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the cardiomediastinal silhouette is normal. the left lower lobe lung mass and lymphadenopathy are shown to better detail on subsequently performed and separately dictated chest cta. probable small bilateral pleural effusions. no evidence of acute osseous abnormality.
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<unk>f with dyspnea history of non-small cell lung cancer // eval for pleural effusion, ptx .
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the lungs are clear without focal consolidation, effusion, or edema. cardiac silhouette is enlarged but stable. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities identified. no free intraperitoneal air.
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<unk>m with abd pain // r/o acute process
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ap and lateral chest radiograph is compared to radiograph dated <unk>. there is a small left-sided pleural effusion and probably small right pleural effusion. heart size is top-normal. no overt pulmonary edema. no focal opacity convincing for pneumonia is identified. there is no pneumothorax. osseous structures demonstrates multilevel degenerative changes with mild anterior compression deformities throughout the thoracic spine, stable when compared to ct chest dated <unk>. widespread bone metastasis involving the ribs and sternum are better appreciated on aforementioned chest ct.
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<unk>-year-old female with altered mental status.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. the patient is status post coronary artery bypass graft surgery and placement of dual lead pacemaker/icd device with leads terminating in the right atrium and right ventricle. there is no pneumothorax, pleural effusion, or consolidation.
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<unk> year old woman with episodes of sensation of periodic dyspnea at night without evidence of chf on exam // <unk> y/o female- known cad- s/p icd insertion- c/o sensation of episodic dyspnea at night- no clinical evidence of chf- assess for any congestion or intrinsic pulmonary abnormality
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right picc line terminates over medial left clavicle head. sternotomy with avr. right ij central line tip in the low svc. shallow inspiration. there are tiny bilateral pleural effusions, similar. minimal bibasilar atelectasis. no pneumothorax. normal heart size, pulmonary vascularity. minimal retrosternal air, consistent with recent surgery.
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<unk> year old man with s/p avr // eval postop changes
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prior chest radiographs <unk> through <unk> at <time>.
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<unk> year old woman with known r ptx s/p aborted pneumonectomy // interval change interval change
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<num> mm nodular density in the right upper lobe has been previously imaged on ct chest of <unk> with followup recommendations. lung volumes are low with mild bibasilar atelectasis. however, there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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fever three days after cholecystectomy.
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low lung volumes are seen which give the appearance of bronchovascular crowding and limit assessment, but no focal consolidation, pleural effusion, or pneumothorax is seen. the cardiomediastinal silhouette is unremarkable with normal heart size. lap band is not well evaluated due to technique, but appears to be normally oriented on the accompanying abdominal radiographs
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epigastric pain, history of lap band, assess for free air.
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there is a nasogastric tube, which terminates in the mid esophagus, and needs to be advanced substantially for optimal positioning. the lung volumes are low, and there are bilateral hazy opacities in the lung bases, suggestive of a combination of atelectasis and pleural effusion. there is engorgement of the pulmonary vasculature, with mild pulmonary edema. heart size is unchanged. there is no pneumothorax, and there is no focal opacity to suggest pneumonia.
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<unk>-year-old female, short of breath on postoperative day <num> following debulking of ovarian cancer.
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the lungs are clear without evidence of focal consolidation. there is no pleural effusion, pulmonary edema, or pneumothorax. again seen is a left pectoral pacemaker with transvenous leads in unchanged position. mild cardiomegaly is stable.
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history: <unk>f with abd pain, nausea andemesis // please evaluate for acute abnormality
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portable frontal chest radiographs demonstrate cardiomegaly, with right atrial enlargement. retrocardiac opacity is compatible with left lower lobe pneumonia. there is no pneumothorax or pleural effusion. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a patient with malaise.
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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. there is no evidence of free air.
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abdominal distention and dyspnea.
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lungs are well expanded clear. mediastinal contours, hila, and cardiac silhouette are normal. no pleural effusion or pneumothorax.
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<unk>m with generalized weakness // pna?
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cardiac size is top normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
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cough, wheeze // cough, increased wheezing, no improvement with nebulizer, r/o pneumonia
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the right-sided chest tube is again seen, and there is increased subcutaneous emphysema on the right. right apical pneumothorax is present which is increased in size compared to the study from earlier the same day, and in diameter from the apex of the bony thorax measures <num> cm. there is a small right pleural effusion, right lower lobe volume loss, and probable right lower lobe infiltrate.
