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

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The previously seen right-sided chest pigtail catheter is no longer seen. Small to moderate right pneumothorax persists, difficult to accurately assess change in size given lack of recent lateral view however, there is concern that it may be slightly increased in size. Right basilar opacities again seen likely due to atelectasis. There is persistent blunting of the left costophrenic angle likely due to small left pleural effusion. Bibasilar opacities are again seen suggestive of atelectasis. Bilateral calcified pleural plaques for better assessed on the prior chest ct from <unk> cardiac and mediastinal silhouettes are stable.

dislodged pigtail catheter.

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Frontal and lateral views of the chest demonstrate right lower lobe opacity, which projects over the spine on the lateral view. Left lung base opacity is also noted. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema.

fever and cough.

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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion.

chest pain, evaluation for pneumonia, chronic heart failure.

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The patient is status post median sternotomy and cabg. The inferior-most sternotomy wire is fractured without evidence of displacement. Heart size remains mild to moderately enlarged. The aorta is unfolded. There is mild pulmonary vascular congestion. No focal consolidation or pneumothorax is seen. Minimal blunting of the right costophrenic sulcus could suggest the presence of a trace pleural effusion. Small amount of fissural thickening due to pleural fluid is present. There are no acute osseous abnormalities.

dyspnea.

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Moderate to severe cardiomegaly is stable. Widening mediastinum has improved. Bilateral effusions are small. Opacities in the lower lobes bilaterally larger on the left side are likely atelectasis, superimposed infection cannot be totally excluded. There is no evident pneumothorax. Sternal wires are aligned. Degenerative changes in the thoracic spine are mild. There is mild vascular congestion. Bilateral healed rib fractures are again noted

<unk> year old woman s/p cabg with rising wbc // eval for infiltrate

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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There is a left-sided aortic arch. There are no pleural effusions. No pneumothorax is seen.

shortness of breath and cough with history of asthma. evaluate for pneumonia.

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In comparison with the study of <unk>, there is little change in the appearance of the dual-channel pacer device that extends to the right atrium and apex of the right ventricle. No evidence of pneumothorax. No change in the appearance of the lungs.

pacer.

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Compared to prior, there is increased pulmonary vasculature and bilateral interstitial opacities with right lower lobe predominance, suggestive of worsening asymmetric pulmonary edema or pneumonia. Left lower lobe atelectasis is improved. Small right pleural effusion is likely. Ng tube is in the stomach and out of view. The left-sided central line has a posterior orientation, likely heading towards the azygos vein. The mediastinal contour appear unchanged.

<unk> year old woman pod <num> following ex lap and re-exploration of abdomen for ? ischemic bowel // low grade fever

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Frontal and lateral radiographs of the chest demonstrate persistent large left-sided pneumothorax. Allowing for differences in technique, this pneumothorax appears to be slightly larger as compared to prior. There is rightward shift of the mediastinum consistent with tension pneumothorax. There are increased interstitial markings in bilateral lung fields. There is a moderate left-sided pleural effusion.

<unk>f on plavix s/p mechanical fall from <num> steps -loc, p/w left <unk>th rib fx, l ptx, r distal clavicle fracture, acromion fracture, s<num> fracture // eval ptx change

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Ap upright and lateral views of the chest were obtained. The heart is normal in size and cardiomediastinal contours are unremarkable. Lung volumes are low and atelectasis is noted at the left base and to a lesser extent right base. There is no focal consolidation, pleural effusion or pneumothorax.

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

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

history: <unk>f with shortness of breath and cough. // ?pneumonia

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There are low lung volumes, which crowd the bronchovascular markings. There is mild pulmonary edema. A left lower lobe opacity may represent pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

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

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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. There are no granulomas or cavitary lesions. There is no evidence of mediastinal adenopathy. The cardiomediastinal silhouette is within normal limits. There are moderate degenerative changes of the thoracic spine.

<unk> year old man with history of mediastinal lad tb rx with cough for two weeks and elevated wbc // pls eval infectious process

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>m with dizziness, t-wave inversions on ekg // eval for chest pain

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Pa and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.

chest pain.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for infiltrate in a patient with shortness of breath.

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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with cp and back pain // eval for pneumothorax

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Bilateral vascular congestion appears slightly improved. No pleural effusion or pneumothorax is seen. Cardiac size is enlarged but unchanged. Left chest wall aicd again noted with lead in right ventricle.

<unk> year old man with <unk> on ckd, hfref, cirrhosis, non improving creatinine. // please evaluate for pulmonary edema, signs of heart failure.

