ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Heterogeneous airspace opacity of the right lower lobe is consistent with pneumonia.the remainder of the lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal contour is normal.

history: <unk>f with cough and fevers // ? pneumonia

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Left subclavian line terminates in the upper svc. Et tube terminates <num> cm above the carina. Esophageal temperature probe terminates slightly below the carina. Ng tube extends into the stomach. Normal cardiac size. Diffuse, fluffy infiltrates suggestive of alveolar edema may represent ards or severe pulmonary infection. Lucency within the right minor fissure and beneath the right lung in addition to branching linear lucencies throughout the right lung are suggestive of interstitial emphysema secondary to barotrauma or pcp.

<unk>-year-old man with a history of aids who was transferred from an outside hospital for ards and bacteremia.

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The lungs are mildly hypoinflated. Right lung is clear. New small left pleural effusion. No focal opacity. Top normal heart size. Mediastinal contour and hila are otherwise unremarkable. Limited assessment of upper abdomen is unremarkable.

<unk>f with fever, immunosuppression. assess for infectious source.

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Lung volumes are low. Heart size is moderately enlarged but unchanged. Mediastinal and hilar contours are within normal limits. Apart from minimal atelectasis in the lung bases, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There clips in the right upper quadrant of the abdomen compatible prior cholecystectomy.

nausea, vomiting, cough, congestion.

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Ng tube tip is at the gastroesophageal junction. This needs to be advanced. The et tube and right-sided picc line are unchanged. There is pulmonary vascular redistribution and ill definition of the vasculature with moderate pleural effusions left greater than right and dense retrocardiac opacity.

new ng tube.

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Heart is normal size and cardiomediastinal silhouette is stable. Lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old woman with shortness of breath, evaluate for pneumonia.

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The heart is normal in size. The aortic arch is partly calcified. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Several mild-to-moderate compression deformities are noted along the thoracic spine, probably chronic, although new since the prior radiographs.

productive cough and wheezing.

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Pa and lateral views of the chest provided. Previously noted picc line is been removed. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcifications again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with worsening hyperglycemia and <unk>, otherwise asx

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Frontal and lateral views of the chest demonstrate normal lung volumes. Unusual tubulated shape of the upper mediastinum and azygos enlargement are unchanged since <unk>. The diminutive inferior vena caval contour on the lateral view is an indication that the mediastinal appearance is due to venous anomalies such as hepatic interruption of the inferior vena cava, of no clinical significance. However there is also a lateral bulge in the margin of the descending thoracic aorta, that is larger today. That could also be unimportant, such as dilated accessory hemiazygos vein or even hiatus hernia. I discussed the lesser possibility of aortic pathology with dr <unk>, <unk> the appropriate use of cta in the workup of this patient's chest pain at <num>am. No pleural effusion, focal consolidation or pneumothorax. Heart size is normal. No pulmonary edema.

chest pain.

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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is chronically top normal size. The mediastinal and hilar contours are within normal limits. The trachea is midline. Healed rib fractures are redemonstrated.

cough and wheezing, here to evaluate for pneumonia.

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An endotracheal tube ends approximately <num> cm from the carina. An og tube ends in the stomach. A retrocardiac opacity is likely the known hiatal hernia. Lung volumes are low, accentuating the bronchovascular structures. There is no definite edema. A small left pleural effusion and left basilar atelectasis is unchanged. There is no pneumothorax. Mild enlargement of the cardiomediastinal silhouette is stable.

gi bleed. intubated with new og placement.

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In comparison with the earlier film of this date, the dobbhoff tube has been pushed slightly forward with the tip in the region of the gastric antrum.

dobbhoff placement.

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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.

fever.

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Lung volumes are low. Heart size is mildly enlarged, but similar compared to the previous examination. The aorta is tortuous and calcified at the aortic arch. Pulmonary vasculature is not engorged. <num> mm nodular opacity is again noted projecting over the right lung base, unchanged. Atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. There are moderate multilevel degenerative changes in the thoracic spine.

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

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Ap upright and lateral views of the chest were obtained. Lung volumes are low though lungs appear clear. No signs of pneumonia or chf. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.

history: <unk>f with cough and fever // r/o pneumonia

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Previously visualized right basilar opacity has increased and is most likely representative of an infectious process. Left basal atelectatic changes are again noted. Otherwise, bilateral interstitial markings are again noted, suggesting mild pulmonary edema. There is no pneumothorax. The mediastinal contours appear stable when the patient is post cabg. No acute fractures are identified.

increased shortness of breath.

