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MIMIC-CXR-JPG/2.0.0/files/p10840520/s56807843/0ba2a940-87f4a235-27650047-b353d224-a4faeadc.jpg
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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epigastric pain. rule out pneumonia, pneumothorax.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. the heart size is within normal limits. no configurational abnormality is identified. the thoracic aorta is unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the pleural sinuses are free. no pneumothorax in apical area. the skeletal structure is grossly within normal limits. when comparison is made with the next preceding examination of <unk>, no significant interval change can be identified.
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<unk>-year-old female patient with two weeks of cough and wheezing, evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. slight tortuosity of the descending thoracic aorta is noted. no acute osseous abnormalities. surgical clips overlying the right lateral chest.
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<unk>f with ams // pna, bleed
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frontal and lateral views of the chest were obtained. mild bibasilar atelectasis is noted. no pleural effusion or pneumothorax noted. the cardiomediastinal and hilar contours are unchanged from the prior examination. mild low lung volumes are noted with crowding of bronchovascular markings. no rib fractures are visualized.
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<unk>-year-old female with shortness of breath, rule out congestive cardiac failure or rib fracture or pneumonia.
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since chest radiographs dated <unk>, there is been interval resolution of the left apical pneumothorax and moderate right pleural effusion. there is hazy opacification of the ipsilateral left lower lung without air bronchograms or ipsilateral pleural effusion. lungs are otherwise fully expanded and clear without consolidations. no pneumothorax. heart size is top normal. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
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<unk> year old woman with cough/blood // hemoptysis
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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 possible tia
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the heart size is top normal. the hilar and mediastinal contours are normal. there is atelectasis of the lower lungs, less on the left. some atelectasis is also seen in the upper lobes. if any, there is a tiny left pleural effusion. there are no focal consolidations. there is no pneumothorax.
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<unk>-year-old male patient status post open sigmoid colectomy. study requested for evaluation of atelectasis, consolidation, pneumothorax and heart borders.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. there is mild flattening of the hemidiaphragms common which appears unchanged since at least <unk>. heart and mediastinal contours are stable; slightly globular cardiac contour appears unchanged since at least <unk>.
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<unk>-year-old female, <unk> weeks pregnant with shortness of breath and left shoulder pain.
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lung volumes are lower on the current exam with secondary bibasilar opacities which are likely atelectasis. superiorly, lungs are clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
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<unk>m with ams, falls // eval for acute process
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left chest wall power injectable port and the right picc line are present and unchanged. a metallic esophageal stent is also noted. low bilateral lung volumes with bilateral layering pleural effusions and overlying atelectasis, not substantially changed. no pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged.
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<unk> year old man with gej cancer with persistent tachypnea and difficulty with secretions. // eval worsening respiratory status. eval aspiration
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pa and lateral views of the chest were obtained. there is borderline cardiomegaly and unfolding of the thoracic aorta. the cardiomediastinal contours are otherwise unremarkable. slightly increased bibasilar densities likely relate to increased breast attenuation. there is no definite consolidation, pleural effusion. there is no pneumothorax.
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<unk>-year-old female with nausea, cough evaluate for pneumonia.
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et tube terminates <num> cm above carina. postsurgical changes in the neck are incompletely evaluated on this study. lung volumes are low. bibasilar streaky opacities likely reflect atelectasis. there is no large pneumothorax or pleural effusion. the heart is top normal. the mediastinal and hilar contours or unremarkable.
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<unk> year old man with thyroid cancer s.p trach r+r and thyroidectomy neck dissection // rule out pneumothorax, free air, tube position
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a dialysis catheter terminates in the right atrium, as before. the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. there is no definite pleural effusion or pneumothorax. there is mild persistent relative elevation of the left hemidiaphragm. opacification in the left lower lobe along the hemidiaphragm has increased although similar to the earlier of two comparison studies. the pulmonary interstitium is minimally prominent, probably due to slight fluid overload.
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cough.
