ChayanM/MIMIC-MultiView-Findings-Query_Optional

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<num> views were obtained of the chest. The lungs are relatively well expanded with linear left basilar atelectasis but no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with tortuous descending thoracic aortic contour.

syncope and cough. assess for pneumonia.

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Single supine ap portable view of the chest was obtained. There is persistent elevation of the left hemidiaphragm and overlying atelectasis. Trace left pleural effusion is difficult to exclude. There is persistent enlargement of the cardiomediastinal silhouette, similar to prior. Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. An enteric tube is seen coursing below the level of the diaphragm, likely terminating in the expected location of the proximal stomach.

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Patient is status post coronary artery bypass graft surgery and placement of a single lead pacemaker whose tip terminates in the right ventricle. Heart is again mild to moderately enlarged. Central pulmonary arteries are probably enlarged and appear increased in size as best depicted on the lateral view. Mild fissural thickening suggests vascular congestion. Regional opacification in the right upper lung has resolved. There is no pleural effusion or pneumothorax.

dyspnea.

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In comparison with study of <unk>, the endotracheal tube and left ij catheter have been removed. There again are areas of increased opacification bilaterally consistent with the clinical diagnosis of multifocal infection. The costophrenic angles are more sharply seen, which could reflect either decreased effusion or be a manifestation of the more erect posture of the patient.

aspiration pneumonia.

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Lung volumes are low. Again noted are diffuse, bilateral, coarse, interstitial opacities overall not significantly changed compared to the prior examination. However, there is increased opacification over lateral left lower lung, possibly parenchymal or related to tracking pleural effusion. Possible trace right pleural effusion. The heart is not well evaluated given the overall parenchymal opacification. Cardiomediastinal hilar silhouettes are grossly unchanged. Multiple bilateral rib deformities are not essentially unchanged.

<unk>f with dyspnea.

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The heart size is normal. The hilar mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.

history of cough, new seizure. please evaluate for infiltrate.

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Single portable view of the chest is compared to previous exam from <unk>. As on prior, prominent pulmonary vascular markings. There is no definite large confluent consolidation. Cardiac silhouette is enlarged but stable. Osseous and soft tissue structures are unremarkable.

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

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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. Vertebroplasty of t<num> vertebral body unchanged since thoracic x-ray dated <unk>.

<unk> year old woman with mgus // cough and increased white count. r/o pneumonia.

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Chest, pa and lateral. The lungs are clear. Moderate cardiomegaly and aortic tortuosity is unchanged. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

dyspnea.

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A double-lumen right ij catheter in the right atrium, unchanged. Chronic changes are again seen including volume loss in the right upper lobe and heterogeneous opacification of the right and left mid lung zone, dating back to <unk>. Calcified hilar lymph nodes are also unchanged. Cardiomediastinal silhouette is stable.

<unk> year old man pod <num> from dialysis access and hernia repair with low grade fever // please assess for effusion, exudate, atelectasis

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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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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size is within normal limits. The thoracic aorta is mildly elongated. No local contour abnormalities are identified. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. Skeletal structures of the thorax are grossly unremarkable. No evidence of pneumothorax in the apical area on the frontal view.

<unk>-year-old female patient with history of multifocal neuroendocrine lung tumors/compare to last chest examination.

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No focal consolidation, pleural effusion, or pneumothorax is detected. Heart and mediastinal contours are within normal limits. No acute fracture is detected on these views, although sensitivity for rib fractures is low on conventional chest radiographs.

<unk>-year-old female status post motor vehicle collision with airbag to chest and left anterior chest wall pain.

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Chronic elevation of the right hemidiaphragm is unchanged. Right middle lobe linear scarring and/or atelectasis is unchanged. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. The cardiac and mediastinal contours are normal. The hilar structures are unchanged. Compression deformities of the lower thoracic spine are again seen.

long-term asthma with <num> weeks of cough and pain and decreased peak flow. evaluate for bronchitis or pneumonia.

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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.

chest pain and syncope. hypertension.