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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. Small hiatal hernia is unchanged from prior. There is calcification of the aortic arch.

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

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No significant change compared to the prior chest radiograph. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette, hila, and pleura are normal.

<unk>-year-old woman with cough, fever, and wheezing x <num> days. multiple other problems, ie dm, cardiac. evaluate for pneumonia.

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Pa and lateral views of the chest provided. Again seen is left pleural effusion, slightly more since prior study from <unk>. There is no pleural effusion on the right. Otherwise, little change compared to prior study. Left-sided infusion port terminates in distal svc. Surgical sutures in the right upper lobe again seen.

<unk> year old woman with metastatic breast cancer and malignant pleural effusion, evaluate for interval change.

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Pa and lateral views of the chest. The lungs are clear of consolidation or effusion. Incidental note is made of an azygos lobe and fissure. The cardiomediastinal silhouette is normal. Osseous structures demonstrate no acute abnormality.

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

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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 chest is hyperinflated. The lateral view shows a new opacity projecting over the lingula, faintly seen on the pa view. There are similar moderate mid thoracic spinal degenerative changes.

fever and leukocytosis.

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As compared to the previous radiograph, there is no relevant change. Extensive left pleural effusion, occupying approximately two-thirds of the left hemithorax, with displacement of the mediastinal and cardiac structures towards the right. On the right, there is unchanged evidence of a small pleural effusion and an otherwise normal lung parenchyma.

large left-sided lung mass, evaluation.

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The lung volumes are low which causes crowding of the bronchovascular structures. Otherwise, the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac size is top normal. There is no free air beneath the right hemidiaphragm.

history: <unk>f with chest pain, shortness of breath // r/o chf, pneumonia

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Cardiomediastinal contours are normal. Lungs and pleural surfaces are clear. No acute, displaced rib fracture is evident on this portable chest radiograph

<unk> year old man with fever to <unk> s/p fall and back pain // pna? rib fractures?

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Dual lead left-sided pacemaker is similar in position. Patient is status post median sternotomy. There are bilateral pleural effusions, right greater than left, with overlying atelectasis. Moderate pulmonary vascular congestion is seen. Cardiac silhouette is difficult to accurately assess due to bibasilar opacities. The aorta is calcified. Bones are diffusely osteopenic.

history: <unk>f with chest pain, vomiting*** warning *** multiple patients with same last name! // evaluate for acs

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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. A ventriculoperitoneal shunt is partially visualized coursing over the right hemithorax.

chest pain, dyspnea, history of pneumothorax, evaluate for pneumothorax.

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Mild enlargement of the cardiac silhouette is present. The aorta is slightly tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.

history: <unk>m with cough and hemoptysis

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Cardiomediastinal contours are largely unchanged. There is no pleural effusion or pneumothorax. There are no parenchymal consolidations.

<unk> year old woman with pleuritic back pain // r/o mass

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There is dense consolidation in the right middle lobe and likely the lower lobe as well. There is faint opacity at the left lung base is well, potentially atelectasis, infection is not excluded. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with worsening shortness of breath and fever // infectious process

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

hypertension. question effusion.

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As compared to the previous radiograph, there is increasing opacity at the left lung bases, suggesting pneumonia. The changes are constant in appearance and shows several air bronchograms. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician <unk>. <unk> was paged for notification. The pre-existing opacity at the right lung base has completely resolved. The areas of apical thickening, combined to bilateral apical fibrosis, are constant in appearance. Constant appearance of the cardiac silhouette. No pneumothorax. No pleural effusions.

paralysis, evaluation for interval change.

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The heart size is normal. The hilar and mediastinal contours are unremarkable. The ng tube is seen in appropriate position, in the distal stomach, well below the diaphragm. Again also seen is the <num>-cm left lower lobe pulmonary nodule which is better evaluated on the prior ct. No other focal opacities are identified in the lung. The visualized osseous structures are unremarkable.

<unk>-year-old female who presents for evaluation of ng tube repositioning.

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Frontal and lateral chest radiographs demonstrate a left chest wall pacer device with leads overlying the right atrium and ventricle. The cardiomediastinal silhouette is normal. There is increased opacity in the inferior right upper lobe, concerning for pneumonia. No pleural effusion or pneumothorax is identified. The visualized upper abdomen is unremarkable.

increasing leukocytosis, in a patient presenting with pulmonary embolism status post cardioversion complicated by vf arrest and status post pacemaker placement.

