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MIMIC-CXR-JPG/2.0.0/files/p12574490/s58163143/f55e53ad-2b0679fd-8fd33a49-1034bdbe-1ca6a751.jpg
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pa and lateral chest radiograph demonstrate low lung volumes. mild atelectasis at the bases is present. cardiomediastinal and hilar contours are stable relative to prior examination. note is made of an aortic valvular device similar in configuration relative to prior study. there is no pneumothorax, pleural effusion, or evidence of pulmonary edema. imaged upper abdomen demonstrates multiple clips projecting over the left upper quadrant and midline.
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history: <unk>f with sob // ?chf
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lungs are hyperinflated. mild bibasilar opacities likely reflect atelectasis. there is no pneumothorax or pleural effusion. mildly enlarged cardiac silhouette is similar to prior ct from <unk>. multiple old healed fractures are identified in the left ribs.
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history: <unk>m with hypotension, cough, l lung crack.es // evaluate for pneumonia
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a left chest wall pacemaker is present with leads within the right atrium and right ventricle. lungs are well-expanded. opacity projecting over the left lateral chest may represent overlapping soft tissue. otherwise there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal slight is unchanged. large hiatal hernia is again re- demonstrated. old right rib fractures are unchanged.
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history: <unk>f with fall, weakness, on coumadin // eval for intracranial hemorrhage; pneumothorax/rib fx; fracture, or injury
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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.
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<unk>f with chest pain// ?cpd
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pa and lateral chest radiographs demonstrate clear lungs bilaterally. no focal consolidation concerning for pneumonia is identified. again noted is a probable mediastinal fat-pad within the right pericardial phrenic angle. there is no pleural effusion or pneumothorax.
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history: <unk>m with hx pe p/w dysonea and cp // eval for pneumonia, effusions ptx
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single portable view of the chest. right picc again seen with tip likely at the right brachiocephalic. relatively low lung volumes are seen. there is no large confluent consolidation or evidence of pulmonary edema. cardiomediastinal silhouette is stable in configuration. no acute osseous abnormalities detected.
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<unk>-year-old female with seizures.
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frontal and lateral radiographs of the chest demonstrate increased interstitial markings consistent with chronic interstitial lung disease, making assessment of superimposed infection difficult. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax or pleural effusion.
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<unk> year old man with cad and pvd, c/o generalized weakness and right lower lung crackle // r/o pneumonia
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pa and lateral views of the chest provided. subtle opacity obscuring the inferior most left heart border is new from prior exam, possibly a prominent fat pad. no convincing signs of pneumonia, chf, effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.
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<unk>f with sickle trait, recent miscarraige p/w l cp // ?acute process
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portable chest radiograph <unk> at <num> <num> submitted.
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<unk> year old man post-op, receiving numerous blood transfusions // pulm edema pulm edema
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<num> mm well circumscribed rounded opacity projecting below the <unk> posterior rib. this was not seen on chest ct <unk>. this was not seen atrial ventricular pacemaker is seen with leads terminating in the right atrium and right ventricle. there is no pneumothorax or pulmonary edema. normal lung volumes. no pneumonia. cardiomediastinal and hilar structures are normal.
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<unk> year old woman with atrial fib, sleep apnes, diastolic heart failure. on <unk> unsuccessful attempt to reposition the coronary sinus pacemaker lead. the lead was removed. symptoms of dyspnea and desaturation this am // r/o pneumothorax, pulmonary edema
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since prior exam, there is <unk>new large consolidation involving the right mid and lower lung zones, which is concerning for pneumonia. the right heart border and right diaphragm are obscured. <unk>small-to-moderate left pleural effusion is present. the left lung is clear. there is mild stable blunting of the left costo-phrenic angle which may be <unk>trace left effusion or pleural thickening. there is no pneumothorax. the mediastinal contour is enlarged, although stable from multiple prior exams. the heart size is normal. <unk>right internal jugular dialysis catheter is in unchanged position terminating in the right atrium.
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cough and brown sputum.
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an endotracheal tube is in satisfactory position <num> cm from the carina. an enteric tube courses below the diaphragm with the tip out of the field of view. since the prior exam, the lung volumes are lower. there is increased bibasilar atelectasis. no definite pneumonia is identified. there is no pulmonary edema, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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temporal bone fracture. evaluate for pneumonia.
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since <unk>, left peripheral basilar opacity with small pleural effusion correlates to the region of known pulmonary embolus. the cardiomediastinal silhouette is unchanged. no pneumothorax, pneumonia, or pulmonary edema. the known left lower lobe nodule is not as well seen on today's exam and is better assessed on recent ct chest from <unk>.
