File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p17620904/s53576326/44a796fb-d83d83f7-f0bb8005-512e21dc-76863d55.jpg
there is no focal consolidation, effusion, or pneumothorax. heart size is top normal. the aorta is tortuous. the mediastinal silhouette is otherwise normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with cough and sore throat // consolidation
MIMIC-CXR-JPG/2.0.0/files/p14588689/s55481193/9a389872-e2a6e189-01029328-3c35c2e7-4acf0055.jpg
lung volumes low and the lungs clear. cardiomegaly is mild and stable <unk>. mediastinal contours and hila are normal. no pleural effusion or pneumothorax.
<unk>m with weakness. // pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p14324231/s53280986/fcefbe23-13d237ee-3b8f60e4-b8fa16fa-24899768.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // ?pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18974737/s58881812/4af0b852-89447add-61dd3ddd-82461cd4-76c419d5.jpg
compared to the prior study there is no significant interval change.
<unk> year old man with chest tubes // evaluate lung parenchyma for recurrent effusion
MIMIC-CXR-JPG/2.0.0/files/p16634762/s51099040/057d8035-5c3329c9-04366399-ac5b9c9b-dc4eec54.jpg
pa and lateral chest radiograph demonstrates clear lungs bilaterally except for minor atelectasis at the lung bases. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. re- demonstration of right eleventh rib fracture. twelfth right rib is incompletely imaged. no additional rib fracture is identified. imaged upper abdomen is unremarkable.
history: <unk>m with recent ed visit found to have r <unk>ths rib fx. coming in with l sided pain with ttp over mid axilla. also with bruising over tender area. // rib fracture or pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p14661569/s51143679/fa553c11-bbcc04f3-c266da3d-46c94e0d-ffc69d37.jpg
compared with the prior radiograph, lung volumes have not changed. heart size, mediastinal, and hilar contours are normal. left basilar streak of atelectasis is unchanged. lungs are otherwise clear without effusion or focal consolidation.
<unk> year old woman s/p partial nephrectomy. please evaluate for any abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p13302217/s54930834/db21162a-ea387ab8-3b86d3c3-7be427b9-7b262943.jpg
mild cardiomegaly has been stable compared to exams dating back to <unk>. redemonstrated is a small hiatal hernia. the hilar and mediastinal contours are normal, without evidence of pneumomediastinum. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is mild left basilar atelectasis. there is no pleural effusion or pneumothorax. there is no subdiaphragmatic free air. an old right <num>th rib fracture is present.
history of gi bleed, recent paraesophageal hernia repair. please evaluate for perforation.
MIMIC-CXR-JPG/2.0.0/files/p11747893/s55751269/425c7712-623ad6fc-864580a1-5e6b3902-a7c6dbc8.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with dyspnea // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p11548266/s55009984/6c4d9bf8-70efeec4-182b503e-fdefd2dc-9f9edb23.jpg
pa and lateral views of the chest provided. the lungs are hyperinflated. there is residual linear density in the right lower lung likely representing atelectasis and scarring. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. the heart is top-normal in size. mediastinal contour is stable with atherosclerotic calcifications along the aorta. a chronic right lower ribcage deformity is re- demonstrated.
history: <unk>f with o<num> dependant with dyspnea and cough // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p14861316/s52743648/24d6ded1-b69f4bee-cc4dade5-c7549ea6-ac55645b.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
atrial fibrillation.
MIMIC-CXR-JPG/2.0.0/files/p16377388/s56909261/1689254b-c22021c0-aac423b5-8112ae98-aa05e219.jpg
the heart is mild to moderately enlarged. the lungs appear clear. there are no pleural effusions or pneumothorax. the lung volumes are low.
diaphoresis and ekg changes.
MIMIC-CXR-JPG/2.0.0/files/p15869025/s54325094/a700b82d-823adc1e-a2e3ac7b-d43f6ed6-9ab53555.jpg
ap single view of the chest has been obtained with patient in semi-upright position. comparison can be made with the next preceding chest examination of <unk>. the heart size now fulfills criteria for normality considering bedside examination. again remarkable is a relative prominence of the left ventricle. thoracic aorta appears unremarkable. the pulmonary vasculature is not congested and there are no signs of acute or chronic parenchymal infiltrates. lateral pleural sinuses are free, and no pneumothorax is present in the apical area. when comparison is made with the next preceding examination <unk>, the at that time existing right-sided picc line has been removed. the at that time existing more marked cardiac enlargement was probably the result of patient's more recumbent position resulting in geometric distortion.
<unk>-year-old female patient with rising lactate, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11723888/s55373075/fcea58d8-ba22c7e0-735af006-4555e8ff-8953bf70.jpg
portable ap upright chest film <unk> at <num> <num> is submitted.
