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MIMIC-CXR-JPG/2.0.0/files/p18199379/s58219607/2e18be5c-084b5244-e6258202-9b5301b3-01875bd0.jpg
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lung volumes are low. bilateral, left-greater-than-right, prominent interstitial markings are likely related to known sarcoid and are similar to prior. postoperative changes in left hemithorax status post wedge resection is similar to prior. there is a persistent left pleural effusion but no pneumothorax. no new focal consolidation. mild cardiomegaly is stable.
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history: <unk>f with sarcoidosis, s/p vats x<num>, here w/ pain at site of vats // ptx, infection? bony abnormalities?
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frontal and lateral views of the chest demonstrate normal cardiac silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. patient is status post cabg and median sternotomy wires appear intact. mild multilevel thoracic spondylosis is noted.
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<unk>-year-old male with diabetes and osteomyelitis, here for preoperative evaluation.
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lung volumes are low which leads to bronchovascular crowding. there is atelectasis at the left lung base. there is pulmonary vascular congestion without overt edema. no pleural effusion or pneumothorax is seen. a left chest pacemaker is in standard position.
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<unk>-year-old man with dyspnea, chest pain, evaluate for volume overload.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and unchanged hyperinflated lungs which are clear. there is no pleural effusion or pneumothorax. sternal and anterolateral left <num>th rib fractures are better evaluated on recent ct chest.
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status post motor vehicle collision with history of copd, now with rib fractures. evaluate for pneumonia.
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lung volumes are low. prominent reticular markings noted bilaterally which could represent interstitial lung disease in the correct clinical setting. mild edema difficult to exclude. there is no superimposed focal consolidation, pleural effusion or pneumothorax. the imaged upper abdomen is unremarkable.
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<unk>f with sob on exertion // eval for pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p18796073/s55964212/997b7f50-8f3e1721-afb050fb-483a493e-45fbd317.jpg
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as compared to prior chest radiograph from <unk>, lung volumes are decreased accentuating the cardiac silhouette and bronchovascular structures. there is no focal consolidation concerning for pneumonia. there is no large pleural effusion or pneumothorax.
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chest pressure and shortness of breath. evaluate for acute process.
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frontal and lateral views of the chest were obtained. heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
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<unk>-year-old male with tooth avulsion. evaluate for foreign body.
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cardiac silhouette is enlarged with a globular configuration suggestive of a pericardial effusion. pulmonary vascularity is normal. lungs are clear except for minimal linear atelectasis at the bases no pleural effusion or pneumothorax. .
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<unk> year old man with concern for pericardial effusion // please eval for intrathoracic process
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
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<unk>m with lightheadedness, nausea // evaluate for masses, pulmonary congestion, acs
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MIMIC-CXR-JPG/2.0.0/files/p15528228/s56021968/fb54fcd9-81ef35fa-94130d4f-df87d88d-a6eb1eac.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. clips are seen projecting over the anterior aspect of the upper abdomen.
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<unk>m with syncopal episode
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new left small pneumothorax is seen. left lower lung opacity largely unchanged from <num> hrs previously. <unk> fiducial markers are seen in the area of left lower lung biopsy. cardiomediastinal silhouette is unchanged.
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<unk> year old man with lll pulmonary nodule. status post biopsy left lower lobe nodule.
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a single portable frontal chest radiograph was obtained. a left-sided chest tube has been inserted into the left lateral <num>th rib interspace. the pigtail is not coiled. the left pneumothorax remains large. rightward mediastinal shift is unchanged. small pneumomediastinum is stable.
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pneumothorax status post chest tube placement.
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frontal and lateral chest radiographs demonstrate low lung volumes resulting in a prominent cardiac silhouette and bronchovascular crowding. mildly increased right infrahilar opacity has a possible correlate on lateral view, and may represent atelectasis, but an early developing pneumonia cannot be excluded. there is no pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a patient with cough.
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midline tracheostomy tube is seen. large-bore right-sided central venous catheter terminates in the low svc. patient is status post median sternotomy. the cardiac and mediastinal silhouettes are stable. bilateral pulmonary opacities have significantly improved in the interval, with only minimal residual remaining. the lungs remain hyperinflated consistent with chronic obstructive pulmonary disease. no pleural effusion or pneumothorax is seen.
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history: <unk>m with acute process // aacute process
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. changes of the right shoulder are identified and not significantly changed from <unk>, better characterized on dedicated films.
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<unk>-year-old female with right shoulder pain and altered mental status.
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compared to the prior chest radiograph, there has been no significant change. the heart remains enlarged. moderate tortuosity of the aorta is present. there are no pleural effusions, pulmonary edema, or pneumonia.
