ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Comparison is made to prior study from <unk>. The swan-ganz catheter has been removed. The endotracheal tube has also been removed. There is cardiomegaly. There remains a right basilar chest tube. There are no pneumothoraces. There is atelectasis at the lung bases and a left retrocardiac opacity. Small bilateral pleural effusions are present.

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Endotracheal tube tip terminates <num> cm from the carina. Enteric tube tip is within the stomach. Mild to moderate enlargement of the cardiac silhouette is noted. Mediastinal and hilar contours are grossly unremarkable. There is mild pulmonary vascular congestion without focal consolidation. No large pleural effusion or pneumothorax is detected on this supine exam. There are no acute osseous abnormalities.

history: <unk>f with endotracheal tube placement

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As compared to the previous radiograph, the patient has received a dual-chamber pacemaker. The generator is located in the left pectoral position, the course of leads is unremarkable. One of the leads is located in the right atrium, the other lead is located in the right ventricle. The leads are intact. There is no evidence of complication, notably no pneumothorax. A preexisting calcification in the soft tissues of the right subclavian region is unchanged. Extensive pleural calcifications are also unchanged. A preexisting opacity in the right upper lobe has resolved in the interval. There is minimal pulmonary edema and moderate cardiomegaly. Marked tortuosity of the thoracic aorta.

status post dual-chamber pacemaker, confirm lead position.

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Frontal and lateral views of the chest were obtained. The heart is of top normal size, although exaggerated by low lung volumes. The thoracic aorta is slightly unfolded. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body. No displaced fracture seen.

<unk>-year-old male with fall. evaluate for acute intrathoracic process.

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Prior right-sided lobectomy is responsible for pleural scarring at the base of the right hemithorax and elevation of right hemidiaphragm. Left lung and pleural space are normal. Normal cardiomediastinal and hilar silhouettes. No evidence of intrathoracic infection, recurrent or new malignancy.

<unk> year old man with hemoptysis and sob // nodule, pna

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Pa and lateral views of the chest. Better lung volumes compared to most recent study. Moderate cardiomegaly is stable. Unchanged mild pulmonary vascular congestion, no pulmonary edema. The mediastinal and hilar contours and pleural surfaces are normal. Mild linear atelectasis in the left mid lung.

chf exacerbation, right foot cellulitis, on antibiotics, new fever and cough; question of pneumonia.

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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. Substantial degenerative changes are seen involving the right ac joint with possible partial subluxation.

chest heaviness and pressure.

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Comparison is made to prior study from <unk>. There has been improvement of the pleural effusion at the right base since the previous study. The heart size is enlarged but stable. There are no pneumothoraces or focal consolidation. There is some atelectasis at the lung bases. Calcified cystic structure in the right upper abdomen is unchanged and better assessed on the prior ct scan.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The cardiac silhouette remains top-normal in size. No pulmonary edema is seen.

history: <unk>m with cp // eval for cardiomegaly

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No previous images. The heart is normal in size and the lungs are clear without vascular congestion or pleural effusion. Minimal atelectatic changes are seen at the left base. Large central catheter extends to about the level of the cavoatrial junction.

possible pneumonia.

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In comparison with study of <unk>, the patient has taken a much better inspiration. There are small bilateral pleural effusions with continued enlargement of the cardiac silhouette. No evidence of pulmonary vascular congestion. Atelectatic changes are seen at the left base.

cabg, to assess for effusions.

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Pa and lateral views of the chest are compared to previous exam of the ribs from <unk>. The lungs are clear focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Left chest wall port is seen with catheter tip at the cavoatrial junction. There is no displaced rib fracture identified. Degenerative changes are noted at the right acromioclavicular joint.

<unk>-year-old female with cancer with left foot pain with fall and swelling. question fracture.

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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures.

history: <unk>f with left lateral rib pain s/p fall with trauma // evaluate for rib fractures

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is an opacity seen in the right lower lobe concerning for pneumonia. No pleural effusion or pneumothorax is seen.

