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

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Cortical deformity along the anterolateral right second rib may represent a chronic rib fracture. No evidence of acute rib fracture. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The heart is top-normal in size. The mediastinal silhouette is unremarkable.

<unk> w/left lower rib cage pain, please eval for rib fx

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Sternotomy wires appear intact and appropriately aligned. A right-sided dialysis catheter terminates in the right atrium. There is vascular congestion, but no frank pulmonary edema. The linear opacities at the left lung base likely reflect atelectasis. No focal consolidations. Stable enlargement of the cardiomediastinal silhouette. No pleural effusions. No pneumothorax.

history: <unk>f with abd pain, n/v // please evaluate for acute process

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A <num> mm nodule projecting over the right second anterior rib likely corresponds to a calcified granuloma. The lungs are hyperinflated but otherwise clear. There is no pneumothorax or pleural effusion. Mild to moderate cardiomegaly is unchanged. The descending thoracic aorta is tortuous. Moderate dextroscoliosis of the lower thoracic spine is unchanged.

<unk> year old man with cough, night sweats. assess for pulmonary disease

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As before, the lung volumes are low and this causes crowding of the pulmonary structures but there is no evidence of pneumonia. Heart size and mediastinal contour are normal. No suspicious bone findings.

history: <unk>f with cough, fevers // ? pna

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A left-sided port-a-cath terminates at the cavoatrial junction. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are mildly hyperinflated but clear. There is scarring seen at the apex of the right lung. No pneumothorax is seen. There is a a small right pleural effusion.

<unk>m with fever // eval for pna

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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. Slight degenerative changes are similar throughout the thoracic spine.

cancer and shortness of breath.

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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.

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

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As compared to the previous radiograph, the left picc line was removed. Borderline size of the cardiac silhouette with no signs of pulmonary edema. No pleural effusions. No pneumonia or other pathological parenchymal processes. The <unk> of the hilar structures continues to be at the upper range of normal, but is unchanged as compared to several previous prior exams.

cough, evaluation for pneumonia.

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There is stable cardiomediastinal contour with tortuosity of the thoracic aorta. Elevation of the right hemidiaphragm slightly increased from prior. Linear opacities at both lung bases likely reflect atelectasis. No large pleural effusion or pneumothorax. No displaced rib fracture.

history: <unk>m with fall, brusing on left chest and hip // r/o fx, ptx

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Ap and lateral views of the chest are compared to previous exam from <unk>. Low lung volumes again noted on this exam. Bibasilar opacities most suggestive of atelectasis. The lungs are otherwise clear. There is no effusion. Cardiomediastinal silhouette is stable, as are the osseous and soft tissue structures. Surgical clips noted in the upper abdomen.

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

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unchanged with superior endplate compression in an upper thoracic level.

history of fever, nausea and cough. please evaluate for pneumonia.

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Pa and lateral chest radiographs demonstrate clear lungs. Retrocardiac opacity is seen only on lateral view, without frontal correlary. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

cough and wheezing for one month. concern for pneumonia.

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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

history: <unk>f with cough, hypoxemia // ? acute cardiopulm process

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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 fever. evaluate for evidence of pneumonia.

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The right lung is clear. Interval increase in retrocardiac opacity. No right pleural effusion. Persistent blunting of the left costophrenic angle may be related to atelectasis, scarring, or trace pleural effusion. No pneumothorax. Stable mild cardiomegaly is likely accentuated due to patient positioning. Mediastinal contour and hila are unremarkable. Again seen is levoscoliosis of the thoracolumbar spine.

<unk>m with sob. assess for pneumonia.

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The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. Right mid lung and left basilar linear atelectasis/ scarring is seen. Left mid lung atelectasis/ scarring is also noted. Single clip is noted in the left mid lung with underlying opacity similar to <unk>. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with dm , retinopathy and gastoparesis with fever // pna?

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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 lupus, myalgias

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Elevation of the right hemidiaphragm is unchanged. A left axillary vascular stent is again noted. The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. No pneumomediastinum is identified. Speckled densities within the right upper quadrant of the abdomen likely reflects ingested contents within the colon.

nausea, vomiting, hematemesis.

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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

<unk> year old woman with multiple myeloma. on chemo. now with cough. r/o infiltrate // cough. r/o infiltrate. on chemo.