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indistinct opacity at the left heart border may represent an early infection. there is no pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
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<unk> year old man with recent travel and <num> weeks of productive cough with left sided chest pain, evaluate for pneumonia.
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since prior, there has been resolution of right upper and left perihilar opacities. there are interstitial changes in the right lower lobe and left pericardial region, stable from <unk>. there are no new areas of consolidation. cardiomediastinal silhouette is unchanged. there is no pneumothorax or pleural effusion. a port-a-cath ends in the right atrium.
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<unk> year old woman with hx of multiple myeloma and low-grade fevers and nonproductive cough, assess for pneumonia.
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there has been interval placement of a left thoracostomy tube, with slight decrease in size of a known left pneumothorax. subcutaneous gas overlies the tube entry site. the right long remains clear. the heart size is normal. the hilar and mediastinal contours within remain within normal limits. multiple left-sided rib fractures are again demonstrated.
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left chest tube placement.
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there is mild pulmonary edema. no pleural effusion or focal consolidation. there are mitral annular calcifications and aortic knob calcifications. the cardiomediastinal and hilar contours are normal. no pneumothorax.
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shortness of breath. left chest discomfort.
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pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. no free air is seen below the right hemidiaphragm.
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<unk>-year-old man with shortness of breath, evaluate for pneumonia or pneumothorax.
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there are moderate bilateral pleural effusions with overlying atelectasis. the cardiac silhouette is mild to moderately enlarged. there is prominence of the bilateral central pulmonary vasculature worrisome for pulmonary edema. right infrahilar opacity may be due to combination of pleural effusion and atelectasis, but underlying consolidation or other pulmonary lesion not excluded. recommend follow-up chest imaging following acute episode/diuresis. the aorta is calcified.
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history: <unk>f with sob // eval for pulm edema
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the heart size is normal. aortic knob is calcified. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities present.
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hypotension.
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ap portable semi upright view of the chest. endotracheal tube is unchanged in position with its tip positioned <num> cm above the carinal. an orogastric tube extends into the left upper abdomen. bilateral pleural effusions with bibasilar atelectasis noted, new from prior.
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<unk>m with ett, s/p og tube placement
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chest, upright ap and lateral. the lungs are clear. exaggeration of the cardiac silhouette is likely secondary to ap technique. widening of the upper mediastinum is unchanged from prior examinations. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. the left port-a-cath terminates in the mid svc.
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generalized weakness.
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the cardiomediastinal and hilar contours are normal. the lungs demonstrate consolidation of the right middle lobe. there is no pleural effusion or pneumothorax.
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<unk>-year-old male with fever and cough.
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frontal and lateral radiographs of the chest show a left pectoral dual-lead pacemaker with two leads terminating in the right ventricle and left ventricle, unchanged. a right-sided picc line has been slightly withdrawn since <unk>, with the tip now terminating at the confluence of the brachiocephalic vein which should be advanced <num> cm to place in the low svc. mild pulmonary edema is improved and nearly resolved from <unk>. opacification at the right medial lung base on the frontal radiograph and posterior lower lung on the corresponding lateral radiograph is consistent with right lower lobe atelectasis. no pleural effusion or pneumothorax is present. the cardiomediastinal silhouette is unchanged with mild cardiomegaly. calcification of the mitral valve annulus is noted. there is generalized loss of vertebral height and severe degenerative changes with bridging osteophyte formation in the thoracic spine.
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<unk>-year-old female with multiple medical problems including diastolic heart failure, status post diuresis, here to evaluate for interval changes.
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there are low lung volumes, and a sub-optimal inspiratory effort. allowing for changes due to this, the cardiomediastinal silhouettes are stable. diffuse interstitial prominence may relate to bronchovascular crowding in the setting of low lung volumes. there is no focal lung consolidation. there is no pneumothorax or pleural effusion.
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an <unk>-year-old woman with hypoxia, evaluate for acute process.
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frontal and lateral upright chest radiographs demonstrate bilateral hilar prominence, likely secondary to low lung volumes. there is a small right pleural effusion and a probable focus of airspace abnormality in the lower lung, favoring the right side. the cardiac silhouette, and mediastinal contours are normal.
