Frontal_Image_Path
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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 chest pain // eval infiltrate
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Assessment is limited by low lung volumes as well as patient rotation. Heart size is accentuated due to low lung volumes appearing borderline enlarged. The mediastinal and hilar contours are grossly unremarkable. Crowding of bronchovascular structures is seen without overt pulmonary edema. Patchy opacities within the lung bases presumably reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is detected. Previously noted focal opacity overlying the left lateral mid lung field is not clearly visualized on the current examination. Multiple clips are again seen within the right axilla. Compression deformity of a mid thoracic vertebral body is new from <unk>, but appears to reflect a chronic abnormality. There are mild to moderate multilevel degenerative changes.
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<unk> year old woman with crackles and leukocytosis
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Thoracic aorta structures. Mediastinal contours are otherwise unremarkable. There is mild basilar atelectasis. Lungs are clear. No pleural effusion or pneumothorax.
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<unk> year old man with shortness of breath and pedal edema // ?chf
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is top normal. The aorta is mildly tortuous.
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<unk>-year-old male with chest pain.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>f with <num> day history of cough and chills // r/o pneumonia
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Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vasculature is normal. Streaky opacities in the lung bases are slightly worse in the interval, and likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
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copd, shortness of breath, fever
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Frontal and lateral chest radiograph demonstrate well-expanded lungs. There is mild interstitial edema. Mild cardiomegaly is noted. The aorta is tortuous and atherosclerotic calcifications are seen at the aortic knob. A two-lead cardiac pacer is seen with a presumed abandoned third lead. There are moderate degenerative changes seen of the thoracic spine.
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<unk>-year-old female with fever, sweats and cough. evaluate for pneumonia.
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Cardiomediastinal contours are unchanged, the aorta is elongated. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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history: <unk>f with shortness of breath, dry cough , h/o pneumonia // r/o acute process
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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 right shoulder pain s/p mvc // eval for fracture, dislocation
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Ap upright and lateral views of the chest provided. Mediastinal prominence again noted compatible with known thyroid goiter. The heart is moderately enlarged. There is mild pulmonary edema. No large effusion or pneumothorax. Bony structures are intact.
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<unk>m with altered mental status
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Since <unk>, multifocal opacifications are seen in the left upper lobe, right middle lobe, and right upper lobe, consistent with multifocal pneumonia. Additionally, there may be some component of underlying vascular congestion. The heart size is normal. No pneumothorax.
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<unk> year old man with kidney/panc transplant, rectal cancer, mssa bacteremia. new cough, leukocytosis, immunosuppressed on tacro, // pneumonia?
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Calcific densities seen in the right lower lobe, likely calcified granulomas. The lungs are otherwise clear without consolidation, edema, or large effusion. Cardiac silhouette is minimally enlarged. No acute osseous abnormalities.
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<unk> year old woman with productive cough // r/o pna
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
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dyspnea.
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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, sob // r/o infiltrate
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Frontal and lateral views of the chest are compared to previous exam from <unk>. There are new small bilateral pleural effusions. Indistinct pulmonary vascular markings are seen. Right lung base opacity is seen medially, potentially due to atelectasis however component of infection is not excluded. Cardiac silhouette is enlarged but not likely changed from prior noting that the right heart border is not well seen. Coronary artery stent is identified. Single-lead pacing device seen with tip at the right ventricular apex. Hypertrophic changes seen in the spine as well as compression deformity of the lower thoracic vertebral body as on prior.
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<unk>-year-old male with acute systolic chf exacerbation. question pulmonary edema.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax is present.
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chest pain, evaluate for cardiopulmonary process.
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Abnormal left perihilar opacification appears unchanged since the scout view from the recent prior ct. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The chest appears hyperinflated. Streaky and heterogeneous opacities in the left upper lobe appear unchanged. Vague opacification of the lingula also appears unchanged.
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metastatic non-small-cell lung cancer presenting with trauma to cysts and tachycardia.
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No previous images. Cardiac silhouette is mildly enlarged and there is some tortuosity of the descending aorta. No acute focal pneumonia or vascular congestion or pleural effusion. Probable calcified granuloma in the right mid zone laterally. There is loss of height of several of the mid dorsal vertebra, most likely on an osteoporotic basis.
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persistent cough, to assess for pneumonia.