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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 likely ms, cough, low grade temps, to start steroids // please re-eval retrocardiac opacity

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

<unk>f with sob // r/o acute process

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Compared with the prior radiograph, no change the positioning of the left-sided dual-lumen port-a-cath, with tip projecting at the upper to mid svc. Scarring and reticular thickening in the bilateral upper lungs is unchanged since at least <unk>. Faint opacity in the left lung base may represent atelectasis. Superimposed infection is not excluded. Cardiomediastinal silhouette is normal.

<unk>m with cns lymphoma left port in place. evaluate left-sided port.

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The heart size is normal. The mediastinal and hilar contours are within normal limits. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.

syncope.

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Cardiac size is top normal. The aorta is tortuous. Aside from a right lower atelectases, the lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerate changes in the thoracic spine.

mr. <unk> is a <unk>m with recurrent dvts previously on coumadin admitted with inr <num> now s/p ivc filter placement on <unk>, recent admission for rp bleed (now stable/resolving) in setting of supratherapeutic inr of <num> also with a history of prostate cancer and dchf, now admitted with hematuria and acute blood loss anemia. // <unk>m w/leukocytosis, sob, and worse cough, assess for pneumonia

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Lung volumes are low. The heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures. Minimal patchy opacity in the retrocardiac region could reflect atelectasis in the setting of low lung volumes. No pleural effusion or pneumothorax is present. There is no pulmonary vascular congestion. No acute osseous abnormalities are seen.

headache and dizziness.

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The patient is status post median sternotomy and cabg. Moderate cardiomegaly is re- demonstrated. Thoracic aorta remains tortuous and diffusely calcified. The mediastinal and hilar contours are unchanged. Streaky and linear atelectasis is noted in both lung bases, and the lung volumes are low. There is crowding of the bronchovascular structures without overt pulmonary edema. No pneumothorax is demonstrated. Previously demonstrated small bilateral pleural effusions have improved, with minimal residual bilateral pleural effusions, larger on the right. No acute osseous abnormalities seen.

history: <unk>m with abdominal pain, confusion

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. There is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. Dextroscoliosis of the thoracic spine is unchanged. The cardiomediastinal silhouette is unremarkable.

<unk>-year-old female with confusion. evaluation for infection.

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Pa and lateral views of the chest provided. Lungs are hyperinflated. A port projects over the left upper abdomen. In the right upper lung there is a subtle opacity projecting over the right sixth posterior rib arch, likely overlapping os ossific structures though difficult to exclude an underlying nodule. Biapical pleural parenchymal scarring is noted. Lungs otherwise clear. Cardiomediastinal silhouette is normal. Bony structures are intact.

<unk>f with cp // r/o infection

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Frontal and lateral chest radiograph demonstrates well expanded lungs. The lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

<unk>m with hypoxia. assess for acute process.

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The lungs are clear. There is no edema, effusion, or consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with cp // pna?

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Ap upright and lateral views of the chest provided. Low lung volumes. Lungs are clear. Heart is mildly enlarged with mitral annular calcification noted. Mediastinal contour is normal. No signs of congestion or edema. No large effusion or pneumothorax. Bony structures are intact.

history: <unk>f with hx of kidney txp with weakness // eval for infiltrate

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There are relatively low lung volumes without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with cirrhosis, weakness // eval for pneumonia

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There are small bilateral pleural effusions, larger on the right than on the left, as seen on previous exam. Associated right basilar atelectasis is noted. Superiorly, the lungs are clear. Cardiac silhouette is enlarged similar to prior. Linear calcific density at the left ventricular apex is compatible with prior infarct. Cystic prevascular mediastinal lesion and bilateral pulmonary nodules are better seen on prior ct scan.

<unk>m with dyspnea on exertion // evaluate for fluid overload, pneumonia, acute process

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

<unk>f with cough, asthma, fevers // ? pneumonia

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Moderate cardiomegaly, with enlargement of the left atrium, has been stable compared to exams dating back to <unk>. The aorta is mildly tortuous, otherwise the hilar and mediastinal contours are unremarkable. A confluent opacity in the retrocardiac region on the lateral view it is difficult to assess in the setting of low lung volumes.

history: <unk>f with post-cholecys, sob. pls eval for pna.

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As compared to the previous radiograph, there is no relevant change. No interval appearance of pneumonia. Mild overinflation, normal size of the cardiac silhouette, moderate tortuosity of the thoracic aorta without aneurysmatic dilatation. No pleural effusions. No lung nodules or masses.

cough, low-grade temperature, scattered wheezing, rule out pneumonia.