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<unk>-year-old female with fevers. rule out pneumonia.
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frontal and lateral views of the chest are compared to the previous examination. there is new opacity in the right lower lobe. no pleural effusion or pneumothorax identified. hyperinflation and a calcific densities projecting over the medial left clavicle are unchanged. the mediastinal silhouette is within normal limits. the osseous structures are unchanged.
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evaluation for an infectious process in patient with persistent cough and weakness.
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there is a dual-lead pacemaker/icd device with leads again terminating in the right atrium and ventricle, respectively. the cardiac, mediastinal and hilar contours are probably unchanged. superimposed on background volume loss and band-like opacity in the posterior left lower lobe is increased volume loss and hazy opacity superimposed upon prior findings at the left lung base. a trace pleural effusion is also difficult to exclude on the left but not definitely present. elsewhere, the lungs remain clear.
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altered mental status.
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the cardiac silhouette is moderately enlarged and slightly bigger than before. bilateral small pleural effusions are increased in comparison to prior study from <unk>. no focal consolidation or pneumothorax, but bilateral atelectatic changes are visualized with pleural effusions. no acute fractures identified.
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evaluation of patient with swelling and history of congestive heart failure.
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one ap portable view of the chest. there are bilateral opacities throughout the lungs consistent with moderate pulmonary edema. this is significantly increased from prior study. there is mild to moderate cardiomegaly. possible small bilateral pleural effusions. there is no pneumothorax. the right humeral head is dislocated anteriorly, similar to prior study. severe degenerative changes of the left shoulder.
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shortness of breath, question edema.
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frontal and lateral chest radiographs demonstrate a heart which is top normal in size and fairly well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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altered mental status.
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degree of bilateral parenchymal opacities have progressed. there is no large effusion. moderate cardiac enlargement is similar compared to prior. no acute osseous abnormalities.
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<unk>m with hypoxia // eval for pna
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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 sob and cough, pls eval for pna
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the lungs are well-expanded. no focal consolidation, edema, effusion, or pneumothorax. the heart remains mildly enlarged, unchanged. no acute osseous abnormality. partially imaged cervical spine anterior fixation hardware appear intact. mild pulmonary vascular congestion and upper lung redistribution.
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<unk>-year-old man presenting with chest pain and dyspnea. evaluate for acute cardiopulmonary process.
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portable frontal supine radiograph of the chest demonstrates interval placement of an et tube ending <num> cm above the carina. an enteric tube is seen passing just below the diaphragm. the side hole is not well visualized however it is likely within the esophagus. the right internal jugular central venous catheter is in unchanged position ending in the mid svc. lung volumes are lower. otherwise, there is no significant change compared to <num> minutes prior.
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history: <unk>m with septic now intubated // ? tube placement
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. there is an anterior dislocation of the right shoulder.
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seizure and right shoulder pain with limited mobility.
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single portable view of the chest compared to previous exam from <unk>. endotracheal tube is seen with tip down the right mainstem bronchus. on second exposure, it is slightly retracted but remains at the carina. there is near-complete opacification of the left hemithorax with some residual aerated lung at the left lung apex. the right lung demonstrates more significant consolidation superiorly compared to prior. multiple right-sided pulmonary nodules are again noted as well as calcification left suprahilar region, also compatible with known metastatic disease. left chest wall port-a-cath is seen with tip at the ra-svc junction. nasogastric tube seen with tip in the gastric body. no suspicious osseous lesions are identified.
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<unk>-year-old female with metastatic lung cancer.
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the endotracheal tube has been removed. the left subclavian central venous catheter terminates in lower svc. nasogastric tube terminates in the stomach. there is new partial right lower lobe atelectasis with associated volume loss. new left-sided airspace opacities may be due to pulmonary edema or aspiration.
