Frontal_Image_Path
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with tachycardia. evaluate for acute cardiopulmonary process.
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Bilateral lower lung reticulation is similar to somewhat increased compared to prior radiographs from <unk> but new since <unk> <unk>. Central pulmonary arteries are again mildly prominent. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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chest pain. evaluate for pneumonia.
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There is a moderate right-sided pleural effusion. The pneumothorax is not visualized. The appearance of the mediastinum is unchanged. Compared to the study from the prior day the pleural effusion is slightly larger
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<unk> year old man with ant hydropneumothorax // following anterior hydropneumothorax
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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 syncope // ?cardiomegally
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>f with dysponea // pna?
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with cough. evaluate for evidence of pneumonia.
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There is a right infrahilar opacity, new since <unk>. There is unchanged mild pulmonary edema. The cardiac silhouette is slightly widened, likely due to left atrial enlargement. The mediastinum is normal and there is no pneumothorax. No large pleural effusions are identified.
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<unk>-year-old with dyspnea.
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In comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
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<unk> year old woman with <num> weeks worsening cough, sob, malaise // ?pneumonia
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Compared to prior examination dated <unk>, there has been no relevant interval change. Mild streaky bibasilar atelectasis is present. Mild lung hyperinflation is noted. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>m with cough, chest pain // evaluate for acute process
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The lung volumes are normal. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. Of note is a relatively dense right hilus without pathologic contours. On the left, the hilar area appears normal. No evidence of mediastinal abnormalities. The finding should be compared to previous radiographs, if unavailable, ct should be considered to evaluate potential hilar pathology. No evidence of pneumonia, no pulmonary edema. No pleural effusions. Mild degenerative spine disease.
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persistent cough for months, never smoker, history of ppd. evaluation.
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Pa and lateral views of the chest provided. Previously noted round opacity within the right lower lobe is no longer seen. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with hx of pneumonia and cp with productive cough.
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The lungs are somewhat low lung volumes but clear with linear streaky basilar atelectasis. No focal consolidation, pleural effusion or pneumothorax seen. Heart is normal in size without findings of overt pulmonary edema. Mediastinal and hilar contours are unremarkable.
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shortness of breath, particularly when recumbent, assess for chf or infection.
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Opacity projecting over the lower posterior chest on the lateral view is not substantiated on the frontal view and may be due to atelectasis. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No overt pulmonary edema is seen.
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history: <unk>f with fevers, cough // pna?
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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is normal. Anterior the left <num>rd rib fracture is again seen. Focal opacity projecting over left mid lung anteriorly is compatible with radiation changes seen on prior chest ct. No acute osseous abnormalities detected.
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<unk>-year-old female with immunosuppression and cough.
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The heart size is likely within normal limits, although the left contour is somewhat obscured by a large retrocardiac rounded mass with lucency within it, most compatible with a large hiatal hernia. The mediastinal contours are within normal limits. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. There is no subdiaphragmatic free air. Clips in the right upper quadrant of the abdomen are compatible with prior cholecystectomy.
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<unk>-year-old female with an upper gi bleed.
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The lungs are clear with no evidence for a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Incidental note is again made of an anterior right third bifid rib; otherwise, no acute fractures are identified.
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chest pain.
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There is persistent elevation of the right hemidiaphragm. No focal consolidations. No pulmonary edema. Heart size is normal. The mediastinal and hilar contours are normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Cervical fixation hardware is visualized.
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history: <unk>f with fall, weakness, mild headache // ? traumatic injury or other acute process
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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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chest pain.
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Left-sided pacemaker with leads terminating in the right ventricle and right atrium is in unchanged position. Increased lower lung opacities in more of a ground glass pattern are the likely pulmonary edema superimposed on background emphysema. No pleural effusion. No focal consolidations worrisome for pneumonia.
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<unk>-year-old man with chest pain, status post pacemaker, presenting with vomiting x<num> and intermittent chest pain and shortness of breath. evaluate for pneumonia.
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There is dense consolidation in the right upper lobe. There is also focal opacity at the posterior costophrenic angles on the lateral view which is unchanged from prior. The lungs are otherwise clear. Moderate cardiomegaly is unchanged. Left chest wall triple lead pacing device again seen with lead tips in right atrium, right ventricle, and coronary sinus. No acute osseous abnormalities.
