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a left internal jugular catheter terminates in the region of the high svc or distal left brachiocephalic vein. lung volumes are slightly low. there is mild to moderate pulmonary edema. no significant pleural effusion or pneumothorax is detected. heart size is top normal. there is widening of the soft tissue space between the left brachiocephalic vein and trachea, raising suspicion for hematoma.
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<unk>-year-old male status post left internal jugular line placement.
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heart size is normal. the aorta is mildly unfolded. the hilar contours are unremarkable. there is no pulmonary vascular congestion. widening of the superior mediastinum may be due to vascular structures and mediastinal fat. there is no pulmonary edema. streaky opacity within the lung bases likely reflect atelectasis. no pleural effusion or pneumothorax is seen. no pneumomediastinum is demonstrated. multilevel degenerative changes are noted in the thoracic spine.
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chest pain.
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frontal and lateral views of the chest. low lung volumes exaggerate the heart size, which is moderately enlarged. there is moderate pulmonary edema with small bilateral pleural effusions and adjacent bibasilar compressive atelectasis. diffusely increased bony sclerosis is similar to prior and consistent with osseous metastases. multiple chronic rib fractures and upper lumbar spine compression fracture are unchanged. right nephrostomy catheter is incompletely imaged.
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lethargy.
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the patient has undergone prior right mastectomy and axillary dissection. the cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination. calcifications projecting over the right mid and upper lung have been demonstrated to be pleural based and are unchanged since the prior examination. again noted is right upper lobe scarring with volume loss. there is no pleural effusion or pneumothorax. no definite focal consolidation is identified.
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history: <unk>f with chest pain // eval for any infiltrates
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there is extreme acute lumbar kyphosis l<num> and l<num> better characterized on prior mr, limiting assessment. the cardiomediastinal and hilar contours are grossly unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
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chest pain.
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as compared to radiographs from <num> day prior, right-sided pigtail catheter in similar position. right lower lobe opacity has marginally increased and right-sided pleural effusion have not significantly changed. in retrospect, small apical right-sided pneumothorax is stable. moderate cardiomegaly. the left lung is relatively clear. mild biapical scarring.
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<unk> year old man with right sided chest tube // daily cxr at <num>am
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the ng tube has been removed. a left basilar airspace opacity appears more plate-like today, and is characteristic of atelectasis. the right lung is clear. there is no pneumothorax. mild cardiomegaly despite the projection is stable. the nasogastric tube has been removed.
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<unk> year old woman with dysphagia, productive cough, eval for aspiration // <unk> year old woman with dysphagia, productive cough, eval for aspiration
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lateral views a suboptimal due to patient's overlying arms.no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. no evidence of free air is seen beneath the diaphragms in this semi upright patient.
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history: <unk>f with history cva presenting with acute abdominal pain after ingesting pills - unable to give an accurate history // please assess for dilated loops of bowels, obstruction or free air under the diaphragm
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. radiopaque density overlying the left heart border is external to the chest wall.
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history: <unk>m with palpitations, afib // eval for pna
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the previously described nodular opacities in the right upper lung and right lower lobe are less conspicuous on today's study. cardiomediastinal hilar contours are unchanged. persistent left hilar fullness. no focal consolidation, pneumothorax or pleural effusion.
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<unk> year old woman with pneumonia, feeling much worse // check for worsening infiltrates
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the cardiomediastinal and hilar silhouette is unremarkable. the lungs are clear without consolidation, pleural effusion or pneumothorax. no displaced fracture is seen. a lap band projects over the left upper quadrant.
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chest pain.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. there is no over pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. aortic calcifications are noted.
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<unk>-year-old female with hypotension and chest pain. evaluate for fluid overload.
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there is a large left-sided pleural effusion causing significant compressive atelectasis. the upper left lung and right lung are grossly clear. the cardiac size is difficult to evaluate given the large pleural effusion.
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history: <unk>m with tachycardia, reduced breath sounds // eval ptx, effusion
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portable semi-upright radiograph of the chest demonstrates borderline enlargement of the cardiac silhouette, similar to the prior examination. the main pulmonary artery is prominent. central pulmonary vascular congestion is similar to the most recent examination. bibasilar linear opacities are most consistent with atelectasis. no large focal consolidation, pleural effusion, or pneumothorax is identified.
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history: <unk>m with chest pain, hypoxia to high <num>s intermittently, bradycardic // ?change from prior
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the cardiomediastinal and hilar contours are within normal limits. there is no evidence of pulmonary edema. subtle bibasilar opacities likely reflects subsegmental atelectasis. no pleural effusion or pneumothorax.
