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portable supine chest radiograph <unk> at <time> is submitted.
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<unk> year old man with resp failure. // please eval for line placement in particular. please eval for line placement in particular.
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<num> pa and <num> lateral chest radiographs. the lungs are well expanded and clear. there is no focal consolidation, effusion or pneumothorax. cardiac and mediastinal contours are normal.
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chest pain.
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since a recent radiograph, a right internal jugular catheter is been removed. a very small right apical pneumothorax is present and is decreased in size compared to <unk> at <time>. stable cardiomegaly. bibasilar atelectasis has worsened in the interval and is accompanied by a new small bilateral pleural effusions. .
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<unk> year old man with mvr and pericardial patch // interval change
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there are low lung volumes, which accentuate the bronchovascular markings. given this, there is mild bibasilar atelectasis without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. no overt pulmonary edema is seen. there is anterior wedging of a lower thoracic vertebral body of indeterminate age.
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history: <unk>m with doe, lightheaded and chest pain // r/o acute process
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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 right ankle fracture, pre op
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a vagal stimulator device appears unchanged. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
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implant vagal nerve stimulator.
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single frontal view of the chest. the patient has been extubated with removal of bilateral chest tubes and ng tube. right ij central venous catheter terminates in lower svc. sternotomy wires are intact. mild cardiomegaly and mediastinal contours are stable. lung volumes have increased with improved left greater than right bibasilar atelectasis. no pneumothorax.
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status post cabg with chest tube removal.
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large left apical pleural opacity/pleural collection is re- demonstrated, similar in extent. prominence of the left hilum is again seen. there is patchy left base opacity ; left base retrocardiac opacity present previously although the extent appears slightly increased as compared to the prior study, superimposed infection, aspiration not excluded.
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history: <unk>f with breast cancer, <num> day s/p minor surgery, here w/ chest pain, presyncope, sob, hx of breast cancer, tachy and hypoxic // pe, pna
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patient is rotated to the left. the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, hypertrophic changes seen in the spine.
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<unk>m with chest pain // r/o ptx
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there has been interval removal of the left-sided chest strain. no pneumothorax seen. there is a moderate left pleural effusion with left basilar atelectasis. this is similar to slightly decreased in size when compared to the prior study. a right-sided picc terminates in the mid to distal svc. prominence of pulmonary vasculature with patchy airspace opacities is consistent with a mild pulmonary edema.
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<unk>m s/p mcc, helmeted, medflighted p/w b/l rib frxs sternum frx, l comminuted ant pubic ramus frx, l open distal femur fracture s/p left femur orif // post ct removal
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right chest tube is in place. right port-a-cath tip near cavoatrial junction. there is no pneumothorax. tiny residual right pleural fluid. left pleural effusion is less apparent. stable pulmonary nodules. increased right basilar opacity, likely atelectasis.
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<unk> year old woman with likely malignant effusion s/p pleurex placement with decreasing drainage // ? effusion, pleurex placement
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there is hyperexpansion of both lungs with severe underlying emphysema. minimal blunting of the right costophrenic angle may reflect underlying atelectasis. no pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits.
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<unk> year old woman with copd exacerbation // evaluate lung sizes, look for pna
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left small-to-moderate apical pneumothorax has slightly decreased in size, and a left chest tube ends in the apex. previous left mid-to-lower lung opacities have partially cleared, but a left pleural effusion has slightly increased in size. right-sided calcified pleural plaques and left subcutaneous emphysema are again seen. cardiac and mediastinal contours are unchanged.
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<unk>-year-old man status post left vats, switched to open decortication. evaluate for pneumothorax.
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frontal and lateral views of the chest were obtained. cardiomegaly is mild, similar to prior. prominent interstitial lung markings are compatible with known lung fibrosis. indistinct pulmonary vascular markings are similar to prior and compatible with mild pulmonary edema. no focal consolidation, pleural effusion, or pneumothorax. the catheter of the left chest wall port terminates in the right atrium. multiple vertebroplasties are similar to prior. no displaced rib fracture is identified.
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severe osteoporosis and multiple prior fractures. evaluate for rib fracture.
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pa and lateral chest radiographs demonstrate bibasilar opacities right greater than left. the aorta is tortuous. the cardiomediastinal silhouette is otherwise normal.
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leukocytosis and left lower lobe crackles. concern for pneumonia.