<unk> year old man s/p cystectomy c/b ileus now w/ recurrent emesis/nausea s/p ngt placement // ngt placement ngt placement
MIMIC-CXR-JPG/2.0.0/files/p10541489/s51547905/a8ded770-07e90dac-253adca7-90d82446-8cf68a43.jpg
pa and lateral views of the chest. the lungs are now clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected. no free air below the diaphragm.
<unk>-year-old female with palpitations.
MIMIC-CXR-JPG/2.0.0/files/p12079400/s51440133/f9cd383f-ae09fbf8-69273983-178d574f-54d50a04.jpg
the right apical lateral pneumothorax has increased in size in the interim after placing the chest tubes to water seal. no evidence of tension. <num> right pigtail catheters projecting over the right main hemithorax, unchanged. blunting of the right costophrenic angle, likely reflects small pleural effusion, unchanged. overall appearance of the left lung is unchanged. multiple right endobronchial valves are unchanged. no focal consolidation or edema.
<unk> year old man with r ptx. interval follow-up after the chest tube has been placed on <num> hrs on waterseal.
MIMIC-CXR-JPG/2.0.0/files/p12493811/s57654154/f413f843-deecf2fc-624a8ca7-45c3d78a-66149853.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with eval for acute cpd
MIMIC-CXR-JPG/2.0.0/files/p10673457/s59657797/531de188-7a137900-ff972fb2-f908bc59-52b93012.jpg
pa and lateral chest radiographs were provided. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
history of chest pain. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18001762/s58654125/d42d35be-7a30b1e4-dce4b516-713df37d-936ae449.jpg
the lungs are well expanded. apart from minimal right lower lobe atelectasis, the lungs are clear without focal consolidation. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath and bilateral lower extremity swelling, evaluate for fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p19645833/s53310412/b9e1f8ba-fe14fbd4-3d72ef71-a40df34c-c593a140.jpg
the patient is status post median sternotomy and cabg. the heart size is mild to moderately enlarged. the aorta is moderately tortuous but unchanged and diffusely calcified. there is mild pulmonary vascular congestion. no pleural effusion or pneumothorax. minimal atelectasis is also seen within the lung bases. there are multilevel moderate degenerative changes seen in the thoracic spine.
hypotension.
MIMIC-CXR-JPG/2.0.0/files/p11639762/s51185767/6994b3c0-cdbcbb04-f35d6b4b-4830df46-5e89e896.jpg
the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina, unchanged. an enteric catheter passes below the level of the diaphragm, ending in the mid stomach. a right subclavian central venous catheter ends in the low svc, unchanged. there is evidence of prior cabg, inclusive of midline sternotomy wires and surgical clips. there are new small bilateral pleural effusions with associated mild-to-moderate bibasilar atelectasis. the lungs are otherwise clear. mild-to-moderate cardiomegaly is unchanged. mediastinal contours are unchanged. there is no pneumothorax.
status post exploratory laparotomy with small bowel resection and anastomosis. now febrile. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13893479/s55074881/645845b7-b2cc2792-0e28bd94-f6405866-3d4d2344.jpg
the lungs are clear without any focal opacities, pleural effusion, pulmonary edema or pneumothorax. bibasilar opacities are likely secondary to atelectasis and soft tissue density from overlying breast tissue. the heart is at the upper limit of normal in size. the mediastinal contours are normal.
chest pain, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13869491/s51831308/cf99c6bf-672f0805-474daeb4-99b068eb-8547813a.jpg
a left ij is seen in appropriate position with the tip in the svc. a right sided dual lumen catheter is noted with the tip at the junction of the svc and right atrium. there is no pneumothorax. there are low lung volumes. bibasilar atelectasis is seen. there is some cephalization of pulmonary vessels consistent with mild pulmonary vascular congestion. cardiomediastinal silhouette is unremarkable. there is no pleural effusion.
left ij central line placement.
MIMIC-CXR-JPG/2.0.0/files/p13378239/s54064468/131bdad6-79eb78b0-bfc33fd9-3530c89c-8becae92.jpg
heart remains enlarged. mitral valve replacement and median sternotomy wires are unchanged. the lungs are clear without focal consolidation, effusion, or edema. no acute osseous abnormalities identified.
<unk>f with chf and dyspnea // pulmonary edema?
MIMIC-CXR-JPG/2.0.0/files/p10242353/s56006933/f7f2285c-5886339c-5d073f30-e63b9ed6-4cdba6fa.jpg
low lung volumes are again noted. there relatively dense left basilar opacity silhouetting the hemidiaphragm. this is likely in part due to an effusion although superimposed consolidation is also suspected. surgical chain sutures project over the right mid lung. the right lung is otherwise grossly clear within limitation of low lung volumes. the cardiomediastinal silhouette is grossly within normal limits. no acute osseous abnormalities.