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right thoracotomy, right upper lobectomy, status post bronch with right breast swelling and discomfort.
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there is evidence of emphysema, although no focal consolidation is seen. there is no evidence of pulmonary edema. mild-to-moderate cardiomegaly is not significantly changed. there are no pleural effusions. no pneumothorax is seen. aortic calcifications are noted.
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shortness of breath and hypotension. evaluate for pulmonary edema.
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portable chest radiograph demonstrates low lung volumes with left basilar atelectatic changes and a possible small effusion. the heart size is normal. when compared to prior chest film <unk>, there is much improved pulmonary edema. no new focal consolidation. a right jugular line and is low in the superior vena cava. no pneumothorax.
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<unk>-year-old female status post cabg. evaluate for effusions a pneumothorax.
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compared with the prior radiograph, the pulmonary vasculature is more engorged, and there is new mild pulmonary edema. moderate cardiomegaly is unchanged. small bilateral effusions are presumedo. intact median sternotomy wires and mediastinal clips are unchanged. no new focal consolidation or pneumothorax.
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<unk> year old man with increased wob. evaluate for pneumonia or pulmonary edema.
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left-sided port-a-cath terminates in the low svc/ cavoatrial junction. lung volumes remain low without focal consolidation seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with dyspnea // ? pna
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the portable frontal view of the trauma examination of <unk>. no significant new abnormalities are seen. as before, there is evidence of rather advanced emphysematous changes in the apical areas of both lungs. a torso ct, which has been performed during the latest examination interval, demonstrated a mass lesion in the right upper lobe. the latter cannot be seen with certainty on this portable chest examination, but its further workup should be performed as recommended on the ct.
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<unk>-year-old male patient, status post trauma with aspiration, assess for infiltrates.
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there has been interval improvement since the prior exam. prior pleural effusions have resolved. the lungs are clear without consolidation or edema. mild cardiomegaly is noted as well as tortuosity of the descending thoracic aorta. median sternotomy wires are intact. no acute osseous abnormalities. surgical clips are noted at the thoracic inlet.
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<unk>f with dyspnea // ?pna
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the bilateral pleural effusions are again seen right greater than left. right lower lobe opacities are unchanged and may be chronic atelectasis related to persistent effusions. the previously seen pulmonary edema has resolved. there is mild cardiomegaly. orthopedic hardware is seen in the thoracic spine with adjacent surgical clips.
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question pneumonia.
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there is a moderate right pneumothorax has increased in size compared to the study from <num> hours prior right-sided chest tube is again visualized there is mild pulmonary vascular redistribution.
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right chest tube.
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portable ap semi-erect chest radiograph <unk> at <time> is submitted.
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<unk> year old man s/p trach/peg. episodes of desaturation // assess for collapse, atelectasis, consolidation, ptx assess for collapse, atelectasis, consolidation, ptx
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the lungs are clear aside from minimal right lower lobe atelectasis. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
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history: <unk>f with no pmh, p/w <num> wk burning cp, sob. // pna, ptx, acute process?
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the heart is normal in size. there is mild unfolding and calcification along the arch and descending thoracic aorta. patchy medial basilar opacities suggest minor atelectasis in association with low lung volumes. otherwise, the lungs appear clear. there is no definite pleural effusion or pneumothorax. moderate rightward focal convex curvature is centered along the upper lumbar spine, but not well visualized with suspected associated degenerative change.
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altered mental status, hypoxia and crackles.
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moderate cardiomegaly and pulmonary vascular congestion, unchanged. the lungs are clear without focal consolidation or edema. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk>f with hocm who presents with exertional dyspnea, palpitations,f atigue // pulmonary edema?
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pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pneumothorax. cardiac size is top normal in size. cardiomediastinal silhouette is unremarkable. no acute osseous abnormalities detected.
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<unk>-year-old history of adhd and asthma who presents with upper back pain.
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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 recent travel and cough
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with seizure.
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lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with chest pain // r/o acute process
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multiple overlying ekg leads are present. there is no free air below the right hemidiaphragm. there is mild bibasilar atelectasis. otherwise the lungs are clear. the cardiomediastinal silhouette appears normal. bony structures are intact.
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<unk>-year-old male with acute abdomen, question free air.
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the lungs are well expanded and clear. the heart is normal size and cardiomediastinal silhouette is unremarkable. there is no consolidation, pleural effusion or pneumothorax. no displaced fracture is identified.