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Sternotomy wires are intact. Prosthetic aortic valve is in unchanged position. There is no consolidation, pneumothorax, or pleural effusion. Cardiomediastinal and hilar silhouette are normal size.

history: <unk>m with seizure disorder w/ persistent seizure aura // eval ? occult infiltrate

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Chest, pa and lateral. The lung volumes are low causing crowding of the pulmonary vasculature at the bases. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman with biliary obstruction. evaluate the chest prior to admission.

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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. Bony structures are unremarkable.

shortness of breath.

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Portable ap upright chest radiograph submitted with conventional and edge enhancement technique. Marked subcutaneous emphysema is seen in the entire imaged area for the base of the neck to the upper abdomen. Soft tissue expansion of the lateral chest from the air laterally. The right hemidiaphragm is separated from the liver by lucency consistent with pneumoperitoneum and pneumomediastinum is evident as well. No definite pneumothorax is visible. The endotracheal tube tip is approximately <num> cm above the carina. All lobes are aerated. Slight elevation of the right hemidiaphragm. Nasogastric tube is seen with the tip and side hole both below the left hemidiaphragm.

<unk>-year-old woman status post ercp complicated by subcutaneous emphysema. the patient intubated. assess endotracheal tube position and question pneumothorax.

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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. The lungs appear clear. Slight degenerative change is noted along the mid thoracic spine.

chest pain.

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Heart is top-normal in size. Mediastinal contours normal. There is no focal lung consolidation. No overt pulmonary edema seen. <num> mm nodular opacity at the right lung base, likely corresponds to nipple shadow.

<unk>m with mild hypoxia, evaluate for pulmonary edema.

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Moderate pulmonary edema is similar compared to prior. Blunting of the lateral costophrenic angles suggests pleural effusions, right greater than left. Cardiac silhouette is top-normal. Dense atherosclerotic calcifications are noted in the thoracic aorta. Ivc filter is partially visualized. Vertebroplasty changes are noted in the upper lumbar spine.

<unk>m with ams // please evaluate for acute abnormality

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Ap and lateral ap and lateral chest radiographs were obtained. Lung volumes are low. Interstitial markings are prominent. There are bibasilar septal lines and thickening of the right minor fissure. The mediastinum is not widened.

shortness of breath.

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Heart size is mildly enlarged. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

cough and fever.

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As compared to the previous radiograph, there is newly occurred blunting of the right costophrenic sinus and of the diaphragmatic contour, suggesting a small right pleural effusion, potentially combined to a small basal atelectasis. Otherwise, the lung parenchyma is unchanged, without evidence of nodules or masses and with the normally appearing cardiac and mediastinal silhouettes.

dropping counts, anemia, evaluation for leukemia.

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Lung volumes are low. Cardiac, mediastinal and hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal atelectasis is noted within the right upper lobe. No acute osseous abnormality is detected.

history: <unk>f with aml status post bone marrow transplant complicated by graft versus host disease, cirrhosis/ hepatorenal syndrome status post <num> renal transplants now with fever, chills

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In comparison with the study of <unk>, the left chest tube has been removed, and there is no evidence of pneumothorax. Other monitoring and support devices remain in place. There are lower lung volumes which accentuate the enlargement of the cardiac silhouette and pulmonary vascular congestion. Focal atelectasis in the periphery of the right upper lobe is again seen, in the region of previous chest tube. Atelectatic changes persist at the bases with probable small pleural effusions bilaterally.

chest tube removal, to assess for pneumothorax.

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There has been interval placement of a right internal jugular central venous catheter with tip at the junction of the svc and right atrium. No pneumothorax is clearly identified. Remainder of the exam is unchanged with persistent layering right pleural effusion, bibasilar atelectasis, and mild pulmonary vascular congestion. Endotracheal and enteric tubes remain in unchanged positions.

history: <unk>m with with right ij placed.

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Persistent cardiomegaly and mild pulmonary vascular congestion. Marked improvement in aeration at the lung bases with residual patchy and linear opacities, worse on the right than the left. Bilateral pleural effusions have decreased in size with only small residual effusions remaining.

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Frontal and lateral chest radiographs demonstrate significant interval increase in a right pneumothorax despite a right pigtail catheter. There is no cardiomediastinal shift. The heart is normal in size. The lungs are clear and there is no pleural effusion.

spontaneous pneumothorax, status post placement of a pigtail.