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<unk> year old woman with new chest pain, admit for pe but this is new pain // eval for pneumonia or pneumothorax, pleural effusion
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pa and lateral radiographs were acquired. lung volumes are low, causing accentuation of the pulmonary vasculature and exaggeration of the heart size. no focal consolidations. heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
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chest pain, now for the past two days, non-radiating and worse with exertion. the pain is mainly right sided and is associated with shortness of breath, dyspnea on exertion, and nausea.
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cardiac size is normal. unusual appearance of the ap window is more conspicuous than before. patient has known mediastinal and hilar lymphadenopathy better seen in prior ct. biapical opacities larger on the left side are unchanged due to fibrosis. new opacity seen in the lateral view projecting over the heart in one of the a lower lobes is of unclear etiology and warrants further evaluation with ct. there is no pneumothorax or pleural effusion. wedge shaped deformity of a mid thoracic vertebral body is unchanged. surgical clips project in the right lower hemi thorax.
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<unk> year old woman with metastatic breast cancer // new fatigue with stairs, mild doe. on new chemotherapy that can cause pneumonitis, please evalute for any infiltrate(s)
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pa and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema.
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weakness.
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the left apical pneumothorax and small left pleural effusion have resolved. focal left upper pleural thickening is unchanged in comparison to the prior chest radiograph. nipple shadows bilaterally are not to be confused with pulmonary nodules, however a subtle centimeter wide round opacity at the left lung base, projecting over the posterior tenth rib, could be a pulmonary nodule. heart size is normal. the mediastinal and hilar contours and pulmonary vasculature are normal.
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<unk> year old man s/p vats decortication // please evaluate for interval change
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a left ij catheter and ng tube are in place, and in standard position. lung volumes are unchanged, though there has been interval increase in bilateral airspace consolidation and small bilateral pleural effusions. the cardiac silhouette remains moderately enlarged. a right upper extremity picc tip is unchanged in position at the cavoatrial junction.
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<unk>-year-old status post ng tube placement. he is status post small bowel obstruction complicated by colitis and pneumonia as well as aortic stenosis.
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as compared to chest radiograph from <num> day prior, tracheostomy remains in good position. right-sided picc line terminates in the low svc. mild bibasilar opacities are stable and can represent aspiration in this clinical setting. no pulmonary edema. no pleural effusions or pneumothorax.
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<unk> year old man with increasing wbc // ? pna
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since <unk>, significant improvement in the left upper lobe opacity, but the opacity in the left upper lobe is seen on lateral view, consistent with slowly resolving pneumonia. a nodular opacity in the inferior portion of the left lower lobe is new since <unk>. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pulmonary edema. no pleural effusions.
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<unk> year old woman with pneumonia in <unk> // follow-up pneumonia
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with chest pain
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. patchy opacities are demonstrated in both lung bases which may reflect atelectasis but infection is not excluded. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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history: <unk>m with productive cough
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there are no significant changes compared to the prior radiograph performed yesterday morning. on the right side, there is a mild to moderate pleural effusion as well as underlying area of consolidation. left lung base opacity may be due to atelectasis and/or consolidation. no pneumothorax. stable cardiomediastinal silhouette. splenic calcifications due to auto-infarction are less well visualized on this radiograph; this can be partially seen on ct chest from <unk>. osseous structures are dense diffusely, and there is a probable right humeral infarct, findings consistent with sickle cell disease. the ij introducer terminates at the distal svc. endotracheal tube terminates approximately <num> cm above the carina. the enteric tube extends to the stomach.
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<unk> year old man with sickle cell and likely acute chest syndrome // confirm et tube placement and assess interval change
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the heart size is normal. the mediastinal and hilar contours demonstrate mild unfolding of the thoracic aorta, but otherwise are unremarkable. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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left chest pain, wheezing.
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enteric tube, left picc are unchanged in position. ekg leads overlie the chest wall. the lungs are well inflated with mild pulmonary edema. no lobar consolidation. no pleural effusions or pneumothorax. stable cardiomediastinal silhouette and bony thorax. sternal sutures and surgical clips are unchanged.
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<unk> year old man in icu s/p crani now with secretions // interval change
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an endotracheal tube, enteric tube and right subclavian central venous catheter are unchanged in position. the lung volumes remain low. there is mild right basilar atelectasis, but no focal consolidation concerning for pneumonia. no large pleural effusion or pneumothorax is appreciated. the cardiac silhouette remains enlarged but unchanged. the mediastinal contours are within normal limits.
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fever.
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frontal and lateral chest radiographs were obtained. again seen are bilateral hilar and right paratracheal lymphadenopathy, unchanged in appearance from prior study. there is streaking in the right lower lobe and opacity in the left lung base, likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. heart size is normal.
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patient with for bilateral mediastinal lymph nodes status post scope, eval pneumothorax.
