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pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged osseous structures are intact. there is no free air below the right hemidiaphragm.
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<unk>-year-old man with weakness.
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heart size is mildly enlarged. the aorta demonstrates atherosclerotic calcifications diffusely. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. streaky right lower lobe opacity likely reflects atelectasis. no pleural effusion or pneumothorax is seen. no displaced fractures are identified.
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history: <unk>f with fall with multiple abrasions to shoulders, elbows, bilateral knees
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cardiac silhouette size is top normal. mediastinal and hilar contours are normal. lungs are hyperinflated with emphysematous changes again demonstrated. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is present. there is no pulmonary vascular engorgement. no acute osseous abnormality is visualized.
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history: <unk>f with dizziness
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a single portable ap chest radiograph was obtained. the lungs are well inflated and clear. there is no consolidation, effusion, or pneumothorax. the cardiac and mediastinal contours are normal.
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<unk>-year-old woman with left tibial plateau fracture.
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cardiomediastinal contours are normal. aside from calcified granulomas in the left upper lobe, the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable. calcification projecting in the inferior left hemidiaphragm is likely a calcified lymph node.
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dyspnea
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
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<unk>f with wheezing/ dyspnea // r/o pna
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
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history: <unk>m with leukocytosis, productive cough // please eval for e/o pneumonia
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the patient is status post median sternotomy and cabg. lung volumes remain slightly low. heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are similar. crowding of the bronchovascular structures is demonstrated without pulmonary edema. patchy bibasilar airspace opacities likely reflect atelectasis in the setting of low lung volumes. no focal consolidation, pleural effusion or pneumothorax is present. there are mild multilevel degenerative changes noted in the thoracic spine.
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history: <unk>f with chest 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>f from <unk> presents with subacute cough and dyspnea gradually worsening for the past <unk> months
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lung volumes are slightly low. heart size remains mildly enlarged. mediastinal and hilar contours are unremarkable. no pulmonary edema is demonstrated. minimal patchy retrocardiac opacity is nonspecific but likely reflects atelectasis. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities are detected.
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history: <unk>f with chest pain, dyspnea
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the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the thoracic aorta is tortuous, similar to the prior exam and ct from <unk>. bony structures appear intact. rib deformities are unchanged.
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<unk>-year-old man presenting with chest pain.
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moderate cardiomegaly persists. aortic knob is calcified, and mediastinal contours are unchanged. perihilar haziness with vascular indistinctness and mild interstitial pulmonary edema appears slightly improved compared to the prior study. trace bilateral pleural effusions are present, without interval change in size. no pneumothorax is detected. old rib fractures are again noted.
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congestive heart failure, coronary artery disease, syncope and shortness of breath.
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the lungs are grossly clear within limitation of patient body habitus. the right basilar opacity on the frontal view is compatible with a fat pad. prominent extrapleural fat is also noted bilaterally. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk> year old man with sob and cough // ? pneumonia
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the heart remains mildly enlarged. severe mitral annular calcifications are again seen. the aorta is calcified and mildly tortuous. mild to moderate pulmonary edema is markedly improved compared to the prior exam. small bilateral pleural effusions persist. no pneumothorax is identified. there are no acute osseous abnormalities.
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shortness of breath.
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today's study shows better aeration of the lungs than on the prior. the previous elevated left hemidiaphragm appears normal on today's study. there is no focal infiltrate or effusion. cardiac and mediastinal silhouettes are similar compared to prior.
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altered mental status, question infection.
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compared to the prior study there is no significant interval change.
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<unk> year old man with increasing wbc count // evaluate for infiltrate
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frontal and lateral views of the chest are compared to previous exam from <unk>. prominent interstitial markings are seen in the lungs bilaterally without confluent consolidation or effusion. the cardiomediastinal silhouette is at the upper limits of normal, stable. multiple coronary artery stents are identified, best seen on the lateral view. median sternotomy wires and mediastinal clips again noted. the osseous structures and soft tissues are unchanged.
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<unk>-year-old male with chest pain status post cabg, question enlarged cardiac silhouette.