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The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac silhouette is mildly enlarged. Sternal wires are intact. Mediastinal clips are in expected position.
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<unk>-year-old man with recent pneumonia at another institution.
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Heart size is top normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
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history: <unk>f with hypertension, hyperlipidemia, recent travel with chest discomfort
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with chest pain, shortness of breath
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Frontal and radiographs of the chest demonstrate normal heart size. The mediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. Calcified right apical pleural plaque is unchanged. Unchanged dextroscoliosis of the thoracic spine.
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fever, evaluate for pneumonia
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The patient is status post median sternotomy and cabg. The cardiomediastinal and hilar contours are stable. Slightly increased opacity at the base of the left lung may represent atelectasis or scarring, but is stable from the prior exam. No pleural effusion or pneumothorax.
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history: <unk>m with near syncope today // eval for consolidation
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Normal heart size, mediastinal and hilar contours. There is increased opacity in the right lower lobe. No pleural effusion or pneumothorax. Pectus excavatum noted.
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history: <unk>m with <num> days cough, fever // eval for pna
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Ap upright and lateral views of the chest provided. A retrocardiac linear density may represent atelectasis versus scarring. Otherwise, lungs appear clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with epigastric pain // eval for pneumonia
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The lungs are clear. Cardiac silhouette is normal in size. No pleural effusion, pneumothorax or pulmonary edema.
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chest pain.
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A picc line terminates at the cavoatrial junction. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
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shortness of breath and fever. history of cholangiocarcinoma.
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Pa and lateral views of the chest. Mild bibasilar atelectasis is unchanged. Again seen is a large hiatal hernia with air-fluid levels. No focal consolidation. No pleural effusion. The cardiomediastinal and hilar contours are stable. Biapical pleural thickening is unchanged.
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cough and dyspnea.
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Pa and lateral views of the chest provided. Right chest wall port-a-cath is new in the interval with catheter tip extending into the low svc likely in the right atrium. Clips in the right cardiophrenic recess noted. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with rectal cancer on folfox p/w <num> days of fever
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Compared with the immediate prior study of <unk>, a left-sided dual-chamber pacemaker has been placed with leads in standard position. The moderate left pleural effusion has increased, now moderate to large and layering. There may be a small to moderate layering right pleural effusion.there is no focal consolidation, pneumothorax, or pulmonary edema. There is unchanged moderate to severe cardiomegaly.
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<unk> year old woman with s/p cabg mv repair and ppm // eval leads s/p ppm
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Stable pneumomediastinum. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
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incidental pneumomediastinum of unclear etiology with increased pain. assess for evolution of pneumomediastinum.
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Pa and lateral views of the chest provided. Pacemaker is unchanged. There is airspace consolidation within the right mid and lower lung concerning for pneumonia. Left lung is clear. Cardiomediastinal silhouette is stable. No large effusion or pneumothorax. Bony structures are intact.
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<unk>f with chf, increased doe
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Overall, there is little interval change in comparison to prior study from <unk>. Cardiomediastinal silhouette remains mild to moderately enlarged. There is indistinctness of the pulmonary vasculature suggestive of mild pulmonary edema. Bilateral small pleural effusions with adjacent airspace atelectasis are likely present. Post-surgical changes are noted with wiring overlying the left hemithorax and median sternotomy wires. A left subclavian catheter is noted with the tip at the junction of the left brachiocephalic and superior vena cava. Previously noted right-sided picc line has since been removed.
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evaluation of patient with dyspnea.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation pleural effusion pneumothorax is present. No acute osseous abnormality is visualized.
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history: <unk>f with chest pain, shortness of breath, fever and cough
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No significant change from the prior radiograph. The lungs are clear. Linear right middle lobe atelectasis or scarring is unchanged. The hilar and cardiomediastinal contours are normal. Heart is top-normal in size. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
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<unk>-year-old woman with dizziness and emesis.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Previously identified right apical pneumothorax is no longer visualized. Linear bibasilar opacities, suggestive of scar versus atelectasis, again noted. Small left pleural effusion persists, unchanged. Trace right pleural effusion also persists. Superiorly, the lungs are clear. Cardiac silhouette is enlarged but stable in configuration. Median sternotomy wires and mediastinal clips are again noted. There is no evidence of pulmonary vascular congestion. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male, on coumadin, with confusion.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
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asthma with possible exacerbation.