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a right ij central line is in the upper-to-mid svc and unchanged in position. since most recent prior radiograph, there has been no significant change. again seen are bilateral pleural effusions, worse on the right. there is no new parenchymal infiltrate or pneumothorax. moderate cardiomegaly is unchanged. sternotomy wires are intact.
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<unk>-year-old woman status post redo sternotomy, avr. evaluate for pleural effusions.
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the patient is status post arm sternotomy with sternal wires and mediastinal clips the heart is upper limits normal in size. there is mild pulmonary vascular redistribution. there is mild increase in lung markings which on the recent ct were seen to be due to bronchiectasis and a few tiny nodules. these are better defined on the recent ct. there is no dilated stomach
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<unk> year old man s/p lap nissen fundoplication // postop; eval for dilated stomach
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there are low lung volumes, and the heart is top normal in size. the lungs are clear of focal consolidation, pleural effusion and pulmonary edema. the mediastinal contours are normal.
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<unk>-year-old female with chest pain. evaluate for pneumothorax, pneumonia
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pa and lateral views of the chest provided. lung volumes are somewhat low. allowing for this, 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>m with new dx afib // r/o other pulm or cardiac abnormalities
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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left clavicular pain for <num> week, worse with movement.
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there is a small bilateral pleural effusions. the thoracic aorta is tortuous with calcified plaque at the arch. the cardiac silhouette is stably mild to moderately enlarged. there is mild vascular congestion. there is no focal lung consolidation. no acute osseous abnormality seen. a metallic object projecting over the upper thorax on lateral view is likely outside of the patient.
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<unk>-year-old man with chf exacerbation evaluate for fluid overload.
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mild pulmonary edema is unchanged from <unk>. more focal and peripheral opacities at the right lung base in the appropriate clinical setting could represent pneumonia. the patient status post median sternotomy with wires intact. mitral annular calcifications are noted. small bilateral pleural effusions are noted.
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history: <unk>f with confusion, infectious w/u // eval for pneumonia
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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 cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
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history: <unk>m with worsening hepatitis // eval for infectious process
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with cp // r/o acute process
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the support devices are unchanged. there is persistent right middle and lower lobe collapse with adjacent moderate elevation of the right hemidiaphragm. left retrocardiac opacity has minimally improved. the lung volumes remain low. no interstitial pulmonary edema. no pneumothorax.
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<unk> year old man with rll collapse and continued dyspnea/hypoxia // eval for interval challenge
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left central line has been removed. mild elevation of the right hemidiaphragm and low lung volumes are unchanged. cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. there is no consolidation, pleural effusion, or pneumothorax. anterior and posterior cervical fusion hardware are re- demonstrated.
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<unk> year old man with aml here with sob
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pa and lateral views of the chest provided. the lungs appear hyperinflated though there is no focal consolidation, large effusion or pneumothorax. overall cardiomediastinal silhouette appears within normal limits. no signs of congestion or edema. bony structures are intact.
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<unk> year old woman with chest pain // eval infiltrate
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the cardiac silhouette size is unchanged, top normal in size. the mediastinal and hilar contours are within normal limits given the low lung volumes. bronchovascular crowding is present, but no overt pulmonary edema is noted. no focal consolidation, pleural effusion or pneumothorax is definitely seen. there is likely minimal atelectasis in the lung bases. no acute osseous abnormality is visualized.
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hypotension.
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there is a moderate diffuse interstitial abnormality suggesting pulmonary vascular congestion. otherwise, the lungs appear clear. there is no pleural effusion or pneumothorax. mild-to-moderate relative elevation of the left hemidiaphragm compared to the right appears unchanged. the heart is mildly enlarged. the aortic arch is calcified. the mediastinal and hilar contours appear unchanged. degenerative changes are similar along the thoracic spine. surgical clips project along the upper abdomen.
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chest pain.
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. the cardiac silhouette is mildly enlarged. the thoracic aorta is tortuous. no acute osseous abnormality detected.
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<unk>-year-old male with weakness. question chf.
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frontal and lateral views of the chest. when compared to prior, there has been no significant interval change. there is no evidence of consolidation, effusion, or pulmonary vascular congestion. cardiac silhouette is enlarged but stable in configuration. expansile left lower anterior rib lesion is seen in addition to old right rib fractures. additional sclerotic metastatic lesions are better seen on prior ct.
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<unk>-year-old male with weakness and fatigue. history of metastatic prostate cancer.