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Cardiomediastinal contours are unchanged . Ill-defined left perihilar opacity seen in the lateral view likely corresponds to a pneumonia. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

cough, ?lll pna // r.o pna

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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

chest pain. assess for pneumonia.

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Portable ap chest radiograph. Right-sided picc tip is at the cavoatrial junction. Ng tube courses below the diaphragm and terminates outside the field of view. Pulmonary vascular engorgement is slightly worse than on radiograph from three hours prior and the left heart border is less conspicuous. Pleural effusions remain small. The heart size is stable. There is no pneumothorax.

decreased breath sounds. evaluation for pneumonia.

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Lung volumes are low normal heart size, mediastinal and hilar contours. There is a vague opacity projecting over the spine on the lateral view which may be in the left lower lobe. No pleural effusion or pneumothorax

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

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Lungs are well-expanded and grossly clear. No chf, focal infiltrate or consolidation. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are within normal limits . Air-filled stomach is partially visualized within the left upper quadrant. Limited assessment of upper abdomen is otherwise unremarkable.

<unk>f with tachypnea. assess for infection.

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Left-sided chest wall port is again seen. There is a persistent small right pleural effusion. Vague opacity on the lateral view in the retrocardiac region likely corresponds to known underlying mass lesion. It is not seen on the frontal likely due to rotation. The lungs are otherwise clear. Cardiac silhouette is within normal limits. Marked tortuosity of the thoracic aorta is unchanged. Known right hilar adenopathy is not clearly delineated due to rotation on the frontal view

<unk>m with lung cancer, sob // eval for pneumonia

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In comparison with the study of <unk>, there are areas of increased opacification at both bases that could represent aspiration in view of the clinical history. Nasogastric tube coils in the fundus and extends at least to the lower body of the stomach. Central catheter remains in place.

aspiration.

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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

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There is a moderate right apical pneumothorax. There is no significant shift of midline structures. Mild bibasilar atelectasis is again noted, left greater than right. Known right <num>-mm <unk>-<unk> nodule and bilateral calcified granulomas are not well delineated on this study. Cardiac silhouette appears stable. Osseous structures are grossly unremarkable.

evaluation of pneumothorax status post liver rfa.

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The cardiomediastinal and hilar contours are stable and within normal limits. Lung volumes are slightly low however there is no focal consolidation, pleural effusion or pneumothorax. Lucency of the upper lungs is consistent with emphysema and stable from prior exams.

<unk>m with l sided cp of <num>d duration, h/o copd // c/f acute change, pna

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Portable upright view of the chest demonstrates three right-sided chest tubes. Small right pneumothorax is noted, which has decreased in size since prior. There is blunting of the right costophrenic angle, suggestive of pleural effusion. Right upper lung consolidation is new since prior. Left lung is essentially clear. There is no left pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The heart size is normal. There is no pulmonary edema.

patient status post right upper lobe wedge resection and decortication. assess for interval change.

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Single ap upright portable view of the chest was obtained. There is obscuration of the bilateral diaphragms worrisome for pleural effusions with overlying atelectasis, underlying consolidation is not entirely excluded. The patient is status post median sternotomy and cabg. No definite evidence of pneumothorax is seen. There is central pulmonary vascular engorgement. The cardiac silhouette is not optimally assessed due to the bibasilar opacities, although appears mildly enlarged. The mediastinum is not widened. The aortic knob calcification is seen. Chronic deformity at the right shoulder/proximal humerus is again seen.

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Left-sided dual lumen central venous catheter tip terminates in the proximal right atrium. Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unchanged. There are streaky bibasilar airspace opacities most likely reflective of atelectasis. Blunting of the left costophrenic angle likely reflects a trace left pleural effusion. No pneumothorax or pulmonary vascular congestion is identified. No acute osseous abnormalities detected.

hypotension, chronically ill.

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No previous studies for comparison. Heart size is within normal limits. Lungs are grossly clear. There is atelectasis at the lung bases and low lung volumes. No pneumothoraces or signs for overt pulmonary edema are seen.

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is patchy left lower lung opacity obscuring the left hemidiaphragm, probably within the lingula, which is non-specific but most suggestive of minor atelectasis. There is no evidence for pneumomediastinum or pneumothorax. There is no pleural effusion. Bony structures are unremarkable.

chest pain and dysphagia.