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history: <unk>f with rapid afib, cough. // pneumonia/pulm edema?
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in comparison to the chest radiographs obtained <unk>, innumerable pulmonary masses and nodules have decreased in size. no new opacities or consolidations. heart size is top-normal. cardiomediastinal hilar silhouettes are unchanged. no pleural effusions or pneumothorax.
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<unk> year old man with renal cell cancer metastatic to lung and brain, previous ip procedure to open r bronchus intermedius now with chronic cough and l sided inspiratory wheeze // pneumonia, evidence of progression of metastases airway obstruction
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the lungs are hyperinflated with an increased ap diameter. a left upper lobe nodule is again seen and is probably stable from previous studies. additionally, there is heterogeneous opacification along the right heart border likely consistent with right middle lobe pneumonia. previous increased interstitial lung markings of the lower lung bases have improved since <unk> study. there is tracheal displacement secondary to a left thyroid mass which is stable since <unk>. no pleural effusion, pulmonary edema, or pneumothorax is seen.
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<unk> year old woman with cough // cough/bronchiectasis
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there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. right hilar contour appears prominent, and may reflect lymphadenopathy.
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history: <unk>m with hx of hiv who presents with likely sepsis // ? pneumonia, pcp <unk>: chest pa and lateral
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are hyperinflated with mild diffuse bronchiectasis. diffuse ill-defined nodular opacities within the right upper and mid lung fields as well as in the region of the lingula appear to correspond to tree-in-<unk> nodular opacities better seen on the prior chest ct. no new focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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history: <unk>f with history of pneumonia with hemoptysis
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lung volumes remain low with bronchovascular crowding, but have improved since <unk>. bilateral pleural effusions are small. retrocardiac opacity may reflect atelectasis, similar the prior exam, although concurrent infection cannot be excluded. no pneumothorax. cardiomediastinal silhouette is unchanged with mild to moderate cardiomegaly. aortic knob calcifications are moderate, overall unchanged. elevation of the right hemidiaphragm is overall unchanged. there appears to be significant compression deformity and marked loss of vertebral body height of an upper lumbar spine vertebral body, not clearly appreciated of prior chest radiograph and may correspond to the l<num> compression deformity on the lumbar spine ct from <unk>, but has progressed in the interim.
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<unk>-year-old female presenting with right hand swelling.
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there is minimal left lower lung atelectasis. the lungs are otherwise clear. the heart size is normal. the mediastinal contours are normal. there are no definite pleural effusions. no pneumothorax is seen. there is no free air under the diaphragm.
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history of gastric bypass surgery, presenting with epigastric pain. evaluate for subdiaphragmatic free air, pneumonia, or pleural effusion.
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endotracheal tube terminates <num> cm from the carina. the lungs appear clear. an ng tube courses into the stomach. widening of the superior mediastinum is due to rotation. no pneumothorax or pleural effusion.
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<unk>f with intubation // eval tube placment
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lungs are clear without focal consolidation, edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. extensive s-shaped thoracic scoliosis is noted. no acute osseous abnormalities.
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<unk>f with cp // pna?
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pa and lateral views of the chest provided. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
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<unk> year old woman with severe cough, asthma // ? pna
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heart size and cardiomediastinal contours are normal. lung volumes are low. diffusely increased interstitial markings are consistent with interval worsening of pulmonary edema, worse on the right. an infectious process cannot be excluded. presumed pleural effusions are not large. no pneumothorax.
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history: <unk>m with r ij attempt // eval for ptx
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with sob, dysphonia // ?cpd
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pa and lateral views of the chest provided. chronic scarring in the left lower lobe accounts for retrocardiac opacity. no new consolidation is seen. no evidence of edema, large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. no free air below the right hemidiaphragm
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<unk>f with shortness of breath // eval for pulmonary edema
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with cough // pna?
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right-sided picc terminates in the upper to mid svc, similar to prior. no pneumothorax is seen. there is persistent elevation of the left hemidiaphragm with overlying atelectasis. left basilar linear atelectasis/ scarring is also noted. no focal consolidation is seen. there is no large pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.
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history: <unk>f with fever // eval for pneumonia
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pa and lateral views of the chest <unk> at <time> are submitted.
