Frontal_Image_Path
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No displaced rib fractures are identified. The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.
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status post fall on left elbow and abdomen, concerning for rib fracture.
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There is minimal bilateral lower lobe dependent atelectasis. A <unk>-mm right upper lobe nodule has been slowly growing in size, seen to measure <num> mm on prior ct from <unk>. The heart is normal in size. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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cough and chest pain. evaluate for acute intrathoracic process.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low, causing crowding of the bronchovasculature. There are bilateral lower lobe ill-defined opacities, right greater than left, concerning for infection. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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chest pain and shortness of breath.
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A right apical pigtail pleural catheter is unchanged in position. A tiny anterobasal right-sided pneumothorax is decreased from <unk> with improved aeration in the right lower lobe. A persistent right paratracheal opacity is likely postoperative in etiology and unchanged from multiple prior studies. Evidence of volume loss in the right hemithorax is consistent with right upper lobectomy. A small right-sided pleural effusion is noted on the lateral radiograph. No focal consolidation is present. The pulmonary vasculature is not engorged. There is decreased pneumomediastinum. The cardiac silhouette is enlarged but stable. The mediastinal and hilar contours are unchanged.
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<unk>-year-old male status post right upper lobectomy with resolving pneumothorax, here to reevaluate for interval changes.
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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. Median sternotomy wires are intact and postsurgical clips are unchanged.postsurgical clips in the upper abdomen on lateral view are likely secondary to prior cholecystectomy.
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<unk>-year-old man with renal cell carcinoma. evaluate for metastatic disease.
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Frontal and lateral radiographs of the chest demonstrate persistent moderate-sized apical pneumothorax on the left, as well as a large left-sided pleural effusion. There is a finger-in-glove appearance of the left upper lung, suggestive of mucus retention within airways. The right lung is clear. The cardiomediastinal and hilar contours are unchanged.
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<unk> year old man s/p left upper lobectomy // ? interval change in pnx
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Elevation of the right hemidiaphragm is unchanged. There is probably a trace right pleural effusion. No focal consolidation, effusion, edema, or pneumothorax. Moderate cardiomegaly is overall unchanged. Aortic knob calcifications are unchanged. Multilevel degenerative changes of the thoracic spine are mild. No acute osseous abnormality.
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<unk>-year-old female presenting with fever. evaluate for pneumonia.
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Frontal and lateral views of the chest. Bilateral calcified granulomas are unchanged. No focal consolidation, pleural effusion, or pneumothorax. Mild cardiac enlargement is similar to prior. Aortic calcifications are unchanged. The mediastinal contours are unremarkable.
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<unk>-year-old female with presyncope.
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Pa and lateral views of the chest provided. There is a vague ground-glass opacity in the right lower lobe which is concerning for pneumonia. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. No bony abnormality. No free air below the right hemidiaphragm.
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<unk>m with fever
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The exam is limited by body habitus and low lung volumes. There is crowding of the bronchovascular structures. No focal airspace opacity is identified. There is no pulmonary edema, pleural effusion, or pneumothorax. An eventration of the right hemidiaphragm is stable. The right hemidiaphragm is elevated in comparison to the left. The cardiomediastinal silhouette is normal.
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cough. currently on treatment for pneumonia.
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In comparison with the study of <unk>, there is increased engorgement of pulmonary vessels consistent with worsening of pulmonary vascular congestion. Probable bibasilar atelectatic change. In the appropriate clinical setting, areas of possible coalescence could reflect a developing pneumonia.
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shortness of breath and fever.
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The patient is status post median sternotomy and cabg. Dual lead left-sided pacemaker is unchanged in position. Retained pacer fragment overlying the left apex is again seen. Slight prominence of the hila may be due to pulmonary vascular engorgement. No focal consolidation, pleural effusion, for evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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shortness of breath, question pulmonary edema.
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Pa and lateral views of the chest. The lungs are clear. There is no evidence of pneumonia. The heart, mediastinum, hila, and pleural surfaces are normal. There is no pneumothorax.
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hcv, status post liver transplant on cyclosporine with cough and crackles at the left base, evaluate for possible pneumonia.
