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s55244364.txt	___-year-old female with chest pain and mitral valve prolapse.	No acute intrathoracic abnormality.	PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.
s59424385.txt	___ year old woman with cough, SOB, COPD // r/o PNA	Multiple subtle abnormalities as described above, none of which are diagnostic for pneumonia. Repeat radiographs including bilateral oblique views may be helpful to determine if these abnormalities are persistent, and indicate true pathology.	A left pectoral dual-lead pacemaker sends leads to the right atrium and right ventricle, although the right pacer lead has an unusual configuration. There is an airspace opacity projecting over the lower spine on the lateral radiograph, and a faint nodular opacity in the right upper lobe. The lungs are hyperinflated. There is no pneumothorax. Mild blunting of the costophrenic angles there is most likely due to trace pleural effusions or thickening. The heart and mediastinum are within normal limits.
s51366342.txt	___ year old man with DM2, CKD stage III,and PAD, with known R foot non-healing ulcers, s/p multiple interventions now s/p R BKpop-DP bypass w/ GSV // Labored breathing and pulmonary edema	Moderate pulmonary edema is increased from ___.	A right-sided PICC is stable in position. Moderate pulmonary edema is increased from ___. Lung volumes are low, however there is no focal consolidation or pneumothorax identified.
s57981531.txt	History: ___F with presyncope	No acute cardiopulmonary abnormality.	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.
s58734360.txt	History: ___M with chest pain // eval heart and lungs	No acute cardiopulmonary process.	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal in size. Mediastinal contours are unremarkable. No pulmonary edema is seen.
s56975428.txt	___ year old man POD 1 LUL lobectomy with hypotension and increasing chest tube output. Please evaluate for hemothorax, interval change. Chest tube to suction. // *** Please perform 7:30 AM. Interval change, evolving hemothorax?	1. No evidence of hemothorax. 2. Mild vascular engorgement without pulmonary edema.	Compared to chest radiograph from a few hours earlier, there is little overall change. Mildly enlarged cardiac silhouette is unchanged. Mediastinal veins are mildly dilated but there is no pulmonary edema or pleural effusion. Stable left lower lobe atelectasis. No pneumothorax. Right lung is clear. Left chest tube crosses to the midline and impinges on the mediastinum.
s59852424.txt	___ year old woman with immunosuppression s/p kidney pancrease transplant, pulmonary cryptococcus presenting with encephalopathy, weakness. Evaluate for pneumonia.	Interval improvement in the right basilar opacity compatible with known pneumonia. No new consolidation.	There has been interval improvement in the right basilar opacity but there is a small amount of opacity remaining. No new consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
s56789776.txt	___F with palpitations, JVD // ?cpd	Significantly aneurysmal and tortuous thoracic aorta. Small left pleural effusion.	There is blunting of the left lateral costophrenic angle thought to represent a small effusion. The lungs are clear without consolidation. Cardiac silhouette is within normal limits. The thoracic aorta is aneurysmal and tortuous. The arch measures in the range of 7.5 cm. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
s55536479.txt	History: ___F with acute onset left sided chest pain // pneumothorax?	Left base atelectasis. Blunting of the left costophrenic angle, trace pleural effusion not excluded. Underlying consolidation difficult to exclude. No pneumothorax seen.	Left base atelectasis is seen. There is blunting of the left costophrenic angle which may be due to a trace pleural effusion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
s58981059.txt	Abdominal pain along with AFib/RVR. Evaluate for pneumonia. SINGLE AP CHEST	Massive cardiomegaly, most consistent with a large pericardial effusion. No evidence of pulmonary edema. Left basilar opacity could reflect atelectasis, though infection is not excluded. A small left pleural effusion may be present. Findings were relayed by Dr. ___ to Dr. ___ by phone at 10:43 a.m. on ___. Time of identification was approximately 10:40 a.m..	There is massive cardiomegaly, which may also represent a very large pericardial effusion. Left basilar opacity may reflect atelectasis, but infection is not excluded. There is no pneumothorax. Obscuration of the left lung base makes a left pleural effusion hard to exclude. There is no pulmonary vascular congestion and the vascular pedicle is not widened.
s58742293.txt	Interval changes evaluation.	Status quo	Compared to prior examination, there are no interval changes. Persistent right base opacification and left base atelectasis. Heart is mildly enlarged.There is no pneumothorax. Bibasilar pleural effusion is stable. ET tube is unchanged, ending at 3 cm from carina. NG tube ends in distal gastric cavity. Left PICC line is in standard position, ending in upper SVC.
s51783919.txt	History: ___F with cp and sob and sudden onset HA. Recent cold. // cardiopulmonary process	No acute intrathoracic abnormality. No evidence of pneumonia.	PA and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax.
s55657276.txt	___ year old man with cryptogenic cirrhosis and worsening ascites. // PNA R/o	No evidence of pneumonia.	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.
s51565233.txt	___ year old woman with pneumonia. // F/U	No evidence of pneumonia.	The lungs are clear.The cardiomediastinal contours are normal and a moderate-sized hiatal hernia is again appreciated.No pleural abnormality is seen.