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history of crackles on exam, evaluate for pulmonary edema.
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normal cardiomediastinal and hilar contours. hyperinflated lungs reflect underlying copd. new bronchial cuffing and fine linear opacities at the left base may reflect aspiration or asymmetric pulmonary edema. similar opacities were seen at the right base on <unk> with subsequent resolution on later radiographs and this pattern of rapidly emerging and resolving basilar opacities suggests recurrent aspiration. normal pleural surfaces.
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<unk>-year-old man with a history of copd, now with productive cough and rales on exam. clinical concern for left lower lobe pneumonia.
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pa and lateral chest radiographs demonstrate hyperexpansion with flattening of the hemidiaphragms. the lungs are now clear. there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is top normal. the cardiac, hilar, mediastinal contours are normal.
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dyspnea. evaluation for pneumonia.
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redemonstrated is a paucity of vessels seen within the bilateral upper zones, consistent with the patient's known emphysema. as compared to the prior examination, there has been an increase in the overall density of the bilateral lower lobes, which likely represents a developing pneumonia. there is no pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal.
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significant smoking history and copd, now with increasing cough and sputum production.
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lungs are hyperinflated, similar to prior.there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old woman with cough ,chest congestion // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p11360891/s57249262/b81804db-da39d9d1-51285969-bd538113-a2939386.jpg
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endotracheal tube is seen, terminating approximately <num> cm above the level the carina. patient is status post median sternotomy and cabg. left-sided single lead aicd is seen with lead extending to the expected position of the right ventricle. the cardiac silhouette is enlarged. perihilar airspace opacities are concerning for pulmonary edema however, underlying pulmonary hemorrhage or infection is not excluded in the appropriate clinical setting. the left hemidiaphragm is obscured which may be due to underlying atelectasis or pleural fluid. no pneumothorax is seen.
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history: <unk>m with ards, intubated // eval for ett placement
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low lung volumes are present. heart size is mildly enlarged, likely accentuated due to the presence of low lung volumes. the aorta is tortuous. crowding of bronchovascular structures is present without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. minimal patchy opacities at the lung bases likely reflect atelectasis. moderate multilevel degenerative changes are detected in the thoracic spine.
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history: <unk>f with inability to walk for past week.
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the endotracheal tube terminates <num> cm above the carina. a right ij catheter terminates at the mid to lower svc. there is mild pulmonary edema. the opacity at the right lung base appears to be improving compared to prior studies likely resolving atelectasis. opacification of the left lung base is likely due to the small pleural effusion with adjacent atelectasis. since the prior radiograph performed <num> days earlier, there has been interval enlargement in the cardiomediastinal silhouette. no acute osseous abnormalities identified.
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<unk> year old man with copd, chf, intubated for airway protection // eval ett position, interval change in pulmonary status
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portable upright image of the chest demonstrates pulmonary edema and bibasilar atelectasis. moderate cardiomegaly is again seen. taken together, these findings are concerning for cardiogenic decompensation. a picc line is visualized with the tip in the upper svc. there is calcification in the aorta. sternotomy wires are noted with surgical clips near the hilum.
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<unk>-year-old female with shortness of breath.
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. the heart size is normal. apparent fullness of the right hilum on one of the frontal radiograph is likely secondary to rotation. a dense nodule in the left lateral mid-thorax is felt to likely represent a calcified granuloma. there is a linear radiodense foreign body projecting beneath the right hemidiaphragm on the frontal radiograph and posteriorly on the lateral view.
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chills and shaking.
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no definite focal consolidation is seen. previously noted pulmonary nodules on prior chest ct from <unk> were better seen on ct. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with flank pain, fever // eval for infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p14045219/s54080396/81244f67-9356d84d-b1d42a3c-9cb59751-492f290d.jpg
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the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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cough, rule out pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14990163/s58898157/701bf9ba-54cffc78-722e7e23-7a2660ce-d6520df7.jpg
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lung volumes are low with increased right basilar atelectasis and improved left basilar atelectasis. the visualized lung fields are clear without focal consolidation. small bilateral pleural effusions are stable. a dobhoff feeding tube has been removed. a right-sided port-a-cath is unchanged with distal tip in the right atrium. a percutaneous catheter in the right upper quadrant terminates more laterally and superiorly than on previous examination.
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<unk> year old man with metastatic pancreatic ca with new fever, hypoxia // r/o pna/aspiration pna
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a left-sided pacemaker is seen with <num> leads in unchanged position. median sternotomy wires and vascular clips are seen consistent with prior cardiac surgery. the cardiomediastinal and hilar contours are remarkable for diffusely tortuous thoracic aorta and stable from the prior study. there is no evidence of focal consolidation, pleural effusion or pneumothorax identified.