<unk>f with fever and cough // rule out pna

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A frontal semi-upright view of the chest was obtained portably. A right internal jugular catheter ends in the mid svc. Mediastinal and pleural drains are unchanged. Compared to the most recent prior study, opacity in the right upper lobe has increased. Moderate pulmonary edema is also worse. Bibasilar opacities have improved. There is no large pleural effusion. Tiny biapical pneumothoraces are present. Cardiac and mediastinal silhouettes are stable.

status post cabg/maze/<unk> ligation. evaluate pulmonary edema.

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Heart size is mild to moderately enlarged with a left ventricular predominance. The mediastinal contours are unchanged. There is mild pulmonary vascular congestion, accentuated by the presence of low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax present. Streaky atelectasis is noted in the lung bases. No acute osseous abnormality is detected.

<unk> year old woman with history of asthma with new o<num> requirement

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Cardiomediastinal shadow is unchanged. New vague opacity in the right lower lung zone. No pulmonary edema. No pleural effusions.

<unk> year old man with cough, on prednisone for leukemia // pneumonia?

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Nodular opacities projecting over the bilateral lower chest bilaterally, symmetric, are most consistent with nipple shadows. Subtle medial right basilar patchy opacity likely relates to atelectasis, given that is more conspicuous than the prior exam earlier today, however, in the appropriate clinical setting, early consolidation is not excluded. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal and hilar contours are stable.

history: <unk>f with sob, ams // pna?

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The et tube is slightly high-riding, ending <num>-<num> cm above the clavicles. The left-sided picc line ends in the right atrium. Nasogastric tube enters the stomach, distal tip not visualized. Bilateral airspace opacities have increased. A small left layering pleural effusion has also slightly increased. Stable retrocardiac left basilar opacification may be due to atelectasis.

<unk> year old man status post mvc with intubation, sedation // evaluate for interval change

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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Persistent patchy right upper lobe opacity is similar in appearance to the most recent ct and consistent with pneumonia of bacterial or fungal etiology. The left lung is essentially clear. Right picc is present with tip terminating in the lower svc.

<unk> year old woman with relapsed aml and pneumonia with new pluritic pain // please assess for new effusion thanks

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The lung volumes are low. There is lleft basilar atelectasis with mild volume loss and elevation of the left hemidiaphragm, increased since the prior exam. There is no focal consolidation to suggest pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with persistent unfolding and tortuosity of the aorta and mild cardiomegaly. Moderate degenerative changes in the thoracic spine with mild compression deformities appear unchanged. Evaluation is limited due to osteopenia.

cough. evaluate for pneumonia.

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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. There are unchanged signs of mild-to-moderate pulmonary edema. No larger pleural effusions. Borderline size of the cardiac silhouette. Unchanged position of the hemodialysis catheter and the sternal wires.

evaluation for opacities or consolidation.

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Left picc ends in mid svc, unchanged. Dobhoff tube ends in the distal gastric cavity, the tip is not fully visualized. The et tube ends at <num> cm from carina, unchanged since prior chest x-ray. Persistent faint opacity in the right upper lobe markedly reduced if compared to prior series of chest x-ray. The lung is otherwise well inflated and clear. There is no new consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

<unk> years old man with increased secretion. evaluation for pneumonia.

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Lung volumes are low. No focal consolidation is seen. No pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.

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

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The heart is at the upper limits of normal size with mild unfolding of the thoracic aorta. Within the limitations of technique, the mediastinal contours appear mildly widened along the right upper portion, although likely within normal limits. There is no definite pleural effusion or pneumothorax. Mild peripheral reticulation suggests some background interstitial changes. A thin anterior flowing syndesmophyte courses throughout the visualized thoracic spine suggesting hyperostosis. The bones are probably demineralized.

status post fall. question fracture.

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Lvad in place. Sternotomy. Enteric tube tip well below diaphragm. Central line tip in the mid svc. Right ij swan-ganz catheter projected over right hilum. Improved lung aeration compared the prior exam. Stable left retrocardiac opacity, likely atelectasis. No definite pleural effusion.

