ChayanM/MIMIC-MultiView-Findings-Query_Optional

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Minimal left basal linear opacity likely represents atelectasis. No other focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air. Right-sided pleural drain is noted.

<unk>-year-old female with weakness

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There is right pectoral pacemaker with a lead terminating at right ventricle. Pulmonary vessel congestion is similar to prior. Bilateral small to moderate pleural effusions and compressive atelectasis of lung bases are also similar to prior. Cardiomediastinal silhouette is unchanged.

<unk> year old man with lad stemi s/p des x<num>, bms x<num>, cardiogenic shock with bradycardia and pauses is now s/p temoorary external pacemaker // assess for external pacemaker lead placement

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Mass-like area of opacity in the right middle lobe has increased in size, currently measuring <num> x <num> cm and previously measuring <num> x <num> cm. It now contains possible cavitation. Diffuse interstitial opacities have also progressed in the interval, and have a mid and lower lung predominance. Heart is not enlarged. Mediastinal and hilar contours are stable in appearance. There are no pleural effusions. Note is made of previous right mastectomy procedure.

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As compared to the previous radiograph, there is increased density at the left lung bases and evidence of slightly decreasing air in the soft tissues. No pneumothorax. Unchanged moderate cardiomegaly. Unchanged pleural thickening on the right, unchanged osteotomy of the fourth rib on the right with displacement.

status post tracheobronchoplasty, evaluation for interval change.

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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no new focal consolidation concerning for pneumonia. There are stable emphysematous changes of right upper lobe with chronic fibrosis of the right upper lobe medially, presumably due to prior radiation treatment. The left lower lobe opacity has apparently resolved, which would be better assessed by chest ct.

cryptogenic organizing pneumonia with stable symptoms and tapering steroid dose.

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Ap and lateral chest radiograph demonstrate symmetrically hyperexpanded lungs with flattening of bilateral hemidiaphragms which may reflect copd. Linear opacities within the right middle lobe likely reflect atelectasis. No focal opacity is seen concerning for infection. The cardiac and mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.

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

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New right lower lung consolidation spans at least <num> cm. There is an associated right pleural effusion. The cardiomediastinal silhouette is unchanged. The tracheostomy, right ij hemodialysis catheter, and enteric tube are unchanged in position.

<unk> year old woman with sepsis and edema.

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Ap upright and lateral views of the chest provided. Lung volumes are low. Allowing for this, the lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No displaced rib fractures are identified.

<unk>m with swollen l ankle and contusions to <unk> <unk> chest // r/o fxs <num>/ fall <unk>' from ladder

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Compared to the radiograph from <unk>, there is increase in pulmonary vasculature caliber, and interstitial opacities worse at the base, increased width of the vascular pedicle and enlarged heart, consistent with pulmonary edema. Pleural effusion is small if any. No pneumothorax is seen.

<unk> year old woman with esrd s/p transplant now with allograft dysfunction who developed acute sob with new o<num> requirement, concern for vol overload. evaluate for pulmonary edema.

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An endotracheal tube terminate <num> cm above the carina. A new right subclavian venous catheter terminates in the mid svc. An orogastric tube courses below the diaphragm, the tip is not included on this examination. As compared to prior examination, there has been interval improvement of perihilar bronchovascular opacities. Right lung opacity has also improved. There is no large pleural effusion or pneumothorax. There is rightward shift of the cardiac silhouette likely secondary to volume loss at the right lung base. Pulmonary vascular congestion has improved.

right subclavian line. evaluate position of line.

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Ap single view of the chest has been obtained with patient in supine position. Analysis is performed in direct comparison with the next preceding portable chest examination of <unk>. There is marked regression of on previous examination identified bilateral pattern of multiple patchy confluenting densities in the parenchyma. The marked and quick regression in relative short time interval suggests that the lesion was mainly related to pulmonary edema. A diffuse hazy density over the right hemithorax most likely represents pleural effusion that layers in the posterior pleural spaces as the patient is in supine position. Only small amount of pleural effusion appears to be present on the left base. No new parenchymal infiltrates are seen.

