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MIMIC-CXR-JPG/2.0.0/files/p12431768/s53911856/80676f15-1d14670b-9dd5bdbe-d0299239-fa200be2.jpg
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moderate cardiomegaly is stable comapred to exams dated back to <unk>. there is mild pulmonary vascular congestion; otherwise, the hilar and mediastinal contours are normal. there is mild-to-moderate pulmonary edema. there is no large pleural effusion. the visualized osseous structures are unremarkable.
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history of shortness of breath. please evaluate for interval change.
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as compared to prior chest radiograph from <unk>, there has been interval removal of a right sided pigtail catheter. there has been re-accumulation of pleural effusion on the right. the left lung remains unchanged. there is no left pleural effusion. a right chest wall port-a-cath terminates in the lower svc. left-sided pacemaker with single lead is seen in the right ventricle.
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<unk>-year-old male patient with malignant pleural effusion. study requested for evaluation of re-accumulation of effusion after pigtail removal.
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MIMIC-CXR-JPG/2.0.0/files/p14614003/s58804522/c98f77a7-2fa3e1e3-af313427-06c17cc3-a01b442c.jpg
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an et tube is in place with the tip <num> cm above the carina. an enteric feeding tube is seen coursing below the diaphragm with the tip in the stomach. a dual-lumen central catheter in the right ij is unchanged with the tip terminating in the mid-to-low svc. a left-sided chest tube is unchanged. lucency projecting over the left lung base likely corresponds to the small left apical pneumothorax seen on the prior study which was performed in the semi-erect position. the right lung demonstrates no pneumothorax. no significant pleural effusion is seen. there is no new consolidation concerning for pneumonia. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.
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status post bronchoscopy and subsequent intubation, here to evaluate et tube position.
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MIMIC-CXR-JPG/2.0.0/files/p14155070/s57615643/592d5e03-576b8b04-43298608-dbc4423c-91679f6b.jpg
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the patient is intubated with an endotracheal tube terminating just below the thoracic inlet, <num> cm above the carina. a left picc is unchanged with the tip terminating at the cavoatrial junction. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar silhouettes are within normal limits.
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status post intubation, here to evaluate et tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p10770325/s59703602/c470fc04-04df89c9-520b68c6-8f66adae-74366e75.jpg
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no focal consolidation is seen. there is mild basilar atelectasis. re- demonstrated on the lateral view is thickening/ linear opacity along the right major fissure. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable and stable.
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history: <unk>f with history of fatigue, poor appeitite. ? positive afb in the past per omr. // eval for pna, acute process
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MIMIC-CXR-JPG/2.0.0/files/p18236626/s53021342/a83d19a4-337098f4-ee57aa60-b04a4f03-4e1b74e2.jpg
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unchanged chronic prominence of the hila. there is no hyperinflation of the lungs. the cardiomediastinal silhouette is normal. there is no focal lung consolidation. there is no pleural effusion and no pneumothorax. pleural thickening is seen at the left lung base.
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<unk>-year-old with asthma.
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MIMIC-CXR-JPG/2.0.0/files/p10389471/s50703528/1ae97f38-d8db3541-5127a6be-5a88843a-53a9ba14.jpg
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax.
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history of central chest pressure. please evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14617353/s53199493/18ce32b2-38f0b43c-5e51d26d-681dfc65-081a4ae4.jpg
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there is no focal consolidation, effusion, or pneumothorax. there is mild pulmonary vascular congestion without overt edema. cardiac enlargement is similar compared to prior. atherosclerotic calcifications are noted at the aortic arch.
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<unk>f with increased lower extremity edema with no net diuresis despite multiple adjustments in diuretics // assess for pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p18512919/s58382826/b50bb870-43a22196-0cb09d81-457f2271-669dbacb.jpg
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a frontal portable chest radiograph demonstrates stable examination with increased density and irregular contour of the mediastinal and right suprahilar regions correlating with mediastinal mass evident on the <unk> chest ct with distal right upper lobe opacification thought to represent post-obstructive pneumonia. there is widening of the distal trachea just above the level of the carina, <num> cm compared to <num> cm, consistent with placement of reportedly y-shaped stent. the bronchial components of the stent are not visible radiographically. no other nodule is identified. no pneumothorax or pleural effusion present.
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status post ebus/tbna and airway stent placement. please evaluate stent.
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MIMIC-CXR-JPG/2.0.0/files/p11882807/s51515166/b70221e5-addf53b6-208e4d0e-891167bc-d70443d3.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.