s54692155.txt	___F with mechanical fall down stairs, endorses hitting head and landing on L chest. Tenderness to palpation along L ribs 5,6,7 //	No acute cardiopulmonary process. A 1 cm left upper lobe nodular opacity for which apical lordotic views are suggested for further evaluation regarding the possibility of a pulmonary nodule and if it persists, CT scan will be necessary.	Linear opacity at the left lung base is likely atelectasis. There is a 1 cm nodule projecting over the left lung apex. Lungs are otherwise clear. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. Lateral left clavicular fracture is partially visualized, better seen on concurrent shoulder films.
s59885794.txt	___ year old woman with HCV cirrhosis, presenting with hematemsis and leukocytosis // please assess for consolidation	1. No evidence of pneumonia. 2. ETT is at the carina and appears to be entering the right mainstem bronchus. If patient is still intubated, it should be pulled back by 4-5 cm.	The lungs are free of focal consolidations, pleural effusions or pneumothorax. Mild left retrocardiac atelectasis. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted in the aortic arch. Multiple surgical clips are visualized in the right upper quadrant. Of note, the endotracheal tube is at the carina, and appears to be entering the right mainstem bronchus.
s53582407.txt	History: ___M with altered mental status	No acute cardiopulmonary abnormality. Anterior superior mediastinal mass compatible with thyroid goiter.	Mild enlargement of the cardiac silhouette is re- demonstrated. Superior bilateral anterior mediastinal mass causing relative symmetric narrowing of the trachea is compatible with known thyroid goiter, and appears unchanged. Pulmonary vasculature is not engorged. Hilar contours are maintained. Apart from minimal bibasilar atelectasis, lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities are detected.
s51409686.txt	___ year old man with h/o r chest tubes // Evaluate stability of hydro and pneumothorax	No significant change in right loculated hydropneumothorax.	Compared with prior radiographs on ___, there is no significant change in the extent of the loculated right hydropneumothorax.The left lung is clear without focal consolidation, effusion or pneumothorax. Cardiomegaly is unchanged.
s56229833.txt	___ year old woman with s/p CABG, MVr- returned with chylothorax- bilateral CTs have been d/c'd // f/u chylothorax s/p removal of right CT	Stable pleural effusions with adjacent atelectasis.	Cardiac size cannot be evaluated. Upper mediastinum is normal. There is no pneumothorax. Moderate to large bilateral effusions with adjacent atelectasis are grossly unchanged allowing the difference in positioning of the patient. Left pigtail catheter has been removed. The upper lungs are clear
s58898465.txt	___F with dyspnea. Evaluate for infiltrate.	Moderate bibasilar atelectasis, however no evidence of pneumonia or heart failure.	The lungs demonstrate linear streaky opacities at the bases bilaterally, compatible with atelectasis. There is no focal consolidation concerning for pneumonia. Cardiomediastinal silhouette is normal and there is no pleural effusion or pneumothorax.
s55296864.txt	High-dose steroids with acute abdominal pain. Evaluate for pleural effusion or pneumonia.	Subdiaphragmatic free air warrants further evaluation with CT and surgical consult. These results were telephoned to Dr. ___ by Dr. ___ at 2:45 a.m., ___, five minutes after discovery.	Lung volumes are very low, and there is consolidation at the left base. Heart size is not well evaluated. There is no large pneumothorax. There is atelectasis at the right base. Subdiaphragmatic free air is seen under the right hemidiaphragm.
s53986376.txt	___ year old woman with severe back pain	No acute cardiopulmonary abnormality. No displaced fractures are identified. If there is continued concern for rib fracture, consider a dedicated rib series.	Heart size is seen normal. Mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Pulmonary vasculature is normal. Minimal streaky atelectasis is noted in the right lower lobe. No focal consolidation, pleural effusion or pneumothorax is identified. Moderate multilevel degenerative changes are noted in the thoracic spine. No displaced rib fractures are visualized.
s55866144.txt	___ year old woman with pleural effusion // eval	Stable blunting of the bilateral costophrenic angles, possibly tiny pleural effusions or thickening.	The lungs are hyper expanded and clear. The cardiomediastinal silhouette is stable. A prosthetic mitral valve is unchanged in position. Stable blunting of the bilateral costophrenic angles is possibly due to tiny pleural effusions or thickening. There is no pneumothorax, pulmonary edema, or focal airspace opacification.
s54947625.txt	History: ___M with electrical injury // evaluate for pneumothorax, fractures	No acute cardiopulmonary process.	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac an mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
s54078112.txt	___-year-old woman with a history of CHF and concern for discitis or osteomyelitis at T9. Evaluate for pulmonary edema.	Improvement in pulmonary vascular congestion.	Chronic elevation of the right hemidiaphragm. Stable, blunting of the left costophrenic angle likely reflects pleural adhesion. Low lung volumes with interval improvement in pulmonary vascular congestion. Curvilinear skin fold overlies the right hemithorax. No pneumothorax or acute focal pneumonia. Normal cardiac silhouette.