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The lung volumes are low. Bilateral mid and lower lung zone opacities are consistent with multifocal pneumonia. There is mild vascular congestion and a small right pleural effusion as well as small amount of fluid in the major fissure. The cardiomediastinal silhouette and hila are normal. There is no pneumothorax.

<unk>-year-old man with cough and fever. please rule out pneumonia.

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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 hypoglycemia, chest pain// eval ? pneumothorax, effusion

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Multiple clips are noted within the anterior chest wall. No acute osseous abnormality is demonstrated.

history: <unk>f with pleuritic chest pain.

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Right picc tip terminates in the svc. Heart size is normal. The patient is status post coronary artery stenting. Mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Gastrojejunostomy catheter is partially imaged.

nausea, vomiting.

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A picc line has been removed. The cardiac, mediastinal and hilar contours appear probably unchanged. There is persistent opacification of the left lower hemithorax suggesting a combination of parenchymal opacification and pleural effusion. Possible etiologies include pneumonia or widespread atelectasis involving the left lower lobe and perhaps portions of the lingula. The degree of leftward shift of mediastinal structures is similar to the prior study. An opacity projecting over the left upper lobe has substantially improved. Elsewhere, the lungs appear clear. There is a small-to-moderate subpulmonic effusion on the right, visible only on the lateral view, probably with associated atelectasis. A deformity of the left distal clavicle is unchanged and probably post-traumatic.

cough and pleural effusion.

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Flattening of the diaphragm likely represents hyperinflation of the lungs. New retrocardiac opacities are likely due to atelectasis. The heart size is unchanged. No pneumothorax or pulmonary edema.

<unk> year old man with rales at bilateral bases // assess for lower lobe infiltrate/mass

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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 cp/sob

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Frontal and lateral views of the chest were obtained. The cardiomediastinal silhouette is grossly stable as compared to <unk>. Blunting of the right costophrenic angle is seen which may be due to a small pleural effusion. Mild basilar atelectasis is seen without definite focal consolidation. No overt pulmonary edema is seen. Degenerative changes seen along the spine.

altered mental status, mvc.

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Chest pa and lateral radiograph demonstrates a slightly prominent main pulmonary contour. Hilar and cardiac contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax. No osseous abnormality is identified.

liver mass of unknown etiology, history of travel, please assess for tuberculosis.

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Wedge-shaped right peripheral subpleural opacity is unchanged and compatible with known carcinoma. No acute consolidation is identified. Bulky right hilus secondary to lymphadenopathy is better evaluated on prior chest ct. Left chest aicd and leads are in stable positions. There is no pleural effusion or pneumothorax. Background emphysema and fibrosis are unchanged.

<unk> year old man with new dx scc, dry cough, slight confusion on admission, electrolytes abnormalities. rule out pneumonia.

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There is increased hazy opacification in the posterior lower lung zones, likely in the right lower lobe, which is seen only on the lateral view. This is new from the prior radiograph and may indicate possible infection. There is no edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air below the hemidiaphragms.

hiv and altered mental status.

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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 a history of iv drug abuse, intoxication, feels "un-well." evaluate for pneumonia, acute process.

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There has been hazy opacification at the left lung base compared to the right, which may be related to soft tissue attenuation. No definite focal consolidation concerning for pneumonia is seen. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. There is a <num>-mm calcified nodule in the right lung base, which likely represents a calcified granuloma. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits with mild tortuosity of the thoracic aorta. No acute osseous abnormality is detected.

epigastric pain, here to evaluate for pneumonia.

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Pa and lateral views of the chest provided. Extensive airspace consolidation is seen within the right lung involving right upper, middle and lower lobes compatible with multifocal pneumonia. The left lung appears clear. No large pleural effusion or pneumothorax. The heart size is mildly enlarged. The mediastinal contour is unremarkable. Bony structures appear intact.

<unk>f with sob // eval 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. Mild degenerative spurring is noted within the thoracic spine.

history: <unk>m with atrial fibrillation, thn< hl, type <num> diabetes mellitus who presents with new onset chest pain

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There is a left pectoral pacemaker with leads terminating in the right atrium and right ventricle. There is no evidence of an acute fracture. There is no pneumothorax. Patient is status post a right lower lobectomy with persistent scarring seen at the right lung base. The lungs are hyperinflated. There is a small left pleural effusion. There is no focal airspace consolidation. Cardiac silhouette and mediastinal contours are normal. A calcified aorta is noted.

new pacemaker, evaluate lead placement.