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. a chronic anterior compression fracture in the lower thoracic spine is unchanged. unchanged irregularity of the posterolateral left ninth and tenth ribs suggests prior fracture.
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<unk>m with episode of chest pain
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portable semi-upright radiograph of the chest demonstrates low lung volumes resulting in bronchovascular crowding. stable hazy alveolar opacities in the right perihilar region and right lung base are consistent with infection. the left lung is relatively clear. the cardiomediastinal and hilar contours are unchanged. no pneumothorax.
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<unk> year old man with decompensated heart failure // pulm edema?
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a dual-chamber left pectoral pacemaker and its leads project in unchanged location. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. moderate cardiomegaly is stable.
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<unk> year old man with pacemaker and brain tumor, evaluate leads pacemaker.
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no significant change from <unk> in bilateral airspace consolidations with air bronchograms and parapneumonic effusions. upper zones of the lungs are clear bilaterally.
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<unk> year old woman with bilateral pneumonia. the setting. evaluate for interval change.
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heart size and pulmonary vascularity are large, worsened since prior. mild bibasilar opacities, likely atelectasis. suggestion of small left pleural effusion. sternotomy. no pneumothorax.
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<unk> year old man with cad s/p cabg, htn, ckd, cirrhosis, dm here w/ sbp, aockd and now short of breath // ?flash pulm edema, congestion
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single frontal view of the chest. two leads of a left chest wall pacer terminate in stable position in the right atrium and ventricle. an oblong density overlying the mid-heart to the left of the spine may be artifactual but a hiatal hernia or aortic calcification could have a similar appearance. mild cardiomegaly and mediastinal contours are stable. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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chest pain.
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ap upright and lateral views of the chest provided. lungs appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. screws project over the right humeral head. high riding humeral head suggests chronic rotator cuff disease. no free air below the right hemidiaphragm is seen.
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<unk>m s/p fall // ro infectious etiology to fall
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there are streaky opacities tethering to the left hemidiaphragm suggesting minor atelectasis or scarring. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax. small-to-moderate anterior osteophytes are present throughout the thoracic spine.
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chest 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 cough
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marked cardiomegaly is unchanged. a loculated fluid collection in the left pleura is also unchanged. no new focal opacities are seen. persistent left paramediastinal opacities are compatible with prior radiation changes. surgical clips are seen at the level of the ge junction.
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shortness of breath.
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ap and lateral view of the chest were obtained. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. reticulonodular opacities at the left lung base again seen and stable compared with the prior study. there is no focal consolidation concerning for pneumonia. there are no nondisplaced rib fracture.
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confusion, falls.
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single frontal view of the chest was obtained. leads of a left chest wall pacer terminate in the right atrium and ventricle. lung volumes are decreased, exaggerating heart size, which appears mildly enlarged. mediastinal contours are otherwise stable. pulmonary edema has increased since the prior exam with small bilateral pleural effusions. increased retrocardiac opacity may represent atelectasis or aspiration. no pneumothorax.
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<unk>-year-old female with hypotension and leukocytosis.
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there is diffuse increase in interstitial markings bilaterally, increased since the prior study, worrisome for moderate to severe pulmonary edema versus atypical infection. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with dyspnea, fatigue // ? pneumonia or other cardiopulm process
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there is diffuse sclerosis involving the vertebral bodies, ribs, clavicles compatible with metastatic prostate cancer. the sclerosis appears slightly more confluent when compared with the prior study <unk>, but it is difficult to assess disease progression with such widespread metastases by chest radiographs. there are no frank pulmonary lesions. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with prostate cancer // question of disease progression
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the lungs are clear. cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
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<unk>f with pain s/p fall // r/o rib fx
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upright frontal and lateral chest radiographs demonstrate a moderately enlarged heart with mild venous engorgement, trace pleural effusions, fluid in the minor and major fissure, moderate interstitial and alveolar prominence suggesting moderate pulmonary edema. no focal opacity to suggest pneumonia. no pneumothorax. again seen is pacer device projecting over the left heart with unchanged lead position. visualized osseous structures are unremarkable.
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cough. assess for pneumonia.
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the heart and great vessels are normal. the lungs are clear of an active process and well expanded. et tube above the carina. enteric tube over the stomach.