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history: <unk>m with generalized weakness, history of renal/pancreas transplant // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p15443819/s54438762/7a898ec0-e618697a-748a52ea-c9e6b1d2-9bc997ea.jpg
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ap and lateral views of the chest were obtained. lungs are clear bilaterally without focal consolidation, nodules or pulmonary edema. 's' shaped thoracic scoliosis. the aorta is ectatic. the cardiac silhouette is likely slightly enlarged. no pleural effusion or pneumothorax. there is no free air beneath the right hemidiaphragm. no acute osseous abnormality.
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lower extremity swelling.
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MIMIC-CXR-JPG/2.0.0/files/p15156837/s55610656/78124d93-717fef01-05f185a5-7170b3ef-bc8c51dc.jpg
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the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are clear bilaterally without evidence of focal consolidations. there is no evidence of a pneumothorax or pleural effusions. cervical spinal fusion hardware is intact. the osseous structures are otherwise unremarkable.
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history of diabetic ketoacidosis, diffuse rhonchi, rule out acute pulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p16988733/s59016658/0f61d77f-c7f49420-b12b9e58-06cc2495-5f03f03a.jpg
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lung volumes are low. the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>m with new ascites and osh ct showing ? pneumonia on right. // eval for prior right sided densities on osh ct. also new dx of cirrhosis and new ascities over one week. eval portal vein.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. there is no overt pulmonary edema.
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fevers, anemia.
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MIMIC-CXR-JPG/2.0.0/files/p14980836/s53904270/72bb6301-d70ebf3a-9c41d12b-e824158a-572726f8.jpg
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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chest pressure.
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MIMIC-CXR-JPG/2.0.0/files/p14403687/s52296484/65394804-0092a0cd-f44ca440-386744ef-189431c2.jpg
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the lungs are clear. cardiac silhouette is normal in size. the aorta is slightly tortuous, unchanged. there is no pleural effusion, pneumothorax or pulmonary edema.
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hypoxia, question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14276778/s51930478/6479d661-43770994-f213182e-a87d2104-a8943de3.jpg
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mild enlargement of the cardiac silhouette is re- demonstrated. mediastinal contour is unremarkable. there is mild pulmonary vascular congestion with small bilateral pleural effusions, findings which appears new in the interval. streaky atelectasis is noted in the retrocardiac region. no pneumothorax is identified. there are mild degenerative changes seen in the thoracic spine.
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history: <unk>m with shortness of breath
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there is discontinuation in the shunt at the cervicalthoracic junction measuring approximately <num> mm. the shunt traverses along the right lateral aspect of the upper chest and is no longer visualized. the lungs are unremarkable. the cardiomediastinal contours are within normal limits.
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<unk> year old man with vps malfunction, plan for repair. // <unk> year old man with vps malfunction, plan for repair. surg: <unk> (vps revision )
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MIMIC-CXR-JPG/2.0.0/files/p14158971/s55186023/994f9ee9-b233f5b4-aebefd5e-7c3d58b7-484e4056.jpg
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable. incidental note is made of a fused vertebra in the mid to lower thoracic spine, which may be congenital or secondary to a chronic process.
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<unk>m with pancreatitis, weakness // r/o infiltrate, effusion
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MIMIC-CXR-JPG/2.0.0/files/p11842519/s52278905/e044c941-2f2d494f-0a794f54-a64e76fe-70da04b2.jpg
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the heart is enlarged and there is engorgement of the pulmonary vasculature as well as mild pulmonary edema. there is thickening of major fissure on the right, which may represent fissural fluid. again seen are bilateral pleural effusions with atelectasis at the lung bases. there is no evidence of new focal consolidation. no pneumothorax is seen. again seen is thoracic spinal fusion hardware, unchanged in appearance.
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<unk> year old woman with severe diastolic heart failure, on home o<num>, now with increasing o<num> requirement and new cough. // r/o pneumonia, heart failure. lung exam unchanged.
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MIMIC-CXR-JPG/2.0.0/files/p15479218/s55012290/3ccb1bed-20b65c4f-91fb39e7-e9c0eb57-5cae2eb5.jpg
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heart size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. linear opacities in the lung bases likely reflect subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. multilevel moderate degenerative changes with anterior bridging osteophytes are seen in the thoracic spine.
