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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 palpitation
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tracheostomy tube appears to be in unchanged position. left-sided port-a-cath tip terminates in the proximal right atrium, unchanged. cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. marked gaseous distension of the colon is noted within the upper abdomen. there are no acute osseous abnormalities.
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history: <unk>f with chronic tracheostomy secondary to tracheomalacia here with green sputum out of trach, odynophagia, dysphagia, and cough // any evidence of pneumonia or neck findings that could explain odynophagia/dysphagia?
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cardiac silhouette size remains mildly enlarged. the mediastinal and hilar contours are unchanged. moderate size hiatal hernia is again noted. atherosclerotic calcifications are noted diffusely throughout the thoracic aorta. low lung volumes cause crowding of the bronchovascular structures. there appears to be mild pulmonary vascular engorgement and trace bilateral pleural effusions. there is minimal atelectasis in the lung bases without focal consolidation. no pneumothorax. clips are noted projecting over the left chest wall and the patient is status post left mastectomy. multilevel mild degenerative changes are noted throughout the thoracic spine.
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history: <unk>f with shortness of breath, cough, status post fall and head strike <num> weeks ago
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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 pancreatitis // please evaluate for infiltrate, effusion
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frontal and lateral radiographs of the chest demonstrate mildly low lung volumes. the cardiac and mediastinal contour is normal. no pleural abnormality is detected. no osseous abnormality is seen, particularly in the right anterior sixth rib.
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right anterior chest wall focal pain from motor vehicle accident three weeks ago. evaluate for fracture or abnormality of the right anterior sixth rib.
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the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pneumothorax, pleural effusion, pneumonia, or pulmonary edema.
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<unk> year old non-smoking male with cough for one month // r/o infiltrate
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no focal consolidation to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. the patient is status post median sternotomy and cabg. fracturing of median sternotomy wires appears unchanged. there are remote right-sided fifth and sixth rib fractures.
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substernal chest pain, now resolved. recent cough.
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ap view of the chest. electronic device overlies the right lung base. where visualized, the lungs are clear of consolidation. the cardiomediastinal silhouette is within normal limits given technique and rotation. no acute osseous abnormalities identified.
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<unk>-year-old female with altered mental status.
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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 left sided chest pain
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perihilar bronchial cuffing is concerning for bronchitis. the heart is within normal limits. there is no pneumothorax. osseous structures are unremarkable.
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history: <unk>m with cough, fever // eval for pna
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there is no new focal consolidation concerning for pneumonia. there are stable emphysematous changes of right upper lobe with chronic fibrosis of the right upper lobe medially, presumably due to prior radiation treatment. the left lower lobe opacity has apparently resolved, which would be better assessed by chest ct.
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cryptogenic organizing pneumonia with stable symptoms and tapering steroid dose.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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history of chest pain, please evaluate for pneumothorax.
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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.
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history: <unk>f with chest pain // eval for cardiopulmonary process
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compared with the prior study, there is new subsegmental atelectasis at the right lung base, with possible small bilateral effusions. minimal linear atelectasis left base is also new. cardiomediastinal silhouette is unchanged. there is upper zone redistribution, but no overt chf, similar to the prior film. no frank consolidation is identified. no free air seen beneath the diaphragms. old healed left clavicular fracture again noted.
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<unk> year old man s/p l hip hemi arthroplasty // r/u pna, acute process
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there are <num> calcific nodular densities projected over the left mid to lower lung, unchanged from prior. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is stable. descending thoracic aorta is slightly tortuous. no acute osseous abnormalities.
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<unk>m with weakness and dizziness // eval for pneumonia
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since <unk>, small bilateral apical pneumothoraces and small bilateral pleural effusions are unchanged, and retrocardiac atelectasis is mildly increased. lung volumes remain low with bibasilar atelectasis. right chest tube positioning is unchanged. substantial subcutaneous emphysema is again noted.
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<unk> year old man s/p r vat thymectomy // check interval change with ct on a pneumo.
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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 // ptx?
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the left chest wall single lead pacing device is again noted. left-sided picc tip is in the lower svc. there is pulmonary vascular congestion without edema. there is no focal consolidation or effusion. moderate cardiomegaly is again noted.
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<unk> year old man with cocaine cardiomyopathy on chronic milrinone, s/p picc replacement to lue // assess for picc position contact name: <unk>, <unk>: <unk>
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endotracheal tube terminates at the level of the clavicles. a nasogastric tube terminates in the stomach. there are new trace bilateral pleural effusions. new ill-defined airspace opacity at the medial right lung base . there is no pneumothorax. the heart and mediastinum are within normal limits despite the projection.