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in comparison to <unk> chest radiograph, no changes are noted. severe pectus excavatum is noted on lateral view and is unchanged from prior study.the lungs are well expanded and clear. there is no pneumothorax nor pleural effusions. the heart size is normal but appears falsely enlarged by the overlying compressing anterior chest wall deformity. the mediastinal silhouette, hilar, and pleural surfaces are normal.
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<unk> year old woman with atypical cp // chest pain
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no focal consolidation, pleural effusion or pneumothorax is present. the cardiomediastinal silhouette is normal. an indentation on the right side of the trachea is unchanged from prior exam and could be related to the thyroid.
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cough and abnormal lung exam, smoker. rule out mass or infiltrate.
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the cardiomediastinal silhouette is unremarkable. mild hyperexpansion without flattening of the hemidiaphragms or increase in the diameter of the chest. there is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax.
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<unk> year old man with new presentation for complete heart block on stress test <unk>. // evaluating for infiltrative disease or acute pulmonary processes
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frontal and lateral radiographs of the chest demonstrate normal heart size. there is stable appearance of the mediastinal and hilar contours with tortuosity of the aorta. no focal consolidation, pleural effusion or pneumothorax.
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poor historian, acutely feeling unwell. evaluate for pneumonia
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frontal and lateral radiographs of the chest demonstrate clear lungs with left basilar atelectasis, unchanged. the nodular density seen in the right middle lung field on the prior radiograph is again noted. no pleural abnormality is noted and the cardiomediastinal contours are unchanged.
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questionable pulmonary nodule on previous radiograph. evaluate pulmonary nodule.
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the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. patchy opacity in the right lung base likely reflects atelectasis and crowding of bronchovascular structures. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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shortness of breath.
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there is a subtle opacity overlying the right lower lobe. otherwise, the left lung is clear. the cardiac silhouette is normal. there are no pneumothoraces or pleural effusions. no acute fractures are identified.
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evaluation of patient with cough.
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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>m with bloody sputum x <num> days, from <unk> // ?pna, ?tb
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pa and lateral views of the chest. again seen is a large right upper lobe mass with elevation the right hemidiaphragm. there are <num> large pulmonary nodules in the left lung, similar prior ct. new diffuse ground glass opacities are seen throughout both lungs, new from prior study. heart size is unchanged. no pleural effusion. no pneumothorax. small right pleural effusion.
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cancer. shortness of breath.
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frontal and lateral chest radiographs demonstrate a heart which is top-normal in size. there is mild vascular congestion without frank edema. no focal consolidation or pneumothorax is seen. there may be trace bilateral pleural effusions. the visualized upper abdomen is unremarkable.
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evaluate for acute process in a patient with fever of unknown origin x<num> days.
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there is mild bibasilar atelectasis. no focal consolidation is identified. there is mild interstitial edema. the cardiac silhouette remains moderately enlarged with unfolding of the aorta. there is no pleural effusion or pneumothorax. included upper abdomen is unremarkable. calcifications of the costochondral cartilage are noted.
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history of hypertension and unresponsive event, evaluate for pneumonia.
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lungs are fully expanded and clear. there is mild elevation of the right hemidiaphragm, probably unchanged compared to <unk>. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. a right-sided picc terminates at the expected location of the cavoatrial junction. a pigtail catheter is noted to project over the right upper quadrant. there is a lucency projecting over the posterior right seventh rib which was present, but less conspicuous, on the chest radiograph obtained <unk> and not present on the chest radiograph obtained <unk>. the normal trabecular pattern of the rib in this region is not clearly delineated.
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<unk>f with reported chills // eval for pna
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endotracheal tube terminates <num> cm above the carina. an enteric tube courses into the stomach. the lungs are clear and lung volumes are normal. no pleural effusion, pneumothorax focal airspace consolidation. heart is normal size. mediastinal and hilar structures are unremarkable.
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intubation, evaluate tube position.
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no significant change from the previous exam. the positions of the <num> left-sided chest tubes are unchanged. the left-sided pleural fluid and air collection overall appears unchanged. the remaining portion of expanded left lung parenchyma appears stable. stable elevation of the left hemidiaphragm. the right lung is clear. the cardiomediastinal silhouette is stable.
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<unk>-year-old man with chest tubes and empyema; evaluate for progression/resolution of empyema.
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ap portable upright view of the chest. interval placement of a left pigtail chest tube with re-expansion of the left lung. there is a persistent left hydropneumothorax though the pneumothorax component is significantly diminished from prior. right lung is clear. heart size and mediastinal contours are unchanged. bony structures are intact.
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<unk>m s/p l vats thymectomy now w/ l ptx, s/p pigtail placement // eval ct placement, ptx
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a portable frontal chest radiograph again demonstrates severe cardiomegaly, likely unchanged compared to <unk>. low lung volumes exaggerate cardiomediastinal size. there is mild left greater than right basilar atelectasis, as well as mild pulmonary edema. no focal consolidation, large pleural effusion, or pneumothorax is identified. the visualized upper abdomen is unremarkable.
