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Left chest wall single lead pacing device is again seen. Degree of cardiomegaly is moderate to severe, unchanged. Median sternotomy wires and mediastinal clips are again seen. The lungs are clear without consolidation, effusion, or edema. Linear opacity seen posteriorly on the lateral view is likely scarring versus atelectasis. No acute osseous abnormalities. Stent partially visualized in the abdominal aorta.
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<unk>f with anemia // evaluate for pulmonary edema, cardiomegaly
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As compared to the previous radiograph, the patient has been extubated. The lung volumes remain low and atelectasis are seen at both lung bases, both on the lateral and on the frontal view. However, there is a slight increase in transparency of the lung parenchyma as compared to the previous exam, likely reflecting improved ventilation. No new parenchymal opacities. Unchanged normal size of the cardiac silhouette. No pneumothorax.
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history of aspiration, esophageal food impaction.
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Ap and lateral views of the chest. Right chest wall pacing device is seen with lead tips in the right atrium and right ventricular apex. Where visualized lungs are clear. There is no effusion or consolidation or pulmonary vascular congestion. Mitral annular calcifications are again noted. Cardiac silhouette is stable. No acute osseous abnormality detected. Upper abdominal stent, potentially biliary, is partially visualized.
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<unk>-year-old male with left foot infection, pre-op.
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There is persistent left basilar opacity with obscuration of the left hemidiaphragm, felt to be secondary to layering pleural effusion. The cardiac silhouette is top-normal in size. There is new blunting of the right costophrenic angle, secondary to a small pleural effusion. No focal consolidations identified. Pulmonary vascular congestion has improved.
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<unk> year old man with pleural effusion // change? change?
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. There is loss of height of lower thoracic vertebral bodies, of unclear age; no prior for comparison.
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history: <unk>m with hyperglycemia, getting infectious workup // please eval for pna
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There is mild bibasilar atelectasis, but no consolidation or pleural effusion. Heart size is normal. There is no pneumothorax.
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<unk>f with l sided chest pain on exertion // ptx
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain
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A single-lead pacemaker device terminates in the right ventricle. A transcutaneous pacer device is also present. The patient is status post mitral valve replacement and sternotomy. The heart appears mildly enlarged. The main pulmonary artery contour is also mildly prominent. There is no pleural effusion or pneumothorax. The lungs appear clear.
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history of myocardial infarction. shortness of breath.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. A <num> mm nodular opacity projecting over the left mid lung is noted. The visualized upper abdomen is unremarkable.
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evaluate for pneumothorax in a patient with chest pain.
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A right picc line has been removed in the interval. There are new trace bilateral pleural effusions. There are no focal consolidations or pneumothorax. The cardiomediastinal silhouette is normal. No evidence of pulmonary vascular congestion.
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history of hodgkin lymphoma. fever and cough. rule out pneumonia.
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Upright pa and lateral radiographs of the chest. The lungs are normally expanded and clear. There is mild prominence of the cardiac silhouette. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with dyspnea. evaluate for pulmonary process.
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter extending into the mid svc region. The lungs appear clear bilaterally. 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 fever on chemo // pna?
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The lungs are hyperexpanded with marked architectural distortion, consistent with the known history of severe emphysema. Chronic right upper lobe consolidation is unchanged as far back as <unk>. There is no new opacity. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
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<unk>-year-old woman with a history of severe emphysema presenting with cough and dyspnea.
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The heart size is normal. The mediastinal silhouette and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
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tuberculosis, on treatment with worsening pleuritic chest pain.
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Pa and lateral views of the chest. The right perihilar mass and right upper lung nodule are stable. Rounded hyperdensity projecting over the right lower lung is likely the nipple shadow. No evidence of pneumonia. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are normal. No evidence of volume overload.
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dyspnea, evaluate for pneumonia or chf.
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The lungs are well inflated and clear. The cardiac silhouette is normal in size. Mediastinal contours are enlarged compared to the prior study as well as a prominent azygoesophageal line. The right paratracheal line is also fuller. There is no pleural effusion or pneumothorax.
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<unk> year old man with atypical chest pain, please rule out significant pathology
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The heart and mediastinal contours are within normal limits. The lung volumes are low, but there continues to be consolidation of the left lower lung without radiographic evidence of pleural effusion or pneumothorax, and diagnostic considerations include pneumonia versus infarct.
