ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.

chest pain and epigastric pain for <num> day. evaluate for pneumonia

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There is a small fan-like opacity seen in the peripheral right middle lobe most likely representing a bronchopneumonic infiltrate. The remainder of the lungs are well inflated and clear bilaterally. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable.

<unk>-year-old male with recent pulmonary embolism, complains of hemoptysis.

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The lungs are well expanded. Persistent opacity of the right heart border is most likely accounted for by known internal mammary necrotic lymph nodes and appears slightly larger. Left lower lobe parenchymal opacity is unchanged. There is no new pulmonary opacity. Thickening of the left paratracheal stripe with narrowing and rightward deviation of the trachea is unchanged. Left hilar lymphadenopathy appears grossly stable. There is no pleural effusion or pneumothorax. Heart size is normal.

<unk> year old woman with cough and recent chest x-ray <unk> with haziness around the right heart border, known metastatic breast cancer. evaluate for worsening or resolution of rt heart border haziness

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The heart remains mildly enlarged. Severe mitral annular calcifications are again seen. The aorta is calcified and mildly tortuous. Mild to moderate pulmonary edema is markedly improved compared to the prior exam. Small bilateral pleural effusions persist. No pneumothorax is identified. There are no acute osseous abnormalities.

shortness of breath.

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Lung volumes are extremely low with moderate to severe cardiomegaly, unchanged from prior. Again seen is a large hiatal hernia. No definite focal consolidation. There is no pneumothorax or pleural effusion.

<unk>f with dyspnea

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Comparison is made to previous study from <unk>. There is a feeding tube whose distal tip is in the fundus of the stomach. There is unchanged cardiomegaly. There are bilateral pleural effusions, right greater than left. The right-sided effusion is decreased or this may be due to patient positioning. There are no signs for overt pulmonary edema or pneumothoraces. There is slight scoliosis of the lumbar spine.

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There are low lung volumes, with resultant bronchovascular crowding. Note is made of a large hiatal hernia. Left basilar opacity likely reflects a combination of pleural effusion and consolidation. There is a heterogeneous opacity at the right base. No pneumothorax. Elliptical opacity with a sharp medial margin projects over the right midlung at the level of the seventh posterior interspace, probably pleural loculation or focal pleural thickening.

history: <unk>m with sepsis // stat

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Ap upright and lateral views of the chest provided. Airspace consolidation is noted in the left upper lobe anterior segment concerning for pneumonia. Aside from this the lungs appear clear. No effusion or pneumothorax is seen. The heart is mildly enlarged. The mediastinal contour is grossly unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with nausea, vomiting, rhales, rhonchi, ?? acute intrathoracic process.

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In comparison with the study of <unk>, there is no evidence of acute pneumonia or vascular congestion. Some blunting of the right costophrenic angle persists. Again there is a substantial hiatal hernia in this patient with core aortic valve and dual-channel pacer device.

worsening cough, to assess for pneumonia.

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Pa and lateral views of the chest provided. Mild cardiomegaly is noted. There is no hilar congestion or convincing signs of edema. Prominent breast tissue may in part account for subtle opacity projecting over the mid to lower lungs. No signs of pneumonia. No pleural effusion or pneumothorax. The mediastinal contour stable. Bony structures are intact.

<unk>f with chest pain // please eval for cardiopulmonary process

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Frontal and lateral chest radiographs demonstrate low lung volumes. The lungs are clear without pleural or pericardial effusion. The cardiac silhouette is accentuated by low lung volumes and the pa technique. The mediastinal contours are normal. Buckling of the trachea might be due to goiter or an esophageal diverticulum.

<unk>-year-old female with palpitations.

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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present. Mild degenerative changes are noted within the imaged spine.

chest pain.

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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are intact.

<unk>-year-old male with shortness of breath and cough, evaluate for infectious process.

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Lung volumes are low. There is no lobar consolidation, pneumothorax, or pulmonary edema. Bibasilar atelectasis is noted, right greater than left. Blunting of the bilateral costophrenic angles is noted, which may reflect focal atelectasis versus trace pleural fluid. The cardiomediastinal silhouette is unremarkable in appearance.