<unk> year old man s/p lvad with new bloody secretions // eval for hemothorax/ collapse

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Pa and lateral views of the chest are provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.

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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema, no pleural effusion.

substernal chest pain, questionable pneumonia.

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The cardiac, mediastinal and hilar contours appear stable including calcification and unfolding of the thoracic aorta. The heart is again normal in size. The lungs appear clear. There are no pleural effusions or pneumothorax.

cough and wheezing.

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Patient is status post median sternotomy and cabg. Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Low lung volumes are present with crowding of bronchovascular structures, but no overt pulmonary edema is present no focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with altered mental status

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As compared to the previous radiograph, the left chest tube has been removed. After the chest tube removal, there is no evidence of a pneumothorax. Mild pleural effusion and atelectasis at the left lung bases persist. Unchanged position of the left central venous access line. Moderate cardiomegaly with no signs of overt pulmonary edema.

status post chest tube removal, evaluation for pneumothorax.

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As compared to the previous radiograph, the endotracheal tube is in unchanged location. The tip projects approximately <num> cm above the carina. The course of the nasogastric tube is unchanged, the tip cannot be clearly identified on the image but appears to be in the upper to mid portions of the stomach. Unchanged substantial cardiomegaly with bilateral areas of atelectasis and minimal fluid overload. No new parenchymal opacities. No larger pleural effusions.

respiratory failure, intubation, evaluation for endotracheal tube placement.

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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.

asthma with cough.

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The lung volumes are low which causes bibasilar atelectasis. There is no focal opacity concerning for pneumonia. No pleural effusion or pneumothorax. Low lung volumes cause apparent mild enlargement of the cardiac silhouette. The mediastinal contours are stable.

<unk>-year-old man with fever status post whipple procedure. evaluate for pneumonia.

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Following re-positioning of a left-sided chest tube, a left pleural effusion has decreased in size with residual moderate-to-large effusion remaining. Otherwise, similar appearance of the chest with the exception of slight improvement in right pleural effusion and adjacent right basilar lung opacity.

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

history: <unk>f with left sided chest pain

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Emphysema, worse in the left lung, is similar to priors. Lung volumes are low. Cardiac size is normal. There is no focal consolidation. There is no pneumothorax or pleural effusion. Aortic knob calcifications are again seen.

<unk>f with hypoxia // pna?

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Lung volumes are slightly low. There is no evidence of pneumonia. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

history: <unk>m with wbc=<unk>.<num> and low-grade temp. // pna?

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The cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine. Multiple old healed right-sided rib fractures are again noted. There is no free air under the diaphragms.

melena for two days. evaluate for free air.

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Tip of endotracheal tube terminates about <num> cm above the carina. Cardiomediastinal contours are within normal limits allowing for low lung volumes and supine portable technique. Widespread consolidation has developed throughout the right lung, as well as new left retrocardiac opacity. Observed findings could reflect widespread aspiration given clinically suspected aspiration event. Moderate-to-large layering right pleural effusion is present, as well as an apparent area of loculated fluid medially at the right apex adjacent to the right mediastinal contour. Extrapleural or mediastinal hematoma could produce a similar appearance, and clinical correlation is suggested regarding whether any intervention has been performed in this region. Dr. <unk> was reached by telephone to discuss these findings on <unk> at <time> a.m. At the time of discovery.

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Two views of the chest were obtained. New lobulatated left pleural thickening could be masses or fluid loculations. Post-surgical changes from prior left upper lobectomy again demonstrated. No focal consolidation or pleural effusion is seen. Heart size is normal. Left subclavian infusion port ends in svc.

left chest pain and substernal burning, assess for pneumomediastinum or pneumonia.

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There is again mild moderate elevation of the right hemidiaphragm. The heart is normal in size. The aortic arch is calcified. The main pulmonary artery contour is mildly prominent, and mild right pulmonary artery enlargement is also suggested by the lateral view. Trace pleural effusions are suspected. There is no pneumothorax. The lungs appear clear.

fever and confusion.

