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

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The heart is borderline in size. The mediastinal and hilar contours are unremarkable. Nipple shadows are visible bilaterally, but the lungs appear clear. There are no pleural effusions or pneumothorax.

stroke symptoms.

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Moderate cardiomegaly is unchanged. The mediastinal contours are stable. There is perihilar haziness and vascular indistinctness compatible with mild pulmonary vascular engorgement. Additionally, the hila are enlarged bilaterally, compatible with pulmonary arterial hypertension, as seen on the prior ct. No focal consolidation, pleural effusion or pneumothorax is present. There are embolization coils as well as multiple surgical clips noted in the imaged upper abdomen. Diffuse sclerosis of the osseous structures is compatible with patient's history of renal osteodystrophy.

cough for <num> weeks, dehydrated.

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The cardiomediastinal silhouette and pulmonary vasculature are normal. There is no definite focal consolidation. Vague opacity in the left lower lung appears to be related to bony changes. There is no pleural effusion or pneumothorax.

<unk>f with chest pain // ptx?

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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. Minimal degenerative changes are seen in the mid thoracic spine.

history: <unk>f with cough

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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 chest pain/back pain

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

history: <unk>m with chest pain. evaluate for pneumonia.

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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 influenza-like illness for <num> week.

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

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Chronic interstitial fibrosis is severe. Left-sided transvenous pacer has leads ending in the right atrium and right ventricle. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is seen. The heart is mildly enlarged. The mediastinal and hilar contours are normal.

<unk> year old woman with pulmonary fibrosis, p/w cough and increasing secretion // r/o pneumonia

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Pa and lateral views of the chest provided. Compared with the prior exam, there is slightly improved aeration in the left mid to upper lung with persistent masses in the left lung compatible with malignancy. Difficult to exclude a superimposed pneumonia. Again noted projecting over the right upper lung is a partially calcified nodular lesion. No right pleural effusion. No convincing signs of edema. Heart size cannot be assessed. No acute bony injury.

<unk>m with transaminitis, worsening fevers

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No focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac silhouette is top-normal to mildly enlarged. The aorta is tortuous. No evidence of free air seen beneath the diaphragms.

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

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Slightly increased left lower lobe opacity is likely atelectasis. There is no pneumothorax or pleural effusion. Cardiac silhouette is top normal size.

history: <unk>m hx cirrhosis with fever // acute intrathoracic process?

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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.

history: <unk>f with back pain, fever // eval for consolidation

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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unchanged, with multiple mediastinal vascular clips, median sternotomy wires, and a dual lead pacemaker device unchanged in position, terminating in the right atrium and right ventricle. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation concerning for pneumonia.

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

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Heart is upper limits of normal in size with left ventricular configuration. The thoracic aorta is tortuous and both the ascending and descending regions, similar to the prior study. Patchy opacities in the left retrocardiac region have improved since <unk> in show more substantial improvement when compared to earlier radiograph of <unk> and <unk>. Small left pleural effusion is again demonstrated.

<unk> year old man with persistent cough // exclude hf, pna, effusions

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Pa and lateral chest radiographs. Ventriculoperitoneal shunt catheter courses along the right lateral aspect of the neck and terminates outside the field of view. There is a focus of subsegmental atelectasis in the left lung base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

chest pain and wheeze.

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The heart is normal in size. The mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable. There has been no significant change.

fever and hiv. question pneumonia.

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The left pectoral dual-chamber pacemaker and its leads project in unchanged location compared with multiple prior studies. Mild pulmonary vascular congestion is new from the immediate prior study. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette, including moderate cardiomegaly, is unchanged.

<unk>m with chest pain, icd firing, evaluate icd, acute process

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There is bilateral lung hyperinflation with resolving lower lung opacities. Subtle opacity persists adjacent to the left heart border most likely representing scarring in the setting of prior infection. There is pleural thickening versus a very small left pleural effusion, causing blunting of the left costophrenic angle. There is no acute focal consolidation or pneumothorax. Lower thoracic spinal anterior syndesmophyte is unchanged.

