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A small left apical pneumothorax is seen. Postsurgical changes are seen including small pleural effusions bilaterally. No focal consolidation or pulmonary edema is seen. The cardiac silhouette is enlarged consistent with recent cardiac surgery.
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<unk> -year-old male, evaluate pneumothorax.
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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 sudden onset left face, arm, leg weakness, numbness
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Progression of disease at the right lung base likely due to effusion with underlying consolidation, potentially pneumonia. Followup after treatment will be necessary to exclude underlying mass lesion.
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<unk>m with pna // eval for pna
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Lung volumes are low, decreased compared to the prior study from <unk>, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. A right internal jugular central venous catheter ends in the mid svc, new compared to the prior study from <unk>.
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fever. assess for pneumonia.
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There is no focal consolidation. There is no pleural effusion or pneumothorax. There is no pulmonary vascular congestion. There is mild cardiomegaly. A left-sided pacemaker and leads are stable in position. Median sternotomy wires are stable. Mediastinal clips are stable. There is a prosthetic aortic valve. There are diffuse aortic calcifications.
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tia, evaluate for pneumonia, generalized weakness
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The cardiac silhouette size remains moderately to severely enlarged, slightly increased when compared to the prior chest radiograph. The mediastinal contour appears unchanged compared to the prior radiograph. Moderate size left pleural effusion with a component loculated laterally appears minimally increased compared to the prior study. Persistent left paramediastinal opacities compatible with prior radiation changes are again noted as is a consolidative opacity in the left lung base. Right basilar peribronchial opacities persist. No right-sided pleural effusion or pneumothorax is seen and there is no pulmonary vascular congestion. Slight increase in linear opacities in the left mid lung field may reflect atelectasis.
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shortness of breath and cough.
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. The right lower mediastinum has a bulging contour which may be associated with an abnormality of the right atrium.
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productive cough and asthma.
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Frontal and lateral views of the chest re-demonstrate a large left effusion with consolidated left lower lung, with stable leftward cardiomediastinal shift. The amount of aeration in the left upper lung is similar as compared to <unk>, but a previously seen small hydropneumothorax is further decreased in size. The right lung is well aerated. There is no new consolidation in the right lung. Numerous sclerotic metastatic lesions in the thoracic spine are better correlated with preceding ct dated <unk>.
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<unk>-year-old female with shortness of breath. question acute process.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation concerning for pneumonia is identified. Obscuration of the right hemidiaphragm is consistent with a small pleural effusion and a component of atelectasis, additionally seen on the left. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is identified. Surgical clips are seen projecting over the right upper quadrant.
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<unk>-year-old female with dyspnea and chest tightness.
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Right internal jugular approach port-a-cath tip terminates in the right atrium. Heart size is normal with unfolding of the thoracic aorta. Hilar contours are unremarkable. Lung volumes are low. There are persistent right greater than left lung base opacities, appearing slightly improved compared to prior examination. Opacity projecting over the right chest wall port could be external in nature, no correlate opacity confirmed on the lateral. There is no large pleural effusion or pneumothorax.
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shortness of breath.
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The lungs are clear of focal consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified, old left lateral rib fractures are noted.
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<unk>m with sob // ?pna
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
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<unk> year old man with significant weight loss, intermittent abdominal pain and peristent diarrhea. // evaluate for malignancy, abnormality.
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Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart size is exaggerated by low lung volumes and therefore difficult to evaluate. No rib fracture is detected on these views.
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<unk>-year-old male status post assault with left chest pain.
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There is increased opacity at the left lung base, concerning for pneumonia in the proper clinical setting.there is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is enlarged but overall unchanged dating back to <unk>.