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heart size is normal. the mediastinal and hilar contours are normal. lungs are clear. no pneumothorax or pleural effusion is present. no acute osseous abnormality is identified. there are multilevel degenerative changes in the thoracic spine with mild loss of height of several mid thoracic vertebral bodies. cervical spinal fusion hardware is partially imaged.
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chest pain and shortness of breath.
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<num> right chest has been removed. no increased pleural effusion. the other right chest tube remains. marked cardiomegaly as previously. bilateral lung opacities with no significant change.
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<unk> year old woman with hemopneumothorax s/p ct x <num>, s/p removal of <num> ct yesterday // please eval for status of hemopneumothorax
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the cardiac silhouette is mildly enlarged, unchanged from prior. there is no focal consolidation, pleural effusion or pneumothorax.
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<unk>m with palpitation // acute process
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single portable supine frontal chest radiographdemonstrates interval placement of right ij cvl with tip in lower svc. the lungs are mildly hypoinflated with crowding of vasculature. heterogeneous opacity in the lingula and right lower lobe are again noted. intermittent areas of linear atelectasis is present within the right mid lung. no apical cap. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. s shaped curvature of the thoracolumbar spine is noted.
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<unk>-year-old female with septic shock status post right ij placement. assess line placement.
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compared with the prior study, i doubt significant interval change. again seen is the elevated and lobulated,? eventrated, right hemidiaphragm. of note, this appearance is much more pronounced than on <unk>. mild lobulation/eventration of the left hemidiaphragm is again noted, also more pronounced than on <unk>. left costophrenic sulcus is blunted. no gross effusion is identified. . again noted is a nondilated splenic flexure deep to the lateral left hemidiaphragm. suspect background hyperinflation/copd. the heart is slightly enlarged, though the cardiac and mediastinal silhouettes are unchanged. there is upper zone redistribution, without evidence of chf. there is subsegmental atelectasis/scarring at the right lung base. no focal infiltrate suggestive of pneumonia is identified. again noted are calcified hilar lymph nodes suggestive of prior granulomatous disease. incidental note is made of an old healed fracture the right posterior seventh rib.
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<unk> year old woman with dementia and uti reporting chest pain and cough // evaluate for pneumonia
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elevated left hemidiaphragm is chronic and stable from <unk>. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions. mild degenerative changes of the mid and lower pole thoracic spine with anterior bridging osteophytes, stable from <unk>.
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<unk> year old woman with right sided cp x a month // assess lungs
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there is an increased opacity overlying the right hemithorax; however, the patient has pectus excavatum. additionally, there is a small nodularity overlying the upper lungs on the lateral view. otherwise, the remainder of the lungs are clear. mediastinal silhouette is normal. no pleural effusions or pneumothoraces. the left picc is visualized with the catheter tip at the upper svc.
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evaluation of patient with fever and hypoxia.
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the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
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hemoptysis, please evaluate for hemorrhage.
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ap upright and lateral views of the chest provided. left chest wall pacemaker is seen with intact appearing leads extending to the region of the right atrium and right ventricle. cardiomegaly is moderate. no focal consolidation, effusion or pneumothorax is seen. no overt edema. mediastinal contour is within normal limits. no acute osseous injury.
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<unk>f with weakness, falls, <unk> edema
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lung volumes are within normal limits. trachea is central. the cardiomediastinal contour is on changed. no consolidation, pneumothorax or pleural effusion seen. atelectasis the left lung base, similar in appearance when compared the prior study. the percutaneous gastrostomy tube in the upper abdomen appears be partially uncoiled.
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<unk> year old man with htn, ckd, seizure disorder, iph with new tachypnea // evaluate for acute process
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there is no evident pneumothorax. there is elevation of the left hemidiaphragm. bibasilar atelectasis are larger on the left side. there is no enlarging pleural effusions. pneumopericardium and pneumomediastinum are better seen on the lateral view. the sternal wires are intact. there is no pulmonary edema
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<unk> year old man with s/p cabg, cts d/c'd // evaluate for pneumothorax
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frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no mass lesion is identified. heart size is normal. mediastinal silhouette and hilar contours are normal. the scapula is not well evaluated on this study.
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winged scapula on the right.
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low lung volumes and portable technique limit evaluation. bibasilar opacities may be secondary to atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities, old right posterior rib fractures noted.