<unk>-year-old female patient with cholangitis, pancreatitis, and questionable ards, evaluate for interval change.

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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. A new retrocardiac and right lower lobes opacity demonstrates in air-fluid level and is best assessed on lateral projection, consistent with a moderate-sized hiatal hernia. Limited assessment of the osseous structures are unremarkable and visualized upper abdomen is within normal limits.

<unk>f with malaise and nausea. assess for pneumonia.

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A tracheostomy appears unchanged. The cardiac, mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. A large consolidation involves posterior portions of the right lower lobe, most suggestive of lobar pneumonia. Bony structures are unremarkable.

cough, sputum, and fever.

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The lungs are clear without consolidation, effusion, or edema. The cardiac silhouette is enlarged similar to prior. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities identified.

<unk>f with chest pain // please eval for any pna, infectious process

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In comparison with the study of <unk>, there are continued low lung volumes. Monitoring and support devices remain in place and there is no evidence of pneumothorax. Opacification at the left base is consistent with some volume loss in the lower lobes, possibly with small pleural effusion. The right lung is clear except for apparent atelectatic streaks.

cabg, to assess for effusion.

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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 heart size remains normal. No configurational abnormality is seen. Unremarkable appearance of thoracic aorta and mediastinal structures with unchanged appearance of very mild right-sided convex scoliosis in the thoracic spine. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on frontal view. Skeletal structures of the thorax grossly unremarkable.

<unk>-year-old female patient with renal transplant on immunosuppression with cough and fever. evaluate for possible pneumonia.

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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. 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 malaise, nausea.

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Lordotic positioning. Compared with <unk> at <time>, an et tube is now present, tip borderline low, <num> cm above the carina. An ng tube is present, tip extending beneath diaphragm, off film. Left ij central line tip again overlies the distal svc. No pneumothorax is detected. Cardiomediastinal silhouette is partially obscured, but probably unchanged. Again seen is hazy density in the right mid can lower zones, consistent with pleural effusion can underlying collapse and/or consolidation. The degree of vascular plethora in the right upper zone may be slightly increased, but there is also considerable artifact due to overlying materials. On the left, no overt chf. Patchy opacity at the retrocardiac region is similar to the prior film. No left effusion. Old healed right rib fractures and tapered left clavicle again noted.

<unk> year old woman with s/p re-intubation <unk> resp failure // eval 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>-year-old female with pain and coughing.

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An ap view of the chest was obtained. There is mild cardiomegaly. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There are low lung volumes with bibasilar opacities consistent with atelectasis. There is no focal consolidation concerning for pneumonia.

fever, hypotension.

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Right apical pleural thickening and superior retraction of right hilum are stable and consistent with patient's history of right upper lobe resection. There is increased left lung base opacity in the infrahilar region . Mild pulmonary edema is increased. Enlarged cardiac silhouette is unchanged.

<unk> year old man with chf, lung cancer s/p rul resection and afib now with fevers and increased o<num> requirement. // please evaluate for pulmonary edema versus pna

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Comparison is made to prior study from <unk>. Since the previous study, there has been placement of an endotracheal tube whose tip is <num> cm above the carina and could be pulled back at least <num>-<num> cm for optimal placement. There is crowding of the pulmonary vascular markings. The right-sided ij line has the distal lead tip at the cavoatrial junction. There remains a left retrocardiac opacity and low lung volumes with atelectasis at the lung bases.

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The patient is status post aortic valve replacement and probably coronary artery bypass graft surgery. A right internal jugular venous catheter terminates at approximately the confluence of the right internal jugular vein with the right subclavian. The cardiac, mediastinal and hilar contours appear stable. There is similar volume loss at the left lung base with patchy atelectasis. It is difficult to exclude a pleural effusion on the left. There is no indication of pleural effusion on the right.

right internal jugular central venous catheter placement.

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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

chest pain.