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evaluate for chf in a patient with bradycardia.
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lungs are slightly low in volume compared to the recent comparison without focal consolidation. there is no pleural effusion or pneumothorax. the heart is normal in size. normal cardiomediastinal silhouette.
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low-grade fever and cough, assess for infiltrate.
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frontal and lateral views of the chest were performed. the lung volumes are low, resulting in crowding of the bronchovascular structures. within this limitation, there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are unchanged. sternotomy wires and mediastinal clips are again noted.
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chest pain. evaluate.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. there is no overt pulmonary edema though mild hilar congestion may be present given the slightly engorged appearance of the pulmonary hilum. heart size is mildly enlarged. the mediastinal contour is normal. a chronic compression deformity of l<num> is re- demonstrated. clips in the upper abdomen noted. a focal calcification adjacent to the right humeral head is stable from prior exams, likely indicating rotator cuff tendinopathy. no acute fracture seen.
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<unk>f with recent fall, lethargy.
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there is mild enlargement of cardiac silhouette. the mediastinal contours are unchanged. there is mild pulmonary edema. small left pleural effusion is noted, decreased in size compared to the previous exam. retrocardiac opacity likely reflects compressive atelectasis. no pneumothorax is identified. there are multilevel degenerative changes in the thoracic spine as well as involving the acromioclavicular joints.
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dyspnea.
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ap portable upright view of the chest. <num> lead pacer is unchanged with leads extending to the region of the right atrium and right ventricle. overlying ekg leads are present. lung volumes are low. the heart remains mildly enlarged. the lungs appear clear. there is no convincing evidence for pneumonia. there is mild hilar congestion without frank edema. no pneumothorax. bony structures are intact.
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history: <unk>m with hypotension, cough // eval for pna
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pa and lateral chest radiographs. the lungs are well expanded and clear. there is no focal consolidation, effusion, pneumothorax. cardiomegaly is mild, predominantly left atrial, upper lobe vascular redistribution is mild, and chronic mild bronchial cuffing is more pronounced. the sternotomy wires are intact. calcification of the ascending thoracic aorta is chronic, the aortic caliber which cannot be determined on these conventional radiographs does not appear to have changed since <unk>.
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tachycardia
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compared with the prior radiographs, there are increased interstitial lung markings with stable severe cardiomegaly, consistent with mild pulmonary edema. no focal consolidation or pneumothorax identified.
|
<unk>f with weakness. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18465343/s59362958/98938972-36f72211-d3e34220-54a0a0bc-18bc8bb8.jpg
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pneumothorax or pleural effusion is seen. there are multilevel degenerative changes in the thoracic spine.
|
chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p11208333/s58494667/822c1dd8-739783c3-331dd027-6b28b925-c1003059.jpg
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lungs are clear. no pleural effusion, edema, or pneumothorax. the heart is normal in size. medial convexity of the ascending aorta suggests tortuosity or dilation. the descending thoracic aorta is slightly tortuous. there is pulmonary vascular engorgement. no acute osseous abnormality.
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<unk> year old man with gait dysfunction concerning for new stroke. evaluate for pulmonary pathology.
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MIMIC-CXR-JPG/2.0.0/files/p13771151/s50689054/3cd0bd90-4e20ad18-5f8d3bca-022ec5b3-a95d35bf.jpg
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pa and lateral views of the chest. no prior. left-sided central line is seen with catheter tip in the mid svc. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with fever, on steroids. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16162201/s57679355/261272c4-03e82cac-90146618-6a2521be-b2b3aed4.jpg
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m with hx fall down <unk> stairs and pleuritic cp. // rib fx/pulmonary cause for left chest pain?
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MIMIC-CXR-JPG/2.0.0/files/p13500179/s51378951/a708b016-7ca8512a-7a11d518-f90a453f-a9c2756c.jpg
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a single ap radiograph of the chest was acquired. lung volumes are slightly low, causing accentuation of the pulmonary vasculature and exaggeration of the heart size. the lungs are clear. heart size is top normal. the mediastinal contours are normal. no pleural effusions. no pneumothorax.
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lightheadedness, bradycardia, and dyspnea on exertion. evaluate for pneumonia or chf.
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MIMIC-CXR-JPG/2.0.0/files/p16662316/s52647164/90c36bf4-e3ebf60e-d8da7368-bfa6a471-15e1f24b.jpg
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compared with most recent radiograph, previous peripheral ground glass opacity in the periphery of the right lower lung has been replaced by linear atelectasis, commonly seen with pulmonary embolus, less so with infection. prominence of the right hilum is not significantly changed from prior. cardiac size is top normal. there is no pleural effusion or pneumothorax.
