ChayanM/MIMIC-MultiView-Findings-Query_Optional

Frontal_Image_Path stringlengths 94 94	Lateral_Image_Path stringlengths 94 94 ⌀	Findings stringlengths 76 2.06k	Query stringlengths 1 630
MIMIC-CXR-JPG/2.0.0/files/p13811748/s58778322/b2df9c80-54b032cf-9b95665e-6cfc06a5-e434c39d.jpg	null	Single ap upright portable view of the chest was obtained. Mild cardiomegaly persists. The aorta is calcified and tortuous. Hilar contours are stable. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Slight blunting of the right costophrenic angle is likely due to overlying soft tissue, though very trace effusion would be difficult to exclude.
MIMIC-CXR-JPG/2.0.0/files/p12691833/s59271253/222562f4-a19b517d-019d4f05-81ece1b2-c647ca60.jpg	null	There is a small amount of subcutaneous air overlying the neck. A lucency adjacent to the aorta may reflect pneumomediastinum. Large left lower lobe consolidation, and opacities in the right lower lobe are presumably from aspiration. No pleural effusion or pneumothorax. Heart is mildly enlarged. The hilar structures are unremarkable. Degenerative changes involve the right glenohumeral joint.	transfer from outside hospital with report of mediastinal air status post endoscopy.
MIMIC-CXR-JPG/2.0.0/files/p18853538/s57270199/d3dc747e-0651b534-1037bdf5-ed20012d-3c4edee9.jpg	MIMIC-CXR-JPG/2.0.0/files/p18853538/s57270199/2b0aea11-9a1b2a5c-03e3bc44-be25090a-606369a0.jpg	There is a small left pleural effusion. Bibasilar consolidations are demonstrated. Paucity of the pulmonary vasculature consistent with known history of emphysema. Slight improvement of postoperative left chest wall subcutaneous emphysema. Left pleural drain is in place. No pneumothorax. Slight improvement of pneumomediastinum. Degenerative changes of thoracic spine.	<unk> year old man s/p robotic thymectomy // check interval change with ct on waterseal
MIMIC-CXR-JPG/2.0.0/files/p12118886/s51231115/46320a3a-fb2b1476-8c675d96-42dbec8d-f20ce68a.jpg	MIMIC-CXR-JPG/2.0.0/files/p12118886/s51231115/e62ae01c-551bdc5f-c4838f39-4b6dc648-26e64d4d.jpg	Pa and lateral views of the chest provided. Lung volumes are low, accentuating the heart silhouette. Pulmonary vasculature is prominent but there is no overt edema. Increased vascular pedicle width may also reflect slight volume overload. There are no focal consolidations concerning for pneumonia. There are no pleural effusions.	<unk>m with fever, evaluate for pna
MIMIC-CXR-JPG/2.0.0/files/p16201781/s54354311/2a8697cb-382d8998-88d6a954-b51d2088-b10cddb3.jpg	MIMIC-CXR-JPG/2.0.0/files/p16201781/s54354311/ab4d9297-c052d0f5-1178c298-1c5ec385-0da69306.jpg	Patchy opacities, left greater than right raise concern for underlying aspiration and/or infection. Prominence of the central pulmonary vasculature suggests pulmonary vascular congestion. The cardiac silhouette is mildly enlarged. The mediastinal contours are stable. No pleural effusion or pneumothorax is seen.	renal status.
MIMIC-CXR-JPG/2.0.0/files/p13338533/s51378199/088a4b48-b33eb815-9064e3fd-f766a854-6b4a6542.jpg	MIMIC-CXR-JPG/2.0.0/files/p13338533/s51378199/877b3888-7a5222ec-5db9a08a-1916e702-e2ca655a.jpg	Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.	<unk>-year-old female with right posterior chest wall pain.
MIMIC-CXR-JPG/2.0.0/files/p19595171/s53397021/5d27bd31-bebab34c-7d485b96-05414fc1-76642e06.jpg	MIMIC-CXR-JPG/2.0.0/files/p19595171/s53397021/4d40b22f-f3244ced-bb3d4f48-7a2ceebe-7718beee.jpg	Pa and lateral views of the chest demonstrate clear lungs. Cardiac size is normal. No pleural effusion or pneumothorax.	<unk>-year-old man with fever.
MIMIC-CXR-JPG/2.0.0/files/p13034409/s59733906/d89a40c7-ceec4bc3-615e5d08-ecc86586-ea305ad4.jpg	null	There is patchy consolidation seen throughout the right lung, particularly at the base. Left lung is grossly clear. There is some volume loss on the right with mediastinal shift towards the right and elevation of the right hemidiaphragm. No acute osseous abnormality identified.	<unk>-year-old female with altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p16350414/s58337252/6107b20f-af12b284-caeae849-5f14401f-350630af.jpg	MIMIC-CXR-JPG/2.0.0/files/p16350414/s58337252/ab4fe143-e1f502e3-2a4f432c-c65b4919-d724cc03.jpg	There are bibasilar opacities, right greater than left. Blunting of the posterior costophrenic angle suggests small pleural effusions. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	<unk> year old man s/p fall with hemoperitoneum without e/o solid organ injury // acute injuries
MIMIC-CXR-JPG/2.0.0/files/p19147679/s50211238/cb8cc083-dceea151-0a2c2915-59b3f40f-a33d3b09.jpg	null	As compared to the previous radiograph, the unilateral intubation has been removed. Right pleural catheter at the lung base and the lung apex are in unchanged position. The atelectasis at the right lung base is slightly more extensive than on the previous image. Unchanged appearance of the left lung. Unchanged moderate cardiomegaly.	pneumonic effusion and status post decortication, evaluation of lung expansion.
MIMIC-CXR-JPG/2.0.0/files/p16202600/s59385535/dd93386a-085729dd-39ea1518-5d4b8399-77bf4676.jpg	null	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Irregular bronchovascular architecture in the upper lungs suggests emphysema but there is no focal opacification. No free air is seen.	abdominal pain.
MIMIC-CXR-JPG/2.0.0/files/p11120815/s51864100/fd82edcd-8a5f7580-07ccfdc3-b87f6487-00e51e85.jpg	MIMIC-CXR-JPG/2.0.0/files/p11120815/s51864100/4cc12c3a-283a1b58-764f7918-b6d4b2f8-ebccea34.jpg	There is minimal increase in right basilar opacity suspicious for possible infectious process or aspiration. There are continued bibasilar opacities, right greater than the left. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are unchanged.	patient with chest discomfort, evaluate for effusions versus focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p19917746/s50220792/83254c5b-d6e09c5e-879cd025-30eaed39-32fc7ff0.jpg	MIMIC-CXR-JPG/2.0.0/files/p19917746/s50220792/bee3c8ec-8eba079c-506c052c-3cfaf4e4-932d73c8.jpg	Compared to the study from the prior day, there has been a slight interval decrease in the right pleural effusion, but there continues to be a moderate-sized pleural effusion layering posteriorly and patchy areas of alveolar infiltrate, right greater than left.	right lower lobe, evaluate lung reexpansion.
MIMIC-CXR-JPG/2.0.0/files/p14691226/s55450034/37b60e30-05b7821f-c17f19d3-0177e522-0a54561f.jpg	MIMIC-CXR-JPG/2.0.0/files/p14691226/s55450034/b1d7a682-e8319a17-1c98ad9c-a149aa3f-c8fb7b55.jpg	The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.	history of afib with rvr. please evaluate.
MIMIC-CXR-JPG/2.0.0/files/p18256282/s59979708/4d7b43c8-e8900729-aba0ec85-d651a2ec-9454e58d.jpg	null	Lung volumes are low. Heart size is exaggerated by low lung volumes and likely within normal limits. Previous pulmonary edema has cleared. There is no evidence of pneumonia. There is no pleural effusion or pneumothorax. The aortic arch is calcified.	history: <unk>f with hypoxia // ?pna
MIMIC-CXR-JPG/2.0.0/files/p11172413/s55358096/99ade90c-f9fcebb4-3221fa50-9a847615-0421530a.jpg	MIMIC-CXR-JPG/2.0.0/files/p11172413/s55358096/d8bb1b90-49b351fd-29e9cf62-264797bd-86cca4f0.jpg	Marked cardiomegaly is unchanged. The cardiac to place generator is present in the left chest with single intact lead terminating in the right ventricle. There is no evidence of retained radiopaque foreign body. The pulmonary vasculature and aorta are within normal limits. Minimal blunting of the costophrenic angles on lateral projection is unchanged may represent trace effusions versus scarring.	<unk> year old man with possible peice of mid line retained after dc'd by pateint. // retention of broken mid line
MIMIC-CXR-JPG/2.0.0/files/p11077329/s54493275/91f34687-ca9da205-5fcb7015-7bcc136a-f3ef11c4.jpg	MIMIC-CXR-JPG/2.0.0/files/p11077329/s54493275/9381dcd7-f9909ba5-825bd6f1-7147236a-87543526.jpg	The lungs are hyperinflated with slight flattening of the bilateral hemidiaphragms, and attenuation of pulmonary vascular markings within the upper lobes compatible with mild emphysema. The lungs are well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. A <num> mm density projecting at the left <unk> intercostal space is compatible with a nipple, which appears symmetrical. Mild biapical scarring appears symmetrical. The pulmonary vasculature is not engorged. The cardiomediastinal silhouette is slightly prominent due to patient rotation compared to the prior study but otherwise appears within normal limits. There is dextroconvex scoliosis at the mid-to-lower thoracic spine. Irregularity at the right posterior seventh rib is unchanged and likely represents a prior fracture. No acute osseous abnormality is detected.	nonproductive cough, worse in the supine position; here to evaluate for pneumonia or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17303323/s54956781/c9071234-57b2ea92-582dc056-40c8db8e-d10eaa6a.jpg	null	The dialysis catheter terminates in the right atrium. The right ij approach swan-ganz catheter terminates in the distal right pulmonary artery. The left picc is traced as far as the mid svc. The left pectoral transvenous pacer defibrillator leads extend into the right atrium, right ventricle, and the coronary sinus. The enteric tube terminates in the stomach. Lung volumes are low. The heart is severely enlarged, unchanged compared to multiple prior studies. The pulmonary vasculature is prominent. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax.	<unk> year old man s/p pa catheter placement // lines and tubes
MIMIC-CXR-JPG/2.0.0/files/p13507998/s59777031/33d6da13-a525470c-d2c3d164-7d761c30-87d07f09.jpg	MIMIC-CXR-JPG/2.0.0/files/p13507998/s59777031/e919ff89-6277f45d-9cb668f3-b7b553f2-148cac61.jpg	There is a new subtle left upper lobe and right lower lung ground-glass opacities which are worrisome for an infectious process. Left fissure is displaced upward which means that there is an atelectatic component. The mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.	patient with respiratory infection, on chemotherapy, evaluate for infiltration.
MIMIC-CXR-JPG/2.0.0/files/p17141595/s55107472/1872f690-c1f1302f-d3efc28a-bbd56ca5-bbbaa3cd.jpg	null	A small left pneumothorax is present, stable in appearance, which increases in size on the expiratory film. The heart and lungs are otherwise within normal limits.	left pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19582228/s56455402/04965b39-121ab9a5-c28c669d-43ad92c5-47602350.jpg	MIMIC-CXR-JPG/2.0.0/files/p19582228/s56455402/4af5c8f3-7efa5664-88e85afd-fd8e5f50-ea0d0f69.jpg	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	<unk>f with elevated lactate presenting with dizziness and lightheadedness // evidence of infiltrate