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The cardiac, mediastinal and hilar contours appear unchanged. The heart is normal in size. Previously, the left hemidiaphragm was somewhat elevated, but this has resolved. Although volume loss has resolved, a lateral view now depicts a posterior basilar opacity, probably in the left lower lobe, concerning for pneumonia. There is no pleural effusion or pneumothorax. Lumbar spinal fusion hardware is only partly visualized and not well assessed.

shortness of breath.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is nearly total collapse of a lower thoracic vertebra seen in the lateral view which is unchanged from <unk>. A compression of approximately <unk>% of the thoracic vertebra right above the diaphragmatic margins in the lateral view is also unchanged from prior.

<unk>-year-old male with multiple myeloma and hypertension with five hours of chest pressure at rest. evaluate for cardiomegaly, widened mediastinum.

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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. Mediastinal and hilar contours are unremarkable. No displaced fracture is seen. There is no evidence of free air beneath the diaphragms.

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In comparison with the study of earlier in this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Nasogastric tube extends to the stomach, though the sidehole is above the esophagogastric junction. Left subclavian catheter tip extends to the mid-to-lower portion of the svc. No evidence of pneumothorax. There is increased opacification again at the right base silhouetting the hemidiaphragm, consistent with a combination of layering effusion and compressive atelectasis at the base. Prominent changes are seen on the left. In the appropriate clinical setting, aspiration or even infectious pneumonia would have to be considered.

respiratory failure with intubation.

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Pa and lateral views of the chest were compared to previous exam from <unk>. The lungs are clear, without consolidation, pulmonary vascular congestion, or effusion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with intermittent chest tightness and shortness of breath.

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The sternotomy wires appear intact and appropriately aligned. There is a right ij with the tip in the cavoatrial junction. The left pleural effusion with adjacent atelectasis has decreased in size. There is residual effusion on the left, and bibasilar linear opacities representing atelectasis. There is a retrosternal air-fluid level, which is likely due to the patient's recent sternotomy. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.

<unk> year old man with s/p cabg // eval postop changes

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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear. There is no focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears normal and stable. Bony structures are intact. A ring shaped calcified structure projecting over the left lower chest wall likely represents costochondral calcification.

<unk>f with chest pain below her left breast and epigastric abdominal pain, non-productive cough // evidence of pulmonary congestion or infiltrates

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In comparison with the study of <unk>, the endotracheal tube remains in place, approximately <num> cm above the carina. Slightly improved inspiration with borderline size of the cardiac silhouette. Retrocardiac atelectatic change persists with blunting of the costophrenic angle on this side. The right costophrenic angle is sharp and there is no evidence of pulmonary vascular congestion. There is, however, some prominence of the azygos region, raising the possibility of right-sided failure.

hep c with tongue swelling and intubation.

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Lung volumes are low, numerous monitoring devices project over the chest wall. There is a right-sided chest tube in-situ. No definite pneumothorax is seen. Left lower lobe atelectasis. Visualization of the left costophrenic angle is suboptimal but no definite pleural effusion seen. Tiny amount subcutaneous emphysema at the right costophrenic angle. An airspace opacity in the right upper lung is consistent with postoperative change, surgical clips are seen in this area.

question pneumothorax status post wedge resection.

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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are stable. Heart size normal.

history: <unk>m with hiv with nondisseminated shingles // ?infiltration

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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 chest pressure, sob, lightheaded after endoscopy on <unk>.

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The cardiac silhouette is mild-to-moderately enlarged. There is mild engorgement of the pulmonary vasculature. No definite focal consolidation or pneumothorax is identified. No large pleural effusions seen. A left-sided pacemaker is seen with its tip terminating in the right atrium and right ventricle, expected locations.

cough and pleuritic chest pain.

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Frontal and lateral views of the chest were obtained. Again seen is left upper hemithorax/apical opacity, not significantly changed since the prior study, seen to represent loculated pleural effusion on prior ct. Left base streaky opacity radiating from the left hilum is similar in appearance. Hilar contours are similar. There is blunting of the costophrenic angles may be due to trace effusions. Otherwise, the right lung is clear.

<unk>-year-old female with history of pleural effusions.