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<unk> year old man s/p fall and l diffuse sah, sdh // please assess for interval changes
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right-sided chest tubes have been removed. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
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<unk> year old man with r ptx, s/p vats blebectomy, pleurodesis // r/o ptx post ct removal
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frontal chest radiographs demonstrate a a left chest wall pacer device with the leads overlying the bilateral ventricles and right atrium. the heart is likely top-normal in size, with the cardiac silhouette exaggerated by low lung volumes. diffuse opacity bilaterally is consistent with mild to moderate pulmonary edema. there are moderate pleural effusions bilaterally, right greater than left. no pneumothorax is appreciated.
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evaluate for edema or infiltrate in a patient with respiratory distress.
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slight increase in opacity projecting over the posterior lower lungs on the lateral view is stable since the prior study and may relate to overlapping structures. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. hilar contours are also stable.
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hiv question infiltrate.
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the cardiac, mediastinal, and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities are visualized.
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atypical chest pain.
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again seen is right upper lobe atelectasis with parenchymal calcifications. delineation of a perihilar mass on the right is better seen on prior ct scan. there secondary right-sided volume loss. suspected superimposed right pleural effusion is also noted. right mainstem bronchus stent is visualized. left apical calcified granulomas are noted. the left lung is otherwise clear. the cardiomediastinal silhouette is stable. atherosclerotic calcifications are seen in the aorta. chronic right posterior and lateral rib fractures are noted.
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<unk>m with r pleural mass, r main stem bronchus stented last pm, here w/ inc sob // ptx? pna?
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities
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<unk>f with cough sob // eval for pna
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there has been interval placement of a right chest tube with dramatic improvement in the right pleural effusion. a small apical hydropneumothorax remains. patchy peripheral opacities throughout both lungs are consistent with known metastatic disease. there is no new definite focal consolidation concerning for pneumonia. known mediastinal lymphadenopathy is reflected in an abnormal right upper mediastinal contour. the heart is normal in size.
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<unk>m with right pleural effusion s/p catheter placement // eval for pneumothorax, effusion
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. tortuous descending thoracic aorta is noted. no acute osseous abnormalities.
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<unk>f with +nausea/vomiting +lightedness // r/o pna vs pleural infection
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the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits noting a probable left cardiophrenic fat pad
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<unk>m with chest pain // eval heart and lungs
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there are low lung volumes and bibasilar atelectasis. bibasilar opacities most likely represent atelectasis although subtle consolidation is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there is gaseous distention of the stomach.
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history: <unk>m with fever, crackles rll // eval for infiltrate
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right chest wall port-a-cath is again noted. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is stable. catheter again seen in the right upper quadrant.
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<unk>m with pancreatic ca p/w fever // r/o infiltrate
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the endotracheal tube is no longer visualized. remaining support devices are in place. opacification at the left base likely represents a combination of pleural effusion and atelectasis, minimally increased compared to prior examination. moderate right pleural effusion is unchanged. cardiomediastinal silhouette is stable. there is no pneumothorax.
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<unk> year old man with s/p mvr/cabg/maze with dropping hct ct drg // eval hemothorax
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the lungs are well expanded. there is an opacity occupying the right upper lung region and delineated by the minor fissure, with associated right hilar engorgement. the left lung is clear. moderate cardiomegaly is present. there is no pleural effusion or pneumothorax.
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patient with one week of cough. evaluate for infiltrate.
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a single portable supine chest radiograph was provided. the right lung appears well expanded without focal consolidation. there is a left lower lung and retrocardiac opacity. given the shift of the cardiac silhouette leftward, there is likely component of volume loss. pneumonia cannot be excluded. a left pleural effusion may be present. there is no pneumothorax. a right central line with two tips terminates in the lower right atrium. the bones are intact. there are no displaced fractures. calcifications project over the upper abdomen, may be within the pancreas.
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<unk>-year-old female with hypotension. evaluate for pneumonia.
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since <unk>, moderate pulmonary congestion is unchanged. no pulmonary edema, pneumothorax, or pneumonia. moderate cardiomegaly is unchanged. the pleural surfaces are normal a left pacemaker is seen with leads appropriately placed in the right atrium and right ventricle.