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

<unk>f w/chest pain, please eval for ptx, other pathology //

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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. No rib fractures are identified. Minimal degenerative changes are seen in the thoracic spine.

history: <unk>f with history of rib fracture // assess healing

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Unchanged cardiomegaly. As before, there are midline sternotomy wires and several mediastinal clips. The patient is status post aortic valve replacement. Lungs are clear. No pleural effusion. Again seen is prominent extrapleural fat at the right midlung laterally, underlying chronic right lateral rib fractures. There is exaggerated thoracic kyphosis with mild wedging of multiple mid thoracic vertebral bodies. Chronic mid right clavicular fracture is also noted.

<unk>m w/sob, please eval for pna // <unk>m w/sob, please eval for pna

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There is a <num> cm rounded opacity in the right mid to upper hemithorax, best seen on the pa view. This may represent a pulmonary nodule. There is no focal consolidation in the lungs. The cardiomediastinal and hilar contours are normal. No pneumothorax or pleural effusion.

weight loss, abdominal pain, shortness of breath. history of asbestosis.

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Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. There is mild bronchovascular crowding at the right lower lung base. The heart size is in the upper limit of normal. Mediastinal contours are normal. There are mild degenerative changes in the thoracic spine.

lymphoma s/p chemo with diminished lung sounds. r/o pna or other acute process.

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Ap upright 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 unwittness fall with head trauma, neck pain, and confusion

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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Right-sided hemodialysis central catheter is seen, slightly retracted when compared to prior with distal tip within the right atrium but slightly more proximal when compared to prior. Right upper extremity vascular stent is partially visualized. Osseous and soft tissue structures are otherwise unremarkable.

<unk>-year-old male with hemodialysis line, unsecured. evaluate for line placement.

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As compared to the previous radiograph, the patient carries a temporary pacer. No evidence of pneumothorax. Mild cardiomegaly without pulmonary edema. No pleural effusions. No pneumonia.

arrhythmia, external pacer.

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Single ap upright portable view of the chest was obtained. The patient is status post median sternotomy. There are low lung volumes. Blunting of the right costophrenic angle may be due to a trace effusion. Subtle bilateral patchy opacities may relate to infection versus mild volume overload. Cardiac and mediastinal silhouettes are stable. No pneumothorax.

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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The mediastinum is prominent due to unfolding of the thoracic aorta. The cardiac and hilar contours are within normal limits. No acute osseous abnormality is detected.

history: <unk>f with chest pain // eval for pna

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As compared to the previous radiograph, there is again evidence of mild-to-moderate bilateral pleural effusions, better seen on the lateral than on the frontal radiograph. The lung parenchyma appears normal, without evidence of acute lung disease such as pneumonia or pulmonary edema. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. The hilar and mediastinal structures are unremarkable.

questionable pneumonia.

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Enteric tube courses below the left hemidiaphragm likely into the stomach with the tip beyond the field of view.

<unk> year old man with mi, dm, htn, hld, seizure disorder here with imi and cardiogenic shock please eval replacement of ogt. // ogt placement

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Lung volumes are low, exaggerating heart size and pulmonary vascular markings. No focal consolidation, pleural effusion, or pneumothorax is detected. There is mild bronchial cuffing.

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

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New dobbhoff feeding tube is coiled entirely within the hypopharynx. An ng tube is in unchanged position below the diaphragm. Ett and right picc line are unchanged in satisfactory position. Otherwise, no significant change from prior exam.

status post ng tube placement.

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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure bilateral pleural effusions, more prominent on the right, with basilar atelectasis. No evidence of pneumothorax.

<unk> year old man with effusion s/p pleurx placement // effusion f/u

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Ap upright portable chest radiograph obtained. Lung volumes are low. Fusion hardware is noted in the lower cervical spine. The heart is mildly enlarged. The mediastinal contour appears somewhat prominent, though borders appear sharp. No large effusion or pneumothorax seen. Retrocardiac space is poorly assessed. Bony structures are intact.

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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.

<unk>m with cough, leg swelling // ?pulm edema

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Single portable view of the chest is compared to previous exam from <unk>. Enteric tube is seen with tip off the inferior field of view. Left picc is seen; however, tip is not clearly delineated. Persistent bibasilar effusions and a right pigtail catheter projecting over the lower chest. There is possible right apical pneumothorax. Superiorly, the lungs are clear of consolidation. Cardiac silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

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

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No definite rib fractures are noted.

evaluation of patient status post fall with left chest pain.