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Compared with prior radiographs on <unk>, there is slight increase in opacity at the right lung base, may represent scarring or atelectasis, however cannot exclude pneumonia in the appropriate clinical setting. Chronic scarring at the left lung base is stable. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Again seen are multiple lytic lesions seen in the proximal left humerus, and myelomatous changes of multiple right-sided ribs.
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<unk> year old man with multiple myeloma and cough with new rise in wbc count // ? pna
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The cardiomediastinal and hilar contours are within normal limits. Lungs are essentially clear. There is no focal consolidation, pleural effusion or pneumothorax.
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altered mental status. rule out an acute process.
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Right basilar opacities better seen as focal consolidation, potentially with rounded atelectasis and trace right pleural effusion on prior ct. Blunting of the posterior costophrenic angles is noted on the left due to prominent extrapleural fat and atelectasis versus scarring. The cardiac silhouette is enlarged. Median sternotomy wires, plates and mediastinal clips are noted. Mitral annular calcification and prosthetic valve are noted. Right-sided central venous catheter tip is noted within the right atrium. No acute osseous abnormalities.
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<unk>f with leukocytosis, recent fall, hip pain // r/o pna
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Pa and lateral views of the chest provided. Lungs are clear without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No pulmonary edema. Bony structures intact. No free air below the right hemidiaphragm.
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<unk>m s/p fall down <unk> steps // eval for mediastinal injury, heart border, previous cxr at osh provided poor visualization
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Pa and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Cardiac silhouette is mildly enlarged. The thoracic aorta is tortuous. There is increased density adjacent to the superior portion of the mediastinum on the right. This has the appearance of tortuosity of the vessels, especially given that the density is not seen above the clavicle. No acute osseous abnormality identified.
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<unk>-year-old female with right thoracic pain.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination of <unk>. On today's examination, the patient takes a deep inspiration demonstrating clear pulmonary bases without evidence of infiltrates or vascular crowding. Heart size must be considered to be mildly enlarged, but no typical configurational abnormality is seen. The thoracic aorta is moderately widened and elongated, but also unchanged. The pulmonary vasculature is not congested. No signs of acute or chronic pulmonary abnormalities are present and no pneumothorax is seen in the apical area. Lateral view clears the posterior pleural sinuses. Skeletal structures demonstrate a mildly accentuated kyphotic curvature with moderate degree of degenerative changes, but no other skeletal abnormalities are seen in the thoracic area. The lateral view discloses also surgical device is in upper abdominal area related to recent surgery.
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<unk>-year-old female patient with recently resected pancreatic cancer, going forward with adjuvant chemotherapy, evaluate for possible metastases or acute processes.
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The cardiac silhouette remains severely enlarged. There is moderate pulmonary edema. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.
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<unk>m with hx of ischemic cm presenting with worsening sob and cough. evaluate for chf versus pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Minimal atherosclerotic calcifications are noted at the arch. No acute osseous abnormalities. Surgical clips are noted in the upper abdomen.
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<unk>f with <num> week of radiating neck pain. // any mediastinal widening?
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.
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cough and shortness of breath.
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The lungs are clear lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar structures are unchanged.
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confusion, evaluate for an acute process.
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The lungs are well inflated. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No areas concerning for consolidation seen. No destructive bony lesions seen.
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<unk>-year-old man with chest pain, cough and chills for <num> days. evaluate for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal in size. Mediastinal contours are unremarkable. No pulmonary edema is seen.
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history: <unk>m with chest pain // eval heart and lungs
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Scarring within the lung apices is unchanged. The remainder of the lungs are clear. No pleural effusion or pneumothorax is seen. Mild anterior compression deformity of an upper lumbar vertebral body appears new compared to the prior exam, but is of unknown chronicity. Clips in the right upper quadrant indicate prior cholecystectomy.
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history: <unk>f with chest pain
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Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities
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<unk> year old man with hiv well controlled status post syncope, head strike, chest pain
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Lung volumes are within normal limits. The trachea is central. Even allowing for the projection, the heart is mildly enlarged. Left lower lobe atelectasis, cannot exclude superimposed infection. No pleural effusions seen. No pneumothorax.
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<unk> year old man with disseminated zoster, scalp cellulitis on broad antibiotics and acyclovir w/ new fever // please eval for consolidation
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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. The bony thorax is grossly intact.