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The lung volumes are low. Since the prior exam, there is increased vascular congestion and mild pulmonary edema. There is no focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. The hilar contours are enlarged. This is unchanged from <unk>, and likely due to pulmonary hypertension. The mediastinal contours are normal. The heart size is at the upper limits of normal. A left-sided pacemaker is unchanged, and in satisfactory position.

shortness of breath. evaluate for cause.

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The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is mildly enlarged. Descending thoracic aorta is tortuous. No acute osseous abnormality.

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

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Subtle increase in opacity at the left lower lobe seen on the frontal view, not substantiated on the lateral view may be due to overlap of vascular structures, but in the appropriate clinical setting early consolidation is not excluded. The right lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

shortness of breath, hypoxia.

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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. There is no acute osseous abnormality.

<unk>-year-old man with dyspnea, cough, fever. evaluate for acute infectious process.

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The endotracheal tube remains <num> cm from the carina. The monitoring and support devices are and correct position. Mild cardiomegaly. The moderate interstitial pulmonary edema persists a. A trace right-sided effusion is seen.

<unk> year old man with ett advanced // please reassess placement

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There is minimal left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.

right rib pain x.

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The heart is normal in size. Similar small calcified lymph nodes are noted along each hilum and the aortopulmonary window. The mediastinal and hilar contours appear otherwise within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable.

syncope.

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The lung volumes are normal. Minimal retrocardiac atelectasis, no evidence of pneumonia. No direct or indirect signs of pe. Normal size of the cardiac silhouette. No pleural effusions.

hand surgery, chest heaviness, evaluation.

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

history: <unk>f with fever, chest tightness // please eval for pna

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Patient is status post median sternotomy and endovascular stent graft repair of the thoracic aorta at the level of the aortic arch due to a saccular aneurysm. Mediastinal contour appears unchanged. Heart size is mildly enlarged though difficult to definitively delineate due to the presence of a moderate-sized left pleural effusion. Small right pleural effusion is also unchanged. Bibasilar airspace opacities likely reflect compressive atelectasis. No pulmonary edema or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with shortness of breath

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

chest pain.

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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild relative elevation of the right hemidiaphragm compared to the left appears stable.

right upper quadrant pain and rigors. history of cholangitis.

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Low lung volumes with bibasilar atelectasis are chronic. There is no new consolidation. There is no pulmonary edema. Mildly enlarged cardiac and mediastinal contour is stable. There is no pleural effusion or pneumothorax.

patient with progressive neuro disease, rule out pneumonia or lung collapse, interval change.

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The lungs are effusion or edema. Nodular densities projecting over the lung bases bilaterally are presumably nipple shadows. There is asymmetric density projecting over the right lung apex, over the lateral right second rib when compared to the left. Cardiac silhouette is within normal limits. The thoracic aorta is markedly ectatic. No acute osseous abnormalities.

<unk>m with generalized weakness // eval for pneumonia

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Lingular linear atelectasis is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The pulmonary arteries are slightly prominent which could be due to a component of pulmonary artery hypertension. There is mild pulmonary vascular congestion. No displaced fracture seen.

chest pain.

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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. The ascending aorta appears somewhat prominent, possibly related to mild dilation or tortuosity.

<unk>m with chest pain.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.

cough, headache, chills.

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As compared to the previous radiograph, the nasogastric tube has been removed. The other monitoring and support devices are in unchanged position. Unchanged appearance of the right hemithorax, except for a newly appeared minimal right pleural effusion. The small pre-existing left pleural effusion is unchanged. Unchanged postoperative areas of atelectasis at the right lung base. Known sclerotic spot in the right humerus.

status post esophagectomy, evaluation for interval change.

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. Medial left base opacity corresponds to a left-sided bochdalek hernia on recent ct. Moderate multilevel degenerative changes of the thoracic spine are noted. The upper abdomen is unremarkable.

<unk>-year-old male with fever and leukocytosis, evaluate for pneumonia.