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<unk>-year-old male with dyspnea. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13993910/s52914500/e8272101-a3a556c3-45b77c96-ed362578-badccaa8.jpg
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compared to the most recent prior radiograph, there has been interval placement of an enteric tube which terminates in the region of the stomach below the left hemidiaphragm. intraperitoneal free air is re- demonstrated. endotracheal tube terminates in similar position. a left-sided picc terminates in the mid svc. no pneumothorax.
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history: <unk>m with intubation, s/p ogt // ogt placement
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MIMIC-CXR-JPG/2.0.0/files/p17894379/s52766284/7b4d3d97-4998625b-9516e6d6-1827c93b-3cbf95cb.jpg
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the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal, and hilar contours appear unchanged including mild cardiomegaly and tortuosity of the thoracic aorta. there are new suspected trace pleural effusions, larger on the right than left, but no pulmonary edema or focal opacification. mild background interstitial process appears decreased since the prior radiographs.
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chest congestion and cough.
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MIMIC-CXR-JPG/2.0.0/files/p18070922/s55619714/e3723e7b-22017ecb-92553e43-41b3d538-fae00d91.jpg
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal.
|
syncope.
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MIMIC-CXR-JPG/2.0.0/files/p14686618/s58172397/841a4236-8262acd9-202a9f53-0aa65176-1d1d8e54.jpg
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lung volumes are low, accentuating the pulmonary vasculature but the lungs appear clear. no pneumothorax or pleural effusion is present. the cardiac silhouette, hilar and mediastinal contours appear normal.
|
cough for one day, fall, evaluate for infiltrate. pa and lateral chest radiograph.
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MIMIC-CXR-JPG/2.0.0/files/p10253057/s57222617/c2953c7f-76823e80-a6b18ff8-63a678f6-2528dcc5.jpg
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right picc tip is likely in the right internal mammary vein. sternotomy wires are intact and a new radiopaque opacity projects over the right mid lung. subtle increase in right upper lobe heterogeneous ill-defined opacity may represent evolving right upper lobe pneumonia. mild vascular congestion with top normal heart size, stable small left pleural effusion and no mediastinal vein dilatation or pulmonary edema. no pneumothorax.
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<unk>-year-old male with malfunctioning picc. assess picc placement.
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MIMIC-CXR-JPG/2.0.0/files/p14260018/s51712635/6cf4ff7c-1e0804f6-ce11ab4b-6fb7fdd7-36bdc5ed.jpg
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pa and lateral views of the chest <unk> at <time> are submitted.
|
<unk> year old man with (+)sputum cx/ cough s/p cabg/asc.ao repair // ? pneumonia ? pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p13498039/s53001624/058101fa-811210b1-244d6faf-f590b05d-f97b7c7a.jpg
|
the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
|
fever.
|
MIMIC-CXR-JPG/2.0.0/files/p14516578/s50256534/1a050835-ed1c5dd3-5867cd86-228b0bd5-0aff73f7.jpg
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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.
|
<unk> year old woman with fatigue and night sweats r/o mass // night sweats
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MIMIC-CXR-JPG/2.0.0/files/p12996303/s50871775/2d758afc-cd63a1fc-76a84661-56bd1758-70bd0886.jpg
|
pa and lateral chest radiographs are obtained with the patient in the upright position. heart size is stable. mediastinal contours are unremarkable. coarse opacifications seen previously at the right base are relatively unchanged. persistent bibasilar atelectasis. stable small right pleural effusion. small left pleural effusion has increased in size. increased density of left lung opacifications is consistent with consolidation. no pulmonary vascular congestion. no pneumothorax.
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<unk>-year-old man with non-small cell lung cancer, bilateral pleural effusions who spiked a fever,? pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18970053/s57908209/9b292a79-20d50fb4-0777f03e-65504de2-cfffa7b0.jpg
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there has been interval improvement in the left effusion, now small and improvement in the right effusion, also small. bilateral opacities have diminished consistent with improving pulmonary edema. et tube, ng tube, feeding tube, right subclavian catheter are in unchanged satisfactory position. the cardiomediastinal silhouette is unchanged. no pneumothorax.
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pancreatitis status post left-sided thoracentesis, question pneumothorax/effusion.
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MIMIC-CXR-JPG/2.0.0/files/p10626094/s57186440/2201d419-3db8e5da-589af9bb-6e48f06d-8ca1cb23.jpg
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frontal and lateral views of the chest were obtained. low lung volumes results in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal allowing for lung volumes.
|
lightheaded.
|
MIMIC-CXR-JPG/2.0.0/files/p18914238/s58169729/94710fc3-13b207bc-6a288f3c-91eb8cd5-f85ed6c9.jpg
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a single frontal supine image of the chest shows an unchanged retrocardiac linear opacity, which is most consistent with atelectasis. no new consolidation is identified. a trace left pleural effusion is present. the prior pulmonary vasculature congestion has improved. there is no pulmonary edema or pneumothorax. the cardiomediastinal silhouette is unremarkable. mediastinal clips are noted. sternotomy wires are intact. no free air is identified below the hemidiaphragms.