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history: <unk>m with cough and weakness
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compared to most recent prior exam, mild pulmonary edema has improved. lung volumes are improved with minimal bibasilar atelectasis. no focal consolidation, pleural effusion, or pneumothorax is detected. there has been interval extubation. right internal jugular catheter is in similar position with tip projecting at the level of the cavoatrial junction.
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<unk>-year-old male with increasing oxygen requirement.
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MIMIC-CXR-JPG/2.0.0/files/p19736108/s59470334/79e3aa24-07640bf8-e64a061e-41ebe381-289373fa.jpg
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there are only mild bibasilar atelectatic changes. the lungs are otherwise clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
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<unk>-year-old with cough.
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MIMIC-CXR-JPG/2.0.0/files/p17182905/s54844907/440b0c55-090ec477-034012b0-92d26945-60f4930d.jpg
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ap and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications seen at the aortic arch. a right shoulder arthroplasty is noted.
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<unk>-year-old female with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p18427195/s57603204/0809e82c-ea1cd6cd-c68a09cf-21127eec-8565e6b1.jpg
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. moderate anterior osteophytes are similar along the mid thoracic spine.
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dry cough.
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MIMIC-CXR-JPG/2.0.0/files/p19147679/s55832224/e77e2cc1-1a5ca5b5-17055bd8-937526a3-2b51a966.jpg
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frontal and lateral views of the chest. no prior. low inspiratory effort is seen on the current exam. bibasilar opacities are therefore likely due to atelectasis. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with shortness of breath, pain on inspiration.
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MIMIC-CXR-JPG/2.0.0/files/p18959454/s56280198/d30f6ea4-5308a82f-f6402c40-9f197581-b398cf47.jpg
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there is linear atelectasis of the right minor fissure with indeterminate chronicity. there is diminished vascularity of the upper lobes bilaterally compatible with probable emphysema. there is no pneumonia, no heart failure, or pleural abnormalities.
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<unk> year old man with <num> d new onset cough. crackles at bases // r/o pneumonia vs atelectasis
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MIMIC-CXR-JPG/2.0.0/files/p15426182/s59680155/68a54be2-cf9534e2-15570c5d-022cce03-5547fd57.jpg
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an endotracheal tube is in satisfactory position, approximately <num> cm from the carina. an enteric tube courses below the diaphragm with the tip out of the field of view. a right central venous catheter is unchanged with the tip in the low svc. a right mid and lower lung zone opacity is not significantly changed from the prior exam, and likely reflects a combination of the known pneumonia and a right pleural effusion. a retrocardiac opacity is also not significantly changed, likely due to atelectasis and a small left pleural effusion. the apices of the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is unremarkable. flowing osteophytes are noted in the thoracic spine.
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respiratory failure from an adenovirus pneumonia. evaluate for change.
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the lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. the visualized upper abdomen is unremarkable.
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productive cough, here to evaluate for pneumonia.
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the visualized heart is within normal limits for size. the aorta is minimally unfolded as before. lung volumes are somewhat low however there is no focal consolidation, pleural effusion or pneumothorax seen. mild biapical scarring is seen. there is streaky atelectasis at both bases. proximal right humeral hardware is partially visualized.
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<unk>m with <num> days uri sxs now cp, radiating to scapula // eval ? infiltrate
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lung volumes have decreased in the interim. confluent left lower lung and retrocardiac opacity with air bronchograms, silhouetting of the lower aspect of the right heart border as well as the left hemidiaphragm is new. a left pleural effusion is small. the heart size is probably overall unchanged and moderately enlarged, even for this ap projection. central pulmonary vessels are congested. pulmonary edema is mild-to-moderate. no pneumothorax.
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history: <unk>m with hypotension, fever // eval for pna
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again seen is a right internal jugular central line at the cavoatrial junction. a nasogastric tube courses into the stomach. drains are present over the left hemithorax. compared to the prior radiograph, there has been no change in the appearance of the lung parenchyma. the cardiomediastinal silhouette is also stable. there is a layering left effusion, similar to the prior exam.
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history increased respiratory distress status post hiatal hernia repair, evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p15632719/s57271611/2350c5ef-fceb3074-dc2cf8d1-8ee4b379-23974ebc.jpg
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single frontal view of the chest. right apical pneumothorax is tiny and right pleural tubes are in stable position. slight interval increase of right base opacity is likely a combination of atelectasis and effusion. multiple bilateral nodular metastases are similar to prior. lung volumes are low, exaggerating heart size. mediastinal contours are stable.