MIMIC-CXR-JPG/2.0.0/files/p19778971/s57110640/db1e3f96-e5e4078c-9971cfc2-479e3bb0-99b0d5c7.jpg	null	Comparison is made to previous study from <unk>. There has been increase in size of the left-sided pleural effusion, partially loculated along the left upper chest. The cardiac silhouette is enlarged. There is also a right-sided pleural effusion. There is improved aeration of the right base. The right-sided picc line is stable in position with the distal tip at the distal svc. No pneumothoraces are identified.
MIMIC-CXR-JPG/2.0.0/files/p11260051/s53664085/3fe3c200-16f79661-a3fc594b-473c4cd9-0ebd1f0a.jpg	null	As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. Moderate cardiomegaly, status post cabg. Currently, signs of mild pulmonary edema are present. No pleural effusions. No pneumonia.	chronic heart failure, questionable pleural effusion, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p15285971/s52279497/6ecab9cb-26339317-ca888482-dea03661-d7ff254b.jpg	MIMIC-CXR-JPG/2.0.0/files/p15285971/s52279497/4fa7a54c-b4a540b1-98e84f9b-62b8d976-0dfa98b0.jpg	There is mild right infrahilar opacity which appears new since the prior study and likely reflects atelectasis although infection cannot be completely excluded. The remaining lung fields are clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.	cough, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18668726/s59108010/1b3101a3-f358de36-cec7992a-5e99ca76-b2285e57.jpg	MIMIC-CXR-JPG/2.0.0/files/p18668726/s59108010/891c7b9a-ed999190-cd3154c8-c9c2c55f-c38ace8d.jpg	The pre-existing and known aortic coarctation with subsequent double contour and enlargement of the left upper mediastinal aortal contour is not substantially changed as compared to the prior documentation of the alterations in <unk>. The contour of the aortic arch looks slightly bigger than on the previous image, which, however, could be caused by patient rotation. In any way, reevaluation with cross-sectional imaging should be considered. Mild tortuosity of the thoracic aorta. No pleural effusions. No parenchymal abnormalities. Normal size of the cardiac silhouette.	history of bicuspid aortic valve, chest pain.
MIMIC-CXR-JPG/2.0.0/files/p19172655/s56238537/07acdd89-77f10bb7-811a5b8c-e90c5038-7477d46a.jpg	MIMIC-CXR-JPG/2.0.0/files/p19172655/s56238537/33bd9f42-1a8b1bab-a377a955-e3b71a0b-0d05e40a.jpg	Pa and lateral views of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal in size.	anterior chest pain.
MIMIC-CXR-JPG/2.0.0/files/p12888412/s59116537/b0ad78c7-c1ece58a-095b720d-ef15975b-b5abdeb2.jpg	MIMIC-CXR-JPG/2.0.0/files/p12888412/s59116537/2d7a7f34-1b3c39c0-9ccead79-8ebd94bf-afd8def0.jpg	Ap and lateral views of chest large opacity occupies the left lower lobe which is a combination of pleural effusion and atelectasis. Underlying pneumonia cannot be ruled out. The right lung appears relatively stable with last minimal atelectasis. Vascular engorgement and mild pulmonary edema appears relatively stable. Cardiac size is difficult to evaluate. Right picc has been removed.	cough
MIMIC-CXR-JPG/2.0.0/files/p15977115/s55233216/028f7a18-fb30bce8-7a611552-2f27369a-536b4b50.jpg	null	Ap single view of the chest has been obtained with patient in semi-erect position. Comparison is made with a preceding pre-operative chest examination of <unk>. Normal heart size but markedly elongated and widened thoracic aorta as before. During the interval, the patient has undergone a right vats procedure with wedge biopsy in the right lower lobe area. A right-sided chest tube has been introduced in the right lower chest wall and terminates in the apical area of the right hemithorax. No pneumothorax can be identified. In the area of the biopsy, a triangular-shaped well-demarcated local density is seen apparently representing the surgical intervention. No other pulmonary abnormalities are seen. Noted are relatively high-positioned diaphragms and poor inspirational efforts resulting in crowded appearance of the pulmonary vasculature. There is, however, no progression of significant pulmonary vascular congestion.	<unk>-year-old male patient with right lower lobe wedge resection. evaluate lung and chest tube position.
MIMIC-CXR-JPG/2.0.0/files/p15009504/s56362726/4fc39255-5ad927cd-564c15e8-c8ed61d7-1664d8bb.jpg	null	Comparison is made to prior study from <unk>. The endotracheal tube, feeding tube, and right ij central line are unchanged in position. The distal tip of the right ij line is again in the proximal right atrium. This could be pulled back <num>-<num> cm for more optimal placement. There are no pneumothoraces. There is small pleural effusion on the right side. There is some prominence of the pulmonary interstitial markings suggestive of pulmonary edema, stable.
MIMIC-CXR-JPG/2.0.0/files/p17028661/s54075354/c7de1f89-19e42ed6-9ee41294-6dab058d-b863fd56.jpg	null	The lungs are hypoinflated with crowding of vasculature. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. There is mild pneumopericardium and pneumomediastinum. An endotracheal tube tip is entering into the right mainstem bronchus.	<unk>m with found down, asysystole from osh, obvious head trauma. sdh? c spine fx? pe? aortic injury?
MIMIC-CXR-JPG/2.0.0/files/p16319811/s59277010/4c84e4b1-0efb69a5-fcbf4762-f22d5c31-87d42406.jpg	null	The endotracheal tube is <num> cm above the carina. Heart continues to be mildly enlarged. There are some focal areas of increased opacity at the right base medially most likely representing volume loss. Small early infiltrate cannot be excluded. There is some minimal pulmonary vascular redistribution, but no overt pulmonary edema.	left neck debridement, question fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p13174810/s57109602/7ccf9806-2d43978a-14e8f9cf-17eb2b93-a1412d8d.jpg	null	As compared to the previous radiograph, the position of the endotracheal tube is unchanged. The tip of the tube projects approximately <num> cm above the carina. The known rib fractures as well as the bilateral chest tubes are unchanged. The nasogastric tube has been removed and, obviously as a consequence, the stomach is overinflated. New placement of a nasogastric tube should be considered. The known changes in the lung parenchyma are constant. Constant size and shape of the cardiac silhouette.	intubation, endotracheal tube placement.
MIMIC-CXR-JPG/2.0.0/files/p17214442/s53005420/92dc6f25-3a268dc8-f8dd0c39-cd953a87-083f571c.jpg	MIMIC-CXR-JPG/2.0.0/files/p17214442/s53005420/6a0bd417-0f1b5a86-2e3cc152-e39ae5a4-d5ec9376.jpg	As compared to prior chest examination, lung volumes are decreased, accentuating the bronchovascular structures and cardiac silhouette. There is bibasilar atelectasis. There is no definite focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax.	history: <unk>m with fever // evidence of infection evidence of infection
MIMIC-CXR-JPG/2.0.0/files/p16739492/s55500231/52dc9778-9418f58b-aaf88c58-cea2eceb-bdc0edcf.jpg	null	A single frontal ap view of the chest shows a defomities of the right <unk> and <num>th ribs, accounting for a hazy ill-defined opacity overlying the right mid lung. Right hilar fullness is present and may be due to the known lymphadenopathy. The known spiculated mass is not well seen. Blunting of the left costophrenic angle is unchanged and likely due to a small left pleural effusion. There is no right pleural effusion. The lung volumes are low. Increased interstitial prominence is likely due to exaggeration of the pulmonary vasculature by the low lung volumes. There is no pneumothorax. The cardiac silhouette is enlarged, but stable from the prior exam. Atherosclerotic calcifications are noted in the aortic arch. Clips in the left chest wall are noted and unchanged.	shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p15023601/s51462381/9b9a5352-6762536c-ace5faef-b41547a8-5c86b140.jpg	MIMIC-CXR-JPG/2.0.0/files/p15023601/s51462381/039c7f35-2b7f77d9-be79f058-63a0ddf3-6d7673bd.jpg	There is abnormal lucency in front of the heart best seen on the lateral view just behind the sternum. This correlates with the pneumothorax seen on the prior ct scan. Allowing for differences in technique this appears smaller than on the prior ct scan. Heart size is upper limits of normal. There is no focal consolidation. There is atelectasis at the lung bases. There is wedging of several mid to lower thoracic vertebral bodies and calcification of the anterior longitudinal ligament consistent with dish. There is mild osteopenia.	<unk> year old man with l pneumothorax post fall, resolving ptx? // resolving ptx?
MIMIC-CXR-JPG/2.0.0/files/p18203000/s50727400/5ca27617-62f2a3df-41509222-b07754d2-17cc0288.jpg	MIMIC-CXR-JPG/2.0.0/files/p18203000/s50727400/19313005-a827802a-eb2618bb-f4b33e15-1ef87f79.jpg	A radiopaque skin marker is seen along the anterior seventh intercostal space, near the costochondral junction. Lung volumes are slightly low. The lungs are clear. The heart size is normal. There are no pleural effusions. No pneumothorax is seen. There is no definite acute rib fracture. Herniorrhaphy tacks are seen in the mid abdomen.	pain and shortness of breath after striking left chest into a utility truck. assess for rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p17309553/s53451750/14d9eade-faf52e4c-947d1fa2-d2fab39a-3d96e0ac.jpg	MIMIC-CXR-JPG/2.0.0/files/p17309553/s53451750/2081c8db-33740085-e1c3b79a-1a5093a5-cf9adead.jpg	Heart size is mildly enlarged. Mediastinal and hilar contours are unchanged with mild unfolding of the thoracic aorta again noted. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. Right-sided picc is re- demonstrated with tip terminating at the confluence of the brachiocephalic veins. Inferior vena cava filter is also noted projecting over the upper right mid abdomen.	history: <unk>f with altered mental status, needs infection workup
MIMIC-CXR-JPG/2.0.0/files/p11946033/s59821509/492bc896-d86c9fce-e56a3963-92950b35-81330cca.jpg	MIMIC-CXR-JPG/2.0.0/files/p11946033/s59821509/513a4342-1075b7ff-1d30eb83-18cf6106-0b6d7854.jpg	There is new mild moderate pulmonary edema mostly characterized by new bilateral perihilar opacification. Patchy opacity at the left lung base suggests minor atelectasis. The cardiac, mediastinal and hilar contours appear unchanged. There is a dual-lead pacemaker/icd device has leads terminating in the right atrium and ventricle, respectively. Trace pleural effusions are suspected. Moderate degenerative changes affect the lower thoracic spine.	fever, nausea and vomiting.
MIMIC-CXR-JPG/2.0.0/files/p10094706/s51681931/6d07a8b5-d6a5dc9d-1005d394-5700e0db-ffaf0dcc.jpg	MIMIC-CXR-JPG/2.0.0/files/p10094706/s51681931/a67bf8bb-4bd0ea3e-76caea20-9b692b65-d02487a7.jpg	As compared to the previous radiograph, there is a newly appeared predominantly peribronchial opacity of nodular consistence seen in the left lower lobe. The opacity is ill defined and shows multiple air bronchograms. The morphology of the opacity is strongly suggestive of pneumonia. The referring physician, <unk>. <unk> was paged at the time of dictation, <time> p.m., on <unk>.	fevers, intermittent cough.