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Pa and lateral views of the chest provided. Radiopaque aortic valve replacement is noted. Lung volumes are low. Linear opacities in the right lower lobe likely represent basilar atelectasis. There is blunting of the right greater than left posterior costophrenic angles which may represent trace bilateral pleural effusions. There is no focal consolidation or pneumothorax. Heart size is top normal. Median sternotomy wires are noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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history: <unk>m with chest pain // chest pain
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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 <num> weeks of worsening persistent cough // eval ? occult pna
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There is no focal consolidation, pleural effusion or pneumothorax. Two subtle nodular opacities project over the superior aspect of the heart on the lateral view and are not clearly identified on the frontal view. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
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history: <unk>f with leukocytosis w/ unknown origin, central cp // evidence of infection
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Heart size and cardiomediastinal contours are normal. Lung volumes are slightly diminished but no focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>m with chest pain, dyspnea // eval for ptx
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Heterogeneous opacification of the left upper lobe in the paramediastinal region likely reflects combination of bronchiectasis and consolidation, and obscures the aortic knob. The right lung is clear. The cardiomediastinal silhouette is within normal limits. There is a small left pleural effusion. No pneumothorax.
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<unk> year old man with cirrhosis with worsening hyponatremia, cough, congestion. evaluate for pneumonia.
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There has been interval placement of a left pectoral pacemaker with dual leads terminating in the right atrium and right ventricle. The course of the leads is unremarkable and there is no pneumothorax. The inspiratory lung volumes are appropriate. The hazy left basilar opacity corresponds to a large fat containing diaphragmatic hernia. There is no focal consolidation or pleural effusion. 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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<unk> year old man with sss s/p dual chamber pm. // rule out pneumothorax
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Pa and lateral views of the chest. Right chest wall port-a-cath is seen with the tip terminating in the mid svc. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with top-normal heart size. T<num> compression deformity is chronic. No free air below the right hemidiaphragm is seen.
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<unk>f with multiple myeloma, palps, pna.
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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic cardiac valves are again seen. The lungs appear clear without focal consolidation, large effusion or pneumothorax. There is perhaps mild hilar congestion without frank edema. Cardiomediastinal silhouette is stable. Bony structures are intact.
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<unk>f with left sided weakness and new stroke on mri
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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history: <unk>m with chest pain. evaluate for pneumonia
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Cardiac silhouette is top-normal to mildly enlarged. Exuberant mitral anulus calcification is seen. The aorta is calcified and tortuous. Biapical pleural thickening is seen. There is mild elevation of the right hemidiaphragm. The lungs are overall hyperinflated. No focal consolidation or large pleural effusion is seen. There is no pneumothorax.
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history: <unk>f with c/o sob // ? pna
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Left port-a-cath with tip terminating in either the right brachiocephalic or svc or in the azygous vein. No focal consolidation, effusion or pneumothorax. Hilar and mediastinal contours are normal. Mild cardiomegaly is unchanged.
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<unk> year old man with portacath placement. // is placement of the catheter tip correct?
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The lungs are well inflated and clear. The heart and mediastinal contours are normal. No focal consolidation, nodule, pneumothorax or effusion is present.
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<unk>-year-old woman with chest pain and shortness of breath.
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There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary edema has resolved. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
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<unk>m with chest pain, paliptations // evaluate for acute process
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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neck swelling and abscess.
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The lungs are clear. Cardiac silhouette and hilar contours are unremarkable. No pleural effusion, edema, or pneumothorax. No nondisplaced rib fractureis seen.
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<unk>-year-old female with left-sided chest pain.
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There is no comparison available. Massive parenchymal opacities in both upper lobes, right more than left. Basal right lung consolidation with air bronchograms. Presence of a small right pleural effusion cannot be excluded. Borderline size of the cardiac silhouette. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk>, was paged for notification and one minute later the findings were discussed over the telephone.
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down syndrome, questionable pneumonia.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female <num>-week history of epigastric abdominal pain and shortness of breath.
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Heart size is normal. The aorta remains mildly tortuous but unchanged. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear and the pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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chest pain.
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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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chest pain. evaluate for cardiopulmonary process.
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Bibasilar pleural effusions are noted, larger on the left than on the right. Elsewhere, the lungs are clear without consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcification seen at the aortic arch. Hypertrophic changes noted in the spine
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<unk>m with sob // eval for pna, fluid overload
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
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<unk>-year-old man with potential donor for renal transplant, assess for cardiopulmonary abnormalities.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
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<unk>-year-old with chest discomfort. evaluate for pneumonia.