s57734653.txt	___ year old man with CHF, IABP in place. Evaluate IABP position.	1. Intra-aortic balloon pump tip terminates at the level of the left main bronchus, 3.5 cm below the aortic knob apex. 2. Improved right basilar atelectasis. 3. The right atrial pacemaker lead points medially.	The intra-aortic balloon pump tip projects 3.5 cm below the aortic knob apex, just at the level of the left main bronchus. Swan-Ganz catheter tip projects over the left pulmonary artery. Mild cardiomegaly is unchanged. Right basilar atelectasis has improved. There are minimal pleural effusions, if any. Lungs are otherwise grossly clear. No pneumothorax. Left ICD/pacemaker leads are continuous and terminate in the epicardial coronary vein and right ventricle, unchanged. The right atrial lead points medially.
s55948360.txt	History: ___M with chst pain // chest pain	No acute cardiopulmonary process.	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Eventration of the bilateral hemidiaphragms is incidentally noted.
s53675734.txt	History: ___F with fever // r/o pna	No acute cardiopulmonary process.	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
s53842749.txt	___F with dyspnea on exertion // please evaluate for acute abnormality	No acute cardiopulmonary process.	The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis and lower thoracic/lumbar levoscoliosis is noted.
s57571163.txt	History: ___M with ESRD, vomiting, // evaluate for fluid overload	No acute cardiopulmonary process.	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is persistent elevation of the right hemidiaphragm. No pulmonary edema is seen. Left subclavian stent is again noted.
s57040668.txt	___F with chest pain // ? pna	No acute cardiopulmonary process.	The lungs are grossly clear. Cardiac silhouette is enlarged but given differences in positioning is not significantly changed. No acute osseous abnormalities identified, degenerative changes noted shoulder on the left.
s55494311.txt	___ year old woman with wheezing and sob // eval for pul edema, atelectasis, effusions	Improved pulmonary vascular congestion. Removal of various tubes as described. .	Swan-Ganz catheter has been removed. Right internal jugular C3 in place with its tip at the innominate SVC junction region. Bilateral hilar prominence as previously. ET tube has been removed. NG tube has been removed. Sternotomy wires and the central chest tubes in place.
s52841611.txt	___-year-old with new NG placement.	NG tube with tip in the GE junction. Advancement is recommended.	This film is centered in the thoracoabdominal region to assess the placement of the NG tube, and evaluation of the thorax is limited. There is a new NG tube with tip terminating in the GE junction.
s59745223.txt	___ year old woman with ETT // f/u x-ray	Volume overload is increased, given the increasing pulmonary vascular congestion and bilateral pleural effusions.	ET tube terminates 3.2 cm above the carina. Right internal jugular venous catheter terminates in low SVC. A transesophageal tube courses below the diaphragm and out of view. Lung volume remains low. Pulmonary vascular congestion and bibasilar atelectasis and moderate pleural effusions are increased cardiomediastinal silhouette is larger than before.
s56077649.txt	___ y/o female in veg state with trach collar and presents with increased secretions // Eval for PNA vs edema	Low lung volumes with atelectasis. No obvious consolidation to suggest pneumonia.	Extremely low lung volumes are noted. Linear bibasilar opacities are most likely due to atelectasis. There is no pulmonary edema or large effusion. The cardiomediastinal silhouette is within normal limits. Tracheostomy tube is in place.
s56740159.txt	___ year old man with dysphagia and hypernatremia to 166 and hypoxic respiratory distress // evaluate for pulmonary edema, pna	Resolving bibasilar opacities, possibly representing clinically suspect aspiration. Continued radiographic followup recommended to ensure resolution and to exclude infectious pneumonia at the right lung base.	Improved bibasilar airspace opacities are most likely due to improving aspiration. Prominence of the ascending thoracic aorta is stable. There are no new consolidations or pleural effusions. There is no pneumothorax.
s53332591.txt	___ year old man POD ___ medulla lesion, s/p dobhoff placement // Evaluate NGT placement	1. The Dobbhoff tube tip is now in the stomach. 2. Otherwise normal chest radiograph unchanged from prior.	The Dobbhoff tube is now positioned with tip in the stomach. Cardiomediastinal silhouette is normal. The hila are normal. The bilateral pulmonary vasculatures are normal. The lungs are clear. No pleural effusion. No pneumothorax. No fractures.
s58885266.txt	___-year-old male patient with cardiac amyloid and pleural effusion, evaluate size of pleural effusion.	Bilateral pleural effusions, slightly increasing and suggestive of CHF. Left-sided retrocardiac atelectasis persists and possibility of infective course is likely. No other interval changes are seen.	PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding AP single view chest examination of ___. Cardiac enlargement as before. Unchanged appearance of thoracic aorta, thus only mildly widened and elongated without evidence of local contour abnormalities. The pulmonary vasculature shows a mild upper zone redistribution pattern and some perivascular haze on the bases. On previous examination identified pleural effusion obliterating the right lateral pleural sinus has increased slightly. There are some crowded pulmonary vessels on the right base, but no conclusive evidence for infiltrates is present. The left-sided retrocardiac pulmonary density persists and as before, is indicative of a sizeable atelectasis in the left lower lobe. The lateral view discloses that also some small amount of pleural effusion reaches into the posterior left-sided pleural space. Previously identified calcification in right-sided sixth anterior rib remains unchanged.