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<unk> year old man with concern for pna on portable cxr // please assess for pneumonia vs volume overload
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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. remote right eighth posterior rib fracture is noted.
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history: <unk>m with bilateral lower leg swelling.
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as compared to prior examination, a left pleural effusion is minimally decreased, now small-moderate in size. there is adjacent linear opacities suggestive of atelectasis within left lower lobe. the left upper lung field and right lung are grossly clear. the silhouette is stable. multiple, left rib fractures are again seen .
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<unk> year old woman s/p fall with chest pain and dyspnea, afebrile and previous cxr concerning for empyema // effusion vs empyema vs pna; lat decub view if indicated
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a dobhoff tube is seen coursing below the diaphragm, however the tip is not visualized. there is moderate interstitial pulmonary edema. the ill-defined opacification within the right mid and lower lung zones is unchanged. again visualized are bilateral pleural effusions with associated compressive atelectasis, also not significantly changed compared to prior. the cardiomediastinal silhouette is stable. there is no pneumothorax.
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<unk> y/o m s/p dobhoff advancement // eval to assess in gastrum
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with cough // ?pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p11242663/s57294607/ac71853e-a70ff2fb-021f4bc1-a7c4dfaa-d3f24797.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax.
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fever and chills.
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heart size is mildly enlarged. aorta is tortuous with atherosclerotic calcifications noted at the arch. mild pulmonary vascular congestion is demonstrated. no focal consolidation is seen. small left pleural effusion is demonstrated. no pneumothorax is identified. no acute osseous abnormalities seen.
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history: <unk>f with shortness of breath, chest tightness // eval for volume overload
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. the lungs are hyperinflated, suggestive of emphysema. heart and mediastinal contours are stable with mild cardiomegaly and a calcified tortuous aorta.
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<unk>-year-old male with stroke symptoms.
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heart size is stable. 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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<unk> year old man with aspiration risk, unremarkable cta a couple days ago, now with worsening congestion and chills. noncompliant with aspiration diet this am. ? new aspiration pneumonitis? // infiltrate?
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pa and lateral radiographs of the chest depict a new implantable defibrillator device with one lead positioned in the right atrium and the other coursing along the inferior border of the heart, terminating within the right ventricle. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion and the pulmonary vascularity is normal.
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evaluate lead position in a patient with recent implantation of right-sided dual-chamber pacemaker.
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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chest pain.
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ap and lateral chest radiograph is compared to prior radiograph dated <unk>. relative to prior study, there is improved aeration of bilateral lungs. patchy parenchymal consolidation seen on previous studies are resolved. linear opacity projecting over the left lower lung zone likely atelectasis. no focal opacity convincing for pneumonia is identified. there is no pleural effusion or pneumothorax. visualized osseous structures are without an acute abnormality. cardiomediastinal and hilar contours are within normal limits.
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<unk>-year-old female with fever.
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large, calcific opacity in the right lower lung involving the pleura and parenchyma may reflect remote infection, possibly tuberculosis, or prior hemothorax. superimposed pneumonia cannot be excluded. heart size is at the upper limits of normal and thoracic aorta is enlarged.
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<unk>-year-old woman with hyponatremia. evaluate for pneumonia.
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiac, hilar, and mediastinal contours are within normal limits. subtle thickening of the bronchial interstitium may represent mild bronchitis.
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bilateral ankle swelling. concern for sarcoidosis.
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there is mild cardiomegaly, improved compared with <unk>. there is upper zone redistribution and mild vascular blurring, also improved. there is atelectasis at the left lung base, but no definite infiltrate and no frank consolidation. minimal blunting of left costophrenic angle, without gross effusion. the aorta is calcified mildly unfolded as before.
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chest pain and shortness of breath. evaluate for heart failure.
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MIMIC-CXR-JPG/2.0.0/files/p18217282/s50580184/75b328d8-6af4fffc-649d882b-17634852-d8504be7.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. eventration of the left hemidiaphragm is associated with minimal atelectasis in the left lung base. the lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. surgical sutures are seen within the left upper quadrant of the abdomen.