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<unk>f with dyspnea // ? acute cardiopulm process
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there is a left supraclavicular central venous line that ends in the mid svc and an abandoned left subclavian catheter fragment ending in the low svc, present until at least <unk>. there has been interval improvement of the right lower lobe opacification with residual scarring and atelectasis consistent with patient's history of right lower lobe wedge resection. the linear left lower lobe opacities likely represent scarring or atelectasis and appear stable compared to <unk>, however are slightly increased compared to the <unk> exam. no new focal consolidations are seen. there is no pneumothorax. there are no pleural effusions. there is mild cardiomegaly, stable compared to exam dating back to <unk>. the mediastinum remains widened, likely due to mediastinal lipomatosis, better characterized on the ct from <unk>.
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<unk>-year-old female with a history of pneumonia, shortness of breath who presents for evaluation of interval change.
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pa and lateral views of the chest provided. cervical spinal hardware projects over the neck. minimal increased opacity on the frontal radiograph at the lung bases could represent a very early pneumonia in the correct clinical setting. otherwise, no convincing evidence for pneumonia, edema, effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with cough // r/o pneumonia
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portable ap upright chest film <unk> at <time> is submitted.
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<unk> year old woman with cirrhosis and volume overload now with chest discomfort // ?edema, effusion ?edema, effusion
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ap portable upright view of the chest. two left thoracostomy tubes are unchanged in position. there is no pneumothorax. the lung volumes are lower in comparison to the <unk> study. mild central pulmonary vascular congestion is unchanged. a small left pleural effusion remains stable.
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<unk> year old man with left empyema sp decort // ptx
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multiple median sternotomy wires are re-identified. there are mediastinal surgical clips, as well as a left mediastinum vascular stent. the cardiac silhouette is mildly enlarged. the bilateral hila are unremarkable. there is suggestion of pulmonary vascular congestion without overt pulmonary edema. there is no definite focal consolidation. there is no pneumothorax or pleural effusion.
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<unk>f with dyspnea, evaluate for pneumonia.
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the cardiac silhouette continues to be enlarged with mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen, and a left pectoral cardiac device has its leads in stable position.
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<unk>-year-old male with chest pain. evaluate for effusion or consolidation.
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an endotracheal tube terminates <num> cm above the carina. an orogastric tube courses below the diaphragm, tip is seen in the gastric fundus. the cardiac silhouette is enlarged. pulmonary vascular engorgement and pleural effusion have improved. there are small pleural effusions, if any. there is redemonstration of chronic pulmonary fibrosis, with superimposed bilateral diffuse opacities, worse at the right lower lobe and left upper lobe and progressed since prior examination, concerning for worsening multifocal pneumonia.
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acute respiratory failure. question acute cardiopulmonary process.
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no significant interval change. tracheostomy tube projecting over the superior mediastinum is unchanged. fractured sternotomy wires are also unchanged. multiple upper mediastinal clips are in similar position. the lungs are clear. no focal consolidation, edema, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged. the heart appears top-normal in size. no acute osseous abnormality. broken sternal wires.
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<unk>-year-old man with a cough. evaluate for infiltrate.
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frontal and lateral views of the chest. again, relatively low lung volumes are seen. the lungs remain clear of consolidation, effusion or pulmonary vascular congestion. moderate hiatal hernia is again seen. no acute osseous abnormality detected.
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<unk>-year-old male with shortness of breath.
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frontal and lateral radiographs of the chest demonstrate hyperexpansion of the lungs. no focal opacity is seen. the cardiac and mediastinal contours are normal. no pleural abnormalities detected.
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desaturation.
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MIMIC-CXR-JPG/2.0.0/files/p11106524/s52555661/4391fdd7-c953ef75-017ae47c-1135a70f-47594499.jpg
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enteric tube tip is in the proximal stomach. endotracheal tube tip <num> cm above carina. normal heart size, pulmonary vascularity. no pneumothorax. small right pleural effusion is stable. lungs are clear. chronic posttraumatic or postsurgical change distal right clavicle.
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<unk> year old man with invasive aspergillus septic shock // eval for ogt placement
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MIMIC-CXR-JPG/2.0.0/files/p11597474/s53309861/f9cf6d62-4101a651-a4d26b97-c9baea87-d32879b0.jpg
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frontal and lateral chest radiographs demonstrate unchanged examination with a large right pleural effusion with extension into an incomplete fissure. multiple predominantly peripheral pulmonary nodules are consistent with metastases. there is a stable irregular right hilar mass. no left-sided effusion is present. no new pneumothorax identified.
