Frontal_Image_Path
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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 male with seizure.
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Interval increase in moderate-sized right pleural effusion with mild right lower lobe atelectasis and no interval change in small left pleural effusion. Rounded homogeneous opacity only seen on lateral projects projects over the anterior heart. There is no corresponding finding on the frontal view, so it is not necessarily a real finding. No additional focal opacity, pneumothorax, pulmonary edema, or left pleural effusion. Heart size is partially obscured by pleural parenchymal process and mediastinal contour and hila are otherwise normal. No bony abnormality.
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male with pleural effusion.
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Low lung volumes cause bronchovascular crowding. Allowing for this, there is likely mild pulmonary vascular congestion without frank pulmonary edema. Retrocardiac opacification is likely due to atelectasis, however an early consolidation is difficult to exclude. There is no pleural effusion or pneumothorax.
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<unk>m with intoxicated, fall, and possible aspiration, evaluate for infiltrates
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Minimal left base atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is tortuous. No pulmonary edema is seen.
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history: <unk>f with abdominal pain x <num> days // ? pneumonia / effusion
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
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cva symptoms.
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The previously seen trans subclavian av pacer has been converted to a conventional left-sided pacemaker with lead tips over the right atrium and right ventricle. The right swan-ganz catheter has been removed. No pneumothorax is detected. Allowing for technical differences, the cardiomediastinal silhouette is similar. No chf, focal infiltrate, or gross effusion is detected. There is minimal bibasilar atelectasis and possible minimal blunting of the left costophrenic angle.
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<unk> year old woman with chb s/p ppm now with pericardial effusion // evaluation of ppm lead placement
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old man with cough, pleurisy // r/o cap
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Left-sided dual-lumen central venous catheter tip terminates in the proximal right atrium. A vascular stent is demonstrated in the left brachiocephalic vein extending into the upper svc, new in the interval. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Linear opacities the lung bases are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is visualized. .
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history: <unk>m with hiv, cd<num> count <num> presents with fever and headache
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Pa and lateral chest views were obtained with patient in upright position. An analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Unremarkable appearance of the thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. No evidence of acute or chronic parenchymal infiltrates are present and the pleural spaces are free. No pneumothorax in the apical area on frontal view. In comparison with the previous study, the at that time identified infiltrate in the left lower lobe lateral segment area has resolved completely. The present chest findings are normal.
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<unk>-year-old female patient with history of left lower lobe pneumonia, followup examination.
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Bilateral low lung volumes. Elevation of the right hemidiaphragm. Enlarged heart, likely accentuated by low lung volumes. Mild pulmonary vascular congestion without evidence of pulmonary edema. No pleural effusion. No focal consolidation to suggest pneumonia. No pneumothorax. Normal mediastinal contours and pleura. No acute osseous abnormality.
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<unk>-year-old man with esrd on hd; evaluate for evidence of active tb.
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As compared to the previous radiograph, there is no relevant change. Unchanged minimal blunting of the right cardiophrenic angle, supposedly by a small pericardial cyst or epicardial fat pad. No evidence of lung nodules or masses. Normal appearance of the mediastinal structures. No pneumonia. No pulmonary edema. No pleural effusions. Normal size of the cardiac silhouette.
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generalized weakness, questionable consolidation.
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Ap and lateral views of the chest. Left pacemaker with leads are in place in appropriate position. Sternotomy wires are seen intact. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
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bacteremia, evaluate for pneumonia.
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There is moderate cardiomegaly and mild pulmonary edema. There is no large pleural effusion, no pneumothorax and no lung consolidations. The patient is status post sternotomy with intact sternal wires. Surgical clips are projecting over the right upper quadrant.
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<unk>-year-old man with chest pain.
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In comparison to the ct, the patient's bilateral pleural effusions have decreased in size. The heart and mediastinum remain stable. There is no evidence of pneumothorax. There is no evidence of pulmonary edema or infection.
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fever and recent thoracentesis.
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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. Left humeral head replacement noted. No free air below the right hemidiaphragm is seen.