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<unk>-year-old febrile male with tachycardia and cough.
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There has been interval removal of the left-sided chest tube. Redemonstrated is a tiny, left apical pneumothorax. The patient is status post lingulectomy, with postsurgical changes noted over the left mid lung and surgical clips seen at the left hilum. Small, bilateral pleural effusions are noted. Additionally seen is a small, loculated hydropneumothorax noted along the lateral aspect of the left lung. There is no focal consolidation or pulmonary edema identified. Stable, mild cardiomegaly is noted. Mediastinal contours are normal. Again seen is the projection of radiodense material over the right upper quadrant.
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status post vats lingulectomy, now status post chest tube removal.
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Dual lead left-sided pacemaker is seen, stable in position. Patient is status post median sternotomy and cabg. The lungs are hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. <unk>-<num> mm right middle lobe calcified nodules again seen, most consistent with calcified granuloma. Cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
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history: <unk>f with progressive dyspnea // ?pulmonary edema
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Streaky left retrocardiac opacities likely reflect atelectasis. The cardiomediastinal silhouette is within normal limits.
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<unk>m with cough, fever // ? pna
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Pa and lateral views of the chest provided. Compared to the prior, the lung volumes are decreased, which may be due differences in inspiratory effort. Compression deformity of the thoracic spine is unchanged. 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 weakness. evaluate for pneumonia.
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Cardiac silhouette is mildly enlarged. Mediastinal contour is unchanged. Lung volumes are low with no focal consolidation. There is no pleural effusion or pneumothorax.
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<unk>-year-old man, fall with head strike, evaluate for acute process.
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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>m with new onset afib, mild sob. assess for consolidation, edema.
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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 history of shortness of breath and knwn asthma // role put pneumonia
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Lungs are hyperinflated with bibasilar atelectasis noted. No convincing signs of pneumonia. No pleural effusion or pneumothorax. Heart is mildly enlarged and the aorta is unfolded. Bony structures are intact.
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<unk>-year-old male with cough, recent pneumonia, evaluate for pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unchanged.
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<unk> year old man with myeloma and increasing cough, evaluate for abnormalities.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
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fever.
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Heart size remains moderately enlarged. The aorta remains tortuous. Mediastinal and hilar contours are similar with prominence of the right hilum again noted. Pulmonary vasculature is not engorged. Minimal patchy lower lobe opacities, more pronounced on the left, likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with shortness of breath, cough and recent pneumonia
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax or pleural effusion. A right linear basilar opacity likely reflects mild atelectasis. No focal consolidation is detected.
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<unk> year old woman s/p ercp now with fever, crackles on exam // infiltrate vs. fluid
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Pa and lateral views of the chest provided. Lung volumes are somewhat low. No focal consolidation, large effusion or convincing signs of edema or congestion. Cardiomediastinal silhouette is stable. Bony structures are intact.
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<unk>m with liver transplant with elevated cr on outpt labs
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Subtle nodular opacity projects over the left upper lung, wall overlying the posterior left sixth rib, new since the prior study from <unk>. While findings may in part relate to overlap of structures, underlying pulmonary nodule is of concern. Recommend further assessment with chest ct. No focal consolidation is seen elsewhere. There is no pleural effusion or pneumothorax. Cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified and tortuous. No overt pulmonary edema is seen.
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history: <unk>f with pleuritic cp // infiltrate or effusion
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There is coarse interstitial abnormality with peribronchial opacities and nodules, left greater than right. If any, there is a small posterior loculated pneumothorax. Minimal effusion on the right. Mediastinal and hilar contours are stable. Mild cardiomegaly is chronic.
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<unk> year old man s/p left lung biopsy yesterday at <unk> with very small left pneumothorax. repeat study to assess size/possible progression given complaints of chest pain. // ?left pneumothorax.
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Ap upright and lateral chest radiographs demonstrate clear lungs bilaterally. The cardiomediastinal silhouette appears within normal limits and unchanged when compared to prior radiograph dated <unk>. There is no evidence of pulmonary vascular congestion, pleural effusion, or pneumothorax. Osseous structures are without an acute abnormality.
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<unk>-year-old male with altered mental status.
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The lungs are well expanded and clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The visualized osseous structures are unremarkable.
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sudden onset chest pain.