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abdominal pain and tenderness.
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MIMIC-CXR-JPG/2.0.0/files/p18266605/s59385527/f91132c8-c4f24720-1328a98d-199f35a9-851b5573.jpg
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the tip of the endotracheal tube resides approximately <num> cm above the carinal. the endogastric tube extends into the left upper quadrant. on this supine radiograph, a partially layering moderate in size right pleural effusion is present. given the layering right pleural effusion and increased opacity of the right hemi thorax, difficult to exclude a superimposed consolidation. the left lung is clear. cardiomediastinal silhouette grossly unremarkable. bony structures intact.
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<unk>f with intubation.
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MIMIC-CXR-JPG/2.0.0/files/p11510310/s53424669/2ecc27f2-677afdb8-9171c7d0-ae4b6294-cc7de544.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
|
history: <unk>f with cough
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MIMIC-CXR-JPG/2.0.0/files/p11398738/s51985275/15e0cc85-d3d578fe-789eec41-b1377833-279b65a7.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. no definite radiopaque foreign body seen.
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history: <unk>f with assault, thrown down stairs, broken tooth // evaluate for tooth aspiration
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MIMIC-CXR-JPG/2.0.0/files/p14273598/s51908378/e5b97934-082d56c0-dccfccd1-9cc85444-3526f30b.jpg
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small bilateral pleural effusions have increased compared to the recent chest ct. there is no focal consolidation, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk>f with episode of coughing/aspiration, evaluate for infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p10161682/s52717526/785c7d93-75ae91ca-ba2e3f64-3f64ca2e-387c2521.jpg
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in comparison to the most recent study, lung volumes have slightly increased although they remain low. cardiomediastinal silhouette is stable. right upper lobe opacity corresponds to known mass. heterogeneous opacities at the right base are largely stable and likely represent a combination of atelectasis pleural effusion and pleural thickening. superimposed consolidation be difficult to exclude. no pneumothorax.
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<unk> year old man with stage <num> nsclc, pleural effusion, pleurx in place // presence of pleural effusion
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MIMIC-CXR-JPG/2.0.0/files/p12578742/s52765650/48d504b6-a2a6a4ca-859a2861-d8810699-7435662f.jpg
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right-sided picc terminates at the origin of the svc. unchanged cardiomediastinal and hilar contours. stable, low lung volumes bilaterally. stable, moderate bibasilar atelectasis. interval decrease in size of moderate, left pleural effusion. slight interval improvement in mild pulmonary edema. no pneumothorax.
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<unk>-year-old man with a left hip infection and concern for persistent pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p12648465/s56601701/d75b1748-1c4c5d79-4e36324d-93a97bd5-74970997.jpg
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the cardiomediastinal contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded. right perihilar and right base opacities are new and concerning for multifocal infectious process. the left lung is essentially clear. the upper abdomen is unremarkable.
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<unk>-year-old with shortness of breath and chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p19236953/s50105934/59716028-14892039-bb1c77dd-f2eb6a64-319c19c5.jpg
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the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
|
<unk>f with chest pain // ? acute cardiopulm process
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MIMIC-CXR-JPG/2.0.0/files/p19103699/s51382543/453b0ff3-6dc7ba77-1e2d139d-8cc2cf43-63768bb6.jpg
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frontal and lateral views of the chest demonstrate low lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. surgical clips project over right upper abdomen. partially imaged upper abdomen is unremarkable.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p18636765/s50378484/e6900887-c81c0f67-1b673bf0-e71180fe-464fe9b0.jpg
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there is stable moderate cardiomegaly. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no definite evidence of interstitial thickening. there is no pleural effusion or pneumothorax. there is a left sided pacer with the leads in appropriate position.
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history of dyspnea on exertion, please evaluate.
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MIMIC-CXR-JPG/2.0.0/files/p19723160/s58374626/fa6bb425-e522e5b8-f6481265-8e364299-b95ca09d.jpg
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ap and lateral views of the chest <unk> at <time> are submitted. best possible images were obtained in this patient with a large body habitus.
|
<unk> year old woman with diastolic hf and recurrent asthma exacerbations, with increase in cr. // <unk> year old woman with diastolic hf and recurrent asthma exacerbations, with increase in cr. any signs of volume overload? difficult to assess clinically in morbidly obese woman. <unk> year old woman with diastolic hf and recurrent asthma exacerbations, with increase in cr. any signs of volume overload? difficult to assess clinically in morbidly obese woman.