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<unk>m with leukocytosis // evidence of infection
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The lungs are clear with no evidence of a consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
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cough.
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Cardiac silhouette size is normal. The aorta is tortuous. Hilar contours are normal. Right apical opacity measuring <num> x <num> cm is concerning for a primary lung malignancy. No clear osseous destruction is visualized. Subsegmental atelectasis is noted in the lung bases. No pleural effusion or pneumothorax is present. Moderate degenerative changes are seen in the thoracic spine.
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history: <unk>m with <num> weeks of worsening ambulation, multiple falls, new cerebellar tumors on head ct //evaluate for primary lung mass
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Left-sided pacer device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus, unchanged. Mild to moderate cardiomegaly is similar. Dense atherosclerotic calcifications of the thoracic aorta are present. Mild pulmonary edema is improved compared to the previous study. Calcified pleural pleural plaques are re- demonstrated. No focal consolidation is noted. Small bilateral pleural effusions are decreased compared to the prior study. No acute osseous abnormality is detected.
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history: <unk>m with parkinsonian disorder, pacemaker, non responsive episode this morning, elevated troponin above baseline
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with chest pain
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The cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Pleural parenchymal scarring is seen within the lung apices, more so on the right. No focal consolidation, pleural effusion or pneumothorax is demonstrated. <num> mm nodular opacity projecting over the eighth posterior rib on the left could reflect a pulmonary nodule or osseous lesion. Mild dextroscoliosis of the thoracic spine is present. No acute osseous abnormalities detected.
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<num> episodes of syncope today.
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There is mild cardiomegaly. Pulmonary markings are likely accentuated by lower lung volumes. There is no consolidation or pleural effusion. No pneumothorax. There are bilateral healed rib fractures and left clavicular healed rib fracture.
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<unk> year old man with hypoxia // eval for consolidation
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified. There appears to be some bony resorption of the distal bilateral clavicles, not fully assessed on this study.
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history: <unk>m with mvc // ?fx
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with ankle fracture // pre op, likely or
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips overlie the left breast.
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history: <unk>f with <unk> esoinophillic pna increasing sob // r/o pna
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old woman with lupus on immunesuppresion cough and sob // pneumonia?
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal.
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chest pain.
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The patient is status post median sternotomy and aortic valve replacement. Right-sided picc terminates in the mid svc. The heart remains mildly enlarged. The mediastinal and hilar contours are unchanged. There is no pulmonary edema. Apart from minimal atelectasis in the right lung base, no focal consolidation, pleural effusion or pneumothorax is visualized. Assessment of the medial aspects of both lung apices is obscured by the patient's chin and neck projecting over these regions. Moderate to severe degenerative changes are seen in both glenohumeral joints.
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altered mental status, recent aortic valve replacement.
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At the left base, the hazy opacification has become more confluent in comparison to the prior ct scout view from <unk>. This may represent new infection, lymphangitic spread of his known metastatic disease, or less likely, atelectasis. Mild opacification in the right upper lobe and left apex is unchanged. The patient is status post a left upper lobectomy. A prominent left hilum likely again seen. There is no large pleural effusion. There is no pneumothorax. A right port-a-cath terminates in the atriocaval junction.
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fever and weakness. history of metastatic adenocarcinoma.
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Mild cardiomegaly is unchanged. Cardiomediastinal contours are unremarkable. Bilateral focal areas of apical opacity which appear to be unchanged compared to the prior study. No signs of acute consolidation to suggest pneumonia. No pleural effusions and no pneumothorax.
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<unk>-year-old woman with cough, malaise x<num> week. decreased breath sounds over left upper lobe with egophony, evaluate for abnormalities or pneumonia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. There is a more discrete region of consolidation in the right lower lobe on the current exam worrisome for development of infiltrate or potentially due to aspiration. Well-defined opacities are also seen in the bilateral perihilar regions, similar to prior. Biapical scarring is again noted. Diffuse dilatation of at least the proximal half of the esophagus is noted. Rounded density in the retrocardiac region is compatible with known cyst seen on ct of the chest from <unk>. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male status post mvc with hypoxia and wheezing. c<num>-c<num> fractures. question pneumothorax or infiltrate.