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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Normal post-operative appearance of the right hemithorax. There is no evidence of pneumothorax. Unchanged appearance of the heart. No new parenchymal opacities.

esophagectomy, evaluation for interval change.

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

<unk>m with positive tb test in basic training, told he had "tb in the lungs" but treated with inh. presents with fever and cough, evaluate for infiltrate or evidence of active tb.

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As seen on prior chest ct examination, there is re- demonstration of postradiation changes and scarring within the right upper lobe. A moderate-sized right-sided pleural effusion is again seen. The left lung is grossly clear. No definite new focal consolidation or pneumothorax identified.

<unk>m with sob and cough // r/o acute process r/o acute process. there is also history of non-small cell lung cancer.

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The heart is mildly enlarged. The aorta demonstrates calcifications within the aortic knob. The hilar contours are unremarkable. There may be mild pulmonary vascular congestion, but no overt pulmonary edema is seen. Minimal streaky linear opacities at the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.

elevated troponin.

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The lungs are low in volume with linear scarring or atelectasis in the left mid lung. There is no pleural effusion or pneumothorax. Mild pulmonary vascular congestion is improved. The heart is top normal in size with normal mediastinal contours.

cough, wheeze and fever.

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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 slide off moped with right shoulder pain

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Lung volumes are low with minimal left lower lung atelectasis. There is no consolidation suspicious for pneumonia. There is no pneumothorax or pleural effusion. Mediastinal and cardiac contours are unremarkable. Surgical clips are seen in the neck region, possibly from prior thyroid surgery and this is unchanged since previous exam.

patient with fever, rule out pneumonia.

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The lung volumes are low. There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The heart size is at the upper limits of normal, and unchanged from the prior exam. The mediastinal contours are stable. There is no evidence of free air below the hemidiaphragms.

chest and abdominal pain. evaluate for free air.

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Interval removal of right picc line. Lung volumes are low with chronic near complete collapse of the left lower lobe. A new heterogeneous opacity in the right lung base is concerning for pneumonia. Again, the significant left basilar and retrocardiac atelectasis is unchanged since <unk>. Moderate to severe cardiomegaly is stable. A left pectoral pacemaker is seen with a transvenous lead in the right ventricle. An old chronic rib fracture seen on the left. No pneumothorax or pulmonary edema.

<unk> year old man with delirium // eval for signs of pneumonia

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Pa and lateral views of the chest are provided. The lungs are clear bilaterally without focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.

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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. There is marked progression of the left-sided pulmonary abnormalities now resulting in practically total whiteout of the left hemithorax. Degree of mediastinal shift towards the right, which existed already before has further increased. There is no evidence of new parenchymal abnormalities in the right hemithorax beyond those described earlier and interpreted as most likely representing some pulmonary congestion.

<unk>-year-old female patient with worsening hypertension, rhonchorous lungs making it difficult to assess for <unk>. ? developing volume overload/chf.

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Mild pulmonary edema may be minimally worse in the interval. Cardiac, mediastinal, and hilar contours are unchanged. Patchy opacities in the lung bases likely reflect areas of atelectasis, but aspiration or infection is not completely excluded. No pleural effusion or pneumothorax is identified. Clips from prior cholecystectomy are noted in the right upper quadrant.

history: <unk>f with shortness of breath

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There has been placement of an endotracheal tube terminating approximately <num> cm above level the carina. There are low lung volumes. The patient is rotated to the right. As better assessed on pre seeding ct, the ascending aorta is dilated. The aorta is tortuous. Left basilar opacities are seen. No focal consolidation was seen on ct earlier today, findings likely represents atelectasis, component of aspiration not excluded. No large pleural effusion or pneumothorax seen. The cardiac silhouette remains enlarged.

history: <unk>m with intubation // intubation

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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> year old man with chest tension

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As compared to the previous radiograph, the patient has been extubated. The pleural effusions have minimally increased in extent. Also increased are the signs suggestive of pulmonary edema. Moderate cardiomegaly persists. No pneumothorax.

evaluation for fluid overload.