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MIMIC-CXR-JPG/2.0.0/files/p18088903/s51635143/4d0125e1-1cc299af-9d2fccd0-d04efd8a-8f0d7220.jpg
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the inspiratory lung volumes remain low in comparison to the prior study. there is no focal consolidation concerning for pneumonia. no pleural effusion or 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. the osseous structures are grossly unremarkable, although evaluation is limited secondary to body habitus.
|
cough and dyspnea, here to evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13901345/s56372832/651189de-1b0233be-8e5d75ec-c575132e-0ad4c9b5.jpg
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there has been interval removal of the bilateral pleural drains. there has been interval improvement of the small right pleural effusion and resolution of the left pleural effusion. there is mild bibasilar atelectasis. no new focal consolidations are seen. there is no pneumothorax. there is mild cardiomegaly, dating back to at least <unk>. there is no pulmonary edema. the hilar and mediastinal contours are otherwise normal. the median sternotomy wires are intact.
|
<unk>-year-old female with a history of pleural effusions, who presents for followup evaluation. history of a-fib s/p ablation complicated by left atrial perforation and open repair.
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MIMIC-CXR-JPG/2.0.0/files/p14394983/s55892038/e185cbd6-ba8c6a76-ab7b0f59-9d484566-08034c66.jpg
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compared with the prior radiograph, no significant interval change. there may be mild right basilar atelectasis. no focal consolidation, pleural effusion, or pneumothorax detected. the cardiomediastinal silhouette is unremarkable. no evidence of free subdiaphragmatic air on this limited single view.
|
<unk>-year-old man with diffuse abdominal pain and hematemesis. evaluate for air under the diaphragm.
|
MIMIC-CXR-JPG/2.0.0/files/p11148918/s52041822/4797e0a8-8eefd27c-49d3e57a-6194c4c4-98068696.jpg
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
|
hypertension and chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p13273952/s55050100/4bc37da5-ebf1d987-a87e96e5-8fdb5e32-8d5cb229.jpg
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re-identified are multiple median sternotomy wires and mediastinal surgical clips. the cardiomediastinal silhouettes are stable, reflective of a tortuous thoracic aorta. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
|
<unk>-year-old man with chest pain, evaluate for pneumothorax, evidence of mediastinal injury.
|
MIMIC-CXR-JPG/2.0.0/files/p13714286/s51499327/5c96f861-ba66be13-987df11b-7d6188f4-e62ac106.jpg
|
the aorta is tortuous. the heart is within normal limits. there is enlargement of the left hilus, similar to the prior examination and consistent with long-standing calcific, granulomatous adenopathy. extensive heterogeneity and opacity along the lateral right lung is unchanged and related to calcified pleural plaques. there is no focal consolidation, pleural effusion or pneumothorax. there is moderate soft tissue edema along the right chest wall.
|
<unk>m with sepsis, ams, chest wall cellulitis // eval ? pna
|
MIMIC-CXR-JPG/2.0.0/files/p12108578/s54856842/dcbb41cd-356a22e9-7b87835f-5b2fd4c9-c2a9e805.jpg
|
the cardiomediastinal silhouette is overall similar to prior examination. there is a persistent right-sided pleural effusion, apparently decreased in size comparison to most recent exam. no definite consolidation is identified. right basilar opacity may represent atelectasis.
|
history: <unk>f with hyponatremia // eval for chf/pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p13681651/s56128398/79de32c2-64d52be0-4555ef87-94daacf0-f38fb943.jpg
|
interval increase in heart size, dilatation of the azygos vein, widened vascular pedicle and cephalization of upper lobe pulmonary blood vessels. mild indistinctness of the blood vessels. no large effusion. no airspace consolidation. subsegmental atelectasis in the left lung base.
|
<unk> year old woman with pmh raaa s/p evar req ex-lap for hematoma evac, pad s/p l fem-peroneal bypass, now s/p b/l iliac stents to re-seal evar graft for re-raaa // new oxygen requirement postoperatively
|
MIMIC-CXR-JPG/2.0.0/files/p15985786/s59225721/05c50fe4-f022251c-11ba6fd5-05f9ff3d-a8585f8e.jpg
|
compared with the most recent prior radiograph, the cardiac silhouette has decreased in size; although it remains moderately enlarged. mediastinal contours are unchanged. no focal consolidation, pleural effusion, or pneumothorax is present.
|
large pericardial effusion status post drainage. evaluate interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p15174568/s58970070/e69abdeb-0ad77a73-b4f84d23-3717a2a2-d8da0a2a.jpg
|
there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
|
history: <unk>m with chest pain // pneumothorax?
|
MIMIC-CXR-JPG/2.0.0/files/p17997077/s52354001/819878c6-fff6111c-7b4cf1c4-8182d694-ec44f1b7.jpg
|
frontal and lateral chest radiographdemonstrates mildly hypoinflated lungs with crowding of vasculature. heterogeneous right lower lobe opacity is only seen on frontal projection. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
|
cough. assess for pneumonia. none.
