ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Low bilateral lung volumes. No focal consolidation or pneumothorax identified. The trace bilateral pleural effusions are better assessed on the earlier ct of the chest. Since the prior radiograph the tip of the left picc line has been retracted, now projecting over the upper svc with the tip folded back on itself and likely extending into the azygos vein. A feeding tube extends below the level of the diaphragms but beyond the field of view of this radiograph.

<unk> year old woman with new hypoxia, tachypnea. // eval for volume status, infiltrate

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. The osseous structures demonstrates no acute abnormality.

<unk>-year-old male with chest pain.

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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>m with chest pain and diaphoresis.

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Lower lung volumes with bilateral mid and lower zone haziness likely related to pleural effusions and underlying atelectasis. No lobar consolidation noted. There is persistent cardiomegaly. No significant interval change in bony thorax. The patient has now been extubated with removal of enteric tube.

ms. <unk> is an <unk> woman with systolic hf (global ef previously <unk>%, now <unk>%) and dm ii who presented with altered mental status in the setting of two days of diarrhea with subsequent shock (cardiogenic vs. septic), found to have worsened cardiac function requiring dobutamine gtt and possible pe on heparin gtt, now called out from ficu after successful extubation and downtitration of pressors. she has probable cardiac amyloid, ef <unk>% with increasing leukocytosis // evidence of pneumonia

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Pa and lateral views of the chest are provided. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart is normal in size. The mediastinal contour is minimally prominent, likely reflecting a slightly unfolded thoracic aorta. Bony structures are intact. No free air below the right hemidiaphragm.

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Since <num> day prior, a a loculated right apical and lateral pleural effusion has decreased in size, a motor edema is decreased, and retrocardiac atelectasis is decreased. A small, dependent right pleural effusion has probably increased in size. The apices are incompletely visualized, but no obvious pneumothorax. Severe cardiomegaly and mediastinal widening are unchanged. An ett terminates <num> cm above the carina. A left sided ij swan-ganz catheter terminates in the main pulmonary artery. An enteric tube terminates in the proximal stomach. Bilateral chest tubes and mediastinal drains appear unchanged in position.

<unk> year old man with lvad // interval change

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Evaluation is somewhat limited by low lung volumes. However, minimal bibasilar atelectasis is similar in appearance to <unk>. There are no new focal consolidations or pleural effusions. There is no pneumothorax. The heart and mediastinum are within normal limits.

<unk>-year-old male with history of poorly controlled diabetes and pneumonia presenting with cough and chills.

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Frontal and lateral radiographs of the chest demonstrate minimal bilateral pleural effusions, not significantly changed since the prior radiograph. Otherwise, the lungs are clear. The cardiac and mediastinal contours are normal. No other pleural abnormality is detected.

stage-iv ovarian cancer, presenting with pleural effusions. now with increasing dyspnea on exertion. evaluate for effusion.

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Right picc is noted however the tip is not clearly delineated. Streaky left basilar opacity is noted, likely atelectasis. Prior pulmonary edema has nearly resolved. Couple scattered surgical clips project over the left chest. Surgical clips also noted in the right upper quadrant. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with hypoxia and apnea, pinpoint pupils // ?acute cardiopulmonary process

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Pa and lateral chest radiographs were provided. This study was read in conjunction with the chest ct done on the same day. There is no focal consolidation, pleural effusion or pneumothorax. The right hemidiaphragm is elevated. Multiple calcified pleural plaques correspond to those seen on the chest ct. The ascending aorta is mildly dilated and tortuous. The heart is enlarged. Bones are osteopenic.

<unk>-year-old with chest pain, evaluate for mediastinal widening or infiltrate.

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized. There is a mild compression deformity of a low thoracic vertebral body. Deformities of the left seventh, eighth, and ninth lateral ribs indicate prior fractures.

history: <unk>f with multiple syncopal episodes, cough

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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of <unk>. General findings of poor inspirational effort in this very adipous patient unchanged. Heart size has not increased and there is no pulmonary congestion identified. The left-sided chest tube remains in unchanged appropriate position. It is noted that the amount of pleural effusion has increased, now presenting in the form of a <num> to <num> cm wide density in the left axillary region.

<unk>-year-old female patient with systemic lupus erythematosus and left pleural effusion, evaluate for interval change.

