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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities but
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<unk>m with cp radiating to back // please eval for pna, increased mediastinum size
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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. minimal degenerative spurring is noted in the mid thoracic spine.
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history: <unk>f with right anterior chest pain // eval for chf/pneumonia
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. there is no free intraperitoneal air.
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<unk>m with epigastric pain, vomiting // evaluate for pneumonia, acs
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the lungs are normally expanded. hazy opacification throughout the lungs and some interstitial/kerley b lines, particularly at the periphery of the left lung suggest pulmonary edema. the heart is top normal, although exaggerated by ap technique. the mediastinal and hilar contours are partially obscured, but thickening of the right paratracheal stripe is due to venous engorgement or adenopathy. there is no large pleural effusion or pneumothorax.
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ams, hypotension, right upper quadrant pain, evaluate for pneumonia.
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frontal and lateral chest radiographs were obtained. lung volumes are low, which leads to bronchovascular crowding. no focal opacity is noted. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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status post mechanical fall, evaluate for rib fractures.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch and there is tortuosity of the descending thoracic aorta. no displaced fractures identified.
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<unk>f with syncope // evidence of bleed, fracture or pneumonia
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bilateral pigtail catheters are again seen projecting over the lower lobes. there continues to be moderate left-sided pneumothorax which is now visualized inferiorly superiorly and medially. this is larger compared to the prior day. there is a small right effusion which is minimally larger compared to the prior day. the port-a-cath is unchanged. there continues to be diffuse bilateral nodular opacities
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<unk> year old man with pancreatic cancer now with dyspnea/hypoxia s/p bilateral chest tubes // please eval placement of chest tubes
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the lungs are moderately well inflated with worsening pulmonary edema.there is mild cardiomegaly as before.hilar prominence due to dilated vasculature noted. there is no pneumothorax. bilateral, right greater than left pleural effusions noted. unchanged position of endotracheal tube terminating <num> cm above the carina. enteric tube traverses below the diaphragm, tip not visualized. left sided central venous catheter tip terminates in the svc. ekg leads overlie the chest wall.
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<unk> year old man with hypoxemic respiratory failure s/p cardiac arrest, dka now w/ards. // ?interval change
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portable semi-upright radiograph of the chest demonstrates a right-sided chest tube. there is a moderate to large right-sided hydropneumothorax. there is slight interval improvement in aeration of the right lower lung. the mediastinum appears shifted to the right. the left lung appears grossly clear. prominence of the mediastinum relates to lymphadenopathy. the heart is not enlarged. collapsed right upper lobe is better seen in prior ct.
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<unk> y.o male with suspected metastatic lung cancer and r pleural effusion s/p chest tube now with increased hypoxia. // ? pneumothorax ?pleural effusion
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pa and lateral views of the chest provided. right pic line terminates in the mid-svc. the fluid level in the right pneumonectomy space continues to climb compared to <unk>. leftward mediastinal shift has improved since <unk> and is now midline, or close to it. small areas of questioned aspiration in the left midlung are minimally improved, if at all. trace, if any, effusion on the left.
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<unk> year old man s/p right pneumonectomy // perform at <time>am on <unk>. r/o interval change
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low lung volumes. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is left basilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. note is made of multiple severe compression deformities in the mid to lower thoracic spine. vertebroplasty changes are noted at t<num>.
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<unk>m with right chest pain. evaluate for pneumonia.
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compared with the prior study, mild cardiomegaly is new, with new indistinctness of the pulmonary vasculature and cephalization, indicating early congestive heart failure. small region of bullae in the right upper lobe indicates underlying emphysema. no focal consolidation or large effusions. no pneumothorax.
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<unk> year old woman s/p r hemicolectomy now with increased o<num> requirement. pls evaluate for fluid overload, atelectasis, pneumonia.
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the small left apical pneumothorax is unchanged in appearance. there is a prominent air-fluid level on the left side consistent with moderate pleural effusion. subcutaneous air in the left chest wall is unchanged in appearance. again seen is substantial atelectasis at the left base, which is unchanged. the right lung is clear.
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evaluation of pneumothorax.
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pa and lateral views of the chest. no prior. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with left chest pain. question pneumonia.
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a left subclavian approach port-a-cath terminates at the cavoatrial junction. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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history of all with cough.