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history: <unk>f s/p fall to right side with acute left sided rib pain. // please eval for e/o left sided rib fractures, ptx.
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. cardiac and mediastinal silhouettes and hilar contours are normal. there is no air under the diaphragm. no displaced rib fracture is seen.
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patient with accident, bike versus car.
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left pleural tube is in stable position. there has been a slight increase in the left pleural effusion with increased atelectasis at the left base. there is a stable left apical pneumothorax and atelectasis at the right base. cardiomediastinal and hilar contours are stable. there is no focal consolidation concerning for pneumonia.
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assess for interval change.
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in comparison to <unk> chest radiograph, asymmetrically distributed perihilar regions of consolidation are new, more severe on the right than the left. small bilateral pleural effusions are also new in the interval. heart is upper limits of normal in size and is slightly larger than on the prior study, accompanied by mild pulmonary vascular congestion and scattered basilar interstitial opacities.
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<unk> year old woman with low o<num>, fever, cough // pneumonia
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enlargement of the cardiac silhouette compared to previous chest radiographs is seen, and the pulmonary vasculature is increased. bilateral pulmonary markings consistent with interstitial edema are also seen. no focal consolidation or pleural effusions are seen.
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<unk>-year-old man with shortness of breath, evaluate for congestive heart failure.
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the lung volumes are lower. mild pulmonary edema with moderate cardiomegaly is noted. there may be a small right pleural effusion which demonstrates loculation laterally and a small left pleural effusion. there is no pneumothorax. accounting for differences in technique, the mediastinum is unchanged. linear areas of scarring are seen in the left mid lung. the most inferior sternotomy wire is fractured.
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fever and end-stage renal disease. evaluate pneumonia.
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lung volumes are low. heart size is accentuated as a result of low lung volumes and appears mildly to moderately enlarged, unchanged. crowding of the bronchovascular structures is noted without overt pulmonary edema. mediastinal and hilar contours are similar. patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. oral contrast material is seen within the stomach.
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history: <unk>f with ileus
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the image was obtained in lordotic position somewhat limiting evaluation. the lungs appear well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is s-shaped curvature of the thoracic spine. the included osseous structures are grossly intact.
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<unk> year old man with new onset seizure today // cardiopulmonary abnormality
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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chest pain.
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cardiac silhouette size remains mildly enlarged. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. chronic interstitial opacities with fibrotic change is most pronounced within the lung bases, similar to the previous ct. calcified pleural parenchymal scarring is re- demonstrated in both lung apices. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>f with dysphagia
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in comparison to the prior study there is no substantial change. the heart is normal size and cardiomediastinal contours stable. lungs remain hyperinflated suggesting underlying emphysema. post treatment changes in the left midlung are overall unchanged given differences in technique. there is no new consolidation, pleural effusion, or pneumothorax.
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<unk>f with fever, copd, cough, tachpnea, hypoxia // ? pna
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pa and lateral views of the chest provided. lungs are hyperinflated. there is no lobar consolidation, effusion or pneumothorax. coarsened reticular markings with a subtle nodular component predominantly in the lower lungs may reflect an atypical infection. cardiomediastinal silhouette normal. biapical pleural-parenchymal scarring is noted. bony structures are intact.
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<unk>f with copd, cough, fevers // pna?
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the right internal jugular central venous catheter has been removed. mild to moderate enlargement of the cardiac silhouette is unchanged. the mediastinal contour is similar. no pulmonary edema is present, and the hilar contours are unchanged. there is minimal retrocardiac patchy opacity, likely atelectasis. no large pleural effusion or pneumothorax is detected, however, the left costophrenic angle is not completely included in the field of view.
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history: <unk>f with atrial fibrillation, rapid ventricular rate, now normal sinus rhythm with oxygen requirement status post hemodialysis today.
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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.
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<unk>m w adrenal insufficiency presents w weakness x<num>d please evaluate for occult infxn
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a dual lead pacemaker/icd device appears unchanged with leads again terminating in the right atrium and ventricle, respectively. the heart again appears mildly enlarged and the aorta again mildly tortuous. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
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need for psychiatric clearance.
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there is moderate pulmonary vascular congestion and prominent interstitial markings consistent with mild pulmonary edema. the cardiac and mediastinal contours are normal. there is a small left pleural effusion. no pneumothorax is identified.