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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Pulmonary vasculature is unremarkable.

<unk>-year-old male with epigastric pain and leukocytosis. evaluate for intrathoracic process.

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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. No evidence of pulmonary edema, pleural effusion, or pneumothorax. No air under the right hemidiaphragm is identified.

history: <unk>m with cough, flu-like symptoms, and crackles at the left base. // evidence of pna, especially at left base given exam findings?

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Ap and lateral chest radiographs were obtained. The lungs are well expanded. Linear bibasilar atelectasis is new. A flexed neck obscures visualization of the apex. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. The tip of the tracheostpy is in acceptable position within the airway.

fevers, pneumonia after recent tracheostomy placement.

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Heart size is normal. The aorta is mildly tortuous. Hilar contours are normal, and the pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. Moderate multilevel degenerative changes are seen in the thoracic spine.

altered mental status.

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Frontal and lateral views of the chest were obtained. There is persistent mild elevation of the right hemidiaphragm. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable, as are the hilar contours.

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Cardiomediastinal contours are stable in appearance. No new areas of consolidation are identified to suggest a source of infection. Left hemidiaphragm remains elevated, and there is a questionable small left pleural effusion, which could be confirmed or excluded by either a lateral chest radiograph or lateral decubitus view if warranted clinically.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. There is minimal atherosclerotic calcification at the aortic knob. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Minimal is scarring is noted in the lung apices. There are mild multilevel degenerative changes within the mid thoracic spine.

history: <unk>f with chest pain, now resolved

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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.

cough and mellitus.

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A single portable ap supine view of the chest was obtained. There is interval placement of a second chest tube in the right lung, directed towards the right apex. The left chest tube is stable in position. Small biapical pneumothoraces are unchanged in comparison to the most recent study. Scattered areas of plate-like atelectasis in both lungs and intra-abdominal free air, with extension into the mediastinum and the soft tissues of the body wall and neck are largely unchanged.

chest tube placement.

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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant in appearance. Borderline size of the cardiac silhouette. Mild retrocardiac atelectasis. No larger pleural effusions. No pulmonary edema. No pneumonia.

worsening hypoxia, aspiration.

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Ap upright and lateral views of the chest provided. Widened ap diameter the chest with flattened diaphragms and prominent retrosternal clear space suggests emphysema. Bibasilar atelectasis noted. No large effusion or pneumothorax. No convincing signs of pneumonia or edema. Cardiomediastinal silhouette is unchanged allowing for differences in technique. Bony structures appear intact.

<unk>m w/ increasing agitation and aggressive behavior p/w fever. history of vascular dementia. from rehab.

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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 chest pain this afternoon

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There is interval elevation of the right hemidiaphragm with associated right basilar and perihilar opacities, likely representing atelectasis; however, pneumonia cannot be completely excluded. Lung volumes are low with secondary widening of the cardiomediastinal silhouette. There is no pleural effusion and no pneumothorax.

<unk>-year-old with failure to thrive. please assess for pneumonia.

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As compared to the previous radiograph, there is unchanged evidence of bilateral apical and perihilar fibrotic lung disease. There also is unchanged cardiomegaly with slightly increased diameters of the pulmonary arteries, notably on the left. Blunting of the right costophrenic sinuses suggestive of a small pleural effusion. The vascular diameters are at the upper range of normal, potentially indicative of mild fluid overload.

sarcoid, evaluation for pulmonary edema.

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Ap and lateral views of the chest are compared to previous exam from <unk>. There is blunting of the costophrenic angles suggestive of trace effusions. Apparent increased density projecting over the right upper lung laterally thought to be in part due to rotation and a superimposed pleural thickening in the setting of multiple old posterior and lateral rib fractures. Cardiac silhouette is enlarged, but stable in configuration. Post-kyphoplasty changes are seen in the lower thoracic level as well as compression deformity in the mid thoracic spine, unchanged from ctpa from <unk>.

<unk>-year-old female with altered mental status. recently started on coumadin.

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Portable radiograph of the chest shows unchanged monitoring and support devices. Compared to the prior study, there is worsened bilateral pulmonary edema with increased upper zone redistribution and mild increase in right pleural effusion. Stable cardiomegaly and unchanged mediastinal contour. No pneumothorax is seen.

altered mental status secondary to seizures. evaluate for pulmonary edema.