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A picc line has been removed. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. There is no free air. Bony structures are unremarkable.
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waxing and waning nausea and vomiting status post chemotherapy.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with chest pain since this morning.
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On the lateral view, middle lung opacity is seen, not well appreciated on the frontal view, but which could be due to underlying atelectasis or developing consolidation. No focal consolidation is seen elsewhere. Calcified right breast implant is noted. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
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history: <unk>f with cough // eval for acute process
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Heart size is normal. Atherosclerotic calcifications are noted diffusely within the aorta. The mediastinal hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Multiple clips are demonstrated in the right upper quadrant compatible prior cholecystectomy.
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history: <unk>f with hypoxia
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
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left-sided chest pain.
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged including mild unfolding of the thoracic aorta. A ventriculoperitoneal shunt catheter again courses along the medial left hemithorax without discontinuity. Calcified lung nodules suggesting granulomas appear unchanged. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. The osseous structures are unremarkable.
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fever. question pneumonia.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. There are no radiopaque foreign bodies.
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<unk>-year-old female with feeling of food bolus. evaluate for foreign body.
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Frontal and lateral views of the chest. The lungs are hyperinflated. Surgical chain sutures projected over the left apex. The lungs are clear of consolidation or effusion. Cardiac silhouette is enlarged but unchanged. Hilar contours remain stable. No acute osseous abnormality detected.
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<unk>-year-old female with chest pain.
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Postsurgical changes from esophagectomy are again noted. There is improved aeration of the left lung base and decrease in size of left effusion. A small right hydropneumothorax is likely stable in size but more conspicuous from prior exam due to patient position, and a right chest tube is in stable position. Pneumoperitoneum is again seen in the right upper abdominal quadrant.
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<unk> year old man status post esophagectomy. please evaluate for interval change.
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There is a large right-sided pleural effusion with adjacent atelectasis, better characterized on the ct examination of the abdomen performed on the same day. The aerated, upper portion of the right lung is grossly unremarkable. The left lung is clear and without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. Mediastinal and hilar contours are normal.
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hcv, evaluate for liver transplant. assess pleural effusion.
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No focal consolidation is seen. There is mild basilar atelectasis. Re- demonstrated on the lateral view is thickening/ linear opacity along the right major fissure. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable.
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history: <unk>f with history of fatigue, poor appeitite. ? positive afb in the past per omr. // eval for pna, acute process
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There is pulmonary vascular congestion. Increased opacity at the right lung base may relate to prominent vascular structures with concern for underlying consolidation possibly due to pneumonia. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal. The mediastinal silhouette is unremarkable.
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fever, dyspnea, history of recurrent pneumonia.
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. Clear lungs. No pneumothorax or pleural effusion.
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chest pain
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. On the lateral view, projecting over the mid thoracic spine is a region of opacity probably in the superior segment of the left lower lobe, probably pneumonia, though not clearly seen on the frontal view. There is no pleural effusion, or pneumothorax. No thoracic vertebral body compression fracture or displaced rib fracture appreciated. Rightward deviation of the trachea in the neck could be due to a left thyroid mass or adenopathy.
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left-sided back pain and cough.
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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. No displaced rib fractures are seen.
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history: <unk>f with rib pain
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
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<unk>m with ams // eval for pneumonia
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As compared to the previous radiograph, there is increased density in the upper mediastinum, causing blunting of mediastinal contours and mediastinal structures and lines. Although this could be the result of a projection artifact, if chest pain persists, the patient should undergo ct to exclude the presence of a mediastinal abnormality. No acute changes, in particular no pneumonia, no pleural effusions, no pulmonary edema. Normal size of the cardiac silhouette. At the time of observation, <time> a.m., on the <unk>, the information was added to the radiology dashboard.
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chest pain for one week, evaluation for acute process.
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Four total views, including two ap and two lateral views of the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear. Pulmonary vasculature is within normal limits.