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assess for recurrent malignant effusion.
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the lungs are hyperinflated. there is mild scarring at the left lung base abutting the diaphragm, similar to prior ct. there is however superimposed hazy left basilar opacity in the retrocardiac region which localizes posteriorly on the lateral view. left apical pleural based scarring with associated volume loss is again noted. prior left-sided port-a-cath is no longer visualized. nipple shadows are noted over the lung bases. the lungs are otherwise clear. no acute osseous abnormalities.
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<unk>f with cough and fever // eval for pneumonia
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are hyperinflated. minimal atelectasis is demonstrated in the left lung base. otherwise, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
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history: <unk>f with atrial fibrillation with rapid ventricular rate
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there is increased opacity in the retrosternal region on the lateral view, correspond to possibly the left upper lung. mild increase in retrocardiac atelectasis is noted. otherwise, the lungs are clear. the heart size is normal. no pneumothorax, pulmonary edema, or pleural effusion.
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<unk> year old woman admitted w asthma, now with worsening symptoms // signs pneumonia
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in comparison to <unk> portable chest radiograph, there is interval mild improvement of pneumomediastinum, deep cervical emphysema, and subcutaneous emphysema. the right medial pneumothorax is again seen and unchanged from most recent study. no pneumothorax seen in the left lung. hazy ill-defined linear right lower lobe opacity is consistent with right lower lung contusion status post right posterior tenth rib fracture. the cardiac and mediastinal contours are unchanged. there is no pleural effusion. the right apical chest tube is in stable position.
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<unk>m copd s/p fall and rib fx/ptx, ct placed <unk> <unk>/ ? interval change. please do study <unk> <unk>
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ap and lateral chest radiographs were obtained. comparison is made to prior radiograph dated <unk>. cardiomediastinal and hilar contours are stable. no focal opacity is identified concerning for infection. no overt pulmonary edema. there is no pleural effusion. no acute osseous abnormality is identified.
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<unk>-year-old male status post fall and healing on balanced.
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the endotracheal tube terminates <num> cm above the carina. the ng tube extends to the region of the pylorus or beyond. the left lower lobe is less well aerated. bibasilar atelectasis has worsened, with possible right lower lobe collapse. moderate cardiomegaly and pulmonary vascular engorgement is unchanged. no edema or new focal consolidation. unchanged right upper abdominal quadrant surgical clips.
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<unk> year old man with pneumonia. please eval for interval change - ?pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p16645602/s51913903/4f1cc67b-81bbace6-ea48178f-589b0017-476fdb07.jpg
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interval placement of feeding tube which projects over the gastric body. low bilateral lung volumes without focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is unchanged. a battery pack device projects over the lower left hemithorax with a lead extending up over the left neck.
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<unk> year old woman with epilepsy presenting with decreased responsiveness with displaced peg // ng tube placement
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MIMIC-CXR-JPG/2.0.0/files/p16699492/s57835998/c5a80448-b277cd69-4a3ff42c-406e05aa-14719023.jpg
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relatively low lung volumes are noted with crowding of the bronchovascular markings. there is no confluent consolidation nor effusion. the cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is noted. no acute osseous abnormalities identified. surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with septic knee, preop // evidence of infection
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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. note is made of bilateral breast implants.
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<unk>f with t<num>dm, hypoglycemic this am, with <num>d of cough, sob // eval for pna
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the heart size and mediastinal contours are stable. a hiatal hernia is again seen. lung volumes are lower with linear opacities at the bilateral bases consistent with atelectasis. no pleural effusion or pneumothorax.
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<unk> year old woman with ms changes, somnolence, diminished ls, wheeze // r/o pulmonary etiology of altered ms
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MIMIC-CXR-JPG/2.0.0/files/p17475607/s59623857/761342f1-86d10b51-6a36d35d-4b89a893-88029853.jpg
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the lungs are well expanded and clear. a right picc ends in the mid svc. mediastinal and hilar contours are normal.
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<unk> year old man with influenza/copd exacerbation requiring intubation earlier this admission, now with worsening respiratory status.
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MIMIC-CXR-JPG/2.0.0/files/p14021732/s55355767/11454d90-d4441cbc-6659f69d-eca91fbe-e095d951.jpg
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the lungs are clear. mild cardiomegaly is again seen. there is a tortuous descending thoracic aorta and calcification of the aortic knob. no pleural effusion or pneumothorax. the osseous structures demonstrate general osteopenia, with no acute abnormality appreciated.
