm implantation // check for pnx and lead location

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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormalities detected. No free air seen below the diaphragm.

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

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Lung volumes are low. A calcified granuloma is noted in the left midlung. No signs of pneumonia or chf. No pleural effusion or pneumothorax. Heart size is within normal limits. The mediastinal contour is unremarkable. No definite bony abnormalities are seen.

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

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Pa and lateral chest views obtained with patient in upright position demonstrate again a residual right-sided pneumothorax located to the axillary region. No significant interval change can be identified when comparing the multiple chest examinations obtained during <unk>, <unk> and <unk>. The general findings of advanced pulmonary metastases remain and superior mediastinal mass also unchanged.

<unk>-year-old female patient with metastatic renal cell carcinoma, known right-sided pneumothorax, evaluate for change in pneumothorax size.

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A large left pleural effusion is present, slightly smaller than on the most recent prior exam. Evaluation of the left mediastinal contours is limited in the presence of this finding. There is no right pleural effusion. There is no pneumothorax. There is no focal consolidation concerning for pneumonia. A stent is partly visualized in the right upper abdomen which extends closer to the diaphragmatic hiatus as compared to the prior exam, consistent with recent tips revision. Gaseous distention of bowel loops in the right upper quadrant also noted. The visualized osseous structures are within normal limits.

<unk> year old man with history of cirrhosis and hepatic hydrothorax s/p tips // evaluate for pleural effusion

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The patient is status post median sternotomy and mitral valve replacement. The heart size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Linear opacities within the left lung base likely reflect atelectasis. Previously seen cavitating nodules on chest ct are not well visualized on the current exam. There are no acute osseous abnormalities.

left flank pain status post mitral valve replacement with diffuse crackles on exam.

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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is minimal prominence of pulmonary vasculature. The cardiac silhouette is top normal. The mediastinum is unremarkable.

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

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Heart size is normal. Previously reported widening of the mediastinum has improved, likely due to a tortuous thoracic aorta accentuated by patient rotation. Heart size is normal. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with widened mediastinum vs rotation on inital cxr. // mediastinum stable or better?

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Low lung volumes cause bronchovascular crowding and bibasilar atelectasis, particularly in the medial right lung base, similar to prior studies. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unchanged.

<unk>m with central chest pain, evaluate for pneumonia, other acute process

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies.

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

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Pa and lateral views of the chest provided. Left pacemaker and leads are in standard positioning, unchanged. Patient is status post median sternotomy with wires intact and properly aligned. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. Hilar contours are normal. Severe cardiomegaly is unchanged.

<unk> year old man s/<unk> crt-d via left subclavian vein // r/o ptx; check lead positions

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The heart size is top normal, slightly smaller than on the most recent prior study. . The mediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion. The lungs are well-expanded without focal consolidation. An area of band like atelectasis at the left base is again noted. There is no pulmonary edema. A left axillary atrial biventricular pacemaker defibrillator is again noted with leads in stable positions.

<unk>f with cough, chest pain. any evidence of pneumonia?

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Pa and lateral views of chest demonstrate clear lungs. No pneumothorax. Minimal streaky atelectasis in the left midlung is unchanged. No pleural effusion. Picc has been removed.

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

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Pa and lateral views of the chest provided. Clips in the right upper quadrant are noted. A calcified granuloma projects over the right mid lung. 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 anterior chest pain, dyspnea, cough //

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As compared to the previous radiograph, the right pleural effusion has decreased in extent. There is still a right basal pleural effusion, likely located inside of the fissure. Subsequent atelectasis at the right lung base. Mild fluid overload persists. Moderate cardiomegaly, status post valvular replacement, unchanged left pectoral pacemaker.

chronic heart failure, fluid overload. questionable pleural effusions.

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.

left-sided rib and chest pain.

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. The port-a-cath terminates at approximately the cavoatrial junction.

history: <unk>m with a history of stomach cancer, now presenting with weakness // eval heart and lungs

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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Upper lobe predominant mild emphysema is again demonstrated without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.

history: <unk>f with palpitations

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

recent tb exposure.

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Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Small bilateral pleural effusions are present along with patchy opacities in the lung bases, likely atelectasis. No focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with possible sepsis

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Pa and lateral views of the chest. Previously seen right middle lobe opacity is no longer apparent. There is a new right lower lung opacity which most likely represents pneumonia. Cardiomediastinal and hilar contours are normal. Tiny bilateral pleural effusions.

alcohol intoxication, question pneumonia in the right middle lobe.