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Cardiomediastinal silhouette and hilar contours are normal. Previously appreciated left lower lung consolidation is improved but with persistent small left pleural effusion. There is no pneumothorax. Right lung is clear. A peg tube projects over the left upper quadrant.

hypoxia and improving hypercarbia but with a rising white count and increased sputum production and at high risk for aspiration.

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Pa and lateral views of the chest provided demonstrate minimal plate-like left lower lung atelectasis. There is no focal consolidation, effusion, or signs of pulmonary edema. The heart is within normal limits of size and unchanged. Atherosclerotic calcifications noted along the aortic knob. Bony structures are intact. No free air below the right hemidiaphragm is seen.

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The heart is mild to moderately enlarged with a left ventricular configuration. Unfolding and calcification are noted along the aorta. The interstitium is mildly prominent suggesting mild vascular congestion. Small bilateral pleural effusions are suspected, greater on the left than right. Posterior opacification of the left costophrenic sulcus has a convex appearance which may reflect loculated pleural effusion or potentially parenchymal opacity that could be seen with atelectasis. Pneumonia is difficult to exclude, however.

fever. question pneumonia.

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As compared to the previous radiograph, the dobbhoff catheter has been advanced. The tip of the catheter is now located in the middle parts of the stomach. There is no evidence of complications, notably no pneumothorax. Otherwise, unchanged radiograph.

status post dobbhoff, evaluation for tube position.

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Single frontal image of the chest demonstrates low lung volumes likely due to poor inspiration. The lungs are clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.

<unk>-year-old male with fever and concern for pneumonia.

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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.

history: <unk>m with vomiting, hypoxia // pna? chf?

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A single lead left a icd is unchanged in position. Moderate cardiomegaly is unchanged. Bilateral increased interstitial markings is more prominent since <unk> consistent with mild-to-moderate edema. The left hemidiaphragm borders are less evident on today's exam with blunting of the left costophrenic angle. Bilateral pleural effusions are small. There is lower lobe atelectasis.

<unk>f with chf p/w orthopnea, doe // eval for edema

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The heart is mildly enlarged and there is pulmonary vascular redistribution. With ill-defined vascularity. There is increased retrocardiac opacity. The prior study demonstrated increased lung markings compatible with chronic lung disease. The current finding suggest acute on top of chronic disease. In particular, the retrocardiac region has increased opacity with ill definition of the left hemidiaphragm

<unk> y/o <unk> male with dm ii, htn, hld, copd, schizoaffective disorder, bipolar type, and alcohol use admitted with disorganized behavior and agitation now resolved with course complicated by falls and gait instability, acute component likely related to severe cervical disease, with coughing during mealtimes, c/f aspiration. // please assess for any evidence of aspiration.

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The osseous structures and upper abdomen are unremarkable.

<unk>f with sle c/b nephritis who presents with palpitations, anemia, doe, evaluate for interval change.

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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>f with stabbing chest pain worse with inspiration // pulm cause for insp chest pain

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Bilateral hyperinflated lungs with flattening of diaphragms and increased retrosternal clear space consistent with known copd. Focal opacity in the lingular lobe consistent with pneumonia with possible increased opacity of the left lower lobe suggestive of pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk> year old woman with c/o nagging, productive cough x <num> days. smoker with history of copd // r/o pna

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

<unk>f with malaise. cough. right gait deviation

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The lung volumes are low. The heart has a left ventricular configuration. The mediastinal and hilar contours are unremarkable within the limitations of technique. There is no pleural effusion or pneumothorax. The lungs appear clear.

dysphagia.

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Pa and lateral views of the chest were provided demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. The bony structures are intact. No free air below the right hemidiaphragm.

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As compared to the previous radiograph, the lung volumes have minimally decreased. As a consequence, the atelectasis at both lung bases have also increased. However, no additional parenchymal opacity, potentially suspicious for pneumonia, is seen. Mild vascular enlargement, likely reflecting mild fluid overload. The left chest tube has been removed. The other monitoring and support devices are in constant position.

st. p. cabg.