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chest pain.
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In comparison with the study of <unk>, there is little overall change. Right pleural drainage tube remains in place with some mild atelectatic changes. On the left, there is little change in the moderate effusion with substantial compressive atelectasis at the base. Otherwise, little change.
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chylothorax, to assess for change.
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Interstitial markings are diffusely prominent bilaterally but no focal consolidation suggestive of pneumonia is seen. Fullness in this central pulmonary vasculature is exaggerated because of low lung volumes and no definite vascular congestion or hilar mass is seen. The heart is at the upper limits of normal in size and the aorta is mildly uncoiled. Proliferative osteophytes are seen in the mid and lower thoracic spine but no fracture is visible.
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history: <unk>f with chest pain // ?pna
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Bibasilar opacities are unchanged and correlated with microcalcifications, not definitely changed since recent exam. Superiorly, the lungs are clear. Right ij central venous catheter is no longer seen. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified
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<unk>m with fevers and abdominal pain // pna?
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Pa and lateral views of the chest. Again seen is elevation of the left hemidiaphragm. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air.
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<unk>-year-old female with history of gastric bypass with left upper quadrant pain.
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There is a large right-sided pneumothorax causing mild rightward deviation of the cardiomediastinal silhouette. The intercostal spaces are not widened and there is not flattening of the right hemi-diaphragm. There is no consolidation, edema, or pleural effusion. The cardiomediastinal silhouette is normal in size.
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<unk>-year-old female with history of spontaneous pneumothorax. new right-sided chest pain.
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Small left pleural effusion slightly larger today than on <unk>, was appreciably larger on <unk>. Sharply demarcated region of heterogeneous consolidation and bronchiectasis in the left apex, in the setting of prior left mastectomy and vascular clips denoting dissection in the left axilla is radiation fibrosis. This has not really changed since <unk>. A better candidate for acute pneumonia is a relatively round region of a mild increased opacification at the right lung base and peribronchial infiltration just superior to it. Borderline cardiac enlargement has increased since <unk>, and there is an increase in vascular congestion and the suggestion of early edema in the left mid lung.
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a <unk>-year-old woman with fever. pa and lateral chest compared to <unk> through <unk>:
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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 after motor vehicle collision
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Since <unk>, large right pleural effusion is increased with moderate adjacent basilar atelectasis. The left lung is clear. The cardiac silhouette is difficult to assess due to obscuration from the pleural effusion. No pneumothorax. Median sternotomy wires are intact and well aligned.
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<unk> year old man with hcv cirrhosis, and hcc // please evaluate for any cardiopulmonary abnormalities
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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. Small anterior osteophytes are noted along the mid-to-lower thoracic spine.
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chest pain; question pneumothorax.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Patchy opacities are noted in the lung bases. No pleural effusion or pneumothorax is present though assessment is mildly limited as the left costophrenic angle was not included in the field of view. No acute osseous abnormalities demonstrated.
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history: <unk>m with fever
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As compared to the previous radiograph, there is no relevant change. No evidence of parenchymal opacities suggesting pneumonia or other parenchymal disease. Sternal wires and clips in unchanged position. The subtle ground-glass opacities seen on the ct examination from <unk>, are not visible on the chest radiograph. No evidence of pleural effusions.
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chest pain, evaluation for pneumonia.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.
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<unk>-year-old female with pleuritic left upper quadrant pain.
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Low lung volumes are present. Heart size is mildly enlarged, likely accentuated due to the presence of low lung volumes. The aorta is tortuous. Crowding of bronchovascular structures is present without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Minimal patchy opacities at the lung bases likely reflect atelectasis. Moderate multilevel degenerative changes are detected in the thoracic spine.
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history: <unk>f with inability to walk for past week.
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Diffuse hazy opacification of both lung fields is likely related to soft tissue attenuation or underpenetration on technique. Retrocardiac opacification with streaky opacities in lower lobes on the lateral radiograph most likely reflects atelectasis in the setting as decreased lung volumes. However, in the appropriate clinical context, a superimposed infection is not entirely excluded. There is no overt pulmonary edema. No pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is within normal limits allowing for decreased lung volumes. The trachea is midline.