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status post fall, now with left shoulder pain. evaluate for fracture or acute intrathoracic process.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged, with the aorta demonstrating diffuse calcifications. The hilar contours are normal, and 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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shortness of breath, chest pain.
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Lateral and ap upright radiograph of the chest demonstrate an enlarged heart. A right pectorally placed pacer device is identified with leads terminating in the right atrium and ventricle. When compared to radiograph dated <unk>, there is increased vascular markings and cephalization of vessels concerning for mild vascular congestion. No overt pulmonary edema is seen. No large pleural effusion is identified. No focal consolidation is seen concerning for pneumonia. Osseous structures demonstrates no acute abnormality.
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<unk>-year-old female with chf who presents with dyspnea.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
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syncope. evaluate for cardiomegaly.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
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<unk>-year-old female with altered mental status. left for acute process.
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Moderate cardiomegaly is unchanged. A right-sided pacer is unchanged. There is mild prominence of the central vasculature without frank interstitial edema. Linear opacities within the left lung base are re- demonstrated and appears similar in morphology likely representing scarring. There is no large pleural effusion or pneumothorax.
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<unk>f with dchf, presenting with cough, weakness // please assess edema, pna
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Cardiomediastinal contours are unchanged with increased lateral convexity of the right mediastinal contour in the region of the ascending thoracic aorta suggesting that it may be dilated or tortuous. . The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old woman with esrd for pre kidney transplant eval // please compare to cxr in <unk>, r/o cardiopulmonary abnormalities
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The inspiratory lung volumes are appropriate. The lungs are clear without pleural effusion, focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
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<unk>-year-old female with cough and hemoptysis, here to evaluate for pneumonia or other pulmonary pathology.
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Mild enlargement of the cardiac silhouette is present. The aorta is mildly unfolded. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation or pleural effusion is demonstrated. Mild degenerative changes are noted involving the right glenohumeral joint.
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history: <unk>m with cough // ? pneumonia
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is somewhat prominent peribronchial vascular opacification in each infrahilar region, particularly the right, which raises some concern for bronchopneumonia. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
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cough and congestion.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
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to assess for pleural effusion.
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The lungs are hyperexpanded. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
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history: <unk>m with esophageal ca on chemo/rad now with fever // eval for pna
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Elevation of the right hemidiaphragm with atelectasis is not significantly change relative to prior examination dated <unk>. There is no pleural effusion or pneumothorax. No air under the right hemidiaphragm. Cardiomediastinal and hilar contours are stable.
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history: <unk>m with hemidiaphragm paralysis s/p nerve block on <unk>, worsening dyspnea // interval change, interval development of infiltrate, atelectasis, effusion, edema
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Chronic changes centered at the distal left clavicle with widening of the acromioclavicular joint which is likely chronic.
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<unk>-year-old male with ankle fracture. preoperative evaluation.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with l shoulder injury, + distal clavicle ttp // eval for fx, pnx.
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Pacer leads terminate in the right atrium and right ventricle. Lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Compression deformities involving several thoracic vertebral bodies are again noted.
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history: <unk>f with pacer, syncope // eval for pacer
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There is overall stable appearance of the chest with top normal heart size and mild pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax. Bilateral healed rib fractures with adjacent scarring are again noted.
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history: <unk>f with leg swelling, chf hx //
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In comparison with the study of <unk>, there is little interval change. Cardiac silhouette is within normal limits, and there is no vascular congestion or pleural effusion. There is hyperexpansion of the lungs with coarseness of interstitial markings suggesting some chronic pulmonary disease. Pectus excavatum is again seen on lateral view. No evidence of pulmonary or skeletal metastases.
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endometrial cancer, to assess for metastases.
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There is no focal consolidation, pleural effusion or pneumothorax. Dense circular opacities projecting over the left mediastinum likely represent calcified lymph nodes, which were reportedly present based on the reports for prior imaging studies. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk> year old woman with cough x <num> day, hx bronchitis // eval for pna
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No previous images. Cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. No convincing evidence of acute pneumonia or pneumothorax. Of incidental note is apparent previous surgery involving the distal right clavicle.
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diverticulitis with chest pain.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. There is mild thoracic dextroscoliosis and a pectus excavatum.
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<unk>m with palpitations
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The cardiomediastinal and hilar contours appear within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with chest pain on exertion.