|
MIMIC-CXR-JPG/2.0.0/files/p12807200/s58044381/ed7d8406-84438d51-bc616ae2-2190c15a-efd9ed55.jpg
|
all lines and tubes are in appropriate positioning and unchanged compared to prior. there is new complete right upper lobe collapse. the lungs are otherwise clear. the pulmonary vasculature is normal. the cardiomediastinal silhouette is normal. there are no pleural effusions. there is no pneumothorax.
|
<unk> year old man with sob // infiltrate
|
MIMIC-CXR-JPG/2.0.0/files/p19844485/s50762309/28d71c5a-7f16c42f-ec973545-72a7a3e9-3d2193e6.jpg
|
there is stable moderate cardiomegaly. the mediastinal contour is stable. there is a persistent right pleural effusion with associated atelectasis. there is also some mild left base atelectasis as well as mild interstitial edema.
|
<unk>-year-old with wheezing and pleural effusions.
|
MIMIC-CXR-JPG/2.0.0/files/p17619570/s53092228/fb54e058-97670ba8-95fa6d47-eece4691-3c00027a.jpg
|
punctate nodular opacities projecting over the right lower lung are similar compared the prior study and represent vessels on end or calcified granuloma. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
|
history: <unk>m with hyperglycemia. infectious workup. // ?pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p19826220/s56143065/7666dc84-546c5787-bf548579-31dbf19d-f2aa722e.jpg
|
bilateral hila are enlarged, compatible with hilar lymphadenopathy. the right hilum has increased in size relative to the prior study of <unk>. several small ill defined opacities in the right lung have mildly increased from prior study correlating with progression of sarcoidosis. the right paratracheal stripe is enlarged, compatible with mediastinal adenopathy. there is no pleural effusion, pneumothorax, or pulmonary edema.
|
<unk> year old woman with worsening cough x <num> weeks // e/o pna, sarcoid
|
MIMIC-CXR-JPG/2.0.0/files/p16427769/s59006533/a9ca3d1f-dfe89274-64a13274-1ff7c709-42ef5bbf.jpg
|
opacity in the left retrocardiac region has resolved. subtle increased asymmetric opacity in the right lower lobe with corresponding increased retrocardiac opacity on the lateral view over the spine, could reflect an early pneumonia in the appropriate clinical situation. the cardiomediastinal silhouette is unchanged. no pleural effusion or edema. no pneumothorax.
|
history: <unk>f with hemoptysis, cough. rule out pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p18284128/s50780306/1f5c1acc-3a5124b7-30bbd90e-b3b5f42e-608161bd.jpg
|
pa and lateral views of the chest. there is no focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is no free air beneath the hemidiaphragms. no acute osseous abnormality is seen.
|
anterior chest pain and throat tightness.
|
MIMIC-CXR-JPG/2.0.0/files/p13472341/s50578748/76ad095c-e862cd9a-d38520df-9d414cbb-08ac2459.jpg
|
portable chest radiograph demonstrates well expanded lungs with previously identified linear retrocardiac opacity unchanged and likely atelectasis. no new focal consolidation. no pneumothorax or pleural effusion identified. redemonstration of mildly dilated or torturous ascending aorta with unchanged mildly enlarged heart.
|
<unk>-year-old female with shortness of breath status post contrast administration during mrcp suggestive of anaphylaxis.
|
MIMIC-CXR-JPG/2.0.0/files/p12354194/s56600801/c360bf33-074acec4-1628ecf6-5b3c7afa-e030b10f.jpg
|
lung volumes are normal and lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. no pulmonary edema. mediastinal and hilar contours are unremarkable.
|
fever and back pain. evaluate for pneumonia or an acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p18604060/s59663323/90bb1c10-0834e1dc-bfc5c7d2-b601f179-1e6bba8f.jpg
|
portable ap upright view of the chest was reviewed. a left subclavian line ends in the upper right atrium and if pulled back <num> cm would end at the cavoatrial junction. a focal opacity measuring <num> mm located over the <unk> left posterior rib is most likley a bone island; othwerise, the lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
|
evaluation of line placement.
|
MIMIC-CXR-JPG/2.0.0/files/p14089164/s55977976/a66a2695-3d0f8937-f0829e5d-cd2672e5-abd0773e.jpg
|
lungs are well expanded. blunting of the left costophrenic angle may represent a small residual pleural effusion or pleural thickening. linear opacities along the left lung base likely represent atelectasis or scarring. the lungs are otherwise clear, without focal consolidation or pneumothorax. the cardiomediastinal silhouette is normal.
|
history of cough and fatigue for <num> days and history of empyema.
|
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