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bilateral pleural effusions, right greater than left, have increased with adjacent atelectasis. the lungs are otherwise clear without consolidation or edema. the cardiac, mediastinal, and hilar contours are stable. intraperitoneal air is seen consistent with recent liver hemorrhage.
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<unk>-year-old female with multiple right lung lesions concerning for metastatic melanoma. status post right vats wedge resection. now with large liver oblique status post embolization. evaluate for interval change.
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pa and lateral radiographs of the chest were acquired. heterogeneous opacities are seen within the left lower lobe with concomitant blunting of the left costophrenic angle, likely due to some combination of consolidation, atelectasis, and effusion. the remainder of the lungs are clear. the heart size is normal. the mediastinal contours are normal. there is no pneumothorax. multilevel degenerative changes of the thoracic spine are noted.
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syncope and shortness of breath. evaluate for evidence of pneumonia.
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single portable supine frontal view chest. lung volumes low compared to prior exams, with mild bronchovascular crowding. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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seizure.
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there is a slight conspicuity of interstitial markings which is improved compared with <unk>. no focal consolidation is seen. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with cough and congestion and history of hiv seropositivity. evaluate for evidence of infection.
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severe cardiomegaly is unchanged. a dual-lead pacer is unchanged in position. hilar contours are unremarkable. <num> mm nodular opacity projecting over the right lower lung field does not have distinct correlate, is somewhat seen on <unk> study but is much more discrete on today's examination. lungs are otherwise clear. pleural surfaces are clear without pneumothorax. small bilateral effusions.
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atrial fibrillation, on coumadin and chest pain with shortness of breath.
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initial image demonstrates left mainstem bronchus intubation. subsequent image demonstrates endotracheal tube in place with tip <num> cm cranial to the carina. initial image demonstrated complete collapse of the right lung though subsequent image demonstrates partial atelectatic collapse of the right lung with improving aeration. left lung remains essentially clear. moderate cardiomegaly is unchanged. left hilar contour is normal. right hilar contour cannot be evaluated. no large pleural effusion or pneumothorax.
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endotracheal tube placement.
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frontal and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. healing right-sided rib fractures with secondary vague opacity projecting over the right mid lung laterally is seen. no acute osseous abnormality is detected.
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<unk>-year-old female with end-stage renal disease on hemodialysis with chest pain and pleuritic chest pain.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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history: <unk>f with right upper quadrant pain with negative ct abdomen
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the lung volumes are low. even allowing for ap technique with low lung volumes, the heart appears at least borderline enlarged. the lungs appear clear. there are no pleural effusions or pneumothorax.
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cough.
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the lungs are well expanded and clear without evidence of lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance.
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history: <unk>f with recent diverticulitis admission, now with <num> days n/v // any infection, free air, obstruction
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pa and lateral views of the chest. there is a linear streaky opacity in the right lower lobe. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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persistent cough, one episode of hemoptysis, upper airway tightness.
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compared to prior study there is no significant interval change. there is no focal infiltrate or effusion.
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fever.
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pa and lateral views of the chest provided. the heart remains stably enlarged. lungs are clear without focal consolidation, large effusion or pneumothorax. mediastinal contour is unremarkable. bony structures appear intact.
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<unk>f with altered mental status // evaluate for pneumonia
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. hair braids project over the left lung apex and notch an should not be mistaken for lung or pleural lesions.
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history: <unk>f with numbness // eval for cardiomegaly
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right internal jugular hemodialysis catheter is in the low svc. left chest wall defibrillator terminates in the right ventricle. multiple abandoned epicardial pacing wires project over the heart. median sternotomy wires are grossly intact. moderate cardiomegaly is stable. there is interval mildly increased fluid in the minor fissure and layering at the right base. small left pleural effusion is likely unchanged. there is no frank pulmonary edema.
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<unk> year old man w<num>m w/hx of multiple cardiac co-morbidities (for severe advanced schf (
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moderate enlargement of cardiac silhouette is re- demonstrated. the mediastinal and hilar contours are unchanged with right hilar prominence again noted. tracheostomy tube tip remains in unchanged position. there is mild upper zone vascular redistribution without overt pulmonary edema. patchy left basilar opacity may reflect atelectasis but infection or aspiration is not excluded. a trace left pleural effusion may be present. no pneumothorax is identified. clips in the right upper quadrant of the abdomen indicate prior cholecystectomy.