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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. Moderate rightward convex curvature is again centered along the lower thoracic spine. Otherwise, bony structures are unremarkable.

chest pain.

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In comparison with study of <unk>, there is little change in the degree of small right pneumothorax. The patient has taken a slightly better inspiration, with the overall appearance of the heart and lungs essentially unchanged.

right lower lobectomy.

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The more superior chest tube is been removed. The are lower right chest tube is still in place. There is a right-sided effusion layering posterolaterally. There are multiple patchy areas of subsegmental atelectasis. There is a new area of consolidation/ effusion in the left lower lung laterally

<unk> year old man w recent chest tube removal. s/p r vats for empyema. // eval for ptx s/p chest tube removal

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Heart size is enlarged. There is mild interstitial edema. There are small bilateral pleural effusions. No focal consolidation or pneumothorax is detected on these views, although small posterobasilar consolidation may be obscured by pleural effusion.

<unk>-year-old male with history of diabetes, congestive heart failure, hypertension, and hyperlipidemia, now with chest pain, dyspnea, and elevated troponin.

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

<unk>-year-old female with fever and nonproductive cough and pain radiating to left scapula, evaluate for infectious process.

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Pa and lateral views of the chest provided. The hila are engorged and there is mild interstitial pulmonary edema. Trace pleural fluid along the fissural surfaces noted. Cardiomediastinal silhouette is stable. No pneumothorax is seen. No overt signs of pneumonia.

<unk>m with cough, dyspnea, recent travel to <unk>

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

chest pressure.

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

right shoulder and chest pain.

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Cardiac size is top normal. The lungs are clear aside from mild atelectasis in the left lower lobe. There is no pneumothorax or pleural effusion. There are low lung volumes and hiatal hernia

<unk> year old woman s/p hemiscolectomy now s/p ngt placement // eval of ngt placement

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Again seen is near complete opacification of the left hemithorax, likely secondary to known loculated pleural effusions as seen on prior chest ct. The cardiomediastinal silhouette is shifted to the left, likely reflecting volume loss. Calcifications are seen along the aortic knob. Patchy streaky opacities at the right lung base are likely reflective of atelectasis, with minimal blunting of the right costophrenic angle which could be secondary to a small amount of pleural fluid.

<unk> year old woman with recurrent left pleural effusion s/p left thoracoscopy with pleural biopsy and placement of left sided pleurx without pleurodesis on <unk> found to have new r pleural effusion and l loculated effusion. now <num> day s/p r chest tube placement. // pneumothorax, chest tube placement, progress of bilateral pleural effusions pneumothorax, chest tube placement, progress of bilateral pl

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Pa and lateral views of the chest provided. Mild cardiomegaly is noted with an aortic valve replacement noted. Lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. There is a pectus excavatum deformity of the sternum. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with cirrhosis referred from mrcp after found to be lethargic, undergoing infectious w/u

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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 cough, myalgia // eval for pna

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

<unk> year old man with c/p pmh pneumothorax // c/p pmh pneumo

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There are somewhat diminished lung volumes. Coarse interstitial pulmonary and markings again seen, most prominent in the lung bases, consistent with known pulmonary fibrosis. No new opacities or findings are seen to suggest an acute pulmonary process. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. The patient is status post total right shoulder replacement.

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

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There is a small left apical pneumothorax. The pneumothorax is not appreciated in the prior exam from <unk>, likely due to suboptimal patient position. Left chest tube is in unchanged position. Small opacities surrounding the chest tube entrance site is stable. There is no new focal opacity. There is no large pleural effusion. Left clavicular surgical hardware is intact.

<unk> year old man with ptx/rib fractures // interval change

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As compared to the previous radiograph, the lung volumes have increased. There currently is no evidence of pneumonia. Borderline size of the cardiac silhouette. No pleural effusions. No pulmonary edema. The dobbhoff catheter is in almost unchanged position. The tip is located in the stomach. Other than on the previous image, the catheter forms a single loop in the esophagus, at the level of the manubrium sterni.

prior pneumonia, altered mental status, evaluation.