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<unk>m with acute dyspnea // acute cardiopulm disease
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single portable view of the chest is compared to previous exam from <unk>. endotracheal and nasogastric tubes are no longer visualized. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old man with shortness of breath.
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since the recent cxr on <unk>, there are worsening bilateral pleural effusions, right significantly greater than the left. there is no evidence of pneumothorax or pneumoperitoneum. previous left-sided subclavian line has been removed. the tracheostomy tube is unchanged in position and terminates approximately <num> cm above the carina. the right-sided picc line terminates at approximately the upper svc, unchanged. the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with recent g-tube manipulation and increased abdominal pain // ? free air
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compared to most recent radiograph, there is suboptimal inspiration, which contributes to low lung volumes, increased vascular crowding in the bases, and increased silhouetting of the heart and mediastinum. allowing for this, there is no substantial change in the increased interstitial markings which persist suggesting possible viral pneumonia or chronic interstitial lung disease. there is no pleural effusion or pneumothorax.
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fever, sinus congestion, myalgias, and diarrhea, likely viral illness, but presented with dehydration. rule out bacterial process. please evaluate for infiltrate.
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soft tissue attenuation from bilateral breasts limits evaluation of the lung parenchyma on frontal view. clips are noted overlying the breasts and anterior chest. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk>f with l arm band like pain and paresthesias // acute process?
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MIMIC-CXR-JPG/2.0.0/files/p10979480/s51138569/c982081b-4bb16693-4e6700e1-bc99ca82-20554742.jpg
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a port-a-cath terminates at the cavoatrial junction. the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. in addition to patchy right infrahilar opacity an opacity in the left lower lobe suggests pneumonia, better seen on the lateral view and new since prior studies including the pet ct from <unk>. there is no pleural effusion or pneumothorax. posterior thoracolumbar fusion hardware is not significantly changed.
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fever and recently diagnosed pneumonia.
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pa and lateral views of the chest provided. again seen is elevation of the left hemidiaphragm. heart size is difficult to assess though appears at least mildly enlarged. bibasilar opacities likely reflect atelectasis, difficult to exclude tiny pleural effusions. there is probable mild interstitial pulmonary edema.
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<unk>m with dyspnea on exertion // edema, consolidation
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lateral view is limited due to patient's inability to raise their arms. cardiac silhouette size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. azygos fissure is incidentally noted. there are no acute osseous abnormalities.
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history: <unk>f with cough and weakness
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surgical clips in the right breast are compatible with interval surgery. <num>-mm calcified granuloma in the left midlung is unchanged. minimal basilar atelectasis. the lungs are otherwise well-expanded and clear. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the heart is normal in size. the mediastinum is not widened. the hila are within normal limits.
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<unk> year old woman with rheumatoid arthritis, breast cancer new exertional dyspnea // ?infiltrate, ?cardiomegaly
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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cough. evaluate for acute process.
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the heart size is top-normal. left axillary surgical clips are present. left upper lobe and left retrocardiac opacities may reflect consolidations or focal atelectasis. no displaced rib fractures are detected. the right lung is clear.
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sternal fracture and right second rib fracture.
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the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk> year old woman with cough + fever // r/o pna
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tracheostomy tube, enteric catheter, and left picc are unchanged in position. bilateral airspace opacities, greater on the right, are similar in appearance, with mild improvement in right pleural effusion. the cardiomediastinal silhouette is unchanged. no pneumothorax is present.
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<unk> year old man s/p cerebral bleed, now with trache, with mrsa pneumonia with continued high oxygen requirements. // interval change?
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there is increase opacity in the right apex which may represent scarring versus less likely mass. the lungs are otherwise clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified.
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chest pain radiating to the back.
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ap upright and lateral views of the chest provided. lung volumes are somewhat low. allowing for this, lungs are clear. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact.
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<unk>f with s/p fall, assess for signs of intrathoracic trauma.
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the patient is status post median sternotomy and cabg. the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. apart from minimal left basilar atelectasis, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are identified.
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unstable angina.
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lung volumes are unchanged compared to the prior study. the trachea is central. the cardiomediastinal contour is within normal limits. the heart is not enlarged. multiple surgical clips close to the gastroesophageal junction are unchanged in appearance compared to the prior study. no pleural effusion, pneumothorax or consolidation seen. no signs of apical bullous change although small bullae would be better evaluated on ct.
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<unk> year old man with iph, plan for central line // r/o apical blebs
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compared to the prior study there is no significant interval change.