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

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Frontal and lateral views of the chest were obtained. There is mild left base atelectasis. Retrocardiac density with subtle suggestion of air-fluid level on the lateral view, most likely represents a hiatal hernia, correlate with history of hiatal hernia. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged.

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An et tube is present. The tip is not well delineated but is probably similar in position, approximately <num> cm above the carina. An ng tube is present, tip beneath diaphragm, off film. A left subclavian central line is present, tip over svc/ra junction or possibly upper right atrium. Bibasilar opacities and smallright-greater-than-left bilateral effusions with vascular plethora are similar to the prior study. As before, while this may reflect pulmonary edema, the differential could include a pneumonic infiltrate.

<unk> year old woman with pna // evidence of worsening pna, effusion

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Compared with the prior chest radiograph, previous right basilar opacity has improved. Moderate cardiomegaly and substantial enlargement of the aortic arch (related to known dissection) is stable since at least <unk>. No new focal consolidation, pleural effusions, or pneumothorax. Median sternotomy wires are intact.

<unk>m with chest pain and a feeling of tiredness, history of aortic dissection s/p repair. evaluate for consolidation.

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Pa and lateral view of the chest shows reduced lung volume with increased opacity at the right lung base, likely right lower lobe, compatible with aspiration. The lung is otherwise clear. Cardiac size is mildly enlarged since <unk>. There is no pleural effusion or pneumothorax.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and somewhat hypoinflated lungs. There is mildly increased opacity in the left lung base, without definite correlating consolidation on lateral view. This may be atelectasis, but pneumonia cannot be excluded. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for infiltrate in a patient with cough.

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There is a tiny left pleural effusion. No focal consolidation concerning for pneumonia. Cardiomediastinal silhouette is normal. No edema. Imaged bony structures are intact.

<unk>f with pna for <num> weeks evaluate for interval change.

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Lungs are well-expanded. There is a <num> x <num> cm a mass in the right mid lung, which has increased over the interval. The heart appears enlarged, stable. No pneumothorax or pleural effusion.

history: <unk>f with sepsis, ams //

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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

left upper quadrant pain.

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Frontal views of the chest. Extensive subcutaneous emphysema extends from the supraclavicular soft tissues into the neck. Large pneumomediastinum likely reflects tracheal injury in the setting of recent tracheal dilatation. No large mediastinal hematoma. Left-sided pneumothorax is small-to-moderate. No substantial pleural effusion or focal lung consolidation. Heart size is normal.

subglottic stenosis status post dilatation.

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Opacification in the right lower lung persists, although perhaps minimally improved, suggesting chronic aspiration. The left lung is clear. The heart is top-normal in size. No pleural effusion or pulmonary edema. The descending aorta is tortuous or slightly ectatic, similar to the prior exam.

<unk> year old man with parkinsons disease with recurrent aspiration, recent hcap, and leukocytosis. // please evaluate for infection or aspiration

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In comparison with study of <unk>, there is again enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia. Atelectatic or fibrotic scar is seen in the left mid zone laterally. No acute focal pneumonia.

dry cough and unintended weight loss.

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Cardiac silhouette is mildly enlarged and central pulmonary arteries remain prominent, in keeping with the history of sickle cell disease. Chronic linear scarring is present at the lung bases, and new subtle areas of reticulation are identified in the periphery of the upper-to-mid lung regions bilaterally. Additionally, on the lateral radiograph, there is apparent lower lobe bronchial wall thickening as well as subtle increased opacity overlying the lower thoracic spine. There is also suggestion of small bilateral pleural effusions with slight blunting of the posterior costophrenic angles bilaterally, new from the prior study. Skeletal structures appear unchanged.

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In comparison with the study of <unk>, the degree of pulmonary vascular congestion has substantially improved, though there is still evidence of elevated pulmonary venous pressure. Atelectatic changes are seen at the bases, especially on the left. An area of apparent scarring is again seen in the left mid zone laterally, is essentially unchanged from the ct scan of <unk>.

volume overload.