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<unk> year old woman with decreased breath sounds // opacity, pulmonary edema
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Moderate cardiomegaly appears accentuated due to the presence of low lung volumes compared to the previous chest radiograph. Aorta is unfolded. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present without overt pulmonary edema. Patchy retrocardiac opacity as well as linear opacity in the lingula likely reflect areas of atelectasis without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
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history: <unk>f with chest pain for <num> days
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded without focal consolidation concerning for pneumonia. Biapical scarring is present. Mildly increased slightly nodular interstitial markings are noted throughout both lungs, which may represent acute infection or inflammation in the correct clinical setting. Increased soft tissue density overlying the right apex with inferior displacement of the right clavicle is consistent with known mass better seen on same date neck ct.
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<unk>f with newly diagnosed neck mass, unknown source, concern for metastatic disease.
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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 cough and fevers // ? pna
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There is a small persistent right pleural effusion and probable trace left pleural effusion. The lungs are otherwise clear without consolidation. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
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<unk>m with pericarditis now with ongoing cp // pna
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded. There is no pleural effusion, focal consolidation or pneumothorax.
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cirrhosis and malaise.
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The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. There is a persistent small to moderate right-sided pleural effusion with fissural component on the right, which is difficult to evaluate on the lateral view because the arms are down. However, although overall fluid content has probably decreased, coinciding parenchymal opacity has increased. Vague lingular opacity is unchanged.
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status post fall with dyspnea. congestive heart failure.
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There is been interval development of interstitial abnormality in a perihilar distribution which is concerning for pulmonary edema. Bilateral pleural effusions are small. Some areas of more focal nodular opacities are seen, particular on the lateral view, and therefore pneumonia cannot be excluded. The heart remains enlarged. Aorta is tortuous. There is no pneumothorax.
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<unk> year old woman with all. hyposix and sob. // hypoxia and sob. progressive all on chemo
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The cardiomediastinal shadow is normal. Right-sided picc line in situ with the tip at the mid to distal svc. Pulmonary overinflation. Mild coarsening of the bronchovascular markings. Nodular airspace consolidation with associated bronchograms seen in the medial basal segment of the right lower lobe. No pleural effusion. No pulmonary edema.
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<unk> year old man with stage iiia lung adenocarcinoma with cough and hemoptysis // pneumonia?
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. There are no acute osseous abnormalities.
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right chest pain.
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Pa and lateral chest radiograph demonstrate a clear lungs with no focal consolidation convincing for pneumonia. Heart size is top-normal. No evidence of overt pulmonary edema. There is no large pleural effusion. Bibasilar atelectasis is present. Hilar and mediastinal contours are stable in appearance relative to prior study dated <unk>. No acute osseous abnormality is detected.
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<unk>-year-old female with dyspnea.
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Frontal and lateral chest radiographs demonstrate decreased lung volumes, which likely explain an apparent increase in cardiomediastinal size. No rib fracture is identified. Left base atelectasis may be due to splinting secondary to pain. There is also possible left base consolidation, which can be seen with a pulmonary embolus. Surgical material in the upper lung is consistent with a wedge resection. There is no pleural effusion or pneumothorax.
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hiv and left rib pain with coughing.
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Since the prior study, there has been a interval increase in bibasilar opacities as well as perihilar opacities and <unk> b-lines compatible with heart failure. The cardiac silhouette, now moderate to severely enlarged, has increased since the prior study. Superimposed infection in the right lower lobe could be possible and followup radiograph after diuresis would help better evaluate this. Small bilateral pleural effusions are also present.
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history: <unk>m with dyspnea on exertion // eval for pneumonia
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Pulmonary vascular congestion is mild. Bilateral pleural plaques are similar to prior. 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 altered mental status // eval for acute process
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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. The visualized upper abdomen is unremarkable.
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evaluate for fracture or consolidation in a <unk>-year-old woman with chest pain status post fall.
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Heart size is top normal. The right mediastinal contour in the region of the ascending aorta appears abnormally prominent. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Marked gaseous distention of the bowel loops within the left upper quadrant of abdomen results in elevation of the left hemidiaphragm.