<unk>f with dyspnea, hx of recent pna // eval for infiltrate, effusion
MIMIC-CXR-JPG/2.0.0/files/p19001252/s56479770/9d86cfbd-bba3ea94-35d574e8-0ff58904-da20b553.jpg
previously seen endotracheal tube, right picc, right central venous catheter, and orogastric tube have been removed. the heart size is normal. the mediastinal and hilar contours are unchanged. there is minimal blunting of left costophrenic angle suggestive of a trace effusion. no pneumothorax is seen, and there is no right-sided pleural effusion. ill-defined nodular opacities are noted within the right mid lung field, which could reflect areas of infection or inflammation. no focal consolidation is demonstrated. there is no pulmonary vascular congestion.
fever and tachycardia.
MIMIC-CXR-JPG/2.0.0/files/p12799272/s55647757/20f33b40-d8bcc45d-0fcb5634-484f3d16-43d054fd.jpg
compared to prior chest radiographs from <unk>, moderate left pleural effusion with associated left basilar atelectasis is unchanged. retrocardiac opacity, which likely represents atelectasis, though pneumonia cannot be definitively excluded. there is no central vascular congestion or overt pulmonary edema. mild tortuosity and unfolding of the thoracic aorta with calcification at the aortic knob. mild cardiomegaly is stable. left-sided cardiac pacing device with leads following their expected courses to the right atrium and ventricle. right-sided double-lumen hemodialysis catheter with tip terminating in the right atrium.
<unk> year old man with cough, wheeze, pls page w/ wet <unk> <unk> // r/o infiltrate
MIMIC-CXR-JPG/2.0.0/files/p13024713/s51764355/c3685f00-3be07b0e-39bcf036-c805590a-a7536e4e.jpg
portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with worsening hypoxia // evaluate for pulmonary edema or consolidation evaluate for pulmonary edema or consolidation
MIMIC-CXR-JPG/2.0.0/files/p19743313/s55525517/07a9e5c3-c4a16af7-16f3a143-1a8db022-47bb77d2.jpg
deep brain stimulator device packs are noted overlying the anterior chest walls bilaterally. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. no pulmonary vascular engorgement is seen. there is minimal patchy left basilar opacity likely reflective of atelectasis. blunting of the costophrenic angles posteriorly on the lateral view suggests trace pleural effusions. no focal consolidation or pneumothorax is present. there are no acute osseous abnormalities.
altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p15558165/s53964212/b4bdce72-911dc840-7d0db0bf-b9e13f7a-59eb9cf3.jpg
the right apical pneumothorax is stable since the most recent cxr today at <time>pm, but has improved since the cxr from <time>am today. no evidence of tension. right-sided chest tube is unchanged in position. slight opacification of the left lung base, likely due to atelectasis. no pleural effusions. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk> year old man with r pneumothorax, ct clamped for <num> hrs. please complete at <time> pm this afternoon. thanks // assessing stability vs. increase vs. resolution of ptx
MIMIC-CXR-JPG/2.0.0/files/p16517135/s55940114/59b5d7a5-ba51244f-b4c810c4-e16bf7c1-e9345fff.jpg
low lung volumes are similar to prior. heart size is normal. the mediastinal contours are normal. right perihilar linear opacity is likely atelectasis. the pulmonary vasculature plethora may be progressing to congestion. no focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman s/p open cholecystectomy with new onset productive cough, increase o<num> req, wheeze and dyspnea // evaluate for pneumonia vs effusion
MIMIC-CXR-JPG/2.0.0/files/p17141034/s51152744/d2a2a289-3ecb5db3-ae902e54-6cf291e9-ea06de2c.jpg
frontal and lateral views of the chest demonstrate a moderate right pleural effusion and associated atelectasis. known right lower lobe mass is unchanged. the left lung is clear. there is no pneumothorax. heart and mediastinal contours are stable. a pleurx catheter is unchanged in position.
<unk> year old woman with right pleural effusion, interval assessment.
MIMIC-CXR-JPG/2.0.0/files/p19561832/s51073819/5c5e3b16-0ed076c0-abdf6b67-1784f633-3e4a2a0a.jpg
there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. the previously seen aortic pseudoaneurysm is not radiographically appreciable.
<unk>m with malaise, fatigue evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15014631/s55373616/ccbd514d-48a364cf-474209d0-cddb8456-c97276d6.jpg
there is a mildly tortuous thoracic aorta. the cardiac silhouette is not enlarged. the hila are unremarkable. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion.