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<unk> year old woman with r mca w/ m<num> occlusion s/p tpa // evaluate location of trach tube
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left-sided port-a-cath tip terminates in the mid svc. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are mild-to-moderate degenerative changes seen in the thoracic spine. a catheter is partially imaged projecting over the posterior aspect of the upper abdomen on the lateral view.
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history: <unk>f with generalized weakness and malaise, history of rectal cancer
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lungs are clear. there is no focal consolidation, effusion or or pneumothorax. the cardiomediastinal silhouette is within normal limits for technique. no displaced fractures identified. degenerative changes are noted at the shoulders.
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<unk>f with bilateral arm pain, bradycardia // eval for acute process
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there are lower lung volumes compared to prior study. there is no focal consolidation. there is no pleural effusion or pneumothorax. heart size is top normal. the mediastinal and hilar contours are normal.
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hypoxia, shortness of breath, evaluate for cardiopulmonary process.
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portable semi-erect chest film <unk> at <time> is submitted.
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<unk> year old woman with leukocytosis, h/o chf // eval infiltrate eval infiltrate
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moderate enlargement of the cardiac silhouette is re- demonstrated. the aorta is tortuous but unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is normal. minimal patchy opacity is seen in the retrocardiac region. no focal consolidation, pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are seen in the thoracic spine. gastric lap band is incompletely imaged.
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history: <unk>m with <num> month history of productive cough
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there is stable mild cardiomegaly. the mediastinum and hilar silhouettes are unremarkable. the lungs are clear without evidence of focal consolidations, pleural effusions or pneumothorax. there is relatively large prominence of the pulmonary arteries bilaterally the unchanged studies. the aorta is tortuous and calcified which is unchanged from previous studies
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<unk>-year-old female with dyspnea.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the aortic knob is calcified. the mediastinum is not widened. .
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history: <unk>f with cough, wheezing, sob // eval for pna
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the right lung is clear. interval increase in retrocardiac opacity. no right pleural effusion. persistent blunting of the left costophrenic angle may be related to atelectasis, scarring, or trace pleural effusion. no pneumothorax. stable mild cardiomegaly is likely accentuated due to patient positioning. mediastinal contour and hila are unremarkable. again seen is levoscoliosis of the thoracolumbar spine.
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<unk>m with sob. assess for pneumonia.
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the heart continues to be moderately enlarged and there is pulmonary vascular redistribution. there are bilateral lower lobe infiltrates with associated volume loss. there are small bilateral effusions.
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cirrhosis, posterior fossa hemorrhage, check interval change.
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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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<unk> year old woman, long term smoker, c/o two weeks of cough with right sided chest wall pain. nonproductive. no constitutional symptoms, no hemoptysis. pe today unremarkable. // r/o abnormality
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pa and lateral views of the chest. lower lung volumes seen on the current exam. lungs remain clear. the cardiomediastinal silhouette is normal. surgical clips in the right upper quadrant suggest prior cholecystectomy. no acute osseous or soft tissue abnormality.
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<unk>-year-old female with shortness of breath.
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the heart size is normal. abnormal contour of the pneumomediastinum at the level of the azygos vein and enlargement of the right hilus is consistent with patient's known malignancy seen on the reference chest ct. nodule in the mid right lung corresponds to the nodule seen on the ct. there is mild bibasilar atelectasis as well as interstitial fibrosis at the lung bases bilaterally. there may be a tiny right pleural effusion. there is no evidence of pneumothorax. the visualized osseous structures are unremarkable.
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history of small cell lung cancer. please evaluate for interval change.
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a rounded, macrolobulated <num> x <num> cm mass in the right base is new from the prior study of <unk>. there is no other focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk>f with malaise, evaluate for pneumonia
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with new atrial flutter
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no focal consolidation is seen. there may be subtle bronchial wall thickening which can be seen in small airways disease. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with cough, fever // please eval for infectious process
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the heart is at the upper limits of normal size. there is mild unfolding of the thoracic aorta. allowing for differences in technique, the mediastinal and hilar contours appear unchanged. a linear opacity projecting over the right mid lung suggests minor atelectasis. slight posterior opacification in each costophrenic angle is of uncertain significance but could also be seen with minor atelectasis. there are no pleural effusions or pneumothorax. the bony structures appear within normal limits.