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Endotracheal tube terminates approximately <num> cm above the level of the carina. Enteric tube courses below the level the diaphragm, inferior aspect not included on the image, but side port likely at the level of the proximal stomach. The cardiac silhouette is enlarged. The aorta is unfolded. Streaky left base retrocardiac opacity may be due to atelectasis but consolidation due to infection or aspiration is not excluded. No large pleural effusion is seen. No evidence of pneumothorax.

history: <unk>f with ams, stroke, intubated // eval for tube placement

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An ng tube extends below the diaphragm with the tip out of view to the inferior edge of the image. Stable top-normal heart size, mediastinal and hilar contours. Unchanged left lower lobe opacity with small left pleural effusion. No pneumothorax.

small bowel obstruction. confirm ng tube placement.

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A tracheostomy tube remains in place. There are unchanged scattered foci of linear atelectasis with otherwise clear lungs. No new consolidation or pleural effusion is present. There is no pneumothorax. The heart and mediastinum are within normal limits despite the projection.

<unk> year old man with anoxic brain injury, low grade fever, wbc <unk> // new pneumonia?

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The lungs appear clear. There is no pleural effusion or pneumothorax. Heart is normal in size with normal cardiomediastinal silhouette.

cough and green sputum, assess for pneumonia.

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Prior median sternotomy changes are evident. Sternal sutures are intact. Right lower lung opacity from loculated pleural effusion has significantly improved following placement of pleural pigtail catheter positioned at the right lung base. Small right pleural effusion persists. Left lung is clear. Cardiomediastinal silhouette is within normal limits.

<unk>-year-old man with multiple sclerosis, pneumonia few weeks ago. found to have loculated pleural effusion. status post thoracocentesis and tube placement, to evaluate for pneumothorax.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. There is no radiographic evidence for large free intraperitoneal air.

<unk>-year-old female with upper abdominal pain.

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Pa and lateral chest radiographs were provided. A right chest tube is in place. There is no appreciable pneumothorax. Small right pleural effusion persists. Peripheral opacity in the right upper lung zone with central lucency corresponds to parenchymal opacities with cystic lesion, better delineated on the recent chest ct. The cardiomediastinal silhouette is normal. Bones are intact.

<unk>-year-old woman with right pneumothorax and right upper lobe nodules. interval check with chest tube on waterseal.

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Compared to the prior study, the et tubes/ catheters at the left lung base are similar in appearance and there is continued diffuse opacity through the left lung. The left chest tube is slightly less curved on this examination. Opacity at the left base, consistent with left lower lobe collapse and/or consolidation and probable component of left pleural effusion is also unchanged. Triangular opacity in the right mid zone laterally is essentially unchanged, as well. Left subclavian picc line, with tip over distal svc, again noted. No pneumothorax detected.

<unk> year old man with dyspnea // evidence of effusion, pna

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Pa and lateral views of chest were obtained. A left arm picc line is again seen with tip residing in the region of the superior vena cava. Improved aeration in the lungs is noted compared with prior exam, though there is persistent small right pleural effusion and areas of subsegmental atelectasis. A retrocardiac density could represent left lower lobe consolidation, though this is not clearly assessed on the lateral view. Mediastinal contour is stable. No pneumothorax.

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There is a moderate new widespread but heterogeneous interstitial abnormality, which is worrisome for pulmonary edema superimposed on a background of normal lung tissue, noting a previous chest ct that showed substantial emphysema. Perhaps less likely consideration would be atypical pneumonia, which could be considered clinically. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours appear unchanged.

hypoxia.

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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. The patient has received a right picc line. The course of the line is unremarkable, the tip of the line projects over the mid svc. Moderate cardiomegaly and tortuosity of the thoracic aorta but no evidence of pulmonary edema. No larger pleural effusions. No pneumonia.

assessment for interval change. evaluation for pulmonary edema.

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In comparison with chest radiograph from <unk>, bilateral pleural effusions are again seen, with minimal improvement on the right. Left pleural effusion is unchanged and appears loculated. Moderate central vascular congestion with mild interstitial pulmonary edema is unchanged. Left-sided cardiac pacing device with dual leads following their expected courses to the right atrium and right ventricle, respectively. Median sternotomy wires, mediastinal clips and a prosthetic mitral valve is seen. Mediastinal and hilar contours are stable. Moderate cardiomegaly is unchanged.

<unk>m with chronic heart failure p/w worsening sob likely acute exacerbaton

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The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No evidence of pulmonary kaposi's sarcoma.

new diagnosis of the kaposi sarcoma, baseline chest x-ray.