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history: <unk>f with vomiting
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compared to the prior film, there is a new or repositioned enteric tube. the radiopaque tip and side-port overlie the expected location of the gastric fundus. the extreme distal portion of the radiopaque tip extends beyond the inferior edge of this film. otherwise, i doubt significant interval change.
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<unk> year old man with dobhoff sp placement eval for correct location // dobhoff in stomach?
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frontal portable radiographs of the chest demonstrate stable mild enlargement of the cardiac silhouette. the left chest wall triple lead pacing device is unchanged. the lungs are clear. no pleural effusion or pneumothorax. pulmonary vascular congestion is new from the prior.
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chest pain, rule out pneumothorax
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pa and lateral chest radiographs were obtained. a right picc line has been removed in the interval. lungs are essentially clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. a vp shunt catheter is seen with tip projecting over the left upper quadrant.
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history of hiv with gait instability, status post fall, evaluate for pneumonia.
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consolidation seen within though left mid to lower lung. there is also less confluent opacity in the right midlung is well. cardiomediastinal silhouette is within normal limits. surgical clips project over the axiallary regions bilaterally. bilateral breast implants identified. there is crescent shaped lucency in the region of the left hemidiaphragm, the exact location of which is difficult to assess.
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<unk>f with cough, fever // pna?
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the lungs are well expanded and clear. no pleural abnormality is seen. the heart is normal in size. the mediastinal and hilar contours are normal.
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<unk> year old woman with left pleuritic cp // r/o fluid/infiltrate
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heart size is mildly enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. chronic elevation of left hemidiaphragm is again noted. lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
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chest pain and shortness of breath.
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the cardiac, mediastinal and hilar contours appear stable including mild cardiomegaly. the aorta is again tortuous. streaky opacities in the lingula appear unchanged and most consistent with chronic scarring. otherwise, the lungs remain clear. there is no pleural effusion or pneumothorax.
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bilateral lower extremity swelling and edema. atrial fibrillation.
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the inspiratory lung volumes are appropriate. streaky opacities in the right lung base are compatible with atelectasis. the lungs are otherwise clear without evidence of focal consolidation concerning for pneumonia. there is no overt pulmonary edema. the pulmonary vasculature is not congested. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged. no pneumothorax is seen. multilevel degenerative changes are again noted in the thoracolumbar spine. lumbar spinal hardware is incompletely evaluated. there are healing fractures of the left posterolateral eighth and ninth ribs, which are new from the prior study. a left-sided pacemaker with two leads terminating in the right ventricle and right atrium is not significantly changed.
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persistent productive cough, here to evaluate for pneumonia or evidence of heart failure.
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low lung volumes accentuate the cardiac silhouette and result in crowding of bronchovascular structures, particularly at the lung bases. with this limitation in mind, note is made of apparent bibasilar retrocardiac opacities. there is no pleural effusion, pneumothorax, or frank pulmonary edema identified. the cardiomediastinal silhouette is within normal limits. note is made of splenic prominence in the upper abdomen, corresponding to splenomegaly reported on recent ultrasound of the same date.
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history: <unk>m with fever // eval for pna
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compared to the prior study there is no significant interval change.
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<unk> year old woman with osa on cpap, minimally increased o<num> requirement compared to normal // cardiopulmonary process
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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 hyperglycemia, gum pain // eval ? cardiomegaly, edema
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improved visualization of the right hemidiaphragm border with residual linear atelectasis of the right lower lung. no pneumothorax. elevated right hemidiaphragm noted. retrocardiac consolidation may be combination of pleural fluid and atelectasis but cannot exclude pneumonia. probable small layering left pleural effusion. cardio mediastinal contours unchanged. achy ostomy seen.
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<unk> year old man with tbi // interval changes, post bronch
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frontal and lateral views of the chest. the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is no free air beneath the hemidiaphragms. there are degenerative changes of the thoracic spine.
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chest pain.
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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 upper respiratory infection with ongoing dyspnea. please evaluate for interval change.
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bilateral lower lung consolidations are seen right greater than left likely consistent with developing pneumonia. cardiomediastinal silhouette is moderately enlarged and unchanged from previous studies. there is vascular congestion without pulmonary edema. again seen is a right-sided port with catheter tip terminating in the right atrium. an over-distended stomach is seen likely compatible with patient's recent history of bowel are section and could be decompressed with an ng tube if clinically indicated.