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status post thoracoscopy.
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MIMIC-CXR-JPG/2.0.0/files/p14933845/s52598387/60c38509-a2845e28-b10b854c-4621322b-f5c901b9.jpg
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pa and lateral views of the chest provided. compared to the most recent prior chest radiograph from <unk>, the heart size has decreased in size. there is interval decrease in bilateral lower lung vascular engorgement. there is new lingular opacity that is obscuring the cardiac apex, concerning for pneumonia. tiny left pleural effusion is seen. dual pacemaker leads are in good positions overlying the right atrium and right ventricle.
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<unk> year old man with cough and fever
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MIMIC-CXR-JPG/2.0.0/files/p11191729/s58849522/f39a2a13-cdd97392-f236160a-3b1fdb89-2c5be3d3.jpg
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supine portable view of the chest demonstrates et tube terminating <num> cm above the carina. there is no pneumothorax. ng tube terminates in the stomach. there is near-complete opacification of the right hemithorax, which corresponds to areas of consolidations and small-to-moderate left pleural effusion. there is relative sparing of the upper lungs. opacities are also noted in the left lower lobe. there is no left pleural effusion. heart size is difficult to assess due to adjacent opacities. port-a-cath tip projects over proximal right atrium. multiple surgical clips are seen in the left axilla and left lateral chest wall. partially imaged upper abdomen is unremarkable.
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patient with history of metastatic breast cancer to lung and brain, now with hypoxia. assess for et tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p15921856/s57995629/f3ecb336-4defca37-c3b57112-e6c690c9-48bbf541.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.
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history: <unk>f with chest pain // acute process
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MIMIC-CXR-JPG/2.0.0/files/p13686283/s56277978/3baaa25b-5d3fd8ce-688aa98f-24a074b5-6ee357ad.jpg
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heart size is at the upper limits of normal or slightly increased. aorta is mildly tortuous, with slight calcification. no chf, focal infiltrate, or effusion is detected. no pneumothorax identified. incidental note is made of eventration of the right hemidiaphragm. minimal degenerative changes of the thoracic spine are noted. clips noted in the upper abdomen.
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<unk>f with altered mental status, presenting with left hand numbness // please eval for pna/infection, cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p12092225/s52302698/c97fb165-7fb14f87-6aac2734-ac920223-8188a883.jpg
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. there is no evidence of free air beneath the right hemidiaphragm on these upright views. no acute osseous abnormality is detected.
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vomiting and left upper abdominal pain, here to evaluate for pneumoperitoneum.
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the patient is status post coronary artery bypass graft surgery. a central venous catheter has been removed. the heart is mildly enlarged. the aorta is tortuous. the mediastinal and hilar contours appear unchanged. pleural effusions have resolved. basilar opacities have also almost fully resolved, although there is still patchy density projecting over the lingula and perhaps the left lower lobe. this could be seen as a residual atelectasis or scarring, although an infectious etiology is difficult to completely exclude in the appropriate setting. mild degenerative changes are present along the thoracic spine.
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recent coronary bypass graft surgery, presenting with angina equivalent.
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increased heart size, pulmonary vascularity, similar. more prominent interstitial and nodular thickening right lung base, may represent pneumonitis. large esophageal hiatal hernia. thoracolumbar curve. left shoulder arthroplasty. advanced degenerative arthritis right shoulder. suggestion of osseous loose body right subcoracoid recess.
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<unk> year old woman with hip fx and nstemi // ?transfusion rxn
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pa and lateral radiographs of the chest demonstrate hyperinflated lungs with biaprical scarring that are otherwise clear. the cardiac, hilar, and mediastinal contours are normal.
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cough and fever.
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MIMIC-CXR-JPG/2.0.0/files/p16969063/s54184924/c7ba2ac7-57c8f43c-6ccb72b6-4d06c3ef-782b0e0b.jpg
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>. ap single view of the chest has been obtained. comparison is made with the next preceding similar study of <unk>. findings are completely unchanged. right-sided picc line in place, unchanged. a thin plate atelectasis is seen in the right mid lung field. no other pulmonary abnormalities are seen. no pulmonary vascular congestion and the lateral pleural sinuses are free. no pneumothorax in the apical area.
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<unk>-year-old male patient with fever.