MIMIC-CXR-JPG/2.0.0/files/p14646982/s51535104/13c6cc82-670e824e-a62fe2f3-5b8425aa-2f3b8cd5.jpg	MIMIC-CXR-JPG/2.0.0/files/p14646982/s51535104/41b80eda-c22017da-dc2a92e6-ebba38de-df4f933e.jpg	Pa and lateral views of the chest provided. Airspace consolidation is noted at the right lung base concerning for pneumonia. Left lung is clear. No pneumothorax or large effusion. Cardiomediastinal silhouette is normal. Bony structures are intact.	<unk>m with fever, cough.
MIMIC-CXR-JPG/2.0.0/files/p19035431/s51241309/5c5914e0-cd6e8303-41ce910b-e698934c-e87814cd.jpg	null	The heart is mildly enlarged. Mediastinal and hilar contours are unchanged. Mild pulmonary edema appears relatively unchanged compared to the prior study. There is likely a small right pleural effusion. No pneumothorax or new areas of focal consolidation is present. No acute osseous abnormalities are detected. Degenerative changes of both acromioclavicular joints are noted.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16447860/s54071446/aa6a0bb6-013be0fa-beb105d8-de056eda-2ef1c1fb.jpg	MIMIC-CXR-JPG/2.0.0/files/p16447860/s54071446/30d10721-3da99746-1a53556a-e635aaf6-1d73fea2.jpg	The lung volumes are low. There are areas of atelectasis at both lung bases. In addition, very subtle reticular opacities are seen, better appreciated on the lateral than on the frontal radiograph. Although the costophrenic sinuses are free, the low lung volumes could be suggestive of a subtle fibrotic lung process. Ct would be the method of choice to confirm or exclude this possibility. Borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta. Normal hilar and mediastinal contours. At the time of dictation and observation, findings were posted on the radiology dashboard.	history of cad, chest tightness on inspiration.
MIMIC-CXR-JPG/2.0.0/files/p18608767/s56543744/8e14d5f6-b20ea680-e85ca74a-2710f47b-540904d5.jpg	MIMIC-CXR-JPG/2.0.0/files/p18608767/s56543744/3ea14d9e-a03594eb-0cc9f2e9-5725e6fd-d35c367a.jpg	Flattening of he,idiaphragms on lateral view suggests possible hyperinflated lungs. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal and hilar silhouettes are unremarkable. No pleural abnormalities.	<unk> year old man with chronic cough // r/o mass
MIMIC-CXR-JPG/2.0.0/files/p12457214/s54106651/0a09f70c-d486ab77-fd881b94-563c971c-9b97a7c9.jpg	MIMIC-CXR-JPG/2.0.0/files/p12457214/s54106651/7a262bf0-91daf409-8edbe068-d549f5a1-96fba277.jpg	Pa and lateral views of the chest were obtained. The heart is mildly enlarged. There is no sign of congestive heart failure or pneumonia. No pleural effusion or pneumothorax is seen. A focal eventration of the right hemidiaphragm is noted. Faint atherosclerotic calcifications are seen along the aortic knob. The imaged osseous structures are intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p12783832/s57311337/2943c5d2-dda8e96a-c1f9d69d-21e0a667-00a2c917.jpg	null	Lung volumes are low, accentuating the cardiomediastinal contours and resulting in crowding of bronchovascular structures at the lung bases. With this limitation in mind, patchy and linear bibasilar opacities most likely represent atelectasis although a secondary process such as aspiration is possible. Lungs are otherwise clear and there are no definite pleural effusions.	<unk>m w/hx of nephrolithiasis s/p right-sided eswl on <unk> at<unk> c/b hypotension and rp and right-sided perinephric hematoma, transferred to <unk> for interventional radiology, initially hypotensive with elevated lactate, bp stable after <num>u prbcs. has significant rales on right side // eval for pleural effusion, pulm edema.
MIMIC-CXR-JPG/2.0.0/files/p15801928/s58458810/95994b9d-c0a28fb5-0bbf6ff9-7bb528aa-8a8a2e27.jpg	MIMIC-CXR-JPG/2.0.0/files/p15801928/s58458810/69ba44ae-11486c90-22b751f6-60850b29-c580532f.jpg	Pa and lateral views of the chest are provided. Lung volumes are low. The lungs are clear. No pleural effusion or pneumothorax. The heart is at the upper limits of normal in size. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p16550734/s54885388/4ac67acd-6f6b4f1c-1326afb6-e1fdc2b5-4c01ef0b.jpg	null	Portable semi upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. The hila are slightly less prominent as compared to the prior study, suggesting improving vascular congestion. There is a new opacification in the left upper lobe, which may represent atelectasis or aspiration. The cardiomediastinal contours are unchanged. There is no pneumothorax or pleural effusion. The endotracheal tube and <num> cm from the carina. Nasogastric tube courses into the stomach.	<unk> year old woman with syncope found to have anemia. intubated for airway protection. // ett placement. pulm edema?
MIMIC-CXR-JPG/2.0.0/files/p15472957/s57445615/9da5c444-fe6a047b-f0dca626-70638c3f-b1e3add4.jpg	MIMIC-CXR-JPG/2.0.0/files/p15472957/s57445615/1efa03f6-f9fb1002-56b2a5c9-aa15b163-ed46d96e.jpg	The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is biapical scarring. No pleural effusion or pneumothorax is seen.	<unk>f with chest pain, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12862808/s52015038/842523f0-44054ae5-b46fd30c-13c30b0b-e068727e.jpg	null	Ap portable upright view of the chest. Overlying ekg leads are present. The lungs are hyperinflated with coarsened interstitial markings likely indicative of chronic lung disease. There is no superimposed pneumonia. No effusion or pneumothorax. No edema. Cardiomediastinal silhouette is normal. Imaged bony structures are intact.	<unk>f with hx pseudomonal pna // pna
MIMIC-CXR-JPG/2.0.0/files/p11479858/s53181050/bfde8456-f3fe3b3e-026e9a6e-8c94411b-5e6d5cd4.jpg	null	As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly. Atelectasis at the right lung bases. Tracheostomy tube in situ. Right picc line in situ. Minimal atelectasis in the retrocardiac lung areas. No evidence of pneumonia.	aspiration, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p15233076/s57981531/8fc0b7c2-19fb60e8-c984250b-e17e37c1-96d81c32.jpg	MIMIC-CXR-JPG/2.0.0/files/p15233076/s57981531/e6cb8621-5f0c41a6-6b8b3482-70e31601-7cd899d6.jpg	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.	history: <unk>f with presyncope
MIMIC-CXR-JPG/2.0.0/files/p10149316/s59440282/4ee8ee37-fc96ca0d-6fe6facd-f23ae953-704e377e.jpg	MIMIC-CXR-JPG/2.0.0/files/p10149316/s59440282/75aef462-3105518c-b2a20bf3-d3c2122f-faa06186.jpg	As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Moderate-to-severe scoliosis with subsequent asymmetry of the rib cage. Moderate cardiomegaly. Right port-a-cath in situ. No parenchymal abnormalities. No pleural effusions. No lung nodules or masses.	cll, no productive cough, questionable pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19055240/s55843657/1c1284d0-f111933f-571247bb-c1d8f0d6-5d64e01a.jpg	MIMIC-CXR-JPG/2.0.0/files/p19055240/s55843657/bc3fedce-aab3370a-188f0ba3-0482fae9-1b928824.jpg	Cardiomediastinal contours are normal. The lungs are clear. Biapical pleural parenchymal scarring is unchanged from <unk>. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable	<unk> year old woman with persistent hoarseness,chest tightness and cough // r/o pneumonia, adenopathy
MIMIC-CXR-JPG/2.0.0/files/p12262788/s52399595/ef798f11-adb5d89b-1b5cd91b-80361d5c-b6d79e49.jpg	null	There is an endotracheal tube with tip in satisfactory position. A nasogastric tube is seen with tip terminating in the distal esophagus. This tip does not course below the level of the diaphragm and should be advanced. There is no evidence of pneumothorax or pleural effusions. There are bibasilar opacities seen which likely reflect aspiration versus pneumonia. There are perihilar opacities that reflect underlying edema. Heart size is unchanged. There is no evidence of pneumoperitoneum. Degenerative change within the thoracic spine that is moderate in severity is noted. There is partial visualization of a right humeral prosthesis.
MIMIC-CXR-JPG/2.0.0/files/p19361508/s59425996/51fc50b9-97bffc2b-16ea4415-736a9919-5bed3d20.jpg	null	An upright ap chest radiograph shows no pneumothorax. A single clip or radiodense marker is identified at the left suprahilar region which was not present on the scout image from <unk> chest ct. A pacing device over the left chest with a single intact lead is again identified. Chronic parenchymal scarring in the right lower lobe is seen.	<unk>-year-old man status post left lower lobe transbronchial biopsy. question pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17052884/s58937829/4cd9b1d4-21beb7fd-d41d7d10-6b163aee-90e365ec.jpg	null	In comparison with the study of <unk>, there is some increased opacification at the left base, most likely representing atelectatic change and possible small effusion. No evidence of acute focal pneumonia or vascular congestion. Several old healed rib fractures are again seen on the left.	foot ulceration with fever, to assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10858207/s57862507/4f67aafd-72c117f0-2925495d-dbe18a13-3f30920e.jpg	MIMIC-CXR-JPG/2.0.0/files/p10858207/s57862507/11df7253-068139e0-ddceaacc-eddf60b3-a14258b7.jpg	Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Streaky atelectasis is noted in both lung bases. There is a trace left pleural effusion, new in the interval. No focal consolidation or pneumothorax is present. There are no acute osseous abnormalities. No subdiaphragmatic free air is present.	history: <unk>m with chest pain status post ercp
MIMIC-CXR-JPG/2.0.0/files/p11276090/s54800773/71b87e83-adf51738-39a35ccd-c7de968a-5b306979.jpg	MIMIC-CXR-JPG/2.0.0/files/p11276090/s54800773/04940fa2-e63ae3f1-12d0753b-d1401075-d92382d0.jpg	Lung volumes are low. Again noted are reticular opacities in the bilateral apices, consistent with underlying chronic interstitial lung disease. No overlying consolidation is identified. The cardiomediastinal silhouette and pulmonary vasculature are similar the prior examination.	history: <unk>m with cirrhosis s/p fall // eval for ich nhct eval for pna xray
MIMIC-CXR-JPG/2.0.0/files/p13624277/s53236403/200c3c86-1e7543f7-321dd1b9-3e9ae101-ca04f161.jpg	null	As compared to the previous radiograph, the patient has undergone a left pleurocentesis. There is a pleural drain projecting over the left costophrenic sinus. No evidence of pneumothorax or left-sided pleural effusion. Unchanged small right pneumothorax, unchanged bibasilar areas of plate-like atelectasis. Borderline size of the cardiac silhouette. Overall, low lung volumes.	pleural effusion, pleurocentesis. evaluation for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10877472/s51199721/bba496b2-e2ffc3cb-3500a282-08f3d9a5-ca12b94b.jpg	null	Comparison is made to the prior study from <unk>. There is some improvement of the pneumothorax on the left side with lucency within the apex and the left base. Pigtail catheter appears stable in position in the left perihilar region. There are bullous changes within the right lung apex which are slightly more prominent. Development of a small pneumothorax in this area is not excluded and continued followup in this location is recommended. There is atelectasis at both lung bases. Heart size is normal.