<unk> yo man w/ atrial fibrillation diagnosed <unk> (on eliquis) s/p <num> unsuccessful cardioversions, dm, htn, gerd p/w h/a, sinus pressure, fevers and cough, evaluate for evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11084430/s57179153/8cc2a000-f4d9b6eb-dc78ddbc-09f3bc5b-a6f3cb93.jpg
frontal and lateral views of the chest. mild cardiomegaly is unchanged. aortic knob calcifications are unchanged. again seen is enlargement of the main pulmonary artery. the lungs are clear. there is no pleural effusion or pneumothorax.
substernal chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11840308/s54249705/c0bfb626-c3dc4fc2-22578ee7-dbe9560c-e0b98c98.jpg
the heart is probably at the upper limits of normal size given technique. the mediastinal and hilar contours are unremarkable. the left costophrenic sulcus is partly excluded, but there is no indication of pleural effusion. the lungs appear clear. no free air is demonstrated.
history of gastric sleeve with vomiting.
MIMIC-CXR-JPG/2.0.0/files/p12535940/s53109482/6904e6ba-1a41041d-fed2589b-dd9fe89a-6800c5ae.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with epigastric pain // ? pna
MIMIC-CXR-JPG/2.0.0/files/p19809456/s52195516/8cac7665-17a130ac-efbb83f8-54b2e282-04e19a8a.jpg
endovascular graft in the tortuous descending thoracic aorta has an unchanged configuration since <unk>. previously described ill-defined opacity in the right lower medial lung, which raised concern for pneumonia has substantially resolved. there are no other new opacities. no pleural effusion. mild to moderately enlarged heart size is unchanged.
<unk>-year-old woman with persistent fatigue, status post right lower lobe pneumonia, for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p19660235/s58570362/b804715a-3b4663e9-988438ea-a4e45738-bc7c565c.jpg
the lungs are clear. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no evidence of pulmonary vascular congestion.
fevers, history of liver transplant on immunosuppression with borderline low oxygen saturations. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12593920/s53078128/784d3cd1-0b1ae9ac-f32c2546-6bbc07c2-8da08ba9.jpg
a portable frontal chest radiograph the demonstrates a right picc with the tip in the mid svc and a heart which is top normal in size. the lungs appear unchanged with mild basal predominant reticulonodular interstitial abnormalities, which are likely chronic. there is no pneumothorax or large pleural effusion. multiple distended loops of bowel are again seen, not fully evaluated on this exam.
vague shortness of breath and dizziness.
MIMIC-CXR-JPG/2.0.0/files/p19822093/s50892056/abab4910-18c516fd-8f12ba09-18c8230a-67fc03e9.jpg
heart size is normal. a coronary artery stent is noted. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are noted in the thoracic spine.
history: <unk>m with altered mental status, left foot ulcers
MIMIC-CXR-JPG/2.0.0/files/p13986060/s54352293/f751481a-fc2ccafa-3f01327c-7cf0b5fc-cb68d960.jpg
the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fractures are identified.
<unk>-year-old male status post motor vehicle crash. evaluate for injuries.
MIMIC-CXR-JPG/2.0.0/files/p18607433/s54196644/4b5b0ef5-aeb88249-30b54b72-0cdfda7e-c0385eac.jpg
lungs are clear. cardiomediastinal silhouette is normal. vp shunt is noted. additional line projects over the left upper quadrant of the abdomen and left lower chest. this preliminary report was reviewed with dr. <unk>, <unk> radiologist.
<unk> year old woman with history of seizures, here for long term eeg monitoring // r/o infectious process
MIMIC-CXR-JPG/2.0.0/files/p17348831/s53849785/a2066644-a3ce5ffc-e333696d-8d6d8947-bad6c1f7.jpg
frontal and lateral views of the chest. somewhat linear left basilar opacities seen, most suggestive of atelectasis. lungs are otherwise clear without focal consolidation. there is trace blunting of the posterior right costophrenic angle as on prior which could be due to trace effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with fever, with presyncope.
MIMIC-CXR-JPG/2.0.0/files/p12910377/s58552575/a66cc653-c7341c17-52627567-3d8fb29e-f6d48fc5.jpg
pa and lateral views of the chest provided. lung volumes are low. subtle veil like ground-glass opacity projecting over the left and right upper lungs appears new from the prior exam. there is no correlate for this finding on the lateral projection and therefore finding is of unclear clinical significance. the possibility of pneumonia is not excluded. the heart and mediastinal contours appear grossly stable. no large effusion or pneumothorax is present.
<unk>f with cough, evaluate for pneumonia. patient with history of hodgkin's lymphoma.