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question pneumonia or congestive heart failure. patient presents with altered mental status.
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right ij central venous catheter seen with tip projecting over the ra svc junction. enlarged azygos and bilateral perihilar opacities seen extending into the lower lungs. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m with hypoxia // ?pna, ?pulm edema
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the widespread pulmonary edema appears slightly improved when compared with the study of <unk>, now mild to moderate in severity. numerous ill-defined mass-like opacities are likely related to widespread infection and edema. the left-sided pleural effusion appears slightly improved, now small and visible only on the lateral projection. the heart size is top normal. a right-sided picc line ends in the cavoatrial junction. there is no pneumothorax.
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<unk> year old woman with cirrhosis, endocarditis increasing leukocytosis and fever despite treatme // r/o pna
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chest: the heart size, pleural surfaces, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. pelvis: no fracture, dislocation, or radiopaque foreign body.
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history: <unk>m s/p mcc. intrathoracic process, fractures
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the heart continues to be severely enlarged. . there are small bilateral pleural effusions are slightly larger than on the prior study. there continues to be pulmonary vascular redistribution and hazy alveolar infiltrate
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<unk>f with a pmhx of pulmonary htn on <num>l home o<num>, recent macitentan, afib on coumadin, presumed polycythemia <unk> on <unk> admitted for severe thrombocytopenia identified at clinic. // concern for hypervolemia
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heart size is top-normal. mild unfolding of the thoracic aortic arch is unchanged. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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chest pain.
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lung bases are underpenetrated likely due to patient body habitus. given this, no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. indistinct and engorged pulmonary vessels, as seen on the prior study, suggests some elevation of pulmonary venous pressure. the cardiac and mediastinal silhouettes are grossly stable.
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history: <unk>m with w sb, hx copd and edema pls eval edema or pna // history: <unk>m with w sb, hx copd and edema pls eval edema or pna
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the heart the great vessels appear normal. the lungs are clear of an active frozen well-expanded. there is no pleural effusion or pneumothorax.
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<unk> year old man with cough and sputum production // ?pna
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the lungs are clear. there is no consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no free intraperitoneal air.
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<unk>m with vomiting, upper abdominal pain // any vascular congestion or acute cardiopulmonary process?
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MIMIC-CXR-JPG/2.0.0/files/p15193361/s52567541/c4ee8736-f645a72f-793363b6-896da55a-da4966e3.jpg
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with cp, concerning for dissection
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the tracheostomy is unchanged in position. there is increasing opacity at the right base, which may represent a developing pneumonia or atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is stable. the pulmonary vasculature is normal. there are no pleural effusions and no pneumothorax.
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<unk> year old man with dyspnea, volume overload // infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p12823036/s57330630/1389c96d-51c65871-5f156900-7822655b-111e33af.jpg
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the lungs are well expanded and clear. no focal consolidations. no pulmonary edema. normal cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
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history: <unk>m with hx asthma, prior pneumomediastinum in setting of marijuana usage with chest pain, dyspnea, o<num> sat <unk>% // eval ? pneumothorax, pneumomediastinum
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old woman with weight loss,night sweats and sarcoid // r/o infiltrates,tumor
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MIMIC-CXR-JPG/2.0.0/files/p13609618/s55734692/817f59a6-ea4b5270-f1528ad7-d61f496f-10deb0dd.jpg
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lung volumes are low. diffuse coarse interstitial opacities bilaterally with superior hilar retraction and upper lobe architectural distortion appear similar, compatible with known sarcoidosis. the cardiac and mediastinal contours appear unchanged. multiple calcified mediastinal and hilar lymph nodes are re- demonstrated. bilateral hilar enlargement suggests underlying pulmonary arterial hypertension. no overt pulmonary edema is present. no new gross focal consolidation, pleural effusion or pneumothorax is seen. multiple chronic bilateral rib deformities are re- demonstrated. additionally, mild height loss of a vertebral body at the thoracolumbar junction is unchanged. bilateral breast implants are again noted.