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<unk> year old man with multiple myeloma, s/p sepsis with necrotic bowel resection. // eval for effusion, consolidation
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a chest tube has been placed into the left hemithorax since the prior study. a central venous catheter appears unchanged. the lung has mostly reexpanded with a suspected small residual pneumothorax primarily suggested by minimal lucency remaining at the left lung base. there is no shift of midline structures. there is patchy opacification in the left lower hemithorax, but suggesting atelectasis associated with a recent pneumothorax that has improved.
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status post chest tube placement.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
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<unk> year old woman with cough, hemoptysis, asthma // r/o underlying lung pathology
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the pacer seen in the left anterior chest wall with intact leads in appropriate position. mitral valve replacement is noted. the lungs are well expanded. opacities seen in the right mid lung, concerning for pneumonia. opacity is seen in the left lung base has improved since prior. there is no pneumothorax. trace left pleural effusion is present. there is no right pleural effusion. the cardiac silhouette is enlarged but is stable in size.
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<unk>m with hemoptysis, low grade fevers x <num> days. from <unk>, afib on coumadin, <unk>. valve replacement, chf, seizures; no known tb hx // evaluate / r/o pna vs other infectious lung process
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in comparison with radiograph from <unk>, pulmonary edema has continued to improve and there is only a small amount of residual edema. there is no focal consolidation, pleural effusion or pneumothorax. right picc line terminates in the low svc. mediastinal and hilar contours are normal. heart size is normal.
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<unk> year old woman with fevers and previously abnormal cxr // ? consolidation
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old man with cri // pre op kidney transplant
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there has been interval development of an opacification at the right base, likely representing aspiration. additionally, there is an area of increased opacification at the left base, which likely represents a combination of pleural effusion and atelectasis. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax.
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<unk>-year-old female status post surgery, now with fever. evaluate for infectious process.
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MIMIC-CXR-JPG/2.0.0/files/p13807179/s57762672/db006bc6-262da493-416a3fbc-742a4d70-11841474.jpg
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there has been significant interval improvement in pulmonary edema, which is nearly entirely resolved. azygous venous distention remains. bibasilar opacity remains, likely reflecting atelectasis. there is no pneumothorax. there are probably small bilateral pleural effusions. the cardiac silhouette remains mildly enlarged, the mediastinal contours are accentuated by portable technique.
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<unk>-year-old female with flash pulmonary edema.
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pa and lateral chest views were obtained with patient in upright position. status post sternotomy. presence of a few surgical clips in the left anterior mediastinal structures is suggestive of previous bypass surgery. the heart size is not enlarged. no typical configurational abnormality is seen. normal diameter of thoracic aorta but a few calcium deposits are seen in the wall at the level of the arch. pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. skeletal structures of the thorax grossly unremarkable. mildly accentuated kyphotic curvature is noted in the thoracic spine with mildly anterior wedge-shaped vertebral body, but no conclusive evidence for vertebral body compression fracture. comparison can be made with a transferred pa and lateral chest examination from<unk>. the findings are identical.
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<unk>-year-old male patient with arf and copd. evaluate for infiltrate.
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again noted is mild-to-moderate pulmonary edema, slightly worse compared to the prior exam. heart remains mildly enlarged. tortuosity of the thoracic aorta, which is diffusely calcified, is again noted. small bilateral pleural effusions, right greater than left are again present, with bibasilar opacities likely reflecting atelectasis. no pneumothorax is identified. diffuse demineralization of the osseous structures is present with loss of height of several lower thoracic vertebral bodies, which are age indeterminate.
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cough and hypoxia.
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growth and poor definition of the left upper lobe lung nodule since <unk> is attributable to biopsy related atelectasis or local bleeding. there is no pneumothorax or hemothorax. the heart is top normal size. mediastinum is widened by fat deposition primarily.
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a <unk>-year-old man with a left upper lobe nodule after bronchoscopy.
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pa and lateral views of the chest. there are no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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fever, question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16981354/s52547353/2bb23c7c-4b7528ea-1038fb44-ca636606-6f89741a.jpg
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the lungs are clear without consolidation, effusion, or edema. there is new enlargement of the right hilum with increased soft tissue projecting over the lower right paratracheal region. there is also fullness in the ap window. cardiac silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with chest pain, back pain, radiating to l shoulder, pleuritic // ptx? wide mediastinum?