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lung volumes are low oxygen accentuating the heart size as well as result in crowding of the bronchopulmonary vasculature. heart size is normal with unchanged post-surgical mediastinal contour. 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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right-sided pacemaker is again seen with leads terminating in the right atrium and right ventricle. median sternotomy wires are intact. soft tissue clips project over the left upper abdomen. mediastinal and hilar contours are unchanged. stable, mild cardiomegaly. prosthetic cardiac valve is again seen. there is a right-sided tunneled pleural catheter. loculated right pleural effusion with adjacent atelectasis is larger compared to prior. no pneumothorax. stable, minimal fluid in the left major fissure.
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<unk>-year-old woman with a right pleural effusion and no drainage from the tunneled pleural catheter. evaluate right pleural effusion.
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bibasilar atelectasis is noted. there is no lobar consolidation, pleural effusion, pneumothorax, or overt pulmonary edema. the cardiomediastinal silhouette is unchanged. a large hiatal hernia is again noted.
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<unk>f with shortness of breath // eval for pneumonia, chf
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left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. the cardiac silhouette size is normal. aortic knob is calcified. mild tortuosity of the thoracic aorta is seen. the mediastinal contours are unremarkable. mild interstitial pulmonary edema is noted. a new moderate to large right pleural effusion is present, which appears to be partially loculated laterally. no pneumothorax is detected. right basilar opacification likely reflects compressive atelectasis. there are no acute osseous abnormalities.
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hypoxia.
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the inspiratory lung volumes are decreased from the prior study with resultant accentuation of the cardiac mediastinal silhouette, which is likely unchanged. the thoracic aorta is moderately tortuous. a known large hiatal hernia is unchanged. there is no large focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormality is detected. there is scoliosis and hypertrophic changes of the spine.
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history: <unk>f with cough, rib fractures, fever // ?pneumonia, trauma
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right internal jugular central venous catheter tip terminates in the svc. no pneumothorax is identified. the cardiac, mediastinal and hilar contours are unchanged. persistent bibasilar airspace opacities are concerning for infection. additionally, there is mild pulmonary edema. no pleural effusion or pneumothorax is seen. punctate radiopaque density projecting over the left inferior hemithorax is unchanged.
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new right internal jugular central line placement.
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right-sided port-a-cath tip terminates in the low svc. esophageal stent within the mid and distal esophagus is new in the interval. heart size is normal. mediastinal and hilar contours are unremarkable. there has been interval improvement in aeration of the lungs, with residual chronic interstitial abnormality diffusely noted compatible with bronchiectasis, bronchiolectasis and fibrosis. no new focal consolidation or pleural effusion is present. no pneumothorax is demonstrated. there are no acute osseous abnormalities.
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history: <unk>f with altered mental status, cough, shortness of breath
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frontal and lateral radiographs of the chest demonstrate persistent low lung volumes with top normal heart size. no focal consolidation, pleural effusion or pneumothorax is present.
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shortness of breath.
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there is mild pulmonary edema. left retrocardiac opacity likely represents atelectasis. no other focal consolidation. no pleural effusion or pneumothorax. moderate cardiomegaly and torturous aorta are stable.
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history: <unk>f with renal transplant and urinary retention // edema?
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heart size is mildly enlarged. widening of the superior mediastinum is noted, and could reflect possible mediastinal lipomatosis. pulmonary vascularity is not engorged. assessment of the lung parenchyma is somewhat limited due to suboptimal penetration. there is probable mild bibasilar atelectasis, but no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen.
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shortness of breath and palpitations.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. bilateral cervical ribs are noted.
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<unk>f with pleuritic left chest pain <num> weeks post breast mass excision, evaluate heart and lungs, rule out pneumothorax.
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are normal. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. there is minimal loss of vertebral body height at the superior endplate of a vertebra in the thoracolumbar spine.
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history: <unk>f with recent colonoscopy, rectal bleeding, dizziness // evaluate for abdominal free air
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portable semi-upright radiograph of the chest demonstrates a moderate sized left pleural effusion and bibasilar opacities, which may represent atelectasis, however aspiration or pneumonia could be considered in the appropriate clinical setting. additional areas of opacity are seen in the right upper lobe, which again may represent atelectasis, aspiration or pneumonia. the cardiac silhouette appears enlarged. no pneumothorax. nasogastric tube courses into the stomach. endotracheal tube ends <num> cm from the carina.