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There is peribronchial thickening localized to the lower lobes, though difficult to locate on the pa view, concerning for pneumonia and given the symptoms. Mildly enlarged heart size and prominent pulmonary vessels are likely physiologic. No pleural abnormalities are seen.

<unk> year old woman with cough following uri and recent fever and chills. has bibasilar crackles on exam // assess for pneumonia

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There has been interval removal of the et tube and gastric tube. The lungs are well expanded. There is a small asymmetry at the right lung base which raises the possibility of pneumonia, but cannot be confirmed on the lateral view. There are no other focal opacities. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. There is calcific tendinosis of the right rotator cuff.

fall downstairs, now with fever. rule out pneumonia.

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Interval placement of feeding tube with tip terminating below the diaphragm outside of the field of view. Stable cardiomediastinal contours when allowances are made for lower lung volumes on the current study. Moderate-to-large left pleural effusion appears slightly larger, and combined right-sided loculated pleural fluid and pleural thickening appear similar. Asymmetrical perihilar opacities have worsened on the left and could reflect asymmetrical pulmonary edema or aspiration. Persistent left lower lobe atelectasis and/or consolidation adjacent to the above-described pleural effusion.

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Small right apical pneumothorax is similar to the prior radiograph. Overall, there has not been a substantial short interval change in the appearance of the chest since the recent study of one day earlier.

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Contrary to the stated indication, there is no nasogastric tube identified. As compared to the prior examination, there has been a mild interval increase in the opacification of the right middle lobe and right lower lobe, concerning for potential aspiration versus infectious etiology. Redemonstrated is a persistent, left basilar opacity which obscures the left hemidiaphragm, and likely correlates with the patient's known loculated effusion. There is no evidence of pneumothorax or overt pulmonary edema identified. Stable, mild cardiomegaly is noted. A triple lead pacer device is seen overlying the left chest, with its corresponding leads unchanged in position. The patient is postoperative with median sternotomy wires noted to be well-aligned. There is a vp shunt catheter again seen projecting over the right chest wall.

altered mental status, bilious vomiting and aspiration. evaluate recent ng tube placement.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Old posterior right fifth and sixth and left seventh rib fractures are noted.

<unk>m with doe p/w hyponatremia to <num> // c/f pna, lung mass

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Ap and lateral views of the chest. Again seen is a large hiatal hernia with adjacent atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unchanged. There are aortic knob calcifications.

weakness, evaluate for pneumonia.

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Again seen is a spiculated right lower lobe nodule measuring <num> x <num> cm. The left lung appears grossly clear. No pleural abnormality is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk> year old man with metastatic lung cancer on nivolumab with a dry cough, ? pneumoniis // ? pneumonitis

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There has been no significant interval change. The appearance of the left hemidiaphragm is stable. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. The patient is rotated somewhat to the left. Multiple surgical clips are seen overlying the upper abdomen. .

history: <unk>f with weakness, fatigue // please eval for 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>m with fever

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

<unk> year old man with fever and cough for <num> days // 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. Prior fractures involving the right posterior fourth and fifth ribs appear healed, having evolved since the prior study with remodeling. Less well characterized lateral right-sided rib deformities are probably unchanged.

weakness, chills and paraplegia.

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Lung volumes are low with crowding of bronchovascular markings. There is discoid atelectasis of the bilateral upper lungs. Opacities in the retrocardiac region also likely represent atelectasis. There is no overt pulmonary edema. The heart is at least top normal in size. Apparent widening of the mediastinum is likely secondary to a combination of vascular congestion and adjacent atelectasis, with an acute mediastinal process felt less likely in the absence of any chest pain. There may be a small amount of pleural fluid on the left. There is no right pleural effusion. There is no pneumothorax. Repeat with better respiratory effort

<unk> year old woman s/p pvi // pulmonary edema? received about <num> liters during the case and <unk> sat is <unk>% on <num> liters

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

history of dyspnea. please assess for pneumonia.