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fever and malaise, here to evaluate for pneumonia.
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The lungs are moderately well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are notable for stable mild compression deformity of a mid thoracic vertebral body. No retropulsion.
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<unk>f with chest pain. assess for remote, pneumomediastinum, pna
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There is moderate cardiomegaly which appears to have progressed but this is likely in part due projection and lower lung volumes. Atherosclerotic calcifications are seen in the aorta which is tortuous. Enlarged hila are compatible with enlarged pulmonary arteries in the setting of pulmonary hypertension. Indistinct pulmonary vascular markings are seen but there is no confluent consolidation or effusion.
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<unk>f with cough, ams // eval for pna
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The lungs are clear without focal consolidation. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable.
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<unk>m with cough, hypotension, immunosuppression. ?pna // <unk>m with cough, hypotension, immunosuppression. ?pna
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Crowding of the bronchovascular structures is likely due to low lung volumes. No focal consolidations concerning for pneumonia. No pleural effusion or pneumothorax. Top-normal heart size. A congenital appearing abnormality of the right first and second ribs is noted with an osseous syndesmosis between the two anteriorly.
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<unk>m with sscp no n/v/d, sob // r/o pna vs pleural effusion
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The cardiac, mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The bones appear demineralized. Post-traumatic deformity appears unchanged along the proximal left humerus. As noted previously, there is a recent left distal clavicle fracture. In addition, on this study, irregular nondisplaced lucency in the medial left clavicular head are consistent with a fracture, although these are similar and retrospect to a recent prior ct of the cervical spine from <unk>, although hard to visualize on recent prior dedicated left shoulder radiographs.
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status post fall with chest wall pain.
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Heart size is normal. The mediastinal contours are remarkable for an unchanged right cardiophrenic angle opacity likely representing a pericardial fat pad as demonstrated on mr of <unk>. The pulmonary vasculature is normal. Lungs are hyperexpanded and grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old woman with persistent cough // lesions?
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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dyspnea and vomiting.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
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seizure versus syncope.
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Ap upright and lateral views the chest were provided. There is dense consolidation within the right upper lobe concerning for pneumonia. There is a small right pleural effusion. Heart size appears normal. Aortic contour is stable with calcification. Bony structures are intact. Anchors in the right humeral head noted.
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<unk>-year-old female with cough and shortness of breath, evaluate for pneumonia.
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The lungs are clear. The cardiac silhouette is mildly enlarged. The aortic knob is visualized. No upper mediastinal widening. No pulmonary edema are pneumonia. Prior median sternotomy with intact sternal wires and dual lead defibrillator with the tips in the right atrium and right ventricle.
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<unk> year old man with history of cad, hfref presenting with cp // ?e/o dissecction
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MIMIC-CXR-JPG/2.0.0/files/p12459600/s58572272/8344151f-4088d15b-0def9aab-f09e4f41-e53a47b0.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12459600/s58572272/c0734acb-2a660f8e-bf79ce34-c6c8054b-b6cb1207.jpg
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Pa and lateral views of the chest. There is no focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal. No fracture. Minimal thoracic scoliosis is chronic.
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trauma.
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MIMIC-CXR-JPG/2.0.0/files/p13316788/s56140335/d9247382-c031186e-25127ea1-12a9c8fc-e3229e87.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13316788/s56140335/bd16f5dc-698bddfc-c849bdfc-f852da46-a81084bc.jpg
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There is moderate to severe diffuse increase in interstitial markings bilaterally which may be due to severe chronic lung disease, and/ or pulmonary edema, atypical infection not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with sob // eval pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p14998385/s50843777/b331cb7a-763279d5-520a61f3-ed6e7898-fccb45b1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14998385/s50843777/692c5aea-55750e68-e59d0b1f-697c0411-8e91c9ad.jpg
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The right picc has been repositioned from the prior exam and now appears to terminate in the mid to upper svc (previously in the low svc). The lungs are hyperinflated. Increased interstitial markings in the bilateral lung bases are again noted which appear unchanged on the frontal view, but in the absence of a lateral view it is difficult to fully assess if there has been interval change in these opacities. A small retrocardiac opacity is noted, which may represent atelectasis but cannot entiredly exclude pneumonia or aspiration in the right clinical setting. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. A moderate hiatal hernia is seen.