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No obvious displaced fracture in the sternum. Left chest port tip is extending <num> cm in the azygos vein. Mild bilateral pulmonary congestion. Small bilateral pleural effusions. No pneumothorax is seen. Mild cardiomegaly unchanged with unchanged cardiomediastinal contours. Hiatal hernia is seen.
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<unk> year old woman s/p fall, sah and left femur fx w/ sternal pain. // sternal injury; lateral view requested for sternal assessment
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The large loculated right pleural effusion is unchanged. The fluid loculation within the major fissure is likely unchanged as well. A new left pleural drain has been placed and the small left pleural effusion has resolved. A right pleural drain is in unchanged position. Unchanged bilateral mediastinal clips are noted.there is no focal consolidation, pneumothorax, or pulmonary edema.
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<unk> year old man with pleural effusion // eval
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Frontal and lateral radiographs of the chest were acquired. Consolidation in the left lower lobe is slightly improved compared to the prior study from <unk>. There is no new focal consolidation. Surgical clips are seen scattered throughout both mid-to-lower lungs. The heart is mildly enlarged, as before. There is left lateral pleural thickening and/or fluid, not significantly changed. There is no right pleural effusion. No pneumothorax is seen.
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status post left vats pleural biopsy. assess for interval change.
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A right-sided picc line terminates in the upper svc. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with malaise // ? pneumonia ? pneumonia
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Pa and lateral views of the chest were obtained. There is slight left lower lobe atelectasis; otherwise, the lungs are clear bilaterally with no areas of focal consolidation or pulmonary edema. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There are mild degenerative changes in the spine, otherwise there are no bony abnormalities. There is no free air below the right hemidiaphragm.
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chest and neck pain.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.. Mild elevation of the right hemidiaphragm is stable. No evidence of pneumomediastinum is seen.
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history: <unk>f with chest and abdominal pain // evaluate for pneumomediastinum
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Pa and lateral views of the chest. The lungs are clear of consilidation. Rounded calcific density at the right lung base may be a calcified granuloma. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
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<unk>-year-old male with lightheadedness.
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As compared to the previous radiograph, there is no relevant change. A relatively lesser inspiratory effort than on the previous image leads to increased crowding of the vascular and interstitial structures at the right lung bases. All other pre-existing parenchymal opacities are constant. The size of the cardiac silhouette is minimally increased. No pleural effusions. Moderate tortuosity of the thoracic aorta.
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bilateral granulomatous changes, evaluation for interval change.
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There is no consolidation, pleural effusion, or pneumothorax. There is no pulmonary edema. Cardiac silhouette is mildly enlarged and larger compared to <unk>. Left pulmonary artery also appears larger. Right pulmonary artery size is stable.
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<unk> year old man with severe asthma, heart failure with preserved ejection fraction that had gastric sleeve operation on <unk> with ? pericardial and ? pleural effusions noted on cxr. feeling better. // evaluate if has persistent pleural effusions post-operatively or other abnormalities like chf
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Frontal and lateral chest radiographdemonstrates well expanded lungs with mild equalization of blood flow.no pleural effusion or pneumothorax. Mild cardiomegaly is noted. Mediastinum contour and hila are unremarkable.
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shortness of breath. assess for acute process.
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Cardiac, mediastinal, and hilar contours are normal. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is identified. <num> mm rounded opacity in the left lung base likely reflects a calcified granuloma. Eventration of the right hemidiaphragm is noted. No acute osseous abnormality is identified.
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chest pain, chest wall tenderness.
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Right picc line terminates in the upper svc. Heart size is normal. Hilar and mediastinal contours are unremarkable. Lungs are clear with no consolidation, pleural effusion, or pneumothorax.
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<unk> year old woman with aml, undergoing pre-transplant testing.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Upper lobe lucency and splaying of bronchovasculature is concerning for underlying emphysema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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history: <unk>f with hypoxia // acute process?
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No focal consolidation, pleural effusion, or pneumothorax is seen. Mild pulmonary vascular redistribution persists. Interstitial prominence is likely chronic. Heart and mediastinal contours are within normal limits.
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<unk>-year-old male with chest pain.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Anterior wedge compression deformity in the mid thoracic spine is unchanged since <unk>.
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<unk> year old man with pain in the lower aspect of the left hemithorax. any abnormalities of the left hemithorax to account for pain in the lower and anterior aspect?
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The lungs are hyperinflated, as before. The heart size is top normal but stable. No consolidation concerning for pneumonia.no pneumothorax or pleural effusion.