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<unk> year old man with likely pneumonia // please eval interval change
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. moderate degenerative changes are seen within the imaged thoracic spine.
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<unk> year old woman with high speed motor vehicle collision. // please evaluate for cardiopulmonary process.
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pa and lateral views of the chest provided. vague left lung base opacity may represent atelectasis. no convincing evidence for pneumonia. no 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 l sided cp
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pa and lateral chest radiographs. the right costophrenic sulcus is blunted. however, this appearance appears similar to prior ct chest which showed scarring. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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right flank pain. evaluation for pneumonia or effusion.
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chest pa and lateral radiograph demonstrates unremarkable cardiomediastinal and hilar contours. no atherosclerotic calcifications are noted within the aortic arch. lungs are hyperexpanded but clear. airways are well calcified. no pleural effusion or pneumothorax evident. mild mid thoracic central vertebral compression deformities. anterior osteophyte formation evident. no displaced rib fractures identified. incompletely assessed deformity of the left humeral head likely reflects prior trauma.
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fall with head strike. evaluate for fracture.
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low lung volumes are noted with secondary crowding of the bronchovascular markings with superimposed pulmonary edema. bibasilar opacities are seen likely due to moderate pleural effusions with component of atelectasis, infection not excluded. linear opacity in the right midlung likely due to atelectasis. there is no pneumothorax. moderate enlargement of the cardiac silhouette is only partially visualized.
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<unk>m with resp distress // eval for pna effusions ptx
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there is mild pulmonary vascular congestion without overt edema. this has not significantly changed from prior exam. there is no focal airspace opacity, pleural effusion, or pneumothorax. the mediastinal contours are normal. the heart is mildly enlarged, and also unchanged.
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dyspnea. evaluate for pneumonia.
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right ij central line terminates in mid to lower svc. sternotomy wires intact and aligned. the et tube ends just below the clavicles. left-sided aicd in place. there is no pneumothorax. stable retrocardiac airspace opacification may be due to atelectasis or infection. moderate cardiomegaly despite the projection is stable. old right rib fractures are unchanged.
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<unk> year old man with influenza pna, intubated // assess for interval change
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a tracheostomy is in-situ, unchanged in appearance compared the prior study. there is a dense opacity projecting over the left heart consistent with retained oral contrast material in the stomach, this is unchanged compared to multiple prior studies. there is persistent atelectasis and scarring throughout the right lung with associated volume loss. there are <num> right-sided chest drains in-situ, unchanged in appearance compared to the prior study. small left pleural effusion. the left lung is otherwise grossly clear.
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<unk> year old man with mediastinal infection. // cxr
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in comparison with the study of <unk>, there is increasing opacification at the left base posteriorly, bounded anteriorly by the major fissure, consistent with left lower lobe pneumonia. continued enlargement of the cardiac silhouette without substantial vascular congestion. this raises the possibility of cardiomyopathy or pericardial effusion.
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shortness of breath and cough.
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there is mild asymmetrical elevation of the left hemidiaphragm, of uncertain chronicity. mild left basilar atelectasis is present. the heart is not enlarged. the aorta is markedly tortuous. there is no pneumothorax, pleural effusion, or pneumonia.
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history: <unk>f with cva symptoms, now resolved. // acute process?
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the lungs are clear. there is no pleural abnormality. the cardiac and mediastinal silhouettes are unchanged.
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<unk> year old woman with a n history of leukemia with worsened cough. please evaluate for infiltrate. // <unk> year old woman with a n history of leukemia with worsened cough. please evaluate for infiltrate.
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the dobbhoff tube terminates in the left lower lobe bronchus. other monitoring and support devices are in unchanged position. the lung parenchymal opacities are unchanged. no apparent new location. left pleural effusion is unchanged. moderate cardiomegaly persists.
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<unk> year old woman with ams // eval for dobhoff placement
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patient is status post median sternotomy and cabg. left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. mild cardiomegaly is re- demonstrated. mediastinal and hilar contours are similar. there is mild pulmonary vascular congestion. patchy opacities are seen in the lung bases, likely reflective of atelectasis. there may be trace bilateral pleural effusions. degenerative changes of the right glenohumeral joint are noted.
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history: <unk>m with acute onset shortness of breath, chest pain, hypotension <unk> min into blood transfusion
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the tip of the right internal jugular central venous catheter extends to the upper svc. a retrocardiac opacity may reflect atelectasis or fullness of the left hilum. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.