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As compared to the previous radiograph, there is now a frontal and a lateral radiograph available, confirming that the pacemaker lead is positioned in the right ventricle. There is no evidence of pneumothorax. The lateral radiograph of the current examination shows that moderate bilateral pleural effusions with volume loss in the lower lobes is present. The appearance on the frontal image is comparable to <unk>. No new parenchymal opacities. No evidence of pulmonary edema.

heart block, status post pacemaker, evaluation of placement.

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Again seen are median sternotomy wires and mediastinal clips. The mild cardiomegaly is unchanged. The aorta is tortuous. The overall degree of vascular congestion appears slightly improved in the interim. There are no focal consolidations. There is no pneumothorax. There are no pleural effusions.

<unk>-year-old female with wheezing and crackles, who presents for evaluation of asthma, chf, and volume overload.

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

dyspnea, asthma, wheezing. also history of fever.

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Compared to the prior film, the swan-ganz catheter is been removed. No pneumothorax is detected. Again seen is hyperinflation suggestive of background copd. Also again seen is cardiomegaly, with prominence of the mediastinal silhouette and slight enlargement of the azygous vein. The aorta is calcified and unfolded. The lateral view demonstrates extensive coronary artery calcification. Mild prominence of the hila is similar to the prior study. There is upper zone redistribution, the increased interstitial markings, peribronchial thickening and diffuse vascular blurring, consistent with chf. The appearance is similar, perhaps slightly more pronounced, than on the prior film. Small bilateral effusions are present. There is increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation, though the hemidiaphragm remains faintly visible, as before. There is minimal atelectasis at the right lung base, new compared with the prior study. Incidental note is made of marked narrowing of the right shoulder acromial humeral distance, consistent with a chronic rotator cuff tear.

<unk> year old woman on esrd on hd with bacteremia, fevers // r/o consolidation

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Minor atelectatic changes are visualized in bilateral lung bases; otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. The hilar and mediastinal contours are unchanged comparison prior study. Again noted is prominence of the ascending aorta with calcifications along the right border unchanged compared to prior study. Vascular calcifications are again noted at the takeoff of the great vessels.

cough.

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Pneumomediastinum is noted predominantly surrounding the cardiac silhouette. The heart is normal in size.

history: <unk>m with sob // ? pna

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Left-sided dual-chamber pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged, with fullness of the hila and ap window again suggestive of underlying lymphadenopathy. There appears to be mild pulmonary vascular congestion. Increased interstitial markings are again demonstrated with septal thickening at the periphery of both lung bases, suggestive of either an underlying interstitial lung disease or mild interstitial pulmonary edema, and appear similar compared to the prior exam. No new focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.

recent pneumonia, coughing <unk> <unk>, <unk>.

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Cardiac silhouette size is borderline enlarged, unchanged. Mediastinal and hilar contours are unchanged with ectasia of the ascending thoracic aorta better assessed on the previous chest ct. Pulmonary vasculature is not engorged. Minimal atelectasis is seen in the right lung base. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.

history: <unk>f with shortness of breath

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There has been interval removal of a right picc. Lung volumes are low. Moderate to severe bibasilar atelectasis and moderate bilateral pleural effusions have not cleared. No pneumothorax is seen.

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

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

<unk> y/o f w/ central vertigo, mild chest pain

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

<unk>f with dizziness

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Pa and lateral views of the chest provided. Posterior spinal hardware is seen extending from the mid thoracic spine inferiorly. There has been recent left thoracotomy with reason removal of a left chest tube. Previously noted left pneumothorax has resolved. In this patient with known left hilar mass, there is persistent vague opacity in the left mid upper lung which may reflect known lung cancer. There is elevation of the left hemidiaphragm with probable small left effusion and left basal atelectasis. The right lung remains clear. Heart size cannot be assessed. The mediastinal contour appear is similar to prior. Bony structures are grossly intact.

<unk> year old man with stage iiia squamous cell cancer suprahilar lul, s/p completed chemorads now s/p exploratory l thoracotomy, no resection given fibrosis vs. tumor proximal on pa // ? pneumothorax s/p left chest tube removal

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Pa and lateral views of the chest were obtained. The heart is normal in size and cardiomediastinal contour is stable. Lungs are symmetrically expanded and clear. Pulmonary vascularity is within normal limits. There is no focal consolidation, pleural effusion, or pneumothorax.