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As compared to the previous radiograph, there is no relevant change. The most basal parts of the lung parenchyma are not included in the image. Unchanged monitoring and support devices. Unchanged moderate cardiomegaly but no evidence of pulmonary edema. Basal areas of atelectasis are unchanged in extent.

status post repair of aortic dissection.

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The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion or pneumothorax.

productive cough.

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The cardiac, mediastinal and hilar contours are normal. Right coronary artery stent is re- demonstrated. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion, focal consolidation or pneumothorax is present. Mild dextroscoliosis is again demonstrated.

cough, fatigue and fever.

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized including no displaced rib fractures.

left posterior thorax pain after mechanical fall.

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The heart is moderately enlarged, however decreased compared to prior radiograph from <unk>. The mediastinal silhouette is unremarkable. Mild pulmonary vascular congestion has resolved. There is no focal consolidation. There is no pneumothorax or pleural effusion.

<unk> year old man with hypoxia on room air. evaluate for congestive heart failure.

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Ap portable upright view of the chest. Single lead pacemaker is again noted which appears in unchanged position though the distal extent is not clearly visualized. The heart remains moderately enlarged. There is no focal consolidation, large effusion or pneumothorax. No pulmonary edema. Mediastinal contour is stable. Bony structures are intact.

<unk>f with tachycardia // acute process? chf?

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. No overt pulmonary edema is seen.

history: <unk>m with dizziness // evaluate for cardiomegaly, pulmonary congestion

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In comparison with study of <unk>, there is little overall change. Again there are substantial multifocal opacifications most confluent at the lung bases consistent with either atypical infection or, less likely, asymmetric pulmonary edema or hemorrhage.

respiratory distress.

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Pa and lateral views of the chest are provided. No focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal and stable. Bony structures are intact. No free air below the right hemidiaphragm.

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Frontal and lateral view of the chest and a lateral view of the neck were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. The airways are patent. Osseous structures are unremarkable without significant degenerative change or alignment abnormality. No prevertebral soft tissue swelling is noted. No radiopaque foreign body is seen.

<unk>-year-old female with possible chicken bone in esophagus. pain in lower neck. evaluate for foreign body.

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Comparison is made to previous study from <unk>. No pneumothoraces are seen on either side. There is a right-sided chest tube with distal lead tip in the right apex, stable. There is a right-sided ij line with distal lead tip in the distal svc, stable. There is some increased opacity at the lung bases suggestive of atelectasis versus developing infiltrate. These are more apparent than on the prior study. There are no signs for overt pulmonary edema. Heart size is within normal limits.

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The cardiomediastinal and hilar contours are within normal limits. The aorta is minimally unfolded. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no subdiaphragmatic free air seen this ap view.

history: <unk>f with acute epigastric pain, black stool // evaluate for abdominal free air, acute process

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In comparison with the study of <unk>, the endotracheal and nasogastric tubes have been removed. There are somewhat lower lung volumes. Little definite change in the appearance of the bilateral pleural effusions with bibasilar atelectasis. The degree of pulmonary vascular congestion has improved.

post-surgical.

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Heart size and cardiomediastinal contours are normal. The inferior most aspects of the costophrenic angles are excluded from this film, but there is no focal consolidation, pleural effusion, or pneumothorax.

history: <unk>f with shortness of breath in diabetic ketoacidosis

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Lung volumes are low, without focal consolidation. The cardiomediastinal silhouette is unchanged. There is no pneumothorax. Prior right posterior rib fractures with deformity are again seen. There are small bilateral effusions and bibasilar atelectasis. Severe degenerative changes of the right acromioclavicular and glenohumeral joint again seen. Bilateral high riding humeral heads likely reflect chronic rotator cuff disease.

<unk>-year-old female with altered mental status, evaluate for pneumonia.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No displaced fractures are identified.

history: <unk>m with chest pain after motor vehicle collision

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Compared to the previous radiograph, the endotracheal tube has been removed and the patient has received a tracheostomy tube. The picc line on the left is constant in appearance. The pre-existing bilateral parenchymal opacities have slightly decreased in extent and severity. Moderate cardiomegaly persists. No larger pleural effusions.

cirrhosis, evaluation for pulmonary infection.