MIMIC-CXR-JPG/2.0.0/files/p18146671/s58182488/9ba83739-6d2fc3e2-57085671-6fa3dd45-d22749fc.jpg	null	Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lung volumes are low, accentuating the pulmonary vasculature. Generalized interstitial abnormality is mild. There is no pleural effusion or pneumothorax.	asthma, presenting with respiratory distress.
MIMIC-CXR-JPG/2.0.0/files/p13085899/s59424091/08d1e687-b84d32a9-fce8a466-743c9a58-dc73509d.jpg	MIMIC-CXR-JPG/2.0.0/files/p13085899/s59424091/cea6e0dc-8c998e98-72deb66b-f9436904-f21b12d8.jpg	The lungs are clear and hyperinflated. There is flattening of the bilateral hemidiaphragms. There is no pneumothorax or pleural effusion. The hilar and cardiomediastinal silhouettes are normal. Pulmonary vascularity is normal. There is mild biapical pleural thickening. Pectus excavatum of the anterior chest wall is noted.	the productive cough.
MIMIC-CXR-JPG/2.0.0/files/p13322976/s59872360/e37dda05-3a4f36c7-a069a815-2314088e-9b0371a3.jpg	MIMIC-CXR-JPG/2.0.0/files/p13322976/s59872360/ae960402-975d712a-d22ad5cc-6d7f9256-6657cc16.jpg	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	<unk>f with palpitations // assess for pna
MIMIC-CXR-JPG/2.0.0/files/p15956776/s58264135/9112504d-5d478224-9de67f29-a85d7b26-687f3f6c.jpg	null	The cardiomediastinal contours are within normal limits for technique. Lung volumes are slightly low, but lungs are grossly clear, and there are no pleural effusions or acute skeletal findings.
MIMIC-CXR-JPG/2.0.0/files/p10291088/s53998159/c07a7097-0121eddb-92dfabd8-e2f3e17d-29d25b4f.jpg	null	As compared to the previous radiograph, the lung volumes have decreased and the cardiac silhouette has slightly increased. There is unchanged evidence of interstitial markings that are prominent. No pleural effusions. No pneumothorax.	recent urinary tract infection, pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11747567/s56027544/a3b0810b-3e381084-35f22a8e-b210cb60-f77a02b9.jpg	null	The heart size is mildly enlarged. There is pulmonary vascular redistribution and ill-defined vasculature and increased alveolar opacities. The overall impression is that of chf, but an underlying infectious infiltrate cannot be excluded.	fever, diarrhea, thrombocytopenia, question acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12751006/s53972858/6731c06d-16bbcd4b-74834699-e8808d6b-6f7c74c6.jpg	MIMIC-CXR-JPG/2.0.0/files/p12751006/s53972858/dd78d25b-dc8c3cf2-d7bf6627-14791a61-146846c2.jpg	The cardiac silhouette is top-normal in size. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Normal mediastinal and hilar contours. Unremarkable pleural. Mild degenerative changes are noted in the thoracic spine.	<unk>-year-old woman presenting with chest pain ; evaluate for structural process.
MIMIC-CXR-JPG/2.0.0/files/p13802468/s50519781/77975775-46429f3e-61b297df-91db150b-0f2d3ef9.jpg	null	As compared to the previous radiograph, the pleural effusions have decreased. The lung volumes have increased, likely reflecting improved ventilation. The areas of parenchymal opacities at the left persist. At the right, there is a remnant plate-like atelectasis, but otherwise, the lung is well ventilated. The monitoring and support devices are constant. Normal size of the cardiac silhouette. No newly appeared parenchymal opacities.	hypoxia, rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10257709/s54330665/ef76f966-6a9a3ca2-7ad365c2-7c30ccef-5e5a7d4d.jpg	MIMIC-CXR-JPG/2.0.0/files/p10257709/s54330665/0c53f4b0-360af85b-54b49c36-15d976f7-e8d6d1c5.jpg	Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. The cardiac silhouette size is moderately enlarged, unchanged. The mediastinal contour is stable, with mild aneurysmal dilatation of the ascending aorta again noted. Post radiation fibrotic changes are noted within the right paramediastinal lung. Streaky left basilar opacity likely reflects atelectasis. No pleural effusion or pneumothorax is identified. There is no pulmonary vascular congestion. No acute osseous abnormalities are seen.	dyspnea and cancer.
MIMIC-CXR-JPG/2.0.0/files/p19495094/s58362891/b60ebeec-b6ad9734-5d4fbf11-6c1cf571-51f024c7.jpg	null	There has been interval decrease in size of large left pleural effusion. Status post thoracentesis. No pneumothorax is identified. The right hemi thorax remains grossly clear, and there is persistent obscuration of the left hemidiaphragm and left heart border, likely due to atelectasis and some remaining pleural effusion.	<unk> year old woman with recurring large left effusion s/p <unk> with removal of <num>ml // ? ptx. pt in wpc farr<num>
MIMIC-CXR-JPG/2.0.0/files/p11633350/s54886549/52290cd6-739a56d9-24a49afe-26ea1ace-f316d9b4.jpg	MIMIC-CXR-JPG/2.0.0/files/p11633350/s54886549/3d32d783-bce6b085-5f4fe7ff-62dbd05b-2bdf7e26.jpg	Frontal and lateral views of the chest were obtained. The heart is of top normal size with normal cardiomediastinal contours. The aortic knob is calcified. Patchy opacities in the lung bases are compatible with atelectasis or aspiration. Lung apices are obscured by the patient's chin. No pleural effusion or pneumothorax. Osseous structures are diffusely demineralized. No radiopaque foreign body.	history of esophageal strictures and unable to swallow. evaluate for aspiration.
MIMIC-CXR-JPG/2.0.0/files/p12681995/s54382680/7bc99f85-848ad72e-180e2b29-27a7e383-a0b8ea01.jpg	MIMIC-CXR-JPG/2.0.0/files/p12681995/s54382680/b07ee262-76d57a5b-73df4555-da1136bb-13a35e30.jpg	Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are normal.	cough and wheezing.
MIMIC-CXR-JPG/2.0.0/files/p12487705/s55456450/f7d13ada-4f7a02f2-46b881c1-db602336-a7e49807.jpg	null	Compared to the previous radiograph, there is no relevant change. The bilateral areas of atelectasis are constant in appearance and extent. The patient shows no evidence of interval appearance of new parenchymal opacity or of pleural effusions. The size of the cardiac silhouette is constant. The lung volumes remain low. No evidence of pulmonary edema.	epidural abscess, diminished right breath sounds, rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18001424/s51907851/aa0b39b1-b42fa2d6-2be1b6f2-153c874b-830ebb25.jpg	MIMIC-CXR-JPG/2.0.0/files/p18001424/s51907851/8458998b-9cdd23b6-22d39064-145d99d3-d1ce75b9.jpg	Pa and lateral views of the chest provided. Lungs are hyper-expanded. A new lingular opacity partially obscures the left heart border, without clear correlate on lateral view. Differential diagnoses include developing pneumonia, atelectasis or, if the patient has received radiation therapy to the chest, radiation fibrosis. Additional oblique views are recommended for further assessment. In addition, there is a new rounded opacity in the right upper lung projecting over the posterolateral left <unk> rib, which may be a nodule. Ct is recommended for further evaluation, especially to evaluate for metastatic disease in the lung and pleural surfaces.	<unk> year old woman with metastatic breast cancer with chronic bronchitis and copd exacerbation, evaluate for malignancy
MIMIC-CXR-JPG/2.0.0/files/p10909916/s53099723/f6e136ea-cf0886cc-9eef2db9-0c5cd8ec-cf924e9b.jpg	MIMIC-CXR-JPG/2.0.0/files/p10909916/s53099723/39c90359-b580ef85-8892b9a1-c909d5e5-f87b95fe.jpg	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. Elevation of the right hemidiaphragm is long-standing. There are no acute osseous abnormalities.	history: <unk>f with history of pulmonary embolism not anticoagulated now with shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p19809023/s57522246/62b87877-79a89bd0-e159c994-e5a64b19-2583e66a.jpg	MIMIC-CXR-JPG/2.0.0/files/p19809023/s57522246/d6df56b4-99b6e71f-8ee0b67a-5f3838b3-5df0ccf2.jpg	Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. No acute osseous abnormality is seen.	<unk>m with chest pain, evaluate for acute process..
MIMIC-CXR-JPG/2.0.0/files/p16101197/s57249065/8c885fee-244915e8-5a86c71b-5f482bb3-ef2a02eb.jpg	MIMIC-CXR-JPG/2.0.0/files/p16101197/s57249065/6bcaea9d-2eb224a2-6c0597c3-50895637-d0e0428e.jpg	The lungs are well-expanded and clear. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable and visualized osseous structures are within normal limits.	history: <unk>f with palpitations. assess for cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19889845/s59445077/3efab07d-87f86718-7ae8fec6-0aa8422e-4ee5f5b9.jpg	MIMIC-CXR-JPG/2.0.0/files/p19889845/s59445077/05f0b60c-bad08a62-9173a037-e27b1475-74fca946.jpg	Consolidation in of the right lower lobe and retrocardiac similar in appearance to <unk>. The previously seen consolidation in the right middle lobe has resolved. Normal heart size. No pleural effusion or pneumothorax.	history: <unk>m with fever and prod cough // r/o infectious process
MIMIC-CXR-JPG/2.0.0/files/p19921471/s51799910/49f4594e-14aac871-fe48482c-9f0d0f3d-99a87168.jpg	MIMIC-CXR-JPG/2.0.0/files/p19921471/s51799910/158c7d90-990d524a-65c1b260-0d8efd95-cfc23a51.jpg	Ap upright and lateral views of the chest provided. Mildly elevated left hemidiaphragm again noted with underlying mesh coils. Numerous left rib cage deformities are again noted. Severe emphysema and hyperinflation again noted. Subtle micronodular opacities in the right mid lung raise potential concern for atypical infection versus aspiration. A similar cluster of micronodular opacity is noted in the left lower lung. Heart size cannot be assessed. Mediastinal contour is unchanged. Bony structures are intact. Suture is seen projecting over the right apex likely reflecting an old resection site. No acute fracture.	<unk>m with malaise, elevated wbc // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18306835/s57844412/775ce082-595fb124-9b2764bd-31b30aa9-41459156.jpg	MIMIC-CXR-JPG/2.0.0/files/p18306835/s57844412/e4dd6cfe-6ca239b0-ece222e5-e6fba919-78687fe7.jpg	There is a moderate size right effusion with underlying atelectasis and/or consolidation. This is mildly improved from comparison study. There is a linear retrocardiac opacity in the left base which most likely represents atelectasis. This is unchanged from prior study. There is a mild left effusion. This is improved from prior study heart size is borderline enlarged. There is no evidence of pneumothorax.	<unk> year old woman with persistent cough // ? pneumonia or fluid overload