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history: <unk>m with ams // eval for aspiration (cxr), ptx, peeval for ich (head ct)
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the lungs are hyperinflated. right picc has been removed. the heart appears mildly enlarged. the aortic knob is calcified. mediastinal and hilar contours are otherwise unremarkable. there is mild pulmonary vascular congestion. no pleural effusion, focal consolidation or pneumothorax is visualized. scarring within the lung apices is redemonstrated. clip is demonstrated overlying the right upper quadrant.
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hyperglycemia, nausea and vomiting.
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the cardiomediastinal and hilar contours are within normal limits. the lung volumes are low, with resultant mild crowding of the bronchovascular markings. no consolidation, pleural effusion or pneumothorax is seen. there is no pulmonary edema. no acute osseous abnormality is detected. mild degenerative changes are seen in the thoracic spine.
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<unk>-year-old woman with chest pain and syncope with ekg changes.
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the patient is intubated, the endotracheal tube terminates approximately <num> cm above the level the carina. a nasogastric tube terminates in the stomach. there are persistent predominately bibasal parenchymal opacities, a more prominent of the right lung base than the left. no pleural effusion or pneumothorax seen.
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<unk> year old man with ongoing secretions, failing extubation // pna?
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there has been interval removal of the left-sided chest tube with no development of pneumothorax observed. also seen has been removal of the aortic balloon and catheter from the ascending aorta. there has been slight interval improvement in the left upper lobe opacity. otherwise, study is largely unchanged from prior. swan-ganz catheter is seen, unchanged in position. endotracheal tube is seen unchanged in position approximately <num> cm from the carina. cardiomediastinal silhouette is stable.
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<unk>-year-old woman status post cabg. recent chest tube removal.
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ap view of the chest provided. lung volume are low. in comparison to prior study, there is increased interstitial opacities concerning for pulmonary vascular congestion. no focal parenchymal opacities seen concerning for pneumonia. previously seen right lung base atelectasis has resolved. elevation of left hemidiaphgram is chronic, with a component of overlying atelectasis. nasogastric tube coiled in the stomach.
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<unk>m s/p tac w/end ileostomy now febrile, diaphoretic
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there has been interval removal a right sided picc line. lung volumes remain decreased. the cardiac silhouette is mildly enlarged. the left costophrenic angle is not included in this frontal examination. however, there is a small left-sided pleural effusion seen on lateral view. there is atelectasis in the left mid to lower lung. there is no pneumothorax or focal consolidation.
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history: <unk>m with cough // acute process? acute process?
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single portable view of the chest. no prior. endotracheal tube is seen with tip approximately <num> cm from the carina. the lungs are hyperinflated. linear parenchymal opacities seen in the right upper lung and could potentially be chronic in nature. there is no large confluent consolidation identified. cardiac silhouette is at upper limits of normal for technique and given hyperinflation. atherosclerotic calcifications noted at the arch. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female, unresponsive.
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the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. the aortic arch shows patchy calcification. the lungs appear clear. there is no definite pleural effusion or pneumothorax. there are similar mild to moderate degenerative changes along the thoracic spine. spondylosis is incompletely characterized along the mid cervical spine.
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chest pain.
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right apical scarring is unchanged from <unk>. there is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. the heart size is normal. the aorta is tortuous, unchanged. the cardiac and hilar contours are within normal limits.
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cough with slight rales at the left base.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
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nonproductive cough for <num> month.
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no focal consolidation, pleural effusion, or pneumothorax is seen. biapical pleural thickening is stable. heart and mediastinal contours are within normal limits. there is no evidence for large free intraperitoneal air under the diaphragm.
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<unk>-year-old male with epigastric pain.
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when compared to previous exams, there has been no significant interval change. increased opacity at the left cardiophrenic angle is likely due to prominent fat pad and potentially atelectasis. this is unchanged when dating back to <unk>. slightly increased opacity in the posterior costophrenic angle is also present on priors, likely due to atelectasis. the cardiomediastinal silhouette is stable. no acute osseous abnormalities
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<unk> year old woman with cugh, hemoptysis // ro pna, chf
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cardiomediastinal contours are normal. the lungs are hyperinflated and clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old woman with cough, fever, sob x <num> week, diffuse wheezing and lower lobe rhonchi, <num> <unk> // r/o pna
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supportive lines and tubes are unchanged in appearance when compared to the prior study. there is persistent pleural fluid along the lateral chest wall. this is unchanged in extent compared to the prior study. left lower lobe atelectasis persists. continued airspace opacity at the left lung base likely due to a atelectasis.