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The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. A port-a-cath catheter terminates in the mid to lower svc. Surgical clips are seen in the right axilla.
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chemo and cough. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12734988/s59497295/93fbe166-b980a1de-67905bce-1a55e730-76cc4f67.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12734988/s59497295/6e9b4c2f-e1dcd4b2-fad608c2-34d913a2-f6762001.jpg
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with chest pain. rule out acute process.
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MIMIC-CXR-JPG/2.0.0/files/p16987914/s50127128/b99c322b-4e30e640-d5cb1f88-0da811c1-5bca2c9c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16987914/s50127128/c9695f3b-eae33302-0bae5611-32542883-562bdbb0.jpg
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Since <unk>, the residual right apical pneumothorax is not any larger, although slightly changed in configuration. A pigtail catheter is located in the lateral costal right lower hemithorax. There is no pleural effusion. Chronic left pleural thickening and bibasilar atelectasis is unchanged. There remains subcutaneous emphysema along the right lateral chest wall.
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right pneumothorax, re-evaluate.
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MIMIC-CXR-JPG/2.0.0/files/p11539133/s51254686/8ec2e6e2-2bfbdc6a-54d93291-045dfc20-4a162661.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11539133/s51254686/ff3df237-c2de283b-0f4ebd14-c145202f-a460535b.jpg
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Pa and lateral chest radiographs demonstrate a tunneled right ij dialysis catheter tip terminating in the right atrium. There is a subtle retrocardiac opacity seen best on the lateral view. There is no pleural effusion or pneumothorax. The heart size is normal.
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fever.
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MIMIC-CXR-JPG/2.0.0/files/p12298456/s52191179/a8199565-e60d6e6b-21ca68cf-0e19cf10-569e0095.jpg
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Linear atelectasis or scarring is again seen at the left lung base. The lungs remain relatively hyper expanded with relative paucity of vascular structures particularly in the right upper lung raising the possibility of underlying emphysema. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.
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history: <unk>m with left sided chest pain // eval for chf, pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15015773/s52917563/4dea56fb-8a9cd5b3-e37a87c2-9f152927-f99d197c.jpg
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No new focal consolidation is seen. Bilateral pleural parenchymal scarring, right worse than left, is not significantly changed from <unk>. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified.
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<unk>-year-old female with upper respiratory infection symptoms. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19249586/s53712848/0ce26cdc-acabebfb-d4693172-0d6ba3ad-f1351512.jpg
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As compared to the previous radiograph, there is little change in appearance of the left pleural effusion. The right pleural effusion, however, has minimally decreased in extent, the right lung is now substantially better ventilated than before. On the right, a <num>-mm post-procedural pneumothorax (after chest tube insertion) is currently seen. There is no evidence of tension. Unchanged left picc line, unchanged nasogastric tube.
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bilateral pleural effusions, evaluation for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p16131197/s57357503/5b604bf0-e470d5f6-3002ffc9-b3db2f5b-2e26930f.jpg
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Apparent enlargement of the heart and pulmonary vascular congestion is likely projectional in related to differences in technique on this exam compared to the prior. No pleural effusion, focal consolidation, frank pulmonary edema, or pneumothorax.
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history: <unk>f with history hiv, found to have rhoncherous lung sounds. // ?pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p17839768/s57258008/807e6ea5-268613e2-276cd0a4-71001f47-517e0b1f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17839768/s57258008/37099dc1-4feec977-3c8b62e0-567ea09d-0a5d87ba.jpg
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There are linear opacities in the left mid lung, representing atelectasis. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old woman with new dyspnea; in setting of polymyositis // ?chf
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MIMIC-CXR-JPG/2.0.0/files/p14362102/s54680289/fd9f1972-ef8ca63b-3d84d35a-60e93219-bb75f1f7.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14362102/s54680289/c650f4af-0d62ff17-74f2bd11-47b066b4-e5a11ea2.jpg
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Pa and lateral views of the chest provided. There is no free air below the right hemidiaphragm. There is mild linear atelectasis the right lung base. Otherwise the lungs are clear. No large effusion or pneumothorax. The heart appears top-normal in size. Mediastinal contour appears normal. Bony structures are intact.