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history: <unk>m with runny nose, fever, tachycardia
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since <unk>, new patchy opacities are seen in the mid and lower lung base, correlating to the left lower lung on lateral view, concerning for infection. the right lung is essentially clear. the tip of the right port-a-cath is seen in the low svc. the heart size is normal. no pneumothorax.
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<unk> year old woman with newly diagnosed pancreatic cancer. port placed yesterday. now with rigors this morning. // r/o infection. port check.
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in the interim, feeding tube is in place, the tip passes below the level of the diaphragm, but is directed cephalad towards the gastroesophageal junction. bibasilar opacities, moderate pulmonary vascular engorgement, and mild pulmonary edema are unchanged. the cardiac silhouette remains enlarged. the mediastinal contours are normal. a right chest pacemaker is in place, with unchanged position of atrial and ventricular leads. cholecystectomy clips are noted in the right upper quadrant.
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<unk>-year-old female with intracranial hemorrhage status post feeding tube placement.
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. there is no evidence of pulmonary vascular congestion. the lungs are clear. there is no pneumothorax or pleural effusion. there is no evidence of osseous injury.
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<unk>-year-old man following assault, evaluate for fracture or pneumothorax.
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there is again a large pleural effusion occupying the mid-to-lower hemithorax with rightward mass effect although it is likely that the left lower lobe and parts of the left upper lobe, at least the lingula, are collapsed. the right lung remains clear. there is no pneumothorax. a prior healed right posterior lateral seventh rib fracture appears unchanged. mild degenerative changes are similar along the lower thoracic spine.
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cirrhosis and left-sided pleural effusion.
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the right mid and lower lungs demonstrate heterogeneous airspace opacity, concerning for pneumonia. no pleural effusion or pneumothorax is seen. cardiomediastinal silhouette is normal.
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history: <unk>m with cough and fever. evaluate for pneumonia.
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heart size is mildly enlarged, unchanged. mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized.
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fever.
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single portable view of the chest demonstrates a nasogastric tube coursing through the esophagus, below the diaphragm, with tip terminating in the fundus of the stomach. the cardiomediastinal silhouette demonstrates a tortuous aorta, but is otherwise unremarkable. the lung volumes are relatively low, but demonstrate no focal opacity, pleural effusion, or pulmonary edema. no pneumothorax is present. cholecystectomy clips are seen projecting over the right upper quadrant.
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<unk>-year-old male with severe abdominal pain, history of colon cancer. evaluation for nasogastric tube placement.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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coughing // coughing
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MIMIC-CXR-JPG/2.0.0/files/p11057357/s51316689/3ceb6b0a-c186495d-b8cdc53f-abb36931-707ae542.jpg
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a pacemaker/icd device appears unchanged. the heart is again moderately enlarged with a left ventricular configuration. the aorta is mildly tortuous. the cardiac, mediastinal and hilar contours appear unchanged. there is no definite pleural effusion. no pneumothorax is demonstrated. the lungs appear clear.
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dyspnea and desaturation.
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no focal consolidation, pleural effusion, or pneumothorax is seen. the lungs are hyperinflated. cardiomegaly is stable. dextroconvex thoracic scoliosis is again noted.
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an <unk>-year-old female with cough and elevated d-dimer.
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since prior, there has been interval placement of a right-sided pleural pigtail catheter. there is some persistent component of pneumothorax seen inferolaterally. the patient is now positioned more optimally without significant rotation, and the mediastinum is in expected location. there is some right basilar opacity seen medially, potentially atelectasis; however, continued followup is suggested especially given history of patient's lung cancer. surgical chain sutures again seen in the left paramediastinal region. no acute osseous abnormality is identified.
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<unk>-year-old male with right pneumothorax status post pigtail placement.
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multiple median sternotomy wires are identified. the cardiomediastinal silhouettes are stable, within normal limits. the bilateral hila are unremarkable. slight opacity at the right cardiophrenic angle likely reflects crowding of normal bronchovascular structures. otherwise, the lungs are clear without focal consolidation. mild interstitial prominence, with prominent interlobular septa, is compatible with pulmonary vascular congestion. there is no frank pulmonary edema. there is no pleural effusion or pneumothorax.