<unk>m with cough and fevers. rule out focal consolidation concerning for pneumonia.

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Frontal and lateral views of the chest. The lungs are hyperinflated but they remain clear without focal consolidation. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality is identified.

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

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There is no focal consolidation or pneumothorax. A small left pleural effusion is best seen on the lateral radiograph. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The right first and second ribs appear congenitally abnormal.

history: <unk>m with cough // evidence of infection

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Cardiac and mediastinal silhouettes are stable. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen.

<unk> year old woman with prod cough // r/o acute process

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The heart size appears mildly enlarged, similar to that seen previously. Mediastinal contour is unchanged. Numerous masses in the lungs bilaterally compatible with metastases have increased in size and number. A large right pleural effusion has substantially increased in size from the previous study with associated right basilar atelectasis. Streaky atelectasis is noted in the left lung base. There is no pneumothorax. There are moderate degenerative changes in the imaged thoracic spine with partially imaged posterior fusion hardware spanning the lower thoracic and upper lumbar spine.

history: <unk>m with dyspnea.

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Pa and lateral views were reviewed. In the upper aspect of the left hilus around the pulmonary vessels there is an oval zone of increased density measuring <num> x <num> mm that is likely a vascular structure. Otherwise, the lungs are clear without focal consolidation, pulmonary edema, vascular congestion, pleural effusion or pneumothorax. The cardiac contours are normal.

cough.

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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.

cough and elevated blood sugar.

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is normal size, and the mediastinal contours are normal. There is no pulmonary edema. Surgical hardware of the left clavicle and humerus is again noted.

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

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema or focal consolidation concerning for pneumonia.

tobacco abuse, hypertension with cough.

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In comparison with the study of <unk>, the right chest tube has been removed. There is a small apical pneumothorax. Otherwise, there is little change other than improved aeration of the lungs. Elevation of the right hemidiaphragm is again seen. The left lung is clear.

right thoracotomy with upper lobectomy with chest tube removal.

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There is a left-sided dual-lead pacemaker with leads terminating in appropriate position in the right ventricle and atrium. The heart size is normal. The lungs are clear. Hilar contours are normal. There is no pleural effusion or pulmonary edema. Descending thoracic aorta is tortuous with no suggestion of aneurysm.

palpitations. please evaluate pacemaker placement.

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.

history: <unk>f with ?syncope // eval for acute process

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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 cough, phlegm, evaluate for pneumonia.

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Known right aortic arch with correspondent asymmetry of the mediastinum. No pathologic process in the lung parenchyma, notably no pneumonia. No evidence of pleural effusions.

leukocytosis and back pain.

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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. There is no focal consolidation worrisome for infection. Cardiomediastinal and hilar contours are not significantly changed relative to prior examination dated <unk> allowing for differences in lung volumes. Hilar contours are within normal limits. No acute osseous abnormality is identified. Upper abdomen is unremarkable. No evidence of pulmonary edema, pleural effusion, or pneumothorax.

<unk>-year-old male with mild dyspnea.

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.

history: <unk>f with ha, malaise, feeling unwell yesterday, concern for occult infection // eval ? infection

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Lung volumes are low, and a left retrocardiac opacity is improved from the recent radiograph and likely reflects atelectasis. Minimal linear atelectasis is also demonstrated at the right lung base. There are small pleural effusions. No definite focal consolidation or pneumothorax is seen. The heart is normal in size given low lung volumes.

<unk> year old man with seizure disorder, history of left frontal cerebral vascular accident, non st elevation myocardial infarction, and atrial fibrillation who presents with unresponsiveness of unknown etiology. the patient is being treated with levofloxacin for possible community-acquired pneumonia due to possible infiltrate on portable chest radiograph on admission. evaluate for pneumonia.