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history: <unk>f with sarcoid, hypoxia
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again, low lung volumes are seen. increased interstitial markings are seen throughout the lungs, most notably at the bases, particularly on the left. this is similar when compared to prior. no new focal consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old male with altered mental status.
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there has been interval insertion of a nasogastric tube, which terminates in the stomach. cardiomediastinal and hilar contours are unchanged. slight interval worsening of bilateral, multifocal areas of consolidation. apparent interval increase in size of left pleural effusion may be positional. free intraperitoneal air is not well seen on the current study, likely secondary to changes in position. stable, mild elevation of the left hemidiaphragm.
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<unk>-year-old man with pneumonia status post ng tube placement.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. posterior basilar opacity not apparent on the frontal view appears very similar to the prior examinations, so there is no evidence for an acute process. a remodeled left clavicle fracture appears old.
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hypoxia.
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there has been interval improvement of the previously seen bilateral pleural effusions. blunting of the left costophrenic angle and retrocardiac opacity suggests a left pleural effusion, and no significant right pleural effusion is noted. there is continued collapse and/or consolidation at the left base, improved compare with the <unk> radiograph. bilateral pleural catheters are again noted, <num> and each lung base. the cardiac mediastinal silhouette is normal, allowing for slight unfolding of the aorta. there is borderline upper zone redistribution, but no overt chf. left-sided pacemaker type device is again noted, with lead tips over the right atrium and right ventricle. no pneumothorax detected.
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<unk>m with sob // please eval for edema, pna
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk>f with cough, malaise, evaluate for pneumonia.
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the patient is intubated. the endotracheal tube terminates approximately <num> cm above the carina. an orogastric tube terminates near the inlet of the diaphragm. a right internal jugular venous catheter terminates in the superior vena cava. there is again moderate unfolding of the thoracic aorta. surgical clips also project over the lower-to-mid mediastinum. mediastinal widening is consistent with post-operative change. there is new confluent left basilar opacification suggesting atelectasis in the left lower lobe of substantial extent with a pleural effusion, probably small to moderate in size. a small subpulmonic right-sided pleural effusion is difficult to exclude. there is also subcutaneous emphysema, small in amount, along the right lateral chest wall, as well as a right-sided chest tube. the patient is status post incompletely characterized lower cervical fusion. moderate degenerative change involves the right shoulder.
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status post esophagogastrectomy.
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pa and lateral views of the chest were obtained. the lungs are clear bilaterally with no evidence of focal consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. asymmetric degenerative changes at the first costochondral junction on the right; otherwise, there are no bony abnormalities. there is no free air below the right hemidiaphragm.
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cough.
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the lungs are well expanded and clear. cardiomediastinal contours and hila are normal. no pneumothorax or pleural effusion.
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<unk> yof with leukocytosis and fever p/w odynophagia and body aches. any intrathoracic process
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pa and lateral views of the chest provided. cardiomegaly is mild and unchanged. tracheobronchial tree calcifications are noted. there are scattered airspace opacities left greater than right which is most concerning for atypical pneumonia. no large effusion is seen. no pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with pmh afib, chf presenting with sob on exertion after recent hospitalization
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MIMIC-CXR-JPG/2.0.0/files/p18057532/s51371322/b8ce457e-846ae794-3e55959a-2c05e017-55d3e0d7.jpg
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frontal and lateral chest radiographs demonstrate stable cardiomegaly. the mediastinal and hilar contours are unremarkable. minimal atelectatic changes are noted in the lung bases likely due to reduced lung volume. no focal opacification concerning for pneumonia identified. no pneumothorax or pleural effusion present. degenerative changes arpresent in the thoracic spine with anterior osteophyte formation. icd biventricular pacer leads are positioned within the right atrium as well as right and left ventricles.
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weakness, question of falls with history of ureter mass. evaluate for cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p19632936/s54219735/928bbc5d-b6be1ce1-e36a449c-92b225b0-5bf87618.jpg
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left chest wall dual lead pacing device is seen with leads in the right atrium and right ventricular apex. cardiac silhouette is within normal limits. the lungs are clear without consolidation, effusion, or edema. hypertrophic changes noted in the spine. no acute osseous abnormalities.