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history: <unk>f with chest pain
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are hyperinflated. There is patchy scarring at each lung apex but no evidence for pneumothorax. There is no pleural effusion. The lateral view depicts a geographic peripheral opacity which correlates with poor delineation of the cardiac border along the medial left lung base. However, some of this appearance may correspond to a patchy opacity in the left lower lung seen more laterally that suggests a developing pneumonia.
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fever and pain with inspiration.
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Moderate overinflation. Flattening of the hemidiaphragms and large lung volumes. No evidence of pathologic changes in the lung parenchyma. Normal hilar and mediastinal structures. No pleural effusions. No pulmonary edema. Moderate scoliosis of the thoracic spine.
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shortness of breath and cough.
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A left-sided picc is unchanged in position. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The perihilar area on the right appears denser than on the prior exam which could represent pneumonia. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old man with neutropenic fever and productive cough // please eval for acute cardiopulmonary process
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Multiple loculated air-fluid levels are seen within the right hemithorax consistent with loculated hydropneumothoraces are unchanged allowing for positional differences, and the moderate right pleural effusion is also unchanged. Diffuse heterogeneous right lung opacities and scattered multifocal left mid and lower lung opacities are unchanged when taking into account patient position. The <num> right chest tubes and right port -a-cath are stable in position.
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<unk>-year-old woman s/p right vats, right lower lobe, post-op empyema. check interval change.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the mid thoracic spine.
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dizziness, nausea, vomiting, and diarrhea.
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Pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural contours are normal in appearance. There is no evidence of pleural effusion, pulmonary edema or pneumothorax.
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chest pain and palpitations. evaluation for acute process.
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The heart continues to be moderately enlarged with a left ventricular configuration. There is a curvilinear calcification projecting over the left heart border, stable dating back to <unk> and possibly due to an aneurysm. An echo may be helpful for further evaluation. There is also calcification along the right hemidiaphragm, which may be due to pleural plaque. There is no focal consolidation, pleural effusion or overt pulmonary edema. The mediastinal contours are stable.
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<unk>-year-old male with chest pain, dyspnea.
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Lung volumes are low but unchanged since previous exam. The lungs are clear without focal opacities to suggest pneumonia. Mild cardiomegaly is unchanged. Mediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
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fever and elevated crp; no evidence of spinal infection on mri after lumbar surgery in <unk>. evaluate for infiltrate.
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The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with shortness of breath, hx mi // eval heart and lungs
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Previously seen bibasilar opacities have significantly improved from the prior study, however there is a subtle opacity in the right middle lobe. The upper lung zones are clear. There is no pneumothorax or pleural effusion seen. There are no acute osseous abnormalities. Previously seen at hilar adenopathy is less apparent on this study.
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<unk> year old woman with met rcca, s/p bilateral pna // re-evaluation for pna <num> weeks ago
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Ap upright and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the low svc. There is mild elevation of the right hemidiaphragm. Mild bibasilar atelectasis is noted without definite signs of pneumonia. Cardiomediastinal silhouette is stable. No pneumothorax or large effusion. Bony structures appear intact.
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<unk>m with cough, confusion // eval for pneumonia
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Mild bibasilar atelectasis is noted. The lungs are otherwise clear without lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The heart is mildly enlarged. Aortic calcifications are noted within the arch. No free intra-abdominal air is identified.
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<unk>f with chest pain // eval heart and lungs
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Lung volumes are low, unchanged. Heart size is top normal. Mediastinal contour and cardiac borders are stable. There is no focal consolidation or pleural effusion. Right dual-lumen infusion port is unchanged with distal tip in the right atrium.
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<unk> year old woman with lymphoma currently neutropenic with chest tightness // pna
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Lungs are hyperinflated, consistent with copd. There are sternotomy wires. Mild prominence of the cardiomediastinal silhouette is present. Possible mild prominence the pulmonary arteries, which could reflect pulmonary hypertension. There is a small left effusion, with underlying collapse and/or pneumonic consolidation. There is prominent platelike atelectasis at the right lung base. Platelike atelectasis is noted in the right lung base. In addition, in the right suprahilar midlung there is a relatively faint, elongated, somewhat irregular density. This may represent architectural distortion from underlying parenchymal disease, however this lesion is incompletely characterized. The patient's head overlies the medial portion of both lung apices. Allowing for this, no obvious pneumothorax is identified. There is upper zone redistribution, without overt chf.