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Low lung volumes cause bronchovascular crowding. A dual-chamber left pectoral pacemaker and its leads project in expected location. There is no focal consolidation pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. The aortic arch is heavily calcified. Relatively dense nodules in bilateral upper lobes likely represent granulomas or pleural and parenchymal scarring. Surgical clips are noted in the right upper quadrant.
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<unk>m with fall, confusion, hx ppm in left thorax, evaluate for occult infection.
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The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
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<unk>f with fever, cough // infiltrate?
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The lungs are clear. Cardiac silhouette is slightly enlarged with left ventricular enlargement. Hilar contours are stable. There is no pleural effusion or pneumothorax. There is no convincing evidence of pneumonia.
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<unk>-year-old man with recurrent pneumonias and low igg levels. rule out pneumonia.
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Pa and lateral views of the chest provided. There is no effusion or pneumothorax. Previously seen hazy opacity in the right lower lobe is mildly improved since prior. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Levoscoliosis is similar to prior. No free air below the right hemidiaphragm is seen.
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history: <unk>f with sob, // r/o pna
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The lungs are symmetrically well expanded and aerated without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The visualized upper abdomen is unremarkable.
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chest discomfort, here to evaluate for pneumonia or pneumothorax.
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The cardiac, mediastinal and hilar contours appear stable. There is a small to moderate hiatal hernia. There is no pleural effusion or pneumothorax. The lungs appear clear. Two adjacent thoracolumbar vertebral bodies again show vertebroplasty-related changes. The patient is also status post right shoulder replacement.
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syncope.
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The cardiomediastinal contour is within normal limits. The hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>m with a <num>-month history of cough, evaluate for pneumonia.
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Moderate to severe cardiomegaly is re- demonstrated. The aorta is dilated and tortuous, unchanged. Multiple calcified mediastinal and bilateral hilar lymph nodes are compatible with prior granulomatous infection. Pulmonary vasculature is not engorged. Minimal atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is detected. No acute osseous abnormality is visualized. Clips are again noted within the midline lower neck.
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history: <unk>f with cough
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The heart is mildly enlarged with a left ventricular configuration. There is mild-to-moderate unfolding of the thoracic aorta. The arch is partly calcified. The mediastinal and hilar contours appear unchanged. There are streaky left basilar opacities suggesting minor atelectasis. A small eventration is noted along the anterior right hemidiaphragm. There is an air-fluid level in the stomach. Air-fluid levels are seen in the epigastric region. There is no evidence for free air. Cholecystectomy clips project over the right upper quadrant. Moderate degenerative changes are similar along the mid thoracic spine.
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right lower quadrant pain and guaiac-positive stool.
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are stable. Lung volumes are low, exaggerating bronchovascular markings. No focal consolidation, pleural effusion, or pneumothorax. No thoracic vertebral body compression deformity or displaced rib fracture appreciated.
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<unk>-year-old male with syncope and fall.
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The cardiac, mediastinal, and hilar contours appear unchanged. Patchy calcification is noted along the aortic arch. The heart is at the upper limits of normal size. There is a slightly heterogeneous but predominantly diffuse bilateral interstitial abnormality which appears new since the prior examination and could be seen with interstitial pulmonary edema, mild to moderate in severity, but atypical infection could also be considered. There is, in particular, peripheral opacity layering immediately above the minor fissure and opacification of the lateral left upper lobe is also more prominent than elsewhere. More confluent infrahilar opacity on the lateral view is difficult to place on the frontal view, although likely within the left lower lobe. Fissures are slightly thickened including both major and minor fissure. However, there is no definite pleural effusion or pneumothorax. Mild rightward convex curvature is noted along the thoracic spine.
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dyspnea and hypoxemia. history of recent stroke.
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Pa and lateral views of the chest. Comparison is made to previous exam from earlier the same day and from <unk>. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old man with fevers, rigors and cough. question pneumonia.
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Lung volumes are slightly low, resulting in bronchovascular crowding. Blunting of the left costophrenic angle is most consistent with a small left pleural effusion. There is increased opacity in the retrocardiac region. The heart is mildly enlarged. The aorta is tortuous. No pneumothorax.
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history: <unk>m with urinary retention // eval infiltrate
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormalities detected.
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<unk>-year-old man with chest pain, here to evaluate for pneumothorax.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax or pulmonary edema. There are however small bilateral pleural effusions. Cardiac size is normal.