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<unk> year old man with s/p kidney transplant s/p cvl repositioned // ?position of cvl, pulled back <num>cm
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a swan-ganz catheter terminates in the right main pulmonary artery and could be pulled back <num>-<num> cm for positioning in the main pulmonary artery. a left-sided pacer/ defibrillator is unchanged in position. the cardiomediastinal silhouette is within normal limits and stable. the lungs are clear. there is no evidence of pneumothorax. no pleural effusion seen.
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<unk> year old man with swan-ganz catheter, ? in wedge // assess position of swan-ganz catheter
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frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the lungs are relatively hyperinflated. cardiac and mediastinal silhouettes are unremarkable.
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seizure.
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heart size is borderline enlarged. the aorta remains tortuous but unchanged. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is detected. no acute osseous abnormality is visualized.
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history: <unk>f with fatigue, fever, cough
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subclavian central venous line ends in the mid to lower svc. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
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aml, persistent fevers and cough.
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enteric tube tip traverses to the stomach. otherwise, little change in comparison to the prior study from earlier today with et tube in mid trachea and large left and moderate right pleural effusions
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ng tube placement.
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there has been interval placement of a nasogastric tube which terminates in the mid-esophagus on the initial radiograph, but is advanced on the subsequent radiograph to terminate in the stomach. the moderate right pleural effusion corresponding to the known empyema is unchanged. a right basilar pigtail catheter remains in place with a small amount of loculated air within the pleural space inferiorly. the left lung remains relatively clear. the heart and mediastinum are magnified by the projection.
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<unk> year old man with ngt; confirm ngt placement
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compared with the prior film, no significant change is detected. extensive bilateral pulmonary opacities are similar to the prior film. tracheostomy and right ij central line are also similar.
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<unk>m hx of right lung nodule, cll, paf, copd and etoh abuse s/p right upper lobectomy on <unk>, admitted to sicu for hypoxic respiratory distress on the floor requiring non-rebreather mask. recovery c/b etoh withdrawal and hallucinations // follow up
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ap portable upright view of the chest. tracheostomy tube projects over the superior mediastinum with an overlying oxygen mask in place. there is again noted to be mild elevation of the right hemidiaphragm. mild pleural thickening along the lateral aspect of the right lung is again noted. there is mild basilar atelectasis noted bilaterally. no convincing signs of pneumonia or edema. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette appears stable. no acute bony injuries.
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<unk>m with coarse breath sounds // pna?
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the cardiomediastinal silhouette is normal. hilar contour unchanged. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. no acute osseous abnormality. irregularity of the posterior right first rib, unchanged from <unk>.
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<unk> man with chronic cough and history of sarcoidosis, evaluate for pneumonia..
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subtle areas of opacity involving the right upper lobe and left upper to mid lung are similar in distribution compared to previous. no new focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cough, history of sarcoid // eval for pneumonia
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pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter extending into the right atrium. extensive bilateral nodular opacities throughout both lungs compatible with metastatic disease appear unchanged. no signs of superimposed pneumonia. no large effusion or pneumothorax is seen. cardiomediastinal silhouette is stable. areas of sclerotic bony metastasis again noted.
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<unk>f with metastatic breast cancer, sob, dyspnea s/p chemo // eval pneumonia, other acute process
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the lungs are moderately expanded. however, there is mild worsening of atelectasis in the right middle lobe compared to prior exam in <unk>. there is no evidence of focal consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.
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history: <unk>m with dyspnea // r/o acute process
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bilateral chest tubes are seen. mildly improved consolidation the right upper lung, with some aerated lung mk seen on this exam. stable retrocardiac consolidation. new mild opacity in the left cardiophrenic angle, likely atelectasis. no definite pneumothorax. mild lucency in the right lung base, at the site of pneumothorax seen on ct chest <unk>, has improved compared with the radiograph from <unk> at <time>. thoracolumbar curve. roof thoracic vertebral injury is better seen on ct. electronic device left upper chest. endotracheal tube tip in good position. enteric tube tip in the mid stomach. normal heart size.
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<unk> year old woman with attempted r subclavian cvl, unsuccessful, has r and l ct in place prior // ? worsening ptx?
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single portable view of the chest is compared to previous exam from earlier the same day. there is a new right ij central line with tip in the mid svc. again seen is elevation of the right hemidiaphragm, similar to prior. there is no visualized pneumothorax. cardiac silhouette is stable.