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history: <unk>m with cough, recent admission at<unk> hosp for pna // eval for pna or acute process
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Frontal and lateral views of the chest. Slight increase in background density could be technical or represent difference in patient position or chest wall. No focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are normal.
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chest discomfort and cough.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Partially imaged lumbar spinal hardware.
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<unk>f with dyspnea // dyspnea
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Mild-to-moderate cardiomegaly is unchanged. Vascular congestion and pulmonary edema has mildly increased. There are small bilateral pleural effusions. Increased left basilar opacity is most consistent with atelectasis. No pneumothorax. Median sternotomy wires are intact.
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<unk> year old man with dyspnea, evaluate for pleural effusion.
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There are persistent patchy right base opacities, worrisome for pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Chronic interstitial changes are again noted.
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history: <unk>f with chf cough with sputum, x <num> weeks // pna?
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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 left sided chest pain
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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.
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<unk> year old woman with chest pain // chest pain protocol
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The lungs are clear. Mild cardiomegaly. No pleural effusions or pneumothorax. The hilar unremarkable. No aggressive bony lesions.
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<unk> year old man with cough x <num> weeks, productive of "off white" sputum, no blood, no fever // any worrisome lesion?
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with cough, fever // eval for pneumonia
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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 sob, doe
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There is chronic moderate cardiomegaly. In comparison to ct of the chest from <unk>, again seen is a right infrahilar streak like opacity, likely due to scarring, unchanged from prior cxr exams dating back to <unk> and <unk>. No pleural effusion and no pneumothorax.
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<unk>-year-old with asthma, copd. please assess for pneumonia.
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Lung volumes are slightly low. Opacity in the right mid lung seen on <unk> has resolved. There has been some interval redistribution of pleural effusions which are likely overall unchanged, moderate on the left and small on the right. Bilateral interstitial opacities are improving. Heart size is normal. The mediastinal and hilar contours are stable. There is no pneumothorax. Right port-a-cath is in stable position.
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history: <unk>m with sob, pancreatic ca // eval for pleural effusions
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. Stable mild cardiomegaly. Lungs are clear. No pleural effusion or pneumothorax evident.
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hypertension, headache, nausea, diabetes. please evaluate for acute process.
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Frontal and lateral chest radiographs were obtained. A right ij terminates in the mid svc. Lung volumes are improved. The lungs are fully expanded and clear. The right hemidiaphragm is elevated, secondary to enlarged liver as seen on ct scan on <unk>. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
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patient with febrile neutropenia, eval for consolidation.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
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multiple sclerosis, presenting with cough. question infiltrate.
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New mild pulmonary vascular congestion with bilateral pleural effusions, moderate to large on the right and small on the left, and associated atelectasis. Previously noted right pigtailed catheter is removed. The heart is normal in size. No pneumothorax.
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<unk> year old woman with hf, esrd complaining of sob. // etiology sob
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormality is seen.
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cough, chills, shortness of breath for <num> days. history of asthma.
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The heart is normal size with normal cardiomediastinal contours. Pulmonary vascular markings are minimally prominent, though no overt pulmonary edema is present. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
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abdominal pain.
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There is no focal consolidation to suggest pneumonia. Paucity of vasculature at the apices and flattened diaphragms is compatible with chronic obstructive lung disease. Heart size is normal. There is no pleural effusion or pneumothorax. There is bibasilar streaky atelectasis. Degenerative changes of the right acromioclavicular joint are marked by mild spurring.
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productive cough, evaluate for pneumonia.
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The inspiratory lung volumes are appropriate. No focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no evidence of pulmonary edema. Cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Port-a-cath terminates at the level of the mid svc. Degenerative changes are noted along the mid thoracic spine.