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<unk>f with fever, recent surgery // eval for infiltrate
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The lungs are hyperinflated. Cardiac silhouette size is normal. The aorta remains mildly tortuous. Hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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hiv, copd and increased dyspnea.
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Left basilar opacity has improved since the prior study, with similar appearance of bilateral interstitial opacities. Medial right lung base opacity is likely atelectasis. The cardiomediastinal silhouette is unchanged. There is no pneumothorax or large pleural effusion.
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<unk> year old man with fevers // eval for pna
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Frontal and lateral radiographs of the chest demonstrate a moderate-sized left pleural effusion which is slightly increased since <unk> <unk>. No right pleural effusion is seen. There is atelectasis adjacent to the pleural effusion at the left base. Otherwise, the lungs are clear. The cardiac and mediastinal contours are unchanged since prior study. Intact median sternotomy wires are noted. No pneumothorax is seen.
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status post cabg on <unk> with pleural effusions, status post left thoracentesis on <unk>. evaluate pleural effusion.
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Pa and lateral views of the chest. The lungs are hyperinflated. Right apical scarring is again seen and unchanged. The cardiomediastinal silhouette is unchanged. No visualized acute osseous abnormalities.
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<unk>-year-old female with syncope and chest pain.
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Moderate to severe enlargement of the cardiac silhouette is re- demonstrated. The aorta is markedly tortuous with diffuse atherosclerotic calcifications re-demonstrated. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Punctate granulomas are seen within the upper lobes bilaterally. Multiple clips noted within the right upper quadrant.
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altered mental status.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
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history: <unk>m with chest pain // acute cardiopulm disease
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Ap upright and lateral views of the chest provided. Multiple overlying ekg leads somewhat limit assessment. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain
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Lung volumes are normal. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is mildly enlarged, unchanged from <num> days prior. There is no evidence for pulmonary edema. The mediastinal and hilar structures are unremarkable.
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weakness, evaluate for pneumonia.
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The cardiac silhouette is within normal limits. The thoracic aorta is mildly tortuous, with aortic arch calcifications, unchanged from prior. There is some platelike atelectasis in the right lower lung; otherwise, the lungs are clear without focal consolidation. There is suggestion of a rounded opacity at the right hilum, likely a pulmonary vessel, similar in appearance to chest x-ray from <unk>. There is no pneumothorax or pleural effusion.
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history: <unk>f with, evaluate for pneumonia.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
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<unk>-year-old female with right upper quadrant tenderness, nausea, and shortness of breath.
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There is extensive, heavy, left-sided pleural calcification extending along the full extent of the left hemithorax, particularly laterally, and appears to involve the left costophrenic angle, and with left lung volume loss. Slight blunting left costophrenic angle is felt to likely be due to pleural thickening. No focal consolidation is seen on the right. Slight prominence of the right hilum is noted. The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified and tortuous. No overt pulmonary edema is seen.
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history: <unk>m with sob and mild feve rpls eval for pna // history: <unk>m with sob and mild feve rpls eval for pna
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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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history: <unk>m with chest pain // eval for infiltrate
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There is no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. There has been interval resolution of pulmonary vascular congestion since <unk>.
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lymphoma, shortness of breath. history of chf. assess for abnormalities.
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Multiple pulmonary nodules are again seen largely unchanged in size compared to prior. The <num> most prominent nodules measure <unk> and <num> mm in the right upper and left upper lungs. Areas compatible pleural effusion, consolidation or pneumothroax. There is moderate cardiomegaly.
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<unk> year old woman with colon cancer // increased sob. known bilateral pulmonary nodules. likely either met colon ca vs lung primary
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Heart size is normal and demonstrates left ventricular configuration. The mediastinal and hilar contours are remarkable for unchanged tortuosity of the thoracic aorta. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. <unk>.
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<unk> year old man with copd and worsening shortness of breath // any infiltrate
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Ap portable upright and lateral view the chest provided. Lung volumes are low. Kyphotic angulation of the chest somewhat limits the evaluation through the lower lungs. Allowing for this, the lungs appear clear. Heart appears mildly enlarged as on prior. Mediastinal contour is unremarkable. No large effusion or pneumothorax. Imaged osseous structures are intact. No free air seen below the right hemidiaphragm.
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<unk>f with a history <unk> <unk>'s disease presents with questionable fall and head strike <num> month ago. evaluate for pneumonia.
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Lordotic positioning. The cardiomediastinal and hilar contours are within normal limits. No chf, focal infiltrate or consolidation, pleural effusion or pneumothorax.