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Heart size is top normal. The aorta is unfolded. Pulmonary vascularity is normal. Focal <num> mm opacity within the left apex appears new compared to the prior study, and could reflect progressive pulmonary parenchymal scarring. Mild scarring is also noted within the right apex, similar compared to the prior exam. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

bradycardia and cough.

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Interval decrease in moderate-sized left pleural effusion with stable small right pleural effusion. Small left apical pneumothorax has resolved with residual apical pleural fluid. Lungs clear. No right pneumothorax or pleural effusion. Heart size, mediastinal contour and hila are normal. Multiple osseous lesions again noted.

female with pleural effusion.

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The lungs are clear of consolidation, effusion, or vascular congestion. There is mild cardiac enlargement and tortuosity of the thoracic aorta. No acute osseous abnormalities come hypertrophic changes noted in the spine.

<unk>m with brain mets. // preop

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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. There is plate and screw fixation of the left clavicle. Lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.

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

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Cardiac silhouette size is top normal. The aorta is mildly unfolded. The previously noted widening of the superior mediastinal contour has essentially resolved, likely due to low lung volumes. Pulmonary vasculature is normal. Hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with prior chest radiograph with slight widening of mediastinum // ? mediastinal contour

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The lung volumes are normal. Normal position of the hemidiaphragms. Normal size of the cardiac silhouette. No pulmonary edema, no pleural effusion. No pneumonia. The hilar and mediastinal contours are unremarkable.

chest pain, dyspnea, rule out occult process.

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The patient's chin partially obscures the medial lung apices. The patient is status post median sternotomy and aortic valve replacement. The heart is top normal in size. The cardiomediastinal silhouette and hilar contours are within normal limits. Subtle bibasilar opacities are most consistent with atelectasis. There is no evidence of focal consolidation. There is no large pleural effusion.

<unk>f with weakness // infiltrate?

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding chest examination of <unk>. As before, the heart size is at the upper limit of normal variation, but no typical configurational abnormality is seen. The pulmonary vasculature is not congested. The on previous examination identified hazy density in the left lung base has disappeared; however, there are new parenchymal densities in the mid zone of the left hemithorax and there is a marked enlargement of the left hilum indicating a mass lesion. Presently, there is no sign of any significant pleural effusion on either side which indicates that the left-sided thoracocentesis must have been successful and removed fluid practically totally. No pneumothorax after the procedure. Observe that the patient underwent a chest ct five days ago which demonstrated a large left sided pulmonary mass impinging on the pulmonary artery.

<unk>-year-old male patient with left effusion, status post thoracocentesis with <num> cc taken out. evaluate for pneumothorax and residual effusion.

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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, pneumothorax or pleural effusion. The cardiac, mediastinal and hilar contours are normal. There is no pulmonary vascular congestion.

cough, assess for pneumonia.

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Low bilateral lung volumes, however slightly improved since the prior examination. There is persisting bibasilar atelectasis as well as small bilateral pleural effusions. Underlying pneumonia however cannot be excluded. No pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.

mr. <unk> is a <unk> year-old man with dm<num>, htn, hld, pod#<unk> s/p right l<num>-<unk> microdiscectomy, who presents with confusion, fever of <num>, weakness, lower back and right leg pain concerning for ssti. now improving back pain/rle weakness. // eval for ?atelectasis (required <num>l o/n w/ <unk>% o<num>)

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Lung volumes are normal. Right upper lobe nodularity and mild pleural thickening is again noted. There may be associated bronchiectasis as well. No pleural effusion, pneumothorax or focal airspace consolidation to indicate an acute process. Heart is mildly enlarged but unchanged. There is no evidence for pulmonary edema. A tortuous and calcified aorta is again noted. Moderate to severe degenerative changes of the glenohumeral joints are present.

cough for <num> months, evaluate for pneumonia.