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As compared to the previous radiograph, the monitoring and support devices are constant. The patient has developed a more extensive retrocardiac atelectasis and a new parenchymal opacity at the right lung base. This opacity must be followed closely to exclude pneumonia. No pulmonary edema. No pneumothorax.

obesity, hypoventilation, intubation.

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.

chest pain and shortness of breath.

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The patient carries a left-sided chest tube. There is no evidence of pneumothorax on the left. Atelectasis at the right lung bases. Borderline size of the cardiac silhouette. Partially imaged vertebral stabilization devices.

left-sided chest tube, rule out pneumothorax.

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The heart size is top normal. Mild cardiomegaly is unchanged compared to the prior exam. The aorta is tortuous. Otherwise, the hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is a new small left-sided pleural effusion. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.

history of leukocytosis. please evaluate for pulmonary etiology.

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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

<unk>f with syncopal episode w/ sob, cp prior to event // eval ? effusion, mediastinal abnormalities

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Cardiac silhouette is upper limits of normal in size. Pulmonary vascularity is normal. Substantial left lower lobe atelectasis is present accompanied by an adjacent moderate left pleural effusion. Small right pleural effusion is also evident with adjacent atelectasis at the right base. Healed right rib fractures are demonstrated.

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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. Tip of the endotracheal tube measures approximately <num> cm above the carina. The ill-defined area of increased opacification at the right base is even less well appreciated at this time. There is an area of increased opacification developing at the left base. Although this could merely reflect atelectasis, the possibility of supervening pneumonia should be seriously considered in the appropriate setting.

respiratory failure, for et tube placement.

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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>f with pleuritic flank pain // conern for pulmonary pathology causing referred flank pain.

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Ap upright chest radiograph is compared to radiograph performed approximately <num> hours prior. There has been placement of a right basal pigtail chest tube with interval decrease in size of a right pleural effusion now moderate in volume. No pneumothorax. Otherwise unchanged.

<unk>f with s/p chest tube // eval for ptx

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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 chest pain, dyspnea

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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>m with seizures

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In comparison with the study of <unk>, the pacer leads are in similar position. No evidence of pneumothorax.

new pacer lead.

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Interval withdrawal of the left picc, now terminating outside the chest overlying the expected location of the left axillary vein. A left chest dialysis catheter terminates in the base of the right atrium, unchanged from <unk>. Sternal hardware is unchanged in appearance. Left lower lobe opacity obscures the left heart border and left hemidiaphragm is overall stable from <unk>. Moderate left and mild right pleural effusions are decreased from <unk>. No pneumoperitoneum identified.

<unk>f with recent mvr, avr with severe abdominal pain. // free air under diaphragm

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Lung volumes are low. Heart size is borderline enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Minimal patchy opacity in the left lung base likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Anterior bridging osteophytes are noted in the lower thoracic spine.

history: <unk>f with chest pain

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As compared to the previous radiograph, there is unchanged evidence of small bilateral pneumothoraces. Unchanged monitoring and support devices, unchanged appearance of the cardiac silhouette. The right chest tube is also unchanged.

status post arthrodesis, evaluation for interval change.

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There is a dual-lumen dialysis catheter terminating in the uppermost part of the atrium, in an unchanged position. The heart is normal in size. The aortic arch is partly calcified. There is no pleural effusion or pneumothorax. The lungs appear clear aside from patchy right infrahilar opacity that appears unchanged and may be associated with minor chronic scarring or atelectasis. The appearance includes mildly dilated descending airways noting an element of slight bronchiectasis. There are similar degenerative changes which are incompletely characterized along the right shoulder. The bones appear sclerotic compatible with known renal osteodystrophy.

confirm bacteremia. question pneumonia.

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Mild bilateral apical pleural thickening is noted. The lungs are overinflated with flattened hemidiaphragms, compatible with copd. The lungs are clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable in appearance. Degenerative changes are seen in the mid thoracic spine. Irregularity of several left lower lateral ribs is likely due to prior fracture.

<unk> year old man with h/o dvt on warfarin, dm, presenting with cough and wheezing x <num> days // r/o pna

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Frontal and lateral views of the chest were obtained. The lungs appear hyperinflated. As also seen on the prior study, there is increase in interstitial markings, although less conspicuous as compared to the prior study. Findings may be chronic or due to mild interstitial edema. No large pleural effusion or pneumothorax. No focal consolidation seen. Cardiac, mediastinal, and hilar contours are stable.