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history: <unk>m with dyspnea and cough // eval for pna
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Ap upright and lateral views of the chest provided. Lung volumes are markedly low. A large left pleural effusion appears marginally increased from prior. Increased diffuse pulmonary opacities raise concern for multifocal pneumonia though difficult to exclude underlying pulmonary edema. Heart size cannot be assessed. Aortic calcification again noted. Bony structures are intact.
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<unk>m with history of pleural effusion, now with hypoxia to <unk> ra
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There is an increased opacity overlying the right lower lobe suggestive of right lower lobe pneumonia. Otherwise, the remainder of the lungs are clear. The mediastinal silhouette is normal. Outline of the aorta is normal. No acute fractures are identified. There is no air under the hemidiaphragms.
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evaluation of patient with chest pain.
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Pa and lateral views of the chest provided. Lung volumes are somewhat low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain // ?pna
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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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seizure. evaluate for focal infiltrate.
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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 dyspnea // please eval for pna
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. There is no air identified in to the right hemidiaphragm. Osseous structures demonstrates no acute abnormality.
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<unk>f with right chest pain
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The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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fever, cough, myalgias.
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The lungs are well expanded and clear. There is mild cardiomegaly, but the cardiomediastinal and hilar contours are unremarkable otherwise. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with chest pain and shortness of breath. evaluate for evidence of cardiopulmonary process.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with cough // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p11407375/s53828243/7d04a898-4afacbee-1e9643fa-cb967709-66028907.jpg
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Interval removal of the right chest tube with the development of a small lateral pneumothorax and moderate subcutaneous emphysema in the lower right chest wall. No evidence of tension. Slight interval improvement in lung expansion. Stable scattered ground-glass opacities and discrete linear opacities bilaterally, consistent with interstitial lung disease. Stable probable left basilar atelectasis. No pleural effusion or focal consolidation to suggest pneumonia. Stable mild tortuosity or dilatation of the descending aorta. Stable prominent cardiomegaly. Stable mediastinal contours.
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<unk>-year-old man with interstitial lung disease, status-post vats wedge biopsy. evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p16557096/s53959344/3c7e3c37-92d83b45-10da36ce-724c0c8b-9595b271.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16557096/s53959344/cf298fbb-a09a5ff2-bce0afdd-7b8c767a-4cca50f6.jpg
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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cough, fever.
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MIMIC-CXR-JPG/2.0.0/files/p14667528/s54692961/5d8543de-c56a1432-fecfd25e-9fd0dc80-d8571642.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14667528/s54692961/864dc054-f24f4fa2-13262e85-7612c021-44c8a14c.jpg
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Given the patient's rotation, the mediastinum and cardiac silhouette is within normal limits. There is a left-sided pacemaker battery pack with leads terminating in the right ventricle and right atrium, in unchanged position from the prior study. Blunting of the right costophrenic angle on the ap view is not collaborated on the lateral view; therefore no pleural effusion is thought to be present. A retrocardiac opacity is present and may represent a combination of atelectasis and aspiration. Pneumonia cannot be ruled out in the correct clinical setting. There is no pulmonary edema and there is no pneumothorax. There is no free air.
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new right-sided weakness, stroke workup.
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MIMIC-CXR-JPG/2.0.0/files/p19385600/s58794062/36cb7620-cb7518c3-c0d33251-7a672677-095094ec.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19385600/s58794062/aab940de-af85991b-fe2a6276-36ce0056-f41cb7c6.jpg
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The lungs are clear and well expanded. No focal consolidation, mass, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. The mediastinum is not widened. The hila are within normal limits. Visualized thoracic spine is unremarkable.
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<unk> year old woman with indeterminate quant gold preparing to start anti-tnf. no tb risk factors or symptoms presently. // assess for evidence of active or old tb.
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MIMIC-CXR-JPG/2.0.0/files/p15873383/s50852749/3b57f6ad-1a223bdb-a5e881fb-8348d73e-ba554f1a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15873383/s50852749/bae096e5-5f06d5d7-af50cd60-c9b4b81b-b2b98803.jpg
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of cough, wheeze, please evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p12152817/s56296395/5996a764-33e52358-59a85ed7-97f4d6ca-cb249fe5.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12152817/s56296395/e314d1d9-562297de-0fc01cdb-14d0fcf7-835b2bc2.jpg
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The cardiac, mediastinal and hilar contours are unchanged, with a large hiatal hernia again noted containing an air-fluid level. The pulmonary vascularity is not engorged. There are streaky opacities in the lung bases likely reflective of atelectasis. No large pleural effusion or pneumothorax is present. There are multilevel degenerative changes of the thoracic spine. Calcification of the thoracic aorta is again noted.