<unk>-year-old female with a history of ms who presents with fever and myalgias, rule out pneumonia.

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

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

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The study is limited due to patient rotation to the right. Within this limitation, the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. There is no free air beneath the right hemidiaphragm.

<unk>f with elevated leukocytosis referral from nursing home // r/o pna

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Mild prominence of interstitial markings bilaterally suggests component of minimal edema. There are bibasilar opacities which could be due to infection, or aspiration. The cardiac and mediastinal silhouettes are grossly unremarkable. No large pleural effusion is seen although a trace left pleural effusion be difficult to exclude. The aorta is calcified and tortuous. No pneumothorax is seen.

history: <unk>f with shortness of breath // pulm edmea?

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The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

a <unk>-year-old man with dyspnea and cough, evaluate for pneumonia.

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The cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.

flu-like illness, cough, and fever.

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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.

chest pain.

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Heart size is mildly enlarged. A moderate size hiatal hernia is noted. Remainder of the mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are hyperinflated. Apart from mild atelectasis in the lung bases, remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with cough, history of copd

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There is no focal consolidation, pleural effusion, or pneumothorax. Streaky opacity, best seen on the lateral view, is likely atelectasis at the bases. No pulmonary edema is present. The cardiomediastinal silhouette is normal. Scoliosis of the mid thoracic spine is noted. Impression basilar atelectasis. Otherwise, no acute cardiopulmonary process. Atelectasis at the bases.

right flank pain.

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The lungs are mildly hyperexpanded with flattened hemidiaphragms, but clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema. There are foci of calcification in the hila bilaterally, likely calcified lymph nodes.

<unk> year old woman with fever, dyspnea, mental status changes x <num> days. decreased bibasilar breath sounds // evaluate for abnormalities

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Again seen right-sided picc terminates in the region of the mid svc without evidence of pneumothorax. Re- demonstrated is mild coiling at the level the transition of the right subclavian vein into the svc.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Minimal vascular congestion is noted.

history: <unk>m with productive cough x <num> weeks- // r/o pna

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As compared to <unk> right-sided chest tube has been removed with interval increase in the right apical pneumothorax which is small to moderate. No signs of tension. Right lower lobe nodular opacities have slightly increased. Left pleural effusion and atelectasis have slightly improved. Extensive subcutaneous emphysema has slightly improved.

<unk> year old woman s/p right middle lobectomy now s/p chest tube removal. please schedule for <time> // chest tube removed - interval change? please schedule for <time>

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding ap portable chest examination of <unk>. Marked cardiomegaly and status post sternotomy with evidence of bypass surgery as before. In the interval, the patient has received a permanent pacer located in left anterior axillary position. Connection exists with two intracavitary electrodes, one of which terminates in a position compatible with the right atrial appendage, the second lead reaches the apical portion of the right ventricle. The patient was unable to elevate her arms for the lateral view, but still well penetrated image allows exclusion of any significant pleural effusion in the posterior pleural sinuses. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema. No acute parenchymal infiltrates can be seen.

<unk>-year-old female patient with complete heart block, status post dual-chamber pacemaker via left cephalic and axillary approach. evaluate lead position.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Mild blunting of the left costophrenic angle may reflect pleural thickening.

persistent cough.

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Mild left lower lung zone atelectasis. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is at the upper limits of normal. Exaggerated kyphosis of the thoracic spine.

<unk> year old woman with cirrhosis w/ rapidly rising cr // evaluation for pna

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar chest examination of <unk>. The heart size is normal. No configurational abnormality is seen. The thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. The skeletal structure is grossly unremarkable.

<unk>-year-old female patient with history of positive ppd, no disease seen in tb clinic screening chest examination.

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Lung volumes are normal. There is no focal consolidation, effusion or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size is normal.

history: <unk>f with ams // ?cpd

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Frontal and lateral views of the chest. Postoperative changes of left lower lobectomy are again noted. Left pleural effusion with fluid tracking just lateral to the posterior mediastinum again seen, similar to ct scan. The lungs are otherwise clear without consolidation or pulmonary vascular congestion. Cardiomediastinal silhouette is stable as are the osseous structures.

<unk>-year-old male with fever.

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This is a the anterior and streaky areas of atelectasis however may be or ventricular caliber vessels study no with crutches branching vessels cross table lv prior wide. There is the appearance of the right

<unk> year old woman with h/o afib, chf, presents with dyspnea found to have pneumonia and evidence of volume overload on admission cxr. // has the pleural effusion improved? has the pleural effusion improved?