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As compared to the previous radiograph, there are new bilateral parenchymal opacities at the lung bases. Although the symmetry of the opacities would be in favor of atelectasis, the clinical presentation weights the differential diagnosis towards pneumonia. In addition, there is a newly appeared blunting of the left costophrenic sinus, reflecting the presence of a small left pleural effusion. At the time of observation and dictation, <time> p.m., on the <unk>, the referring physician, <unk>. <unk> was paged for notification.

cough, evaluation for pneumonia.

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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. Tracheostomy cannula in place as before. No pneumothorax identified. Previously described right lower hemithorax abnormalities at that time suspected for possible pneumothorax cannot be confirmed. Identified is now clearly a plate-like density representing an atelectasis probably in the right middle lobe. No new parenchymal abnormalities are present. Left base with some densities in retrocardiac position as before. No new abnormalities are seen. An external facemask is overlying the upper apical area of the right hemithorax.

<unk>-year-old male patient with elevated white blood count.

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

cough and fever.

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Heart size is mildly enlarged, unchanged with coronary artery stents again noted. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. There is minimal patchy opacity within the right lung base, likely due to atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. Multiple clips are again noted within the left anterior chest and right upper quadrant of the abdomen.

history: <unk>f with new desaturations

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Single portable view of the chest. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires noting a broken top wire, and mediastinal clips are again noted. No acute osseous abnormality detected.

<unk>-year-old male with fatigue. question pneumonia.

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There is a right lower lung opacity. There is no pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

<unk>-year-old man with hypoxia. evaluate for pneumonia.

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Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. There is mild tortuosity of the descending aorta unchanged from prior. There is no focal consolidation, pleural effusion or pneumothorax.

chest pain. evaluate for aortic pathology.

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Blunting of the posterior costophrenic angle suggests small effusions, as on prior. Chain sutures seen over the right mid lung. Linear opacity in the retrocardiac region is likely atelectasis. Superiorly, the lungs are clear. Moderate cardiac enlargement is unchanged. Atherosclerotic calcifications seen in the thoracic aorta as well as degenerative changes in the spine. No displaced fracture seen on this nondedicated exam.

<unk>f with s/p fall, anterior superior cw bruising, weakness // fracture or bleed?

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There are low inspiratory volumes, similar prior. A tracheostomy is in place. A left-sided picc line tip overlies the mid/ distal svc. No pneumothorax is detected. The cardiomediastinal silhouette is similar to the prior film, likely accentuated due to low lung volumes. There is upper zone redistribution and hazy opacity in the right mid and cardiophrenic zones could represent atelectasis. There is minimal subsegmental atelectasis at the left base. No definite effusion. Slight elevation of the right hemidiaphragm with respect to left.

<unk> year old man with increased purulent secretions, low grade temp // pneumonia?

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There is interval increase in the left lower lobe infiltrate, which given history is worrisome for pneumonia. . There is a tiny left pleural effusion. Heart size is upper limits of normal.

<unk> year old woman w/ rising leukocytosis // ? pna

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Minimal right mid lung linear atelectasis/ scarring is again seen. No focal consolidation, large pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The aorta is calcified and tortuous. Right paratracheal opacity adjacent to the anterior right first rib likely corresponds to vascular structure as seen on ct from <unk>. Degenerative changes are seen along the spine. No displaced fracture is seen.

history: <unk>f s/p mechanical fall on left side // eval for rib fracture

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Lung volumes are low. There is a band of atelectasis in the right lower lung. No consolidation concerning for pneumonia. No large effusion or pneumothorax. The heart is top-normal in size. Mediastinal contour is normal. Bony structures are intact.

<unk>-year-old female with crackles in the left lower lobe. evaluate for pneumonia.

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<unk> tube has been removed. New ng tube is in adequate position. Et tube ends <num> cm above carina. Bilateral moderate pleural effusion with bibasilar atelectasis is unchanged. Mild cardiomegaly is also stable with left-sided pectoral atrioventricular pacemaker.

ng placement.

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Two views of the chest demonstrate small residual left apical pneumothorax, with interval resolution of bilateral pleural effusions. The lungs are otherwise clear and the cardiac and mediastinal structures are stable.

followup for pneumothorax.