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<unk>-year-old female status post right ij line placement.
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endotracheal tube tip in good position. enteric tube tip in the proximal stomach, side hole near gastroesophageal junction, should be advanced. right-sided venous catheter tip near cavoatrial junction. mild to moderate left pleural effusion, probably similar allowing for difference in patient positioning. . improved left perihilar opacity. stable left basilar consolidation, likely atelectasis. stable right basilar opacities. probable trace right pleural effusion. heart size, pulmonary vascularity has mildly improved, partially secondary to improved inspiration.
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<unk> year old woman with fevers // ?pneumonia
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lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
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<unk>f with cough fever // ? pneumonia
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the lungs are clear without focal opacities, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. elevation the right hemidiaphragm is chronic. no free air beneath the hemidiaphragms.
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history: <unk>f with abdominal tenderness. // eval for free air or obstruction
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compared with the prior films, inspiratory volumes are slightly lower. there is probable vascular plethora, slightly more than on the prior film, though this is presumably accentuated by low lung volumes. there is left lower lobe collapse and/or consolidation as well as increased patchy opacity in the right cardiophrenic region. possible small left effusion.
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<unk> year old woman with metastatic breast cancer, hypotensive now w/increased o<num> requirement after ivf // ? extent of pulmonary edema
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. the aorta is mildly tortuous but stable. no acute fractures are noted. moderate degenerative changes are noted in the thoracic spine with osteophytes.
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fall.
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portable ap upright chest film <unk> at <time> is submitted.
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<unk> year old woman with compensated schf, persistent cough s/p fixation of left distal femur. // please evaluate for pneumonia. please evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19358713/s56011617/fa3ba62b-550e9aa3-da6d5e23-5069d5c1-9d05148c.jpg
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality is visualized.
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history: <unk>m with seizure, vomiting, concern for aspiration
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MIMIC-CXR-JPG/2.0.0/files/p10835235/s58331615/3fdc43ba-6a89bef2-6f320e72-eba9ec3d-a9d9d1db.jpg
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation, effusion or pneumothorax. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. surgical clips in the upper abdomen suggest prior cholecystectomy.
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<unk>-year-old female with history of vomiting and chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p13450240/s56685463/a7fc8c47-b8e8d3ef-c62c2a6d-29fc23f6-4311cc42.jpg
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lung volumes are low. the heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures. minimal patchy opacity in the retrocardiac region could reflect atelectasis in the setting of low lung volumes. no pleural effusion or pneumothorax is present. there is no pulmonary vascular congestion. no acute osseous abnormalities are seen.
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headache and dizziness.
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MIMIC-CXR-JPG/2.0.0/files/p12353347/s53207444/33390769-0ecf91bf-85a75ea7-3bb7d19e-add52973.jpg
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the lungs are clear. cardiac and mediastinal silhouettes are within normal limits. no acute fractures identified. postsurgical changes are noted involving bilateral breasts.
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breast cancer on chemotherapy with fever.
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MIMIC-CXR-JPG/2.0.0/files/p10732095/s53634277/dc0f7dc8-18ab3763-a86f9c0a-c5866693-a1e87bb5.jpg
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frontal and lateral chest radiographs were obtained. an external bb has been placed over the patient's site of pain. no rib fracture is appreciated on this limited exam. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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patient status post fall five days ago with right flank pain, eval for right lateral rib fracture.
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MIMIC-CXR-JPG/2.0.0/files/p15378890/s58225933/a5c95c71-97f6f5fc-1d86e4d2-6c371752-df26c3af.jpg
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a left chest port is present with tip terminating in the low svc. heart size is top normal. tortuosity of the descending aorta is stable. the hila are unremarkable. there is no pneumothorax or pleural effusion. the lungs are well-expanded without focal consolidation concerning for pneumonia. mottled appearance of several midthoracic vertebral bodies is consistent with known metastatic disease. multiple compression deformities throughout the thoracic spine are seen, some of which appear to have progressed since <unk>.
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<unk>m with confusion.
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the cardiac and mediastinal silhouettes are stable, in particular in comparison with <unk>. slight prominence of the right hilum is also stable. there is minimal left basilar atelectasis/scarring, stable. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. degenerative changes are seen along the spine.
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chest pain, cough.