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<unk> year old man s/p office balloon procedure // r/o aspiration
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MIMIC-CXR-JPG/2.0.0/files/p15070019/s58233826/1a8cf4d2-673fbb82-1e422c95-a30200cb-fac4da28.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15070019/s58233826/ab5463ab-c3780e15-d7756d99-a7d72131-fff7aea8.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. Subtle deformity of the posterior right eighth rib could be due to a fracture of indeterminate age; not optimally assessed on this study. Consider dedicated rib series or ct as clinically warranted. No evidence of acute fracture is seen elsewhere.
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history: <unk>f <num>d s/p fall // ?rib fx
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MIMIC-CXR-JPG/2.0.0/files/p16600921/s59894121/4461d4ae-54444a30-c3f6b8fd-ed328ec2-094e88a8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16600921/s59894121/c4338f39-05a8a0e6-70f0aaff-bcca42fb-a8a27977.jpg
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There is mild pulmonary vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Right mid lung and bibasilar atelectasis is seen. The cardiac silhouette remains top-normal to mildly enlarged. The aorta is tortuous.
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dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p13557514/s54157923/72cb407f-6fa17ef8-a9240917-c1893b9f-667a7e1c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13557514/s54157923/f493a3f0-0e9048fe-48080443-6983034a-8463fb2c.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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<unk>f with sudden onset plueritic chest pain that awoke from sleep // pneumothorax?
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MIMIC-CXR-JPG/2.0.0/files/p19086718/s59649421/8e3696f9-2225dc27-799c2361-82d4a6b5-581d42d4.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19086718/s59649421/f2f6e784-f7008e11-0736cf81-7084d4c8-615b8f8d.jpg
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with orthostatic hypotension // evaluate for cardiomegaly, pulmonary congestion
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MIMIC-CXR-JPG/2.0.0/files/p14598714/s54806344/61f4bb5d-630de812-2d6f48a3-38a2e24d-30d0ed96.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14598714/s54806344/785a6cc0-1da9afaa-e9a0a34d-d58299c4-885261af.jpg
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with pmh of grave's presents with chest pain and doe
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MIMIC-CXR-JPG/2.0.0/files/p19997367/s52524351/60492c2d-06c94a4b-6a7cd4ad-4fc8daad-8b87e849.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19997367/s52524351/658ccc0b-d83a2686-3833290d-0d6dd992-ab5ef5e8.jpg
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Pa and lateral views of the chest were reviewed and compared to the prior study. In the left hemithorax, a dual-chamber pacemaker is seen with leads ending in the right atrium and right ventricle. A right subclavian port-a-cath with a tip ending in the mid-to-lower superior vena cava is unchanged. Unchanged asymmetrical left apical pleural thickening extends to the mediastinal surface and is characterized as post-radiation fibrosis the prior ct. Normal heart and lungs with no focal area of consolidation.
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evaluation for pneumonia in a patient with cough for one week and a past medical history of aml status post-bone marrow transplant.
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MIMIC-CXR-JPG/2.0.0/files/p10622292/s54047557/b892bd3d-9b6fb1e2-3c14b477-29a0aa0d-3b136660.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10622292/s54047557/83530f12-06d6a4bd-7346294a-0c4cb8fe-902bcf1d.jpg
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of palpitations. please evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p14750075/s50605907/d3d14000-bbdbe11b-01ea57ad-6a5cb5b6-2d153d36.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14750075/s50605907/b1016579-c6dd9fb1-6f592dab-ed820ea4-1f23ecd2.jpg
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Frontal and lateral chest radiographs demonstrate a mildly enlarged heart and low lung volumes resulting in bronchovascular crowding. There are diffuse coarse interstitial opacities likely reflecting known interstitial lung disease, with probable mild superimposed pulmonary edema. Increased opacity in the left lower lobe may reflect patient's known interstitial lung disease with atelectasis, but infection cannot be excluded. There is a possible left pleural effusion. No pneumothorax. Elevation of the right hemidiaphragm is chronic. Compression deformity of an upper lumbar vertebral body is of unclear chronicity.