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history: <unk>m with chest pain following procedure on <unk> // pt with chest pain please eval
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there is been interval extubation removal of the endotracheal and enteric tubes. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded, and there is no focal consolidation concerning for pneumonia. bibasilar atelectasis is improved. upper lobe vascular redistribution is noted. the upper abdomen is unremarkable in appearance.
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<unk> year old man with <unk>m with hemostatic left anterior buccal mucosa lesion now extebated, afebrile and stable. // ?pneumonia after extubation. concern for vap.
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the heart size, mediastinal and hilar contours are normal. the lungs are clear bilaterally.
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<unk> year old woman with hx of cml. cough. please r/o pna.
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frontal and lateral views of the chest after left thoracentesis demonstrated no pneumothorax. there is slight re-accumulation of left-sided pleural effusion since prior. increased vascular markings in the region of the left hilus, suggest congestion. an interstitial abnormality in the right mid lung zone and small right pleural effusion are unchanged.
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<unk> year old man with left sided pleural effusion s/p thoracentesis, assess for pneumothorax.
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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. the bony structures are unremarkable.
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pleuritic chest pain in the posterior upper thoracic area beneath the right shoulder blade.
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endotracheal tube tip <num> cm above carina. sternotomy. very shallow inspiration accentuates heart size. normal pulmonary vascularity. tortuous thoracic aorta. no pneumothorax. mild right basilar opacity, likely atelectasis. left lung is clear
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<unk> year old man with cirrhosis with history of grade <num> varices, presenting for <num>cc hemoptysis. intubated // ett placement
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the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. a vague peripheral opacity projecting over the right lung apex also appears unchanged. streaky opacities in the right lower lobe are most consistent with minor atelectasis. there is no pleural effusion or pneumothorax.
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chest pain and shortness of breath.
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portable semi-upright radiograph of the chest demonstrates increased opacification of the left upper lung field consistent with pneumonia. there is a small area of increased opacification of the left base, which likely represents atelectasis. there is a stable appearing right upper lung nodule. the cardiomediastinal contours are unchanged. the heart is top normal in size. there is no pneumothorax or pleural effusion. the right-sided internal jugular central venous line ends at the cavoatrial junction.
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hypoxia and pneumonia. evaluate for volume overload.
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MIMIC-CXR-JPG/2.0.0/files/p11763962/s53605430/778c06d2-effc2e80-fc92125a-c2c346f9-a3686fc9.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.
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<unk>f presenting with fever, headache, and myalgias
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MIMIC-CXR-JPG/2.0.0/files/p16007921/s51660708/91cab0f0-438e1457-6541bd48-b7589890-fc18cd6d.jpg
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there is no pneumothorax. elevation of the right hemidiaphragm and right apical radiation fibrosis changes are stable. there may be an increased small right pleural effusion. aeration of the residual right lung is decreased, with worsening opacification, which might be attributed to decreased lung volumes compared with the prior study. asymmetric pulmonary edema or superimposed pneumonia are possible in the proper clinical setting. the right apical small collection of air and fluid is unchanged.
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<unk> year old woman with thymic cancer // interval change s/p bronchoscopy?
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frontal and lateral chest radiographs demonstrate the expected post-pneumonectomy changes, including total opacification of the left hemithorax with leftward shift of the mediastinum. the right lung is clear without consolidation, effusion, or pneumothorax.
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status post left pneumonectomy in <unk> for stage iiia squamous cell carcinoma, presenting with right upper chest pain x <num> months, now worsening. evaluate for interval change.
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frontal and lateral chest radiographs were obtained. the previously described right apical loculated pneumothorax has cleared. the post-operative changes in the right lung, which include a locuated right lateral chest wall fluid collection and pleural thickening, blunting of the right costophrenic sulcus and the linear density in the right upper lobe are all unchanged. the left lung is well expanded and clear. the cardiomediastinal silhouette and hilar contours are stable.
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patient status post vats resection of a pneumatocele status post chest tube removal with a residual loculated small right apical pneumothorax, eval pneumothorax.
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scarring at the left lower lobe is seen. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta is tortuous. the cardiac silhouette is top-normal in size. no overt pulmonary edema is seen. chronic appearing deformity of the sternum is noted on the lateral view.