s56007918.txt	Chest pain. Evaluate for pneumonia.	No acute cardiac or pulmonary findings. However, persistent pulmonary opacities in the lower lungs may indicate underlying interstitial disease, a possibility which could be considered clinically and with dedicated chest CT if needed, versus primarily scarring from a prior insult such as previous infection or effusion.	Bilateral lower lung reticulation is similar to somewhat increased compared to prior radiographs from ___ but new since ___ ___. Central pulmonary arteries are again mildly prominent. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
s54290601.txt	___ year old man s/p fall from ___ft, anoxic brain injury; more agitated w/ inc trach secretions // r/o pulmonary etiology	Interval development of an airspace opacity at the right lung base suspicious for right middle lobe consolidation versus atelectasis.	A tracheostomy is in-situ, unchanged in position compared to the prior study. Lung volumes are slightly low but unchanged compared to the prior study. There is a developing opacity at the right lung base, likely within the right middle lobe. This may be due to atelectasis however infection cannot be excluded. No pleural effusion or pneumothorax seen. Incidental note is made of an azygos fissure.
s57405102.txt	___-year-old female with alcoholic hepatitis, status post antibiotic therapy for pneumonia and new Dobbhoff placement, here to evaluate position of Dobbhoff tube and interval changes in right lower lobe opacity.	1. Dobbhoff feeding tube coiled within the stomach. 2. Stable small bilateral pleural effusions on the right greater than left with unchanged opacification of the right lung base may represent focal consolidation in the appropriate clinical context.	Frontal and lateral radiographs of the chest show a Dobbhoff feeding tube coiled within the stomach with the tip terminating in the inferior distal stomach. Small bilateral pleural effusions on the right greater than the left with associated compressive atelectasis are unchanged in appearance. The right hemidiaphragm remains obscured and focal consolidation at the right lung base with parapneumonic effusion cannot be excluded in the appropriate clinical setting. No pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
s56655978.txt	___M with fever, HA, cough, + IVDU. Evaluate for septic emboli.	Low lung volumes with bibasilar atelectasis.	Low lung volumes with bibasilar atelectasis. No evidence of pneumonia.The cardiac, hilar and mediastinal contours are normal.No pleural abnormality is seen.
s58173682.txt	___F with chest pain after security restrained patient upstairs and she fell onto the ground // eval for rib fractures, acute process	No acute findings.	AP portable upright view of the chest. Low lung volumes limits evaluation. There is bronchovascular crowding in the lower lungs. No worrisome consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is stable. No displaced rib fractures are seen.
s53169475.txt	___ year old woman with 60lb weight loss // mass? mass?	Overall cardiac and mediastinal contours are within normal limits. No focal airspace consolidation, pulmonary edema, pleural effusions or pneumothorax. Degenerative change in the mid thoracic spine with no acute bony abnormality appreciated.	PA and lateral views of the chest are ___ at 14:08 are submitted.
s56032358.txt	___M with midsternal chest pain with radiation to back for 18 hours	Bibasilar atelectasis. Otherwise unremarkable.	PA and lateral views of the chest provided. Lung volumes are low with bibasilar atelectasis noted. No definite signs of pneumonia edema effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
s58322418.txt	History: ___F with chest pain // ?ptx	No acute cardiopulmonary process.	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
s57181136.txt	Altered mental status.	No evidence of acute disease. However, there is a new nodular focus in the right lower lung, likely a form of atelectasis; short-term follow-up radiographs are recommended to show resolution.	The cardiac, mediastinal and hilar contours appear stable. There is persistent patchy left mid lung opacity that appears decreased, suggesting improvement in atelectasis, although there is probably still some degree of volume loss noting mild relative elevation of the left hemidiaphragm. Projecting over the lower right mid lung is a new nodular focus that appeared over the short interval so this is probably due to an area of minor atelectasis with a nodular appearance.
s54130740.txt	___-year-old female with possible right pleural effusion and left-sided pleuritic chest pain. Evaluate effusions.	1. Hyperinflated lungs suggestive of COPD. No definite pleural effusion. 2. Age-indeterminate compression deformities of 2 thoracic vertebral bodies.	Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are hyperinflated with flattened diaphragms, suggestive of COPD. No focal consolidation, pleural effusion, or pneumothorax is seen. Median sternotomy wires and mediastinal surgical clips are intact. Compression deformity of upper and mid-thoracic vertebral bodies are age-indeterminate.
s57101613.txt	* CODE CORD * History: ___M with pre-op // pre-op	Low lung volumes. Moderate cardiomegaly, age indeterminate.	Lung volumes are slightly decreased. Atelectasis is noted at the left lung base. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Moderate cardiomegaly is present.
s52567748.txt	___F with AMS. Hx of lung ca. // PNA?	Known underlying parenchymal opacities and nodules not clearly delineated. No evidence of superimposed acute cardiopulmonary process, no new consolidation.	When compared to prior, there has been no significant interval change. Vague opacities projecting over the right mid lung and bilateral lower lungs are similar compared to prior. Left midlung chain sutures are again noted as well as biapical scarring. Known pulmonary nodules are not clearly delineated. There is no pleural effusion on the current exam. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, compression deformity of a mid thoracic vertebral body is unchanged.