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<unk>m with recent diagnosis of pneumonia p/w worsening respiratory status // eval for pneumonia v. chf
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected noting hypertrophic changes in the spine.
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<unk>-year-old female with cough.
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Opacity in the right lower lobe is new from the prior exam and consistent with pneumonia. No pleural effusion, edema, or pneumothorax. Bilateral, symmetric calcified nodules in the upper lobes with associated mild upper lobe volume loss and hilar retraction are similar the prior exam, likely sequelae of prior granulomatous disease. The heart is normal in size. The mediastinum is not widened.
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<unk>-year-old man presenting with cough and fevers. evaluate for pneumonia.
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Frontal and lateral radiographs of the chest show elevation of the right hemidiaphragm with associated reticular opacities at the right lung base which likely represent atelectasis, but in the correct clinical context, pneumonia cannot be excluded. Mild blunting of the right costophrenic angle may represent a trace right pleural effusion, pleural scarring, or atelectasis. No pneumothorax is present. The left lung is clear. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The aortic knob is partially calcified with unfolding of the thoracic aorta.
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<unk>-year-old female with recent cholangitis and urinary tract infection, now readmitted with fevers, here to evaluate for pneumonia.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bilateral nipple rings are present.
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chest pain.
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Pa and lateral views of the chest demonstrate bronchiolar nodularity within the right perihilar region as well as some bronchial wall thickening and bronchiectasis on the left, possibly reflecting the sequelae of asthma. Otherwise, no focal pneumonia, pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal.
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<unk>-year-old female with chest pain. evaluation for pneumonia.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>f with cyclic fever, recent malaria // eval for acute process
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Frontal and lateral chest radiographs demonstrate and elevated right hemidiaphragm and normal cardiomediastinal silhouette. There is no definitive focal consolidation, pleural effusion, or pneumothorax. Atelectasis is noted at the right base. The visualized upper abdomen is unremarkable.
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evaluate for infection in a patient with leukocytosis.
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Lung volumes are relatively low with mild right basilar atelectasis. There is no focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with ruq pleuritic pain // ?rll process
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
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presyncope, no cardiac history.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with left hand laceration
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Pa and lateral radiographs of the chest demonstrate clear lungs without pleural effusion, focal consolidation concerning for pneumonia or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The thoracic aorta is mildly tortuous. Healed fractures are noted in the posterolateral right sixth and seventh ribs.
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<unk>-year-old female with weakness, here to evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique. There is no pleural effusion or pneumothorax. The lungs appear clear.
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fever, shortness of breath, and hypoxia.
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Increased bibasilar interstitial prominence could represent early pulmonary edema or interstitial lung disease, and amiodarone toxicity could have this appearance. If there are clinical signs of volume overload, diuresis could be attempted with repeat radiographs to assess for interval change, otherwise chest ct could be performed to evaluate these changes. The left chest wall biventricular pacemaker leads are in appropriate position. There is no pneumothorax or focal consolidation. The heart size is top-normal.
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<unk> year old man with cough, on amiodarone for <unk> years, dry crackles on rll // evaluate for fibrotic changes
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Ap upright and lateral chest radiographs were obtained. Increased interstitial abnormality could be due to mild pulmonary edema, although low lung volumes complicate this assessment. Dual lumen central venous catheter terminates with its distal tip in the superior cavoatrial junction. No definite pleural effusion is seen. There is no pneumothorax with unchanged minimal left apical pleural thickening. The heart is top normal in size with tortuous aorta contour. Coarse calcifications in the left axilla could be a calcified lymph node or intra-articular body within the left glenohumeral joint are unchanged.
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altered mental status.
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Left-sided pacer device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus, unchanged. The heart size remains mildly enlarged. The aorta is slightly tortuous with atherosclerotic calcifications noted at the aortic knob. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
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history: <unk>m with shortness of breath, fatigue
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The cardiomediastinal silhouette is borderline enlarged. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Visualized thoracic vertebral body heights are maintained. No displaced rib fracture seen.
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<unk>f with right posterior back pain, evaluate 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. Cortical irregularity along the superior margin of the right clavicular midshaft is compatible with a minimally displaced longitudinally oriented acute fracture better assessed on same-day ct c-spine.
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<unk>f with r shoulder and chest wall pain, s/p fall
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Ap and lateral views of the chest. Again, low lung volumes are seen. Blunting of the left costophrenic angle could be due to atelectasis. The lungs are clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
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<unk>-year-old female with fever.