MIMIC-CXR-JPG/2.0.0/files/p15190491/s52833708/15b27998-f0fc10fd-0b6988eb-0abe7882-90b151e5.jpg	MIMIC-CXR-JPG/2.0.0/files/p15190491/s52833708/26e3ef3e-c5f914ee-e3b93080-41ceec1e-de0084b6.jpg	As before, the patient is status post midline sternotomy and aortic valve replacement. A trace right pleural effusion is substantially decreased compared to the prior study from <unk>. A previously seen small left pleural effusion has resolved. There is bilateral lower lung atelectasis. Linear atelectasis versus fissural fluid is seen at the right lung base. There is mild cephalization without frank interstitial pulmonary edema. Moderate cardiomegaly is not significantly changed. The mediastinal contours are normal. There is no pneumothorax. Elevation of the right hemidiaphragm is not significantly changed.	history of chf with aortic valve replacement. evaluate for acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16290929/s57367454/95ebb2d9-47fdc944-331cb01b-ccb37c51-62da993e.jpg	null	A single portable semi-upright chest radiograph was obtained. Cervical and thoracic fusion hardware is unchanged. A tunneled internal jugular central catheter terminates at the cavoatrial junction. Right lower lobe consolidation is new since prior radiograph <unk> similar to ct chest from yesterday. Small bilateral pleural effusions are not appreciated on this radiograph. Cardiomegaly is mild.	<unk>-year-old man with hypoxia and mucus plugging, question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17821903/s51683284/5a8a0445-9b285b3d-7953f077-8c40bb9e-8b605b82.jpg	MIMIC-CXR-JPG/2.0.0/files/p17821903/s51683284/dd38bfd7-be318471-a465820c-4cd4629f-355d7646.jpg	Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Hypertrophic changes are seen in the spine with mild vertebral body loss of a mid thoracic vertebral body which may be old.	<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p17484682/s52786999/39a0be80-22f2e994-2dc344e6-59235124-4afed7ac.jpg	null	Linear band of atelectasis or fibrosis left lower lung, stable. New area of right basilar atelectasis or infiltrate. Shallow inspiration. Tortuous thoracic aorta. Normal pulmonary vascularity	<unk> year old man with liver inujury, ascites, tachypnea, new fever // r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p12135609/s51124151/37ab3b1b-d0fed3d6-31a98343-bf133894-174deb5a.jpg	MIMIC-CXR-JPG/2.0.0/files/p12135609/s51124151/3dab467a-a8f2464f-737b72e1-716a599f-8865174e.jpg	There are subtle linear and nodular opacities in the right upper lobe and a single <num> mm nodule left upper lobe. The pleural surfaces and the cardiomediastinal are otherwise unremarkable.	<unk> year old man with h/o cirrhosis. pt is currently being evaluated for liver transplatn surgery. please eval for any cardiopulmonary abnomalities. // pt is currently being evaluated for liver transplatn surgery. please eval for any cardiopulmonary abnomalities. pt is currently being evaluated for liver transplatn surgery
MIMIC-CXR-JPG/2.0.0/files/p15712521/s55582558/5427241f-6a9fbed1-d272d799-2b4c2ae0-724ffe56.jpg	MIMIC-CXR-JPG/2.0.0/files/p15712521/s55582558/42e54529-f2741f9e-97d6998e-3b68d12e-b7a5f868.jpg	Severe cardiomegaly has minimally increased from prior study. There is moderate pulmonary edema. There is no pneumothorax pleural effusion	<unk> year old woman with new o<num> requirement, dysarthria // eval for pna, fluid overload
MIMIC-CXR-JPG/2.0.0/files/p10856915/s52276423/e5b945e8-b54a9f8a-0e2560b9-5150fc66-c49cf7a7.jpg	null	The lungs are hyperexpanded but clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.	<unk>-year-old female with left hip fracture. pre-op.
MIMIC-CXR-JPG/2.0.0/files/p12885435/s59731732/46ecff56-41b27bae-6425ce6e-79d2f617-d64f4d52.jpg	MIMIC-CXR-JPG/2.0.0/files/p12885435/s59731732/537349d1-87903be9-daa25def-40c4c581-11407ce8.jpg	Mediastinal contours are unchanged. Chronic parenchymal changes related to copd are noted. There is slightly increased opacification along the left heart border and the retrocardiac region. There is no pleural effusion, or pneumothorax. Mid thoracic compression deformities are unchanged.	history: <unk>m with increasing soa // evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p14490249/s59937159/bf8353a1-ed45f753-41655ab5-b98359a3-023e24b5.jpg	MIMIC-CXR-JPG/2.0.0/files/p14490249/s59937159/670e8da3-c8aa3bd7-0fbe2faf-5b2b4236-794850e3.jpg	Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality or displaced rib fracture is identified. There is no free air under the diaphragm.
MIMIC-CXR-JPG/2.0.0/files/p18719804/s53522747/e0265cec-5f038113-bea96f08-096131cb-07e995b1.jpg	null	Lung volumes are normal. There are no focal opacities concerning for infection. The right basilar opacity seen in <unk> is no longer evident. The cardiomediastinal silhouette and hilar contours are normal. Heart size is exaggerated by ap view and is most likely normal. There is no large pleural effusion or pneumothorax.	altered mental status. evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p16326503/s52069759/0391fd16-9a88e993-eef830be-40ba510d-6a3be008.jpg	MIMIC-CXR-JPG/2.0.0/files/p16326503/s52069759/5bbc5c08-6ec2e022-1e3f11b3-b545053e-ce9b0ebe.jpg	Heart size is top-normal. Mild calcifications of the aortic knob. Fluid filled neoesophagus is unchanged. The cardiomediastinal silhouette and hilar contours are unremarkable. Right subclavian approach port-a-cath tip terminates in the distal svc. Lungs are clear. No pleural effusion or pneumothorax. No pneumomediastinum or subdiaphragmatic free air.	vomiting. history of esophageal cancer. evaluate for pneumoperitoneum or pneumomediastinum.
MIMIC-CXR-JPG/2.0.0/files/p12275740/s54273515/6e160b6a-a25f651c-421da669-4fecca47-ef829b92.jpg	null	Endotracheal tube is in standard position. An enteric tube courses below the left hemidiaphragm with tip off the inferior borders of the film. Right internal jugular central venous catheter tip appears slightly withdrawn, terminating in the upper svc. New extensive subcutaneous emphysema is seen throughout the chest wall and neck. Cardiac and mediastinal contours are unchanged. Hilar contours are similar. There is again likely small bilateral pleural effusions with bibasilar airspace opacities. Assessment for pneumothorax is limited on this supine exam. There appear to be new fractures of the right fourth and fifth ribs anteriorly.	history: <unk>m with intubated
MIMIC-CXR-JPG/2.0.0/files/p12139799/s55606229/1feed125-6315a348-5edfd57c-e88592a5-3384868f.jpg	MIMIC-CXR-JPG/2.0.0/files/p12139799/s55606229/38461158-37abf700-d167df7e-4a435f17-26426a2c.jpg	There is streaky right basilar opacity projecting over the right hemidiaphragm. Unchanged minimal opacity at the left costophrenic angle is noted. Nodular opacity projects over the anterior left fifth rib. Blunting of the posterior costophrenic angles suggests small bilateral effusions. Right chest wall port is again seen. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	<unk>m with fever, cough // infiltrate?
MIMIC-CXR-JPG/2.0.0/files/p12576058/s51963801/62929c2f-9f7eeb46-3cca653d-35081aba-f263bbb8.jpg	null	In comparison with study of <unk>, there is little overall change. Continued enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion. Again, the possibility of supervening pneumonia at the base would have to be considered in the appropriate clinical setting.	pneumonia and wheezing.
MIMIC-CXR-JPG/2.0.0/files/p15311611/s54691457/5553ebbd-116308aa-e3171c7e-c46b1b26-7a38babe.jpg	null	In comparison with chest radiograph from <unk>, mild to moderate right effusion has improved and moderate left pleural effusion is minimally changed, if at all. Left picc line terminates in the low svc. Left retrocardiac opacity is probably unchanged. There is vascular engorgement with mild pulmonary edema. There is no other relevant change. Upon review of prior studies, there is sufficient calcification in aortic valve to be hemodynamically significant.	<unk> year old woman with schizophrenia, diffuse large bcell lymphoma, decompensating overnight with hypotension // ? aspiration pneumonia, volume overload, ?pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p15159488/s54023081/b0976837-4ebd255f-3b683db4-64594e1e-b335a6de.jpg	MIMIC-CXR-JPG/2.0.0/files/p15159488/s54023081/d7367152-c2f31463-ee8f04ae-0035143f-3999e138.jpg	Unchanged suture line at the left lung apex. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.	<unk>-year-old man with sob, chest "heaviness", history of spontaneous pneumothorax and pericarditis
MIMIC-CXR-JPG/2.0.0/files/p17232965/s52931032/a5a40d05-73e3050f-d2e1ab97-ddfc5b74-4d63a648.jpg	null	Again seen is deformity of the right chest wall the heart is moderately enlarged and is larger than on the prior study. There is pulmonary vascular redistribution and patchy areas of early alveolar infiltrates appear increased compared to prior. There are small bilateral pleural effusions. No focal areas of alveolar infiltrate most marked in the lower lobes.	shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11971405/s53456623/e384a6cb-769ee07f-369c076f-f5e2c540-bfceb492.jpg	MIMIC-CXR-JPG/2.0.0/files/p11971405/s53456623/9d94af87-bb1799a6-f0ca9736-19613a19-449440e0.jpg	Left-sided pleural effusion which is now moderate has increased in size since prior. There may be trace right-sided pleural effusion as well. No convincing evidence for pneumonia. Cardiac silhouette is moderately enlarged as on prior. Median sternotomy wires are intact. No acute osseous abnormalities.	<unk>m with hx of chf with cough and shortness of breath // ?pneumonia, effusion, cardiomegaly, pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p14045846/s57048336/2912961b-8279d23c-cdafd1e1-c48d8b63-16cc8b6c.jpg	null	As compared to the previous radiograph, the lung volumes have slightly decreased. As a result, areas of mild atelectasis are seen at both lung bases. No pleural effusions. No pulmonary edema. No pneumonia. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta.	cirrhosis, crohn's disease, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p18101124/s51037510/2732354a-32f0c2d7-84505568-e53ca099-5e446e32.jpg	MIMIC-CXR-JPG/2.0.0/files/p18101124/s51037510/2c0dac6a-a4c87db0-0a741c0f-2247e5bd-b0d53dcb.jpg	Severe cardiomegaly is a stable. Moderate to large bilateral pleural effusions are larger on the left probably unchanged from prior study. Left mid atelectasis is unchanged. Vascular congestion has improved. There is no evident pneumothorax. Sternal wires are aligned. Patient is status post avr. Pacer leads are in standard position with tips in the right atrium and right ventricle. Right picc tip is in the cavoatrial junction	<unk> year old woman s/p dual chamber pacemaker implant // check for lead position and pnx. thanks