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<unk> year old man with congested cough x <num> days. hx copd, tb, asbestosis, rul resection. rhonchi throughout all lung fields. hx pna one year ago. // evaluate for consolidation evaluate for consolidation
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upright ap and lateral images of the chest. the lungs are well expanded. the patient again demonstrates signs of early mild cardiac decompensation, consisent with recent exams which have demonstrated persistently engorged pulmonary vasculature and a larger heart than seen on earlier prior exams. there are trace bilateral pleural effusions. there is no pneumothorax. pacer is seen with intact leads in appropriate position.
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history chf, now with shortness of breath.
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there is no focal consolidation, pleural effusion, pneumothorax, or evidence of intrathoracic metastatic disease. small amount of linear opacity at the left base is likely atelectasis. cardiomediastinal silhouette is normal. there are no acute skeletal abnormalities.
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<unk>-year-old man with history of melanoma, evaluate disease status.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with chest pain, shortness of breath
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the lungs are well expanded. there is an area of patchy opacity at the right lower lobe that could reflect an infectious process. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
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asthma, allergies, shortness of breath for <num> days, night sweats, fever/chills, and cough. patient is from <unk>.
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surgical clips project over the left hemithorax. the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
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history: <unk>m with cough // rule out pneumonia
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lung volumes are low. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and size is normal. mediastinal contours are within normal limits.
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<unk>-year-old female, pregnant, with syncope.
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hyperinflated lungs with reduced lung markings at the apices consistent with emphysema. no pleural effusion or pneumothorax is seen. the heart is not enlarged. the ascending aorta is dilated or tortuous, unchanged compared to prior study.
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cough, fever
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<num> right chest tubes with no definite pneumothorax remaining. right lower lobe atelectasis and opacities unchanged. left pleural effusion and left lower lobe atelectasis also unchanged. stable cardiomegaly. there is better aeration of the left lung.
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<unk> year old man with r sided pna, s/p vats // s/p vatsplease make cxr for <unk> on <unk> per thoracic surgery, thank you.
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endotracheal tube terminates <num> cm from the carina. enteric tube is seen beyond the diaphragm. right picc terminates in the region of the upper right atrium. heterogeneous bilateral parenchymal opacities have slightly improved since the prior study, and there is slightly better aeration. heart size and mediastinal contours are unchanged.
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<unk> year old man with respiratory failure // are there changes in infiltrates?
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lung volumes are low. there are streaky opacities in the right mid lung and left base, which likely represent atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.
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evaluate for acute cardiopulmonary process.
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increased airspace opacity in the right lower lung may represent atelectasis or pneumonia depending on the clinical setting. there is no pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette, including a tortuous aorta and mild to moderate cardiomegaly, is unchanged. bilateral minimally displaced lower lateral rib fractures are noted, difficult to assess due to overlapping structures
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<unk>m with fall, evaluate for rib fracture.
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frontal and lateral radiographs of the chest. the heart is mildly enlarged. the cardiomediastinal silhouette and hilar contours are stable. retrocardiac opacity likely related to atelectasis; however, pneumonia is not excluded. no pneumothorax. there is a moderate left pleural effusion and small right pleural effusion unchanged from prior. there is pulmonary vascular congestion. no displaced rib fracture identified.
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cough, question pneumonia
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the endotracheal tube is in appropriate position below the thoracic inlet and its tip is <num> cm above the carina. an esophageal tube is noted with the tip below the gastroesophageal junction and the sideport in the lower esophagus. the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. bilateral degenerative changes of the shoulders are demonstrated, right worse than left. the right humeral head is flattened suggesting prior episode of osteonecrosis.
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patient status post fall, intubated selectively for mri. evaluate location of the endotracheal tube.
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lungs are clear. no pleural effusion or pneumothorax evident. mediastinal, hilar and cardiac contours are unremarkable. stable thoracic dextroscoliosis evident.
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cough, shortness of breath, wheezing. please evaluate for infiltrate.
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the cardiomediastinal and hilar contours are within normal limits. there is bibasilar atelectasis, most prominent at the left lung base. increased opacity in the left lower lobe could reflect early pneumonia. there are probable small bilateral pleural effusions. no pneumothorax is identified.
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cough. question pneumonia.
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the cardiac silhouette is mildly enlarged, unchanged from prior exams. since the most recent chest radiograph on <unk>, there is new diffuse ground glass opacification and increased pulmonary vascular engorgement likely reflecting new moderate pulmonary edema. there is likely a small pleural effusion on the right. there is no definite pleural effusion on the left. there is no consolidation or pneumothorax. atherosclerotic calcification of the aortic arch is unchanged. there is no free air under the hemidiaphragms.