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<unk>-year-old male patient with history of nhl, on chemotherapy with persistent dry cough. study requested to rule out pneumonia.
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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 cough, sputum
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As compared to the previous radiograph, the lingular opacity, leading to obliteration of the left heart border, is substantially improved, but not completely resolved. No new parenchymal opacities persist. There is no pleural effusion. The size of the cardiac silhouette continues to be mildly enlarged. The vascular hilar structures are at the upper range of normal. No parenchymal opacities have newly appeared. No evidence of pulmonary edema.
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followup for resolution of pneumonia.
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Compared to <unk>, and left chest tube remains in place with a very small left apical pneumothorax if any. Subcutaneous emphysema along the left lateral chest has slightly increased compared to a prior chest radiograph from <unk>. A well-circumscribed air collection in the left lower chest projecting in the region of the postsurgical <unk> better visualized on prior chest radiograph may represent gas within bowel loops. Postsurgical pneumoperitoneum is no longer seen. Bibasilar atelectasis is unchanged. Small right pleural effusion also unchanged. The cardiac and mediastinal silhouettes are stable with postsurgical changes noted..
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<unk> year old man pod<unk> s/p thoracoabdominal esophagectomy with esophagojejunostomy // evaluate for interval change
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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. No displaced fracture identified.
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history: <unk>m with left chest wall pain s/p bike accident // eval for any injuries
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
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chest pain.
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Frontal and lateral views of the chest were obtained. Heart size and mediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>-year-old male with aids and recent-onset fatigue and shortness of breath.
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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>f with shortness of breath
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The lungs are clear aside from bibasilar atelectasis. There is no evidence of pneumonia, pneumothorax, or pleural effusion. The mediastinal silhouette is enlarged, likely due to a tortuous aorta, but stable.
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<unk> year old man with h/o pneumonia // evaluate for infiltrate (post pneumonia at osh f/u)
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Patient is status post median sternotomy, mitral valve replacement, and transcatheter aortic valve replacement. Cardiac silhouette size remains normal. The mediastinal and hilar contours are unchanged with left-sided mediastinal clips again noted. Pulmonary vasculature is normal. Mild upper lobe predominant emphysema is re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized without acute osseous abnormality detected.
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history: <unk>f with chest pain and dyspnea
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The lungs are hyperinflated and clear of focal consolidation, pleural effusion or pulmonary edema. There is atelectasis in the right lung base. The heart is normal in size, and mediastinal contours are stable.
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<unk> year old man with chest pain.
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Heart size remains mildly enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
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history: <unk>f with lower extremity edema, dyspnea
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A pacing device projects over the left chest with leads in the right atrium, right ventricle, and coronary sinus. Sternotomy wires are intact. The heart size is within normal limits. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob and a tortuous aorta, following the scoliotic curvature of the spine. A large hiatal hernia is present. The lungs show no lobar consolidation or collapse. There is no pulmonary edema or pleural effusion nor is there pneumothorax. Incidental note is made of osteopenia of the bilateral humeral heads.
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<unk>-year-old female with left subdural hematoma, now with decreased o<num> saturation, requiring oxygen.
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MIMIC-CXR-JPG/2.0.0/files/p12892798/s58057601/018e31e5-91201905-395f5baf-3ee76c60-b2bf4626.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12892798/s58057601/3345e40e-cf2a239b-00b3f607-c5ceef7d-6747d2a5.jpg
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There is a focal consolidation overlying the cardiac silhouette on the lateral view. On pa few, left heart border is slightly obscured, which is suspicious for focal consolidation at the lingula.there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal size. There is no free air below the diaphragm.
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<unk> year old woman with cough x <num> days s/p allo transplant // pna or infection
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MIMIC-CXR-JPG/2.0.0/files/p11043567/s59839456/d9a3edfb-009322e6-2427ee32-fa58e36f-bf8fe6f8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11043567/s59839456/5bbd9369-4b5fd10a-029a547b-b58d0805-b6ca132c.jpg
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.