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MIMIC-CXR-JPG/2.0.0/files/p12702423/s59289980/6a3ffb5c-a406d8c7-ed1414d0-d1521e7f-48b48a9a.jpg
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a persistent patchy opacification in the left mid and lower lung fields, unchanged from the prior exam. the right lower lung aeration has improved from the prior exam with resolution of the previously seen opacity. multiple small nodules are seen bilaterally, consistent with the patient's known history of metastatic renal cell carcinoma. no new opacifications are present. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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tachycardia. history of renal cell carcinoma.
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MIMIC-CXR-JPG/2.0.0/files/p14235841/s51533854/1a3390a0-64016e72-4260680e-c7cdaeea-88505616.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
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<unk> year old woman s/p left partial nephrectomy // please evaluate for any abnormalities
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MIMIC-CXR-JPG/2.0.0/files/p17529770/s59784329/92e359ef-a61f43c3-e59a09ed-1e695645-7868a286.jpg
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the patient has been intubated. the endotracheal tube terminates about <num> cm above the carina. an orogastric tube passes into the stomach, its tip terminating in the fundus. the heart appears normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. moderate rightward convex rotary curvature is centered at the thoracolumbar junction.
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status post endotracheal intubation.
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MIMIC-CXR-JPG/2.0.0/files/p14975281/s54524643/2cd1afd0-39710505-ff9c48ab-8e9dc537-45082fcc.jpg
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single lead pacemaker device appears unchanged. the heart is normal in size. the aortic arch shows calcification. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there has been no significant change.
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weakness.
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MIMIC-CXR-JPG/2.0.0/files/p10864247/s55653707/c854c198-e8c4e8d2-273ddbd8-6c75e833-c825a7fc.jpg
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pa and lateral views of the chest are compared to previous exam from <unk>. incidental note is again noted of an azygos lobe and fissure. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is normal. osseous structures demonstrate no acute abnormality.
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<unk>-year-old male with shortness of breath and cough. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14271951/s55439878/f0bf6f78-6629bad2-618dc985-c55d2504-50ac3bd5.jpg
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frontal and lateral views of the chest are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac, mediastinal, hilar and pleural structures are unremarkable. the imaged upper abdomen is normal.
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fever and palpitations. evaluate for pneumonia or acute process.
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MIMIC-CXR-JPG/2.0.0/files/p13794191/s51476048/ff5a6761-5223963e-043c82b5-d6b3da6c-f86240a2.jpg
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pa and lateral views of the chest provided. vp shunt tubing courses inferiorly through the right chest wall. low lung volumes limits assessment. allowing for this, the lungs are clear. no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with mild cardiomegaly again seen. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with shortness of breath // acute process?
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MIMIC-CXR-JPG/2.0.0/files/p19284340/s56234214/3b31656f-e6347c7d-a533bf35-e8858a81-96a678a2.jpg
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compared to prior chest radiographs, there has been interval removal of the port-a-cath. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. minimal linear density in the left mid lung may represent a focus of atelectasis or post-radiation change. the aorta is mildly tortuous. heart size is within normal limits, particularly given ap technique.
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<unk>-year-old female with history of breast cancer, now with abdominal pain and near-syncope.
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MIMIC-CXR-JPG/2.0.0/files/p19345192/s57824295/30527232-d6bc6653-21603379-13b432cd-55ee29f8.jpg
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compared to prior, there has been no significant interval change. prominence interstitial markings are noted in the lungs but are unchanged over multiple priors. linear left basilar opacities likely scarring versus atelectasis. there may be trace pleural effusions as demonstrated by blunting of the posterior costophrenic angles. mild cardiac enlargement is noted. tubing projects over the upper abdomen bilaterally.
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<unk>f with dchf, bladder cancer, b/l perc nephrostomy tubes here with left flank and left abdomen pain. crackles on lung exam // any evidence of pulmonary edema?
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MIMIC-CXR-JPG/2.0.0/files/p12091702/s58613584/beb79eb2-08177bc9-6b15ecbd-a78cbce2-27ad2dbc.jpg
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frontal and lateral radiographs of the chest demonstrate mild opacification likely in the lingula. in the appropriate clinical setting, this could represent pneumonia. compared to the prior radiograph, this is new. otherwise, the cardiac and mediastinal contours are unchanged. additionally, hyperinflation of the lung is again seen with flattening of the diaphragms. no pleural abnormality is detected.
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bronchiectasis. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18540827/s56274271/4df24994-d6d4081a-302579c2-657c02ac-c85c16e0.jpg
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as compared to prior examination, the lungs appear somewhat better aerated. redemonstrated is hyperinflation with flattening of hemidiaphragms, consistent with copd. also seen again is biapical scarring and increased prominence of interstitial markings, consistent with chronic lung disease. previously identified right upper lobe nodule is no longer seen. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the cardiomediastinal silhouette is stable. surgical <unk>, suture material, and coils are noted overlying the left upper quadrant of the abdomen.