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There is a right-sided pacemaker with leads overlying the expected locations of the right atrium and right ventricle. No pneumothorax is appreciated. The lungs are clear. The heart is enlarged.

status post pacemaker placement.

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Pa and lateral views of the chest are provided. There is elevation of the right hemidiaphragm. There is minimal left basilar atelectasis. No effusion or pneumothorax. No definite signs of pneumonia. Cardiomediastinal silhouette is normal. Bony structures are intact.

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Allowing for differences in technique and projection, there has not been a substantial change in the appearance of the chest since the recent study from earlier the same date.

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Lungs are clear. There is no focal consolidation, effusion or or pneumothorax. The cardiomediastinal silhouette is within normal limits for technique. No displaced fractures identified. Degenerative changes are noted at the shoulders.

<unk>f with bilateral arm pain, bradycardia // eval for acute process

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The lungs are well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are normal. The aorta is tortuous. There is no pleural effusion or pneumothorax. No osseous abnormality identified within limits of plain radiography.

<unk>f s/p reduction bimal fx

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As compared to the previous radiograph, a pre-existing mild parenchymal opacity at the right lung base has almost completely resolved. No new parenchymal opacities have occurred. Normal appearence of the cardiac silhouette. No pulmonary edema. No pneumothorax. No pleural effusion. The monitoring and support devices are in constant position, with the endotracheal tube is still positioned high and for advancement of about <num> cm.

oxygen requirement, evaluation for pathology.

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The heart is mildly enlarged. Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The aortic knob is calcified. There is mild pulmonary vascular congestion. No pleural effusion, focal consolidation or pneumothorax is present. There are mild degenerative changes in the thoracic spine. Partially imaged is hardware within the right shoulder.

palpitations.

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Pa and lateral views of the chest were obtained. There is no definite sign of pneumonia or chf. Along the left heart border is subtle density which is most compatible with slightly prominent bronchovasculature, though the possibility of a very early or partially resolving pneumonia is impossible to exclude. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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The lungs are clear with no pleural effusion identified. Cardiomediastinal contour appears stable when compared to prior study dated <unk>. Intact median sternotomy wires are identified. Calcifications are noted within the aortic arch. No acute osseous abnormality is identified.

<unk>-year-old male with cough.

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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. The right ac joint is chronically widened with an ossific density just inferior to the lateral clavicular head.

left-sided chest pain.

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In comparison with the study of <unk>, there is little change. Again, the patient is obliqued towards the right. No evidence of acute pneumonia, vascular congestion, or pleural effusion.

preoperative.

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Ap supine portable chest radiograph provided. The endotracheal tube is seen with its tip residing approximately <num> cm above the carina. The patient is slightly rotated to the right. Lung volumes are low with basilar platelike atelectasis. The heart size appears within normal limits. The mediastinum appears widened, though this is likely due to portable technique and rotation. No supine evidence for effusion or pneumothorax. Bony structures appear intact. Inferior spurring at the right glenohumeral joint is noted.

<unk>-year-old man with altered mental status, seizure, intubated.

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There has been interval decrease in right pleural effusion, now small in size with overlying atelectasis. There is also a trace left pleural effusion. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. No evidence of pneumothorax is seen.

history: <unk>m with recent <unk>, cough // eval for infiltrate, effusion, pneumo

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Cardiomegaly is a stable. Widened mediastinum is unchanged. Vascular congestion has improved. No pneumothorax, pleural effusion or evidence of pneumonia

<unk> year old man with likely pna and foot infection // please eval for pna or other pulm process

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The lung volumes are low. There is a persistent left lower lobe opacities silhouetting the left hemidiaphragm with elevation of the left hemidiaphragm as before. Likely small left pleural effusion. Unchanged mild cardiomegaly. Endotracheal tube terminates at the thoracic inlet, enteric tube tip terminates in the gastric fundus and ekg leads overlie the chest wall.