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<unk> year old woman with recent flu-like illness, persistent productive cough // eval for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p17980774/s56053899/de248f38-610b9e91-ee682d44-c1858e08-2308fef4.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17980774/s56053899/64017069-2ac4b6aa-0a4be7ba-53bfa686-e4a44284.jpg
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Large right pleural effusion is increased compared to <unk>. Large left pleural effusion is stable. Lung volumes are low, likely due to bibasilar atelectasis. Upper lungs are clear without consolidation or pulmonary edema. Cardiac silhouette is obscured by the pleural effusion. Mediastinal silhouette is normal size.
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<unk> year old man with recurren tpleural effusion // pleural effusion s/p thoracentesis previously
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MIMIC-CXR-JPG/2.0.0/files/p14926463/s56053595/599d2217-661921d3-19e3bebf-84f8586e-5f233e42.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14926463/s56053595/4e391c50-1e30fc1d-69ac5b41-ab7e7cbf-f5f59a4c.jpg
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Pa and lateral views of the chest. Left basilar and retrocardiac opacity is seen. Superiorly, the lungs are clear. There is blunting of the left lateral and probably posterior costophrenic angle, potentially due to similar process versus a trace effusion. There is eventration of the right hemidiaphragm. Cardiac silhouette is top normal in size. No acute osseous abnormalities detected.
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<unk>-year-old female with shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p13014961/s58425675/14126658-fbdb5cc1-ba152523-3c8168cd-0a608a1e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13014961/s58425675/046fa4f9-dc5f0898-e3c4efc0-b215e321-799810bc.jpg
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Pa and lateral views of the chest provided. Tiny clips project over the right breast and left upper quadrant. Hilar congestion and mild interstitial edema noted. Tiny effusions are likely present. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
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<unk>f with lightheadedness // evalk for pna
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MIMIC-CXR-JPG/2.0.0/files/p10671739/s50779698/92328969-c2cb3de3-948044de-cb4d8f46-29c583c4.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10671739/s50779698/5d2f09b6-1f60166e-fbfe5d8a-e6ce4ad0-a31b85a3.jpg
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Dual lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Bilateral anterior costochondral calcifications are again noted. No overt pulmonary edema is seen.
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history: <unk>f with tachypnea // eval for infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p18166516/s53951028/0120a7ce-55e0972f-362aa0c7-710b3f99-edec3ad9.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18166516/s53951028/d490bab0-1b9b3a2a-a6478f46-8906ba79-ff675437.jpg
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Right porta cath terminates in the right atrium. No pneumothorax. The mediastinal contours, hila, and cardiac borders are unchanged. Small right and moderate left pleural effusions are unchanged. Increased opacity in right lower lung likely represents overlapping soft tissue and atelectasis.
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<unk> year old woman with metastatic breast cancer, extensive pleural/pulmonary mets, increased dyspnea // worsening effusion, ?pneumonitis or pna
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MIMIC-CXR-JPG/2.0.0/files/p12438698/s51650060/86c57beb-b0d542e7-bd374e3a-9f4b9f8d-7922c64d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12438698/s51650060/dc41d8a1-1d745d38-218157ab-4873f74f-b23f7c1b.jpg
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality suspected.
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<unk>-year-old female with cough.
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MIMIC-CXR-JPG/2.0.0/files/p10767527/s55360879/b1dad4ba-d32fd3b7-7919f6e7-5a0b0495-bab1c31f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10767527/s55360879/10065e33-74e63afc-f11c9690-ceba46ac-58927ed3.jpg
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. Hilar pleural surfaces are normal.
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history: <unk>m with cough // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p14569206/s56193116/d6a6d069-38fd1059-ab033c1f-9f6db383-7c61034f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14569206/s56193116/9746cb10-bdc4c78b-8554c295-2ac871e9-fec12524.jpg
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with presyncope // acute process?