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history: <unk>f with cough, preoperative radiograph. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p10052992/s55087891/c0e7fc96-3a5d122a-04618ad2-fa50cbe4-e7c28422.jpg
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there is new focal opacity at the right lung base with blunting of posterior costophrenic angle on the lateral view. additional linear opacity slightly more superiorly is suggestive of atelectasis. the left lung is clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
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<unk>m with hepatocellular carcinoma s/p rfa <unk> presenting with cough and epigastric pain. diffuse rhonchi on exam. // evidence of focal infiltrate? effusion?
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MIMIC-CXR-JPG/2.0.0/files/p16754117/s52447239/13ff8100-352d1671-3465bf03-97855140-310fe56f.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are well-expanded and clear.
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<unk> year old woman with persistent cough for one month with low-grade temp // please evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p16675693/s55105461/8ce6d503-18daa28a-850f629d-fe6871a1-963b492c.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, or pneumothorax. cardiac and mediastinal contours are normal. moderate thoracic kyphosis and multilevel wedge deformities are unchanged.
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left chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p12532170/s59059301/1e468da9-e3852431-a2fb0cfa-a57e3a9b-d8a279f7.jpg
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stable, bilateral hilar prominence. interval improvement in pulmonary vascular congestion. mild elevation of the left hemidiaphragm and obscuration of the left heart border suggest possible volume loss in the left hemithorax. normal heart size. no pneumothorax or acute focal pneumonia.
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<unk>-year-old woman with cough and wheezing, now status post bronchoscopy. evaluate for complications.
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there has been interval removal of the apical chest tube. there is a right-sided port with the tip likely in the atriocaval junction. the extent of the small basal pneumothorax has slightly increased compared to the prior exam. large apical and paramediastinal consolidation likely secondary to a hydrothorax is slightly increased in size compared to the prior exam. the right basilar chest tube appears to be in unchanged position, with the side port also in stable position. heart size is normal. the hilar and mediastinal borders are unremarkable. there appears to be slight interval increase in the focal consolidation overlying the lower right lung. there appears to be a new left hilar consolidation.
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history of empyema after right lower lobectomy. please check for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p12530930/s52573719/90ebc6d6-4406a1f1-e94a27c2-e10f9407-055dafa4.jpg
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patient is status post median sternotomy and cabg. minimal basilar atelectasis is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. aorta is calcified.
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history: <unk>m with cough // infiltrate?
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MIMIC-CXR-JPG/2.0.0/files/p15892352/s50628188/fb5edb53-6726256a-7c3d9fc9-9d088bdd-d20dcb35.jpg
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heart size and cardiomediastinal contours are normal. rounded densities overlying the right heart border may represent vessels on end, but calcified granulomas could have a similar appearance. no focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>f with syncope. dyspnea // acute cardiopulm disease
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits.
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<unk>m with confusion // eval for pnact head: eval for ich
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MIMIC-CXR-JPG/2.0.0/files/p10407730/s59865490/2d566077-8a8aad99-3c9b7a3f-cf56b892-afd54261.jpg
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pacemaker and dialysis catheter appear in unchanged position. median sternotomy wires are again noted. pulmonary edema has improved now minimal to mild. there are small bilateral pleural effusions. cardiomegaly is mild and unchanged. note is made of atherosclerotic calcifications at the aortic arch. no focal consolidation identified. there is no pneumothorax.
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history: <unk>f with fever // infiltrate? infiltrate?
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MIMIC-CXR-JPG/2.0.0/files/p11761571/s59923523/1ef7482c-f7b862fc-98dd1f78-0a81092d-dee31fb8.jpg
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the patient has been extubated. new left retrocardiac opacity likely atelectasis is associated with inferior displacement of the left hilum. there is also a new right retrocardiac opacity. small bilateral effusions are also new.