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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 shortness of breath

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A moderate right apical pneumothorax with a small loculated hemopneumothorax is unchanged from prior radiographs. Sutures in the right mid lung are unchanged in position with an adjacent <unk>-<unk> hematoma that is decreasing in size. A small right pleural effusion is stable. Bibasilar atelectasis has increased from the prior radiograph. The cardiomediastinal silhouette is normal.

evaluate pneumothorax.

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Pa and lateral views of the chest were provided. Suture are again noted in the right lower lung compatible with prior right middle lobectomy. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.

<unk>f with dyspnea, history of prior right middle lobectomy.

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Two views were obtained of the chest. The lungs are low in volume but clear without pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Mild scoliosis is seen in the imaged spine.

chest pain. assess for pneumothorax.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or a pneumothorax. Patchy opacity refers to the left lower lobe, but elsewhere the lungs appear clear. Small anterior osteophytes are noted along the mid thoracic spine.

syncope.

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Ap and lateral views of the chest. The lungs are clear without consolidation or visualized pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with bike versus car.

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Pa and lateral views of the chest provided. Midline sternotomy wires are again noted. Hilar congestion is noted with mild pulmonary edema. There is slightly increased opacity in the lower lungs which raises potential concern for atelectasis versus an early pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.

<unk>m with chf, moderate as, cad, ckd p/w dyspnea and weight gain

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There is a small left pleural effusion, decreased in size from <unk>. There is no focal consolidation or overt pulmonary edema. The cardiac and mediastinal silhouette is stable.

<unk>-year-old female with sob.

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Fractures of the right <unk> and left <num>th ribs are unchanged from at least <unk>. There are no new, acutely displaced rib fractures. There is no pleural effusion or pneumothorax. Increased opacity within the right upper lung on the frontal view is likely a confluence of shadows, however, there is a rounded opacity superior to the aorta on the lateral view which could represent an underlying lesion. Repeat imaging with a lordotic view is recommended. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There is no focal consolidation.

cough and left chest wall pain. evaluate for rib fractures.

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As compared to the previous radiograph, there is no relevant change. Cardiomegaly with no pulmonary edema. Left pectoral pacemaker. No pleural effusions. No pneumonia. No other relevant changes.

cough, cardiomyopathy.

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Pa and lateral chest radiographs demonstrate no focal consolidation convincing for pneumonia. Lung volumes are low with bibasilar atelectasis. There is no large pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable in appearance relative to prior examinations, likely upper limits of normal in size. A tortuous aorta is stable in appearance. Hilar contour is within normal limits. Imaged osseous structures and upper abdomen are without an acute abnormality.

<unk>-year-old female with confusion and agitation.

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As compared to the previous radiograph, the pre-existing small left pleural effusion has substantially increased in extent. There also is an increase of this known effusion as compared to a ct examination performed on <unk>. As a consequence, there are large areas of atelectasis at the left lung bases. A small area of atelectasis is also seen on the right. The effusion occupies approximately one-third of the left hemithorax. Unchanged appearance of the visible parts of the cardiac silhouette. No pathologic parenchymal process in addition to the known atelectatic changes. No pneumothorax.

assessment for pleural effusions.

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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.

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

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A port-a-cath terminates in the mid superior vena cava. The cardiac, mediastinal and hilar contours appear stable. There is similar post-operative volume loss on the left with minor atelectasis. The lungs appear otherwise clear. There is no pleural effusion or pneumothorax. The bones appear demineralized.

cough. question pneumonia.

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The lungs are clear. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the arch. No acute osseous abnormalities. There is no free intraperitoneal air.

<unk>m with n/v, etoh, elevated lactate // eval ? infiltrate

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The cardiac silhouette is unremarkable. In comparison to the prior examinations, there is a large right pleural effusion. Associated atelectasis is noted. No definite consolidation is seen. There is no pneumothorax.

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

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<num> 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.

cough.

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Interval development of a small right pleural effusion as well as interval increase in the right basilar atelectasis since <unk>, after the right-sided vats procedure. The left basilar atelectasis has since improved, although the left hemidiaphragm remains elevated. The lung volumes remain low. The cardiomediastinal silhouette is unchanged. The mildly tortuous or dilated descending aorta is also unchanged. No pneumothorax or pulmonary edema.