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The heart size is normal. The hilar 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: <unk>m without significant medical history presenting with fever // please assess for signs of pneumonia

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The lungs are clear without focal consolidation, effusion, or edema. Elevated right hemidiaphragm is noted, unchanged. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, upper to mid thoracic vertebral body height loss was better seen on prior exam.

<unk>f with weakness, sob ruq pain // infectious, pe or other acute process

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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No signs of pulmonary edema. Bony structures are intact. No free air below the right hemidiaphragm is seen.

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Moderate enlargement of the cardiac silhouette is unchanged. Aortic knob calcifications are present. Mediastinal contour is similar. There is mild pulmonary edema, new in the interval. No large pleural effusion or pneumothorax is present. No acute osseous abnormality is present. Degenerative changes are noted in the right glenohumeral joint.

history: <unk>f with palpitations, atrial fibrillation with rapid ventricular rate

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Significant improvement since <unk> of the moderate pulmonary edema, which is now minimal. The bibasilar atelectasis has also improved. There are residual small bilateral pleural effusions. There is no pneumothorax and mediastinal and cardiac contours are normal.

patient with new diagnosis of multiple myeloma, acute renal failure, interval change in pulmonary edema?

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Bronchial wall thickening suggests small airways disease. There is no focal consolidation, pleural, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal. The osseous structures and upper abdomen are unremarkable.

<unk>f with cough, evaluate for acute process.

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As compared to the previous radiograph, the patient has now received a nasogastric tube. The tip of the tube projects over the proximal parts of the stomach, the sidehole is at the level of the extraesophageal junction. No evidence of complications. No pneumothorax. Borderline size of the cardiac silhouette. No pulmonary edema. No pneumonia.

nasogastric tube placement.

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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.

<unk> year old woman with ongoing cough x <num> weeks; former smoker // ? abnormalities

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Lung volumes remain low. Small the moderate bilateral effusions, larger on the right are again noted. There is more dense opacity in the retrocardiac region. Mild pulmonary edema may be slightly worse compared to prior. Median sternotomy wires and cardiomegaly are unchanged. No acute osseous abnormalities.

<unk>f with dyspnea // eval for edema

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There is minimal central pulmonary vasculature engorgement. No focal consolidation is seen. There is no large pleural effusion. No evidence of pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged. There is apparent narrowing of the distal trachea just above the level of the carina for which further evaluation with chest ct is recommended.

tachycardia and syncope.

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Pa and lateral views of the chest provided demonstrate hyperinflated lungs which appear clear and there is no sign of pneumonia, effusion or pneumothorax. Cardiomediastinal silhouette normal. Bony structures intact. No free air below the right hemidiaphragm.

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The cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged and within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.

dizziness, shortness of breath.

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Mild to moderate cardiomegaly appears unchanged. The mediastinal and hilar contours are unchanged. Mild upper zone vascular redistribution suggests mild pulmonary vascular congestion. Streaky bibasilar opacities likely reflect areas of atelectasis. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.

history: <unk>f with chest pain

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Left chest tube remains in place, with apparent slight increase in size of small apical and lateral pneumothorax. As the previous study was semi-upright in the current is reportedly fully erect, positional differences may account for this apparent change. Stable cardiomegaly accompanied by pulmonary vascular congestion and perihilar edema as well as bibasilar atelectasis and small right pleural effusion.

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Lung volume is low. Right lung base opacity is similar to before consistent with right lower lobe collapse and pleural effusion. Enlarged right hilum is unchanged.cardiomediastinal silhouette is normal size. Gastric air is noted under the left hemidiaphragm. No evidence of pneumoperitoneum is identified.

<unk> year old man with acute onset nausea and vomitus of feculent material // assess for free air

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As compared to the previous radiograph, a right chest tube has been re-inserted. The tube is in correct position. There is no pneumothorax but relatively extensive soft tissue air collection in the right chest wall is seen. Low lung volumes with atelectasis at the right lung bases. The endotracheal tube and nasogastric tube are in unchanged position.

re-insertion of chest tube.