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two portable views of the chest. exam was somewhat limited due to positioning and portable technique. there is no confluent consolidation or overt pulmonary edema. the cardiac silhouette is enlarged but unchanged.
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<unk>-year-old male with shortness of breath and chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p15375159/s55430078/8df9ddb8-ee7f31d0-ffdc9522-263dc261-f30860ca.jpg
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the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
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<unk>f with chest pain, evaluate for mediastinal widening or structural process.
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frontal and lateral views of the chest were performed. flattening of the diaphragms and increased retrosternal clear space suggest underlying copd. left basilar atelectasis is unchanged with mild elevation of left hemidiaphragm. there is no focal consolidation, pleural effusion, or pneumothorax. cardiac and mediastinal silhouettes and hilar contours are stable with moderate cardiomegaly. mediastinal widening is combination of fat and tortuous vessels. hiatal hernia is again noted.
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right-sided chest pain and dyspnea. evaluate for edema.
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pa and lateral images of the chest were obtained with the patient in the upright position. cardiomediastinal silhouette is unremarkable. the lungs are clear. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
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<unk>-year-old male with atypical chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p14809981/s54204022/df9a74c2-a06d7be5-4f6016a1-72bc36f4-c3087f37.jpg
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as compared to the radiograph from a day earlier, right sided picc line in the lower svc. moderate right-sided pleural effusion and right basal opacity have slightly worsened. retrocardiac and lingular opacity has slightly improved. right apical pleural fluid is also stable. no pneumothorax.
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<unk> year old woman with respiratory distress, likely pe // interval change
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. hilar contours are grossly stable.
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chest pain. evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p16872291/s55619205/77ff0255-092f8f8f-a0ab7acc-2f133614-07391054.jpg
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frontal and lateral radiographs of the chest are severely limited by technique. lung volumes are low, accentuating the cardiac contour and pulmonary vasculature. however, bibasilar opacities are concerning for pneumonia or atelectasis. no pleural effusion or pneumothorax is seen.
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shortness of breath and fever. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18543849/s58300701/950d852b-657c7756-39b2fcdd-8f7f8904-99ccf443.jpg
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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fever and right upper quadrant abdominal pain.
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MIMIC-CXR-JPG/2.0.0/files/p12457214/s58926119/45a9a1ef-b2822973-cf08c9ee-a3d76f95-b6b8da92.jpg
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pa and lateral views of the chest provided. cardiomegaly is mild to moderate. hila appear slightly congested though there is no frank edema. there is an eventration of the right hemidiaphragm. no large effusion or pneumothorax. no signs of pneumonia. bony structures are intact.
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<unk>f with sob, desat at pcp <unk>: <unk>
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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fever and cough. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17939203/s55262165/e7cde21b-64b73cfd-a502911d-aa487720-a7e4d279.jpg
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frontal and lateral views of the chest. the lungs are clear of focal consolidation or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
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<unk>-year-old male with fevers.
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there is mild to moderate enlargement of the cardiac silhouette. mediastinal contours are relatively unchanged. there is continued mild pulmonary edema, slightly worse compared to the previous exam, with patchy bibasilar opacities likely reflecting atelectasis noted <num>. additionally, as noted previously, prominent ring shadows are noted within the left upper lung field suggestive of bronchiectasis. left apical pleural thickening is unchanged. no pleural effusion or pneumothorax is identified. mild to moderate degenerative changes are noted within the thoracic spine.
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seizure.
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MIMIC-CXR-JPG/2.0.0/files/p19119896/s57857611/18e9aa10-480ddabb-86849ea5-908998e0-691b9ff7.jpg
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is unchanged. osseous and soft tissue structures are again notable for lower thoracic/upper lumbar vertebral body height loss.
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<unk>-year-old female with fever of unknown origin, polycystic kidney disease and liver cysts.