<unk>m h/o ild s/p right vats wedge resection two weeks ago (<unk>) with pathology consistent with usual interstitial pneumonitis, on antibiotic treatment for uti, who presents with fever and right lower chest and ruq/flank pain for <num> day. evaluate for pneumonia or pleural effusion.

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Two pa and one lateral chest radiograph were obtained. The lungs are well expanded and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal.

<unk>-year-old woman with multiple sclerosis and headache, question pneumonia.

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Lung volumes are low. Heart size is accentuated as a result, appearing at least mildly enlarged. Aorta is mildly unfolded. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vascularity is not engorged. Consolidative right upper lobe opacity is concerning for pneumonia. Trace right pleural effusion is likely present. No pneumothorax is detected. No acute osseous abnormalities present. Multiple remote left posterior rib fractures are noted.

history: <unk>m with fever, cough

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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. Please note that tiny millimetric pulmonary nodules seen on prior ct are better assessed on ct.

shortness of breath.

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The cardiac silhouette size appears mildly enlarged, perhaps slightly increased in size compared to the previous study. The mediastinal and hilar contours are unremarkable. Consolidative opacity within the left lower lobe is worse compared to the previous exam, with a small pleural effusion likely present. The right lung is clear. No pneumothorax is identified. No acute osseous abnormality seen.

hypoxia and shortness of breath.

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Ap and lateral views of the chest. There is no confluent consolidation or effusion. Interstitial markings do appear more conspicuous on the current exam. This could be in part due to technique and low lung volumes however underlying interstitial abnormality is also possible. There is mild to moderate cardiomegaly. No acute osseous abnormalities detected.

<unk>-year-old male with confusion.

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The heart size appears mildly enlarged. The hilar contours are unremarkable. Focal convexity of the right mediastinal contour could reflect underlying lymphadenopathy. The pulmonary vasculature is normal. Consolidative opacities within both lung bases are concerning for aspiration or pneumonia. Small bilateral pleural effusions are likely present. There is no pneumothorax. No acute osseous abnormalities demonstrated.

fever and cough.

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In comparison with study of <unk>, there has been complete clearing of the pulmonary vascular congestion and pleural effusions. No evidence of acute focal pneumonia or enlargement of the cardiac silhouette.

esrd, prerenal transplant.

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Pa and lateral views of the chest provided. Lungs are hyperinflated. There is prominence the central perihilar vessels compatible with central vascular congestion and mild pulmonary interstitial edema. There is blunting of the posterior costophrenic angles, appreciated on lateral view, likely representing bilateral trace pleural effusions. There is no focal consolidation. Cardiomediastinal silhouette is stable from most recent chest radiograph. There is no pneumothorax. There is no acute osseous abnormality.

history: <unk>m with ams // pneumonia?

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Ap and lateral views of the chest provided. Evaluation is limited due to underpenetration and low lung volumes. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. No pulmonary edema. The cardiac silhouette remains mildly enlarged. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk> year old woman with afib and cp pls eval pulm edema

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The heart is mild-to-moderately enlarged with a left ventricular configuration. The aortic arch is calcified. There is moderate elevation of the posterior left hemidiaphragm. Possibly, this reflects a bochdaleck hernia. Blunting of the left costophrenic sulcus suggests there may be a small effusion or scarring. Patchy interstitial abnormalities may be due to airway inflammation or slight congestion, noting peribronchial cuffing. More focal patchy left basilar opacity is nonspecific but could be seen with atelectasis. This could be associated with elevation of the posterior hemidiaphragm. Patchy vascular calcifications are widespread, particularly along the aorta. There are no definite rib fractures. Thin anterior flowing osteophytes are noted throughout the mid-to-lower thoracic spine.

rib fractures. question pneumonia or fractures.

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The lung volumes are normal. No bony abnormalities, in particular no evidence for right-sided rib fractures. However, if the clinical suspicion for a rib fracture persists, dedicated rib series should be acquired. Mild rightward scoliosis. Normal structure and transparency of the lung parenchyma, normal size and shape of the cardiac silhouette, normal hilar and mediastinal structures. There is no suggestion for acute or chronic parenchymal abnormalities in the thorax.

right-sided pleuritic chest pain, evaluation for rib fracture.

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is demonstrated.

history: <unk>f with tib/fib fracture, pre=op

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Specifically, no reticular prominence to suggest amiodarone toxicity.

amiodarone therapy.

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Right-sided pleural catheter in similar position. No effusion. No pneumothorax. Lungs are clear. Heart size is normal.