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chest pain and shortness of breath.
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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>m with dm<num> with sinus congestion, cough, headache // rule out pneumonia
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a portable frontal chest radiograph demonstrates moderately well-aerated lungs with a normal cardiomediastinal silhouette. streaky opacities in the bilateral lung bases are most compatible with atelectasis, with slightly better aeration of the left lower lung compared to chest radiograph in the day prior. there is no focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is identified. the visualized upper abdomen is unremarkable, other than surgical clips projecting over the mid abdomen.
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evaluate for pneumonia in a patient with a history of copd, presenting with wheezing and fever.
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new <unk> tube is seen traversing past the diaphragm into the stomach. inflation of the associated balloon is seen below the diaphragm and pulled back towards the ge junction. right central venous line is unchanged in position and ends at the mid svc, and the endotracheal tube is in appropriate position. low lung volumes continue to be seen, and bilateral parenchymal opacification is seen concerning for pulmonary edema. lumbar surgical hardware is seen, and the osseous structures are grossly unremarkable.
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<unk>-year-old male with liver failure, <unk> tube placed, evaluate <unk> tube placement.
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are normal. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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left-sided chest pain. assess for pneumothorax.
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the heart remains moderately enlarged. the aorta is unfolded. the mediastinal and hilar contours are unchanged. there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. mild asymmetric haziness overlying the left hemithorax compared to the right may be attributable to overlying soft tissue structures. no acute osseous abnormalities are identified.
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fever and cough.
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interval resolution of previously seen asymmetric moderate to severe pulmonary edema. no pneumothorax or pleural effusion is seen. there is mild cardiomegaly, however the rest of the mediastinum is within normal limits.
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<unk> year old woman with brbpr, dchf. // acute process, resolution of prior pleural effusions acute process, resolution of prior pleural effusions
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compared to the prior study there is no significant interval change.
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<unk> year old woman with esophageal perforation s/p repair // r/o pleural effusion, ptx
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MIMIC-CXR-JPG/2.0.0/files/p17551672/s55216979/790d63e9-0b3db545-bc48a601-01df70aa-1d1d97fd.jpg
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there has been interval removal of a right-sided internal jugular central venous catheter. the cardiac and mediastinal contours are stable. there is minimal interval improvement but persistent bilateral pulmonary edema. small bilateral pleural effusions with the left greater than right are increased from <unk>. there is increased opacification at the left lower lobe which may be due to combined pleural effusion and left lower lobe atelectasis or in the appropriate clinical setting may represent focal consolidation.
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<unk>-year-old female with systolic heart failure, here to evaluate for pulmonary edema.
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frontal and lateral chest radiographs demonstrate a left chest port with the tip in the low svc. the cardiomediastinal silhouette is normal. the lungs are clear and demonstrate low volumes which are improved from prior radiograph. there is no pleural effusion or pneumothorax.
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colon cancer on chemotherapy, now unable to draw back from the port. evaluate placement of catheter.
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MIMIC-CXR-JPG/2.0.0/files/p10115397/s57848506/621e282c-3101094a-b242abd9-54e46d98-7e187e28.jpg
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compared to the study from the prior day, the pulmonary edema appears worse. there are small bilateral pleural effusions. there is volume loss at both bases. there is hazy alveolar infiltrate bilaterally. there is pulmonary vascular re-distribution. the et tube, left-sided picc line, feeding tube with tip coiled in the stomach, sternal wires, and mediastinal clips are unchanged.
|
followup edema and effusions.
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MIMIC-CXR-JPG/2.0.0/files/p12506816/s56108986/98f97750-f3e7eeba-65a58ee8-84de5ea8-e3d975f6.jpg
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lung volumes are low. blunting of the left costophrenic angle may reflect trace pleural effusion. no edema, large pleural effusion, or pneumothorax. retrocardiac streaky opacity is probably atelectasis. heart size top-normal in size. no acute osseous abnormality.
|
<unk>-year-old man with afib w/ rvr, chest pain. evaluate for effusion.
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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 ckd on hd here with n/v, cough, chills // eval for edema/pna
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portable single frontal chest radiograph was obtained with the patient in upright position. a right chest tube remains in place without pneumothorax. there is interval development of a right basilar consolidation with an associated small pleural effusion. there is also a small left pleural effusion. there is no pulmonary edema. the cardiomediastinal silhouette is stable.
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patient status post thoracoscopy, eval interval change.
