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the lung volumes are low.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is no free air under the diaphragm.
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<unk>m with syncope, allergic reaction. evaluate for mediastinal widening, free air or consolidation.
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cardiomediastinal and hilar contours are within normal limits. nodular opacities at the left lung base are more conspicuous on the current examination. previously seen opacities involving the right lung base are not well seen on the current examination. there is mild thickening of the horizontal fissure as before. no large pleural effusion or pneumothorax. there may be a trace right pleural effusion.
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<unk> year old woman with pleural effusions, parenchymal nodules // interval changes
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the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are normal. chronic right hemidiaphragm elevation is unchanged due to persistent pleural scarring at the lung base. there is no pleural effusion or pneumothorax.
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<unk> year old woman with hx of empyema years ago; please compare outside film to our prior; outside film recommended f/u ct which i suspect is not necessary.
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cardiomediastinal silhouette and hilar contours are stable. heart size is not well evaluated due to obscuring of the left heart border from adjacent atelectasis and left effusion although the heart size is probably normal. a moderate loculated left effusion is unchanged in size and appearance since <unk> with associated left basilar atelectasis. right lung is clear. there is no pneumothorax.
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pleural effusion.
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the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk> year old woman with chest discomfort. // please r/o pna or fracture
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the lungs are normally expanded and clear. there is mild cardiomegaly similar to prior studies. there is no pleural effusion or pneumothorax. right chest wall pacemaker has a single lead in the right ventricle. median sternotomy wires appear intact. there is a prosthetic mitral valve in place. there is no pulmonary edema.
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history: <unk>m with ams // eval for infection
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the a in the tip of the gastric tube projects over the stomach. left basal atelectasis. no pleural effusion or pneumothorax identified.
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<unk> year old man with og tube placed post ercp // ?tube placement
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pa and lateral views of the chest provided. lung volumes are somewhat low. 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.
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<unk>f with with three days hx of cough and generalized weakness . cough is productive today
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when compared to prior, there has been no significant interval change. increased interstitial markings throughout the lungs are chronic. there is no superimposed acute consolidation or large effusion. enlargement of the cardiac silhouette is similar compared to prior. no acute osseous abnormalities.
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<unk>f with cough and fever // eval pneumonia
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frontal and lateral views of the chest demonstrate well expanded clear lungs. the cardiomediastinal hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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cough for four days. evaluate for pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged, of note in a patient of this age. no pulmonary edema is seen. the mediastinum is not widened.
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history: <unk>m with htnive emergency // evaluate for pulmonary edema or widened mediastinum
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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cough and fever. assess for pneumonia.
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frontal and lateral views of the chest demonstrate an increased left pleural effusion. the right-sided pleural effusion is unchanged. there is ongoing left hilar blurring. right lower lobe opacity is unchanged. there is no pneumothorax. the heart is grossly normal in size.
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history and hiv and kaposi's sarcoma with pleural effusions, interval evaluation.
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the lungs are clear without focal consolidation or pneumothorax. the cardiomediastinal silhouette is stable. tortuosity of descending thoracic aorta is noted. no acute osseous abnormalities.
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<unk>m with presyncope. // pna? ptx?
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left ij central line tip low svc. enteric tube has been removed since prior exam. improved bibasilar opacities. normal heart size. no effusions.
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<unk> year old woman with slight movement ij reeval position // eval position ij
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since the radiograph from <num> hr prior, there is no relevant change. no pulmonary edema or pneumonia. no pneumothorax. left pleural effusion is slightly smaller. right pleural effusion is unchanged. moderate cardiomegaly is stable. this examination neither suggests nor excludes the possibility of pulmonary embolus.
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<unk> year old woman with respiratory distress // pulmonary edema?
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the lungs remain hyperinflated, consistent with chronic obstructive pulmonary disease. no focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. there is persistent mild blunting of the right costophrenic angle. the cardiac and mediastinal silhouettes are stable and unremarkable. aortic knob calcification is seen.
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copd with shortness of breath.
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pa and lateral views of the chest are compared to previous exam from <unk> and <unk>. right apical scarring is again noted. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with schizophrenia, confused.
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frontal and lateral radiographs of the chest demonstrate clear lungs. the cardiac, hilar and mediastinal contours are normal. there is no pleural abnormality.
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chest pain.