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Elevation of the right hemidiaphragm is chronic. No acute osseous abnormality is detected.

history: <unk>m with cirrhosis

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. No displaced fracture is identified.

dyspnea.

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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation. Opacity at the left lung base most suggestive of atelectasis or scar. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. No free air is seen below the diaphragm.

<unk>-year-old female with right upper quadrant and right lower quadrant pain and dark bloody stool.

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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. Chronic left ribcage deformity noted. No free air below the right hemidiaphragm is seen.

<unk>m with hypotension. recent hospitalization for colorectal surgery // eval for infection

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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>m with hiv and h/a, fevers/chills, photophobia concerning for meningitis. // evaluate for intracranial mass, pna,

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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.

history: <unk>f with facial and arms numbness // r/p pna

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Pa and lateral views of the chest provided. Lungs are clear. Pulmonary vasculature is normal. The cardiac silhouette is slightly larger since prior study <unk> years ago. There is also new mild rightward deviation of the lower trachea, which could be due to deviation of the aorta. There are no pleural effusions.

<unk> year old woman with former smoking history, now with chronic cough.

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

and dyspnea in a patient with atrial fibrillation with rvr.

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The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. No chf or focal infiltrate identified. There is no pleural effusion or pneumothorax.

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

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Small right apical pneumothorax is unchanged since <unk>. There is a single right-sided chest tube with its tip reaching till the right apex. There are no lung opacities concerning for pneumonia or aspiration. There is no pleural effusion.

right vats, to check for interval changes.

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Post placement of a left chest wall pacemaker with leads terminating in the right ventricle and right atrium. Mediastinal contours and hila are stable. No pleural effusion or pneumothorax. Right upper lobe linear opacity adjacent to a fiducial marker is consistent with post radiation change. Moderate cardiomegaly, saccular descending thoracic aortic aneurysm, and thoracic levoscoliosis are stable.

<unk> year old woman s/p ppm // eval for post procedure complications

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with chest pain and family history of pulmonary emboli.

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Numerous mediastinal vascular clips and median sternotomy wires unchanged since the prior study reflect prior cabg. Top normal heart size is stable. The lungs are clear and there is no pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The trachea is midline. Right upper quadrant vascular clips are compatible with prior cholecystectomy. Left upper quadrant calcification is described in the report of abdomen radiographs, performed concurrently. There is no pneumoperitoneum.

abdominal pain, here to evaluate for cardiopulmonary process.

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Pa and lateral views of the chest provided. Lungs are hyperinflated with severe emphysema noted. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears grossly within normal limits. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>m w/shortness of breath, please eval for pna

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Frontal and lateral chest radiograph demonstrates mildly hyperinflated lungs with minimal flattening of the hemidiaphragms. The cardiomediastinal and hilar contours are unremarkable. There is a new nodular density of <num>-<num> cm within the right mid lung adjacent to the right hulim not seen previously on exam dated <unk> and concerning for a substantial lung nodule. There are additional heterogeneous interstitial abnormalities bilaterally suggesting an interstitial process.

<unk>-year-old male with longstanding smoking history with new cough. evaluate for emphysematous changes and nodules.

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The lungs are well inflated with mild left lower lobe atelectasis. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.

<unk>m with chest pain. assess for pneumonia.

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The heart size is borderline enlarged. The hilar and mediastinal contours are unremarkable. There are no focal consolidations concerning for infection, pleural effusions or pneumothoraces. There is evidence of retrocardiac atelectasis, stable compared to the prior exam. The visualized osseous structures are unremarkable.

history of sickle cell disease, presents with chest pain. rule out intrathoracic process.

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Frontal and lateral radiographs of the chest. The lungs are clear. The heart, mediastinal and hilar contours are normal. No pleural abnormality is seen.

cough and sputum production despite antibiotics and prednisone taper. evaluate for pneumonia.

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Breast implants increase apparent density in the lower lungs. Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

chest pain.