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<unk> year old man with asthma, prior r lung empyema s/p vats now l sided pleural effusion s/p vats on <unk> // interval change in pleural effusion (please perform at <num> am)
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
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history: <unk>f with preop elbow fracture
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portable ap chest radiograph. the lung volumes remain low with bibasilar atelectasis. however, there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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shortness of breath.
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the cardiac, mediastinal and hilar contours appear unchanged, including mild cardiomegaly. leftward rotation of the cardiac and mediastinal structures appears similar. the lungs appear clear. there are no pleural effusions or pneumothorax. mild degenerative changes are similar along the thoracic spine.
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productive cough and hypoxia.
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no pneumothorax or pleural effusions. increased radiodensity over the left lung that obscures the left heart border likely represents known chest mass involving the lungs, pleura, and chest wall.
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<unk>-year-old man with a chest mass status post biopsy. evaluate for pneumothorax.
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the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
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<unk>-year-old female with chest pain.
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slightly rotated positioning. there are low inspiratory volumes. a left-sided pacemaker type device is present, with lead tips over the right atrium and right ventricle. perhaps due to positioning or technique, continuity of the right ventricular lead cannot be confirmed on these images. there is probable cardiomegaly, including prominence of the right heart. mild unfolding of the aorta. mild prominence of the vascular markings is noted, though this is likely accentuated by low lung volumes. there is minimal bibasilar atelectasis. no definite consolidation. no gross effusion. no pneumo thorax detected.
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<unk> year old man with stroke, found down // assess for infection, aspiration
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compared to the prior study there is no significant interval change.
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<unk> year old woman with esrd now with respiratory failure // interval change
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pa and lateral views of the chest. sternotomy wires and mediastinal clips are seen. aortic knob calcifications are stable. there is mild left lower lobe atelectasis and minimal scarring adjacent to the left hilum. no evidence of pneumonia or mass. no pleural effusions or pneumothorax. mild cardiomegaly is unchanged. mediastinal and hilar contours are normal.
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hemoptysis, evaluate for pneumonia or mass.
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the lungs are clear. heart size is at the upper limits of normal, with a markedly tortuous aorta. no pleural effusions or pneumothorax.
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<unk>-year-old female with dyspnea.
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the heart appears mildly enlarged. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. particularly well visualized on the lateral view is a posterior infrahilar opacification which may be associated with bronchopneumonia but noting low lung volumes, atelectasis could be considered.
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cough, fever and joint pain.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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history: <unk>f with chest pain.
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again seen is stable lingular atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. atherosclerotic calcifications are noted in the aortic arch. the cardiomediastinal silhouette is within normal limits.
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history of pulmonary embolism and cough with dyspnea. rales heard in right upper lobe on examination.
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pa and lateral views of the chest provided. left chest wall pacer device is seen with leads extending into the region of the right atrium and right ventricle. the heart appears normal in size. the mediastinal contour is unremarkable aside from atherosclerotic calcifications at the aortic knob. the lungs are clear bilaterally without focal consolidation, large effusion or pneumothorax. imaged bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with new pacvemaker and now chest pain, pls eval for placement and pna vs edema
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ap upright and lateral chest radiograph demonstrates multi focal opacifications consistent with multilobar pneumonia involving largely the right hemithorax. there is increased density within bilateral apices for which attention on followup is recommended. cardiomediastinal and hilar contours are otherwise stable. there is no pleural effusion. patient is status post median sternotomy. wires appear intact. no acute osseous abnormality is seen.
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<unk>-year-old female with fever.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. moderate degenerative changes involve the right shoulder with apparent superior migration of the right humeral head and possible narrowing of the acromiohumeral interval. small-to-moderate osteophytes are noted along the thoracic spine. bony demineralization is likely.
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suspected colonic primary malignancy. preoperative study.
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there are low inspiratory volumes, significantly lower than on the most recent prior chest radiograph. allowing for this, the cardiomediastinal silhouette is probably similar in size. the left-sided pacemaker type device and right ij lines are similar in configuration. right-sided pleural drain is again noted, also similar in configuration. the previously seen right effusion is smaller. curvilinear lucency at the right lung base raises the question of a small pneumothorax at the right lung base versus <unk> artifact. some confluent opacity at the right lung base is compatible with residual collapse and/<unk> consolidation. the area of opacity questioned along the upper right chest wall on the most recent prior film is no longer visualized, likely represent artifact. as before, the left lung base is obscured obscured by the generator device. there is probably some subsegmental atelectasis at the right base, slightly more pronounced on the prior study. mild vascular plethora is present, likely accentuated by low inspiratory volumes.