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As compared to the previous image, the tracheostomy tube and the other monitoring and support devices are constant. There are unchanged hyperlucencies in the lung apices, indicative of severe pulmonary emphysema. The crowded parenchyma at the lung bases is constant. Unchanged retrocardiac atelectasis and borderline size of the cardiac silhouette. No other changes.

evaluation for interval change, cerebral hemorrhage.

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The heart is at the upper limits of normal size. The main pulmonary artery contour is slightly prominent, but there is no evidence for pulmonary edema. A nipple shadow is again seen on the left. Patchy basilar opacity suggest minor atelectasis or perhaps scarring which appears unchanged. There is no pleural effusion or pneumothorax. The osseous structures are unremarkable.

fever and cough.

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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

patient with multiple myeloma, evaluate eligibility for auto bone marrow transplant.

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A new right internal jugular central venous catheter terminates in the superior vena cava. The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. A retrocardiac opacity appears increased. Atelectasis or developing pneumonia are differential diagnoses for this appearance. Known pulmonary nodules are not optimally visualized on the portable radiography. There is no pleural effusion or pneumothorax.

central line placement.

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Multiple old right-sided rib fractures are seen. No displaced left-sided rib fracture is seen, however, if clinical concern for rib fracture is high, suggest a dedicated rib series, which is more sensitive. Areas of linear increase in opacity projecting over the lateral left hemithorax may be artifactual, however again, if there is high concern for a fracture, suggest dedicated rib series.

left rib pain status post fall.

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In comparison with the prior study, there is opacification at the left lung base, obscuring the hemidiaphragm, consistent with a pleural effusion and left lower lung volume loss. There is no focal consolidation concerning for pneumonia, or pneumothorax. No change in the old healed right rib fracture.

<unk> year old man with cirrhosis, history of pleural effusion s/p tips with shortness of breath. effusion, cause of sob.

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In comparison with the earlier study of this date, there are lower lung volumes with some atelectatic changes at the left base. However, no evidence of acute focal pneumonia or pulmonary vascular congestion. Monitoring and support devices remain in place, though the side hole of the esophageal tube lies above the cardioesophageal junction and the tip of the endotracheal tube faces the right mainstem bronchus and is only <num> cm above the carina.

post-operative hypoxia.

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Frontal and lateral views of the chest were obtained. New heterogeneous right infrahilar opacity is consistent with lower lobe pneumonia. Some right pleural effusion may be present although the basal pleural interface reflects the normal contour. An apparent bulge in the mid portion of the right basal interface seen on the lateral view, is actually superimposition of the stomach and splenic flexure. Widening of the mediastinum and obliteration of the right p;aratracheal stripe could be due to adenopathy or fat deposition. Heart size is normal.

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

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A portable frontal chest radiograph was obtained. The heart, lungs, mediastinum, hila, and pleural surfaces are normal.

status post decompression and fusion of the l<num> and l<num> vertebrae. evaluate for an infectious source.

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The lungs are clear of focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits besides a moderate hiatal hernia. Colonic interposition seen below the right hemidiaphragm. No acute osseous abnormalities identified. Healed right clavicular fracture again seen.

<unk>f with cxr // acute process?

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Single portable view of the chest. No prior. The lungs are clear of focal consolidation. Linear opacity at left lung base suggestive of atelectasis. Nodular opacity projects over the anterior left first rib, potentially within it or in the left lung apex. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are grossly unremarkable.

<unk>-year-old male with svt and syncope. question cardiomegaly.

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There has been interval development of pulmonary vascular congestion with mild interstitial edema. Otherwise, there is little change compared to <unk> with persistent bilateral pleural effusion, moderate-to-large on the right and small-to-moderate on the left with associated atelectasis. There is no pneumothorax. A left picc is unchanged in position with tip projecting over the mid svc.

new right pleural effusion status post thoracentesis.

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Comparison is made to prior study from <unk>. There is unchanged cardiomegaly. There is mild improvement of the pulmonary edema since the prior study. Small bilateral pleural effusions are present and stable. There are no pneumothoraces or focal areas of consolidation.