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The cardiomediastinal silhouettes are stable, within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>f with chest pain, evaluate for acute process.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits.
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chest pain, shortness of breath. evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is subtly increased opacity involving the left upper lobe which could represent infection in the appropriate clinical setting. . No pleural effusion or pneumothorax is seen.
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<unk> year old man with cough -prob. bronchitis. hypertension--<unk> ace. gerd--<unk> ppi // r/o infiltrate
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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<unk>m with chest pain // eval for pneumothorax
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Left worse than right linear opacities are likely from atelectasis or scarring. Otherwise, the lungs are well expanded and clear. Heart size is top-normal. The mediastinal and hilar contours are normal. No pleural abnormality is seen.
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<unk> year old man with prostate cancer. evaluate for metastases.
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As compared to the previous examination, there is no change in extent of the small left pleural effusion and no change in extent of the left lower lobe atelectasis. No newly appeared parenchymal opacities. No change in appearance of the cardiac and mediastinal contours.
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history of left pleural effusion. evaluation.
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Lung volumes are low. There is no focal lung consolidation. Cardiomediastinal silhouette is unchanged. Views of the lung apices are limited due to obscuration by patient's head. Within these limitations, there is no pneumothorax. There is no pleural effusion.
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<unk>-year-old woman with chest pain, evaluate for acute process
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Slightly lower lung volumes seen on the current exam. There is no focal consolidation or effusion. Opacity at the left lung base on prior film was likely due to atelectasis given interval clearance. Cardiomediastinal silhouette is stable. Hiatal hernia is again noted. Rounded calcific density projecting over the right hilum is unchanged from <unk> is likely a calcified node. No acute osseous abnormalities identified. Compression deformity in the lower thoracic spine is unchanged since <unk>.
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<unk>m with infiltrate on kub // pna?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are mildly hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with hemochromatosis, migraines and chest pain
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly without pulmonary edema. Minimal bilateral areas of atelectasis. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pneumonia. No pulmonary edema.
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evaluation for pneumonia, cough.
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Consolidation obscuring the right heart border is new since <unk>. Otherwise, there is interval improvement in interstitial edema and vascular cephalization although moderate cardiomegaly and mild vascular congestion are still observed. Right hilar enlargement due to adenopathy and a large left pleural effusion are not significantly changed. A small right pleural effusion is new.
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<unk>-year-old female with cough and chills. evaluate for evidence of pneumonia.
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Cardiomediastinal silhouette is within normal limits. Lungs are symmetrically expanded. Linear opacities at the left apex at the right base were present previously likely represent scarring. No focal consolidation or pleural effusion. No pneumothorax.
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<unk> year old woman with abdominal bloating hyperactive bowel sounds, not passing gas but passing stool // eval for signs of ? partial obstruction
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Ap upright and lateral views of the chest provided. The lungs are clear without focal consolidation effusion or pneumothorax. A double density at the medial right lung base is unchanged and reflect right bochdalek's hernia, fat containing. 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 cp // r/o acute process
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As compared to the previous radiograph, the opacities at the left and right lung base are decreased in extent. Overall, the lung volumes have improved, likely reflecting improved ventilation. Unchanged borderline size of the cardiac silhouette. Unchanged left lateral post-traumatic irregularities along the ribs with accompanying mild pleural thickening. No evidence of pleural effusions.
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left lower lobe pneumonia, assessment for interval changes.
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In comparison with study of <unk>, there is again prominence of coarse interstitial markings consistent with chronic pulmonary disease or possible interstitial fibrosis. A more focal area of increased opacification at the left base could represent a developing focus of consolidation. This information was telephoned to dr. <unk>, who is covering for dr. <unk>.
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chronic lung disease with shortness of breath.
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Left-sided dual-chamber pacemaker device is noted with leads again terminating in the right atrium and right ventricle. Moderate enlargement of cardiac silhouette is unchanged. The mediastinal and hilar contours are stable, with mild aortic knob calcifications again noted. Lung volumes are low. There is crowding of the bronchovascular structures, without evidence of pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is visualized. Minimal atelectasis is seen in the lung bases. There are no acute osseous abnormalities.
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hypoglycemia.
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Ap and lateral views of the chest. Prior right picc and left internal jugular central line are no longer visualized. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality noted. Surgical clips in the right upper quadrant suggest prior cholecystectomy. No free air seen below the diaphragm.