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Single ap upright portable view of the chest was obtained. Mild cardiomegaly persists. The aorta is calcified and tortuous. Hilar contours are stable. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Slight blunting of the right costophrenic angle is likely due to overlying soft tissue, though very trace effusion would be difficult to exclude.

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There is a small amount of subcutaneous air overlying the neck. A lucency adjacent to the aorta may reflect pneumomediastinum. Large left lower lobe consolidation, and opacities in the right lower lobe are presumably from aspiration. No pleural effusion or pneumothorax. Heart is mildly enlarged. The hilar structures are unremarkable. Degenerative changes involve the right glenohumeral joint.

transfer from outside hospital with report of mediastinal air status post endoscopy.

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There is a small left pleural effusion. Bibasilar consolidations are demonstrated. Paucity of the pulmonary vasculature consistent with known history of emphysema. Slight improvement of postoperative left chest wall subcutaneous emphysema. Left pleural drain is in place. No pneumothorax. Slight improvement of pneumomediastinum. Degenerative changes of thoracic spine.

<unk> year old man s/p robotic thymectomy // check interval change with ct on waterseal

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Pa and lateral views of the chest provided. Lung volumes are low, accentuating the heart silhouette. Pulmonary vasculature is prominent but there is no overt edema. Increased vascular pedicle width may also reflect slight volume overload. There are no focal consolidations concerning for pneumonia. There are no pleural effusions.

<unk>m with fever, evaluate for pna

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Patchy opacities, left greater than right raise concern for underlying aspiration and/or infection. Prominence of the central pulmonary vasculature suggests pulmonary vascular congestion. The cardiac silhouette is mildly enlarged. The mediastinal contours are stable. No pleural effusion or pneumothorax is seen.

renal status.

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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with right posterior chest wall pain.

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Pa and lateral views of the chest demonstrate clear lungs. Cardiac size is normal. No pleural effusion or pneumothorax.

<unk>-year-old man with fever.

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There is patchy consolidation seen throughout the right lung, particularly at the base. Left lung is grossly clear. There is some volume loss on the right with mediastinal shift towards the right and elevation of the right hemidiaphragm. No acute osseous abnormality identified.

<unk>-year-old female with altered mental status.

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There are bibasilar opacities, right greater than left. Blunting of the posterior costophrenic angle suggests small pleural effusions. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk> year old man s/p fall with hemoperitoneum without e/o solid organ injury // acute injuries

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As compared to the previous radiograph, the unilateral intubation has been removed. Right pleural catheter at the lung base and the lung apex are in unchanged position. The atelectasis at the right lung base is slightly more extensive than on the previous image. Unchanged appearance of the left lung. Unchanged moderate cardiomegaly.

pneumonic effusion and status post decortication, evaluation of lung expansion.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Irregular bronchovascular architecture in the upper lungs suggests emphysema but there is no focal opacification. No free air is seen.

abdominal pain.

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There is minimal increase in right basilar opacity suspicious for possible infectious process or aspiration. There are continued bibasilar opacities, right greater than the left. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are unchanged.

patient with chest discomfort, evaluate for effusions versus focal consolidation.

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Compared to the study from the prior day, there has been a slight interval decrease in the right pleural effusion, but there continues to be a moderate-sized pleural effusion layering posteriorly and patchy areas of alveolar infiltrate, right greater than left.

right lower lobe, evaluate lung reexpansion.

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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of afib with rvr. please evaluate.

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Lung volumes are low. Heart size is exaggerated by low lung volumes and likely within normal limits. Previous pulmonary edema has cleared. There is no evidence of pneumonia. There is no pleural effusion or pneumothorax. The aortic arch is calcified.

history: <unk>f with hypoxia // ?pna

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Marked cardiomegaly is unchanged. The cardiac to place generator is present in the left chest with single intact lead terminating in the right ventricle. There is no evidence of retained radiopaque foreign body. The pulmonary vasculature and aorta are within normal limits. Minimal blunting of the costophrenic angles on lateral projection is unchanged may represent trace effusions versus scarring.

<unk> year old man with possible peice of mid line retained after dc'd by pateint. // retention of broken mid line

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The lungs are hyperinflated with slight flattening of the bilateral hemidiaphragms, and attenuation of pulmonary vascular markings within the upper lobes compatible with mild emphysema. The lungs are well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. A <num> mm density projecting at the left <unk> intercostal space is compatible with a nipple, which appears symmetrical. Mild biapical scarring appears symmetrical. The pulmonary vasculature is not engorged. The cardiomediastinal silhouette is slightly prominent due to patient rotation compared to the prior study but otherwise appears within normal limits. There is dextroconvex scoliosis at the mid-to-lower thoracic spine. Irregularity at the right posterior seventh rib is unchanged and likely represents a prior fracture. No acute osseous abnormality is detected.

nonproductive cough, worse in the supine position; here to evaluate for pneumonia or pleural effusion.

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The dialysis catheter terminates in the right atrium. The right ij approach swan-ganz catheter terminates in the distal right pulmonary artery. The left picc is traced as far as the mid svc. The left pectoral transvenous pacer defibrillator leads extend into the right atrium, right ventricle, and the coronary sinus. The enteric tube terminates in the stomach. Lung volumes are low. The heart is severely enlarged, unchanged compared to multiple prior studies. The pulmonary vasculature is prominent. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax.

<unk> year old man s/p pa catheter placement // lines and tubes

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There is a new subtle left upper lobe and right lower lung ground-glass opacities which are worrisome for an infectious process. Left fissure is displaced upward which means that there is an atelectatic component. The mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.

patient with respiratory infection, on chemotherapy, evaluate for infiltration.

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A small left pneumothorax is present, stable in appearance, which increases in size on the expiratory film. The heart and lungs are otherwise within normal limits.

left pneumothorax.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with elevated lactate presenting with dizziness and lightheadedness // evidence of infiltrate

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Comparison is made to previous study from <unk>. There has been increase in size of the left-sided pleural effusion, partially loculated along the left upper chest. The cardiac silhouette is enlarged. There is also a right-sided pleural effusion. There is improved aeration of the right base. The right-sided picc line is stable in position with the distal tip at the distal svc. No pneumothoraces are identified.

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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. Moderate cardiomegaly, status post cabg. Currently, signs of mild pulmonary edema are present. No pleural effusions. No pneumonia.

chronic heart failure, questionable pleural effusion, evaluation.

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There is mild right infrahilar opacity which appears new since the prior study and likely reflects atelectasis although infection cannot be completely excluded. The remaining lung fields are clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.

cough, evaluate for pneumonia.

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The pre-existing and known aortic coarctation with subsequent double contour and enlargement of the left upper mediastinal aortal contour is not substantially changed as compared to the prior documentation of the alterations in <unk>. The contour of the aortic arch looks slightly bigger than on the previous image, which, however, could be caused by patient rotation. In any way, reevaluation with cross-sectional imaging should be considered. Mild tortuosity of the thoracic aorta. No pleural effusions. No parenchymal abnormalities. Normal size of the cardiac silhouette.

history of bicuspid aortic valve, chest pain.

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Pa and lateral views of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal in size.

anterior chest pain.

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Ap and lateral views of chest large opacity occupies the left lower lobe which is a combination of pleural effusion and atelectasis. Underlying pneumonia cannot be ruled out. The right lung appears relatively stable with last minimal atelectasis. Vascular engorgement and mild pulmonary edema appears relatively stable. Cardiac size is difficult to evaluate. Right picc has been removed.

cough

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Ap single view of the chest has been obtained with patient in semi-erect position. Comparison is made with a preceding pre-operative chest examination of <unk>. Normal heart size but markedly elongated and widened thoracic aorta as before. During the interval, the patient has undergone a right vats procedure with wedge biopsy in the right lower lobe area. A right-sided chest tube has been introduced in the right lower chest wall and terminates in the apical area of the right hemithorax. No pneumothorax can be identified. In the area of the biopsy, a triangular-shaped well-demarcated local density is seen apparently representing the surgical intervention. No other pulmonary abnormalities are seen. Noted are relatively high-positioned diaphragms and poor inspirational efforts resulting in crowded appearance of the pulmonary vasculature. There is, however, no progression of significant pulmonary vascular congestion.

<unk>-year-old male patient with right lower lobe wedge resection. evaluate lung and chest tube position.

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Comparison is made to prior study from <unk>. The endotracheal tube, feeding tube, and right ij central line are unchanged in position. The distal tip of the right ij line is again in the proximal right atrium. This could be pulled back <num>-<num> cm for more optimal placement. There are no pneumothoraces. There is small pleural effusion on the right side. There is some prominence of the pulmonary interstitial markings suggestive of pulmonary edema, stable.

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The lungs are hypoinflated with crowding of vasculature. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. There is mild pneumopericardium and pneumomediastinum. An endotracheal tube tip is entering into the right mainstem bronchus.

<unk>m with found down, asysystole from osh, obvious head trauma. sdh? c spine fx? pe? aortic injury?

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The endotracheal tube is <num> cm above the carina. Heart continues to be mildly enlarged. There are some focal areas of increased opacity at the right base medially most likely representing volume loss. Small early infiltrate cannot be excluded. There is some minimal pulmonary vascular redistribution, but no overt pulmonary edema.

left neck debridement, question fluid overload.

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As compared to the previous radiograph, the position of the endotracheal tube is unchanged. The tip of the tube projects approximately <num> cm above the carina. The known rib fractures as well as the bilateral chest tubes are unchanged. The nasogastric tube has been removed and, obviously as a consequence, the stomach is overinflated. New placement of a nasogastric tube should be considered. The known changes in the lung parenchyma are constant. Constant size and shape of the cardiac silhouette.

intubation, endotracheal tube placement.