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frontal and lateral views of the chest were obtained. the heart size is normal and cardiomediastinal contours are stable. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. lung hyperinflation is severe with flattening of the diaphragms and right lower lobe lucency consistent with a large bulla, similar to prior.
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<unk>-year-old male with copd and shortness of breath.
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no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits.
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<unk>-year-old female with right pleuritic upper back pain.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected on this single view. heart and mediastinal contours appear stable. healing right <num>th rib fracture is noted. no acute fracture is detected. cervical spine hardware is incompletely evaluated on this study.
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<unk>-year-old male status post fall with subdural hematoma.
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there are bilateral increased interstitial opacities with an upper lobe predominance. the heart is normal in size. right-sided port-a-cath is visualized with the catheter tip terminating in the mid svc. cardiomediastinal silhouette is within normal limits. there are no acute fractures.
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chest pain.
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frontal and lateral views of the chest. left upper lung surgery is again noted with clips and chain sutures at the left hilum. the lungs are clear of consolidation. there are trace bilateral effusions. cardiomediastinal silhouette is stable. osseous structures demonstrate no acute abnormality.
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<unk>-year-old male with new onset of atrial fibrillation with weight gain. increased edema.
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right picc line tip not well seen. enteric tube tip below diaphragm. shallow inspiration. bibasilar opacities, likely atelectasis, similar to prior. mild interstitial prominence in the lower lungs, may represent edema, similar. shallow inspiration accentuates heart size, pulmonary vascularity. probable small right pleural effusion, similar. no pneumothorax. chronic fracture right clavicle.
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<unk> year old man with new fever, cough // any infiltrate?
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moderate enlargement of the cardiac silhouette is re- demonstrated. atherosclerotic calcifications are noted within the aortic knob. moderate pulmonary edema is similar to that seen on the previous examination. there are small bilateral pleural effusions, left greater than right, perhaps minimally decreased in the interval. ill-defined consolidative airspace opacities in the lung bases are re- demonstrated, potentially reflecting a combination of atelectasis and infection or aspiration. no definite pneumothorax is detected on this examination, and a previously noted air-fluid level within the right lung base is not clearly delineated on the current exam.
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history: <unk>m with lethargy, weight gain
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m with chest pain eval for infiltrate
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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. gas-filled bowel is noted projecting under the diaphragm.
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<unk>m with sob, leg swelling
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biapical pneumothorax is small on the right side and tiny on the left. a <unk>-mm nodular opacity in the right mid lung, concerning for deposit is better evaluated on recent chest ct dated <unk>. in addition, there are other multiple small nodules which are beyond the resolution of the chest radiograph. very minimal atelectasis at the left lung base. there are no other opacities concerning for pneumonia or aspiration. the amount of subcutaneous air in the left lower and lateral chest is consistent with post-vats procedure. bilateral chest tubes have been removed.
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a <unk>-year-old man with bilateral vats.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
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<unk>-year-old female with chills and weakness and light-headedness.
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the lungs are clear. cardiac silhouette is normal in size. mediastinal contour is unremarkable. there is no pleural effusion, pneumothorax or evidence of pneumonia. no non-displaced rib fractures identified on these non-dedicated films.
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chest pain at the level of the fourth rib, midaxillary line.
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ap upright and lateral views of the chest provided.evaluation limited by underpenetration and low lung volumes. cardiomegaly is mild and stable. mediastinum appears normal in overall configuration. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no overt signs of edema. bony structures are intact.
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<unk>f with ams // infiltrate?
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right-sided port-a-cath is seen with catheter terminating in the low svc, without evidence of pneumothorax. no focal consolidation is seen. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with active chemo sob, cough // r/o pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged, decreased in size as compared to the prior study. hilar contours are normal. no pulmonary edema is seen. high-density material projects over the stomach, partially imaged.
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history: <unk>f with positive ppd // eval for active tb
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frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. the pulmonary vasculature is normal.
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<unk>-year-old female with chest pain.
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ap and lateral radiographs of the chest demonstrate interval improvement in right lower lobe aeration. heart size is stable and the hilar and mediastinal contours are normal. the lungs are otherwise clear and there is no pleural abnormality. the osseous structures are normal.
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low temperature. evaluate for infiltrate. comparison : <unk>
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moderate to large bilateral pleural effusions with bilateral lower lobe collapse are stable. previous moderate pulmonary edema has improved since <unk>. there is heavy calcification in the mitral valve annulus and aortic valve. moderate cardiomegaly is unchanged.