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<unk> year old man s/p tracheal resection
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MIMIC-CXR-JPG/2.0.0/files/p10386562/s57583740/534cc37e-339b38c5-feeee031-3102bf40-2ce80131.jpg
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lung volumes are low. calcified bilateral pleural plaques are re- demonstrated which somewhat limit assessment of the lung parenchyma. heart size is mild to moderately enlarged. superior mediastinal widening is unchanged, and attributable to mediastinal lipomatosis as well as a large right thyroid nodule. elevation of the right hemidiaphragm is unchanged. streaky bibasilar airspace opacities could reflect atelectasis and/or scarring. lung volumes are lower compared to the prior study. there is no new focal consolidation is demonstrated, or overt pulmonary edema. no pleural effusion or pneumothorax is seen.
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confusion, fell <num> days ago with history of cml and pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15116019/s54883334/c8afadb4-082938fc-f93e135d-655f4d83-b32b169b.jpg
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frontal and lateral chest radiographs demonstrate unchanged severe cardiomegaly and chronic vascular congestion. there is no appreciable change in the right pleural effusion. there is chronic pleural thickening at the site of prior rib fractures. the lungs are clear. there is no pneumothorax.
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tracheal bronchomalacia. evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p11953959/s50894148/12d1ed12-5bf5c660-7051ea0a-22615166-12da28f1.jpg
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the lungs are moderately well inflated. there are unchanged bibasilar opacities compatible with atelectasis versus consolidation. small left pleural effusion. mild cardiomegaly as before. the <num> right-sided chest tubes are in unchanged position with no residual pneumothorax on this radiograph. right central venous catheter terminates at the cavoatrial junction. ekg leads overlie the chest wall. spinal fusion hardware projects over the lower cervical spine as before.
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<unk>f with recent tracheobroncoplasty for tbm who have apical and basal pneumothoraces. // query pneumonia
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no focal consolidation is seen. there is no evidence of large pleural effusions; however no lateral view obtained, which can be more sensitive to assess for posteriorly larynx pleural fluid. no pneumothorax is seen. the aorta is calcified and tortuous. the cardiac silhouette is top-normal.
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history: <unk>f with ?pleural effusion on osh ct, pls eval for interval change // history: <unk>f with ?pleural effusion on osh ct, pls eval for interval change
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MIMIC-CXR-JPG/2.0.0/files/p13204640/s57402906/3fcedce7-a603fc79-513ce4ee-be821277-b57be8b8.jpg
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nasogastric tube terminates in the gastric cardia where makes a loop in may terminate in retrograde fashion at the gastroesophageal junction so advancing the tube somewhat may be helpful. the cardiac, mediastinal and hilar contours appear stable. streaky opacities at the left lung base have decreased and suggest minor atelectasis. otherwise, the lungs remain clear. there is no definite pleural effusion or pneumothorax.
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left temporal and throughout parenchymal hemorrhage status post nasogastric tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p19508874/s54247035/51428036-45105269-6bf267cb-6cddaa51-8b521ed5.jpg
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portable supine chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with gp cocci in clusters, inc sputum production, ?pna // <unk> year old woman with gp cocci in clusters, inc sputum production, ?pna <unk> year old woman with gp cocci in clusters, inc sputum production, ?pna
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MIMIC-CXR-JPG/2.0.0/files/p13794191/s52736248/5d62c000-86787f61-0da105a3-4e7c94ab-97c903cd.jpg
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frontal and lateral views of the chest. the lungs are clear without focal consolidation, definite effusion, pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. catheter projects over the anterior chest wall just to the right of midline.
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<unk>-year-old male with left-sided chest pain radiating to the back.
|
MIMIC-CXR-JPG/2.0.0/files/p10476603/s55381838/1df74931-17d7aab2-2b5993d9-9ff7d4b1-b4815d3f.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
|
history: <unk>f with cough, fever, myalgias
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MIMIC-CXR-JPG/2.0.0/files/p18998679/s57585000/6574f06b-d09e93e8-e72dfc57-76b7fe62-04f71821.jpg
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the heart size is within normal limits. the mediastinal and hilar contours are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.
|
<unk>-year-old female with chest and abdominal pain, nausea, and vomiting.
|
MIMIC-CXR-JPG/2.0.0/files/p14111969/s57065795/4f1e36c3-f611f067-6d931e01-e193965c-e9e054f3.jpg
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enteric tube tip well below diaphragm, not included on the radiograph. shallow inspiration. small left pleural effusion, similar. left basilar consolidation, stable. linear band of atelectasis left lower lung, similar. improved left perihilar opacities. right lung is clear.