MIMIC-CXR-JPG/2.0.0/files/p16992256/s50331798/082eec44-349c95d1-d6e94d66-6020250d-73292f38.jpg
there may be minimal bibasilar atelectasis. otherwise no focal consolidation, sizeable pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities identified.
<unk>-year-old female with diabetes, now presents with chest pain and fever
MIMIC-CXR-JPG/2.0.0/files/p16192893/s56726602/e847e3b9-038bbc7c-0d9f123b-66707661-e4fa0530.jpg
there is no significant change since prior radiograph. the lungs are clear. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. there are mild degenerative changes in the thoracic spine.
<unk>-year-old man with cough and fatigue, assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18422065/s52081470/32ea680c-c6b7774c-d8e460fc-de0c25cf-1eb75204.jpg
the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with chest pain // eval for pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p17293595/s58356272/4974d5fe-f5d93b15-1f854bc5-b538e0f4-0f84e4ac.jpg
the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
<unk> year old man pvd will be undergoing femoral endarterectomy <unk> // ensure no infiltrate or effusion surg: <unk> (femoral endarterectomy)
MIMIC-CXR-JPG/2.0.0/files/p10516278/s54368238/a296c423-d4cc9f75-3f2b52ba-4acde20a-36b31db2.jpg
the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. note is made of a trace left apical pneumothorax overall unchanged compared to the prior exam. there is no pleural effusion. the visualized osseous structures are unremarkable.
history: <unk>m with s/p vats for ln biopsy with l sided pleuritic cp and sob and fever.
MIMIC-CXR-JPG/2.0.0/files/p18082875/s50235142/07939495-0baa7514-423e9244-53441ccb-438a39f9.jpg
the lungs are well-expanded. an ill-defined opacity in the left lower lobe is new since <unk>. a left-sided port-a-cath terminates in the mid svc. mediastinal contours, hila, and cardiac silhouette is within normal limits. there is no evidence of pleural effusion of pneumothorax.
<unk> year old man with breast ca admitted for neutropenic fever // e/o pneumonia or other acute process
MIMIC-CXR-JPG/2.0.0/files/p16049702/s52638342/56afdbe1-77637976-231fdeb6-bba95b89-5d650e93.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. bb marks the site of pain along the right lower lateral rib cage without underlying displaced fracture seen. no free air below the right hemidiaphragm is seen.
<unk>f with pain to r ribs // fall on r side, pain to ribs
MIMIC-CXR-JPG/2.0.0/files/p19047342/s55032750/aeddcecc-f8a6a17e-8736c67c-df72c3a3-2c1e9906.jpg
the cardiomediastinal and hilar contours are normal. there is no pneumothorax. small bilateral pleural effusions are noted. bibasilar atelectasis is present. there is no focal consolidation concerning for pneumonia. several air-fluid levels are noted in the imaged portion of the upper abdomen.
<unk>m with fever, ruq pain, recent vats // evaluate for acute process
MIMIC-CXR-JPG/2.0.0/files/p19122984/s56463629/c8f9518c-c96e2373-9606b2a3-8582da68-e8c04ddb.jpg
the left-sided picc line is unchanged. the heart size is mildly enlarged but is less prominent than on the prior study. again seen is the diffuse hazy alveolar infiltrate although this has also improved slightly
<unk> year old man with heart failure exac after cardiac arrest related to drug overdose // pulmonary edema?
MIMIC-CXR-JPG/2.0.0/files/p11771778/s52171265/b494dd97-2765d290-9a95dbf5-16cf04b3-149a8c89.jpg
there is a left-sided chest tube which terminates along the medial left lung with a small left apical pneumothorax, overall similar to the prior exam. there is a small amount of subdiaphragmatic free air significantly improved compared to the prior exam. the heart size is normal. the hilar and mediastinal contours are normal. there has been interval improvement in the mild pulmonary edema. mild bibasilar atelectasis is persistent. there may be a small left pleural effusion.
history of post-op day <num> status post left upper lobectomy. please evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p18920727/s59933562/93e46c7d-dd813ea1-ec094abf-de8e093e-8f3f126c.jpg
ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding similar study obtained seven hours earlier during the same day. the female patient with history of lung cancer, is status post vats procedure with left pleurodesis and pleurx catheter placement. comparison of the present portable chest examination demonstrates grossly unchanged position of a previously described left-sided pleural catheter. the pleural density along the lateral and apical chest wall has increased. also noted is an air distended stomach with elevated right atrium, a factor, which may contribute to the patient's overall poor respiratory condition. as before, low pulmonary volumes are seen. no pneumothorax has developed.
<unk>-year-old female patient with pleurx, vats, decreasing oxygen saturation, assess for interval change.