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Frontal and lateral radiographs of the chest demonstrate intact median sternotomy wires. The lungs are clear. The cardiac contour is top normal. The mediastinal contour is normal aside from a slightly tortuous ascending aorta. Chronic elevation of the right hemidiaphragm is again noted. No pleural effusion or pneumothorax is seen.

shortness of breath and diminished lung sounds on the right. evaluate for acute process.

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In comparison with chest radiograph from <unk>, there is no significant change. Lungs are hyperinflated. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.

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

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Pa and lateral views of the chest. In the anterolateral segment of the right upper lobe, there is a heterogeneous opacity concerning for pneumonia. The left lung is clear. The heart is slightly increased in size, and there is a mild blunting of the costophrenic angles that may represent tiny pleural effusion. There is no pulmonary vascular congestion. There is no pneumothorax. The mediastinal and hilar contours are normal.

cough and increased sputum, fevers, evaluate for pneumonia.

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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Imaged osseous structures are intact. There is no free air.

abdominal pain and nausea. assess for free intraperitoneal air.

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Patient's overlying chin obscures the medial lung apices. There are low lung volumes. Small to moderate bilateral pleural effusions are seen. Left base opacity may be due to combination of pleural effusion and atelectasis although underlying consolidation is difficult to exclude. There is mild to moderate pulmonary edema. The cardiac silhouette appears mildly enlarged. Mediastinal contours are stable.

history: <unk>f with ?hypoxia // eval for pna

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Pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

sore throat and leukocytosis. recently started chemotherapy for lymphoma.

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Grossly unchanged appearance of the lung parenchyma including right lung volume loss, specifically involving the right upper lobe secondary to a right suprahilar mass. There is right upper lung pleural thickening, likely reflecting a loculated pleural effusion. There are new patchy retrocardiac opacities likely representing a focus of infection. No pneumothorax identified. The size and appearance of the cardiac silhouette is unchanged.

<unk> yo male with a history of stage iv nsclc (diagnosed <unk>, s/p etoposide platinum radiation <unk> with mets to the adrenal gland, paraspinal, lower thoracic, and thigh) who is admitted with cough and hypoxia. // ?pna

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The lungs are hyperinflated with slight flattening of the bilateral hemidiaphragms, and attenuation of pulmonary vascular markings within the upper lobes compatible with mild emphysema. The lungs are well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. A <num> mm density projecting at the left <unk> intercostal space is compatible with a nipple, which appears symmetrical. Mild biapical scarring appears symmetrical. The pulmonary vasculature is not engorged. The cardiomediastinal silhouette is slightly prominent due to patient rotation compared to the prior study but otherwise appears within normal limits. There is dextroconvex scoliosis at the mid-to-lower thoracic spine. Irregularity at the right posterior seventh rib is unchanged and likely represents a prior fracture. No acute osseous abnormality is detected.

nonproductive cough, worse in the supine position; here to evaluate for pneumonia or pleural effusion.

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Lung volumes are normal. Bronchial wall thickening in the lower lobes has not worsened, though the degree of bronchitis cannot be fully assessed. There is no focal consolidation, effusion or pneumothorax. Mediastinal and hilar contours are stable. There is mild vascular engorgement with minimal interstitial pulmonary edema. Borderline mild cardiomegaly is unchanged. Old bilateral rib fractures with associated scarring in the left and right mid-zones.

<unk> year old woman with on going bronchitis // pneumonia

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<num> x <num> cm opacity projecting over the right upper to mid lung between the posterior right fifth and sixth ribs, is nonspecific, could represent overlap of structures versus a pulmonary nodule. Small bilateral pleural effusions are seen. The cardiac and mediastinal silhouettes are unremarkable. The pneumothorax is seen. There is no pulmonary edema.

history: <unk>m with fatigue // evaluate for pneumonia

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In comparison with study of <unk>, there is little overall change. Enlargement of the cardiac silhouette persists with retrocardiac opacification consistent with volume loss in the lower lobe and small bilateral pleural effusions. The pneumomediastinum is slowly clearing. Central catheter remains in place. No evidence of vascular congestion at this time.

postoperative cabg.

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Cardiomediastinal contours are normal. Lungs and pleural surfaces are clear. Healed right rib fractures are again demonstrated.

<unk> year old man with cough, chest congestion on chemotherapy // pna

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

<unk>f with chest pain // infiltrate or 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 pneumothorax. The lung apices are somewhat obscured by overlying hair on the frontal view. Projecting over the course of the anterior right fifth rib as well as the right mid lung is a nodular focus, possibly a bone island or nipple shadow. Bony structures are unremarkable.

decreased po intake, tachycardia, and schizophrenia.