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

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Clips noted in the right upper quadrant compatible with prior cholecystectomy.

<unk>f with disseminated zoster, sob // pna.

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Pa and lateral views of the chest. Lungs clear. Cardiac silhouette is unremarkable. Hilar contours are normal. No pleural effusion, pneumothorax, pulmonary edema or pneumonia.

fever after transplant.

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

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

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Moderate interstitial edema is unchanged since yesterday, but improved since <unk>. There are increased bilateral small pleural effusions with left lower lobe consolidation, which could represent atelectasis, pneumonia, or aspiration. Mediastinal and cardiac contours are top normal. There is no pneumothorax.

patient with hypoxia, recent intubation for surgery, concern for pneumonia.

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The small to moderate left pleural effusion is substantially smaller since earlier in the day and mediastinum has returned to the midline. There is no pneumothorax. A coarse interstitial abnormality, as seen on <unk> preceded the development of this large pleural effusion, and is therefore not re-expansion edema, instead most likely disseminated carcinomatosis. Multiple lung nodules, particularly in the right middle lobe, the have been growing since <unk>. Right supraclavicular central venous infusion port scans in the upper right atrium. Transvenous pacer defibrillator lead is continuous from the left axillary pacemaker to the floor of the right ventricle.

<unk>-year-old with a large left pleural effusion after thoracentesis of <num> l. question pneumothorax.

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No focal consolidation is seen peer no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Dual lead left-sided pacemaker is again seen with leads in the expected positions of the right atrium and right ventricle.

history: <unk>f with chest pain // r/o pna

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Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. Pulmonary vasculature is not engorged. There is minimal subsegmental atelectasis in the right lung base. No focal consolidation, pleural effusion or pneumothorax is present. There are multilevel moderate degenerative changes noted in the thoracic spine. L<num> compression deformity is partially imaged and appears unchanged.

history: <unk>m with cough

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There are relatively low lung volumes and bibasilar atelectasis. Left base opacity is seen with differential diagnosis of the pneumonia or atelectasis. This opacity appears new since <unk>. No large pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are stable. There is gaseous distention of the stomach and of bowel underlying both diaphragms. Degenerative changes at the glenohumeral joints and high-riding right humeral head are seen.

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

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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. There is no effusion, consolidation, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with afib and rapid ventricular rate.

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Pa and lateral views of the chest provided. Port-a-cath resides over the left chest wall with catheter tip extending to the mid svc region. The lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Old bilateral rib deformities noted. No free air below the right hemidiaphragm is seen.

<unk>m with gastric cancer and fever // pneumonia?

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There are low lung volumes. Cardiac, mediastinal and hilar contours are normal. Except for mild bibasilar atelectasis, the lungs are clear. The. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.

chest pain.

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.

chest pain and lightheadedness. history of transient ischemic attack.

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Again seen is a left-sided dual-chamber pacemaker through a left subclavian approach, with leads terminating in the right atrium and right ventricle. There is no pneumothorax, pleural effusion, or focal consolidation. There is mild cardiomegaly. There is no vascular congestion.

<unk> year old woman s/p left sided dual chamber ppm. // pls assess lead placement and r/o ptx.

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.

abdominal pain and ulcerative colitis flare.

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Pa and lateral views of the chest provided. Right chest wall port-a-cath is seen with its tip in the low svc likely at the level of the cavoatrial junction. Lungs are hyperinflated secondary to known emphysema. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with cough // acute process?

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no evidence for pleural effusion or pneumothorax. The lungs appear clear. The bony structures are unremarkable.

left anterior chest pressure and left lower lateral chest pain with inspiration.

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The patient is status post median sternotomy and cabg. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal and hilar contours are unremarkable.

history: <unk>m with pre-op screening, h/o cabg // eval infiltrate or cardiomegaly

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Left-sided port-a-cath tip terminates in the proximal svc. Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. A trace left pleural effusion is likely present, decreased in the interval. No focal consolidation, right-sided pleural effusion or pneumothorax is present. Multilevel moderate degenerative changes of the thoracic spine are again noted with mild loss of height of a mid and lower thoracic vertebral body. Clips are re- demonstrated in the upper abdomen.

history: <unk>f with right sided weakness

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Linear opacity at the left lung base is likely atelectasis. There is a <num> cm nodule projecting over the left lung apex. Lungs are otherwise clear. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. Lateral left clavicular fracture is partially visualized, better seen on concurrent shoulder films.