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<unk> year old man with fever // ? pna
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The lungs are normally expanded and clear. There is no focal airspace opacity to suggest pneumonia. Mediastinal wires are intact projecting over the upper chest and partially visualized spinal fixation hardware is seen projecting over the neck. The cardiomediastinal silhouette and hilar contours are normal. The aorta is somewhat unfolded. There is no pleural effusion or pneumothorax.
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fever, cough. rule out aspiration.
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There are persisting small to moderate bilateral pleural effusions with subjacent atelectasis as well as pulmonary vascular engorgement and mild interstitial septal thickening. The right infrahilar opacity is unchanged. There is enlargement of the cardiac silhouette, unchanged. Calcification of the aortic arch is present.
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<unk> year old woman with questionable right sided pna based on outside hospital cxr // rule out pna
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Frontal and lateral radiographs of the chest. Compared to the prior radiograph, there is interval increase in the lung volumes. No focal consolidation is identified. No pleural effusion or pneumothorax is seen. The cardiac contour is partially obscured by a large posterior density which is a hiatal hernia, with an air-fluid level. The trachea is partially rightwardly deviated, which is unchanged from the prior radiograph, and may represent an anatomic variant. Right-sided healed rib fractures are noted. Mild degenerative changes and kyphosis of the thoracic spine is noted.
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chronic cough.
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Mild-to-moderate cardiomegaly is unchanged from prior study. Cardiomediastinal and hilar silhouettes are unchanged. Again there is central pulmonary vascular congestion with mild-to-moderate interstitial edema. There is slightly more conspicious retrocardiac opacity. There are probable tiny effusions. There is no pneumothorax.
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dyspnea.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity.
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<unk>-year-old female with tachycardia. evaluation for infiltrate.
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Frontal and lateral chest radiographs demonstrate low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. Mild pulmonary edema is improved. Opacity at the left lung base this likely unchanged, and likely represents atelectasis, although superimposed infection cannot be excluded.
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shortness of breath.
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The lungs are well expanded and clear. Hila and cardiomediastinal contours and pleural surfaces are normal.
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<unk>m with fatigue // pneumonia
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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 man with dyspnea, cough, chest pain. evaluate for acute process.
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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. Bony structures are unremarkable.
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shortness of breath.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart is normal in size. Mediastinal and hilar contours are normal.
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bronchitis versus pneumonia, scant hemoptysis.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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cough and pleurisy.
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The heart is normal in size. The mediastinal and hilar contours appear normal. There is no pleural effusion or pneumothorax. The lungs appear clear.
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history: <unk>f with s/p mvc, pain over l posterior ribs, l humerus, and l anterior shin.
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A small quantity of free air can be seen under each hemidiaphragm. There is a small pleural effusion on the right. It is difficult to exclude a very small pleural effusion on the left side. The lungs appear clear. Bony structures appear within normal limits.
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right-sided pain and fever status post surgery.
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Ap and lateral views of the chest. Sternotomy wires are intact. There is no focal consolidation, pleural effusion, or pneumothorax. Coarsened interstitial markings may represent mild fibrosis/emphysema. There are aortic calcifications. The cardiomediastinal and hilar contours are within normal limits. There is a mild vertebral compression deformity noted in the lower t-spine.
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shortness of breath.
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The patient is status post median sternotomy and transcatheter aortic core valve device placement which remains unchanged in appearance. Heart size remains moderately enlarged. Mediastinal contours on similar. There is moderate pulmonary vascular congestion which appears slightly worse in the interval. Trace bilateral pleural effusions are noted. Patchy atelectasis is noted in the lung bases. No pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>m with dyspnea
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Ap and lateral views of the chest. Lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings. Superimposed mild pulmonary vascular congestion is also suspected. Cardiac silhouette is moderately enlarged, similar to prior. Atherosclerotic calcifications noted at the aortic arch. Small bilateral effusions are also identified with blunting of the posterior costophrenic angles. Vertebral body height loss in upper lumbar vertebral body has not significantly changed given differences in technique compared to lumbar spine radiographs from <unk>.
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<unk>-year-old female with hypoxia.
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As compared to the previous radiograph, the left chest tube was removed. There is unchanged elevation of left hemidiaphragm with atelectatic opacities at the left lung base. Unremarkable right lung.
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status post left thoracotomy and left lower lobe wedge resection. assessment for pneumothorax.