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cough.
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MIMIC-CXR-JPG/2.0.0/files/p10091327/s55157414/6af2dcf4-5482b24f-6cca9f04-ffc73a34-b3402ca2.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10091327/s55157414/36dab640-72c79a19-fddae085-13c2e0d9-d8a948f4.jpg
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Frontal ap and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is normal. Mediastinal silhouette and hilar contours are normal. There is gaseous distention of large bowel.
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fever and polyarthritis.
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The previously seen multifocal bibasilar airspace opacities have almost completely resolved with only slight scarring seen at the bases. There are new ill-defined bilateral linear opacities seen in the upper lobes, which given their slight retractile behavior are likely related to radiation fibrosis. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Median sternotomy wires and mediastinal clips are noted.
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<unk> year old man with squamous cell cancer and pneumonia erarlier in <unk> // f/u recent pneumonia and lung cancer
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MIMIC-CXR-JPG/2.0.0/files/p10827966/s53227432/3dfcc853-fc720341-dbf5e979-8df748e5-e7ae7d07.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10827966/s53227432/19a1c78f-2faac811-0d9b993b-0ad22681-500388c6.jpg
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Kyphosis due to renal osteodystrophy simulates increased ap diameter of the chest. In the recurrently collapsed left lower lobe there is only mild subsegmental atelectasis. There is no consolidation of pleural effusion. Heart size is top normal. There is no pulmonary edema.
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cough and fever.
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MIMIC-CXR-JPG/2.0.0/files/p11897016/s58110315/0887a93d-46f2011c-0e34f948-db6a245b-f906e3d5.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11897016/s58110315/fde20385-ef61bdc2-67ab35ed-2effba43-296b735b.jpg
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia. Free intraperitoneal gas is consistent with recent surgery.
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postoperative fever.
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MIMIC-CXR-JPG/2.0.0/files/p10616277/s59553010/30635b6a-e755e1fa-95d161c0-d2d79fac-f3c7c8c8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10616277/s59553010/6e3873e5-ac0d3cd9-4078d437-768eec1f-9c7ba0d4.jpg
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Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>f with complaints of dyspnea on exertion with bilateral lower extremity swelling
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MIMIC-CXR-JPG/2.0.0/files/p13395623/s51565233/f9979deb-34143df0-4904b004-240d0ba7-2e42c942.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13395623/s51565233/1692bef7-b9eee680-f69069df-9e908f55-cdc55ed1.jpg
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The lungs are clear.the cardiomediastinal contours are normal and a moderate-sized hiatal hernia is again appreciated.no pleural abnormality is seen.
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<unk> year old woman with pneumonia. // f/u
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Lung volumes are low leading to crowding of the bronchovascular structures. Atelectasis is noted at the right lung base and within the left retrocardiac space. Otherwise, there is no evidence for lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits, allowing for technique and lung volumes.
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history: <unk>m with profound diaphoresis // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p18505569/s52156904/7dc83459-531bb7e8-5a5be8bf-f505ef4a-65bef489.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18505569/s52156904/65f1b783-62313339-340c1297-6ba6a9e0-58a022d7.jpg
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Skin fold overlies the right costophrenic angle. The lungs are hyperinflated, but clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with tibia fracture // pre-op cxr
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MIMIC-CXR-JPG/2.0.0/files/p11964399/s55628599/7d108b35-e4365a26-c557ecb6-f366e33f-e9d4bf6b.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11964399/s55628599/c5537e86-ec9475d0-ebe4417b-da7715dd-5f546a1e.jpg
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Frontal and lateral chest radiographs were obtained. A right chest port-a-cath terminates in the mid svc. There is a loculated hydropneumothorax on the left with compressive atelectasis at the lung base. The right lung is fully expanded and clear. The heart size is moderately enlarged. Mediastinal and hilar contours are stable.
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patient with metastatic sarcoma, status post left vats wedge resection, check interval change.