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history: <unk>m with bowel containing symptomatic hernia with pending operative repair - preop eval // eval ? infiltrate, edema
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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 male with pancreatic cancer and liver mets, now presents with fever. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13942911/s51437413/78f9d16d-4c31b55c-f6c49eca-a9310b3a-b5626aaf.jpg
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, pneumothorax. cardiomegaly is moderate. the thoracic aorta is tortuous.
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fall.
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MIMIC-CXR-JPG/2.0.0/files/p16549410/s54229877/c9be74e3-c7c90e43-ecaced00-6627642a-3207d65f.jpg
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the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged, and there is no overt pulmonary edema. the cardiomediastinal silhouette is within normal limits and unchanged with mild tortuosity of the thoracic aorta. the hilar contours are within normal limits. chronic compression fractures at the t<num> and t<num> vertebral bodies are unchanged from the prior radiograph and dating back to mri of the lumbar spine dated <unk>.
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fever, here to evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16909909/s54721339/5b3d9f3e-54a02ee8-c3bc37ca-5b6c2f72-8a287816.jpg
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ap portable upright view of the chest. right ij dialysis catheter is noted with its tip extending into the svc as well as the right atrium. the heart is mildly enlarged. there is pulmonary vascular congestion and mild pulmonary edema. no large pleural effusion or pneumothorax is seen. difficult to exclude a superimposed pneumonia. bony structures appear intact. no free air below the right hemidiaphragm.
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<unk>f with altered mental status, eval for infection
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an accessed right chest wall port-a-cath is in place, terminating in the upper right atrium. there is no pleural effusion, pulmonary edema, or pneumothorax. retrocardiac opacity in the left lung base could reflect pneumonia. no focal consolidation concerning for pneumonia is seen.
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<unk>m with fever // ?pna
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MIMIC-CXR-JPG/2.0.0/files/p10996599/s50612663/76aac08c-32df5c20-d3f12982-fd40cabc-2ca26c95.jpg
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the moderate left pleural effusion has increased compared to <unk>. there is no right-sided pleural effusion.there is no focal consolidation pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. patient is status post median sternotomy and partial right <num> rib resection.
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<unk> year old man with recurrent b/l pleural effusions, r > l, s/p r vats/decortication for f/u
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MIMIC-CXR-JPG/2.0.0/files/p16815301/s50633915/bf7dca6d-6aa1bfb4-9969b287-ad372a8b-55cc0c91.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is a right lower lobe opacity concerning for pneumonia. no pleural effusion or pneumothorax is seen.
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<unk> year old woman with<num> days fever + chest pain when couhging. some sputum. lungs clear. current smoker. // r/o pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p18361816/s52274503/31a47969-ba702671-b97baa18-44b93388-4248ab02.jpg
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pa and lateral views of the chest. the lungs are clear. there is no pneumothorax or focal consolidation. the cardiomediastinal silhouette was within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p12262277/s58367649/57befec6-3306da75-10ab27ce-d1a10281-887fce6c.jpg
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heart size appears at least mild to moderately enlarged, though difficult to assess given the presence of moderate size bilateral pleural effusions, left greater than right. the size of these effusions appears increased compared to the previous exam. there is mild pulmonary vascular congestion as well as patchy opacities in the lung bases, most likely bibasilar compressive atelectasis. no pneumothorax is present. the mediastinal contour is unchanged. no acute osseous abnormality is present.
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<unk> year old man with worsening cough, poor air movement bilateral, worst on left
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MIMIC-CXR-JPG/2.0.0/files/p17370561/s54577335/b878f3d6-a9b58416-aef95bc4-c0437fcb-ce776bd0.jpg
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac and mediastinal contours are normal.
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chest pain and difficulty breathing.
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MIMIC-CXR-JPG/2.0.0/files/p16124481/s56090367/112e3b73-6f320f3c-d4e02b09-730513d4-20e3400a.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 ankle fracture // pre op, likely or
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MIMIC-CXR-JPG/2.0.0/files/p15453804/s52505120/217bc9ee-e398875f-72728ef6-8a61a532-924b1675.jpg
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lungs are clear bilaterally. there is no focal consolidation. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax or pleural effusion. no evidence of pulmonary edema. there is no air under the right hemidiaphragm.
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<unk>f with syncope, cough // pna?