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<unk> year old woman with chf // interval changes
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding portable chest examination of <unk> which apparently has been obtained with patient in semi-upright position. it is different and even when paying attention to ap versus pa frontal projection, the overall heart size has been reduced, apparently related to successful pericardiocentesis during the interval. bilateral pleural effusions persist and are probably equal in size. they are now clearly blunting the lateral and posterior pleural sinuses as the patient is in upright position on the present examination. the accessible pulmonary vasculature does not show any congestive pattern, nor is there any upper zone redistribution when patient is in upright position. no pneumothorax can be identified. the heart shadow configuration is not revealing. an absence of significant left atrial enlargement is, however, noted on the lateral view and confirms the absence of any significant pulmonary vascular congestion.
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<unk>-year-old female patient with pleural effusion from unknown source. scheduled for <unk> when she has to return for echocardiography. any interval change.
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patchy consolidation is identified within the left lower lobe. less well-defined suprahilar opacities seen bilaterally. linear right basilar opacity is noted, potentially atelectasis. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. orthopedic hardware seen in the right humeral head.
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<unk>m with c/o prod cough with sob and hx hiv // ? pna
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the patient is status post sternotomy. sutures are midline and intact. additional postoperative changes evident in the right upper lung with chain sutures and relative lucency at the apex consistent with reported resection. three additional surgical clips project over the right upper mediastinum. an additional <num> mm metallic density is in close proximity to this region and likely represents a surgical clip viewed on end; however, without a lateral view to confirm, shrapnel related to known gunshot wound is not excluded. no focal opacification concerning for pneumonia. cardiac silhouette is enlarged. mediastinal and hilar contours are otherwise unremarkable. faint asymmetry of lung base opacifications is likely related to scoliosis.
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gunshot wound, needs mri to assess for evidence of metal from gunshot wound to right chest.
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portable ap upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man s/p intubation // interval change interval change
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there is increased hazy opacification in the posterior lower lung zones, likely in the right lower lobe, which is seen only on the lateral view. this is new from the prior radiograph and may indicate possible infection. there is no edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is no free air below the hemidiaphragms.
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hiv and altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p10147901/s56140907/39f2abb1-436e8156-c275882f-78f64a77-6a35a3c4.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>f with chest pain.
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patient is status post right-sided thoracotomy with right lower lobe partial lobectomy as on prior. secondary right-sided volume loss is seen. streaky left basilar opacity is likely atelectasis. there is no effusion or consolidation worrisome for infection. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
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<unk>m with cough x <num> days // eval for pneumonia, other acute process
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MIMIC-CXR-JPG/2.0.0/files/p17691344/s55894297/3e9d081e-fbdf6b80-e98899c9-098e3e6e-3dbc3509.jpg
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. the lungs are mildly hyperinflated. no focal consolidation is seen. no evidence of intraperitoneal free air on this seated upright view.
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<unk>f with peritoneal abdominal exam, evaluate for free air.
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MIMIC-CXR-JPG/2.0.0/files/p15877362/s54184287/0df4e176-5b6d60f4-196d150e-14c19633-3dffb3b9.jpg
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ap upright and lateral views the chest provided demonstrate clear well expanded lungs that focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette appears within normal limits. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f s/p fall ?medial pneumothorax on previous xr please eval for interval growth.
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there has been interval placement of a left internal jugular central line, which is seen crossing the midline. given patient rotation, position of the catheter tip is limited although it appears to terminate in the region of the left brachiocephalic vein or the superior svc. otherwise, there has been no significant interval change with prior study.
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<unk>-year-old man with central line placed in the left ij. confirm line placement.
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MIMIC-CXR-JPG/2.0.0/files/p13306109/s53208014/3433480a-efa34c2a-c9d355e6-274f3e5e-4576bdb4.jpg
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et tube ends <num> cm above the carina. left port-a-cath ends in the right atrium. normal cardiomediastinal and hilar contours. normal pleural surfaces. fully expanded, clear lungs.
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<unk>-year-old man with a history of lymphoma and angioedema, now intubated for airway protection. evaluate ett placement.
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MIMIC-CXR-JPG/2.0.0/files/p19131048/s56300886/60095686-c9a12d7b-07bca33c-b5d8841c-ace14a7b.jpg
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patient is status post tracheostomy. stable, moderate cardiomegaly and mediastinal widening. hilar contours are not well seen. significant interval increase in large right pleural effusion with adjacent right lung atelectasis. moderate interval increase in large left pleural effusion. lung parenchyma is not well assessed given the extent of the large, bilateral pleural effusions. no appreciable pneumothorax.