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pt with critical as/ ? pulmonary edema ?pneumonia
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linear band of atelectasis or fibrosis left upper lung. decreased heart size, pulmonary vascularity since prior exam. no infiltrates. no pleural effusions.
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<unk> year old man with renal transplant with severe active rejection, about to undergo high dose immunosuppression // screening before starting high dose immunosuppression series
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the patient is status post median sternotomy and cabg. left-sided aicd/pacemaker lead terminates in the right ventricle, unchanged. moderate cardiomegaly is redemonstrated. the mediastinal and hilar contours are unchanged. mild interstitial pulmonary edema is relatively similar when compared to the prior exam. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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dyspnea.
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with amnesia.
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single portable view of the chest was obtained. the right ij line terminates in the mid svc. there is no pneumothorax. there are unchanged prominent interstitial markings of the left lung, which is non-specific but may represent chronic scarring. there is mild cardiomegaly with pulmonary vascular congestion and interstitial edema. no focal consolidation is identified. there is no pleural effusion. sternotomy wires and multiple mediastinal clips are unchanged. severe degenerative changes are seen in bilateral shoulders.
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line placement, evaluate for position.
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the heart size is normal. the mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta. diffuse thoracic aortic calcifications are also noted. the pulmonary vascularity is not engorged. hyperinflation of the lungs is again noted. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected. cholecystectomy clips are demonstrated within the right upper quadrant. remote right-sided rib fracture is present.
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chronic smoking, weakness.
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pa and lateral views of the chest demonstrate a mildly enlarged cardiac silhouette. there are diffuse atherosclerotic calcifications of the aorta. there is mild opacification of the left lung base that may represent an area of atelectasis. an old compression deformity of the mid thoracic spine is unchanged.
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cough. evaluate for pneumonia.
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there is redemonstration of right middle lobe collapse, not significantly changed in appearance compared to the prior study from <unk>. there is minimal left lower lung atelectasis/scarring. heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
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recently diagnosed right middle lobe collapse. assess for change in right middle lobe collapse.
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there is a small right pleural effusion. stable prominence of the perihilar interstitial markings is seen, slightly less conspicuous as compared to the prior study. there may be mild pulmonary vascular congestion. no new focal consolidation is seen. the cardiac and mediastinal silhouettes are stable. chronic appearing deformity of the posterior lateral left fifth rib is seen. there is an acute appearing fracture of the posterior left fourth rib.
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history: <unk>f with pulmonary fibrosis <unk> radiation in setting of remote hodgkin's dz, thoracic back pain, pleuritic // evidence of effusion, infiltrate, bony lesions
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tracheostomy tube is in appropriate position. since prior radiograph, feeding tube has been removed. there has otherwise been no significant change. again seen are low lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is stable. there is hardware in the right humeral head.
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<unk>-year-old woman with history of pneumonia, respiratory failure and trach, evaluate for interval change.
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lung volumes are low, resulting in bronchovascular crowding. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with chest pain // eval for pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the aorta is calcified and somewhat tortuous. the cardiac silhouette is not enlarged. no pulmonary edema is seen.
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history: <unk>m with chest pain // acute cardiopulmonary process
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the mass in the medial aspect of the right lower lobe is again visualized but appears increased in size compared to prior imaging which may represent progression in the size of the mass or adjacent postobstructive pneumopathy. there is interval increase in ground-glass airspace opacification in the right middle and lower lung zones as well as in the left upper and lower lung zones. associated small pleural effusions bilateral (new on the left). expansile bony lesions involving the anterior aspect of the left first rib and posterior aspect of the left sixth rib is unchanged. heart size is unchanged. cervicothoracic spinal stabilization device in situ.
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<unk> year old man with hemoptysis and acute hypoxia // acute decompensation, looking for any new pathology
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in addition to existing bilateral chest tubes, a new pigtail catheter has been placed into the right hemithorax. there is a persistent small right-sided pneumothorax, but somewhat decreased.
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follow-up of right-sided pneumothorax after pigtail placement.
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lung volume is low. there is no consolidation, pleural effusion, or pneumothorax. cardiac silhouette is exaggerated by low lung volumes.
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history: <unk>f with n/v, dyspnea, abd pain, vomiting //
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pa and lateral views of the chest. the lungs are clear of consolidation effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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<unk>-year-old male with cough for <num> weeks.