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history of central pontine myelinolysis, evaluate for right basilar aspiration versus pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19790164/s56983244/97a3dc5a-55d63820-b08c6dd0-930b78a9-7f4c7f0f.jpg
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the barium remains in the stomach. there is no evidence of transit of barium. colon is again seen in the left lower hemithorax. there is less atelectasis in the lungs bilaterally. a nodule in the right mid hemithorax measuring <num> cm was present on the ct on <unk>. small right pleural effusion is again seen. ng tube ends in the stomach.
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gastric outlet obstruction, status post mie, evaluate for change. ng tube clamped for six hours.
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MIMIC-CXR-JPG/2.0.0/files/p13753787/s53740828/b7404db4-687175f9-3a0492d8-e26d293d-c55eba4d.jpg
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. the osseous structures and upper abdomen are unremarkable.
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<unk>m with chest pain, evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p18341503/s59166913/fab88b8f-6b79c189-ef930615-7673c2e7-b9b5aa34.jpg
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heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. linear opacity within the left lung base likely reflects atelectasis. there is no focal consolidation, pleural effusion or pneumothorax identified. no subdiaphragmatic free air is noted. radio-opaque <num>-cm rounded density is seen projecting in the region of the stomach.
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abdominal pain.
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MIMIC-CXR-JPG/2.0.0/files/p12506844/s52578337/82f230d3-ba79196e-280004f6-e2bff834-0d01daa7.jpg
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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 difficulty swallowing // eval for air fluid levels in the esophagus
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MIMIC-CXR-JPG/2.0.0/files/p11766045/s50855930/ed7c6d6e-ac2296a5-fffc29c1-791dbf3b-344a4824.jpg
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frontal and lateral views of the chest. there is no pleural effusion, pneumothorax or focal airspace consolidation. elevation of the left hemi-diaphragm is unchanged. the heart size is normal and the mediastinal contours are unremarkable. multiple chronic appearing rib fractures are seen within the left upper hemithorax. there are anterior osteophytes of the thoracic spine, unchanged.
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altered mental status. evaluate for the presence of an infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p17475607/s55482795/f832b7bb-7b0d7da6-a5573cca-5621c988-2aba7e9f.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are hyperinflated with flattening of the diaphragms suggestive of copd. there is trace, plate like atelectasis at the bases. there is no focal consolidation identified. . no pleural effusion or pneumothorax is seen.
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<unk>m with shortness of breath // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p11585755/s59854904/59b0f3f6-613c6d3f-5bf8dd3c-0c1128ad-c0211e1b.jpg
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the lungs are clear. there is no consolidation, pneumothorax, or edema. mild cardiomegaly and tortuosity of the thoracic aorta is again noted as on prior. median sternotomy wires and mediastinal clips are again noted.
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<unk>f with cp radiating to back, new onset headache // widened aorta?
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the lungs are lower in volume than the previous examination with linear bibasilar atelectasis, but without focal consolidation or pleural effusion. the heart is normal in size and normal cardiomediastinal contours.
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abdominal pain, assess for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p12729220/s51089394/bba0c57f-553ba368-6942025f-41e26c9e-d9ef44d2.jpg
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. no marker was used to denote the location of patient's pain; no acute rib fracture is detected, but the sensitivity of routine chest radiography in detecting chest cage trauma is low.
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<unk>-year-old female with cough and rib pain.
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MIMIC-CXR-JPG/2.0.0/files/p19159928/s52223864/c19d5631-a4724f86-714275bf-f43ef2ee-a4c0592c.jpg
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interval improvement in interstitial edema. low lung volumes and technique accentuate heart size and mediastinum. deviation of the trachea to the right is due to tortuosity of the great vessels as seen on ct. no effusion or pneumothorax.
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chest pain and shortness of breath. rule out acute intrathoracic process.
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MIMIC-CXR-JPG/2.0.0/files/p13628670/s54207060/95ac1cb1-9c5055c8-3f22d295-1d870033-dd4e3233.jpg
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all the monitoring devices are unchanged. the moderate-to-severe bilateral pulmonary edema is stable. there is no new consolidation. there is no new pleural effusion or pneumothorax. cardiomediastinal silhouette is unchanged.
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interval changes.