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<unk>-year-old female with vomiting. question pneumonia.
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Pa and lateral views of the chest provided. Lungs are clear. Cardiac silhouette is normal. Mildly torturous descending aorta is again noted. There are no pleural effusions.
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<unk> year with cough and fever
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Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>f with chest pain
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Tracheostomy tube is in stable position. Left chest wall port is seen with catheter tip at the ra svc junction. The lungs are clear without consolidation. There is no effusion. The cardiomediastinal silhouette is within normal limits. Gaseous distension of the colon is partially visualized, similar compared to prior. No free intraperitoneal air.
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<unk>f w/ tracheostomy p/w increasing green sputum and chest and throat pain. ?pneumonia
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The lungs are clear. No effusion, consolidation or pneumothorax is present. The heart and mediastinal contours are normal.
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<unk>-year-old woman with weakness, question infiltrate.
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Sternotomy wires are demonstrated. 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.
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cough and copd.
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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.
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shortness of breath, cough and fever.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiac and mediastinal contours are normal.
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productive cough.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. Small hiatal hernia identified. There is exaggerated kyphosis of the lower thoracic spine without significant vertebral compression deformity.
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cough, evaluate for pneumonia.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is top normal in size. Mediastinal and hilar silhouettes are normal size.
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history: <unk>f with episode of chest tightness, nausea, and lightheadedness at rest // pna, chf
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Comparison with the latest examination available from an outside hospital dated <unk>, there is again low lung volumes with elevation of the right hemidiaphragm. Streaks of atelectasis are seen at the left base. No evidence of vascular congestion. No focal pneumonia, though the possibility of an occult basilar process would have to be considered in the appropriate clinical setting.
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recent pneumonia diagnosed elsewhere.
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As compared to the previous examination, there is no relevant change. The patient has made a bigger inspiratory effort, resulting in larger lung volumes and overall increase in lung translucency. Unchanged diffuse bilateral reticulations, combined to a small left pleural effusion and mild cardiomegaly. No new parenchymal opacities. No pneumothorax. Unchanged bilateral apical thickening.
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known lung cancer and pulmonary fibrosis. cough and hemoptysis. evaluation.
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Right chest wall port-a-cath is seen with catheter tip extending to the mid svc region. Hyperinflated lungs are noted with flattened diaphragms compatible with copd. No focal consolidation, large effusion or pneumothorax is seen. There is likely mild bibasilar atelectasis. The cardiomediastinal silhouette appears stable. No acute bony abnormalities. No free air below the right hemidiaphragm.
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<unk>-year-old female with esophageal carcinoma who presents with weakness.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with chest pain and cough. question pneumonia.
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The lung volumes are low. Since the prior exam, mild pulmonary edema has increased. A small right pleural effusion is not significantly changed. There is persistent retrocardiac opacification, which given the chronicity is likely atelectasis, and less likely pneumonia. No new opacities are identified. There is no pneumothorax. The cardiomediastinal silhouette is moderately enlarged, and unchanged. A right-sided hemodialysis catheter in stable position with the tip in the right atrium.
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fever and dyspnea. evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate low lung volumes. Bibasilar linear opacities likely represent atelectasis. No pleural effusion is present. Hilar and mediastinal silhouettes are unchanged. Mild tortuosity of the descending aorta is again noted. Heart size is normal. There is no pulmonary edema. Pacemaker leads project over right atrium and right ventricle. Port-a-cath tip projects over distal svc. No pneumothorax.
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patient with history of bladder cancer, who now presents with nausea and ataxia. assess for pneumonia.
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Extremely low lung volumes are noted with secondary crowding of the bronchovascular markings. Bibasilar, left greater than right opacities may be due to atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with abdominal pain and bile leak // ? acute cardiopulmonary process
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The cardiomediastinal and hilar contours are normal. The lungs are clear and appear improved compared to prior study. There is no pleural effusion or pneumothorax. There has been interval removal of the skin <unk> and abdominal drain.
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<unk>-year-old female with a history of pancreatic cancer.
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Minimal left basilar atelectasis is noted. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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<unk> year old woman with esrd s/p renal transplant, presenting with fatigue/malaise, nausea, worsening lower extremity edema and decreased urine output // please assess for pulmonary edema or pleural effusion
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Today's radiograph is normal. All pre-existing parenchymal opacities have completely resolved. No new parenchymal opacities. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
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recent pneumonia, evaluation for resolution.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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chest pain and dyspnea on exertion. evaluate for cardiopulmonary process.