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<unk>-year-old woman with concern for pneumonia or pulmonary edema.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is top-normal. hilar and mediastinal contours are normal. the aorta is tortuous.
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<unk> year old woman with left sided chest pain x <num> month with lying on left side. no abn on pe // ? parenchymal abn.
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MIMIC-CXR-JPG/2.0.0/files/p11055512/s57129887/22b68128-7a82dca4-124a7940-ec453a80-435d5553.jpg
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heart size and cardiomediastinal contours are normal. the known bilateral pulmonary nodules are not conspicuous on this exam. mild hyperinflation with prominent retrosternal clear space. no focal consolidation, pleural effusion, or pneumothorax. surgical clips in the mid upper abdomen are unchanged.
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<unk>m with general weakness for <num> days // eval for consolidation
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MIMIC-CXR-JPG/2.0.0/files/p16857943/s59881006/8e83a114-9bdf0802-8f4371d6-497ac236-8160df04.jpg
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pa and lateral views of the chest provided. overlying ekg leads somewhat limit the evaluation. allowing for this, lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with chest tightness x<num> days // eval for cp
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MIMIC-CXR-JPG/2.0.0/files/p18683574/s59500991/bc7908b5-22c34bbb-5376346c-915a4ffd-c0977fc9.jpg
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the cardiac, mediastinal and hilar contours are normal and unchanged. lungs are clear and the pulmonary vasculature normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are again noted in the thoracic spine.
|
cough.
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MIMIC-CXR-JPG/2.0.0/files/p11740763/s58559579/0fc0e87b-98369af6-a8ebb3c7-392c1677-9b5321a2.jpg
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pa and lateral views of the chest. severe cardiomegaly is unchanged. mediastinal and hilar contours are stable. again seen are surgical clips in the left upper lobe, unchanged. there is bibasilar atelectasis. no pleural effusion or pneumothorax. no focal consolidation.
|
chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p15317980/s52522875/7e94371a-fd6467ff-5a536752-e99b0842-c653733f.jpg
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prior right-sided central venous catheter is no longer seen. there is a moderate left pleural effusion, slightly smaller when compared to prior. there is also a trace right pleural effusion, also decreased. streaky right basilar opacities are likely secondary to atelectasis. superiorly, the lungs are clear. cardiomediastinal silhouette is grossly unchanged although partially obscured. coronary artery stents are noted as well as mediastinal clips. no acute osseous abnormalities.
|
<unk>f w/ n/v/d, esrd on t/th/s dialysis, no dialysis since tues <unk> malaise // eval ? fluid overload, occult infection
|
MIMIC-CXR-JPG/2.0.0/files/p18855412/s50390234/597f9f12-054c5359-786992b7-f1547715-68339d73.jpg
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assessment is somewhat limited by patient rotation. an endotracheal tube tip terminates approximately <num> cm from the carina. orogastric tube tip is seen coursing inferiorly below the diaphragm though the tip is not well seen. patient is status post median sternotomy and cabg. left-sided aicd/ pacemaker device is noted with single lead terminating in the region of the right ventricle. heart is moderately enlarged with a left ventricular predominance. the aorta remains tortuous. there is mild pulmonary edema, which has progressed since <unk>:<num> today. more focal ill-defined opacities within the upper lobes bilaterally, greater on the left, may reflect areas of aspiration or infection. no pneumothorax is identified, and no pleural effusion is seen.
|
history: <unk>m with intubation.
|
MIMIC-CXR-JPG/2.0.0/files/p14803059/s50653393/8e45b240-23047031-39b4e465-00900391-98487743.jpg
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the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. subtle opacity within the right lower lobe is concerning for pneumonia.
|
history: <unk>f with chest pain // eval for chf/pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p11533384/s57384547/6f94d284-45dc29e5-d343c992-c69f2ad6-eff21c59.jpg
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
|
ventricular tachycardia, to get a pacer today. pre-operative assessment.
|
MIMIC-CXR-JPG/2.0.0/files/p19881575/s56932076/5222e8db-4bc67378-22d25e68-e5b3f07d-9a3a47c9.jpg
|
the lungs are well-expanded and clear. the cardiac silhouette is top-normal in size. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation.
|
history: <unk>f with demneita episode of shaking ams // r/o pnr/o intracrinal hemorrhage or mass
|
MIMIC-CXR-JPG/2.0.0/files/p19336751/s50059390/0ec362f6-b0b64cc9-d27ca819-5be72c95-b2c82775.jpg
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multiple right and left apical focal opacities correlate with lung parenchymal scarring seen on <unk> chest ct. severe emphysematous changes are noted in bilateral mid lung regions. there are no visible micro or macro nodules within the lung parenchyma. the hilar, cardiomediastinal, and pleural surfaces are normal. there are no acute bony abnormalities nor fracture.