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right-sided port-a-cath tip terminates in the right atrium, unchanged. heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. calcified granulomas are again scattered in both lungs, the largest in the left apex. no focal consolidation, pleural effusion or pneumothorax is identified, however the extreme right costophrenic angle is excluded from the field of view. known myeloma involvement of the left fifth rib is better assessed on the previous chest ct. degenerative changes are again noted within the thoracic spine.
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history: <unk>m with multiple myeloma complicated by neutropenia, hfpef presents with cough and lower extremity edema
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pa and lateral views of the chest provided. there is persistent consolidation in the right lower lobe as seen on prior ct compatible with infarction. a small adjacent pleural effusion is likely present. no additional opacities of concern. no pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.
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<unk>f with <num> hr hx of acute onset sob // eval sob
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MIMIC-CXR-JPG/2.0.0/files/p18482923/s53014601/be6f4aba-25096740-843438d5-fe6deae3-28063891.jpg
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low lung volumes exaggerate mediastinal and pulmonary vascular caliber. lungs are probably clear. the cardiac silhouette is normal size. there is no pleural abnormality or free subdiaphragmatic gas.
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<unk> year-old male with belching, diarrhea, and history of intussusception surgery.
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MIMIC-CXR-JPG/2.0.0/files/p11208075/s56289316/15f8fa51-f29dcee8-9db45bde-da82c692-fe70a4b2.jpg
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compared to the prior study there is no significant interval change.
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<unk> year old female with pmhx hld, oa, chronic aspiration, anemia, and recent sepsis <unk> mssa pneumonia, who presented from <unk> with ams. // eval pulm edema
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MIMIC-CXR-JPG/2.0.0/files/p13894867/s54668565/44030d8c-3c70f3e1-a19cf5de-8601ff40-9ee1e4b5.jpg
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there has been interval placement of endotracheal tube which courses toward the right mainstem bronchus, low in position and should be withdrawn approximately <num> cm for more optimal positioning. subtle patchy right base opacity is again seen, slightly less conspicuous as compared to the prior study. the left lung is clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with recent intubation // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p17345538/s55750916/ccccfe02-83997ef2-741b9693-6489e936-0017fa9a.jpg
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the right-sided picc terminates at the cavoatrial junction. the left-sided pleural effusion with associated atelectasis is unchanged. there appears to be slight interval improvement of the small right-sided pleural effusion and atelectasis compared to the prior exam. there are no new focal consolidations. there is no pneumothorax.
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<unk>-year-old female with end-stage renal disease, hypotension, who presents for evaluation of interval change or signs of infections.
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MIMIC-CXR-JPG/2.0.0/files/p18102220/s56547967/86507717-19e26c83-b49282ad-bacf983d-9a4dfe74.jpg
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azygos fissure is again noted. no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. hyperinflated lungs continue be seen. no ng tube is seen either in the esophagus or the throat region.
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<unk>-year-old woman with new ng-tube. evaluate placement.
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MIMIC-CXR-JPG/2.0.0/files/p11758759/s50930098/bba4cae6-bc6ffdbf-76958c8f-a40e0331-eb423150.jpg
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portable upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man with anemia, renal failure, fever // rule out infection rule out infection
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MIMIC-CXR-JPG/2.0.0/files/p17474809/s57934025/ced608af-53c25542-d5a5daef-405742c1-60b6dd06.jpg
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the right picc is in place with the tip projecting over the cavoatrial junction. left pectoral aicd is in place with leads in appropriate position. there is postoperative appearance of the mediastinum. lung volumes are low which limits evaluation of heart size since but is probably normal. there are widespread nodular opacities of varying size with associated bronchial wall thickening bilaterally. there is no large pleural effusion or pneumothorax.
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pe and chf with recent pneumonia. a right at outside hospital.
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MIMIC-CXR-JPG/2.0.0/files/p13778812/s51081022/51538a7e-4aaee668-69683210-390f8afc-84ace85e.jpg
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portable ap upright chest radiograph was obtained. large hiatal hernia is re-demonstrated with interval increase in surrounding right basilar opacity which is likely due to effusion and atelectasis, though developing pneumonia cannot be excluded entirely. the remainder of the lungs are clear. there is no pneumothorax or left pleural effusion. the heart is normal in size with normal mediastinal and hilar contours aside from slightly prominent ascending aortic contour likely due to tortuosity.