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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.

<unk> year old man with transaminitis, shortness of breath as complaint // evaluate for pulm edema, pneumonia

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. A biliary stent is partially imaged projecting in expected location over the right upper quadrant.

<unk> year old man with recent bile leak and subphrenic collection after ccy, evaluate for pleural effusion.

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Cardiac silhouette size is normal. The aorta is tortuous. Lungs are hyperinflated with streaky linear opacity in the lingula compatible with subsegmental atelectasis. Blunting of the right costophrenic angle suggests a small right pleural effusion. No focal consolidation or pneumothorax is demonstrated. Multilevel mild degenerative changes are noted in the thoracic spine along with s-shaped scoliosis.

history: <unk>m with cough

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Ap and lateral chest radiograph was provided. There is no focal consolidation, pleural effusion or pneumothorax. The heart is top normal in size. There is calcifications of the aortic knob. The imaged upper abdomen is unremarkable.

history of dyspnea, hyperglycemia, question acute cardiopulmonary process.

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Pa and lateral views of the chest provided. Again seen is bibasilar atelectasis. Compared to prior, there is mild fullness of the bilateral vasculature with prominence of upper vasculature and <unk> b-lines. There is no pneumothorax. The cardiomediastinal silhouette is normal. Left-sided pacemaker leads are unchanged in position. Aortic knob calcification appears similar to prior. Imaged osseous structures are unremarkable.

<unk> year old woman with rigors, chills, sore throat. evaluate for pneumonia.

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No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.

<unk> year old man with fever // fever

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Pa and lateral views of the chest provided. Patient is slightly leftward rotated which limits evaluation. The heart is top-normal in size. Subtle prominence of the left fifth anterior rib likely accounts for subtle opacity adjacent to left pulmonary hilum. No definite consolidation, effusion or pneumothorax is seen. Clips in the upper abdomen are noted. Mediastinal contour is normal. Rib deformities appear chronic.

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

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. A mitral valve replacement is noted. Patient is status post median sternotomy. No pneumothorax, pleural effusion, pulmonary edema, or pneumonia.

history: <unk>f with hx of mitral valve replacement presents with cp, sob // any e/o pna, pleural effusion/edema, acute change?

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Pa and lateral views of the chest provided. Cardiomegaly is stable and mild. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with chest pain, shortness of breath

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Pa and lateral views of the chest. There are small bilateral effusions which are new since prior. The lungs are clear without consolidation or pulmonary vascular congestion. There is mild cardiomegaly which has developed since prior exam. No acute osseous abnormality is identified.

<unk>-year-old male with cough.

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

nausea and vomiting.

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Mild cardiomegaly is unchanged. There is new mild pulmonary edema, evidenced by peribronchial cuffing and increased interstitial lung markings. No new focal consolidation, pleural effusion, or pneumothorax. Lung volumes are slightly lower. Enteric tube courses below the left hemidiaphragm and out of view.

<unk> year old man with alcoholic hepatitis, <unk>, hfref, now with worsening cough. evaluate for infection or volume overload.

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pneumonia, pulmonary edema, or pleural effusion.

<unk> year old woman with mild persistent asthma, recommended cxr by pulmonologist // r/o infection

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Heart size is normal. The mediastinal and hilar contours are unremarkable. A small right pleural effusion is present, increased in size compared to the previous exam. There is associated patchy opacity in the right base which likely reflects atelectasis. The left lung is grossly clear. No pneumothorax is identified. No acute osseous abnormalities detected.

history of mild cirrhosis with hydrothorax <num> weeks ago now with confusion.

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Frontal and lateral views of the chest were obtained. There is minimal left base atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. There is minimal to mild pulmonary vascular congestion.

<unk>-year-old female with dyspnea on exertion.

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Ap and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged, similar to prior study. The mediastinal and hilar contours are unchanged. No definite fracture is identified.

fall on left side, chest wall tenderness. evaluate for fracture.

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Coarse calcification projecting over the right mid lung is stable. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Some degenerative changes are again seen along the spine.