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MIMIC-CXR-JPG/2.0.0/files/p12721193/s53788102/43fcd328-191134a6-74cc6cfc-f5505f0e-3d9e57ff.jpg
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the cardiac silhouette size is normal. the aortic knob demonstrates mild atherosclerotic calcifications. the pulmonary vasculature is normal, and the hilar contours are unremarkable. tiny bilateral pleural effusions have further decreased in size. no focal consolidation or pneumothorax is identified. scarring within the lung apices is re- demonstrated. an inferior vena cava filter is in unchanged position.
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pancreatic cancer status post whipple procedure on chemotherapy with <num>-day history of fever. on treatment for salmonella
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MIMIC-CXR-JPG/2.0.0/files/p15975193/s59960062/2f2af440-8fececbe-8c086bbc-5256b9b9-1936cbee.jpg
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frontal and lateral radiographs of the chest demonstrate low lung volumes. moderate enlargement of the cardiac silhouette is unchanged. new moderate right pleural effusion and small left pleural effusion. moderate effusion on the right obscures underlying abnormality which could be pneumonia. pulmonary vascular congestion and mild pulmonary edema are new from the prior study.
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edema, question pneumonia or pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p11959580/s53241016/675778cc-2a5d824f-a849e457-29d351b8-efc940cd.jpg
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the patient is status post median sternotomy and cabg. the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is present. no acute osseous abnormalities detected.
|
chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p11115360/s55426687/f5709e24-74706860-b9b11eaa-c6504cc6-f67c062e.jpg
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there is stable appearance of surgical clips and median sternotomy wires from prior cabg as seen on previous radiographs. there is mild djd in the thoracic spine with multilevel osteophytes without significant interval change. there is mild cardiomegaly best appreciated on lateral view. there is no interval change in the cardiomediastinal contours. there is a paucity of vessels seen in the upper lobes bilaterally which is consistent with centrilobular emphysema as seen on prior ct scan. there are no parenchymal opacities seen. there are no pneumothoraces or effusions.
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<unk> year old man with cough and prior smoking history // ? lesion
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three transvenous pacemaker leads terminate in the right atrium, right ventricle, and left ventricle. median sternotomy wires appear intact. small bilateral pleural effusions, left greater than right, are grossly unchanged. left lower lobe atelectasis is similarly unchanged. mild cardiomegaly is unchanged. the mediastinal silhouette and hilar contours appear normal. there is no pneumothorax.
|
gentleman with biv ppm implant. evaluate lead positions.
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MIMIC-CXR-JPG/2.0.0/files/p12356657/s53461172/6927ffe3-25398170-5c23d1c6-43b392e6-187120fa.jpg
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two frontal views of the chest demonstrate the endotracheal tube is in appropriate position, terminating <num> cm above the level of the carina. an orogastric tube is also seen, but the tip lies at the gastroesophageal junction with side hole above the level of the diaphragm, and should be advanced several centimeters to ensure placement in the stomach. right pleural plaques are again seen along with bibasilar atelectasis. a small right pleural effusion remains. there is no pneumothorax and the cardiomediastinal silhouette is stable.
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<unk>-year-old man status post orogastric tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p11063095/s57680767/c850b57e-2b3820a5-a508efad-5ae404fb-fe1e84fc.jpg
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lungs remain hyperinflated. heart size is moderately enlarged, unchanged. the mediastinal and hilar contours appear similar. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. blunting of the costophrenic angles posteriorly is chronic, likely reflective of pleural thickening. degenerative changes of the left glenohumeral joint are noted along with multilevel degenerative changes within the thoracic spine.
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<unk>f with shortness of breath, please eval for pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p13884592/s50286711/52b9d766-19576682-1ebe537a-2f399b0f-46254736.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. bony structures are unremarkable.
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cough. history of bipolar disorder.
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MIMIC-CXR-JPG/2.0.0/files/p16587222/s57714418/20f94b32-680f8d5f-c1f66c7b-b6cd1eb4-0dfe3db4.jpg
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the cardiac silhouette size is normal. the aorta is mildly tortuous. hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is identified. mild degenerative changes are seen within the thoracic spine with minimal loss of height anteriorly of a mid thoracic vertebral body.
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syncope.
|
MIMIC-CXR-JPG/2.0.0/files/p14804125/s59191718/a418da5d-c09f5f7d-e9a2baf7-14a8d7bd-53cc6044.jpg
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the patient is status post cabg, and median sternotomy wires are again seen. the cardiomediastinal silhouette is unchanged. the lungs demonstrate no evidence of focal pneumonia, pneumothorax, pleural effusion or overt pulmonary edema. bibasilar atelectasis is present.