MIMIC-CXR-JPG/2.0.0/files/p14849725/s59582380/b5f835f4-79a17b68-6bfe1685-e8db76da-d9bd95c8.jpg
cardiomediastinal silhouette is normal. linear bibasilar opacity is most consistent with atelectasis. possible nondisplaced fracture of the anterolateral left sixth rib. no pneumothorax or pleural effusion.
<unk>-year-old man with pain after fall evaluate for left-sided rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p19644010/s52701236/652bb6f2-834e5cd2-95d32403-7621b9cb-dd4ede1f.jpg
the cardiac silhouette is moderately enlarged with tortuosity of the thoracic aorta with dense aortic calcifications. the hilar contours are unremarkable. there is a right lung base atelectasis with more dense consolidation in the right mid lung field with layering posterior pleural effusion. there is no pneumothorax. calcified pleural plaques are noted in the lung apices.
found down.
MIMIC-CXR-JPG/2.0.0/files/p14595250/s51901932/795e606b-1e1e4432-5d3a7211-914d21fd-982ff638.jpg
there has been interval removal of right-sided pleural drains.sliver of right apical pneumothorax persists. there is no evidence of tension. no focal consolidation or pleural effusion. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man s/p r blebectomy and pleurodesis // r/o ptx post ct removal, please do around <num>pm
MIMIC-CXR-JPG/2.0.0/files/p14809072/s58177020/333ea3ec-9471dd72-b4e73e04-d724e534-f6821586.jpg
pa and lateral radiographs are provided for review. again seen is elevation of the right hemidiaphragm with a new right pleural effusion and associated atelectasis. the heart size is top normal. the mediastinal and hilar contours are unremarkable. there is no focal consolidation concerning for pneumonia. there is no pneumothorax.
decreased breath sounds on the right.
MIMIC-CXR-JPG/2.0.0/files/p17371184/s56713483/52bcd891-b5fb0220-8734a378-e0f8c3a6-ee3b9d1c.jpg
the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>f with fever s/p splenectomy. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16407393/s53067771/2e0910ab-398a2d0d-896f247e-b2e611b4-2b2b2f37.jpg
ap and lateral views of the chest. there is a left lower lobe opacity best seen on the lateral view with relative meniscus appearance concerning for small pleural effusion, superimposed consolidation not excluded. patchy right base opacity raises concern for pneumonia. no prior available for comparison. no pneumothorax. the cardiomediastinal and hilar contours are normal. there are intrathoracic aortic calcifications.
dementia.
MIMIC-CXR-JPG/2.0.0/files/p19617689/s53038384/faa8b947-107f8692-1927a5ff-30b40231-c8da0cd1.jpg
lung volumes are low. bibasilar opacities, left more than right are present, new, and might represent a combination of infectious process and atelectasis. mild vascular engorgement is noted but no overt pulmonary edema is seen. small bilateral pleural effusion is better appreciated on the lateral view. there is no pneumothorax. there is no other focal consolidation. cardiomediastinal silhouette is within normal limits.
history: <unk>f with sob/cough // ?pna
MIMIC-CXR-JPG/2.0.0/files/p10920264/s56571645/3f9e88d3-eb3cf14f-bd640d01-508021a6-3e5db483.jpg
the left hemidiaphragm remais elevated. bibasilar patchy opacities are similar in appearance to the exam <time> a.m. this morning. mild pulmonary edema and small bilateral effusions are unchanged. there is no pneumothorax. the cardiac silhouette remains enlarged. aortic arch calcifications are noted. a right internal jugular line has been removed.
<unk>-year-old man with chf, copd, presenting with new hypoxia, hypercarbia and fever.
MIMIC-CXR-JPG/2.0.0/files/p13107206/s55406537/1d8779da-a8555ac7-2ef608d6-f585401e-9171f614.jpg
chronic emphysematous lung changes are again present. on today's exam, there are increased opacities around the right hila which on the lateral view project over the anterior portion of the heart, localizing to the right middle lobe. there are also opacities near the right costophrenic angle, likely related to scarring which are stable since <unk>. there is no pulmonary edema, pleural effusion or pneumothorax.
fever and cough.
MIMIC-CXR-JPG/2.0.0/files/p12155780/s59673197/a5aadcb3-61af3df7-54fbe4a6-57ea4e44-40f1527c.jpg
ap view of the chest provided. mediastinal drains have been removed. there is no interval mediastinal widening. there is no pneumothorax. compared to prior study from <num> day ago, pulmonary edema has significantly improved. there are slightly increased retrocardiac and right base opacities, likely due to atelectasis. endotracheal tube is in appropriate position. right-sided swan-ganz catheter terminates just beyond the pulmonic valve. median sternotomy wires are intact. nasogastric tube terminates in the stomach.