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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac, hila, mediastinal contours are within normal limits. The heart size is normal.

history of crohn's disease, now with cough. evaluation for pneumonia.

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The patient is slightly rotated during this study. There is no focal consolidation, pleural effusion or pneumothorax. Heart remains enlarged. There is no subdiaphragmatic free air. No acute osseous abnormalities are identified.

history: <unk>f with slurred speech // ? infectious proces

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The left chest tube has been removed and there is a large left hydropneumothorax. This finding was called to dr. <unk> at the time of dictating this report on <unk> at <num> p.m.

status post left chest tube removal.

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Lower lung volumes are seen on the current exam. There are patchy regions of consolidation at both bases, left greater than right. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Old right rib fractures are noted.

<unk>m with fever, cough, b/l crackles on exam // eval for pnemonia

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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs with no focal consolidation. The cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema, pleural effusion or pneumothorax. Chronic healed right rib fractures are incidentally noted as is mild loss of height of a mid thoracic vertebral body.

<unk>-year-old male with myeloma with lingering cough.

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

<unk>f with chest pain, sob

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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax.

history: <unk>f with l chest pain // evidence of pneumothorax, pneumonia or rib fracture

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The right pleural pigtail catheter is in stable position, and there has been slight decrease in size of a small right apicolateral pneumothorax. The left lung is clear, and the heart is normal in size.

<unk> year old man status post right pneumothorax and pigtail placement. evaluate for interval change.

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Lung volumes are normal. There is no focal consolidation, pleural effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal, without evidence of effusion.

<unk>m with h/o recent ablation (<unk>) here w/ chest pain // evaluate for pericardial effusion

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

<unk>m with chest pain // rule out infiltrate

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There is a rounded region of consolidation in the left upper lobe. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.

<unk>f with fever, cough, wheezing on exam and hx of immunosuppression. // pna?

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Chest pa and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. Heart size is top normal. Patient is status post cabg with mediastinal clips evident. Clips also located in right breast. Sternotomy sutures are midline and intact. Lungs are clear. No pleural effusion, pneumothorax, or pneumoperitoneum evident.

belching, please evaluate for air-fluid levels.

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The lungs are clear without consolidation or edema. There is a tiny hyperdense lesion in the right lung base overlying a rib shadow, which may represent a small bone island within the rib, or alternatively, a calcified granuloma. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

chest pain. evaluate for pneumonia.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.

history: <unk>m with epigastric pain // ?free air

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Previously seen metastatic lung lesions are not well seen on this exam. There is a left port-a-cath terminating at the cavoatrial junction. There is no acute focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.

history: <unk>m with sarcoma involving lungs with episodic cp today // eval for cardiomegaly

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The lungs are underinflated, with mild bilateral perihilar atelectasis. Heart size is normal. No pleural effusion or pneumothorax.

<unk>m with syncopal episode, chest pain and palpitations.

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination of <unk>. The heart size remains normal. No configurational abnormalities are identified. Thoracic aorta of ordinary <unk>, but some calcium deposits are present in the wall at the level of the arch. The pulmonary vasculature demonstrates typical emphysematous changes with relative prominence of the central vessels, but attenuated and irregular displayed peripheral branches throughout. In particular, the basal areas appear rather translucent and the diaphragmatic contours are somewhat flattened and low positioned. No evidence of new acute parenchymal infiltrates in comparison with the preceding examination. No pleural effusions are seen. As before, a dobbhoff line reaches below the diaphragm and multiple abdominal tubes are overlying the uppermost abdomen. No evidence of new pulmonary abnormalities in comparison with the next preceding portable chest examination of <unk>. For detail of chronic copd changes, see chest ct examination of <unk>.

<unk>-year-old male patient with cirrhosis, assess for pleural lesions.

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The patient is status post median sternotomy with unchanged discontinuity in the superior most sternotomy wire. Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is present.