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MIMIC-CXR-JPG/2.0.0/files/p18273628/s52988417/b7b2f27c-e983263d-f93e154b-c540ff4e-ff5aaf86.jpg
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prior right picc is no longer visualized. there is now left chest wall port with catheter tip at the ra svc junction. the lungs are clear without focal consolidation. bilateral pleural effusions have near completely resolved. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>f with lymphoma and a fever // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p19633644/s58805601/f99220d8-82fda216-53d19428-aaf0e391-9044e1bd.jpg
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as before, there is complete whiteout of the right lung field with shift to the hilar and mediastinal structures put the right. the left lung is clear, the visualized heart border is unremarkable, and there is no left-sided pleural effusion pneumothorax.
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<unk> year old man with lung ca and post obstructive pna. lung mass followup.
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MIMIC-CXR-JPG/2.0.0/files/p17039065/s55254872/06365203-e5704bee-0315f2f4-e730b530-ce427cb2.jpg
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the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
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<unk>f with fever. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17441540/s50926352/e38651b3-05ed44e8-bf35761c-6c9e7c5c-dd7fa220.jpg
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an intra-aortic balloon pump terminates with the tip marker at the aortic arch. the heart size is top normal. there is no pneumothorax or focal consolidation. a tiny right pleural effusion is new since <unk>.
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balloon pump placement.
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MIMIC-CXR-JPG/2.0.0/files/p14347948/s54794508/4b7f6e37-5cfb1827-af697e70-fde079c5-6008f5b8.jpg
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patient rotation slightly limits assessment. a large right pleural effusion has increased in size compared to the most recent prior exam. there is associated right basilar atelectasis. the heart size is not enlarged. mild pulmonary vascular congestion is likely present. minimal streaky opacity in the left lung base likely reflects atelectasis. an abdominal drain is seen which terminates in the right upper quadrant, where there is relative lucency, new from the prior exam.
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fever and hypoxia.
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MIMIC-CXR-JPG/2.0.0/files/p13594409/s53969149/6f6bda9e-b81a8ba3-97a1a810-c6148856-38105fc4.jpg
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enteric tube is poorly seen, tip is probably in the mid stomach. very shallow inspiration. left picc line tip in the low svc. linear band of atelectasis in the left lung base is stable. thoracic curve. shallow inspiration accentuates heart size. pulmonary vascularity is normal.
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<unk>f hx primary peritoneal serous carcinoma s/p debulking c/b multiple subsequent abdominal surgeries c/b ecf, vh s/p ex lap, ecf and end colostomy takedown, vhr w/ component separation // please evaluate placement of ngt
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MIMIC-CXR-JPG/2.0.0/files/p19975731/s55392663/c09ac560-60b97053-dda6ee09-a9e74ada-971be45f.jpg
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there is a in <num> mm rounded nodular opacity projecting over the left mid to upper lung overlying the left sixth rib, not clearly seen on the prior chest radiograph. a ct is needed to further assess. lungs are otherwise clear without focal consolidation, large effusion or pneumothorax. the cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with diabetes and left-sided chest pain. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12813812/s54406571/bc2ee39d-9ec6bd0b-5ab3cf59-3b31caf8-c26b99a7.jpg
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the lungs are somewhat hyperexpanded with flattening of the hemidiaphragms, similar to the prior study. there is no focal airspace opacity to suggest pneumonia. the pulmonary vasculature is within normal limits. the aorta is unfolded and tortuous. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there are numerous healed bilateral rib fractures.
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cough and fever. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p10168722/s59859424/0b8d3213-32e5cbe7-b6c95dbd-dff27a2f-6f04c3c6.jpg
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the patient is intubated, an endotracheal tube terminates approximately <num> cm above the level the carina, this is unchanged compared to the prior study. a right-sided internal jugular port-a-cath is in-situ. the tip terminates in the distal svc or right atrium, difficult to assess given the low lung volumes. there has been slight interval improvement in the left basilar atelectasis versus consolidation.
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<unk> year old female, with past history of hypertension and gbm, with known right sided hemiparesis, who presents with increased altered mental status, now s/p intubation, with new leukocytosis s/p right sided port placement // r/o infeciton vs. edema
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MIMIC-CXR-JPG/2.0.0/files/p19458141/s59762966/57e9fa64-068b48ed-12a85ad5-d31fd0f5-ac4d99d1.jpg
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there is a left-sided port which terminates in the cavo-atrial junction. there is a tubular structure inferior to the port, not seen on the lateral radiograph and is likely external to the patient. no focal consolidation concerning for pneumonia is identified. there is no pleural effusion or pneumothorax.