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As compared to prior chest examination, lung volumes are decreased, accentuating the bronchovascular structures and cardiac silhouette. There is bibasilar atelectasis. There is no definite focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax.

history: <unk>m with fever // evidence of infection evidence of infection

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A single frontal ap view of the chest shows a defomities of the right <unk> and <num>th ribs, accounting for a hazy ill-defined opacity overlying the right mid lung. Right hilar fullness is present and may be due to the known lymphadenopathy. The known spiculated mass is not well seen. Blunting of the left costophrenic angle is unchanged and likely due to a small left pleural effusion. There is no right pleural effusion. The lung volumes are low. Increased interstitial prominence is likely due to exaggeration of the pulmonary vasculature by the low lung volumes. There is no pneumothorax. The cardiac silhouette is enlarged, but stable from the prior exam. Atherosclerotic calcifications are noted in the aortic arch. Clips in the left chest wall are noted and unchanged.

shortness of breath.

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There is abnormal lucency in front of the heart best seen on the lateral view just behind the sternum. This correlates with the pneumothorax seen on the prior ct scan. Allowing for differences in technique this appears smaller than on the prior ct scan. Heart size is upper limits of normal. There is no focal consolidation. There is atelectasis at the lung bases. There is wedging of several mid to lower thoracic vertebral bodies and calcification of the anterior longitudinal ligament consistent with dish. There is mild osteopenia.

<unk> year old man with l pneumothorax post fall, resolving ptx? // resolving ptx?

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A radiopaque skin marker is seen along the anterior seventh intercostal space, near the costochondral junction. Lung volumes are slightly low. The lungs are clear. The heart size is normal. There are no pleural effusions. No pneumothorax is seen. There is no definite acute rib fracture. Herniorrhaphy tacks are seen in the mid abdomen.

pain and shortness of breath after striking left chest into a utility truck. assess for rib fracture.

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Heart size is mildly enlarged. Mediastinal and hilar contours are unchanged with mild unfolding of the thoracic aorta again noted. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. Right-sided picc is re- demonstrated with tip terminating at the confluence of the brachiocephalic veins. Inferior vena cava filter is also noted projecting over the upper right mid abdomen.

history: <unk>f with altered mental status, needs infection workup

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There is new mild moderate pulmonary edema mostly characterized by new bilateral perihilar opacification. Patchy opacity at the left lung base suggests minor atelectasis. The cardiac, mediastinal and hilar contours appear unchanged. There is a dual-lead pacemaker/icd device has leads terminating in the right atrium and ventricle, respectively. Trace pleural effusions are suspected. Moderate degenerative changes affect the lower thoracic spine.

fever, nausea and vomiting.

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As compared to the previous radiograph, there is a newly appeared predominantly peribronchial opacity of nodular consistence seen in the left lower lobe. The opacity is ill defined and shows multiple air bronchograms. The morphology of the opacity is strongly suggestive of pneumonia. The referring physician, <unk>. <unk> was paged at the time of dictation, <time> p.m., on <unk>.

fevers, intermittent cough.

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Pa and lateral views of the chest provided. Airspace consolidation is noted at the right lung base concerning for pneumonia. Left lung is clear. No pneumothorax or large effusion. Cardiomediastinal silhouette is normal. Bony structures are intact.

<unk>m with fever, cough.

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The heart is mildly enlarged. Mediastinal and hilar contours are unchanged. Mild pulmonary edema appears relatively unchanged compared to the prior study. There is likely a small right pleural effusion. No pneumothorax or new areas of focal consolidation is present. No acute osseous abnormalities are detected. Degenerative changes of both acromioclavicular joints are noted.

chest pain.

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The lung volumes are low. There are areas of atelectasis at both lung bases. In addition, very subtle reticular opacities are seen, better appreciated on the lateral than on the frontal radiograph. Although the costophrenic sinuses are free, the low lung volumes could be suggestive of a subtle fibrotic lung process. Ct would be the method of choice to confirm or exclude this possibility. Borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta. Normal hilar and mediastinal contours. At the time of dictation and observation, findings were posted on the radiology dashboard.

history of cad, chest tightness on inspiration.

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Flattening of he,idiaphragms on lateral view suggests possible hyperinflated lungs. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal and hilar silhouettes are unremarkable. No pleural abnormalities.

<unk> year old man with chronic cough // r/o mass

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Pa and lateral views of the chest were obtained. The heart is mildly enlarged. There is no sign of congestive heart failure or pneumonia. No pleural effusion or pneumothorax is seen. A focal eventration of the right hemidiaphragm is noted. Faint atherosclerotic calcifications are seen along the aortic knob. The imaged osseous structures are intact. No free air below the right hemidiaphragm.

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Lung volumes are low, accentuating the cardiomediastinal contours and resulting in crowding of bronchovascular structures at the lung bases. With this limitation in mind, patchy and linear bibasilar opacities most likely represent atelectasis although a secondary process such as aspiration is possible. Lungs are otherwise clear and there are no definite pleural effusions.

<unk>m w/hx of nephrolithiasis s/p right-sided eswl on <unk> at<unk> c/b hypotension and rp and right-sided perinephric hematoma, transferred to <unk> for interventional radiology, initially hypotensive with elevated lactate, bp stable after <num>u prbcs. has significant rales on right side // eval for pleural effusion, pulm edema.

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Pa and lateral views of the chest are provided. Lung volumes are low. The lungs are clear. No pleural effusion or pneumothorax. The heart is at the upper limits of normal in size. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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Portable semi upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. The hila are slightly less prominent as compared to the prior study, suggesting improving vascular congestion. There is a new opacification in the left upper lobe, which may represent atelectasis or aspiration. The cardiomediastinal contours are unchanged. There is no pneumothorax or pleural effusion. The endotracheal tube and <num> cm from the carina. Nasogastric tube courses into the stomach.

<unk> year old woman with syncope found to have anemia. intubated for airway protection. // ett placement. pulm edema?

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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is biapical scarring. No pleural effusion or pneumothorax is seen.

<unk>f with chest pain, evaluate for pneumonia.

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Ap portable upright view of the chest. Overlying ekg leads are present. The lungs are hyperinflated with coarsened interstitial markings likely indicative of chronic lung disease. There is no superimposed pneumonia. No effusion or pneumothorax. No edema. Cardiomediastinal silhouette is normal. Imaged bony structures are intact.

<unk>f with hx pseudomonal pna // pna

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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly. Atelectasis at the right lung bases. Tracheostomy tube in situ. Right picc line in situ. Minimal atelectasis in the retrocardiac lung areas. No evidence of pneumonia.

aspiration, evaluation for interval change.

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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.

history: <unk>f with presyncope

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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Moderate-to-severe scoliosis with subsequent asymmetry of the rib cage. Moderate cardiomegaly. Right port-a-cath in situ. No parenchymal abnormalities. No pleural effusions. No lung nodules or masses.

cll, no productive cough, questionable pneumonia.

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Cardiomediastinal contours are normal. The lungs are clear. Biapical pleural parenchymal scarring is unchanged from <unk>. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old woman with persistent hoarseness,chest tightness and cough // r/o pneumonia, adenopathy

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There is an endotracheal tube with tip in satisfactory position. A nasogastric tube is seen with tip terminating in the distal esophagus. This tip does not course below the level of the diaphragm and should be advanced. There is no evidence of pneumothorax or pleural effusions. There are bibasilar opacities seen which likely reflect aspiration versus pneumonia. There are perihilar opacities that reflect underlying edema. Heart size is unchanged. There is no evidence of pneumoperitoneum. Degenerative change within the thoracic spine that is moderate in severity is noted. There is partial visualization of a right humeral prosthesis.

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An upright ap chest radiograph shows no pneumothorax. A single clip or radiodense marker is identified at the left suprahilar region which was not present on the scout image from <unk> chest ct. A pacing device over the left chest with a single intact lead is again identified. Chronic parenchymal scarring in the right lower lobe is seen.

<unk>-year-old man status post left lower lobe transbronchial biopsy. question pneumothorax.

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In comparison with the study of <unk>, there is some increased opacification at the left base, most likely representing atelectatic change and possible small effusion. No evidence of acute focal pneumonia or vascular congestion. Several old healed rib fractures are again seen on the left.

foot ulceration with fever, to assess for pneumonia.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Streaky atelectasis is noted in both lung bases. There is a trace left pleural effusion, new in the interval. No focal consolidation or pneumothorax is present. There are no acute osseous abnormalities. No subdiaphragmatic free air is present.

history: <unk>m with chest pain status post ercp

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Lung volumes are low. Again noted are reticular opacities in the bilateral apices, consistent with underlying chronic interstitial lung disease. No overlying consolidation is identified. The cardiomediastinal silhouette and pulmonary vasculature are similar the prior examination.

history: <unk>m with cirrhosis s/p fall // eval for ich nhct eval for pna xray

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As compared to the previous radiograph, the patient has undergone a left pleurocentesis. There is a pleural drain projecting over the left costophrenic sinus. No evidence of pneumothorax or left-sided pleural effusion. Unchanged small right pneumothorax, unchanged bibasilar areas of plate-like atelectasis. Borderline size of the cardiac silhouette. Overall, low lung volumes.

pleural effusion, pleurocentesis. evaluation for pneumothorax.

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Comparison is made to the prior study from <unk>. There is some improvement of the pneumothorax on the left side with lucency within the apex and the left base. Pigtail catheter appears stable in position in the left perihilar region. There are bullous changes within the right lung apex which are slightly more prominent. Development of a small pneumothorax in this area is not excluded and continued followup in this location is recommended. There is atelectasis at both lung bases. Heart size is normal.

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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lung volumes are low, accentuating the pulmonary vasculature. Generalized interstitial abnormality is mild. There is no pleural effusion or pneumothorax.

asthma, presenting with respiratory distress.

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The lungs are clear and hyperinflated. There is flattening of the bilateral hemidiaphragms. There is no pneumothorax or pleural effusion. The hilar and cardiomediastinal silhouettes are normal. Pulmonary vascularity is normal. There is mild biapical pleural thickening. Pectus excavatum of the anterior chest wall is noted.

the productive cough.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with palpitations // assess for pna

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The cardiomediastinal contours are within normal limits for technique. Lung volumes are slightly low, but lungs are grossly clear, and there are no pleural effusions or acute skeletal findings.

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As compared to the previous radiograph, the lung volumes have decreased and the cardiac silhouette has slightly increased. There is unchanged evidence of interstitial markings that are prominent. No pleural effusions. No pneumothorax.

recent urinary tract infection, pulmonary edema.

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The heart size is mildly enlarged. There is pulmonary vascular redistribution and ill-defined vasculature and increased alveolar opacities. The overall impression is that of chf, but an underlying infectious infiltrate cannot be excluded.

fever, diarrhea, thrombocytopenia, question acute cardiopulmonary process.

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The cardiac silhouette is top-normal in size. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Normal mediastinal and hilar contours. Unremarkable pleural. Mild degenerative changes are noted in the thoracic spine.