<unk> year old man s/p avr, cabg // eval for pneumothorax s/p ct removal
MIMIC-CXR-JPG/2.0.0/files/p17054151/s51676102/32f3449e-4d6a9b50-dec670a6-24f57653-ee0d54b7.jpg
a dual-lead pacemaker/icd device appears unchanged. the cardiac, mediastinal and hilar contours appear stable. a pleural effusion on the left appears substantially decreased and is small. there is possibly a trace pleural effusion also on the right but without any increase. hazy bilateral opacification of each lung is similar. perihilar fullness has decreased. fissures remain thickened. the bones appear demineralized.
weakness. recent admission for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19045827/s55825815/85e7a102-8124ce58-2e75639d-50e3cbd9-819940eb.jpg
endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube is noted with tip and side-port seen within the stomach. patient is status post median sternotomy and cabg. the cardiac and mediastinal contours are unchanged, with the heart size remaining moderately enlarged. there is mild pulmonary vascular congestion. small right pleural effusion is present. there are streaky opacities in the lung bases possibly reflective of atelectasis though aspiration is not excluded. multilevel degenerative changes are seen in the thoracic spine.
history: <unk>m intubated // eval ett position
MIMIC-CXR-JPG/2.0.0/files/p11710101/s54026583/c704590b-a0fee785-ab5ff3c6-7bb0baef-20fe20fa.jpg
the lungs are well expanded. the right lung is clear. a new retrocardiac opacity is noted in the frontal view and confirmed in the lateral view. small bilateral pleural effusions are also present. cardiomediastinal and hilar contours are unremarkable. there is no evidence of pneumothorax.
<unk>-year-old male with cll and neutropenia, admitted for port placement, presenting with low-grade fever. evaluate for evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18298823/s54194522/372bc95b-ff7a832c-0c51d0b3-80acc594-d66814f5.jpg
lung volumes are low with bronchovascular crowding. a right pleural effusion is probably moderate in size. there is likely associated compressive atelectasis. no evidence of the left pleural effusion. opacity in the right lower lobe of consolidation is again seen. heart size cannot be accurately assessed on this single ap view and low lung volumes, probably normal. no edema or pneumothorax. asymmetric right apical pleural thickening with an apical opacity/mass is better appreciated on the prior ct.
<unk>-year-old woman with history of nash cirrhosis complicated by hcc, status post liver transplant now presenting with fever to <num>. evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p14729536/s58477609/90ab6598-0843ed33-1b8cf7bc-f22b2450-1333b3cd.jpg
lung volumes are low. there is no focal consolidation, substantial pleural effusion or pneumothorax. there is likely atelectasis at the left lung base. moderate cardiomegaly is similar in appearance.
<unk>-year-old female who presented with cellulitis, also endorsing shortness of breath and fever at home
MIMIC-CXR-JPG/2.0.0/files/p18902344/s59252655/8f733c80-4ece122c-4c6c0bdb-a3700b05-9d8ff87d.jpg
the cardiac enlargement is similar. the mediastinal and hilar contours appear unchanged. there are patchy bibasilar opacities suggesting minor atelectasis or scarring which are quite similar for the most part. a new band-like opacity projecting along the posterior right lower lobe is suggestive of atelectasis, while a pleural effusion has resolved on the left. a small right-sided pleural effusion appears unchanged, however. the pulmonary vascularity is unremarkable.
bilateral swelling and history of diastolic heart failure. question pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13066975/s55571616/79a30012-81e3f86b-96dba2a4-c8de0a6e-bbeba1de.jpg
interim placement of the et tube is seen with tip approximately <num> cm from the carina. again seen is a confluent opacity in the right upper lung. nasogastric tube is seen coursing below the diaphragm into the left upper quadrant. no pneumothorax is seen. there are multiple tubes and lines overlying the patient.
<unk>f with pneumonia now intubated evaluate for ett placement.
MIMIC-CXR-JPG/2.0.0/files/p12337553/s50994408/c3ba52bc-8dcac358-4ffa0d40-e63dc18a-1d285e54.jpg
the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with productive cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19277070/s58892733/432064a9-1fcf2e26-56e7f4a2-63c12fcc-6c08a115.jpg
the lungs are clear without effusion or pulmonary edema. the cardiomediastinal silhouette is within normal limits and unchanged given differences in technique. no acute osseous abnormalities identified.
<unk>m with severe mr <unk> endocarditis // ?pulm edema
MIMIC-CXR-JPG/2.0.0/files/p11607063/s57415597/55240470-6ac72436-88b101e8-03907a5a-57602798.jpg
portable chest radiograph <unk> <time> is submitted.
<unk> year old woman with bilateral pleural effusions // any interval change in pleural effusions? any interval change in pleural effusions?