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

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The heart is mildly enlarged. Compared with the prior study there is now mild pulmonary edema with small bilateral pleural effusions. No focal consolidation or pneumothorax. The lungs are hyperinflated with flattening of the diaphragms consistent with emphysema.

history: <unk>f with dec lung sounds s/p fluid, pls eval edema // history: <unk>f with dec lung sounds s/p fluid, pls eval edema

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A left-sided port-a-cath terminates in the superior vena cava, as before. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild hyperinflation is present. The lungs appear clear. Mild degenerative changes are similar along the mid-to-lower thoracic spine.

fever.

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Pa and lateral views of the chest. The lateral view is obscured by the patient's arms. Compared to most recent study, there is decrease in volume overload. There is no evidence of vascular engorgement or pulmonary edema. Mild-to-moderate cardiomegaly is stable. No pleural effusions or pneumothorax. The mediastinal and hilar contours are normal.

history of cardiomyopathy and recent rotator cuff repair, chest pain, bilateral fluid volume overload.

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

history: <unk>f with cough*** warning *** multiple patients with same last name! // cough, assess for infiltrate

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Interval increase in moderate-sized left pleural effusion with thickening and increase in size of likely a left pleural scar. Small lucency superior to the left pleural effusion is suspicious for possible prior intervention such as thorocentesis. Right lung is clear without pleural effusion. No pneumothorax or pulmonary edema. Stable mild heart enlargement with normal mediastinal contour and hila.

<unk>-year-old female with shortness of breath and abnormal chest radiograph in the past. former smoker.

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No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are similar in appearance compared to <unk>. There may be minimal prominence of the main pulmonary artery. Surgical clips are noted in the upper abdomen.

history: <unk>f with sob // infiltrate?

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The lungs are clear. There is no pleural effusion, pneumothorax focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. Symmetic apical thickening is present. There is mild wedging of the upper lumbar spine which is better seen on the prior ct.

abdominal pain, evaluate for acute process.

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The lungs are clear without consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal other than atherosclerotic calcifications of the aortic arch and dense calcifications of the mitral annulus. A dextroscoliosis in the mid thoracic spine is unchanged. No fracture is identified. Surgical clips are noted in the right upper quadrant, and likely from a prior cholecystectomy.

chest pain in the upper left anterior chest for two days. evaluate for rib fracture or pneumonia.

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Frontal and lateral chest radiographs demonstrate hypoinflated lungs with crowding of vasculature. Heterogeneous opacity in the right lower lobe is noted. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

altered mental status. focal infiltrate.

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There are moderate left and small right bilateral pleural effusions with overlying atelectasis. No pneumothorax is seen. Cardiac and mediastinal silhouettes are grossly stable. There is diffuse demineralization.

history: <unk>f with s/p recent surgery with chest pain // pna?

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Pa and lateral views of the chest provided. Lung volumes are low limiting evaluation. There is nodular and ground-glass opacity in the right lower lung concerning for pneumonia. On the lateral view a subtle double density is noted projecting over the heart which may represent atelectasis in the region of the right middle lobe. Left lung is clear. Cardiomediastinal silhouette appears grossly stable. No bony abnormalities.

<unk>m with leukocytosis // ? pna

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The cardiac, mediastinal and hilar contours appear stable. There are new patchy densities in the left lower lung as well as a vague focal new opacity in the left upper lobe. These findings are concerning for pneumonia. Vague right upper lobe opacity has mostly resolved, however. There is a small pleural effusion on the left. A round <num> mm diameter focus suggests a very small nodular density of nodule, possibly calcified. The chest is hyperinflated.

cough and sputum production.

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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>m with left sided chest/back pain

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Ap and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation. Pulmonary vasculature is within normal limits. No displaced fractures are noted.

neck and shoulder pain.

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Pa and lateral views of the chest provided. Evaluation somewhat limited through the lower lungs due to under penetrated technique. Allowing for this, there is no focal consolidation, a effusion or pneumothorax. No convincing signs of pulmonary edema. Mild congestion difficult to exclude in the correct clinical setting. The bony structures appear intact.

<unk>f with sob // eval for pna

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Right-sided port-a-cath with the tip at the cavoatrial junction. The lungs are clear. The cardiomediastinal contours are unremarkable. No pleural effusions or pneumothorax.

<unk> year old man with poc in place. pt feels the port is displaced. please evaluate placement. // <unk> year old man with poc in place. pt feels the port is displaced. please evaluate placement.