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MIMIC-CXR-JPG/2.0.0/files/p12245786/s57498811/25039efb-4177f45a-b3b2c91e-33705936-b08fa1df.jpg
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faint opacities at the right lung base not previously seen on <unk>. no pleural effusion or pneumothorax is detected. biapical pleural thickening is unchanged. mild pulmonary vascular congestion is stable without overt pulmonary edema. the cardiac silhouette is moderately enlarged but stable. the mediastinal and hilar contours are unchanged with prominence of the left main pulmonary artery, similar in appearance to <unk>. the thoracic aorta is tortuous with dense calcification at the aortic knob as seen previously. the visualized upper abdomen shows no free air beneath the right hemidiaphragm.
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generalized weakness and fever, here to evaluate for acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p15656571/s52249997/fb432365-76f139ad-99a14409-25f49997-fa15511d.jpg
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left-sided pacemaker/ aicd device is re- demonstrated with leads terminating in the right atrium and right ventricle. heart size remains moderately enlarged. mediastinal and hilar contours are unchanged. mild interstitial pulmonary edema is worse compared to the previous exam. no large pleural effusion or pneumothorax is seen. no acute osseous abnormality is identified.
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history: <unk>m with dyspnea, chest pain, known congestive heart failure, coughing.
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MIMIC-CXR-JPG/2.0.0/files/p12945480/s54213312/1278373a-cc1563a3-4d1fdc23-c3b4801d-ba116087.jpg
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pa and lateral views of the chest. the lungs are clear. nodular opacities over the mid-to-lower lungs bilaterally are most compatible with nipple shadows. cardiomediastinal silhouette is within normal limits. there is no free intraperitoneal air. no acute osseous abnormality is identified.
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<unk>-year-old male with severe abdominal pain.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. left basilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. increased conspicuity of a right posterolateral eighth rib fracture. no new fractures.
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<unk>m w/chest pain, reportedly <num> right-sided rib fx, please eval for new rib fx, pna (also endorsing cough)
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heart size is top normal. aorta remains tortuous. mediastinal and hilar contours are otherwise unremarkable. lungs are clear. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities demonstrated. there are mild degenerative changes in the thoracic spine. cholecystectomy clips is seen in the right upper quadrant.
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motor vehicle collision, upper extremity pain.
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube tip terminates in the stomach, however the side port is above the gastroesophageal junction. heart size is normal. the aorta appears tortuous. emphysematous changes are noted within the lungs without focal consolidation. streaky atelectasis or scarring is noted in the lung bases. no pleural effusion or pneumothorax is detected. pulmonary vasculature is not engorged. no acute osseous abnormality is clearly visualized.
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history: <unk>m with post intubation
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MIMIC-CXR-JPG/2.0.0/files/p14312580/s51499261/66994452-6bf9d21c-64ad6ee0-a525804c-d7bd7e1e.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
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dizziness.
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MIMIC-CXR-JPG/2.0.0/files/p15002496/s54796318/cd68e9ae-dc0ab7ec-51830399-3c368fcd-129c06d4.jpg
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there is a moderate right-sided pleural effusion with associated atelectasis at the right lung base, increased opacity within the right lower lung. likely reflects right lower lobe consolidation versus atelectasis, this best appreciated on the lateral view. the heart is top-normal in size given the ap technique. there is mild interstitial edema, left greater than right. no pneumothorax is seen, and aortic arch calcifications are noted. compression deformities and degenerative changes of the thoracolumbar spine are noted.
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<unk>-year-old male with epigastric pain. evaluate for acute cardiopulmonary disease.
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MIMIC-CXR-JPG/2.0.0/files/p18056245/s55445383/252be876-8f36e746-f2a4e510-b50c77db-4472a254.jpg
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there are bibasilar opacities superimposed on chronic increased interstitial markings more superiorly. cardiomediastinal silhouette is grossly unchanged. no acute osseous abnormalities, degenerative changes seen at the ac and glenohumeral joints bilaterally.
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<unk>f with chf, crackles l lung base. <num> days abd pain, greatest llq. //
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MIMIC-CXR-JPG/2.0.0/files/p10747970/s50192795/474af087-03e9fcff-b5e80ad1-47ec60d8-fe19059b.jpg
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ap chest radiograph. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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altered mental status and hypotension.
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MIMIC-CXR-JPG/2.0.0/files/p15869001/s56144113/e3400823-16283802-adf1f9a1-2ebb54db-200b2f77.jpg
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the heart is enlarged, not significantly changed from prior examination. there is tortuosity of the descending aorta. there is no evidence of focal consolidation, pleural effusion or pneumothorax. there is no overt pulmonary edema. degenerative changes are noted in the thoracic spine and there is bilateral ac joint arthropathy.