|
<unk> year old woman with hx cough, ?pna // interval change, c/f infection
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MIMIC-CXR-JPG/2.0.0/files/p19407881/s57712799/234d3e6a-6ff08c28-51b1971d-59f4fd1b-9ecada10.jpg
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a right port-a-cath ends in the proximal right atrium. the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
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<unk>f with history of cns lymphoma p/w fever.
|
MIMIC-CXR-JPG/2.0.0/files/p17252146/s57310038/36b3fea2-3937ba74-63894041-6be63528-cb170305.jpg
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the patient is status post mitral and aortic valve replacements. the heart is again mild to moderately enlarged. there is no pleural effusion or pneumothorax. there are mild congestive changes in each lung.
|
shortness of breath and chest discomfort.
|
MIMIC-CXR-JPG/2.0.0/files/p11710911/s51008641/b3f39264-9681afd3-c366dc01-9f3154e7-e2581fd0.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.
|
<unk>f with shortness of breath
|
MIMIC-CXR-JPG/2.0.0/files/p11304843/s53587797/69b20713-ea8ea7f2-159a5903-c26a8e03-6dc2dc9f.jpg
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cardiac silhouette size is normal. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. patchy opacities in the lung bases along with bronchial wall thickening are concerning for areas of multifocal pneumonia. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
|
history: <unk>m with cough, shortness of breath // evaluate for pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p11354492/s57059659/de54f79b-b2057864-c84756e2-85bc746f-e610cd0e.jpg
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there is redemonstration of a pleural-based opacity in the right lower lung which appears stable from prior examination and likely reflects a loculated pleural effusion. there is rightward shift of midline structures likely due to chronic atelectasis and continued volume loss at the right lung base. there is a new small left sided pleural effusion. the heart is mildly enlarged and there is new mild pulmonary vascular congestion.
|
fatigue, chills. rule out pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p11951880/s50850155/13e69e6f-a9412eca-6958eec6-833e6982-cb46aae1.jpg
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as compared to the prior chest radiograph from <unk>, there has been significant interval decrease in apparent number of pulmonary nodules, however, pulmonary nodules overall appear increased in size with more recent progression of metastatic disease seen on recent ct. pulmonary nodules on current radiography were better assessed on ct. no definite new focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are ear similar to scout radiograph from chest ct from <unk> right-sided port-a-cath terminates at the proximal right atrium. .
|
history: <unk>f with cough, oncology patient // eval acute process, pna
|
MIMIC-CXR-JPG/2.0.0/files/p12352839/s55976022/b773ca60-909af556-717c269d-3cc56f9a-ed1809f5.jpg
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heart size remains moderately enlarged. the mediastinal and hilar contours are unchanged with mild atherosclerotic calcifications noted at the aortic knob. there is mild pulmonary vascular congestion without overt pulmonary edema. streaky opacities in the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is clearly identified. multilevel degenerative changes are again seen within the thoracic spine.
|
history: <unk>f with weakness, new heart block
|
MIMIC-CXR-JPG/2.0.0/files/p12070984/s53101427/e639516c-2db6c9ec-55a8fe64-dcf7ea5d-29967349.jpg
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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.
|
fall and neck pain, evaluate for acute injury.
|
MIMIC-CXR-JPG/2.0.0/files/p14864385/s52385580/6c9b2bee-8bcee41e-7d37a94b-0ef711a6-29fa067e.jpg
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are noted. there is no free air under the diaphragms.
|
nausea.
|
MIMIC-CXR-JPG/2.0.0/files/p16679562/s50777043/0aaa5bc8-9f0142d6-17f15812-45149cb6-dc705b0c.jpg
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compared to the prior study there is no significant interval change.
|
<unk> year old man with copd and ? interstitial lung disease, presenting with parainfluenza, now with desaturation to <unk>% on ra. question of pulmonary edema on previous cxr, but no chf. // new focal opacity, concern for volume overload
|
MIMIC-CXR-JPG/2.0.0/files/p10369370/s56961471/f47e38dc-2cb6ee4a-b425bd1e-e4d25a20-ab191990.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.
|
history: <unk>f with right shoulder pain // eval for any infiltrates
|
MIMIC-CXR-JPG/2.0.0/files/p13358217/s59672186/52aec948-d2d2ea7c-0f16407e-0e8ebdda-fe6fa3d4.jpg
|
the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. minimal patchy opacity in the right lower lobe may reflect an area of developing infection. left lung is clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
|
history: <unk>f with dyspnea and pleuritic chest pain, cough/chills
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