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history: <unk>f with hypoxic // evaluate for ipf, pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p11891842/s58268764/3686c6a7-3217eee9-ff73d970-5666a072-b283d932.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11891842/s58268764/c4c3020d-0c6dc887-7821473e-49b14d97-b188e37c.jpg
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Lung volumes are slightly decreased with bibasilar patchy opacities. No pleural effusion or pneumothorax.
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<unk>-year-old female with shortness of breath and wheezing.
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MIMIC-CXR-JPG/2.0.0/files/p16041782/s55669693/13fd09d4-8b826ddb-90a32c47-a544f6b7-be950e12.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16041782/s55669693/2632d91b-946756ab-8b72e3aa-dba89714-7f9ae897.jpg
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Mediastinal widening in the right paratracheal and aorticopulmonary window is accompanied by bilateral hilar enlargement with lobulated contours. There is no pleural effusion, pulmonary edema, or pneumothorax. The heart is not enlarged.
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<unk>m with fever, cough, evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p14357506/s54237753/234aaea4-ea5e0cae-b8021c69-f8d30930-46029b64.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14357506/s54237753/165f9eda-099634d7-3cb1ce0c-39afbdbc-2f369ae8.jpg
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New moderate to large pleural effusion. Pulmonary nodules partially visualized in the right upper lobe as well as in the left lower lobe are pulmonary metastases. Cardiac silhouette is similar in size. No pneumothorax.
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<unk> year old man with mrcc // new dyspnea on exertion, r/u worsening pleural effusion
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MIMIC-CXR-JPG/2.0.0/files/p18272626/s52230297/855f947b-a87d0fb6-d19a3238-edb42173-e15a711a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18272626/s52230297/40e658ba-874399da-0bf6c8e9-6970573e-4fbed273.jpg
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The lungs are relatively hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
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history: <unk>m with cp, lightheadedness // eval for consolidation
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MIMIC-CXR-JPG/2.0.0/files/p16639088/s57915984/ce45e964-c366433b-80b57d40-f6fb3536-a13e585d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16639088/s57915984/45992517-84cb96d5-d72d1b1f-61a83a7d-4a7ca915.jpg
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. A ring-like opacity seen only on the lateral view is likely a confluence of shadows, however shallow-oblique radiographs should be obtained to exclude the possibility of a cavitary lung lesion.
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<unk>-year-old woman with abnormal electrolytes and altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p12185490/s51631519/0f17c280-df542c5d-b6397f07-5892ad77-06d063bb.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12185490/s51631519/911fab5f-464a3ed1-a0a4d628-c7b2f320-f06a9e90.jpg
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Moderate cardiomegaly with left ventricular predominance is re- demonstrated. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is demonstrated. Streaky opacities in the lung bases likely reflect areas of atelectasis without focal consolidation. No large pleural effusion or pneumothorax is present. Multiple remote right-sided rib fractures are again noted.
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history: <unk>f with shortness of breath, cough
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MIMIC-CXR-JPG/2.0.0/files/p16172396/s59945120/2a8b4162-428841d5-78833596-19ea5555-bfe4701b.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16172396/s59945120/c2fc9ae4-da3745b6-66a1c465-1739af85-f61fa22d.jpg
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Lung volumes are somewhat low but clear. The cardiomediastinal silhouette and contour are within normal limits. There is no pleural effusion or pneumothorax. Old lateral left eighth rib fracture is again noted. There is atelectasis at the left lung base.