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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. Mitral annular calcifications are noted. In the interim since the prior study appears that the patient has had a right-sided orthopedic shoulder surgery.

chest pain, question pneumonia

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Lung volumes are low, however there are no pleural effusions or focal consolidations concerning for pneumonia. A right port-a-cath terminates in the lower svc/cavoatrial junction. Unchanged aortic arch calcifications. Unchanged rightward deviation of the trachea is likely due to an enlarged thyroid. There is diffuse bony sclerosis, with mixed areas of osteolysis, consistent with the known history of metastatic breast cancer.

<unk> year old woman with metastatic breast cancer. new crackles lll, on chemotherapy with known pulmonary toxicity. please assess for infiltrates or acute process.

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The lungs are well-expanded and clear. Cardiomediastinal hilar contours are unchanged. The aorta is mildly tortuous. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>m with sob, post-op hip surgery // pna?

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Right picc ends at the mid svc. No complications including pneumothorax are seen. The cardiac and mediastinal contours are normal, and there is no consolidation, pleural effusion or pulmonary edema is seen.

<unk>-year-old man with lymphoma, here for chemo. evaluate line placement.

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There are low lung volumes which accentuates the cardiac size. Pacemaker with leads and sternal hardware are unchanged. There is no focal consolidation, pleural effusion or pneumothorax.

<unk> year old woman with a-fib, as s/p bioprosthetic avr, pulmonary hypertension, diastolic chf with cough and fever // please assess for pulmonary infiltrate

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There is minor basilar atelectasis without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The mediastinal and hilar contours are unremarkable.

uncontrolled blood sugars, shortness of breath.

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

<unk>f w/asthma exacerbation, please r/o pna.

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Low lung volumes cause bronchovascular crowding. Allowing for this, there is focal increased opacity along the right base with newly indistinct margins of the right hemidiaphragm, which may represent atelectasis or pneumonia, depending upon the clinical setting. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is stable.

<unk>f with infectious work-up, evaluate for pneumonia.

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

left upper quadrant pain.

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Mild cardiomegaly is unchanged with coronary artery stenting again seen. The mediastinal and hilar contours are stable with calcification of the aortic knob again noted. There is mild interstitial pulmonary edema, worse when compared to the prior study. Additionally, more focal patchy opacities are noted within the periphery of the right upper lung field and left mid lung field, which are nonspecific but may represent areas of developing infection. Small bilateral pleural effusions are noted. There is no pneumothorax. There are no acute osseous abnormalities.

recent surgery with cough and fevers.

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The lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. Redemonstrated are chronic degenerative changes within the right ac joint.

chest pain.

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The cardiac, mediastinal and hilar contours are within normal limits. Heart size is top normal. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. Subsegmental atelectasis in the right lung base is present. There is minimal scarring within the lung apices. No acute osseous abnormality is seen.

shortness of breath.

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The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No pulmonary edema is seen. Evidence of dish is seen along the thoracic spine.

history: <unk>m with cough // cough

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There appears to be interval reaccumulation of the left-sided pleural effusion. The right lung appears to be clear. There continues to be elevation of the left hemidiaphragm with a patchy opacity in the left mid and lower lung, which could represent areas of atelectasis. The left upper lung again demonstrates the previously noted mass. The visualized osseous structures are unremarkable. There is no evidence of a pneumothorax.

<unk>-year-old female with a history of pleural effusions who presents for evaluation.

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No focal consolidation or pneumothorax is detected. There may be a tiny right pleural effusion. Heart size is normal. Anterior mediastinal mass likely corresponds to known primary mediastinal large b-cell lymphoma.

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

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

evaluation of patient with near syncope.

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There is some scarring in the right middle lobe which is unchanged in appearance. There is no evidence of pneumonia or pulmonary edema. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax. Sternotomy wires are again seen and unchanged.

persistent cough and wheezing. evaluation for pneumonia.

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The patient is status post cabg with sternotomy wires noted to be well aligned. A biventricular pacemaker is seen with leads located within the right atrium and right ventricle. There is a port-a-cath identified with the tip extending into the mid svc. A moderate sized right-sided pleural effusion is noted, in addition to a small left-sided pleural effusion. There is no focal consolidation, pneumothorax, or pulmonary edema identified. The heart size is at the upper limits of normal. Mediastinal contours are stable.

history of pleural effusion, evaluate for progression.