s55367721.txt	Left-sided chest pain.	No acute cardiopulmonary process.	PA and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute fracture is seen.
s56137916.txt	History: ___M with chest pain	New bilateral pleural effusions, moderate on the right and small on the left, with bibasilar airspace opacities potentially reflecting compressive atelectasis, but infection is not excluded. Possible mild pulmonary vascular congestion.	Assessment of the cardiac silhouette size is difficult given the presence of a moderate size right pleural effusion, new in the interval, and a small left pleural effusion. Bibasilar airspace opacities may reflect atelectasis, but infection is not excluded. The mediastinal and hilar contours are relatively similar. There appears to be mild pulmonary vascular congestion. No pneumothorax is identified. Multilevel mild to moderate degenerative changes are noted in the thoracic spine.
s57969108.txt	Myeloma with fever.	No acute cardiopulmonary process; specifically, no evidence of pneumonia. Moderate-to-large hiatal hernia.	The cardiomediastinal silhouette and hilar contours are stable. Again appreciated is a moderate-to-large hiatal hernia projecting slightly right of midline. The lungs are clear except for minimal bibasilar linear atelectasis. There is no pleural effusion or pneumothorax. A right subclavian infusion port is unchanged in position with the tip projecting over the low SVC.
s57654309.txt	___ year old woman with increased WOB s/p IVF // ?volume overload	Apart from lower lung volumes, there is no significant interval change since the prior study.	Low bilateral lung volumes. No significant interval change in the appearance of the lung parenchyma. Small left pleural effusion. The size and appearance of the cardiomediastinal silhouette is unchanged.
s57248057.txt	Worsening seizures.	Low lung volumes. Clear lungs.	A single portable view of the chest demonstrates low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
s50792418.txt	___M with epigastric pain // r/o infiltrate	No acute intrathoracic process.	The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. There is no free air below the right hemidiaphragm.
s54610360.txt	Urinary tract infection with sepsis.	1. Unchanged left retrocardiac opacity and small left pleural effusion, reflecting possible consolidation. 2. No new pulmonary opacity.	A right IJ catheter has been retracted to the upper SVC. An endotracheal tube terminates 4.8 cm above the carina. Orogastric tube terminates within the stomach. The heart size is normal. The hilar and mediastinal contours are unchanged since the ___ examination. There is no pneumothorax. A persistent left retrocardiac opacity reflects atelectasis versus focal consolidation. A small left pleural effusion is unchanged.
s52942450.txt	Patient with recent tracheal resection, to look for interval changes.	Clear lungs. No evidence of aspiration or pneumonia or atelectasis.	Both lungs are well expanded and without any opacities concerning for aspiration or pneumonia or pulmonary edema. A single drain is seen at the level of the upper trachea in the midline. Cardiomediastinal silhouette is unremarkable. There is no widening of the upper mediastinum. Heart size is normal. There is no pleural abnormality.
s54057421.txt	___ year old woman s/p R IJ line pulled back // assess for line placement	1. Right internal jugular central venous line is in appropriate position, terminating in the low SVC. 2. Improved aeration of the right lung base since the prior study. 3. Severe emphysema. 4. Right basilar opacity likely represents overlapping structures rather than a discrete pulmonary nodule, however attention on follow-up imaging is recommended.	Since the prior study, there has been interval retraction of the right internal jugular central venous catheter, which now terminates in the low SVC. The lungs are hyperinflated, with slightly improved aeration of the right lung base since the prior study. Bilateral emphysematous changes are stable. There is no over pulmonary edema or pneumothorax. The cardiomediastinal silhouette is unremarkable. Nodular opacity in the right lung base is noted.
s58446233.txt	___ year old man with multifocal pneumonia, with worsening left lower lobe opacity seen on prior radiograph, interval assessment.	Right PICC now coils within the brachiocephalic vein and ends in the upper SVC. Slight improvement of left lower lobe opacity.	Since prior, right PICC now coils in the brachiocephalic and ends in the upper SVC. There is no definite pneumothorax. Retrocardiac density with obscuration of the medial left hemidiaphragm is unchanged. A left lateral lower lobe opacity is slightly improved. Right pleural effusion is stable. Cardiomediastinal silhouette is unchanged.
s57296047.txt	___-year-old woman with chest pain, dyspnea, evaluate for pneumonia.	No evidence of pneumonia.	PA and lateral views of the chest were obtained. Heart is normal size and cardiomediastinal silhouette is stable. Lungs are well expanded and clear. Pulmonary vasculature is normal. There is no pleural effusion or pneumothorax.
s52616494.txt	Fever. Question consolidation.	No evidence of acute cardiopulmonary disease.	The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. There is similar elevation of the left hemidiaphragm with persistent unchanged vague left mid to lower lung opacity which may indicate some degree of chronic atelectasis and, particularly given lack of change, isnot suspicious for an acute superimposed process. The lungs appear otherwise clear. Old left-sided rib fractures are also unchanged. There has been no significant change.