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hypotension, assess for pneumonia.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the heart size is at the upper limits of normal. no acute fractures are identified.
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evaluation of patient with fever.
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MIMIC-CXR-JPG/2.0.0/files/p18509977/s51231339/48bae1ad-46c46adf-f73da1d6-aa881c7a-b72f9e20.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with chest pain // eval pneumonia other acute process
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MIMIC-CXR-JPG/2.0.0/files/p14772351/s54479123/166c34bd-b8d2c82a-a4afbde7-74aba89e-a13e50ce.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. possibly there are trace pleural effusions bilaterally. the lungs appear clear. mild rightward convex curvature is noted along the thoracic spine. the bones are probably demineralized. an anterior flowing syndesmophyte is present throughout the visualized thoracic spine suggesting idiopathic skeletal hyperostosis.
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weakness after recent spinal surgery. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13195446/s55757265/79ac2399-6f04d969-6248d4dc-ae6cea1e-5b3c2462.jpg
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moderate to large left pleural effusion is seen. there is also probable small right pleural effusion. there is pulmonary vascular congestion without overt edema. cardiac silhouette cannot accurately be assessed. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities.
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<unk>-year-old male shortness of breath.
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there are moderate to large layering bilateral pleural effusions, right greater than left. bibasilar atelectasis. underlying parenchymal opacities are likely present particularly in the right lower lobe as seen on prior ct of the chest <unk>. heart size is normal. there is no pneumothorax. areas of sclerosis in bilateral scapular, and throughout the ribs is compatible with known metastatic prostate cancer. there is also known metastatic disease in the thoracic spine. there is a partially imaged drain or catheter projecting over the left mid abdomen.
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<unk> year old man with advanced prostate cancer, with pleural effusions, to reevaluate and determine need for pleurx catheter // to quantify pleural effusions bilaterally, thanks
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MIMIC-CXR-JPG/2.0.0/files/p10749616/s56502225/b7822f44-8e1987f1-94aaddd6-f448db76-09b4b738.jpg
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et tube is <num> cm above the level of the carina in appropriate position. ng tube is in stomach and out of view. low lung volumes with no interval change in pulmonary edema from radiograph earlier today. unchanged moderate-sized left pleural effusion with mild increase in left lower lobe atelectasis. stable mild right lower lobe atelectasis. heart size is top normal, with mild mediastinal widening from mediastinal vein dilatation. no bony abnormality.
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male status post intubation.
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MIMIC-CXR-JPG/2.0.0/files/p12139024/s53153436/2193a40c-4b35cb29-027d876e-863f9a01-79a30f68.jpg
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the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema.
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alcohol cirrhosis and shortness of breath. evaluate for pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p13830137/s52176764/576c3be6-d08684e1-461d790d-174adca0-a655cd97.jpg
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portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. the small right pleural effusion seen on ct of the abdomen and pelvis from the same day is not visualized on this radiograph. cardiomediastinal and hilar contours are unremarkable. no pneumothorax. no free air beneath the right hemidiaphragm.
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history: <unk>f with abd pain // evidence of free air
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MIMIC-CXR-JPG/2.0.0/files/p12580788/s55122661/3b597ddf-48587417-4d56935e-18e5f083-4ada5539.jpg
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear. cardiomediastinal silhouette is within normal limits. hypertrophic changes seen in the spine. surgical clips seen in the right upper quadrant suggesting prior cholecystectomy.
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<unk>-year-old female with left rib pain. rule out pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p10004322/s57662923/b9a08a39-c53ad784-99673387-d9140a2f-cbc1dbde.jpg
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subtle streaky opacity in the left lower lobe may reflect atelectasis, though infection cannot be entirely excluded. there is no pleural effusion or pneumothorax. there is no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are normal. heart size is normal.
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history: <unk>m with <num> weeks productive cough, shortness of breath, weakness
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MIMIC-CXR-JPG/2.0.0/files/p16320616/s58760908/e95fa869-0640dc7c-b7d00740-db70b418-e0d1af84.jpg
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moderate to severe enlargement of the cardiac silhouette is relatively unchanged compared to the prior exam. there is calcification and tortuosity of the thoracic aorta which is stable. perihilar haziness with vascular indistinctness is compatible with mild pulmonary edema, slightly improved compared to the prior exam. more focal opacities within the lung bases likely reflect atelectasis. previously noted small bilateral pleural effusions appear to have improved. no pneumothorax is detected. remote left-sided rib fracture is present.