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<unk>-year-old female with fatigue. evaluation for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18760100/s50909613/ccb203c1-ac3c08fd-84ba7764-777541ae-46b65bea.jpg
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a frontal semi-upright view of the chest was obtained portably. the lungs are well expanded. there is no focal consolidation or pneumothorax. blunting of the right costophrenic sulcus may be a tiny right pleural effusion. there is mild cardiomegaly. the mediastinum is slightly widened, likely due to technique and patient position. no acute osseous abnormality is identified. there is no free air under the diaphragm.
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<unk>-year-old woman status post seizure.
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MIMIC-CXR-JPG/2.0.0/files/p10420727/s53837296/1eccd52b-ac7cf187-47b94edb-a215d364-18ca67be.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal in size. mediastinal contours are unremarkable. no overt pulmonary edema is seen.
|
history: <unk>f with tachycardia // acute process?
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MIMIC-CXR-JPG/2.0.0/files/p14307597/s56445411/614b83c2-148a0eec-cba81be6-eeb7a761-8276f743.jpg
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a dual-lead pacemaker/icd device appears in unchanged. the heart is probably normal in size but not well imaged because of overlapping opacities. the aortic arch appears calcified. in the right lung, there is diffuse mild opacification that is confluent near the base of the lung with layering opacity suggesting a substantial pleural effusion is likely present. increased interstitial opacification is also noted along the right mid-to-lower lung. in the left lung, mostly aeration is good in the mid to upper lungs, but at the left lung base, there is also confluent retrocardiac opacity. no definite pleural effusion is seen on the left side.
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question pneumonia.
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there are hazy ill-defined infiltrates in the lower lobes left greater than right. compared to the prior study the left lower lobe appears worse in the right lower lobe appears better the right ij line is no longer present
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<unk> year old man with cough, wheezing, bandemia // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p11445234/s55892153/94e6cf11-8ad49476-7e6111f7-4051de7f-ad9d6afe.jpg
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pa and lateral views of the chest were provided. lung volumes are low. there is a moderate left pleural effusion with associated left lower lobe consolidation which could represent atelectasis and/or pneumonia. right lung appears clear. overall cardiomediastinal silhouette appears stable. imaged osseous structures are intact.
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<unk>-year-old man with shortness of breath.
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right chest wall port-a-cath is again noted. postoperative changes are noted with surgical clips at the left hilum. left lung is grossly clear. there are new regions of consolidation in the right lung, one linear region projecting over the right upper lobe, potentially in part atelectasis. more patchy region of consolidation projecting more inferiorly over the right lung, likely within the middle lobe based on the lateral view. there is no effusion. chronic changes of the left lateral ribs are again noted. surgical clips seen in the upper abdomen.
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<unk>m with metastatic stage <num> lung ca, on chemo, with increasing chest pain and cough // ?pna
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MIMIC-CXR-JPG/2.0.0/files/p16424079/s59353122/ee19bfb9-0365c293-5a759ae8-442131d4-336f1590.jpg
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
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dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p17662996/s51029541/3bf86e79-7bb83398-3424695b-66f8664c-e6ad796d.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. subtle bibasilar opacities are again seen and are minimally improved from the prior study. no pleural effusion or pneumothorax is seen.
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<unk> year old man with multilobar pna, with persistent cough following 'dual' antimicrobial treatment // please compare to <unk> and <unk> studies
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MIMIC-CXR-JPG/2.0.0/files/p11723684/s58737247/87c8e08e-bac8d7d1-cbdebc82-c1e9f7c3-2690719a.jpg
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allowing for supine ap portable technique and low lung volumes, the cardiac, mediastinal and hilar contours are probably within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. irregular contours along the left posterior lateral fifth and sixth ribs suggest prior fractures, but probably not recent.
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motor vehicle collision.
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MIMIC-CXR-JPG/2.0.0/files/p17680905/s59156144/231fd0bd-bf21c178-9c9bbc5a-d859a30c-7086f6a6.jpg
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the heart is mildly enlarged. the aorta is mildly tortuous and calcified. there is a intra-aortic balloon pump with the tip obscured. an exact measurement below the aortic knob cannot be obtained. it is at least in the upper descending aorta. there is patchy areas of alveolar edema. there is mild pulmonary vascular redistribution. there is no pleural effusion. there is no focal infiltrate.