s53179684.txt	___ y/o M s/p fall, R hemopneumothorax, s/p CT placement. currently to suction // interval change- please obtain film at 6:00 AM on ___	Stable right-sided small hemopneumothorax.	As compared to ___, the lung volumes remain low. Known displaced right rib fractures. Unchanged position of the right pigtail catheter. Unchanged extent of a small right hemopneumothorax. The cardiac silhouette and the left lung, including the small retrocardiac atelectasis and small pleural effusion, remain unchanged.
s55397006.txt	___ year old woman with cough and chest discomfort for a week. No fever // r/o infiltrate	No acute cardiopulmonary process.	The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. Cervical hardware in the lower spine appear unremarkable.
s52036288.txt	___ year old man s/p CABG with SOB // eval for effusion	Increased right and stable left pleural effusions. Stable mild pulmonary edema. Stable bibasilar subsegmental atelectasis. Stable cardiomegaly.	A right-sided dialysis catheter terminates in the upper SVC. Sternotomy wires are intact and aligned. Lung volumes are low. Moderate layering pleural effusions have increased on the right. Mild pulmonary edema is unchanged. Stable retrocardiac airspace opacification is likely due to atelectasis at both lung bases.
s58673717.txt	___ year old woman with vertigo, diplopia.	No acute cardiopulmonary abnormality.	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.
s56206550.txt	History: ___F with R shoulder pain, chest pain s/p MVC // eval for pneumothorax	No acute cardiopulmonary process.	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. No pulmonary edema is seen. No displaced fracture is identified.
s50474813.txt	History: ___F with cough	No acute cardiopulmonary abnormality.	Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pneumothorax or pleural effusion is demonstrated. There are no acute osseous abnormalities.
s56870170.txt	___ year old man s/p ICD placement, new RV lead // ptx, leads ptx, leads	The ICD leads are intact, no pneumothorax.	Satisfactory RV lead placement is seen, no pneumothorax. Mild cardiomegaly, the cardiomediastinal silhouette is otherwise unchanged (allowing for changes in position). The lungs are clear bilaterally.
s50823335.txt	___ year old woman with SOB and chills. // Please assess for PNA. Please assess for PNA.	Overall cardiac and mediastinal contours are stable. Lungs appear well inflated without evidence of focal airspace consolidation to suggest pneumonia. No pulmonary edema, pleural effusions or pneumothorax. Aorta is somewhat unfolded and tortuous.	Portable upright chest radiograph ___ at 09:51 is submitted.
s59290737.txt	___ year old woman with O2 sat low ___'s tachycardic s/p laparoscopic surgery for endometrial cancer // please eval for e/o consolidation, effusion, pulm edema	No airspace consolidation. There is elevation of the left hemidiaphragm, but the diaphragm has maintained its normal contour and I think a subpulmonic effusion is unlikely.	Suboptimal inspiratory effort and AP position complicates interpretation of the radiograph. Apparent cardiomegaly and prominent pulmonary vascular markings may be technical in nature. Mild elevation of the left hemidiaphragm. Normal diaphragmatic contour. No airspace consolidation. No pleural effusion. No suspicious pulmonary nodules or masses.
s57897582.txt	___ year old woman with acute mono, pharyngitis, LAD, CXR yesterday with possible PNA vs breast tissue // eval for interval change and true presence of PNA taking into account breast tissue and previous CXR	Asymmetry in soft tissues less pronounced. No acute cardiopulmonary process or evidence of pneumonia.	Asymmetry in soft tissues is less pronounced.The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
s57134562.txt	Fall with trauma and pain over chest.	No acute intrathoracic process.	Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax is evident. No displaced rib fractures identified.
s57315999.txt	___ year old woman with recent pneumonia ?LUL // Have infiltrates resolved (INITIAL FILM NOT AVAILABLE)	No evidence of pneumonia.	Lungs are fully expanded and clear. Pectus deformity is noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
s50928352.txt	___-year-old woman with a chest tube, evaluate chest tube placement.	1. Trace right apical pneumothorax status post right-sided chest tube removal. 2. Unchanged moderate left and small right pleural effusion with adjacent bibasilar atelectasis. 3. No new focal lung consolidation.	The cardiomediastinal silhouette is unchanged, within normal limits with respect to the visualized portions. Right cardiophrenic angle surgical clips are unchanged in orientation. Previously seen right-sided chest tube has been removed since the prior study. There is a trace right apical pneumothorax measuring 3-4 mm. There is no left pneumothorax. Re-identified is a moderate left and small right pleural effusion with adjacent bibasilar relaxation atelectasis, unchanged. There is no new focal lung consolidation. There is no pulmonary vascular congestion or pulmonary edema.
s56390854.txt	___F on plaquenil with cough and fever. Evaluate for infiltrate.	Clear lungs.	The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
s54624846.txt	___ year old woman with basilar artery occlusion, intubated // ? ETT placement	Endotracheal tube tip in good position.	Endotracheal tube tip is 1.6 cm above carina. Enteric tube tip is well below diaphragm. Very shallow inspiration. Minimal bibasilar opacities.