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hypoxia.
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MIMIC-CXR-JPG/2.0.0/files/p11884908/s55226934/c08696de-f9df20f4-dec3effd-2b04bdff-9a9af040.jpg
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pa and lateral views of the chest. the lungs are clear. there is no effusion, pneumothorax or consolidation. cardiomediastinal silhouette is normal. no acute osseous abnormality is detected. surgical clips seen in the right upper quadrant suggesting prior cholecystectomy.
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<unk>-year-old female with dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p16146145/s57557553/120e85e8-d3b2ea9b-9736d27b-b8d4369d-95bfed27.jpg
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there are persistent bilateral pleural effusions, small on the right and small to moderate on the left, similar to prior. there is no visualized pneumothorax. diffuse sclerotic metastases limits evaluation of the underlying parenchyma. the cardiomediastinal silhouette is within normal limits. diffuse sclerotic metastases are seen throughout the bones.
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<unk>m with prostate ca and recent pleural effusions presenting with sinus tachycardia and sob, decreased breath sounds on left // ?effusion
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MIMIC-CXR-JPG/2.0.0/files/p12252440/s56517231/bc1f5032-3954ff25-babe13e6-13c7b470-1b70a972.jpg
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fractures of the right seventh and eighth ribs and the left fourth rib are unchanged from prior studies. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is normal.
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<unk>m with fever and cough, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12631015/s58165263/f77faadf-3aabf3c3-ec4b18b9-cb6ada85-e842f9c9.jpg
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newly inserted right basal small bore pleural drainage catheter has a relatively short intra thoracic excursion. right basilar pneumothorax has decreased. right lower lobe opacities are stable. mild pulmonary edema has improved. mild cardiomegaly.
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<unk> year old man with new right pleural effusion s/p chest tube // follow right ptx, pleural effusion, chest tube
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MIMIC-CXR-JPG/2.0.0/files/p11629754/s59119670/8a52ec32-d84010b9-3e250e05-f960cbc1-b5892f59.jpg
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the cardiac and mediastinal silhouettes appear within normal limits. there are no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. there are slightly low lung volumes with elevation of the right hemidiaphragm. however, there does not appear to be definite pleural effusion.
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hx obstructive jaundice- d/c bs rt base // hx obstructive jaundice- ? effusion
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MIMIC-CXR-JPG/2.0.0/files/p10029291/s52115281/f54633d1-480972a2-7841a264-4f148912-55b9bd2b.jpg
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portable semi-erect chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with massive pe, agitation // interval change interval change
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MIMIC-CXR-JPG/2.0.0/files/p11449259/s51157715/e0dafd21-91c3d5c0-c5092217-106c2560-538046c4.jpg
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there is no focal consolidation, pleural effusion or pneumothorax. the heart size is mildly enlarged. the imaged upper abdomen is unremarkable. the bones are intact.
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<unk> year old woman with htn, hld, presenting with temporal artery pain for <num> week. has fevers and sweats. leukocytosis. looking for source of infection. // infiltrate vs mass
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MIMIC-CXR-JPG/2.0.0/files/p13961598/s59728466/e224e054-5646404b-f3effea9-496cd358-eae7b9be.jpg
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ap, lordotic and lateral views of the lungs. apparent nodular opacity at the right lung apex is likely due to summation shadows from ribs. there has been no change since earlier exam without consolidation, effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. hypertrophic changes are seen in the spine.
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<unk>-year-old female with cough and fever with possible right apical nodule, lordotic views.
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MIMIC-CXR-JPG/2.0.0/files/p16624717/s53253541/290e4043-264c0c8d-ad1e51fa-48f75322-7779f183.jpg
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right sided picc is seen with tip in the lower svc. the lungs are clear. there is no effusion or consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with picc line // confirm picc line placement
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MIMIC-CXR-JPG/2.0.0/files/p13217099/s51384624/b8c5d4f9-d4c048c9-3c814183-c1378f07-464e87b8.jpg
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pulmonary vasculature is engorged without evidence of pulmonary edema. there is mild blunting of the left costophrenic angle which may represent a minimal left effusion and is unchanged from <unk>. there is no consolidation or pneumonia. the et tube ends approximately <num> cm from the carina. the tip of the left subclavian picc line ends in the mid svc. there is no pneumothorax. the esophageal drainage tube traverses into the stomach and out of view. the cardio mediastinal borders and hilar structures are normal. top normal heart size with no pulmonary edema.