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Right chest tube remains in place, terminating in the right apical region. A very small right apical lateral pneumothorax is newly identified. Worsening relatively homogeneous opacity is present in the right mid and lower lungs, probably a combination of enlarging right pleural effusion and adjacent lung parenchymal consolidation and/or atelectasis. Within the left lung, there is slightly worsening atelectasis at the left base as well as a small left pleural effusion. Cardiomediastinal contours are stable in appearance.

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Pa and lateral views of the chest were provided. In this patient with history of lung cancer, a port-a-cath is again seen residing over the right chest wall with catheter tip in the region of the mid svc. The lungs appear clear, though volumes are low. No definite signs of pneumonia or chf. There was mild blunting of the cp angles posteriorly which likely reflects the presence of small bilateral pleural effusions. The heart size cannot be assessed and the mediastinal contour appears stable. Bony structures are intact.

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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.

fever, tachycardia and cough.

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The heart is normal in size. The aorta is slightly tortuous and calcified. The mediastinal and hilar contours appear unchanged. In addition to low lung volumes, there is similar relative mild-to-moderate relative elevation of the right hemidiaphragm compared to the left. There is mild interstitial abnormality suggesting slight fluid overload or pulmonary congestion. Streaky left basilar opacities suggest atelectasis in association with a small suspected left-sided pleural effusion. The bones are demineralized. There are moderate-to-severe degenerative changes depicted along the partly visualized left shoulder.

hypotension, nausea and vomiting.

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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.

cough and fever. evaluate for pneumonia.

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Bilateral lower lobe right greater than left hazy opacities are visualize that are similar in extent compared to the ct from the prior day that showed ground-glass opacities in these regions. The upper lungs are relatively clear. There is no pleural effusion or pneumothorax

<unk> year old man with inc o<num> requirement // inc o<num> requirement

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Heart size is normal. Aorta is diffusely tortuous. On the lateral view, an area of confluent opacity overlies the lower thoracic spine anteriorly and is probably in the posterior aspect of the left lower lobe. Lungs are otherwise clear, and there are no pleural effusions or acute skeletal findings.

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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 altered mental status, cough // acute process?

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The findings remain unchanged from prior examination. The heart appears mild to moderately enlarged as previously seen. Cardiomediastinal contours are unchanged. The lungs are clear with no evidence of acute infiltrates. No pleural effusions or pneumothorax. Bony structures are intact.

<unk>-year-old lady with history of amiodarone toxicity is back on a low dose. ? any changes.

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As compared to the previous radiograph, the monitoring and support devices are in unchanged position. The appearance of the endotracheal tube, the two nasogastric tubes, the single and the double-lumen catheter inserted over the right internal jugular vein are constant. The predominantly right basal atelectatic opacities have decreased in extent. On today's image, only a single plate-like atelectasis is seen. There is extensive air collection in the bilateral soft tissues. No evidence of pneumothorax. Unchanged normal size of the cardiac silhouette.

intubation, pneumothorax, evaluation for lines.

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Pa and lateral views of the chest. The lungs are clear. There is no effusion, pneumothorax or consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old female with mid substernal chest pain.

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Patient is status post median sternotomy and cabg. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal in size to mildly enlarged. Mediastinal contours are unremarkable. No pulmonary edema is seen.

history: <unk>m with lweakness, decreased po intake // acute process

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The heart size, mediastinal, and hilar contours are normal. There is a opacity/consolidation in the superior segment of the left lower lobe. The remaining lung fields are clear without pleural effusion or pneumothorax.

history: <unk>f with cough, chills, r/o pna. assess for pna.

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There is a rounded opacity projecting over the fourth anterior rib on the left, which was not seen on the prior radiograph. There is no other focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The remainder of the osseous structures are unremarkable.

<unk>-year-old woman with left rib cage area pain, worse with deep breath, assess for pneumonia.

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Bilateral opacification of the lungs is most consistent with pulmonary edema which may be related to recent transfusion. Asymmetric opacification in the right upper lobe may be edema however the possibility of a consolidation can be considered. Cardiac size is normal. There is no pneumothorax or pleural effusion.