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MIMIC-CXR-JPG/2.0.0/files/p18699421/s52617454/de7a45f1-d7fb1b7e-4d6ba9c3-e0c8e5ce-090f10ba.jpg
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lung volumes are diminished. the cardiac silhouette is stably enlarged. there is no definite pleural effusion or pneumothorax. though no definite consolidation is identified, there is a more prominent retrocardiac opacity than previously identified likely due to lower lung volumes.
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<unk>m with s/p fall onto left hip and forearm // fx or dislocation? pna?
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MIMIC-CXR-JPG/2.0.0/files/p13375158/s56160502/3e9826fb-97883f19-9ff2f8ec-5795f403-81c2bdd7.jpg
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compared with the prior radiograph, lung volumes have increased. the degree of the bilateral pleural effusions has decreased, but are still persistent. no new focal consolidation concerning for pneumonia or pneumothorax. cardiomediastinal and hilar contours are stable. no change in the the spinal hardware.
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<unk> year old woman with pleural effusion. evaluate for change.
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MIMIC-CXR-JPG/2.0.0/files/p10718657/s51680552/9b17a002-f2af7195-2a3c901b-a64ca6e2-47a6e9b0.jpg
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posterior right lower lobe opacity again may relate to the patient's known diagnosis of lung cancer; however, aside from the prior radiograph from <unk>, no other studies or cross-sectional imaging is available for comparison. additional scarring/opacity is seen along the right mid-to-lower lateral chest, again overall similar to the prior exam. trace blunting of the costophrenic angles bilaterally may be secondary to small bilateral pleural effusions, again similar to the prior exam. no pneumothorax is seen. the heart shadow is top normal. the aorta is tortuous. again seen are partially imaged bilateral shoulder arthroplasties.
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history of lung cancer. please evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15652922/s54184159/6aff1ec0-853c6d73-db53ea19-be340e59-61a3a941.jpg
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since <unk>, right moderate basilar pleural effusion and adjacent atelectasis are again seen. slightly increased prominence of opacities in the right lower lung base can be concerning for pneumonia in the right clinical setting. the left basilar opacity is not seen on this exam, likely atelectasis. the heart size is stable. no pneumothorax. unchanged positioning of the right picc line.
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<unk> year old man with hypoxemic respiratory failure // <unk> year old man with hypoxemic respiratory failure
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MIMIC-CXR-JPG/2.0.0/files/p14505212/s57370530/b2f58be3-1bdc5afc-75990768-09d4e472-a98ccf90.jpg
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p11708854/s59167973/f7315968-9b9bf764-e0856e41-e2890e25-757cf8ab.jpg
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as compared to <unk>, right-sided pigtail catheter has been removed. bilateral small to moderate pleural effusions have not significant changed. bibasal atelectasis has not significantly changed. mild cardiomegaly. the upper lungs are clear. no pneumothorax.
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<unk> year old woman with metastatic ovarian ca c/b pleural effusion s/p chest tube, removed yesterday // eval effusion
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MIMIC-CXR-JPG/2.0.0/files/p19599798/s52836969/094b64d5-c230f3e1-ce3e4b99-8a10c436-42423ef1.jpg
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lordotic positioning. again seen is mild cardiomegaly, with a calcified ascending aorta there is patchy relatively confluent opacity at the right lung base extending to the costophrenic sulcus. , new compared with <unk>. no associated air bronchograms are identified, however. elsewhere, no focal infiltrate or effusion. no chf. thin vertical linear lucency along the mid left chest wall is noted, new compared with the prior study. this may represent artifact due to out overlying soft tissues. an atypical pneumothorax along the left mid chest wall is considered less likely. no other evidence of pneumothorax. probable old healed left sided rib fractures noted, unchanged.
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<unk> year old woman with left sided crackles // ??infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p11430846/s57271136/07fa0f30-2fcbd805-a035ad3e-9ee097f2-16a9230e.jpg
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the lungs are well expanded. no focal opacity, pleural effusion or pneumothorax is seen. the heart is top normal in size with calcified aortic knob and somewhat tortuous thoracic aorta. mild vascular congestion is seen.
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<unk>-year-old man with chest pain, assess for pneumothorax or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11485523/s55172468/933c52eb-c3072ebf-6d84610a-43c30dec-e6b63595.jpg
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. lower thoracic vertebral compression deformities appear unchanged.
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fever and malaise.