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<unk> year old woman with tachypnea. concern for pulmonary etiology. chest x-ray to evaluate for pna, effusions, or other etiology of tachypnea. // chest x-ray to evaluate for pna, effusions, or other etiology of tachypnea.
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MIMIC-CXR-JPG/2.0.0/files/p19226257/s55957765/f90a067b-f3f05994-c57bf6df-4400d854-aa200141.jpg
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in the first view, the orogastric tube is seen looping at the level of the lower neck. in a subsequent radiograph, the orogastric tube is seen in the upper abdomen with the tip out of view. there is an endotracheal tube that ends <num> cm above the carina. lung volumes are low accounting for some bronchovascular crowding but no focal opacities. minimal interstitial thickening is present. moderate cardiomegaly obscures the left lung base. there is no pleural effusion or pneumothorax.
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<unk>-year-old male with orogastric tube placement. evaluate for tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p14241862/s57981864/f3e9b913-c6ec0dc8-12eb2f89-1f4935b1-10ba0f2c.jpg
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there are new bilateral lower lobe infiltrates right greater than left. heart size is mildly enlarged. there is pulmonary vascular redistribution. there small bilateral effusions left-sided porta cath with tip in the svc is unchanged
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<unk> year old woman with metastatic colon cancer now with severe c. diff with recurring fevers. // eval for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p18465470/s55722401/467389a6-097056df-59d3df06-1edae552-f55a39f5.jpg
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lung volumes are low. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected.
|
history: <unk>m with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p13287835/s59450065/ba277b55-c8fb191b-c5c53239-b15da142-52ad5e3a.jpg
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the lungs are clear. heart size is top-normal. the thoracic aorta is tortuous. there is no pneumothorax.
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<unk> year old man with new lower extremity edema. // ?pulm edema, cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p11700520/s59638656/355cb31d-2aa97f36-d5a4e1cb-d9d85279-fad124c0.jpg
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there is a poor inspiratory effort and low lung volumes. there has been interval placement of a right subclavian stent. the cardiomediastinal silhouettes are unchanged as compared to prior radiograph. again, there is the appearance of cardiomegaly, however this is unreliable given the extremely low lung volumes. there is seen a right lower lobe consolidation with an air bronchogram which was not seen on prior radiograph, but which likely corresponds to the area of right lung consolidation thought to be pneumonia which is mentioned in the history. there is right minimal intrafissural fluid in the minor fissure. there is no pneumothorax or effusion.
|
<unk>f h/o esrd on hd m/w/f presents with pulsating sharp ruq/right chest pain and nausea without emesis with recent removal of infected right-side tunneled catheter, also recently treated for consolidation in right lung thought to be pna. // pna v malignancy v other etiology causing right-sided pain?
|
MIMIC-CXR-JPG/2.0.0/files/p13534960/s58774342/e9360e67-864ee952-6e2c2eec-12a2d55f-52e910ba.jpg
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the lungs are clear. cardiomediastinal silhouette is within normal limits. there is no pneumomediastinum. there is however an air-fluid level in the region of the distal esophagus likely related to patient's known achalasia. no acute osseous abnormalities. there is no free intraperitoneal air.
|
<unk>m with abd pain, recent achalasia dilation // free air?
|
MIMIC-CXR-JPG/2.0.0/files/p15272858/s58506648/0bb6084d-a05b7c79-c51ecc72-0a41b976-ec57578c.jpg
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the lungs are well expanded and clear. the heart size is normal. there is no pleural abnormality. the hilar and mediastinal silhouettes are unremarkable.
|
<unk>f with cough, fevers // r/o infectious process
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MIMIC-CXR-JPG/2.0.0/files/p16187777/s52439942/ac6bef04-1de129a5-56d0ecb6-386a228b-61db869c.jpg
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portable ap chest radiograph demonstrates the ng tube has been advanced and the tip and side hole are now clearly within the stomach. there is no other significant interval change.
|
ng tube repositioning.
|
MIMIC-CXR-JPG/2.0.0/files/p15245319/s55699237/0e000c51-2321dc29-2c529d9c-08e2bbe2-130292e0.jpg
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pa and lateral chest geographic is compared to radiograph dated <unk>. relative to prior examination, prior central bronchovascular and diffuse interstitial prominence is less conspicuous compatible with improved pulmonary edema. likely mild heart failure persists. a small right pleural effusion and likely left pleural effusion is present. elevation of the left hemidiaphragm appears to have been present on radiograph dated <unk>. though this may reflect eventration of the hemidiaphragm, somewhat lateral displacement raises suspicion of a sub pulmonic effusion. hilar and mediastinal contours are stable in appearance. tortuous descending aorta is stable. no acute osseous abnormality is detected.