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<unk>m presenting with acute on chronic progressive dyspnea // any acute cardiopulm etiology?
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MIMIC-CXR-JPG/2.0.0/files/p16882527/s52726536/51c665c3-0919c63d-560ff974-2bddb289-2ce83269.jpg
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low lung volumes accentuate the bronchovascular structures and exaggerate the caliber of the ascending aorta. lungs are clear. there are no focal consolidations, pleural effusions, pulmonary edema or pneumothorax.
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<unk>-year-old male patient with cough for the past three weeks, not improving. study requested for evaluation of infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p19318857/s57154739/b5625e5c-e7efa69e-db4a14b1-7314a417-6234c2ff.jpg
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an endotracheal tube terminates <num> cm above the level of the carina. there has been interval placement of a nasogastric tube with the side hole positioned beneath the level of the diaphragm. a right-sided internal jugular central venous line is noted with the tip terminating in the mid right atrium. multiple right upper quadrant surgical clips are noted. a subtle left retrocardiac airspace opacity is noted. there is no pneumothorax or large pleural effusion. . the cardiomediastinal silhouette is within normal limits.
|
history: <unk>f with r ij cvl and ogt pls eval placement // history: <unk>f with r ij cvl and ogt pls eval placement
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MIMIC-CXR-JPG/2.0.0/files/p15439394/s53638275/d2f60bdc-432e86f0-83eb4065-e53629f1-227d0c41.jpg
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relatively low lung volumes are noted. increased interstitial markings are again seen throughout the lungs, although somewhat increased since prior. there is no large effusion. cardiomediastinal silhouette is stable. left shoulder hemiarthroplasty is again noted. surgical clips seen in the upper abdomen. calcific densities projecting over the right scapula are likely intra-articular bodies, similar to prior.
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<unk>-year-old male with lightheadedness and cough. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15263884/s53413134/ddd6d3ff-60845f19-e6edced2-e8165e24-cdd54112.jpg
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the cardiac, mediastinal and hilar contours appear stable. there is similar effacement of the right costophrenic angle, suggesting scarring or perhaps trace pleural effusion, at the base of the right chest. the lungs appear clear.
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shortness of breath. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15211526/s54463935/740364cf-f3292180-8b5dfa06-a0dbee23-221708d5.jpg
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the heart is mildly enlarged. the known sub carinal mass may account for effacement of the aortopulmonary window. a right mainstem bronchus stent is seen. there are increased vascular and interstitial markings, right-greater-than-left, with more focal patchy and confluent opacity at the right lung base. small right pleural effusion cannot be excluded. the left costophrenic sulcus is clear. no pneumothorax is detected.
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<unk> year old woman with lymphadenopathy c/f malignancy now s/p bronch w/right stent placed in bronchus intermedius // ptx, stent baseline
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MIMIC-CXR-JPG/2.0.0/files/p18376421/s55076695/b76c514d-7e5a552a-78851b40-842bce3b-191be182.jpg
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion, or pneumothorax. heart size is upper limits of normal. mediastinal silhouette and hilar contours are normal. median sternotomy wires are intact. no displaced rib fracture is identified. there is no free air under the diaphragm. med sternotomy
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restrained driver in mvc with pain between both scapulae. evaluate for pneumothorax or rib fractures.
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MIMIC-CXR-JPG/2.0.0/files/p19636477/s57102581/e99165cb-ae599a0c-1099496f-36610061-1acb5f25.jpg
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heart size is upper limits of normal.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.osteophytes in the low thoracic spines and rightward scoliosis appear unchanged. prior thyroidectomy clips are noted.
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<unk>-year-old female with cough.