s59365265.txt	History: ___F with preop // acut eprocess	Top-normal to mildly enlarged cardiac silhouette. No focal consolidation.	No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified and tortuous. No overt pulmonary edema is seen.
s51004032.txt	___ year old woman with bilateral submandibular gland swelling. // Eval for any pulmonary pathology	Bibasilar atelectasis, but no focal consolidations. Moderate enlargement of the mediastinal silhouette, likely due to a tortuous aorta and mediastinal lipomatosis.	Bibasilar atelectasis, but no focal consolidations. The pulmonary vasculature is normal. There is moderate enlargement of the cardiac and mediastinal silhouettes, likely due to a combination of a tortuous aorta and mediastinal lipomatosis. No pleural effusion. No pneumothorax. Moderate scoliosis.
s55079211.txt	___ year old woman with l ant cp with cough x weeks, // r/o pneumonia	Probable background COPD. Possible subtle chronic interstitial changes. No definite superimposed infiltrate.	The lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. The cardiomediastinal silhouette is unchanged. There is upper zone redistribution, without overt CHF. Mild prominence of interstitial markings could reflect underlying chronic changes. No focal infiltrate, focal consolidation, effusion or pneumothorax is detected. Advanced multilevel thoracic spine degenerative changes noted.
s59844646.txt	___ year old woman with pleuritic chest pain, cough x 3 weeks. Evaluate for pneumonia.	Bilateral small pleural effusions, left larger than right, with associated atelectasis. Recommend radiographic follow-up.	There are small bilateral pleural effusions, left greater than right, with associated atelectasis. There are no other focal consolidations or overt pulmonary edema. The heart size is normal.
s59609921.txt	___ year old woman with R empyema s/p VATS decortication and chest tube placement // eval chest tube placement, effusion	1. Mild generalized interstitial edema, improved on the right. 2. Stable positioning of the right-sided chest tubes, although anterior-posterior location is unknown. A lateral CXR could be considered for clarification of their position.	Two right-sided chest tubes enter the thoracic cage laterally and adjacent towards the head of the clavicle, terminating at the level of the aortic arch. Anterior-posterior location cannot be assessed by frontal radiography. Left-sided PICC terminates near the mid SVC. Notable improvement in opacification of the right hemithorax in the short interval since the prior radiograph, most consistent with resolving pulmonary edema. Mild background pulmonary edema on the left is stable. Other than minimal atelectasis at the right lung base, there is no focal consolidation. Small amount of fluid in the right minor fissure has increased. Stable mild cardiomegaly. No pneumothorax.
s57606974.txt	___F with fall last week, right rib pain. Evaluate for fracture, contusion.	1. COPD without evidence for acute cardiopulmonary abnormalities. 2. The ribs are not well assessed.	The lungs are hyperinflated, as before, suggesting COPD. Blunting of bilateral costophrenic sulci secondary to a diaphragmatic flattening and unchanged. There is no evidence for pneumothorax, pleural effusion, pulmonary edema, pulmonary consolidation. Heart size is mildly prominent. The aorta is calcified and tortuous. Hilar contours are stable with prominent central pulmonary arteries. Eventration of the right hemidiaphragm is again noted. The bones are demineralized. The ribs are not well assessed for fractures, as they are under penetrated for better evaluation of the lungs. No obvious rib fracture is seen. Mild dextroconvex thoracic curvature is again seen. Degenerative changes are again seen in the thoracic spine.
s51640185.txt	History: ___M with weakness	No acute cardiopulmonary abnormality.	Cardiac silhouette size is normal. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcifications of the aortic knob. Mild prominence of the pulmonary arteries bilaterally may suggest mild pulmonary arterial enlargement. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is noted in the lower lobes bilaterally. There is diffuse demineralization of the osseous structures.
s50357759.txt	Evaluate for infiltrate in a patient with metastatic melanoma presenting with confusion.	Subtly increased opacity projecting over the left mid lung, concerning for early pneumonia.	Frontal and lateral chest radiographs demonstrate a right chest wall port with the tip terminating in the right atrium. Lung volumes are slightly low, with exaggeration of the cardiac silhouette. There is subtly increased opacity projecting over the left mid lung, concerning for pneumonia. No pleural effusion or pneumothorax is visualized. The visualized upper abdomen is unremarkable.
s58554392.txt	___M with fall c/o rib pain, rib fracture or pneumonia.	1. No acute cardiopulmonary process. 2. No rib fracture is seen on this non-dedicated study.	The cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. No focal concerning parenchymal opacity. Bony structures are unremarkable. No rib fractures is seen on this non-dedicated study.
s59649431.txt	___ year old male with a history of coarctation repair, aortic valve repair and ultimately AVR , now with shortness of breath // to rule out any acute intrapulmonary process Surg: ___ (AVR)	1. Worsening moderate to severe pulmonary edema with unchanged severe cardiomegaly.	Since ___, moderate to severe pulmonary edema has worsened and severe cardiomegaly is unchanged. No pneumothorax. Small pleural effusions are presumed but unchanged. Median sternotomy wires are intact and aligned.