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

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

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Moderate right-sided pleural effusion with adjacent atelectasis has not significantly changed for differences in technique. The left lung remains clear. The cardiac silhouette is not enlarged. No pneumothorax.

<unk> year old man with alc hep/ cirrhosis // sob/ decreased tactile fremitus

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The lung volumes remain low. Moderate cardiomegaly. No overt pulmonary edema. No evidence of pneumonia. No larger pleural effusions.

status post laminectomy, rule out infectious process.

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The cardiomediastinal and hilar contours are stable. There has been interval removal of a left-sided picc line. There has been improvement in the right pleural effusion, but a small right pleural effusion still remains with mild associated atelectasis. There is no left pleural effusion. There is no pneumothorax. There is no focal consolidation concerning for pneumonia.

elevated white cell count, status post multiple laparotomies in the last month.

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Left-sided dual lumen aicd device is noted with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy and cabg. Coronary artery stenting is also noted. Heart size is normal. The mediastinal and hilar contours are unchanged with a right hilar mass again noted. Continued moderate size right pleural effusion is not changed in the interval. There is patchy right basilar opacity likely reflective of atelectasis. Left lung is grossly clear. Trace left pleural effusion is likely present. There are no acute osseous abnormalities.

history: <unk>m with shortness of breath

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As compared to the previous radiograph, the monitoring and support devices are constant. Unchanged appearance of the lung parenchyma, unchanged appearance of the cardiac silhouette. On today's examination, the patient is rotated, with subsequent asymmetry in appearance of the rib cage.

intubation, sepsis, evaluation for tubes and lines.

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No consolidation. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. The heart size is normal. Air is seen in the esophagus. The hiatal hernia is small.

<unk> year old man with truncal hyperesthesias // eval pulmonary process

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Frontal and lateral radiographs of the chest demonstrate low lung volumes which enhance the transverse diameter of the heart. There has been interval decrease in the amount of right-sided pleural effusion, however a small right-sided pleural effusion remains. There is persistent fluid in the right major fissure. There is a probable small left-sided pleural effusion with some adjacent atelectasis. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or focal consolidation.

<unk>-year-old male with right pleural effusion status post thoracentesis. evaluate for pneumothorax.

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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. There is mild linear atelectasis at the right base. The cardiac silhouette and mediastinal contours are normal. Pulmonary vasculature is normal, there is no edema. A dobbhoff tube is in place with its tip within the third portion of the duodenum.

<unk>-year-old female with shortness of breath, question fluid overload.

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The lungs are moderately well inflated. Obscuration of left hemidiaphragm is due to epipericardial fat. No pleural effusion. No pneumothorax. Heart is mildly enlarged. The main pulmonary artery is mildly dilated. Mediastinal contour and hila are otherwise unremarkable.

<unk>f with sob. assess for consolidation

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Single portable view of the chest is compared to previous exam from <unk>. The lungs remain clear of confluent opacity. Costophrenic angles are sharp. Cardiomediastinal and hilar contours are stable. Degenerative changes are again seen at the right glenohumeral joint. Osseous and soft tissue structures are otherwise unremarkable.

<unk>-year-old female with dyspnea. history of pe, question pneumonia.

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Frontal lateral views of the chest were performed. There is apparent obscuration of the right heart border, however, without a consolidation seen on the lateral view, likely positional. There is no pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The hilar structures are unremarkable. The imaged upper abdomen appears normal.

shortness of breath and cough, evaluate for pneumonia. the patient also has a history of asthma.

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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 study of <unk>. The previously persisting postoperative pleural densities have markedly improved, the diaphragm now in almost normal position with a small blunting density obscuring the lateral right pleural sinus, but not extending significantly in the posterior area. Mild degree of pleural space thickening (less than <num> mm) remains along the right lateral chest wall and extends in the apical area. A vertically oriented density exists in the apical area of the right upper lobe and most likely represents scar formations after the apical blebectomy. No residual pneumothorax can be identified. Heart size is normal, and mediastinal structures are unremarkable. Left-sided hemithorax appears quite normal.