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In comparison with study of <unk>, there is increased opacification silhouetting the hemidiaphragm on the right, consistent with the clinical impression of developing pneumonia. There is silhouetting posteriorly on the lateral view, consistent with a right lower lobe process. Remainder of the study is within normal limits.
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right pleuritic chest pain, to assess for pneumonia.
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The lungs remain hyperinflated. The cardiac and mediastinal silhouettes are stable with the aorta calcified and tortuous in the cardiac silhouette enlarged. Minor mid lung atelectasis/scar is noted particularly on the lateral view. Mitral anulus calcification is also noted.
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history: <unk>f with sob // eval for pna
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Pa and lateral radiographs of the chest demonstrate clear lungs. The hilar, cardiac, and mediastinal contours are normal. No pleural abnormality is seen.
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chest pain.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Mediastinal contour is slightly widened, but stable from prior exams, and likely due to a tortuous aorta an overlying vessels. The heart size is normal. There are multiple compression deformities in the lower thoracic and upper lumbar spine. One of the more prominent ones appears stable, while one exhibits a slight increase in the loss of height.
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chest pain. evaluate for acute process.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. There is an azygos lobe and fissure. Heart and mediastinal contours are within normal limits.
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<unk>-year-old female with chest pain.
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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 history of pe and chest pain // eval pneumonia, other acute process
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The cardiomediastinal and hilar contours are normal. The lungs demonstrate consolidation of the right middle lobe. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with fever and cough.
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MIMIC-CXR-JPG/2.0.0/files/p12255352/s50687829/25078d6d-1470c812-118bdb5f-10921540-8411c797.jpg
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Since prior, volumes are slightly lower. There is no focal consolidation. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
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<unk> year old woman with <unk> days productive cough, tachycardia, lung exam with crackles r>l, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15987955/s55976346/f3ebdd6b-a58554f0-d281a7b8-ac5c7162-f66f59d6.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15987955/s55976346/610ffc7b-77acb49b-3a219a16-f85c0b1e-0a630730.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 r chest pain // acute process?
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MIMIC-CXR-JPG/2.0.0/files/p16687100/s51215354/13833092-bd621e3a-54bfc035-dd05f9e0-5628000d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16687100/s51215354/429f92d1-8f595ec3-5b95e103-a117866e-fadca488.jpg
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There is a patchy opacity in the left lower lobe consistent with pneumonia. The cardiomediastinal silhouette is normal. A faint nodular opacity near the right lung base may reflect a nipple shadow. There is no pleural effusion or pneumothorax.
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cough and fever
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MIMIC-CXR-JPG/2.0.0/files/p18032519/s51751119/3367a694-a99424e6-c6ee944a-ea69fadc-b6494336.jpg
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The patient's soft tissues of the neck and chin obscure evaluation of the lung apices. Heart size is mildly enlarged but unchanged. The aorta is diffusely calcified. Mediastinal and hilar contours are stable, with mild unfolding of the thoracic aorta again noted. No overt pulmonary edema is seen. Low lung volumes cause crowding of the bronchovascular structures. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
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altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p17672672/s59676940/177a0509-7a2e12b1-634af14e-e039170c-69b54c30.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17672672/s59676940/a1dc5931-69474e45-5361e18e-e6d18f4d-117c653d.jpg
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Compared to chest radiographs from <unk>, the degree of pulmonary edema has mildly improved. Moderate cardiomegaly has increased. Lung volumes remain low. Small effusion on the right, better assessed on prior chest cta from <unk>, has also likely decreased. No effusion on the left. There is no new focal consolidation. No pneumothorax. Right central venous catheter terminates in the right atrium.
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<unk> year old man with chf, recent sepsis and hypoxia on ra // please eval for infiltrate vs. edema
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MIMIC-CXR-JPG/2.0.0/files/p13854344/s53838871/b2d5b615-36856ddc-658d8f9c-985ce8fe-7b381161.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13854344/s53838871/40ad73f6-036872da-3cae47d0-348d27ac-e15fec38.jpg
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. An inferior vena cava filter is partially imaged.
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fever, productive cough.