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<unk> year old man with chf (lvef <unk>%) and empyema now s/p chest tube placement // please assess for interval change
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there is no pneumothorax or pleural effusion. there is partial right upper lobe collapse. within the left lower lobe there is also ill-defined nodular opacity. remainder of the lungs are unremarkable. the previously seen mediastinal adenopathy is not well appreciated on today's examination. the heart is not enlarged.
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<unk> year old woman with mediastinal lad s/p ebus tbna of left-sided nodes // ptx? pneumomediastinum?
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pa and lateral views of the chest provided. right chest wall port-a-cath is seen with catheter tip in the mid svc region. there is a left upper extremity access picc line with the tip in the upper svc. cardiomediastinal silhouette is normal. 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 ovarian cancer admitted with gtube infection
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single portable supine chest radiograph was provided. an endotracheal tube projects in the trachea approximately <num> cm above the carina. nasogastric tube courses below the diaphragm into the stomach. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. clips are seen in the right upper quadrant. there are no displaced fractures.
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history of epidural abscess and intubated. question et tube line placement.
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heart size and cardiomediastinal contours are normal. lung volumes are very low and linear bibasilar opacities are most consistent with atelectasis. no pleural effusion or pneumothorax.
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history: <unk>m with r flank/back pain, cough // eval for pna
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the lung volumes are normal and the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. there is no pulmonary edema. mediastinal and hilar contours are unremarkable. there is eventration of right hemidiaphragm, as before. old left-sided rib fractures are again noted.
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stroke. evaluate for pneumonia.
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no definite fracture. the lungs are grossly clear. there is no pleural effusion or pneumothorax. there is moderate-to-severe cardiomegaly and a tortuous aorta. there are aortic knob calcifications. there is no mediastinal contour abnormality.
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rib pain status post fall, evaluate for fractures.
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heart size is mildly enlarged, unchanged. mediastinal and hilar contours are normal. lungs are clear. previously noted right lower lobe rounded opacity is not seen on the current radiograph. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities present.
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history: <unk>f with chest pain
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the patient is mildly rotated. right picc tip terminates in the upper svc. the cardiac, mediastinal and hilar contours are unchanged, and the heart size is normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is identified. no acute osseous abnormality seen.
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fever.
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compared to <unk>, there is new patchy opacity diffusely distributed in bilateral lungs with peripheral sparing. differential includes pulmonary edema, ards and multifocal pneumonia. there is probable underlying fibrotic changes of the lung parenchyma. blunting of the right costophrenic angle suggests at least small right effusion. no pneumothorax. cardiomediastinal silhouette is within normal size.
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<unk>m with hx of lyphoma, on chemo today with sob and hypoxia // r/o infiltrate,effussion
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. anterior cervical fixation hardware is again noted. no acute osseous abnormalities.
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<unk>f with chest pain // pneumonia or other acute process?
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the lungs are hyperexpanded but clear. the hilar and cardiomediastinal contours are normal, with stable top-normal heart size and unfolded aorta. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old man with chest pain.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
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<unk>-year-old woman with four weeks of productive cough and pleuritic chest pain. question pneumonia.
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there is increased of a moderate pleural effusion which tracks higher laterally, concerning for a loculated collection. patch opacifications of the right lung and mid to upper left lung remain grossly stable and are consistent with known pneumonia. the cardiomediastinal silhouette is unchanged. left pigtail chest tube is unchanged in positioning.
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<unk>f with depression, anxiety who presents with <num> weeks of cough, sputum production and worsening chest pain now s/p chest tube with ip // interval changes
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there has been interval placement of a right internal jugular catheter which terminates in the mid svc. there is no evidence of pneumothorax. no other significant change from <time> today.
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history: <unk>f with trauma line in r ij // line placement
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MIMIC-CXR-JPG/2.0.0/files/p17235542/s56455396/f0ed6bd2-8895034e-1e2456f8-72772970-1500e408.jpg
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the lungs are hyperexpanded with increased anterior-posterior chest diameter. mild cardiomegaly is stable without pulmonary edema or pleural effusion. no pneumonia.
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<unk> years old woman with cough x <unk> weeks, history of mitral stenosis and regurgitation. assess for pneumonia or congestive failure. // r/o pneumonia/chf. please wet read and page dr <unk> beeper <unk>
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