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A right picc line can be traced to the level of the low svc. Lung volumes are low. A small left pleural effusion has slightly increased. Stable left basilar retrocardiac airspace opacification is most likely due to atelectasis. The upper lung fields are clear. There is no pneumothorax. The heart mediastinum cannot be accurately assessed on this projection.

<unk> year old man with altered mental status and s/p pna treatment now with worsening mental status and tachypnea // evaluate for infiltrate or pulm edema

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The lungs are clear of opacities concerning for infection. Subtle left lower lobe opacities likely represent areas of atelectasis, which date back to <unk>. There is no pleural effusion or pneumothorax. Cardiac size is normal. No frank pulmonary edema. An old left sided rib fracture is reidentified, but no acute fractures are present. Degenerative changes of the left shoulder including subchondral cyst formation date back to <unk>.

confusion and chest contusion.

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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is top normal. There is tortuosity of the aorta.

cough and possible tia.

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Cardiac silhouette is enlarged and has increased slightly in size since the prior radiograph. Aorta is tortuous. Increased opacity overlying the lower thoracic spine on the lateral view, and is difficult to localize on the frontal radiograph, but may involve both lower lobes as both hemidiaphragms appear slightly obscured posteriorly. Probable small bilateral pleural effusions are also demonstrated, with slight blunting of the posterior costophrenic angles. Bones are diffusely demineralized. Mild compression deformities in mid thoracic spine, unchanged since ct of <unk>.

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Lungs are hypoinflated, likely accentuating the size of the cardiac silhouette. Allowing for changes due to this, the cardiomediastinal silhouette is stable. The thoracic aorta is mildly tortuous. Surgical clips overlie the expected location of the thyroid. The hila are within normal limits. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax. There is no right pleural effusion. There is a small left pleural effusion. There is apparent dislocation of the left glenohumeral joint. Degenerative changes noted at the right shoulder. Right-sided rib fractures are noted involving right upper ribs. Right lower rib and left anterior second and third rib fractures are also noted. These are apparently new from the prior study from <unk>. The upper rib fractures are not clearly delineated on shoulder films from <unk>.

<unk>f with weakness, evaluate for pneumonia.

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Pa and lateral views of the chest demonstrate minimal left basilar atelectasis. There is no pulmonary edema, pleural effusion, pneumothorax or focal consolidation. The cardiomediastinal silhouette is unremarkable.

<unk>-year-old female with dizziness. evaluation for pneumonia.

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I doubt significant interval change. Lines and tubes are similar. There is upper zone redistribution without overt chf and bibasilar atelectasis. No frank consolidation or effusion identified. No pneumothorax detected. Possible mild cardiomegaly. Cardiomediastinal silhouette is probably similar allowing for differences in positioning. Lumbar spine fixation hardware again noted.

<unk> year old woman s/p pea arrest, intubated // please evaluate for interval change

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Lung volumes are low. Central pulmonary vascular congestion has increased, now moderate. No large pleural effusion, pneumothorax, or lobar consolidation. Moderate cardiomegaly is unchanged.

history: <unk>m with ronchi on lung exam // eval for pna

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Single ap upright portable view of the chest was obtained. Dual-lead right-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle, unchanged. Patient is status post median sternotomy. There is mild left base atelectasis. Slight blunting of the left costophrenic angle likely relates to overlying soft tissue, although lateral view would be helpful for confirmation. No focal consolidation or pleural effusion. Cardiac and mediastinal silhouettes are stable.

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Pa and lateral views of the chest provided. Tracheostomy tube projects over the superior mediastinum. There is a left chest wall port-a-cath with catheter tip extending into the lower svc region. Overlying ekg leads are present. The lungs are clear though volumes are somewhat low. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Bony structures are intact. No signs of free air below the right hemidiaphragm.

<unk>f with tracheobrochomalacia chronic trach, <num> day of pain near trach, thickened green secretions, doe

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Compared to the prior film, the left heart border is less well defined and the degree of left base opacity may be slightly more pronounced. Otherwise, i doubt significant interval change. No chf. Aside from platelike atelectasis, the right lung and right costophrenic sulcus are clear. Sternotomy wires and mediastinal/ left lung clips noted.