<unk>-year-old male patient, status post right-sided vats pleurodesis. evaluate for interval change and remaining pneumothorax.

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The repositioned right swan-<unk> catheter tip lies within the mediastinal contours in the region of the right main pulmonary artery. Severe cardiomegaly persists, unchanged from at least <unk>. Mild pulmonary edema is similar to <unk> but new since <unk>. No definite pleural effusion. No pneumothorax. Calcifications of the aortic knob are unchanged.

<unk> year old woman with chf, swan-ganz // eval edema

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Ap and portable view of the chest. There is new diffuse hazy opacities in lungs bilaterally and also increase in fullness of the hila bilaterally, which may represent new pulmonary vascular congestion. No pleural effusions. No pneumothorax. A small retrocardiac opacity appears to be slightly increased in size, may represent atelectasis or pneumonia. A left-sided icd is in appropriate position.

chf, afib, icd, new stroke, increased white blood cell count, evaluate for pneumonia.

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Distal aspect of the right sided picc is difficult to see but likely terminates in the low svc/ cavoatrial junction. Patient is status post median sternotomy and cabg.there are small to moderate bilateral pleural effusions with overlying atelectasis. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with ftt // eval for acute process

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As compared to the previous radiograph, there is an area of increasing opacity at the bases of the right upper lobe. The atelectasis at the right lung bases is unchanged. Also unchanged is a relatively extensive retrocardiac atelectasis. No other changes. The rib lesions are better appreciated on the cta chest from <unk>.

multiple rib fractures, assessment for interval change.

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

<unk>f with high blood sugars, searching for infectious stressors

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Since <unk> chest radiograph, there has been interval increase of the right sided pleural effusion. Persistent obscuration of the right heart border seen in <unk> chest radiograph suggests right middle lobe and right lower lobe collapse. Stable mild cardiomegaly with pulmonary vascular congestion without overt pulmonary edema.

<unk> year old man with anasarca <unk> chf exacerbation // reevaluate previously seen r pleural effusion

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There is a dual-lead pacemaker/icd device terminating in the right atrium and ventricle. The heart is mild to moderately enlarged. The mediastinal and hilar contours appear unchanged. There is a mild-to-moderate coarse interstitial abnormality which is very similar and suggests a baseline finding, perhaps due to chronic vascular congestion or airway inflammation, but without definite evidence for a superimposed process. There is a vague patchy opacity in the left costophrenic sulcus suggestive of minor atelectasis. There is no definite pleural effusion or pneumothorax.

weakness. question infectious process.

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Heart size is borderline enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Waxing and waning opacification is noted within the right upper lobe in a region of previous scarring, currently appearing worse in the interval. Left lung is clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is demonstrated.

history: <unk>f with chest / back pain on the right

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A right-sided mediport courses into the right atrium. The lung volumes are low. There is bibasilar atelectasis. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Heart is top-normal in size but unchanged. The mediastinal and hilar structures are unremarkable. Air distended loops of colon are partially imaged.

esophageal cancer with a right-sided chest port now with weakness and hypotension. evaluate for pneumonia.

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In comparison with the study of <unk>, there is hazy opacification at both bases that appears to be increasing, consistent with layering pleural effusion and compressive atelectasis. The possibility of supervening pneumonia would be difficult to exclude in the appropriate clinical setting.

t-spine fusion, to evaluate lungs.

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There are few rounded opacities projecting over the right mid to lower lung, which could be sites of infection, but underlying pulmonary lesions are not excluded. These are not seen on scout image from ct abdomen pelvis from <unk>. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is a mildly displaced fracture of the posterior lateral left seventh rib which may be acute. A fracture of the lateral left eighth rib demonstrates callus formation and is subacute to old, but new since chest radiograph from <unk>. The partially imaged left humeral head is high riding, suggesting rotator cuff disease. There is left glenohumeral and acromioclavicular joint degenerative change.

history: <unk>f with syncope, lightheadedness // infiltrate?

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Pa and lateral views of the chest were provided. Lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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The et tube and right ij line are unchanged. There has been interval decrease in the left pleural effusion which is still moderate; however, aerated lung cannot be seen in the left upper lung. There continues to be dense retrocardiac opacity and areas of alveolar infiltrate in the left mid lung and right lower lung. There is pulmonary vascular redistribution compatible with fluid overload. The heart size is moderately enlarged.

pleural effusion.