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<unk>m with chest pains, evaluate for effusions.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous injury identified.
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history: <unk>f with s/p mvc, distal radius pain, diffuse upper back pain // eval for acute traumatic process eval for acute traumatic process
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MIMIC-CXR-JPG/2.0.0/files/p11610140/s53339365/801d02b6-02a8da91-862fb895-f0ed8cbe-b2740122.jpg
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new right picc tip terminates in the mid to low svc. heart size and mediastinal contours are within normal limits. the lungs demonstrate diffuse ground-glass opacities, slightly worse the right than the left. there is no large pleural effusion or pneumothorax.
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<unk>-year-old female with hypoxia and hemoptysis.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for a pulmonary process, in a patient with intermittent chest pain.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart is normal in size, and the mediastinal contours are unchanged. prior left-sided rib fractures are again noted.
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<unk>-year-old female with fall. the patient now has in oxygen requirement. evaluate for acute cardiopulmonary process.
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pa and lateral chest radiographs demonstrate low lung volumes. the right mid lung is faintly opacified, new since <unk>. mild cardiomegaly is unchanged and there is no pulmonary vascular congestion or pleural effusion. left-sided pacemaker leads terminate in the standard position. there is no pneumothorax.
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shortness of breath and persistent cough. concern for pneumonia or chf.
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MIMIC-CXR-JPG/2.0.0/files/p16110520/s51643912/90ee1237-2249a609-694b3037-d7b37d27-0bd385aa.jpg
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minimal residual left basilar atelectasis is again seen. calcified right apical and left midlung granulomas are again noted. the lungs are otherwise clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
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<unk>f with dyspnea and cough // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p10050205/s55215808/4014de7a-b2973e4c-32ac529b-5344455e-db7bed11.jpg
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in comparison to the prior radiograph dated <unk>, lung volumes are lower, which accentuates bronchovascular markings. there is no focal consolidation, large pleural effusion or pneumothorax. bibasilar atelectasis is noted. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. the stomach is distended.
|
history: <unk>f with sob // any pathology seen. no fevers or leukocytosis.
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MIMIC-CXR-JPG/2.0.0/files/p18893199/s53527484/711f27df-b3aacd5a-c3fb842d-dcadab6d-36569853.jpg
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single lead left-sided pacemaker is stable in position. cardiac silhouette size is top-normal. mediastinal contours are stable and unremarkable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. degenerative changes are partially imaged along the spine.
|
history: <unk>m with anterior chest pain x<num> hours // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p12378259/s59472086/5be28d63-d0c3597a-445638cb-6596730c-2fee3fa9.jpg
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there are extensive diffuse patchy multifocal airspace opacities throughout both lungs. although they appear more pronounced compare with the prior film, this is likely accentuated due to technical differences. given th the presence of diffuse opacities, it is difficult to exclude superimposed chf, but the left lung base laterally is relatively clear and no pleural effusion is seen on either side, making superimposed chf less likely. again seen are calcified mediastinal and left hilar nodes and a calcified granuloma in the left upper zone, consistent with prior granulomatous disease. cardiomediastinal silhouette is prominent, but unchanged allowing for technique. left-sided pacemaker with leads over right atrium and right ventricle unchanged.
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<unk> year old man with cad, chf, a-fib, history of multiple myeloma in remission presenting with pneumonia. // please assess for infiltrates and pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p13188963/s57475417/09a0ce95-1b859780-153e541f-80af8297-5e478c01.jpg
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persistent and mildly increased right base opacity likely represents combination of moderate pleural effusion overlying atelectasis, underlying consolidation is not excluded. small left pleural effusion is seen, with overlying atelectasis. no pneumothorax is seen. the patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with fever // fever? pna
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MIMIC-CXR-JPG/2.0.0/files/p14584470/s58313096/97254c7d-7a72029c-4cf233c3-08eaaeb8-f49f7056.jpg
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compared with the recent prior study of <unk>, there is new moderate pulmonary edema and worsened pulmonary vascular congestion. a right pleural effusion has increased. there is no focal consolidation or pneumothorax. moderate to severe cardiomegaly and bihilar enlargement are unchanged. median sternotomy wires and valve prostheses are stable.