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<unk>f with constipation, obstipation x <num>d, large periumbilical hernia, tense
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MIMIC-CXR-JPG/2.0.0/files/p11607177/s51720015/877ba610-eddf6174-7d465f3a-64af7ed7-cefbb567.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11607177/s51720015/263f5f45-1093e2e9-d6a62f3d-d5692bb0-f22367f6.jpg
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Interval removal of a swan-ganz catheter. Left pectoral pacemaker is noted with acute intact leads seen terminating in unchanged locations. Interval increase in the degree of bilateral hilar prominence, pulmonary edema, and small bilateral pleural effusions, compatible with volume overload. There is no pneumothorax. Moderate-severe cardiomegaly is unchanged from prior examination.
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history: <unk>m with syncope, cardiac history // eval heart and lungs
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MIMIC-CXR-JPG/2.0.0/files/p11564354/s51282150/4f043936-b9725368-b13432bc-3e5e3202-f77b946a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11564354/s51282150/8ca4b8f9-42cc56c9-04434cd8-238f3dc9-f4b1881b.jpg
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As compared to the previous radiograph, the extent of the existing bilateral pleural effusions has minimally increased. The bilateral areas of atelectasis are unchanged. Unchanged evidence of moderate pulmonary edema. No newly appeared focal parenchymal opacities. Unchanged moderate cardiomegaly.
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history of chronic heart failure, evidence of pleural effusions.
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MIMIC-CXR-JPG/2.0.0/files/p11776988/s53805266/f32eefbc-d2c57623-14e3b0f5-690a6f8d-00b4f77f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11776988/s53805266/3cacedf7-0574a8d3-ba3d5fc3-8b02c127-270c10ff.jpg
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
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<unk>f w/chest pain, please eval for ptx, other pathology //
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MIMIC-CXR-JPG/2.0.0/files/p13968418/s59482018/5bc4c07b-60d9033d-18dd2f2d-0b49e42c-30200ac7.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13968418/s59482018/eee406b6-17544c48-232e4f9c-0be54081-9d9c7911.jpg
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is no free air under the diaphragm.
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epigastric pain. evaluate for free air.
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MIMIC-CXR-JPG/2.0.0/files/p10383432/s52240376/61fd8619-52f56f15-2e7300a5-4ad8ccbe-ac01e9ca.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10383432/s52240376/57f3d73c-9c17f3c0-bc10e496-80109d5f-4b730bc1.jpg
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Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax. Bones and the upper abdomen are grossly unremarkable.
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history: <unk>m with etoh from osh fall down stairs and possible sdh on osh ct // eval ? traumatic injury - please incl l-spine recons. please read osh cth regarding ambiguous read of transverse saggital sinus, as if negative we will not need to consult nsgy
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MIMIC-CXR-JPG/2.0.0/files/p15929503/s55499457/f410ff6c-65c3b2d1-290ea411-01f3c1bd-200f9402.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15929503/s55499457/9bfd1256-3caca75b-ddf56a6d-131ca964-517fed27.jpg
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Evaluation is limited due to underpenetration and low lung volumes. Aicd again seen overlying the left chest wall with leads extending to the region the right atrium and right ventricle. Midline sternotomy wires noted. Cardiomediastinal silhouette remains prominent. Subtle increased opacities in the lungs could reflect underpenetration though mild edema difficult to exclude. No large effusion or pneumothorax. No acute bony abnormalities.
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<unk>-year-old male history of tetralogy of fallot, status post aicd placement, presenting with chest pain, evaluate for pneumonia or effusion.
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MIMIC-CXR-JPG/2.0.0/files/p13659708/s54771821/bb2641f9-f6a2c4f6-52c486e3-4d0e06bb-0ca6306e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13659708/s54771821/b2aec6e9-042e79d3-1e91e55a-1bd25c7d-ee47abea.jpg
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with cough and fevers for the past two days // please assess for pna
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MIMIC-CXR-JPG/2.0.0/files/p13603228/s53658552/379fd356-6ff0defe-a5590160-6cbfb92c-0de2de1f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13603228/s53658552/4675a834-e8fc716d-8a54b0aa-dde5217d-d0934a69.jpg
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Lung volumes are low leading to crowding of bronchovascular structures. Multifocal, linear left basilar atelectasis is again noted. Airspace opacities at the right lung base are slightly increased from the prior examination, and may represent atelectasis although infection is not excluded. There is no large pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged.