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MIMIC-CXR-JPG/2.0.0/files/p19438264/s50495818/84fa1091-5b493ce1-820c5e89-7947d34b-151ed0a0.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19438264/s50495818/97e81b77-0bc58bff-270f1714-f5bfb22b-ebbfaedf.jpg
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Ap upright and lateral views of the chest provided. Mild hilar congestion and interstitial edema likely reflect mild congestion. The heart is mildly enlarged. No definite consolidation, effusion or pneumothorax. Mediastinal contour stable. Bony structures intact.
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<unk>m with post-op lle swelling // evidence of dvt
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MIMIC-CXR-JPG/2.0.0/files/p13686597/s51216207/d1bf4546-eaa9f1ca-7fab1ef7-5ee339eb-72d43c58.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13686597/s51216207/73de29eb-85c48d2d-313db9d9-6d5c4c79-f39906be.jpg
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Two views of the chest demonstrate a small left pleural effusion, with perhaps some left basilar atelectasis. The pulmonary vasculature is normal in appearance. The cardiac silhouette is normal, the mediastinal contours are normal. Surgical clips are again noted in the gallbladder fossa.
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<unk>-year-old male with syncope and hypotension, evaluate for pneumonia or chf.
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MIMIC-CXR-JPG/2.0.0/files/p13512738/s54172760/2d991685-add8ff97-7075db6e-23f7d774-44ebea59.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13512738/s54172760/98674f67-12f52051-f55c48a1-3a18062f-f4578e27.jpg
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Patient is rotated to her right, further distorting right hular and mediastinal contours. Pleural effusion if any, is minimal on the right. There could be a new right upper lobe nodule partially obscured by the right first rib. Heart is moderately enlarged. A large hiatal hernia is chronic. Partially imaged upper abdomen is unremarkable.
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altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p14520921/s57610512/17f253d4-69e365d3-e59e6671-fbae71e8-cafe91be.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14520921/s57610512/843fa312-4a12b51a-5e077eb9-e266ec86-ba5dc309.jpg
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Opacity at the right lung base, silhouetting the right heart border and defining the minor fissure, is thought to represent a combination of atelectasis, pleural effusion and possibly consolidation. Opacification at the left lung base is presumably atelectasis. These findings limit limite evaluation of heart size. There is no evidence for pulmonary edema. No pneumothorax. Mediastinal structures are unremarkable.
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dyspnea, evaluate for pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p10613328/s56547364/de0f4e61-bea94e3a-75cdc2a1-a36f045a-d09e4959.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10613328/s56547364/83c28a05-02f87fc5-7d0ca1db-ca5a4981-0ef312b7.jpg
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Compared to prior examination, there has been moderate improvement of a large right-sided pleural effusion with adjacent compressive atelectasis. There is no pneumothorax. The left lung is clear.
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large right pleural effusion, evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p11313838/s51799701/4a57739c-8dd3f498-c732f140-be484fda-4db19aab.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11313838/s51799701/740d3d05-ae57fa0e-b106bfac-2f418ad7-b4a67893.jpg
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
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<unk>-year-old female with shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p15605860/s54023936/cb441285-7b8c0f39-eca668b8-2a488f6b-862873a9.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15605860/s54023936/06a566d1-cc391998-53202af2-1e630722-486c742c.jpg
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Patient is status post repair of left diaphragmatic hernia. Compared to <unk>, there is no significant change. Previous left apical pneumothorax appear replaced with fluid. Left lung base atelectasis and pleural effusion appear stable and unchanged. The right lung is unchanged and grossly normal. The heart size is likely top normal. The mediastinal and hilar contours are unremarkable.
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<unk> year old man s/p repair l diaphragmatic hernia.
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MIMIC-CXR-JPG/2.0.0/files/p14363424/s50378298/9f97d72c-7b1df91e-806b81ff-6781c64f-cf0f9d6e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14363424/s50378298/a817f164-2a418234-d3747d2e-84480a43-b116f7bc.jpg
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Pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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altered mental status. history of liver disease.