<unk>f with mechanical fall down stairs, endorses hitting head and landing on l chest. tenderness to palpation along l ribs <num>,<num>,<num> //

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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis and lower thoracic/lumbar levoscoliosis is noted.

<unk>f with dyspnea on exertion // please evaluate for acute abnormality

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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>f with asthma symptoms, evaluate heart and lungs.

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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable.

productive cough and bilateral rhonchi, assess for pneumonia.

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The heart remains moderate to severely enlarged. The aorta is tortuous. While there are continued increased intersitital markings suggestive of mild chronic pulmonary vascular congestion, no overt pulmonary edema is demonstrated. No focal consolidation, pleural effusion or pneumothorax is seen. Extensive anterior flowing osteophytes are noted within the thoracic spine.

chest pain.

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old woman with +ppd/tst // any sign of latent/active tb?

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Lung volumes are low. This accentuates the size of the cardiac silhouette which is top normal. Mediastinal and hilar contours are unremarkable. Crowding of the pulmonary vasculature is likely due to low lung volumes. There is no overt pulmonary edema. Patchy opacities are seen within the lung bases, which may reflect atelectasis. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

mild hypoxia

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The lungs are well expanded and clear. There is no consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.

palpitations and chest pain.

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The cardiac, mediastinal and hilar contours appear unchanged including mild to moderate cardiomegaly. There are small pleural effusions. There is new interstitial prominence, perhaps somewhat greater on the right than left, but diffuse. Suspicion is that this represents new mild pulmonary edema.

respiratory distress.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable.

shortness of breath and chest pain. question pneumonia.

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Patient's physical condition required examination in sitting semi-upright position using ap, frontal, and left lateral views. There is moderate cardiac enlargement. There is a relative prominence of the left ventricular contour and moderate enlargement of the left atrium which bulges posteriorly on the lateral view. The thoracic aorta is moderately widened and elongated and calcium deposits are noted in the wall mostly at the level of the arch. The pulmonary vasculature demonstrates an upper zone redistribution pattern and considerable perivascular haze on the lung bases. This coincides with some mild blunting of the lateral and posterior pleural sinuses, all consistent with some mild-to-moderate degree of chronic chf. On the right base, some linear densities are consistent with peripheral atelectasis. There is no evidence of any discrete local pneumonic infiltrate. As there exists no prior chest examination available for comparison, it is difficult to determine whether the right-sided basal lung changes present peripheral atelectasis with poor ventilation of a congested lung or if additional inflammatory infiltrates exist. If clinically important, a followup examination in a few days could be useful.

<unk>-year-old female patient with persistent fevers despite antibiotic treatment for complicated e-coli urinary tract infection with crackles in right lung, evaluate for possible pneumonia.

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The lungs are clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila are unremarkable. No evidence of rib fracture. Thoracic vertebral body heights are preserved. Overall appearance of the thoracic spine on this radiograph is similar to <unk>. Anterior lower cervical spine fixation hardware grossly appear intact.

<unk>f with complains of neck pain and ribs pain. // evaluate for neck fracture, and rib fracture

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

chest pain.

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Pa and lateral views of the chest provided. Lungs are hyperinflated with upper lobe lucency compatible with known emphysema. No focal consolidation, effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with chest pain.

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Pa and lateral views of the chest provided. Eventration of the right hemidiaphragm again seen p 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 hld, obesity with chest discomfort and sob, now resolved // r/o pna, pulm edema

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The lungs are well expanded and clear. There is no pulmonary edema. Cardiac silhouette is top normal to mildly enlarged. Mediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion. The pacer is seen overlying the left anterior chest with intact lead in appropriate position.

dyspnea, concerning for chf.

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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. Nerve stimulator leads project over the mid/lower thoracic spine.

history: <unk>f with lower extremity edema, bibasilar rales // evidence of infiltrate or pulmonary 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 <num> wks intermittent chest pain. sharp, nonpositional, nonradiating. // pls r/o acute intrathoracic process

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In comparison with the study of <unk>, the patient has taken a much better inspiration. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion or acute focal pneumonia.

cough and fever, to assess for pneumonia.

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In comparison with the study of <unk>, the right ij catheter has been removed. No change in the appearance of the heart and lungs. Elevation of the right hemidiaphragm anteriorly is again seen. Large hiatal hernia is present.

tracheoplasty, to assess for change.