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bibasilar opacities are improved compared to <num> day ago. there are small bilateral pleural effusions, smaller than before. cardiomediastinal silhouette is normal size and stable.
|
<unk> year old man with increased o<num> requirement s/p hepatectomy // ? interval change
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MIMIC-CXR-JPG/2.0.0/files/p14290936/s56903072/4ff7ce45-94aec71e-a53db279-3ba5fceb-f03b52c3.jpg
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. specifically, no displaced rib fractures are seen. no free air below the right hemidiaphragm is seen.
|
<unk>m with trauma from jet ski accident // r/o rib fx's r/o ptx
|
MIMIC-CXR-JPG/2.0.0/files/p17195386/s57052870/273326d3-ef9cf747-b44f178f-fb6d03de-f4cfeaac.jpg
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frontal 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.
|
<unk>-year-old male with weakness for three days.
|
MIMIC-CXR-JPG/2.0.0/files/p17828566/s55886481/f37b2e46-d7fcaeb6-d097345d-64c51131-0b6b48a0.jpg
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. the cardiac, hilar, and mediastinal contours are normal.
|
confusion. evaluation for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p13734226/s56714728/b8fbadc7-7ad80391-da9c39ff-5b134e4e-84eab0d6.jpg
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the <num> lead pacemaker in sternal wires are unchanged. there areas of volume loss/ infiltrate in both lower lobes. there are also small effusions, left greater than right. the dual lead pacemaker is again seen with the leads projecting over the expected location. the right ij cordis is been removed
|
<unk> year old man with avr // r/o inf, eff
|
MIMIC-CXR-JPG/2.0.0/files/p12665592/s51287010/c88d8420-9a3a0479-06ce0efe-58d635eb-2e73a311.jpg
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low lung volumes bilaterally. mildly enlarged heart with interstitial and alveolar prominence, mild azygos vein prominence, peribronchial cuffing, and kerley b lines is consistent with moderate pulmonary edema. no pleural effusion. bilateral hilar prominance may be from pulmonary edema. mediastinal contour is otherwise unremarkable. visualized pleural surfaces are normal. no pneumothorax. visualized osseous structures are unremarkable.
|
cough, wheezing, shortness of breath. assess for pneumonia or acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p10497865/s50850318/7206783f-528e63eb-2389b4af-741627a8-52708815.jpg
|
the heart the great vessels are normal. the lungs are clear of an active process and well-expanded. no pleural effusion or pneumothorax..
|
cough
|
MIMIC-CXR-JPG/2.0.0/files/p18733090/s54651062/c9d717f6-48552aca-f846079e-a6f8ca02-39b6eeb7.jpg
|
lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are unremarkable, noting pronounced tortuosity of the descending thoracic aorta. incidental note is made of mild s-shaped scoliosis. surgical clips are seen projecting over the bilateral upper quadrants. there has been interval removal of an inferior approach swan-ganz catheter.
|
<unk>f with palpitations, lightheadedness
|
MIMIC-CXR-JPG/2.0.0/files/p16912036/s54305629/4a70ebc5-39bdc8f6-cf8fa17b-9d631e69-573bcf86.jpg
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lung volumes are slightly low. blunting of the costophrenic angles bilaterally may be technical or may be due to small pleural effusions. the lungs appear clear. cardiomegaly is unchanged and is at least partially exaggerated by ap technique and low lung volumes.
|
<unk>-year-old female with stroke like symptoms.
|
MIMIC-CXR-JPG/2.0.0/files/p10714465/s59298893/0d8e9067-ad97e324-0c73cc05-f2295993-59c69872.jpg
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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. <unk> x <num> mm left pectoral subcutaneous or superficial radiopaque material should be localized clinically
|
<unk>-year-old woman with a reported history of prior epidural abscess and no iv drug use, presenting with fever, back pain.
|
MIMIC-CXR-JPG/2.0.0/files/p13447913/s53661746/805df806-aa7131d3-8c566a72-60740a24-56f83a89.jpg
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bronchovascular markings are accentuated by low lung volumes. again noted are bilateral opacities involving both upper and lower lobes, which may be related to aspiration and/or multifocal pneumonia. this is better seen on the recent ct chest dated <unk>. no evidence of pneumothorax or substantial pleural effusion. cardiomediastinal silhouette is within normal limits. endotracheal tube terminates approximately <num> cm above the carina. enteric tube terminates in the proximal body of the stomach. no acute osseous abnormalities are identified.