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There is a right port-a-cath with the tip in the cavoatrial junction. There is a pacemaker overlying the left chest with leads in the right atrium and right ventricle, which appears unchanged in comparison to the prior radiograph. The left pleural effusion has improved, however there is a residual small amount of pleural fluid. The left retrocardiac opacity has also improved. The right lung is clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with a history of primary effusion lymphoma. please evaluate for change in size of effusion, now after <num> cycles of mini-chop. // <unk> year old man with a history of primary effusion lymphoma. please evaluate for change in size of effusion, now after <num> cycles of mini-chop.

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Heart size is normal with mild tortuosity of the thoracic aorta. There is mild central pulmonary vascular engorgement without frank interstitial edema. There are scattered, vague areas of increased interstitial marking slightly changed in morphology since prior exam. There is otherwise no dense consolidation. Pleural surfaces are clear without effusion.

cocaine and heroin use with chest pain and shortness of breath for one day.

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Ap and lateral views of the chest show no consolidation, pleural effusion, or pneumothorax. Increased interstitial prominence is most consistent with mild pulmonary edema. The heart remains enlarged. The mediastinal contours are normal. Atherosclerotic calcifications are noted in the aortic arch. A left sided pacer device is present with the single lead terminating in the right ventricle.

right foot and leg swelling. history of fall.

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A left-sided port-a-cath is again seen, terminating in the distal svc/cavoatrial junction. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal. No evidence of free air is seen beneath the diaphragms.

nausea, vomiting.

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

<unk>f with productive cough, fever/chills, chest pains // r/o acute process

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Frontal and lateral chest radiographs demonstrate bilateral lung volumes with resultant bronchovascular crowding. Linear opacification projecting over the left lower lung likely represents atelectasis. Heart size is obscured by elevated left hemidiaphragm though appears grossly normal. Mediastinal and hilar contours are unremarkable. No pleural effusion or pneumothorax is present.

chest pain, evaluate for acute cardiopulmonary process.

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Cardiomediastinal contours are normal. Pleural thickening with adjacent opacity in the right lung have decreased. Retrocardiac atelectasis have improved. There are no new lung abnormalities. Patient is status post avr. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old woman s/p r vats wedge with post op hemoptysis // check interval change

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The heart is mildly enlarged with a left ventricular configuration. There is mild unfolding around the thoracic aorta. There is perihilar fullness and haziness with predominantly perihilar opacification and upper zone redistribution of pulmonary vascularity suggesting mild-to-moderate pulmonary edema. There is no pleural effusion or pneumothorax.

dyspnea. question congestive heart failure.

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The lung volumes are normal. Normal position and shape of the hemidiaphragms. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. No pneumothorax. No evidence of pneumonia.

chest pain, wheezing, evaluation.

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is a vague opacity projecting over the right lower lung and breast, potentially a nipple shadow; alternatively perhaps it may reflect a confluence of bronchovascular opacities or atelectasis. Elsewhere, the lungs appear clear. The lungs are hyperinflated. Small osteophytes are noted along the mid thoracic spine.

chest pain.

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Frontal and lateral chest radiographs demonstrate mildly prominent pulmonary vasculature. Lung volumes are low and there is are linear bibasilar opacities. The heart size is top normal in size and atherosclerotic calcifications are seen in the aortic arch. There are no large pleural effusions. There is no pneumothorax.

lightheadedness. concern for pneumonia.

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

<unk> y.o. woman with htn, hl here with chest pain //

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.

evaluation of patient with fever.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top normal imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

history: <unk>f with substernal chest pain x <num> days worse with breathing. // ?pneumonia, widened mediastinum

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Lung volumes are low. Subtle opacity overlying the left lower lobe is most notable on the lateral view. There is no large pleural effusion or pneumothorax identified. The cardiomediastinal silhouette is within normal limits.

history: <unk>f with left chest pain and l flank pain // pleas eval for any infiltrates on cxr. please eval for hydro on us.

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There is relative elevation of the right hemidiaphragm. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the mediastinum and hila, likely within the anterior chest soft tissues. Erosion of the distal right clavicle may be posttraumatic or postsurgical in nature, but chronic. There is no free intraperitoneal air.

<unk>f with tachycardia, lft elevation, abd pain // preop / rule out free air

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Frontal and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is stable. Hypertrophic changes seen in the spine without acute osseous abnormality.

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

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In comparison with the study of <unk>, there is some asymmetry with increased opacification in the left mid and lower zones. Much of this could reflect merely atelectatic changes. In the appropriate clinical setting, supervening pneumonia would have to be considered. Of incidental note is an old healed fracture of the distal right clavicle.

cough, to assess for pneumonia.