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MIMIC-CXR-JPG/2.0.0/files/p11308286/s52186006/43d8fac6-4f89d2be-84bc3fb5-a88481ed-c67764c7.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11308286/s52186006/6bfa9e82-c89c52f1-f0c9c8be-12a6bd58-f400184e.jpg
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Pa and lateral radiographs of the chest were acquired. The lungs are clear, but hyperinflated. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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dyspnea. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12725970/s51284787/a73a1370-b033ce79-2a04c5cc-ae562439-9b602f03.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12725970/s51284787/e4d2d089-0bba1102-8ff4f378-b5d5a0a4-ee8eb4ac.jpg
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Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Lungs are clear. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. A gastric lap band is noted within the left upper quadrant of the abdomen.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p18408902/s54233490/e7af6888-ca5fd0d0-aaf3e4cc-9ba42724-d404de8a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18408902/s54233490/48247c76-9a093e9a-0f8918a0-d1b29046-f5256195.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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seizures.
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MIMIC-CXR-JPG/2.0.0/files/p11069411/s54395857/ca954f91-22ff44a8-e7615059-cd3b01bd-78932657.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11069411/s54395857/5238e1d3-9858c7b1-15156630-4efcc532-5a904be9.jpg
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Interval increase in right upper lobe reticular changes and opacification with associated upper lobe volume loss. Architectural changes in the left perihilar region appear unchanged. Stable cardiomediastinal silhouette. No pneumothorax, pulmonary edema, or pleural effusion. No acute osseous abnormality.
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<unk>-year-old woman with sarcoidosis presenting with a productive cough; evaluate sarcoidosis and possible pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11685699/s55092147/13843fe2-9c804b26-f487fff6-6d35eb61-a9975352.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11685699/s55092147/8ca8a585-955dbab5-6847833c-ebd180d4-6465af2f.jpg
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Redemonstrated is airspace consolidation within the right middle and lower lobes, largely unchanged from prior examination dated <unk>. The upper lungs are grossly clear bilaterally. The heart remains mildly enlarged with mild central pulmonary vascular congestion. No large pleural effusion or pneumothorax is identified.
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history: <unk>m with cp // evidence of effusion or pna
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MIMIC-CXR-JPG/2.0.0/files/p12736635/s55921235/676b7cdb-ffc068b8-0417f486-f1c1a233-4de3ba1d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12736635/s55921235/29adbf8a-4fb60dbe-0808d7ce-6a7a8075-12fe23c3.jpg
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The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits for technique. There is tortuosity of the descending thoracic aorta as well as calcifications of the aortic arch. No acute osseous abnormalities identified.
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<unk>f with weakness // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p13208527/s57748225/86ad8640-e6e7302b-dfe5ec12-42e66a92-e61519b3.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13208527/s57748225/251f296c-b20587c1-1c2828ca-74ebeb7d-e88db51b.jpg
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
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fever and cough, on immunosuppressants.
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MIMIC-CXR-JPG/2.0.0/files/p15954616/s58162227/8b1032d7-b0ec9d34-3cef8e45-23c60fa2-26cec68e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15954616/s58162227/83157e25-a0ae56c3-4690cf15-6706dcb0-20f54b66.jpg
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Lung volumes are slightly low, resulting in bronchovascular crowding. The cardiac silhouette remains enlarged. The patient is status post median sternotomy and mitral valve replacement. Sternotomy wires appear intact. There is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with abd pain // acute process
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MIMIC-CXR-JPG/2.0.0/files/p10908761/s57846807/205044f2-2fdcf838-8109a81b-f3d9646b-e20870dd.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10908761/s57846807/052cbba2-29b3a0cd-35668441-c907eea2-be6e62b3.jpg
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As compared to the previous radiograph, there is unchanged evidence of very low lung volumes. The sternal wires after sternotomy are in unchanged alignment. Moderate cardiomegaly persists. New on today's examination is slight dilatation of the vascular diameters, potentially reflecting mild fluid overload. This finding is most striking on the lateral than on the frontal image. No larger pleural effusions. No focal parenchymal opacity suggesting pneumonia.
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questionable infection.
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MIMIC-CXR-JPG/2.0.0/files/p13761048/s59476260/72a3d31f-2393902b-e233eaf4-85f49ab0-8273c201.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13761048/s59476260/fbc07af4-698374d5-4492207e-6dd0cdfb-01ce31bf.jpg
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In comparison with the study of <unk>, there is little overall change. Again there is some enlargement of the cardiac silhouette with tortuosity of the aorta and prominence of interstitial markings consistent with elevated pulmonary venous pressure, chronic lung disease, or both. Poor definition of the left heart border is essentially unchanged. Although this could represent a lingular consolidation, this is not definitely supported on the sub-optimal lateral view.