|
<unk> year old man with hx met prostate cancer. r/o metastatic disease to lungs. hx lung infections // pt with hx met prostate cancer;to start new treatment. r/o metastatic disease to lungs. hx lung infections
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MIMIC-CXR-JPG/2.0.0/files/p10302979/s53859760/4cf64d6d-06f292b5-08f9de0e-505f5e91-31d5d465.jpg
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the lungs are well-expanded without focal consolidation. moderate cardiomegaly and pulmonary vascular congestion are slightly increased from <unk>. no pulmonary edema or pleural effusions. unchanged right chest dual lumen pacemaker.
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<unk> year old man with worsening cough, decreased bs lll, history of chf // ? effusion ? pna
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MIMIC-CXR-JPG/2.0.0/files/p13485392/s57707379/56d6aa57-3db5944a-bf095adb-b707262d-58ceb568.jpg
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since the chest radiograph obtained <num> day prior, no significant changes are appreciated. bilateral, diffuse, reticular opacities are unchanged in extent, distribution, and severity. no new parenchymal opacities. heart size is top-normal. cardiomediastinal and hilar silhouettes are somewhat obscured by the pre-existing parenchymal opacities, but appear normal. support devices and lines are unchanged in position.
|
<unk> yo m with severe pvd s/p stenting and bypass in the past, htn, dm<num>, hld, ckd iii, ild with emphysema and bronchiectasis since <unk>, presented to <unk> on <unk> for shortness of breath for <unk> days, who was diagnosed with h. flu pneumonia and transferred to the <unk> icu for hypoxemic respiratory failure. // tubes/lines, acute intrapulmonary process
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MIMIC-CXR-JPG/2.0.0/files/p18001762/s51159699/f6b2ad9c-e0c1f977-9c2c155f-6bd5bc00-9815fa72.jpg
|
there is no focal consolidation, pleural effusion or pneumothorax. heart size is mildly enlarged. mediastinal contours are unremarkable.
|
<unk>f with acute onset dyspnea // evaluate for pneumonia or other acute abnormality
|
MIMIC-CXR-JPG/2.0.0/files/p10153375/s55787314/ab193c25-578459e3-cb7101c0-b86f4333-a412d208.jpg
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax.
|
<unk>-year-old with palpitations, please assess for acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p15021188/s57653660/f5209e72-92c31868-8ec79163-53c91954-ec2c7c83.jpg
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pa and lateral views of the chest. the lungs remain clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
|
<unk>-year-old female with chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p13141797/s52991040/13be5cc8-5cba6975-2010997a-a03f5daa-32f0636f.jpg
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. proximal right humerus hardware is partially visualized.
|
<unk>m with s/p renal transplant fever diarreah // eval for pna cxreval for renal transplant/pancreas
|
MIMIC-CXR-JPG/2.0.0/files/p16634427/s55790374/b927bd24-23dd51ce-03729c09-adac833a-6e9df104.jpg
|
pa and lateral views of the chest. the lateral view is obscured by the patient's arms. compared to most recent study, there is decrease in volume overload. there is no evidence of vascular engorgement or pulmonary edema. mild-to-moderate cardiomegaly is stable. no pleural effusions or pneumothorax. the mediastinal and hilar contours are normal.
|
history of cardiomyopathy and recent rotator cuff repair, chest pain, bilateral fluid volume overload.
|
MIMIC-CXR-JPG/2.0.0/files/p12539692/s52042788/4886524a-1239c55b-bf8cbe83-6d0aee69-e2fa66e1.jpg
|
the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. irregularity of the cortex in the left posterolateral <num>th rib may represent fracture.
|
dyspnea and wheezing. the patient is recently diagnosed with periampullary malignancy.
|
MIMIC-CXR-JPG/2.0.0/files/p12886834/s54523943/2facdd80-013e3a2a-b730f093-7be571a7-8ddf3dac.jpg
|
bilateral calcified pleural plaques are seen, suggesting prior asbestos exposure. there is slight blunting of the right costophrenic angle which could be due to a trace pleural effusion versus pleural thickening. subtle opacity projecting over the right mid lung could be due pneumonia versus underlying pleural plaques, appears new/increased as compared to the prior study. dedicated pa and lateral views when patient able could be helpful for further evaluation. no pneumothorax is seen. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable.
|
history: <unk>m with weakness // pna?