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Mild cardiomegaly with left ventricular predominance is re- demonstrated. The aorta remains tortuous. Right hilar lymphadenopathy is unchanged. Mild increased interstitial opacities may suggest mild pulmonary vascular engorgement or shronic interstitial abnormality, similar to the previous study suggestive of mild interstitial edema. Lungs remain hyperinflated compatible with underlying emphysema. Linear opacities in the lung bases likely reflect areas of subsegmental atelectasis. No new focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine with anterior wedging of a vertebral body at the thoracolumbar junction, unchanged.

history: <unk>m with shortness of breath

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Pa and lateral chest radiographs were obtained. Lung volumes are low. There is increased bilateral hilar and interstitial opacity and septal lines. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Vp shunt catheter tubing appears intact.

<unk>

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The lungs are well inflated and clear. There may be a <num>cm retrocardiac nodule just anterior to the lower thoracic spine. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Calcifications of the aortic arch is again noted. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.

<unk>m with metastatic prostate cancer to rib and t<num>, presenting with weakness, cough, sore throat evaluate for pneumonia.

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The lungs are clear. There is no consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.

<unk>f with history of asthma who presents with <num> weeks of cough and chest tightness. // rule out pneumonia

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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Multiple healed rib fractures are again seen on the right.

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

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

history: <unk>m with fevers // eval for pna, effusions

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

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

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Ap upright and lateral views of the chest provided. Retrocardiac opacity is again noted consistent with known hiatal hernia. There is mild elevation of the right hemidiaphragm unchanged. Lungs are clear without focal consolidation, large effusion or pneumothorax. The heart and mediastinal contours are unchanged. Chronic deformity of the left humeral neck again noted.

<unk>f with bilateral hip pain, right wrist pain, right rib pain <num> week after fall

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Bibasilar opacities are likely due to overlying soft tissues. The cardiac silhouette remains enlarged. There has been interval removal of a right-sided ij central venous catheter. There is mild pulmonary edema. No new focal consolidation is identified. There is no pneumothorax.

syncope. evaluate for chf.

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Frontal lateral radiographs of the chest. Normal heart size, mediastinal and hilar contours. Clear lungs. No pneumothorax or pleural effusion.

chest pain question pneumothorax.

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The heart is mild-to-moderately enlarged. Evaluation of parenchymal detail is somewhat limited by soft tissue attenuation, but the lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the thoracic spine.

cough and fever.

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There are relatively low lung volumes. Stable right mid lung subcentimeter calcified granuloma again seen, present since at least <unk>. There is no focal consolidation, pleural effusion, or evidence of pneumothorax. Minimal prominence of the pulmonary vasculature may be due to a low lung volumes although mild pulmonary vascular congestion may be present.

chronic cough, sensation of esophageal obstruction.

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Lower lung volumes are seen on the current exam. Bibasilar opacities may be secondary to atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with cough and fever // eval infiltrate

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No significant interval change. Right-sided pleural thickening and possible chronic pleural effusion appears stable. The cardiomediastinal silhouette is also overall unchanged with stable moderate cardiomegaly. Extensive coarse calcifications in the hila and mediastinum as well as projecting over the left supraclavicular region appear similar. Mild left pleural thickening is stable. Mild linear atelectasis on the right is also overall unchanged. No pneumothorax or focal consolidation. No left pleural effusion. Partially imaged vascular stents in the right axillary region, also seen on the prior exams. Device projecting over the left lower hemithorax is unchanged.

<unk>-year-old man with l-avg failure, hx of hodgkins s/p radiation to lungs ; evaluate for acute process, fluid overload.

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The lungs are well inflated without evidence of focal consolidation. Mild bronchial wall thickening in the lower pole of the right hila, which may reflect some mild reactive airways disease. There is no pneumothorax or pulmonary edema. The heart size is normal.

history: <unk>m with syncope, abd pain // cardiac w/u, r/o dissection, cr pending

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The lungs are well-expanded and clear. No consolidation, effusion common pneumothorax. The heart is normal in size. The mediastinum is not widened. The hilar contours are within normal limits. No acute osseous abnormality. Multi-level degenerative changes including prominent anterior osteophytes are noted in the thoracic spine with probable diffuse idiopathic skeletal hyperostosis.

<unk>-year-old man presenting with transient ischemic attack. evaluate for an acute process.