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upper abdominal pain. rule out acute cardiopulmonary problems.
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MIMIC-CXR-JPG/2.0.0/files/p14029260/s58148334/09d3bdec-963484e2-9c0546e6-705441da-3f1f105e.jpg
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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two or three weeks of productive cough.
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MIMIC-CXR-JPG/2.0.0/files/p10583673/s51435289/a566157f-4643d5ab-4fc525db-0d62b541-ed2418e2.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the aorta is somewhat tortuous.
|
history: <unk>m with ams // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p14391494/s50913286/19d54c84-6a59d424-1ad170c8-1bdbed17-4d03f736.jpg
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a dialysis catheter terminates in the upper atrium. the heart is mildly enlarged. the aortic arch and left carotid artery appear calcified. there is mild interstitial abnormality suggesting slight congestion, but otherwise the lungs appear clear. there is no pleural effusion or pneumothorax.
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congestive heart failure, on hemodialysis, with dyspnea, fever and chills.
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MIMIC-CXR-JPG/2.0.0/files/p19336651/s54756463/3ff87afa-57c514ef-d2e34542-9468ebf8-9439ddf1.jpg
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ap view of the chest provided. since prior chest radiograph, a right-sided pigtail pleural catheter has been inserted. there is no pneumothorax. extent of right pleural effusion has decreased slightly. moderate left pleural effusion is unchanged. heterogeneous right upper lobe opacities have improved since prior study. degree of pulmonary edema has also improved. heart size is smaller.
|
<unk> year old man with right effusion s/p pigtail, evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p17071231/s50741902/0534227a-b2a7ba94-f161f2e8-69e5a452-08dc26bd.jpg
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compared to <unk>, there is mild increase in interstitial opacities and mild enlargement of the hila, likely from pulmonary edema. <num> ap chest radiographs the demonstrate enteric tube with second radiograph demonstrating the enteric tube seen below the diaphragm and tip out of field-of-view, likely terminating in lower stomach. the heart size is mildly enlarged, unchanged. the lobulated mediastinal contour on right bases likely from no in esophageal varices. there is no evidence for pulmonary consolidation, pleural effusion or pneumothorax.
|
<unk> year old woman s/p dobhoff. evaluate for placement of ng tube.
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MIMIC-CXR-JPG/2.0.0/files/p15263567/s52778185/28aaa4ef-dc986f65-ffc54a21-049cfd2b-0a223a5b.jpg
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there are persistent low lung volumes. there is elevation of the right hemidiaphragm and bibasilar atelectasis larger on the right. there is no pneumothorax or large pleural effusions. there is severe kyphosis. lumbar hardware is partially imaged. evaluation of vertebral bodies in the thoracolumbar region is very limited. mild cardiomegaly
|
<unk>-year-old woman with past medical history significant for hypertension, dm, asthma, osteoarthritis and falls presents to the ed after fall on <unk>. // eval for pneumonia (previous x-ray unsatisfactory)
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MIMIC-CXR-JPG/2.0.0/files/p17131877/s56819401/aa901c2e-7011b980-6510c210-db36dba2-06955334.jpg
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there is minimal left lung base linear atelectasis with otherwise clear lungs. a tracheostomy tube is again noted. there is no pneumothorax or pneumomediastinum. the heart and mediastinum are within normal limits despite the projection. generalized osteopenia and spinal degenerative changes are noted.
|
<unk>-year-old female status post tracheostomy tube change and bronchoscopy; evaluate for pneumomediastinum.
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MIMIC-CXR-JPG/2.0.0/files/p12612379/s58307034/31dda3ff-190b3434-1850e211-8a44b60c-90996bbd.jpg
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the lungs are hyperinflated. the heart size is normal. mediastinal and hilar contours are unchanged. small right pleural effusion has increased in size compared to the prior study. re- demonstrated is scarring with bronchiectasis and ill-defined nodular small opacities in the right middle lobe with coarse calcifications of the right breast. right basilar patchy opacity likely reflects atelectasis. pulmonary vasculature is not engorged. there is no pneumothorax.
|
shortness of breath, hypoxia.
|
MIMIC-CXR-JPG/2.0.0/files/p19684837/s59518732/5bcac8d5-707d3549-a4ea7e65-86c91d63-d6a7207d.jpg
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moderate cardiomegaly appeasr stable. the thoracic aorta is tortuous with a calcified aortic knob. mild bibasilar atelectasis without substantial pleural effusion. no overt chf. no lobar consolidation or pneumothorax.
|
history: <unk>f with weakness // pna?