<unk> year old man with new aml and possible pna, s/p multiple blood products, with diffuse crackles // evaluate for volume overload and pna

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Patient is status post median sternotomy and cabg. The heart size is top-normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Previously noted bilateral pleural effusions have essentially resolved. Aeration within the lung bases is improved with only minimal atelectasis seen in the left lung base. Hyperinflation of the lungs is again noted. No pneumothorax is identified. No acute osseous abnormality is visualized. Chronic deformity of the left midclavicle is re- demonstrated.

history: <unk>m with chest pain

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Portable semiupright chest radiograph was obtained. The lungs are relatively well expanded with right mid and lower lung opacities concerning for pneumonia. Mild vascular congestion and perhaps minimal edema is likely also present. Evaluation for pleural effusion is limited due to hands being over the right costophrenic angle with trace left effusion possibly present. Moderate cardiomegaly with tortuous aortic contour and post-surgical changes are noted. There is no pneumothorax.

cough and fever, assess for pneumonia.

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Pa and lateral chest radiographs demonstrate low lung volumes. Cardiomediastinal and hilar contours are within normal limits. Streaky opacity at the left lung base likely reflects atelectasis. No focal opacity convincing for pneumonia is present. There is no evidence of pleural effusion, pulmonary edema, or pneumothorax. Spinal hardware is noted involving the lower thoracic and lumbar spine.

history: <unk>m with fever // eval for infection

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Focal, nodular opacity at the cardiac apex, likely representing a nipple shadow, the heart size, mediastinum and hila are normal. There is no pleural effusion and no pneumothorax. There is no evidence of pneumonia.

patient with chest pain.

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Pa and lateral views of the chest provided. Midline sternotomy wires are noted. Prominent mediastinal contour relates to known thoracic aortic aneurysm status post repair. Clips in the right subclavian region are noted. The lungs are clear. No signs of pneumonia or overt chf. There is likely a small left pleural effusion. The heart is stably enlarged. No pneumothorax. No bony injuries.

<unk>f with constipation, nausea without vomiting. history of chrohn's, aortic dissection

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Ap upright and lateral views of the chest provided. The heart is mildly enlarged. There is mild pulmonary edema. Small effusions likely present. No pneumothorax. No acute bony injury.

<unk>f with dyspnea on exertion // acute cardiopulm disease

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As compared to the previous radiograph, there is no relevant change. Low lung volumes, borderline size of the cardiac silhouette and tortuosity of the thoracic aorta. No pleural effusion. No pulmonary edema.

hypotension, fever, questionable pneumonia.

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The cardiomediastinal and hilar contours are within normal limits. There is mild pulmonary vascular congestion with no overt pulmonary edema. Blunting of the bilateral costophrenic angles, seen best in the lateral view, could be secondary to a small amount of pleural fluid. There is no focal consolidation or pneumothorax.

history: <unk>f with anasarca, sob // pulm edema?

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As compared to the previous radiograph, there is no substantial change. Borderline size of the cardiac silhouette without overt pulmonary edema. Left retrocardiac atelectasis. Suspicion of the presence of a minimal left pleural effusion. No pulmonary edema. No pneumonia. The right pectoral port-a-cath is in unchanged position.

hypoxia, evaluation for pulmonary edema.

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There are bilateral interstitial opacities, greater at the lung bases, consistent with moderate pulmonary edema. The previously reported right upper lobe spiculated opacity is again noted and better evaluated on prior fdg tumor imaging study. Diffuse emphysematous changes are again noted throughout the lungs. The heart remains moderately enlarged. Mediastinal contours are stable.

copd and congestive heart failure with shortness of breath.

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Right picc line tip in the low svc. Improved bilateral pulmonary opacities. Improved pleural effusions. Decreased pulmonary vascularity. Mildly improved heart size. No pneumothorax.

<unk> year old man with mech fall with l femur fx, admitted to <unk> for hypoxia and hypoventilation due to obesity, now with bradycardia and sob // new onset bradycardia and sob

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The lungs are again seen to be hyperinflated, with evidence of chronic obstructive pulmonary disease. Left mid lung linear scarring is again seen. There is slight increase in interstitial markings bilaterally in the perihilar regions which may relate to differences in technique versus minimal edema.no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with increased sputum production, cough, dyspnea on exertion // copd exacerbation vs pneumonia vs pulm edema

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. Poor inspiratory effort on the lateral view limits evaluation. There is no pleural effusion or pneumothorax.