<unk> year old man with cough /congestion

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Lungs are hyperinflated and hyperlucent due to known severe emphysema. There are subtle parenchymal opacities in the right apex, which may represent minimal bronchiolitis. There is otherwise no focal consolidation, pleural effusion or pneumothorax. Single fiducial marker is present in the right upper lobe. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.

<unk>-year-old male presenting with cough and shortness of breath

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The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. Pulmonary vascularity is normal. No pneumomediastinum is identified. No acute osseous abnormalities are seen.

pleuritic chest pain since this morning.

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The heart size is normal. The aorta remains tortuous, and the mediastinal contours are stable. Pulmonary vasculature is normal and the hilar contours are unremarkable. Patchy opacity is seen within the right lower lobe which may reflect an area of infection. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.

leukocytosis and fever.

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Previously seen right upper lobe perifocal opacity has decreased in area and prominence. There is no pneumothorax. There are no new areas of opacity. There are no masses or lesions identified. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable and within normal limits. The pleural surfaces are unremarkable.

<unk>-year-old male status post right transthoracic biopsy.

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. There is mild cardiac enlargement, in particular the right atrium is enlarged. The mediastinal contours are normal. There is no free air beneath the right hemidiaphragm. Central endplate compression deformities throughout the thoracic spine are of uncertain chronicity.

<unk> year old man with sickle cell disease here with pain crisis (r elbow) // assess for opacities

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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Mild peribronchial thickening is most pronounced in the right middle lobe. There is no acute osseous abnormality.

<unk>f with graves disease, on methimazole, now left chest pain, evaluate for pneumonia..

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The heart size is top normal, unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. <unk> <unk> appearance of the thoracic spine is compatible with renal osteodystrophy.

renal transplant, <num> week of total body pain, low-grade fever, pleuritic chest pain which is worse when laying down.

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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. Cardiac silhouette is enlarged but unchanged. Postoperative changes with median sternotomy wires are noted. Degenerative changes are seen at the right glenohumeral joint. No acute osseous abnormality detected.

<unk>-year-old female with cough.

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The lung volumes are low, but the lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged and unchanged from prior exams.

history of hiv with lower extremity swelling and o<num> saturation of <num>%. evaluate for pulmonary edema.

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Left-sided port-a-cath is in unchanged and appropriate position. The heart is normal in size. Enlargement of the right hilum is re- demonstrated consistent with the patient's known hilar mass. Linear opacity extending from the hilum into the right middle lobe with unchanged. Elevation of the right hemidiaphragm is noted and increased from the prior examination. New from the prior examination is increased opacity along the medial base of the right lung. No pneumothorax. Biapical scarring is stable. Pulmonary nodules are better appreciated on prior chest ct.

<unk>f with productive cough, cancer. // pneumonia?

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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

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

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Heart size is normal. The aortic knob demonstrates mild atherosclerotic calcifications. Mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. Mild dextroscoliosis of the thoracic spine is demonstrated.

weakness.

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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There is a small left pleural effusion. There is no pneumothorax.

dyspnea and chest pain as well as fever. evaluate for acute intrathoracic process.

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The lungs are clear without focal consolidation. There is no pneumomediastinum or pneumothorax. No pleural effusion or edema. The cardiac and mediastinal silhouettes are unremarkable.

<unk> year old woman with mediastinal air s/p egd dilation of esophageal stricture // check interval change

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The patient carries vertebral fixation devices. On the left, a known healed rib fracture is seen. Currently, there is no evidence of acute changes such as pneumonia, pulmonary edema or pleural effusion. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.

hardware failure, status post back surgery for scoliosis, preoperative chest x-ray.

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Lungs are clear without focal consolidation. Emphysematous changes are noted, particularly at the apices. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. Bilateral nipple shadows should not be mistaken for pulmonary nodules.

<unk> year old man with doe and hx of copd. vital capacity has dropped. any parenchymal disease? any evidence of chf?

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.

<unk>-year-old female with night sweats and lymphadenopathy.