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MIMIC-CXR-JPG/2.0.0/files/p15813397/s56798100/948a9d83-4234e25e-0fe74549-2ec2b92d-51be143b.jpg
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left picc is identified however tip is not clearly delineated an may be within the upper right atrium. there are bilateral, bibasilar opacities compatible with moderate to large effusions and presumable atelectasis. moderate pulmonary edema is also noted. the cardiac silhouette is difficult to assess.
|
<unk>m with hyoxia, leukocytosis // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p15053540/s54555840/82edf9ff-8e171ead-fc5ca307-fd411c2d-ab8da937.jpg
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ap upright and lateral views of the chest provided. cardiomegaly is mild. lungs are clear. no effusion or pneumothorax. bony structures intact.
|
<unk>f with <num> hours of l sided cp + sob // eval for cardiomegaly
|
MIMIC-CXR-JPG/2.0.0/files/p11027112/s53480809/42ed8409-d30ae69b-633cb166-24711197-fe178907.jpg
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right-sided port-a-cath is unchanged terminating in the low svc. mediastinal contours, hila, and cardiac borders are normal. lung volumes are low with left lower lobe atelectasis. no pneumothorax or pleural effusion.
|
<unk> year old woman with left chest pain with inspiration // ? infection
|
MIMIC-CXR-JPG/2.0.0/files/p12884219/s53129254/ad36488e-9485bd77-d5d323a8-7498e79f-4bebb35c.jpg
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the lungs are well inflated and clear. the cardiomediastinal silhouette is unremarkable. the pleural surfaces are normal. mild enlargement of the hila is unchanged since <unk>, and likely of no active concern.
|
<unk> year old woman with asthma, p/w two days of worsening cough, rhonchi focally on r side on exam // evidence of pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p11662539/s59850222/32704653-8a6737f8-f121516d-24f042b4-8cbff1c8.jpg
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frontal and lateral chest radiographs were obtained. the right middle lobe and right lower lobe are collapsed, resulting in opacification at the right base and obscuration of the right hilus. the left lung is clear. a small left pleural effusion is present. the heart size is difficult to assess due to parenchymal abnormalities. there is no pneumothorax.
|
patient is status post av replacement, eval for pleural effusions.
|
MIMIC-CXR-JPG/2.0.0/files/p17236574/s57234080/3fcd2431-42e01451-4c4d9dcb-1eefc76c-50edc97a.jpg
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left upper lobe pulmonary nodule is unchanged. the lungs are otherwise unremarkable without consolidation effusion or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. anterior cervical spine fixation hardware is visualized.
|
<unk>f with recent hospitalization for uti, with new fever // eval pna
|
MIMIC-CXR-JPG/2.0.0/files/p12268457/s50413827/617a136d-c41bbdc4-2dddee2a-96f84045-c513da70.jpg
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there is minor bibasilar atelectasis, but no consolidation or pleural effusion. heart size is normal. hilar and mediastinal contours are within normal limits. the upper paratracheal margins are normal and there is no evidence of superior sulcus tumor. osseous structures are intact.
|
<unk>f with r neck swelling, ?horner's // eval for mass
|
MIMIC-CXR-JPG/2.0.0/files/p10502984/s58618294/aa7bad2f-336f7cbc-c3d3d0ad-bacad33d-ff59d188.jpg
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likely reflects atelectasis, though an early consolidation cannot be excluded. no pleural effusion or pneumothorax is seen. the cardiac silhouette is normal in size. the mediastinal contours are normal.
|
<unk>-year-old man with knee pain and swelling. evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p15412344/s56724039/c0377567-9551061e-26a022ef-19dc2493-b4b1d96f.jpg
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pacer lead is unchanged. left ij cordis is unchanged. there is increased pulmonary vascular redistribution and hazy areas of alveolar infiltrate most marked in the right lower lobe and left upper lobe. the heart size is mildly enlarged
|
<unk> year old man with shortness of breath post avr. // eval for interval change
|
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