<unk>m with etoh, <num> wks of malaise, cough, crackles l lung

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Patient is status post median sternotomy and cabg. Heart size is top-normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Streaky atelectasis is demonstrated in the lung bases without focal consolidation. Sutures are again noted within the left mid lung field. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.

history: <unk>m with shortness of breath

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Pa and lateral views of the chest provided. Cardiomegaly is again seen with diffuse ground-glass opacity within the lungs consistent with pulmonary edema. No large effusion or pneumothorax. No convincing signs of pneumonia. The mediastinal contour stable. Compression deformity involving upper and mid thoracic vertebral bodies appear stable from the prior ct exam with associated kyphotic angulation. No free air below the right hemidiaphragm is seen.

<unk>m with hyponatremia, history emphysema now with increased sob, overall malaise.

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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size appears to have increased mildly but difficulties with assessing precise heart volume on single view portable chest examination must be underlined. Comparison of the pulmonary vasculature suggests increased diameter of the central pulmonary vessel consistent with fluid plethora. However, no conclusive signs for interstitial or alveolar edema, and the lateral pleural sinuses remain free. No pneumothorax in the apical area, and no evidence of new discrete pulmonary parenchymal infiltrates. The described changes in heart size and pulmonary vasculature could be related to high degree of fluid administration, but there is no evidence of advanced cardiac failure. An ng tube has been placed during the examination interval and is seen to reach well below the diaphragm including its side port.

<unk>-year-old female patient with acute onset of sinus tachycardia, assess volume status.

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Pa and lateral images of the chest. A left-sided aicd is again seen with intact leads extending to the expected positions of the right atrium and right ventricle. The lungs are well expanded and clear. Left lower lobe atelectasis/scarring is unchanged from prior exam. There is no focal consolidation or mass. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is top normal in size. The heart demonstrates calcification of the apicoseptal myocardium, which has been present since at least <unk>, consistent with prior infarction.

chest pain.

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The heart is again mild-to-moderately enlarged. The main pulmonary artery contour appears moderately enlarged. The aortic arch is calcified. Opacities at the lung bases have markedly improved, leaving streaky opacities, most prominent at the left retrocardiac region. There is increased interstitial abnormality suggesting mild vascular congestion. There is no pleural effusion or pneumothorax. Mild-to-moderate rightward convex curvature centered along the lower thoracic spine with multilevel mild degenerative changes noted along the lower thoracic levels. The bones appear demineralized.

status post fall with right femur fracture. preoperative study.

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Comparison is made to previous study from <unk>. When compared with the previous study, there has been worsening of the airspace opacities, suggestive of diffuse pulmonary edema. Overlying infectious process is not entirely excluded. There is cardiomegaly. There are no pneumothoraces or large pleural effusions. There is a developing left retrocardiac opacity.

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Ap and lateral views of the chest. There is left basilar opacity which may be in part due to elevated left hemidiaphragm, better seen on the lateral view. Instinct pulmonary vascular markings are identified throughout. There is a small right and possible trace left effusion. Linear opacity in the right mid lung is potentially subsegmental atelectasis or fluid within the fissure. Basilar opacities may also in part be due to atelectasis noting that infection would be difficult to exclude. The cardiac silhouette is moderately enlarged. Hypertrophic changes seen in the spine.

<unk>-year-old male with chf and shortness of breath for two weeks.

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Ap upright and lateral views of the chest provided. A right-il access tunneled dialysis catheter terminates in the right atrium unchanged from prior study. A dobhoff tube is noted to pass into the distal stomach and tip extends outside the field of view. Mild bibasilar pleural effusions are present, improved from prior study. Mild congestion and interstitial pulmonary edema again noted. Mild cardiomegaly. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with malfunctioning hd catheter r subclav // hd catheter placement

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The heart size is top normal. There is mild pulmonary vascular congestion with an interstitial abnormality, which may be consistent with pulmonary edema. There is mild bibasilar atelectasis. There is no pleural effusion or pneumothorax. Compression deformity of the mid thoracic vertebral body is unchanged compared to the prior exam.

history of shortness of breath. please evaluate.

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Lung volumes are low. There is a mildly increased retrocardiac opacity likely representing atelectasis. The heart remains moderately enlarged. The thoracic aorta appears tortuous. There is no pleural effusion or pneumothorax. No acute fractures are identified.

cough and fatigue.