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MIMIC-CXR-JPG/2.0.0/files/p19900981/s55904287/6a18eda1-49c2e483-23db3b39-1e07cb15-30144648.jpg
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there is faint retrocardiac opacity focally silhouetting the hemidiaphragm. elsewhere, the lungs are grossly clear. the cardiac silhouette is top-normal. no acute osseous abnormalities. increased sclerosis at the bilateral humeral heads is likely due to avascular necrosis. h-shaped vertebral bodies are again noted. surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>m with elevated wbc. fever // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p11496501/s50735719/abc46948-31e097a5-865e940b-f6f3efc4-c34146aa.jpg
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right-sided port-a-cath terminates in the mid svc. the lungs are low in volume with fullness of the azygos vein and mild interstitial prominence which could reflect early pulmonary edema. there is no focal consolidation, pleural effusion or pneumothorax. the heart is top-normal in size with normal mediastinal and hilar contours.
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altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p11220174/s58338979/13a196db-d89eaea3-d9bc507d-f6bcdd15-b98376a5.jpg
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. no pneumothorax, pulmonary edema, or pneumonia.
|
<unk> year old woman with a-fib, htn and chronic amiodarone use. shortness of breath on exertion. // assess for amiodarone lung toxicity. also patient has chronic lower cervical pain, assess for any evidence of prior fracture.
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MIMIC-CXR-JPG/2.0.0/files/p18798806/s59877293/6ec12c55-9fc602bc-64e4798a-a4c6b701-51935654.jpg
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<num> sequential radiographs demonstrate insertion of the enteric tube below the diaphragm and into the upper stomach on the second radiograph. otherwise, there is no significant interval change. the heart size is top-normal. the mediastinal hilar contours are unchanged. there is minimal improvement in pulmonary edema. the monitoring and support lines are unchanged appropriate and positioning, including the introducer at the origin of the svc and a swan-ganz catheter terminating in the right pulmonary artery. there is no pneumothorax or pleural effusion.
|
<unk> year old man w/ hcv cirrhosis s/p liver transplant, intubated // eval ogt position
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MIMIC-CXR-JPG/2.0.0/files/p14322308/s54317960/d8a417e0-5f63800a-36499e92-eb00e4d2-0d400233.jpg
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a single frontal radiograph of the chest was acquired. previously seen mild pulmonary edema on the outside hospital chest radiograph from <unk> has resolved. there is no consolidation. the heart size is normal. the mediastinal contours are normal. no pleural effusions are seen. there is no pneumothorax. the patient is status post midline sternotomy and cabg.
|
history of coronary artery disease and atrial fibrillation with rapid ventricular response. now with new hypoxia. evaluate for evidence of pulmonary edema or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14659758/s57272885/21ea9197-1db3ad9c-1d1788eb-a3a6c43b-29d69acb.jpg
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frontal and lateral views of the chest were obtained. lung volumes remain low. heart is normal in size. cardiomediastinal contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. a linear density at the left base likely reflects mild atelectasis.
|
<unk>-year-old woman with chest pain, evaluate for pneumothorax or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16966039/s50117277/32c16025-b1470bf3-85088202-7e11bf6c-3664aa7e.jpg
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re-identified are bilateral glenohumeral prosthetic devices. there is significant rightward rotation of the patient on the current radiograph. allowing for changes due to this, the cardiomediastinal silhouettes are stable, reflective of moderate cardiomegaly. there is pulmonary vascular congestion and possibly early or mild pulmonary edema. there is bibasilar atelectasis. there is no definite focal lung consolidation, however the right lung is at least partly obscured medially and at its inferior aspect due to patient rotation, making evaluation of the right lung difficult. there is no pneumothorax. there is no sizable pleural effusion, although difficult to exclude trace left pleural effusion.
|
<unk>f with tachypnea, hypoxia, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17777282/s50942370/3cb26f27-a110d6e9-e28a2c2e-9eb96585-2c604d9d.jpg
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there has been interval placement of a new right ij line, which ends in the mid superior vena cava. otherwise, the lungs are well expanded and clear. there is new minimal leftward deviation in the upper trachea owing to further increased in mediastinal lymphadenopathy in this region. bilateral hilar prominence is duw to known bilateral hilar lymphadenopathy. the aorta is tortuous. the cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax.
|
<unk>-year-old female with hypotension and new right internal jugular line. evaluate for placement.
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MIMIC-CXR-JPG/2.0.0/files/p17116184/s58547911/a3e2f460-259507f6-1d6d019b-ee33613a-de502865.jpg
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities.
|
<unk>f with cardiac rfs and chest pain // eval for pna, pulmonary edema
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