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MIMIC-CXR-JPG/2.0.0/files/p19779220/s58536944/2c269340-e23be0f9-a5e5a6b0-6f636831-afb9dc55.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19779220/s58536944/a8429148-00efa9e5-36779673-6c0a5950-ccc49a09.jpg
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Linear retrocardiac opacity likely represents atelectasis. The lungs are otherwise clear and the cardiomediastinal contours are normal. Heart size is top normal. No pleural effusion or pneumothorax. No subdiaphragmatic free air is seen.
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<unk>f with <num> days of n/v, now with substernal chest pressure and difficulty breathing // eval for cardiomegaly, free air
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MIMIC-CXR-JPG/2.0.0/files/p19705710/s50551629/878fb453-caf1f19f-17bc7f03-ab630eb3-04caf983.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19705710/s50551629/d62d31fd-d90578a8-b149ca89-9c4b3311-db96b0cb.jpg
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The cardiomediastinal silhouette appears stable. There is evidence of mild cardiomegaly with evidence of slight interval increase in the bilateral pulmonary vascular congestion. The lung volumes are low, however, there appears to be a slight interval increase in linear bibasilar consolidations. The aorta is tortuous. There is no pneumothorax. There is a small left pleural effusion. Visualized osseous structures are otherwise unremarkable.
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history of cough and recently noted hyponatremia. right basilar decreased breath sounds. please evaluate.
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MIMIC-CXR-JPG/2.0.0/files/p14128784/s54776937/169f958e-b4fa29f4-fdace9b0-8d45a5c8-21459d71.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14128784/s54776937/da51c611-143476f1-473447fe-107cdbe5-dea40e9c.jpg
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The cardiac silhouette size is normal. Architectural distortion with increased opacity in the lung apices bilaterally and superior retraction of the hila suggests a chronic process. Mediastinal contours are unremarkable. No pleural effusion, pulmonary vascular engorgement, or pneumothorax is seen. There are no acute osseous abnormalities.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p17680808/s51964767/50c299fc-15baffba-e7313e91-eab2770e-b76dcdb1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17680808/s51964767/5ae14b0a-e293a498-8839b503-b44dbe26-c5a3d16c.jpg
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Mild relative elevation of the right hemidiaphragm persists. No pleural effusion or pneumothorax. Bony structures are unremarkable.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p17134261/s56753939/0d286c91-61972fe2-dad153ee-3dfed3bc-8a31cc50.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17134261/s56753939/021cedb3-a13fd6ab-d9f36c48-6973820d-17e1c68f.jpg
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with syncope and right shoulder pain with new atrial fibrillation.
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MIMIC-CXR-JPG/2.0.0/files/p13072178/s51686188/d7c4d2b0-f0dcef2d-9cef4e50-3a241ec6-0fb41497.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13072178/s51686188/784fffde-e74faf9d-9c84fe23-6e9a8cfa-f8c71feb.jpg
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There has been no interval change since the study obtained approximately <num> hr earlier. Mild enlargement of cardiac silhouette is re- demonstrated. The aorta remains unfolded. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Old right-sided rib fractures are again seen. Partially imaged is fusion hardware within the cervical spine.
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history: <unk>f with geriatric admit // pre-admission
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MIMIC-CXR-JPG/2.0.0/files/p18650767/s54780106/7920918a-6b7415f5-f5b6f7d5-815bb396-c6702eb3.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18650767/s54780106/7e210d46-b9748356-9725ac00-2c73ac51-d0a1b29a.jpg
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Moderate cardiomegaly is redemonstrated, with a significant right atrial contribution. There are basal and perihilar predominant interstitial opacities, with small foci of more confluent opacity in both lower lungs. Vascular upper distribution is also present. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with cough.
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MIMIC-CXR-JPG/2.0.0/files/p10175407/s57937877/da962518-31a21fab-8dccc104-591bf147-623790f9.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10175407/s57937877/e7285ac5-eff1ab9b-2712283b-7c2473c1-351a1c09.jpg
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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cough and fever.
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