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Frontal and lateral views of the chest. The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities identified.

<unk>-year-old female with chest pain and shortness of breath since this morning.

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Tracheostomy tube is unchanged and in standard position. Left picc line ends in the left axillary vein. The exam is otherwise comparable to prior chest x-ray. Lungs are moderately inflated, but clear. There is no consolidation. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.

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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

pleuritic chest pain.

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The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion, pneumothorax, or pneumoperitoneum. A left axillary vascular metallic stent is new since the prior exam. Osseous structures are unremarkable.

hematemesis with history of gastroparesis. evaluate for air.

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Thoracic cage is grossly intact without obvious fracture.

left upper back pain.

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In comparison with study of <unk>, there are continued low lung volumes with possible increased size of the cardiac silhouette. Indistinctness of engorged pulmonary vessels is consistent with elevated pulmonary venous pressure. Poor definition of the right hemidiaphragm with opacification above it could reflect developing consolidation. There is also blunting of the costophrenic angle on this side, consistent with pleural fluid. Ill-defined area of increased opacification in the left upper zone could represent merely congestion, though again in the appropriate clinical situation, superimposed pneumonia would have to be considered.

decompensated cirrhosis.

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The lungs are hyperinflated with evidence of copd. Multiple focal airspace opacities throughout both lungs with predominance in the bilateral bases are compatible with known pulmonary metastases seen on the prior ct of <unk>. Opacification at the left lower lobe may correspond to a known pulmonary nodule; however, focal consolidation or pneumonia cannot be excluded. No significant pleural effusion or pneumothorax is detected. The cardiomediastinal silhouette is within normal limits and unchanged. There is calcification at the aortic knob. A right port-a-cath is unchanged in position with the tip terminating in the proximal right atrium. The trachea is midline. There is no free air beneath the right hemidiaphragm. Focal airspace opacity in the left lower lobe may represent one of the patient's multiple known pulmonary metastases. No definite consolidation concerning for pneumonia is detected, however, difficult to exclude in this setting.

abdominal pain and bloating, here to evaluate for acute cardiopulmonary process.

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Compared to the prior study, the cardiomediastinal silhouette is probably unchanged, but remains enlarged. On the current exam, there is slightly increased cephalization of vessels and probably slight increase in the degree of opacity at the right lung base. No gross effusion. The azygos vein remains enlarged.

<unk> year old woman with severe pre-eclampsia, now on magensium for seizure prophylaxis, with new bilateral fine crackles on physical exam // pulmonary edema

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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky opacity projecting over the left mid lung suggests minor scarring or atelectasis. Otherwise, the lungs remain clear.

chest pain and shortness of breath.

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The heart is top-normal in size, accentuated on the expiratory view. Otherwise, the lungs are clear. There is no evidence of pneumothorax or pleural effusion. Hilar surfaces are unremarkable.

<unk> year old man with fall from <unk> ft last night found to have b/l small pneumo on imaging

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The lungs are hyperinflated. There is no pneumothorax. Bilateral effusions are small. Retrocardiac opacity correlates with postoperative changes seen on concurrent cta chest. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

history: <unk>m with history of pancreatic ca and <num> day of left sided chest pain // eval for chf/pneumonia

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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. No displaced fracture is seen.

history of chest pain. please evaluate for acute process.

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Single portable view of the chest. Left picc is again seen. On the current exam, the tip is not definitively identified, but is thought to be in the region of the cavoatrial junction. Appearance of the lungs has not changed. Persistent right basilar opacity is seen with blunting of the right lateral costophrenic angle with linear adjacent opacities, suggesting effusion and underlying atelectasis, noting infection cannot be excluded, similar to prior. The left lung is grossly clear. The cardiomediastinal silhouette is unchanged. Multiple median sternotomy wires are again seen.

<unk>-year-old male with picc line in place.

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Cardiomediastinal contours are stable. Left apical scarring and subpleural scarring in the left upper lobe are better seen on prior ct, otherwise the lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old woman with cough, fever // eval for infiltrate

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Comparison is made to prior study from <unk>. Heart size is enlarged but stable. There is mild prominence of pulmonary interstitial markings without signs for overt pulmonary edema. There is mild improved aeration since the prior study. There are no focal consolidation or pleural effusions.