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There is no focal consolidation, pleural effusion or pneumothorax identified. The size cardiac silhouette is enlarged but unchanged.

<unk> year old woman with h/o cad, chf, htn, dm, carotid stenosis. // is there any intra-thoracic pathology/pulmonary congestion or concerning signs pre-op surg: <unk> (right carotid stent)

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The cardiomediastinal and hilar contours are normal, with a mildly tortuous thoracic aorta. The lungs are hyperexpanded. No consolidation, pulmonary edema, pleural effusion, or pneumothorax is detected.

<unk>-year-old male with weakness, to rule out pneumonia.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. Mediastinal contours are unremarkable.

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Frontal and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Healing right-sided rib fractures with secondary vague opacity projecting over the right mid lung laterally is seen. No acute osseous abnormality is detected.

<unk>-year-old female with end-stage renal disease on hemodialysis with chest pain and pleuritic chest pain.

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable. No overt pulmonary edema is seen.

history shortness of breath today.

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Comparison is made to previous study from <unk>. There is cardiomegaly which appears stable. There is tortuosity of thoracic aorta. There is some prominence of the pulmonary markings, particularly the lung bases, without definite consolidation. Findings are suggestive of mild pulmonary edema. No pneumothoraces are seen.

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On the current radiograph, the endotracheal tube is no longer seen. The right internal jugular vein catheter has been removed. There is a decrease in lung volumes and an increase in areas of atelectasis at the lung bases. In addition, mild pulmonary edema is likely to be present. Size of the cardiac silhouette continues to be enlarged, there is no evidence of pleural effusions or pneumonia.

recent intubation, fever and chills.

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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.

chest pain. evaluate for widened mediastinum.

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The nj tube appears to have coiled within the stomach and still seems to be abutting the pylorus. The remainder of the monitoring and support devices are unchanged. There has been no significant change since the prior radiograph.

<unk>-year-old woman with nj tube. evaluate for nj tube placement.

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

<unk>-year-old male with decreasing hematocrit and leukocytosis.

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In comparison with the study of <unk>, there has been improvement in the pulmonary vascular congestion. Enlargement of the cardiac silhouette persists. No focal consolidation.

mi.

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A portable semi-upright chest radiograph shows a left-sided subclavian central venous catheter with the tip at the level of the distal svc. Right-sided cordis tip is at the level of the mid svc and the tip of the endotracheal tube has been pulled back and is now approximately <num> cm above the carina. Chest tubes and nasogastric tube are in unchanged position. Densely obscured left hemidiaphragm persists and associated mediastinal shift leftward suggests this is related to volume loss from atelectasis rather than pneumonia. Central pulmonary vasculature appears more full than seen on prior a study from <num> hours earlier, but no interstitial edema is suggested.

status post liver transplant. rule out pulmonary edema or pneumonia.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Mild degenerative changes are seen along the spine, partially imaged

history: <unk>m with cough, dyspnea when lying flat // eval for pna or chf exacerbation

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The lungs are clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal.

<unk> year old woman with a week severe cough, sweats, left pleuritic chest pain, son recovering from pneumonia. non-smoker. exam shows clear lungs but pt c/o pain in left side mid back with deep inspiration. lmp <num> weeks ago, on time. // r/o pneumonia

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The lungs are clear of consolidation, effusion, or edema. Subtle increase reticular opacities seen in the lungs, unchanged dating back to the ct chest from <unk>. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with unsteadiness, confusion // evaluate for pneumonia

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Pa and lateral views of the chest. The lungs are clear, previously seen right upper lobe pneumonia has resolved. The cardiomediastinal silhouette is normal as are the osseous and soft tissue structures.

<unk>-year-old female with fever.

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Interval removal of right chest tube. Right pneumothorax has mildly improved at the right lung base. Right pleural fluid is stable. Tracheostomy. Right picc line. Stable small left pleural effusion. Postoperative changes. Stable right perihilar opacity. Normal heart size, pulmonary vascularity.

<unk> year old woman with removal of chest tube // please perform exam at <unk>, assess for ptx after d/c of chest tube