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history of pancreatic cancer, new port, please evaluate location of port.
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MIMIC-CXR-JPG/2.0.0/files/p19166723/s57493599/57c7d4e6-4033e7b0-f61c0c72-2d7e22f0-e363a1d5.jpg
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ap portable upright view of the chest. mild ground-glass opacities are seen involving the mid to lower lungs which raise potential concern for edema or atypical infection. patient is known to have a <num> cm nodular opacity in the left lower lobe which is difficult to visualize on the radiograph. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette is normal. bony structures are intact.
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<unk>f with chills and lung ca on chemo currently // r/o infection
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MIMIC-CXR-JPG/2.0.0/files/p12144619/s58372974/242fdc97-de5d6b2d-452d9a28-8dfc6ba6-0b7c498f.jpg
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redemonstrated is a right-sided subclavian central venous catheter with the tip terminating in the cavoatrial junction/proximal right atrium. lung volumes remain low. redemonstrated is a large loculated pleural effusion noted within the right major fissure. streaky left retrocardiac opacities likely represent atelectasis, although infection is difficult to exclude. there is no appreciable pneumothorax identified. the right hemidiaphragm is mildly elevated relative to the left. the cardiomediastinal silhouette is unchanged.
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history: <unk>m with +blood cultures, h/o lung abscess // evidence of pneumonia, abscess
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MIMIC-CXR-JPG/2.0.0/files/p15253658/s57504124/5398cbb2-2de4e608-e77b3868-7438b69b-9a0c4b81.jpg
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the lungs are normally expanded. scattered small vague bilateral opacities the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. linear radiodensity projecting over the left breast on the frontal radiograph is not seen on the lateral.
|
chest pain. evaluate for infiltrate or widened mediastinum.
|
MIMIC-CXR-JPG/2.0.0/files/p11911069/s53448972/8a3da6ef-8c87438f-1484d201-65226d41-c60052ed.jpg
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a left picc line remains in unchanged position in the upper svc. the enlarged cardiomediastinal silhouette is unchanged. there has been interval improvement in bibasilar atelectasis. there are residual small bilateral pleural effusions. no pneumothorax is present.
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right atrial mass secondary to b-cell lymphoma, picc line placement.
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MIMIC-CXR-JPG/2.0.0/files/p12859810/s55263872/f89c2bc8-59b053da-066cc529-7ea2309f-a4f47666.jpg
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a gastric tube extends into the body of the stomach. a partially evaluated vp shunt courses along the left hemithorax and hemi abdomen. low bilateral lung volumes. persistent atelectasis in the left lower lung zone. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged
|
<unk> year old man with chest pain // acute cardiopulmonary changes
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MIMIC-CXR-JPG/2.0.0/files/p10541960/s57953050/dc74afdf-e2b21fdf-766cb9e5-ae19cc56-fe858fde.jpg
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cardiac enlargement. mildly increased pulmonary vascularity. no edema. lungs are clear. no effusion. spine instrumentation in place. compression fracture of vertebral body at thoracolumbar junction, likely t<num> moderate vertebral body height loss. no pneumothorax.
|
<unk> year old woman with compartment syndrome, has edema. r/o chf. // r/o volume overload
|
MIMIC-CXR-JPG/2.0.0/files/p18319984/s57293808/714046cc-da0c0256-ec82731b-8bfbd9e9-6eb03813.jpg
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the lungs are hyperinflated and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. mediastinal clips and median sternotomy wires are noted.
|
<unk>m with weakness
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MIMIC-CXR-JPG/2.0.0/files/p15094687/s53900592/5e2a6f4f-54cd41ef-5f3f307e-c363f284-733af81a.jpg
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the heart is enlarged. there are small bilateral pleural effusions with bibasilar opacities, which likely reflect a combination of compressive atelectasis and pulmonary edema. additional opacity in the right midlung compatible with fluid tracking within the fissure. calcifications abutting the left lung base compatible calcified pleural plaques as on prior. left apical calcified scarring is noted. a dual lead pacemaker device is present, with leads ending in the right atrium and right ventricle. no pneumothorax.