<unk> year old man s/p cabg and pericardial window // eval for ptx s/p ct removal

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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 w/chest pain, please eval for ptx, pna // <unk>m w/chest pain, please eval for ptx, pna

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Pa and lateral views of the chest provided. Dual-lead pacer is seen with lead tips extending into the region of the right atrium and right ventricle. The lungs appear clear without pneumothorax or effusion. Heart and mediastinal contours appear unremarkable with atherosclerotic calcification faintly noted at the aortic knob. No displaced rib fractures are seen.

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The lungs are grossly clear without focal consolidation, effusion or vascular congestion. Cardiac silhouette is mildly enlarged similar to prior. No acute osseous abnormalities.

<unk>f with etoh cirrhosis, presenting s/p fall two days ago with significant ecchymoses, head strike, withdrawal symptoms. // rule out infiltrate, pna

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

<unk>m with chest pain // eval for acute process

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Mild enlargement of the cardiac silhouette is not substantially changed in the interval. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

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

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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema or pneumothorax. No focal opacity is identified within the lungs.

seizures. evaluation for pneumonia.

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As compared to the previous radiograph, the extent and severity of the pre-existing parenchymal opacities after cabg is unchanged. No new opacities. No evidence of pneumothorax. No larger pleural effusions. Unchanged size of the cardiac silhouette. Unchanged alignment of the sternal wires. Unchanged position of the right internal jugular vein catheter.

status post cabg, evaluation.

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Ap and <num> lateral chest radiographs were obtained. Lung volumes are low. Moderate cardiomegaly is unchanged. There is no new consolidation, effusion or pneumothorax.

chest pain.

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There are low lung volumes. The cardiac and mediastinal silhouettes are stable. Patchy opacity is seen at the right lung base which may be due to pneumonia with possible atelectasis. Left basilar opacity is most likely due to atelectasis. Slight blunting of the right costophrenic angle suggests a trace pleural effusion and. No pneumothorax is seen. There has been interval removal of a right-sided picc.

history: <unk>m with congestion, wheezing // eval for pna

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The heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours otherwise are within normal limits. The pulmonary vascularity is normal. The lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. There is mild biapical scarring. Multilevel degenerative changes are seen in the thoracic spine with bridging anterior osteophytes.

advanced <unk> disease with <num> day history of visual hallucinations.

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Endotracheal tube terminates <num> cm from the carina. Enteric tube terminates in the left upper quadrant. Heart size is normal. Left lower lobe collapse and left pleural effusion are noted the lungs are otherwise clear.

<unk> year old woman with s/p cardiac arrest. evaluate interval change

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The lung volumes are low and there is bibasilar atelectasis. Otherwise, the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

history: <unk>m with cp/sob // r/o pna

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The heart size is normal. The hilar and mediastinal contours are normal. Atherosclerotic calcification of the aorta is noted. Linear opacity in the left mid lung field likely reflects an area of scarring or subsegmental atelectasis. Remainder of the lungs are clear without evidence of focal consolidations concerning for pneumonia. Lungs are hyperinflated. There is no pleural effusion or pneumothorax. There is a old healed rib fracture involving the left posterior <num>th rib.

history of upper abdominal pain. please evaluate.

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When compared to prior radiograph obtained <num> hr prior, there is been interval retraction of the endotracheal tube currently in approximately <num> cm above the level of the carina in appropriate position. A right central line terminates at the mid svc. An enteric tube appears to terminate within the stomach. This can be advanced <unk>-<num>cm for more appropriate positioning. Cardiomediastinal and hilar contours are unchanged in appearance. Bilateral obscuration of the costophrenic angle suggests bilateral pleural effusions.

<unk>m with ett adjusted

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Midline sternotomy wires, mediastinal clips and left chest wall pacer device are again noted with dual leads extending to the region of the right atrium and right ventricle. Top normal heart size again noted with interval improvement of mild pulmonary edema. Although there is mild bibasilar atelectasis, there is a persistent opacification of the left lower lobe. Small bilateral pleural effusions are evident on the lateral projection. There is no evidence of pneumothorax. Mediastinal contour is stable. Atherosclerotic calcifications along the thoracic aortic arch are noted. The visualized osseous structures are unremarkable. There is no evidence of pneumothorax.

history of dyspnea on exertion. please assess for amiodarone effect.