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

back pain and cough. evaluate for pneumonia.

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There are diffuse bilateral dense alveolar opacities. Evaluation of the lung bases is limited by overlying soft tissue and low lung volumes. Heart size appears enlarged, possibly in part exaggerated by ap technique and low lung volumes. Compared to prior exam, the mediastinum appears widened. No pneumothorax is detected on this view. Small bilateral pleural effusions may be present although evaluation is difficult due to overlying soft tissue.

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

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As compared to previous radiograph, the patient has been extubated and the nasogastric tube has been removed. Left chest tube has also been removed. Borderline size of the cardiac silhouette. No pneumothorax. No pulmonary edema. No pneumonia.

status post cabg and removal of chest tube, question of pneumothorax.

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Pa and lateral views of the chest provided. There has overall been no significant interval change. Persistent mild bibasilar opacities likely reflect atelectasis. Cardiomediastinal silhouette is stable. No large effusions or pneumothorax. Imaged bony structures appear intact. Biliary stent noted in the right upper quadrant.

<unk>f with fever s/p chemo // r/o acute infectious process

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The cardiomediastinal silhouettes are stable, within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

<unk>-year-old woman with 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. The pulmonary vasculature is within normal limits.

weakness and fatigue, rule out pneumonia.

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Right chest wall power injectable port-a-cath is present, the tip extending into the right atrium. Low bilateral lung volumes. Nodularity again is noted to project over both hemithoraces in keeping with the patient's known metastatic disease. No pleural effusion or pneumothorax identified. The size and appearance of the cardiomediastinal silhouette is unchanged. Orthopedic spinal hardware projects over the cervical and upper thoracic spines.

<unk> year old woman with multiple myeloma with worsening sob. // please evaluate for acute process and interval change.

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As compared to the previous radiograph, the signs indicative of fluid overload have decreased. There is minimal atelectasis at the right lung bases and in the retrocardiac lung area. Borderline size of the cardiac silhouette. No pneumonia, no overt pulmonary edema. No larger pleural effusions. No pneumothorax. The monitoring and support devices are constant.

evaluation for pulmonary edema.

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Patient is status post median sternotomy. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. No pulmonary edema seen.

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

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Right lower lobe opacification has resolved. The lungs are clear. No pleural effusion or pneumothorax. Normal heart, mediastinum and hila. The persistent hyperinflation of the lungs suggests emphysema.

recent right lower lobe pneumonia, check for resolution.

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Ap single view of the chest has been obtained with patient in supine position. Comparison is made with the next preceding portable chest examination of <unk>. During the latest examination interval, the patient has been extubated. No pneumothorax is seen. The previously described moderate degree of cardiomegaly persists. An ng tube has been placed, seen to curl up in the lower third of the esophagus and does not reach below the diaphragm. This finding suggests there exists a sizable hiatal hernia in which the ng tube is placed. Telephone call was placed to sicu b at #<unk> at <time> p.m.

<unk>-year-old female patient with new ng tube placement, confirm intragastric tip position.

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Localizing history was not provided. There is a mildly displaced fracture at the posteriolateral aspect of the right eighth rib. No additional rib fractures are clearly identified. No fracture seen on the left. There is slightly increased opacity at the left lung base on the frontal view, likely representative of atelectasis. The cardiac and mediastinal silhouettes appear within normal limits. There no focal pulmonary opacities, pleural effusions, or pneumothorax.

chest pain chest wall pain after fall. evaluate for fracture.

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There is obscuration of the left heart border. With increased opacity projecting over the heart on the lateral view. This most compatible with a lingular infiltrate. There is also small area of opacity in the right lower lobe medially skin <unk> are seen around the left neck the upper lobes are clear

<unk> year old woman pod#<unk> s/p left neck dissection with persistent o<num> requirement. // r/o acute cardiopulmonary process causing persistent post op hypoxia.

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Normal heart size, mediastinal and hilar contours. Prominent reticular interstitial markings are unchanged from <unk> and likely reflect mild fibrosis/ emphysema as seen on prior ct. No focal consolidation, pleural effusion or pneumothorax. Bony structures are intact

<unk>m with hiv, cad, and anxiety w/ chest pain and abdominal pain

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The lung volumes are low. The heart is mildly enlarged. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Fullness of each hilum and indistinctness of pulmonary vasculature in conjunction with mild interstitial prominence is most often seen with mild pulmonary edema.

cough and rib pain on the right side.