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MIMIC-CXR-JPG/2.0.0/files/p11440070/s53361114/a4068107-596be38e-27e57e6a-6c2a18d6-994cc2e5.jpg
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aside from bilateral infrahilar opacities likely representing atelectasis, there is no pleural effusion or focal consolidation. heart size is within normal limits given the portable technique. lung volumes are low. small pneumothorax and right lateral rib fractures are better appreciated on the concurrent ct of the torso.
|
<unk>-year-old male status post trauma, with pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p16022796/s54666598/842ccf45-ef3e6555-5b361b81-36271578-391129c5.jpg
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lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. the heart is normal in size. the imaged upper abdomen is unremarkable.
|
history of recent hospitalization for alcoholic hepatitis, readmitted with fever, rule out pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p10025630/s51476943/4a217b02-347f52e6-121aa9b9-42204b15-e102d803.jpg
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated. mild levoscoliosis is present.
|
cough.
|
MIMIC-CXR-JPG/2.0.0/files/p14347326/s56470460/1d2758a8-8170bc24-782108b1-494623f8-18c0a5db.jpg
|
patchy left basilar opacity is seen, raising concern for pneumonia, alternatively atelectasis. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
|
history: <unk>f with productive cough, fever // eval for pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p19682215/s51568771/4de0af83-637f8702-fab7578c-32bf85db-4929d123.jpg
|
a right ij line ends in the region of the right atrium. lung volumes are low and there is moderate atelectasis at the lung bases. the cardiomediastinal silhouette is unchanged. . the lung fields otherwise clear. elevation of left hemidiaphragm is unchanged.
|
history: <unk>f with sepsis, right ij placed // line placement
|
MIMIC-CXR-JPG/2.0.0/files/p14255354/s59559864/61bc6b39-11413f7f-60310857-bc1581c0-f95a363a.jpg
|
new small left pleural effusion, small area left basilar atelectasis. shallow inspiration accentuates heart size. . thoracolumbar curve. chronic fracture right clavicle.
|
<unk> year old woman with copd and new o<num> requirement // r/o consolidation vs edema
|
MIMIC-CXR-JPG/2.0.0/files/p16346051/s55476836/e6f21224-138b5a3c-28510724-78bfc450-0a079fac.jpg
|
the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified surgical clips in the right upper quadrant suggest prior cholecystectomy.
|
<unk>f with s/p fall unclear ams // r/o intracranial hemorrhager/o c spine fxr/o pna
|
MIMIC-CXR-JPG/2.0.0/files/p12185547/s58892544/8d2b7bb9-04bd27b4-62583cd7-59bd2457-ffab861b.jpg
|
the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. no fracture is identified.
|
status post fall onto right chest with anterior chest wall pain.
|
MIMIC-CXR-JPG/2.0.0/files/p14304873/s53436758/18bf1f9d-eebbc5cf-70cd3407-1567224f-8622f051.jpg
|
the swan-ganz catheter has been replaced with a internal jugular line. ng tube and endotracheal tube have been removed. segmental atelectasis remains. no evidence of pneumonia or large pleural effusion. no evidence of pneumothorax. cardiomediastinal silhouette has a postoperative appearance.
|
<unk> year old man s/p cabg and ct removal // r/o ptx //<unk> year old man s/p cabg and ct removal
|
MIMIC-CXR-JPG/2.0.0/files/p10558515/s51819747/32fe005d-9be07268-22441a69-efb7293d-584dc949.jpg
|
lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
|
cough, evaluate for acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p11706286/s50139839/11b9ab4f-544c92c3-5a47e8c5-bd1cbf74-b80b422e.jpg
|
cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. hardware projecting over the right humeral head is incompletely imaged.
|
cough and night sweats.
|
MIMIC-CXR-JPG/2.0.0/files/p15447063/s58688904/29eac925-25460b81-d14196ea-52e62864-6cebeb34.jpg
|
the lungs are clear. the heart size is top normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
|
chest pain and shortness of breath. evaluate for acute cardiac or pulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p16767048/s56183643/dde2e1fe-adeab95d-c45273f0-0326b355-b2c7013f.jpg
|
right-sided picc terminates at the cavoatrial junction. lung volumes are markedly low, which accentuates bronchovascular markings. there is mild thickening of the horizontal fissure on the right which may represent a small amount of fluid in the fissure. bilateral opacities, left greater than right could represent some mild edema and atelectasis. no large focal consolidation or pleural effusion is seen. the aorta is tortuous and the heart is stable in size.
|
<unk> year old man with new oxygen requirement s/p ivf and icu stay. concern for hcap vs. pulmomary edema. // concern for hcap vs. pulmomary edema.