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<unk>-year-old woman with left chest pain, evaluate for pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p12696545/s59720268/b08d8a6b-481ad516-54bd4ecd-8a43d401-ed0578b8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12696545/s59720268/e6362499-ac5c70ac-987ba1be-4691a2a1-70a602b1.jpg
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Allowing for distortion by a pectus carinatum deformity, the cardiac, mediastinal and hilar contours appear stable and within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits. There has been no significant change.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p19935359/s53980032/51e9fa67-b7e8a1c8-e22f6dfc-f300eec6-1d543983.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19935359/s53980032/0c6e26bd-c7f0e30d-496260ff-ea15a7cc-10f0a39a.jpg
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There has been interval removal of a right port-a-cath from <unk>. The lungs are clear of focal consolidation, pleural fusion pneumothorax. There is no overt pulmonary edema. The heart size is normal, and the mediastinal and hilar contours are within normal limits.
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<unk>-year-old female with shortness or breath. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15429918/s56350881/200bf49c-613f6dad-a2387d7e-e25ca934-56e608c7.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15429918/s56350881/593dbff9-bd45ad6c-8d2fa7bc-6426516e-8d38be44.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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history: <unk>f with cp, sob // evidence of pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p12656608/s58499300/c34c3b6f-0bac51c6-56a585b9-b92f3bd9-2c87a170.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12656608/s58499300/76ab9298-46a3b9d2-4b8426b2-26d29536-4dc6299f.jpg
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Minimal atherosclerotic calcification is noted at the aortic knob. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vasculature is normal no acute osseous abnormality is detected.
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history: <unk>f with fever and shortness of breath, history of copd
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MIMIC-CXR-JPG/2.0.0/files/p15247935/s53009195/8d291695-f614a3ff-ba408cce-b7f65b7a-322b7751.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15247935/s53009195/aefc557d-93360a34-1d3a7b7f-f03fd226-f04233aa.jpg
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old woman with hemoptysis // r/o pul cause
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MIMIC-CXR-JPG/2.0.0/files/p17892886/s56038007/2bc3e628-bf83fad3-d454c596-dbdedc4a-276f2575.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17892886/s56038007/1263b4dc-793fcc9c-0bf56bc3-e7499ab3-4d4d7680.jpg
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Pa and lateral views of the chest provided. Left chest wall port-a-cath is again seen with its tip in the mid to low svc. The lungs are clear. No focal consolidation, effusion or pneumothorax. The lungs appear hyperinflated. There is no sign of congestion or edema. The cardiomediastinal silhouette is stable and normal. Bony structures are intact. A metallic stent projects over the upper abdomen.
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<unk>f with pleuritic left sided thoracic back pain, shortness of breath, s/p recent port-a-cath placement
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MIMIC-CXR-JPG/2.0.0/files/p13264991/s51026647/2991eab3-f105abcd-052ddbf8-aebd7022-23d6662a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13264991/s51026647/8827397e-848e152d-27ea9346-3c3b0645-e7a8844c.jpg
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. Mild asymmetric right apical pleural thickening is noted.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p19853114/s53167186/230dc702-6287d7b6-bc6965d5-b220f7ad-e951ad6f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19853114/s53167186/5625ae8c-922e0e9b-cf62824c-27dd58e4-89774b2b.jpg
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, pneumothorax, or pleural effusion. The cardiac, mediastinal, and hilar contours are normal. There is no pulmonary vascular congestion.
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history of breast cancer, getting adjuvant chemotherapy with productive cough, rule out pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12228452/s59301161/e6246822-4ffaf4a1-027ea92c-f8f82c28-e159477a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12228452/s59301161/0406a688-dc4549ec-0f189986-e570ee1c-7f6dfa03.jpg
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Frontal and lateral views of the chest were obtained. Mild cardiomegaly and cardiomediastinal contours are stable. Lung volumes are low. There is persistent elevation of the right hemidiaphragm. No focal consolidation, substantial pleural effusion, or pneumothorax.
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<unk>-year-old female with nausea, palpitations, and leukocytosis. evaluate for pneumonia.
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