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<unk>m with <num> days fever // eval for consolidation
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MIMIC-CXR-JPG/2.0.0/files/p12020581/s55290114/0d42e2ad-9076a88a-be20f8c7-e8cb97fe-f02b2da6.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12020581/s55290114/29e950c7-5985f65a-d572573c-76881e73-2e2e172e.jpg
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p14717765/s50156423/c72b497c-7a631a44-b81fe74b-2d5634cc-22fc22ad.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14717765/s50156423/a8f57c5f-36b91386-579f3ebb-f0c4da96-7fae7ec3.jpg
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There is stable moderate enlargement of the cardiac silhouette. No focal consolidation, pulmonary edema, pleural effusion or pneumothorax. Cervical spine fixation hardware is partially visualized, unchanged.
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history: <unk>m with dyspnea // eval for pulm edema
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MIMIC-CXR-JPG/2.0.0/files/p12852411/s55162365/d7da286f-b2ea174d-407e6265-a3aac831-f0557850.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12852411/s55162365/9427f142-1a5e5e33-2725c32d-f882143a-30f87bf1.jpg
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As compared to the previous radiograph, there is no relevant change. Moderate scoliosis of the thoracic spine with subsequent asymmetry of the rib cage. Normal lung volumes. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. Normal size of the cardiac silhouette. No hilar or mediastinal abnormalities.
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left-sided chest pressure, rule out acute process.
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MIMIC-CXR-JPG/2.0.0/files/p16953986/s50104247/c0dc7631-cda07824-ff174054-825bf2d9-a3be6d3e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16953986/s50104247/0550139b-e1c489a5-7be6dcf0-4ebb1363-91443a72.jpg
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Pa and lateral views of the chest. The lungs are clear. The cardiac, mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Mild degenerative disease is seen along the spine.
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<unk>-year-old male with right upper back since <num> a.m., question acute chest process.
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MIMIC-CXR-JPG/2.0.0/files/p10246110/s58210332/96544e16-66f9ab74-839d22ab-d898b9ab-3f5131db.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10246110/s58210332/20e144d4-8f439c33-3d4a6526-f5cbf903-5a01e80a.jpg
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Cardiac silhouette size is mildly enlarged with a left ventricular predominance, as seen previously. The mediastinal hilar contours are unchanged and within normal limits. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Left rib cage deformities and expansile lesion involving the right eighth rib are re- demonstrated. Fusion hardware within the mid thoracic spine is incompletely assessed.
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history: <unk>m with rigors, status post bmt
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MIMIC-CXR-JPG/2.0.0/files/p12587707/s51933337/fba7449f-35b4fddb-b1acd276-44ee71e3-5e46241c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12587707/s51933337/fc57f789-38efe296-b24277be-4107d7e2-b732f5ed.jpg
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Left-sided chest wall pacer and dual leads are in expected position. Sternotomy wires are re- demonstrated. The heart is enlarged but stable in size from the prior examination. Multifocal opacities in the right upper lobe and right lower lobe suggests pneumonia. There is no pneumothorax. Small bilateral effusions are demonstrated.
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history: <unk>f with sob and cough // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p12559384/s56616449/b540d3c5-1806b1ea-c13a6770-55b9eea2-c8cc5514.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12559384/s56616449/85576edf-95929e86-cea595ee-9ca04736-4f14796b.jpg
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Mild cardiomegaly is a stable. The aorta is tortuous as before. The lungs are hyperinflated. Opacities in the lingula are likely atelectasis. There are moderate degenerative changes in the thoracic spine. Right healed fractures are unchanged. Surgical clips projecting in the right upper quadrant are unchanged
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<unk> year old woman with cough x <num> weeks. // any pulmonary pathology?
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MIMIC-CXR-JPG/2.0.0/files/p13786130/s56483041/3d919d4e-dcd86f8a-e2e4eb65-52e0596d-226ddb75.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13786130/s56483041/a940e691-180855f5-9290ec07-71442f44-65e55cf2.jpg
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Frontal and lateral radiographs of the chest demonstrate moderate enlargement of the cardiac silhouette, unchanged from prior. Aortic tortuosity is also unchanged. Bibasilar atelectasis is present. No pulmonary edema. No focal consolidation or pneumothorax. Small bilateral pleural effusions are noted. Multilevel degenerative changes of the thoracic spine have progressed compared to the prior study.
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cough and shortness of breath.
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