s54708786.txt	History: ___F with leukocytosis and fever // Pneumonia	No acute cardiopulmonary process.	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
s51567279.txt	___-year-old female with new endotracheal tube. Evaluate for tube placement.	1. Severe acute pulmonary edema. 2. Endotracheal tube ending 4.3 cm above the carina. NG tube with tip and side port below the diaphragm, but not seen in the image. Unchanged position of a right-sided tunneled line.	There are diffuse interstitial and alveolar space opacities, with associated Kerley B lines, bilateral hilar prominence, and small pleural effusions. There is mild-to-moderate cardiomegaly, not significantly changed compared with prior study. There is no pneumothorax. A newly placed endotracheal tube ends 4.3 cm above the carina. An NG tube is seen ending in the stomach with its tip and side ports beyond the margin of imaging. A right-sided tunneled line is unchanged in position compared with ___, ending at the cavoatrial junction. The external tip of the line has been cut off.
s59095083.txt	Patient who underwent CABG. Evaluation for pneumothorax after removal of chest tubes.	No pneumothorax after removal of two chest tubes.	Portable AP chest radiograph. Median sternotomy wires are intact. The left-sided chest tube and mediastinal drain have been removed. There is no pneumothorax. Lung volumes are low, but there is no focal consolidation. Small right pleural effusion is now seen. Mild cardiomegaly and vascular engorgement are stable.
s56024443.txt	___F with L temporal headache // acute process?	Normal chest x-ray.	Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
s53698803.txt	___F with syncope with headstrike. normal mental status // fx bleed	No acute cardiopulmonary process.	The lungs are clear without focal consolidation, effusion, or edema. Linear opacity in the left lower lung is likely atelectasis. Cardiomediastinal silhouette is stable and there is tortuosity of the descending thoracic aorta with atherosclerotic calcifications at the arch. Degenerative changes are noted at the left shoulder and there is a chronic left fourth rib fracture posteriorly. Postoperative changes of bilateral mastectomies with left breast prosthesis are noted.
s55123167.txt	___M with chf, sob // eval for pulm edema	Mild pulmonary edema.	The lungs are well-expanded. There is mild pulmonary edema. No focal consolidations. No pleural effusion or pneumothorax. There is moderate cardiomegaly. Cardiomediastinal hilar silhouettes are otherwise unremarkable, noting dense atherosclerotic calcifications of the aortic knob. Median sternotomy wires and valve replacements are seen.
s55075253.txt	___F with hx of recent ischemic strokes transferred to ___ ED from rehab with cough, nausea, vomiting // Any evidence of pneumonia or consolidation?	No acute cardiopulmonary process.	Prior right PICC is no longer seen. The lungs are clear. There is no consolidation or edema. There may be trace right pleural effusion with blunting of the posterior costophrenic angle. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air.
s52754342.txt	___ year old woman with tachypnea // eval int change	Slight interval improvement in the previously demonstrated airspace opacities likely reflects resolving pulmonary edema. Persistent left lower lobe and left mid lung atelectasis.	A right internal jugular catheter and right-sided PICC are unchanged in appearance compared to the prior study. Moderate cardiomegaly and pulmonary vascular congestion persists. The previously demonstrated bilateral airspace opacities are slightly improved, suggesting resolving pulmonary edema. Linear atelectasis in the left mid lung. Persistent left lower lobe atelectasis. There is likely a small left pleural effusion. No pneumothorax seen.
s57776509.txt	___M with dyspnea // eval heart and lungs	No acute cardiopulmonary process.	The lungs are clear.The cardiac, hilar and mediastinal contours are normal.No pleural abnormality is seen. Left humeral head prosthesis is partially imaged.
s51511741.txt	___ year old woman with asthmatic bronchitis. Non smoker. Rule out pneumonia.	No evidence of pneumonia.	Normal heart, mediastinum, hila, and pleural surfaces. The lungs are clear without effusions, pneumothorax, or focal consolidation concerning for pneumonia. Minimal scoliosis of the thoracic spine is unchanged.
s55506921.txt	Patient presenting with a probable old stroke. Evaluation for thoracic process.	Normal chest radiograph.	Frontal and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, mediastinal contours are normal.
s57650426.txt	___M with productive cough // eval for pneumonia	No acute cardiopulmonary process.	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
s54589509.txt	___ year old woman with lung abscess. S/p CT placement, which fell out. // Eval PTX after CT fell out	1. Minimal right apical pneumothorax may be present. 2. Slight worsening of bilateral atelectasis. 3. New right chest wall subcutaneous emphysema likely secondary to chest tube placement/removal. 4. Unchanged right basilar abscess.	The lung volumes are unchanged. The abscess at the base of the right hemithorax is unchanged. Slight worsening of left lower lobe and right middle lobe atelectasis. Otherwise the cardiomediastinal and hilar silhouette are stable. A minimal right apical pneumothorax may be present. No hydro pneumothorax. New moderate amount of right chest wall subcutaneous emphysema. The left pleural surfaces are stable. The osseous structures, including the severe thoracolumbar scoliosis, is unchanged.