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Even allowing for the projection, the heart is mildly enlarged. There is prominence of the bilateral hila and pulmonary vasculature with haziness of the upper lobe vasculature. The findings are consistent with congestive heart failure. Bibasal opacities may reflect layering pleural effusions. Infection cannot be excluded. Left lower lobe atelectasis.

<unk> year old woman with acute dyspnea and desaturation // ?infiltrate, edema, effusion

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Patient is status post cabg, with intact median sternotomy wires.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is top-normal.

history: <unk>m with infectious work-up // eval pna

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Et tube ends <num> cm above the carina. Left jugular line is in lower svc. Ng tube is below the diaphragm. There is no pneumothorax. Subcutaneous air is mild and unchanged. Bilateral lung opacities have slightly improved with bibasilar atelectasis and small pleural effusions. Loculation adjacent to the left rib fracture, measuring <num> cm in thickness could represent a loculated pneumothorax or extrapleural hematoma. This is unchanged since <unk>.

patient with left pneumothorax and pneumonia, evaluation for worsening process.

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Dual lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle, unchanged. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.

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As compared to the previous radiograph, the external pacemaker has been removed and replaced by a permanent pacemaker. The course of the pacemaker leads are normal. Moderate cardiomegaly. No pleural effusion. No pulmonary edema. No pneumothorax.

pacemaker placement, evaluation.

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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced rib fractures identified.

<unk>-year-old male with subarachnoid hemorrhage at outside hospital with pain in the right ribs after fall. question pneumothorax.

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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.

history: <unk>f with fevers and productive cough // r/o pneumonia

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Ap portable upright chest radiograph provided. Scattered airspace opacities are seen, right greater than left, concerning for multifocal pneumonia. Component of underlying edema not excluded. No large effusion or pneumothorax. Heart and mediastinal contours appear normal. Bony structures are intact. Clips in the right upper quadrant noted.

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Mild to moderate cardiomegaly is unchanged since <unk>. Lung volumes are slightly low. No focal consolidation, pleural effusion, or pneumothorax. The film is underpenetrated, likely due to body habitus.

<unk>f with morbid obesity, diabetes w <num> wk ruq pain also w/ l lateral chest / back pain. evaluate for left-sided consolidation.

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As compared to the previous radiograph, the right picc line is in unchanged position. The tip of the line projects over the mid-to-low svc. Along the line, there is no evidence of kinking or other changes. The lung volumes have increased, reflecting improved ventilation. No pleural effusions. No parenchymal opacities.

right picc line evaluation.

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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

<unk>f with intermittent chest pain associated with shortness of breath. // evaluate for pulmonary edema, any consolidation.

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.

<unk>f with shortness of breaht, evaluate for pna

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Frontal and lateral views of the chest were obtained. There is bibasilar atelectasis, linear plate-like atelectasis at the lung bases, left greater than right. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No new focal consolidation or pleural effusion. No pneumothorax.

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Right subclavian catheter ends in the lower svc. Ng tube ends in the distal stomach. Improved aeration at the right apex suggests partial, minimal re-expansion of the right lung after bronchoscopy. Continued rightward mediastinal shift.

<unk>-year-old man status post bronchoscopy with removal of large mucous plug. evaluate ng tube placement.

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Portable chest radiograph demonstrates endotracheal tube with tip at the level of the clavicles, approximately <num> cm above the level of the carina. Nasogastric tube is seen with tip in stomach and sideport at or slightly beyond the level of the ge junction. Could be advanced several centimeters to move sideport beyond ge junction. Heart, mediastinal and hilar contours are unremarkable. Bibasilar opacifications likely reflect atelectasis, though cannot exclude infectious process. Left costophrenic angle blunting may represent a trace pleural effusion vs atelectasis.

status post intubation for subarachnoid hemorrhage. please evaluate for tube placement.

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A portable frontal chest radiograph demonstrates a nasogastric tube with the tip in the stomach. The cardiomediastinal silhouette is normal. The lungs are clear and there is no pleural effusion or pneumothorax. The tracheostomy tube is unchanged in position.

brain injury, status post dobbhoff tube placement. evaluate position.

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Right chest wall port is seen with catheter tip at the ra svc junction. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes seen the spine as well as anterior cervical fixation hardware which is partially visualized surgical clips are noted in the upper abdomen.

<unk>m with fever on chemo / eval for infiltrate