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fever, to assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16013292/s56772750/020dbcd0-81632d32-89fb5951-bc5e0d37-c8eb3a55.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16013292/s56772750/1eb64188-91a8891d-9abee782-9fa65477-5fe42818.jpg
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The patient is status post median sternotomy and cabg. The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is visualized. There are mild degenerative changes in the thoracic spine.
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substernal and epigastric discomfort.
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MIMIC-CXR-JPG/2.0.0/files/p14173109/s53007215/3e21794a-887c06e2-e46c3afe-92ac9a2d-37b5534e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14173109/s53007215/097a9712-2e444c59-b86c8939-edaa2cd6-5d7378d5.jpg
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
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history: <unk>f with right <num>rd rib tenderness, left <unk>-<unk> metacarpal tenderness after trauma
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MIMIC-CXR-JPG/2.0.0/files/p11667043/s53200216/3416bfc3-d2da49d8-2f1a5d47-ba44a35b-b114c14c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11667043/s53200216/da2e3e79-fa783a0c-e967067b-0eaa187e-08909193.jpg
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Dense atherosclerotic calcification is noted at the aortic arch. No acute osseous abnormality identified.
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<unk>-year-old female with fall and head strike, feeling unsteady with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p14487731/s55529219/c8c96068-d011abb4-e696015e-368c705d-fc7779d3.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14487731/s55529219/be348b87-8cfda03f-c69f28bb-dc030d55-d21588ab.jpg
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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viral symptoms with shortness of breath and chest heaviness.
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MIMIC-CXR-JPG/2.0.0/files/p16661090/s56425305/686ec8a0-0794756d-0bfcc680-3f673b70-3a214cc3.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16661090/s56425305/1a2af251-aa574fd5-c5bc79db-93f7ead5-79a34bb2.jpg
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Cardiac silhouette size is normal. Mild atherosclerotic calcifications are noted at the aortic knob. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormality is visualized.
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history: <unk>f with altered mental status
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MIMIC-CXR-JPG/2.0.0/files/p18830407/s52172526/64e22acb-412c4f3f-255958e4-a1becf2c-2877a28c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18830407/s52172526/fb196918-3c81df85-e1e8fa50-19f2c89f-da34ffee.jpg
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with right upper quadrant pain and bronchial breath sounds. evaluate for evidence of pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11748476/s58550933/5fee6e55-b2707287-32ac2b74-2a74021f-03103556.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11748476/s58550933/2d43635b-919202ca-7811d7d1-c48ef7a7-474bd8f3.jpg
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Extensive mediastinal and bilateral hilar lymphadenopathy is not appreciably changed since the most recent radiograph of <unk>, and has been present as far back as <unk>. This is in keeping with the known history of sarcoidosis. There are no new parenchymal abnormalities to suggest fibrosis. The lungs are clear. There is no pleural effusion or pneumothorax. Bones and soft tissues are unremarkable.
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<unk> year old woman with history of sarcoidosis recent honeycombing noted on bone density, hx sarcoidosis. evaluate for change/abnormality.
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MIMIC-CXR-JPG/2.0.0/files/p10546797/s50447338/29b25559-704aa4a0-463320bd-b7d9c4b4-76dce720.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10546797/s50447338/eef0db67-25178c83-af9e5668-0677bfa4-e8aebfff.jpg
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The heart is mildly enlarged and there is some mild pulmonary vascular re-distribution and small bilateral pleural effusions. However, compared to the prior exam, the appearance of the lungs has improved and the effusions are slightly smaller.
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chf.
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MIMIC-CXR-JPG/2.0.0/files/p11022826/s55911893/d02924d7-bca2431a-4b84416c-338d6b8c-eace9bc3.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11022826/s55911893/18aa1663-f78a182b-bd12ea0e-d513fc26-096281aa.jpg
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In comparison to <unk> chest radiograph, a cavitary lesion in the superior segment of the right lower lobe is again demonstrated with apparent decrease in size of the intraluminal nodule previously interpreted as suspicious for a mycetoma. <num> adjacent cavitary lesions in the right apex are grossly unchanged. No new or worsening lung abnormalities are detected. Eighth cardiomediastinal contours are stable. Healed bilateral rib fractures are again demonstrated.
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<unk> year old man with recent pneumonia, esrd s/p transplant // eval for interval change in possible r fungal ball
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