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<unk> year old woman pre-op cabg // eval effusion/iabp placement surg: <unk> (cabg)
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MIMIC-CXR-JPG/2.0.0/files/p12547577/s52704842/83db40aa-0931b509-42d0e76c-92ef47ef-60e3ca05.jpg
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the heart is normal in size. the mediastinal and hilar contours appear unchanged allowing for differences in technique and positioning. there is a focal opacity in the right lower lobe, obscuring the posterior right hemidiaphgram and better depicted on the laterl view. there is no pleural effusion or pneumothorax. the bony structures are unremarkable.
|
altered mental status.
|
MIMIC-CXR-JPG/2.0.0/files/p10253803/s55814412/93dd2b76-8173dcc7-00fc8c2e-e6e5719c-dd6c9ded.jpg
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the patient is status post median sternotomy and left-sided aicd device with electrodes and epicardial leads in unchanged positions. heart size remains mild to moderately enlarged. the mediastinal and hilar contours are unchanged. pulmonary vascular congestion is similar to prior. previously noted opacification in the right middle and lower lobes has improved with minimal residual patchy opacities in these regions. a small right pleural effusion is likely unchanged. the left lung remains clear. no pneumothorax is identified.
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<unk>m with the right lung crackles, evaluate for residual pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p13232427/s53974895/72244e0c-5ec52391-21b7541c-e33811f2-a2a23c18.jpg
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an endotracheal tube terminates <num> cm above the carina. an enteric tube is seen within the stomach and could be advanced <num>-<num> cm for appropriate placement. no focal consolidation, pneumothorax or pleural effusion.
|
<unk>m with trauma, now intubated. // eval intubation
|
MIMIC-CXR-JPG/2.0.0/files/p15489533/s53674254/e15ef63f-c0a3b408-f8b09800-48dc4664-ac11e9be.jpg
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the heart size is top normal. mediastinal and hilar contours are unremarkable with calcification of the aortic arch again noted. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. multilevel degenerative changes are noted in the thoracic spine.
|
transient ischemic attack symptoms.
|
MIMIC-CXR-JPG/2.0.0/files/p13165800/s54604869/62e09213-347f456c-116a283c-5700f0b2-3df115a0.jpg
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. note is made of a healed right sixth posterior rib fracture. there are multilevel degenerative changes of the thoracolumbar spine as well as moderate thoracic kyphosis.
|
lethargy with possible intracranial hemorrhage. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19648809/s51087056/09b67464-21b0f31a-f798866a-c933a559-1f86e367.jpg
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from <unk>, there is increase in confluent bilateral airspace consolidation with air bronchograms. this precludes evaluation of the cardiac silhouette and of the mediastinal contours. there is no pneumothorax or pneumomediastinum. a left ij catheter tip both projects in the mid svc. an endotracheal tube is unchanged in position. an ng tube passes below the level of the diaphragm, though the tip is not seen.
|
<unk>-year-old female with ards and respiratory failure, assess et tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p12153629/s52073499/a80cbf35-92f6a4f0-af6e01e7-760ef5bb-d8e08299.jpg
|
the lungs are clear of focal consolidation or effusion. cardiac silhouette is enlarged but stable in configuration. coronary artery stent is identified. left chest wall dual lead pacing device is again noted.
|
<unk>f with chest pain // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p15977876/s53844631/2bb7794a-cee7a7b7-6668fb87-949686b6-5dd5946f.jpg
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previously seen right upper lobe perifocal opacity has decreased in area and prominence. there is no pneumothorax. there are no new areas of opacity. there are no masses or lesions identified. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces are unremarkable.
|
<unk>-year-old male status post right transthoracic biopsy.
|
MIMIC-CXR-JPG/2.0.0/files/p14367907/s53970902/84ccf377-a8256d5c-61bdc705-38ccbafd-47e798e1.jpg
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mildly hyperinflated clear lungs without pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are normal. no bony abnormality.
|
<unk>-year-old male with bilateral chest wall pain. assess for fracture.
|
MIMIC-CXR-JPG/2.0.0/files/p11065923/s59821646/2935bc64-aae6f801-220aea76-0dd6abe3-d75c7b9e.jpg
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the patient has been extubated. there is a right ij which terminates in the cavoatrial junction. there is an ng tube with the side hole below the diaphragm, however the tip is not visualized on this image. there are bibasilar patchy opacification, worse on the right. the left pleural effusion appears unchanged. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities.