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<unk>-year-old male with fevers and substernal chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p11371772/s58048952/b81935a0-f305d31b-d1675d99-28130f19-a4f48811.jpg
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heart size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. lungs are hyperinflated but clear. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected.
|
history: <unk>f with substernal chest pain
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MIMIC-CXR-JPG/2.0.0/files/p17284612/s53960836/c69efc51-a193f6f4-5be1b299-ca738d05-95e7f105.jpg
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patient is rotated to the left. endotracheal tube ends <num> cm above the carina. right ij central venous catheter ends in the low svc. right basilar atelectasis has increased. moderate cardiomegaly is unchanged. left retrocardiac atelectasis and probable effusion has increased. right pleural effusion is small, if any. there is no pneumothorax.
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<unk> year old woman post cardiopulmonary arrest, ?stress cardiomyopathy, intubated, ongoing diuresis, interval line check.
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MIMIC-CXR-JPG/2.0.0/files/p10208568/s57010157/2c844eed-92b5cff5-62a6c3ad-f6e12007-2dc8a494.jpg
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frontal and lateral chest radiographs demonstrate near total opacification of the left hemithorax, compatible with a large pleural effusion. the left lower lobe is completely collapsed. there is minimal aeration of the apical left upper lobe, in the left lung is otherwise atelectatic. the left pleural fusion exerts mass effect upon the mediastinum, with rightward shift of mediastinal structures. the left lung appears clear, without right pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. surgical clips in the left axilla are consistent with previous axillary lymph node dissection .
|
evaluate left pleural effusion.
|
MIMIC-CXR-JPG/2.0.0/files/p15404417/s52816574/f2109f53-237a47d8-eeb83fb4-dc1ab6e3-08cdab9d.jpg
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. the moderate to large hiatal hernia is noted.
|
<unk>f with bowel obstruction // eval for pna, free air
|
MIMIC-CXR-JPG/2.0.0/files/p11217927/s56001376/ae2c5d4b-8be77e1a-5fa384ed-4d10f789-0a8bb882.jpg
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ap and lateral chest radiograph demonstrates a moderately enlarged heart and low lung volumes, though size is inadequately evaluated given ap technique. retrosternal density is noted, possibly reflective of mediastinal fat though anterior mediastinal soft tissue lesion cannot be excluded. additional lordotic positioning likely exaggerates heart size. there is no overt pulmonary edema. there is no pleural effusion or pneumothorax. a right internal jugular central line is identified, its tip which terminate within the right atrium. no acute osseous abnormality is detected.
|
<unk>-year-old female with sickle cell and dyspnea.
|
MIMIC-CXR-JPG/2.0.0/files/p19077205/s58815622/d5489b10-6b7aabc2-d2792992-28b18c81-b53b7d94.jpg
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. <num> mm rounded nodular opacity in the right mid lung medially most likely represents a vessel on end or possibly a granuloma.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p11890444/s52548540/16ba2ebd-2cf0b27a-05a2c9ef-d72cf558-6c0b0bb2.jpg
|
heart size is normal. the aorta is mildly tortuous, as seen previously. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are clear. small bilateral pleural effusions are new in the interval. no focal consolidation is present. there is no pneumothorax. no acute osseous abnormality is visualized.
|
history: <unk>f with heme-onc patient with fever // ? infectious process
|
MIMIC-CXR-JPG/2.0.0/files/p11281855/s52987850/7ff6702a-bee27822-432a264e-d1b7a506-a614445b.jpg
|
there is a large-bore cannula, which projects to the inferior cavoatrial junction. there is also a swan-ganz catheter which takes a short course through the right ventricle hugging the right ventricular outflow tract. the et tube is in satisfactory position. there is a moderate left-sided pleural effusion, and a worsening right-sided pleural effusion. in the right upper lobe, there is a new consolidation. there is no pneumothorax. the cardiac, mediastinal and hilar contours are stable.
|
<unk>-year-old male with history of ards, now with new afib.
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