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Frontal and lateral views of the chest are compared to previous exam from <unk> and ct chest from <unk>. Again seen are diffuse bilateral ill-defined opacities throughout the lungs, which appear more conspicuous at the bases. There is no new large dense consolidation, nor effusion. The lung volumes appear appropriate. Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures.
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<unk>-year-old female with history of congestive heart failure, copd, and asthma with mild leukocytosis, presenting with dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p15057511/s57274983/1be9411c-502d9ec9-acc5b28f-3a5c2330-e7819e2c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15057511/s57274983/eda28299-c5c1b90e-e8957150-fe90c133-0dec8105.jpg
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There is no focal consolidation, effusion, or pneumothorax. There is mild bibasilar atelectasis. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Left upper lobe opacity overlying the first rib is questionable for a nodule. Linear opacities in the lingula and right middle lobe could be due to infection.
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history: <unk>f with l radial artery fistula // pre-op
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Lucency of the lung apices is suggestive of emphysema. Healed left lateral rib fractures are again noted.
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fluid since <unk>. copd and asthma. decreased breath sounds concern for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11126363/s58018671/62b89198-c0f341db-df0ffd37-9cca144e-b2843f93.jpg
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Lung volumes are low. A moderate right pleural effusion is causing a moderate amount of atelectasis at the right lung base. The heart size is normal. The osseous structures are unremarkable.
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history: <unk>m with liver dz and edema, pls eval cxr for pulm edema and ruq for liver vasculature patency // history: <unk>m with liver dz and edema, pls eval cxr for pulm edema and ruq for liver vasculature patency
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MIMIC-CXR-JPG/2.0.0/files/p10836444/s57973116/da3c0024-a2bea996-9ff081c8-ae91bba3-8a28a703.jpg
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In comparison to radiograph from <unk>, the cardiomediastinal silhouettes are stable. The bilateral hila are within normal limits. Diffuse interstitial prominence likely relates to known a influenza. There is no focal lung consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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a <unk>-year-old man with a history of influenza presenting with cough, evaluate for pneumonia.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. There is mild rightward deviation of the trachea which can be seen with thyroid goiter.
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<unk>f with chest pain. assess for cardiopulmonary process.
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Pa and lateral views of the chest provided. Multiple small pulmonary nodules are better assessed on prior ct chest. There is no evidence of pneumonia, edema, effusion, or pneumothorax. Cardio mediastinal silhouette notable for enlargement of the main pulmonary artery mobile which is confirmed on chest ct which may indicate underlying pulmonary arterial hypertension. The imaged bony structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with weakness, liver mass cough
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MIMIC-CXR-JPG/2.0.0/files/p13171295/s50719822/6e125226-9295b62d-e733ded9-8a4cc86f-a2273fba.jpg
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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
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patient with bipolar disorder and anxiety, who now presents with cough. assess for pneumonia.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with pleuritic cp x<num>days // eval for possible pna, left upper lobe
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The cardiac silhouette is mild to moderately enlarged increased from <unk> when it was normal in size though lower lung volumes somewhat exaggerate the sillhouette. The thoracic aortic arch is mildly tortuous. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence of vascular congestion or interstitial edema.
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new atrial fibrillation.
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No displaced rib fractures are detected. The lungs are well expanded without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette, mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm.
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right chest wall pain status post fall, here to evaluate for fracture.
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MIMIC-CXR-JPG/2.0.0/files/p14169207/s51609189/20498875-e7201566-b74f4203-652e2cab-f5491ce4.jpg
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Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy and cabg. The heart size is top normal. The aorta is tortuous. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Multilevel degenerative changes are seen within the thoracic spine. An aortic graft is partially imaged on the lateral view.
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syncope. pacer in place.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Patchy ill-defined opacities are present in both lung bases, more pronounced on the left, concerning for multifocal pneumonia. No pleural effusion or pneumothorax is detected. There is no pulmonary vascular engorgement. No acute osseous abnormalities seen.
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history: <unk>m with fever and cough
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Heart size is mildly enlarged. Moderate size hiatal hernia with air-fluid level is present. Aortic knob is calcified. Mediastinal and hilar contours are unremarkable otherwise. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. There are minimal degenerative changes in the lower thoracic spine.