|
<unk>-year-old female with recent spine surgery, presented after being found unresponsive at home. status post multiple attempts at placing a central line, evaluate for pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p15796609/s56718345/17de3b56-76d880cd-ef124781-a4173c74-141e1000.jpg
|
the cardiac, mediastinal and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are identified. specifically, no displaced rib fractures are seen.
|
right rib and shoulder pain.
|
MIMIC-CXR-JPG/2.0.0/files/p10944871/s54386435/8a186ec7-3a22b815-9e71f7a4-165e8a0e-17b149c4.jpg
|
bilateral perihilar alveolar opacities are worrisome for pulmonary edema, underlying infectious process difficult to exclude. obscuration of the left hemidiaphragm may be due to a small pleural effusion. cardiac and mediastinal silhouettes are stable. aorta core valve is noted.
|
history: <unk>f with sob, hypoxia // eval edema, pna
|
MIMIC-CXR-JPG/2.0.0/files/p14887436/s57649608/16481d9d-ba946b68-9e544940-eec16202-51254af6.jpg
|
frontal radiograph of the chest shows unchanged position of right chest tube with smaller right apical pneumothorax. stable post-operative changes in the right upper lobe and right mediastinum are noted. otherwise, there is no relevant change.
|
status post right upper lobectomy. evaluate for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p16603653/s54759901/eff8b8ba-71be19f7-a256bf86-565469d6-146f2597.jpg
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evidence of a large hiatal hernia is seen. the patient is rotated somewhat to the left. no definite new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. chronic changes at the shoulder joints are similar to prior and only minimally imaged on the left.
|
history: <unk>f with hypoxia // pna
|
MIMIC-CXR-JPG/2.0.0/files/p15721149/s52893781/b2361109-546b62ff-c8ab765b-d2d3611e-eda2bae7.jpg
|
frontal and lateral radiographs of the chest demonstrate normal heart size. stable post lobectomy and radiation changes in the right upper lung with retraction of the trachea to that side and juxta phrenic peak consistent with volume loss. the lungs are otherwise clear. no pleural effusion or pneumothorax. nondisplaced acute fracture of the left <num>th rib laterally and a minimally displaced acute fracture of the left <num>th rib laterally are noted. on the right chronic rib deformities of the <unk> through <num>th ribs are unchanged. there is a nondisplaced fracture of the <num>th rib with callus around it consistent with a healing subacute fracture.
|
cough, evaluate for infiltrates
|
MIMIC-CXR-JPG/2.0.0/files/p10721929/s57449497/f402d88e-112af401-ad68afe6-dd95c47b-07b4e4df.jpg
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heart size is unremarkable. gas below the left hemidiaphragm likely represents stomach. lung fields are clear. the heart size is within normal limits. there is mild dextroscoliosis of the thoracic spine.
|
history: <unk>f with acute onset abd pain hematemesis // stat upright portable for perf please
|
MIMIC-CXR-JPG/2.0.0/files/p17337707/s56272672/8204f07c-b90bef82-42407fab-7adba1a0-4e6cece4.jpg
|
a dual-lead pacemaker/icd device appears unchanged. the patient is status post sternotomy and aortic valve replacement. the lungs are hyperinflated. the cardiac, mediastinal and hilar contours appear unchanged. basilar reticulation suggesting mild interstitial lung disease appears unchanged. otherwise, lungs appear clear. there are no pleural effusions or pneumothorax. mild degenerative changes are similar along the lower thoracic spine, including small-to-moderate anterior osteophytes.
|
palpitations.
|
MIMIC-CXR-JPG/2.0.0/files/p10335518/s53086831/d0c03a0f-f4eb1f82-6cac6df9-4f88c45a-e8dad411.jpg
|
cardiomediastinal contours are within normal limits and unchanged since <unk> radiograph. low lung volumes accentuate the bronchovascular structures. allowing for this factor, lungs are grossly clear, and there is no definite pleural effusion. minimal blunting of lateral left costophrenic sulcus is unchanged and suggestive of pleural thickening. post vertebroplasty changes are noted in the upper lumbar spine at a site of prior compression fracture.
|
<unk> year old woman with r femoral neck fracture // pre-op surg: <unk> (r femoral neck crpp vs hemi)
|
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