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

history: <unk>f with sob, chills, heart racing // sob, chills

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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Cervical fusion hardware is noted.

positive ppd.

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Normal lung volumes. Normal size of the cardiac silhouette. Normal structure and transparency of the hilar and mediastinal structures. The structure and transparency of the lung parenchyma is unremarkable. There is no evidence for a lung mass. No pleural effusions. No acute lung disease.

hyponatremia, evaluation for lung mass.

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When compared to prior, there has been interval development of bibasilar opacities, more extensive on the left than on the right. Superiorly, the lungs are clear. Cardiomediastinal silhouette is stable. No acute osseous abnormality is identified.

<unk>-year-old female with cough. question pneumonia.

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Right base atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with sickle cell, pain crisis of leg, reported hr in <num>s prior to arrival (?able) // evaluate for acute processs

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Pa and lateral views of the chest were obtained. The lungs are clear bilaterally without focal consolidation, effusion, pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.

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A right-sided picc is in place with tip in upper svc in unchanged position. Visualization of the dobbhoff tube is difficult due to limited beam penetration, however, the tube is visualized to course below the diaphragm with tip terminating in the expected location of the gastric body. Lung volumes are decreased in comparison with the previous examination with increase in bibasilar atelectasis. A small right-sided pleural effusion is unchanged. No pneumothorax. Osseous structures unchanged. Trace left pleural effusion is unchanged.

pancreatitis, question dobbhoff placement.

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As compared to the previous radiograph, there is no relevant change. No obvious rib fractures. If clinically suspected, a dedicated rib series should be performed. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. No pneumothorax. No evidence of pneumonia or pulmonary edema.

recent fall, evaluation for pneumonia.

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As compared to the previous radiograph, there is minimal improvement in transparency at the right lung base. The pre-existing reticular opacities, however, are still clearly visible. Minimal left pleural effusion cannot be excluded. Unchanged borderline size of the cardiac silhouette. Unchanged monitoring and support devices.

hypoxic respiratory failure, evaluation for interval change.

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Cardiac size is normal. Et tube is in standard position. Right ij catheter tip is in the mid svc. There is no pneumothorax. Ng tube tip is out of view below the diaphragm. There is no pulmonary edema. Opacities in the left base are a combination of atelectasis and small effusion. The upper lungs are clear. Right lower lobe atelectasis is minimally improved. Catheters and a skin <unk> project in the upper abdomen

<unk> year old woman intubated // please evaluate

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Interval placement of right pleural catheter with near resolution of right pleural effusion and development of a small right apical pneumothorax. Swan-ganz catheter and left picc are in standard position, and a feeding tube has been removed. Cardiomediastinal contours are stable in appearance. Slight improvement in pulmonary vascular congestion with decrease in extent of interstitial edema. Unchanged left retrocardiac opacity, but improving atelectasis at the right lung base following evacuation of pleural fluid.

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The lungs are well-expanded. No focal consolidation, edema, effusion, or pneumothorax. Left apical pleural thickening is mild. There is pulmonary vascular prominence. The heart is top-normal in size.

<unk>-year-old man with nausea, leukocytosis, elevated lactate. evaluate for pneumonia.

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Cardiomediastinal contours are within normal limits and without change. Lungs are clear except for minimal linear scar versus atelectasis within the lingula. There are no pleural effusions or acute skeletal findings.

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A portable frontal chest radiograph demonstrates unchanged moderate cardiomegaly and right hemidiaphragm elevation. There is an unexplained left basal abnormality, which may represent atelectasis, but is not well evaluated. There is probably no pneumonia, but conventional frontal and lateral chest radiographs would be very helpful in further evaluation. No pneumothorax or large pleural effusion.

esrd in uremia. evaluate for pneumonia.

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Comparison is made to previous study from <unk>. There has been placement of a right-sided chest tube at the right base. There are no pneumothoraces. There remains low lung volumes and atelectasis at the lung bases. There are no signs for overt pulmonary edema. Heart size is within normal limits allowing for the low lung volumes and technique.