|
<unk>m with sob, chf, elevated bnp // eval for edema
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MIMIC-CXR-JPG/2.0.0/files/p12293866/s50899662/8187aac7-6453939d-16778968-50368a40-93f44fb2.jpg
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low lung volumes are present. the heart size is normal. mediastinal and hilar contours are unremarkable. linear opacities within the left lung base are compatible with subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is detected. no acute osseous abnormalities are visualized.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p12241758/s57103729/adda48ea-658eb49d-5bd9d42d-f06d0d95-ff3e05a2.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. no acute fracture is identified.
|
history: <unk>m with fh of cad, significant etoh use, p/w <unk> days of intermittent, non-radiating l sided chest pain possibly with exertion. // assess for etiology of chest pain
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MIMIC-CXR-JPG/2.0.0/files/p18799107/s56823324/72329d6f-025aad9b-9cea64d6-5308b70d-4b308a5a.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. mild to moderate degenerative changes are noted in the imaged thoracolumbar spine. mild deformity of the right lateral tenth rib suggests a remote fracture.
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<unk>m with chest pain and shortness of breath
|
MIMIC-CXR-JPG/2.0.0/files/p13144467/s57997629/0d694cf4-a0babe13-b3f1246e-a4c6b5ba-38f0066c.jpg
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pa and lateral chest radiographs demonstrate low lung volumes and bibasilar atelectasis most noticeable on the left. the cardiomediastinal silhouette is normal. the heart size is normal. surgical clips in the upper abdomen are partially imaged on lateral view.
|
chest pain, shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p10668610/s52831253/d4e14c8e-8c8b3649-d2e7789e-af6b469b-2ccd12c6.jpg
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the et tube is too low and should be pulled back at least <num> cm. an ngt tube is seen coursing below the diaphragm with the tip in the stomach. low lung volumes. there is enlargement of the cardiomediastinal silhouette, which is likely projectional. bibasilar opacities are concerning for aspiration, as seen on the recent chest ct. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> m s/p intubation // ett placement
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MIMIC-CXR-JPG/2.0.0/files/p16401092/s52628108/e0307fe6-20de5371-280ffe58-330d2b77-e3fd1e7f.jpg
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there is no focal consolidation, effusion, or pneumothorax. there is minimal atelectasis at the right base. the cardiomediastinal silhouette is normal. there is air in the esophagus, likely due to the patient swallowing. there is minimal elevation of the right hemidiaphragm. resected right ninth rib is again noted. spinal hardware is again seen. no free air below the right hemidiaphragm is seen.
|
<unk> year old woman with cough // ? pna
|
MIMIC-CXR-JPG/2.0.0/files/p11430227/s52357692/770b52b4-2880b924-03266e75-3f897726-0417eb08.jpg
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assessment of the lung bases is slightly limited by respiratory motion. cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is not engorged. small left pleural effusion is noted with mild bibasilar patchy opacities, likely atelectasis. no pneumothorax is present. there are moderate degenerative changes noted in the thoracic spine.
|
history: <unk>m with chest pain
|
MIMIC-CXR-JPG/2.0.0/files/p15544964/s54651765/c20974a7-295e34ad-54745f7b-6d2ad1d7-63a8d674.jpg
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right-sided port-a-cath tip terminates at the junction of svc and right atrium. cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. the pulmonary vascularity is normal. no acute osseous abnormalities are visualized.
|
left-sided chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p16884066/s57922983/ff49b355-477b5b9b-4d3831d5-0da5066b-a8306334.jpg
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chest pa and lateral radiograph demonstrates unchanged cardiomediastinal contour with moderate cardiomegaly. pacemaker leads are identified in the right atrium and the right and left ventricles as well as additional pacer external to the heart. lungs are clear. no evidence of pulmonary edema. no pleural effusion or pneumothorax.
|
longstanding cardiomyopathy with biventricular pacemaker presents with symptomatic v-tach after two weeks of fatigue, malaise, shortness of breath, please evaluate for pulmonary congestion and heart size.
|
MIMIC-CXR-JPG/2.0.0/files/p19231238/s56136629/cfa521cc-dfb207d6-7825e720-4b6c1100-e4f7d1cc.jpg
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heart size remains mild to moderately enlarged. the mediastinal and hilar contours are unchanged with a small hiatal hernia again noted. there is mild pulmonary vascular congestion. there are small bilateral pleural effusions, not changed from the prior study. retrocardiac patchy opacity may reflect atelectasis though infection is difficult to exclude. hypertrophic changes are again noted within the thoracic spine. no subdiaphragmatic free air is identified.
|
history: <unk>f with cough productive of sputum
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