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MIMIC-CXR-JPG/2.0.0/files/p10267084/s52901624/faf37e6f-90d68162-d620c319-3ebbf4ba-d22f10a5.jpg
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There has been interval resolution of the right upper lobe consolidation seen on the prior study, suggestive of resorption of post-surgical hemorrhage. There also has been interval resolution of the left small pleural effusion and stable small right pleural effusion compared to the study from <unk>. There is a new right lower lobe loculation of pleural fluid. There is no pneumothorax. The hilar and mediastinal contours are normal. The heart size is normal.
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<unk>-year-old female status post right upper lobe wedge biopsy, presents for evaluation of interval change.
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MIMIC-CXR-JPG/2.0.0/files/p19966756/s54055345/53d07fc1-d2710882-82506b0f-e68e0af0-12cb6481.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19966756/s54055345/abe473db-aa3afeca-1cd7eb53-c5b0e665-cce37f27.jpg
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Heart size is top normal. The aorta is unfolded. Bilateral enlargement of the superior mediastinal contour is compatible with a thyroid goiter, unchanged. Pulmonary vasculature is normal. There is mild elevation of the right hemidiaphragm which is unchanged, with associated right basilar linear atelectasis. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
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history: <unk>m with head strike, hematoma under right eye, and cervical spine tenderness to palpation
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MIMIC-CXR-JPG/2.0.0/files/p11069411/s55735180/42416027-f50666e2-87b85b2d-a47ef9d4-f391259e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11069411/s55735180/53742cd6-78a52f14-479dea2c-43b2df06-32676e00.jpg
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Heart size is normal. Mediastinal silhouette is unremarkable. Hilar contours are unchanged since <unk>. Areas of right greater than left biapical linear probable scarring are unchanged since prior examination. There are slight increased opacities in the right medial lung base. There is mild bibasilar atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.
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sarcoidosis and cough.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with recent pna, here with left sided chest pain
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MIMIC-CXR-JPG/2.0.0/files/p12022338/s57211722/9494660b-0767e702-b2f6a613-ca9cdf74-c599ef63.jpg
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The cardiomediastinal silhouette is normal except for slight obscuration of the right heart border with adjacent vague right infrahilar opacity. There is no pleural effusion and no pneumothorax.
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<unk>-year-old with seizure. please assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16404775/s59571616/973fd47d-945e075a-3eb4b6f3-99462a17-cddfa207.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16404775/s59571616/78e12d20-7e93dfb0-4c0d5da6-98d1fead-11881821.jpg
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No displaced rib fractures are present. The sternum appears intact on the lateral view. No subdiaphragmatic free air is appreciated.
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<unk>-year-old female with left sternal chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p19175407/s57705667/3051fef1-27db804a-787b141a-0cfbb572-19b033b5.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19175407/s57705667/364118fc-af143a89-78e77b6a-febd722c-4943df66.jpg
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen. The patient is status post median sternotomy and cabg. Left-sided <num> lead pacemaker is stable in position.
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history: <unk>m with sob.
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MIMIC-CXR-JPG/2.0.0/files/p17165503/s56842078/6ac352bb-b36eab62-06e76a13-4f1c1482-7c49bfce.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17165503/s56842078/16748d06-404642a3-c637bfe5-aa6ae7e4-465a678e.jpg
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New transvenous pacemaker leads follow the expected courses to the right atrium and right ventricle. There is no pneumothorax, mediastinal widening or pleural effusion. A hazy opacity abutting the cardiac apex is larger today. Lungs are otherwise clear. Dilated main pulmonary artery is bigger, but, otherwise the cardiac configuration is normal.
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<unk> year old woman with ps, paf, snd s/p pacemaker // lead position, pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p15638099/s58137449/64c72766-823f0e62-f79870d6-391e3463-bca7bfbf.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15638099/s58137449/8e172ac2-74bc14e6-0898d8b1-44fcffd3-58b788c5.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 male with fever and cough.
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MIMIC-CXR-JPG/2.0.0/files/p16601683/s50873501/55dedcc7-5f8c5d54-72b0c438-6b753627-9aea4e5f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16601683/s50873501/97cbbec4-66013c2a-6686fb7c-be938a3c-75f30c76.jpg
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Fullness in the region of the azygos vein is seen without overt pulmonary edema but a component of lymphadenopathy cannot be excluded. The heart is normal in size and otherwise mediastinal contours are unremarkable.
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bilateral crackles at lung bases with fever.
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