<unk>f w/lll opacity, wide mediastinum, although earlier film from today rotated, please perform repeat, unrotated film this am // <unk>f w/lll opacity, wide mediastinum, although earlier film from today rotated, please perform repeat, unrotated film this am

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Pa and lateral views of the chest were provided. The heart is moderately enlarged. There is a small right pleural effusion. The right lung is clear. There is mild retrocardiac opacity which likely represents mild basal atelectasis. Mediastinal contour is normal. There are midline sternotomy wires and mediastinal clips noted. Bony structures are intact.

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Pa and lateral views of the chest were obtained. The heart is top normal in size. Lungs appear clear. No signs of pneumonia or chf. No pleural effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.

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Cardiomediastinal contours are unchanged with mild cardiomegaly and tortuous aorta. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine sternal wires are aligned.

<unk> year old man with h/o bladder cancer // evaluate for mets or other abnormalities

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Endotracheal tube tip terminates <num> cm from the carina. Enteric tube is seen with tip projecting off the inferior borders of the film, but the side-port is above the gastroesophageal junction. Right right-sided port-a-cath tip terminates in the low svc. Heart size is normal. Aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Apart from minimal streaky atelectasis in the left lung base, the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.

intubated.

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The lungs are well expanded and clear. The previously seen left lung base opacity has resolved. There is no new consolidation. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Chronic rib deformities are again noted.

<unk>-year-old male with somnolence.

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The heart size is within normal limits. The mediastinal contours demonstrate mildly tortuous aorta with calcified atherosclerotic disease at the aortic knob. The lungs demonstrate heterogeneous lucency with coarsening of the interstitial markings as well as hyperinflation and flattening of the hemidiaphragms. These findings are all compatible with copd. There is no large pleural effusion or pneumothorax.

<unk>-year-old female with leukocytosis and chills.

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Surgical drains project over the left hemithorax. No focal consolidation, pleural effusion or pneumothorax identified. Unchanged atelectasis in the left medial lung zone. The size of the cardiac silhouette is within normal limits. The tip of the endotracheal tube projects <num> cm in the carina.

<unk> year old woman s/p l breast excision s/p hematoma evacuation // please assess for acute changes

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Ap portable upright view of the chest. Lung volumes are low limiting evaluation. The heart remains moderately enlarged with curvilinear calcification projecting over the heart compatible with mitral annular calcification. There is persistent elevation of the right hemidiaphragm. The lungs appear clear without focal consolidation, large effusion or pneumothorax. No convincing signs of edema or congestion. Atherosclerotic calcifications at the aortic knob again noted. The bony structures appear intact.

<unk>f with chest pain shortness of breath tachy cardia // eval for pna

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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 uri symptoms, multiple myeloma

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Ap upright and lateral views of the chest provided. Lungs are grossly clear. No convincing evidence for pneumonia or chf. No large effusion or pneumothorax. The cardiomediastinal silhouette appears grossly within normal limits. No free air below the right hemidiaphragm. <num> anchors are noted overlying the right humeral head. There is significant high riding of the right humeral head indicative of chronic rotator cuff disease. Findings are less pronounced though also present on the left with associated left ac joint arthropathy.

<unk>m with chills // eval for pna

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Pa and lateral views of the chest provided. Mild basal atelectasis on the left noted. Otherwise lungs are clear. 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 recent gi bleed // ? effusion

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The patient is status post left upper lobectomy with postsurgical changes noted in the left hemi thorax. Cardiac, mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is demonstrated. The lungs are hyperinflated. No acute osseous abnormalities present.

<unk> year old man with cough, dyspnea and fever

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Subtle left basilar opacity likely corresponds to atelectasis/possible pulmonary contusion as seen on ct earlier today. No large pleural effusion is seen. There are no findings to suggest pneumothorax. There are multiple left-sided rib fractures, better assessed on ct, however, <num> reasonably well seen involves the posterior left <num>th rib is, which is minimally displaced. The cardiac and mediastinal silhouettes are unremarkable.

bicycle accident, rib fracture.

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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. There is a mild pectus excavatum deformity of the sternum. No free air below the right hemidiaphragm is seen.

<unk>f with rlq abd pain, to get lap appy // pre-op