<unk>-year-old woman presenting with chest pain ; evaluate for structural process.

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As compared to the previous radiograph, the pleural effusions have decreased. The lung volumes have increased, likely reflecting improved ventilation. The areas of parenchymal opacities at the left persist. At the right, there is a remnant plate-like atelectasis, but otherwise, the lung is well ventilated. The monitoring and support devices are constant. Normal size of the cardiac silhouette. No newly appeared parenchymal opacities.

hypoxia, rule out pneumonia.

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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. The cardiac silhouette size is moderately enlarged, unchanged. The mediastinal contour is stable, with mild aneurysmal dilatation of the ascending aorta again noted. Post radiation fibrotic changes are noted within the right paramediastinal lung. Streaky left basilar opacity likely reflects atelectasis. No pleural effusion or pneumothorax is identified. There is no pulmonary vascular congestion. No acute osseous abnormalities are seen.

dyspnea and cancer.

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There has been interval decrease in size of large left pleural effusion. Status post thoracentesis. No pneumothorax is identified. The right hemi thorax remains grossly clear, and there is persistent obscuration of the left hemidiaphragm and left heart border, likely due to atelectasis and some remaining pleural effusion.

<unk> year old woman with recurring large left effusion s/p <unk> with removal of <num>ml // ? ptx. pt in wpc farr<num>

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Frontal and lateral views of the chest were obtained. The heart is of top normal size with normal cardiomediastinal contours. The aortic knob is calcified. Patchy opacities in the lung bases are compatible with atelectasis or aspiration. Lung apices are obscured by the patient's chin. No pleural effusion or pneumothorax. Osseous structures are diffusely demineralized. No radiopaque foreign body.

history of esophageal strictures and unable to swallow. evaluate for aspiration.

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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are normal.

cough and wheezing.

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Compared to the previous radiograph, there is no relevant change. The bilateral areas of atelectasis are constant in appearance and extent. The patient shows no evidence of interval appearance of new parenchymal opacity or of pleural effusions. The size of the cardiac silhouette is constant. The lung volumes remain low. No evidence of pulmonary edema.

epidural abscess, diminished right breath sounds, rule out pneumonia.

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Pa and lateral views of the chest provided. Lungs are hyper-expanded. A new lingular opacity partially obscures the left heart border, without clear correlate on lateral view. Differential diagnoses include developing pneumonia, atelectasis or, if the patient has received radiation therapy to the chest, radiation fibrosis. Additional oblique views are recommended for further assessment. In addition, there is a new rounded opacity in the right upper lung projecting over the posterolateral left <unk> rib, which may be a nodule. Ct is recommended for further evaluation, especially to evaluate for metastatic disease in the lung and pleural surfaces.

<unk> year old woman with metastatic breast cancer with chronic bronchitis and copd exacerbation, evaluate for malignancy

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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. Elevation of the right hemidiaphragm is long-standing. There are no acute osseous abnormalities.

history: <unk>f with history of pulmonary embolism not anticoagulated now with shortness of breath

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. No acute osseous abnormality is seen.

<unk>m with chest pain, evaluate for acute process..

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The lungs are well-expanded and clear. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable and visualized osseous structures are within normal limits.

history: <unk>f with palpitations. assess for cardiomegaly.

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Consolidation in of the right lower lobe and retrocardiac similar in appearance to <unk>. The previously seen consolidation in the right middle lobe has resolved. Normal heart size. No pleural effusion or pneumothorax.

history: <unk>m with fever and prod cough // r/o infectious process

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Ap upright and lateral views of the chest provided. Mildly elevated left hemidiaphragm again noted with underlying mesh coils. Numerous left rib cage deformities are again noted. Severe emphysema and hyperinflation again noted. Subtle micronodular opacities in the right mid lung raise potential concern for atypical infection versus aspiration. A similar cluster of micronodular opacity is noted in the left lower lung. Heart size cannot be assessed. Mediastinal contour is unchanged. Bony structures are intact. Suture is seen projecting over the right apex likely reflecting an old resection site. No acute fracture.

<unk>m with malaise, elevated wbc // ? pneumonia

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There is a moderate size right effusion with underlying atelectasis and/or consolidation. This is mildly improved from comparison study. There is a linear retrocardiac opacity in the left base which most likely represents atelectasis. This is unchanged from prior study. There is a mild left effusion. This is improved from prior study heart size is borderline enlarged. There is no evidence of pneumothorax.

<unk> year old woman with persistent cough // ? pneumonia or fluid overload

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As before, the patient is status post midline sternotomy and aortic valve replacement. A trace right pleural effusion is substantially decreased compared to the prior study from <unk>. A previously seen small left pleural effusion has resolved. There is bilateral lower lung atelectasis. Linear atelectasis versus fissural fluid is seen at the right lung base. There is mild cephalization without frank interstitial pulmonary edema. Moderate cardiomegaly is not significantly changed. The mediastinal contours are normal. There is no pneumothorax. Elevation of the right hemidiaphragm is not significantly changed.

history of chf with aortic valve replacement. evaluate for acute cardiac or pulmonary process.

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A single portable semi-upright chest radiograph was obtained. Cervical and thoracic fusion hardware is unchanged. A tunneled internal jugular central catheter terminates at the cavoatrial junction. Right lower lobe consolidation is new since prior radiograph <unk> similar to ct chest from yesterday. Small bilateral pleural effusions are not appreciated on this radiograph. Cardiomegaly is mild.

<unk>-year-old man with hypoxia and mucus plugging, question pneumonia.

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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Hypertrophic changes are seen in the spine with mild vertebral body loss of a mid thoracic vertebral body which may be old.

<unk>-year-old male with chest pain.

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Linear band of atelectasis or fibrosis left lower lung, stable. New area of right basilar atelectasis or infiltrate. Shallow inspiration. Tortuous thoracic aorta. Normal pulmonary vascularity

<unk> year old man with liver inujury, ascites, tachypnea, new fever // r/o pneumonia

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There are subtle linear and nodular opacities in the right upper lobe and a single <num> mm nodule left upper lobe. The pleural surfaces and the cardiomediastinal are otherwise unremarkable.

<unk> year old man with h/o cirrhosis. pt is currently being evaluated for liver transplatn surgery. please eval for any cardiopulmonary abnomalities. // pt is currently being evaluated for liver transplatn surgery. please eval for any cardiopulmonary abnomalities. pt is currently being evaluated for liver transplatn surgery

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Severe cardiomegaly has minimally increased from prior study. There is moderate pulmonary edema. There is no pneumothorax pleural effusion

<unk> year old woman with new o<num> requirement, dysarthria // eval for pna, fluid overload

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The lungs are hyperexpanded but clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.

<unk>-year-old female with left hip fracture. pre-op.

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Mediastinal contours are unchanged. Chronic parenchymal changes related to copd are noted. There is slightly increased opacification along the left heart border and the retrocardiac region. There is no pleural effusion, or pneumothorax. Mid thoracic compression deformities are unchanged.

history: <unk>m with increasing soa // evaluate for pneumonia

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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality or displaced rib fracture is identified. There is no free air under the diaphragm.

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Lung volumes are normal. There are no focal opacities concerning for infection. The right basilar opacity seen in <unk> is no longer evident. The cardiomediastinal silhouette and hilar contours are normal. Heart size is exaggerated by ap view and is most likely normal. There is no large pleural effusion or pneumothorax.

altered mental status. evaluate for acute process.

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Heart size is top-normal. Mild calcifications of the aortic knob. Fluid filled neoesophagus is unchanged. The cardiomediastinal silhouette and hilar contours are unremarkable. Right subclavian approach port-a-cath tip terminates in the distal svc. Lungs are clear. No pleural effusion or pneumothorax. No pneumomediastinum or subdiaphragmatic free air.

vomiting. history of esophageal cancer. evaluate for pneumoperitoneum or pneumomediastinum.

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Endotracheal tube is in standard position. An enteric tube courses below the left hemidiaphragm with tip off the inferior borders of the film. Right internal jugular central venous catheter tip appears slightly withdrawn, terminating in the upper svc. New extensive subcutaneous emphysema is seen throughout the chest wall and neck. Cardiac and mediastinal contours are unchanged. Hilar contours are similar. There is again likely small bilateral pleural effusions with bibasilar airspace opacities. Assessment for pneumothorax is limited on this supine exam. There appear to be new fractures of the right fourth and fifth ribs anteriorly.

history: <unk>m with intubated

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There is streaky right basilar opacity projecting over the right hemidiaphragm. Unchanged minimal opacity at the left costophrenic angle is noted. Nodular opacity projects over the anterior left fifth rib. Blunting of the posterior costophrenic angles suggests small bilateral effusions. Right chest wall port is again seen. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with fever, cough // infiltrate?

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In comparison with study of <unk>, there is little overall change. Continued enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion. Again, the possibility of supervening pneumonia at the base would have to be considered in the appropriate clinical setting.

pneumonia and wheezing.

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In comparison with chest radiograph from <unk>, mild to moderate right effusion has improved and moderate left pleural effusion is minimally changed, if at all. Left picc line terminates in the low svc. Left retrocardiac opacity is probably unchanged. There is vascular engorgement with mild pulmonary edema. There is no other relevant change. Upon review of prior studies, there is sufficient calcification in aortic valve to be hemodynamically significant.

<unk> year old woman with schizophrenia, diffuse large bcell lymphoma, decompensating overnight with hypotension // ? aspiration pneumonia, volume overload, ?pleural effusion

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Unchanged suture line at the left lung apex. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.

<unk>-year-old man with sob, chest "heaviness", history of spontaneous pneumothorax and pericarditis

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Again seen is deformity of the right chest wall the heart is moderately enlarged and is larger than on the prior study. There is pulmonary vascular redistribution and patchy areas of early alveolar infiltrates appear increased compared to prior. There are small bilateral pleural effusions. No focal areas of alveolar infiltrate most marked in the lower lobes.

shortness of breath.

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Left-sided pleural effusion which is now moderate has increased in size since prior. There may be trace right-sided pleural effusion as well. No convincing evidence for pneumonia. Cardiac silhouette is moderately enlarged as on prior. Median sternotomy wires are intact. No acute osseous abnormalities.

<unk>m with hx of chf with cough and shortness of breath // ?pneumonia, effusion, cardiomegaly, pulmonary edema

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As compared to the previous radiograph, the lung volumes have slightly decreased. As a result, areas of mild atelectasis are seen at both lung bases. No pleural effusions. No pulmonary edema. No pneumonia. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta.

cirrhosis, crohn's disease, evaluation.

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Severe cardiomegaly is a stable. Moderate to large bilateral pleural effusions are larger on the left probably unchanged from prior study. Left mid atelectasis is unchanged. Vascular congestion has improved. There is no evident pneumothorax. Sternal wires are aligned. Patient is status post avr. Pacer leads are in standard position with tips in the right atrium and right ventricle. Right picc tip is in the cavoatrial junction

<unk> year old woman s/p dual chamber pacemaker implant // check for lead position and pnx. thanks