|
<unk> year old woman with post-extubation // please evaluate
|
MIMIC-CXR-JPG/2.0.0/files/p14080329/s50042769/696745de-17e08067-137edd58-7dcccb8c-0790a0a9.jpg
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lungs are moderately well inflated with mild pulmonary edema. bibasilar opacities seen on both frontal and lateral projection have increased since prior examination with a new right lower lung opacity appearing triangular in shape. a new small right pleural effusion is present. no left pleural effusion. no pneumothorax. severe cardiomegaly is stable since prior examination.
|
<unk>m with sob, cp. assess for chf.
|
MIMIC-CXR-JPG/2.0.0/files/p15689523/s56229094/a9dc5207-90f2d5d7-64433285-1fa3bd4c-a3a9f1b9.jpg
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ap view of the chest provided. dobhoff tube is in the right bronchial system. otherwise, no relevant change from prior study from earlier today.
|
<unk> year old man s/p dht placement // eval for placement
|
MIMIC-CXR-JPG/2.0.0/files/p15187035/s57518467/bf35e3e7-1e886dba-923a39d2-33499578-c543af98.jpg
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no visualized pneumothorax is seen, and right subcutaneous air is seen. left basilar atelectasis with hemidiaphragm elevation continues to be seen, and blunting of the left costophrenic angle with possible pleural effusion. a gas bubble is seen adjacent to the right heart border which may represent a diaphragmatic hernia. the cardiac and mediastinal contours are normal.
|
<unk>-year-old man status post right upper lobe and right lower lobe vats wedge resection. evaluate for pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p12242872/s55938587/bafc7bc3-bbfee6d9-9540ce6f-89173808-c116263a.jpg
|
extremely low lung volumes are seen with secondary crowding of the bronchovascular markings. there is no effusion or focal consolidation. no definite pulmonary edema within limitations above. right chest wall port is identified. cardiomediastinal silhouette is prominent but accentuated by technique.
|
<unk>m with weakness // r/o infiltrate
|
MIMIC-CXR-JPG/2.0.0/files/p13687936/s52273181/5746ff65-678b353c-d48c0c81-2a18effa-20bc6836.jpg
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lung volumes are relatively low. linear right basilar opacity is most likely atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
|
<unk>f with weakness // acute cardiopulm disease
|
MIMIC-CXR-JPG/2.0.0/files/p18080123/s56867934/92071835-7cccaef5-26479f8e-542fab3f-d101e0fb.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear within normal limits.
|
cough, wheezing and dyspnea.
|
MIMIC-CXR-JPG/2.0.0/files/p15093498/s56811076/78e4ece7-4e36c539-7ae9eead-21a6cb12-f8941c41.jpg
|
pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. cardiomediastinal silhouette is stable. cholecystectomy clips are noted in the right upper quadrant.
|
productive cough. evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p11919770/s53669277/1d2fc604-25f2761c-cffccc12-9d80c09d-f654b156.jpg
|
left-sided atelectasis and pleural effusion are noted. there is a new opacity obscuring the left heart border which is likely a new pneumonia. the cardiac and mediastinal contours are unchanged.
|
<unk>-year-old man status post left lower lobe, evaluate interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p13753787/s53879786/74e9fdd4-ee12d4e0-72c68133-5aeaef28-835ab165.jpg
|
the cardiomediastinal and hilar contours are within normal limits. there are shallow lung volumes. there is no focal consolidation, pleural effusion or pneumothorax.
|
history: <unk>m with chest pain // ? acute cardiopulm process ? acute cardiopulm process
|
MIMIC-CXR-JPG/2.0.0/files/p19615717/s59859420/faca33cf-1e8e1123-04a6d20b-cd996afb-c087e430.jpg
|
heart size is normal. the mediastinal and hilar contours are normal. mild calcification at the aortic knob is noted. the pulmonary vascularity is normal. subsegmental atelectasis in the lingula is present. lungs are otherwise clear. no focal consolidation is visualized. blunting of the right costophrenic angle posteriorly likely reflects a small pleural effusion. no pneumothorax is present.
|
diabetes mellitus, vertigo, atrial flutter.
|
MIMIC-CXR-JPG/2.0.0/files/p11726197/s56790500/ffd416b7-a8920acb-3d1c8e32-63c4be05-b8f3860c.jpg
|
the cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. clips are noted within the right upper quadrant of the abdomen compatible with prior cholecystectomy.
|
upper respiratory tract infection symptoms and fever.
|
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