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<unk> year old woman with pmh living unrelated donor kidney transplant <unk>, <unk>, afib, mech mvr, and copd presents with <unk> as well as fluid overload in the setting of newly worsened rv systolic dysfunction and tricuspid regurgitation, evaluate for pulmonary edema or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16856553/s55765731/96cb167d-1d85436c-6e410c75-bb8f28ff-9bba1998.jpg
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
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history: <unk>f with feeling unwell, elevated troponin // evaluate for acs
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MIMIC-CXR-JPG/2.0.0/files/p16453338/s51741738/59ea7eac-b7efd534-88d5549d-ab491a4a-40f057b0.jpg
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a single ap radiograph of the chest was acquired. there are chronic reticular opacities throughout the right lung as well as at the left lung base, not significantly changed compared to radiographs dating back to <unk>, allowing for slight underpenetration on today's study. there is no new focal consolidation. the heart size and mediastinal contours are not significantly changed dating back through <unk>. there are no definite pleural effusions. no pneumothorax is seen.
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cough and weakness. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p10899122/s57773225/d3b24b59-b08ed906-a6e2bb74-cc4e8d04-b5848a03.jpg
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
|
<unk>f with inc lower extremity edema
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the aorta is tortuous. lateral view shows posterior displacement of the mid and upper trachea by a large, known thyroid mass
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p13767558/s54211940/d15567a1-0b31f8b0-416d82b2-b1bfd4a8-999de184.jpg
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patient is status post median sternotomy with the inferior most sternotomy wire is again seen to be fractured. the patient is status post cabg. there is left basilar atelectasis/scarring. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
|
history: <unk>m with cough, rib pain // r/o pna
|
MIMIC-CXR-JPG/2.0.0/files/p14092831/s50259432/018148dd-21bcf245-4ec87e06-01354ad8-2160fc15.jpg
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since the chest radiograph obtained approximately <unk> year prior, there has been interval removal of multiple support devices, including a tracheostomy tube, right-sided ij central venous catheter, and a right-sided picc. mild cardiomegaly is unchanged, but pulmonary vascular engorgement has resolved. the lungs are fully expanded and clear without pulmonary edema, focal consolidations, or pleural effusions. the aorta is heavily calcified and tortuous.
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<unk> year old woman with encephalopathy. +cough // r/o infx, edema
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MIMIC-CXR-JPG/2.0.0/files/p15790142/s53190218/78b9711c-e318fa42-ef6b4ba4-b78b58ba-b08bb0af.jpg
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compared with the radiograph from the prior day, there is very subtle, increased radiodensity at the bilateral lung bases. no new large pleural effusions or pneumothorax. the cardiomediastinal and hilar silhouettes are stable.
|
<unk>m with aml s/p allogenic transplant (day <unk>), who presented with fevers and found to be flu a positive. please eval for secondary bacterial pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p16683403/s55406746/5cdffd0e-ee838cf4-9481f548-09e63c8e-180dae26.jpg
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heart size is normal. mediastinal and hilar contours are unremarkable. scarring within the lung apices is symmetric. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is identified. rounded opacity projecting over the posterior left hemidiaphragm on the lateral view could reflect a small diaphragmatic hernia. no acute osseous abnormalities identified.
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<unk> year old woman with depression presenting with suicidal ideation and headache.
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MIMIC-CXR-JPG/2.0.0/files/p15133070/s57556040/62aa592d-8e031782-9d80607d-afbf828e-6e00d74d.jpg
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cardiac size is normal. enlargement of the pulmonary arteries is again noted. there is minimal vascular congestion, otherwise the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
|
<unk> year old woman with pre vq scan // pre vq scan
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