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occasional dyspnea and cough.
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MIMIC-CXR-JPG/2.0.0/files/p15166831/s52637157/01ffbcc0-a7bf9d9b-a07e0a9a-9266b5b3-812febd5.jpg
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As compared to the previous radiograph, the pre-existing right basal opacity has completely resolved. The right lung base now resembles the radiograph from <unk>. The substantial elevation of the left hemidiaphragm is constant in appearance. No new parenchymal opacities. No marked overinflation. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Cervical vertebral stabilization devices are visualized.
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multiple medical problems, including copd, questionable resolution of pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15899780/s50401450/2530f305-4d9bc293-7543ae55-d42e527d-6eed027e.jpg
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is present.
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hypoglycemia, altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p10862054/s50702835/bb1e3b63-37b0c06b-9ee2551f-b2d7cf01-ed2f7d8b.jpg
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The heart is top-normal in size. There is mild unfolding of the thoracic aorta. The cardiac and mediastinal silhouettes are otherwise unremarkable.
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<unk>m with sob. evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p18369032/s58257748/3145e01a-c48156c5-07da5ce7-4759e448-8f69ba5c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18369032/s58257748/24004710-510ba8c5-40d9db9d-ca336fe8-a1f65477.jpg
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Heart size remains mildly enlarged. The aortic knob demonstrates dense atherosclerotic calcifications. Mediastinal and hilar contours are otherwise unchanged. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is visualized. There are mild degenerative changes in the thoracic spine.
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history: <unk>m with dyspnea
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated.
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fever and cough. question pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. Bibasilar opacities likely represent atelectasis and are are slightly increased at the right base. The cardio mediastinal silhouette is unchanged. A left picc terminates in the mid svc. The imaged upper abdomen is unremarkable. The bones are intact.
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history: <unk>f with cp // evidence of pneumothorax or pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p19787365/s55058814/25095150-14f65058-d610f5ea-707abbb1-8fec88f1.jpg
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As before, the mediastinal structures are shifted to the right which is a chronic finding. The cardiomediastinal silhouette is unchanged. Prominence of the hila bilaterally is similar. No focal consolidation or pneumothorax is identified. Blunting of the right costophrenic angle is unchanged and no pleural effusion is otherwise identified. Linear atelectasis is seen within the left lung base. Multiple clips are again seen in the left upper quadrant of the abdomen. There are no acute osseous abnormalities demonstrated.
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chest pain, shortness of breath
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MIMIC-CXR-JPG/2.0.0/files/p14167883/s57553111/583a27b6-79323f45-34bce453-24f6be21-5152c60a.jpg
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are multilevel moderate degenerative changes in the thoracic spine with anterior osteophyte formation.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p12534815/s54721440/94df1449-058eb31b-0d4afcb7-92ee32a7-7898ffd2.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12534815/s54721440/c107ad25-daf102fc-41e32e7b-dd26d5bd-d71e303d.jpg
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The lungs are mildly hyperinflated, but there is no focal lesion. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
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chronic cough, smoker, <unk>-pound weight loss, infiltrative process to rule out cancer or other acute process.
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MIMIC-CXR-JPG/2.0.0/files/p12680572/s57397889/cbaa28f2-c3153302-4cb6813d-82e084fd-62de92f2.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12680572/s57397889/29d7dabc-a7a6b7ec-6d359929-49d85d3f-eb4ebc8d.jpg
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Cardiomediastinal and hilar silhouettes are unremarkable. Mild streaky atelectasis at the bilateral lung bases. There is a rounded opacity seen at the posterior left chest base. This is most likely a small bochdalek's hernia and is best seen on the lateral view. However, focal consolidation is not excluded. If there is high concern, this could be further evaluated with ct scan. Multilevel moderate degenerative changes of the thoracic spine are present. No priors are available for comparison.
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<unk>f with chest/arm pain. no leukocytosis. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15041265/s51158008/57987b0b-432c1bb7-5cfdd7b0-e30187d6-8e5571e2.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15041265/s51158008/2df3d09b-169abe74-0aacd311-bf74f522-a6781b8d.jpg
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are unremarkable. A s-shaped scoliosis of the thoracolumbar spine is again seen. The imaged upper abdomen is unremarkable.
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<num> weeks of upper respiratory infections symptoms. rule out infiltrate.
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