|
MIMIC-CXR-JPG/2.0.0/files/p12158416/s53595131/15de8536-ff7af882-5aa51cd5-348aec1e-02de5772.jpg
|
right internal jugular central venous catheter tip terminates in the mid svc. lung volumes are slightly low. heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. there is mild crowding of bronchovascular structures without overt pulmonary edema. patchy opacities in the lung bases likely reflect atelectasis in the setting of low lung volumes. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
|
history: <unk>m with transaminitis, left lower extremity weakness after overdose
|
MIMIC-CXR-JPG/2.0.0/files/p18414171/s54673990/c3f86703-4b6969bf-d605d20a-e4551404-0aa4eb8f.jpg
|
mild to moderate pulmonary edema is similar to the most recent radiograph from <unk>. progression of what might be chronic atelectasis is seen in the right mid to lower lung. there is a probable small right pleural effusion, unchanged. there is no left pleural effusion. moderate to severe cardiomegaly is unchanged. prosthetic mitral and aortic valves are again seen. there is no pneumothorax. midline sternotomy wires are again noted. ----- progression of what might be chronic atelectasis in the right mid to lower lung...if this area doesn't return to baseline following diuresis, then ct
|
chf exacerbation. evaluate for change in pulmonary edema and reassessed pleural effusions.
|
MIMIC-CXR-JPG/2.0.0/files/p19165359/s53294264/92985f4e-7fa2abeb-3728e6a1-e1748ff7-ebaffa24.jpg
|
lower lung volumes are seen on the current exam. there are patchy regions of consolidation at both bases, left greater than right. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. old right rib fractures are noted.
|
<unk>m with fever, cough, b/l crackles on exam // eval for pnemonia
|
MIMIC-CXR-JPG/2.0.0/files/p12266725/s55521418/c47bdd41-fa4f4721-8bda464a-37a63678-cfd0d99e.jpg
|
right picc is unchanged in position. cardiomediastinal and hilar contours are stable status post mie procedure. the heart is enlarged but stable. increasing opacity at the right base. left basal opacity is also minimally increased from the prior exam. no pneumothorax. there is mild pulmonary vascular congestion, similar in extent the prior study.
|
<unk> year old man s/p mie and subsequent washout for anastomotic leak // interval change
|
MIMIC-CXR-JPG/2.0.0/files/p12109446/s52216177/884965e3-2411745a-1c536b89-a9e828c6-e1f360b6.jpg
|
the lungs are clear without focal opacities, pleural effusions, pulmonary edema or pneumothorax. the heart and mediastinal contours are within normal limits.
|
chest pressure and shortness of breath. evaluate for pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p15530412/s57288262/63d83981-6544b1dc-4e62f1de-2d79c413-b08f79eb.jpg
|
pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
|
altered mental status.
|
MIMIC-CXR-JPG/2.0.0/files/p13203908/s55123738/d51197e9-d40ee82f-757c021d-b22abf3a-1c448e65.jpg
|
the heart is normal in size. there is a calcified lymph node along the aortopulmonary window. the mediastinal and hilar contours are otherwise unremarkable. there is mild elevation of the right hemidiaphragm. no pleural effusion or pneumothorax is visualized. the lungs appear clear. the lower thoracic spine curves slightly to the left. vertebral body heights and interspaces appear essentially preserved in height.
|
stroke symptoms.
|
MIMIC-CXR-JPG/2.0.0/files/p18415366/s51443976/6a0dc03c-6c685284-3bf58cf2-e08b6014-826814bb.jpg
|
cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. the lungs are hyperinflated. lungs are clear without focal consolidation, pleural effusion or pneumothorax. there are no acute osseous abnormalities.
|
history: <unk>m with cough
|
MIMIC-CXR-JPG/2.0.0/files/p18026668/s58609358/0500571d-ff8a5ec0-28d289e3-d93dc70a-a3d8ec7c.jpg
|
assessment is limited as the patient is rotated. the patient is status post median sternotomy, cabg, and aortic valve replacement. moderate enlargement of the cardiac silhouette is unchanged. the aorta is tortuous and diffusely calcified. pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is chronic with associated right basilar atelectasis. subsegmental atelectasis is also noted in the left lung base. lungs remain hyperinflated. no focal consolidation, pleural effusion pneumothorax is clearly present. diffuse demineralization of the osseous structures is visualized. clips are seen in the right upper quadrant of the abdomen. s-shaped scoliosis of the thoracolumbar spine is re- demonstrated with probable stent graft in the abdominal aorta, incompletely assessed.
|
history: <unk>f with cough
|
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