MIMIC-CXR-JPG/2.0.0/files/p12877262/s58225763/d3b0279f-99498a96-8c1d089b-f8c2de5e-24225d5c.jpg
again noted is eventration of the right hemidiaphragm. the lungs are clear consolidation, effusion, or overt pulmonary edema. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
<unk>f with chest pain // r/o chf/pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19973404/s56110136/7f078c53-d7f81b05-a881d2bb-853ecd26-2e56ff9a.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. mild degenerative changes are seen in thoracic spine. clips are noted in the right upper quadrant of the abdomen compatible with prior cholecystectomy.
history: <unk>f with fever, cough, facial cellulitis
MIMIC-CXR-JPG/2.0.0/files/p17744306/s54295932/e43dfbb4-e101d822-3fa2f728-ff28f635-2c0ee39f.jpg
median sternotomy wires intact and aligned. normal cardiomediastinal and hilar contours. normal pleural surfaces. fully expanded, clear lungs.
<unk>-year-old man with a history of renal cell carcinoma. evaluate for metastatic disease.
MIMIC-CXR-JPG/2.0.0/files/p19261055/s58128781/d5c63ad4-8c2b3c7c-fa5bd4e5-9ee0e0e3-d1a031cb.jpg
et tube remains in standard position. an enteric tube is present with tip in the stomach, but side port in the esophagus. cardiomediastinal and hilar contours are stable with moderate cardiomegaly. there is no pleural effusion or pneumothorax. there is worsening consolidation in the right upper lobe, consistent with pneumonia. cephalization may be physiologic in a supine position. surgical clips are noted in the right upper quadrant.
status epilepticus, intubated for <num> days. assess interval change.
MIMIC-CXR-JPG/2.0.0/files/p11197408/s51895477/d6163efa-a55a9da0-a89935ec-47d5d518-fa85a9f0.jpg
heart size is normal. the aorta remains unfolded. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are essentially clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>m with history of asthma, cough, muscle aches, fevers for <num> days
MIMIC-CXR-JPG/2.0.0/files/p15728705/s53972327/e8f32cda-5e629403-2302273f-fd46b432-69f464e6.jpg
there is a subtle retrocardiac opacity. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with wheezing and rhonchi left lower lobe // possible left lower lobe pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19647041/s51807595/bf14a660-a8775716-bb9494ab-c5be1ea6-b259db65.jpg
pa and lateral views of the chest demonstrate an increase in large left-sided pleural effusion with adjacent atelectasis. in addition, there is now obscuration of the right heart border. this could be due to atelectasis versus pneumonia in the correct clinical setting. there may be a small right-sided pleural effusion as well. right-sided port-a-cath terminates in the right atrium, unchanged.
<unk>-year-old man with locally advanced cholangiocarcinoma.
MIMIC-CXR-JPG/2.0.0/files/p10679238/s56977040/c03a1f60-8d38334e-3af78448-d6adae11-f9f76ae9.jpg
ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. cardiac enlargement as before, but no increased pulmonary vascular congestion in comparison with the preceding study. the left basal parenchymal density has increased and obliterates the diaphragmatic contour completely. possibility of coexisting localized pleural effusion in this area cannot be excluded. comparison of the pulmonary vasculature demonstrates possibly further mild regression of the congestive pattern. on the previous examination, there existed some hazy diffuse density in the left base already, but this appears to have progressed.
<unk>-year-old female patient with stroke and elevated white blood count, concern for infection, evaluate for possible pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18336565/s58113140/aa42873b-bca3ae8f-6ce8394f-dfb009fa-14f290a2.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. hilar contours are stable.
history: <unk>m with new cough and wheezing // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p17795701/s53798966/a2a41076-969228a4-a723fd90-e0c6c547-07619768.jpg
ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study dated <unk>. the postoperative small right apical pneumothorax has further regressed and only a small approximately <num>-cm wide gap remains. the position of the previously described chest tube is unaltered. unchanged findings concerning sternotomy and rather normal heart size without evidence of pulmonary congestion. no new pulmonary parenchymal abnormalities are present and the previously described rather extensive chest wall emphysema has regressed.
<unk>-year-old male patient with pneumothorax, status post right upper lobe vats wedge resection. evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16499876/s57588147/43a60e7d-bb15bcfb-81e52152-2cb27a72-67a20fc3.jpg
pa and lateral views of the chest were obtained. the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. plate-like atelectasis is seen in the left lung base. stable multilevel degenerative changes of the thoracic spine are noted.
chronic dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p18435309/s50618187/421f8d29-9cf5ce53-54aaa041-ced1a42b-ff3a26f7.jpg
endotracheal tube tip is <num> cm from the carina. enteric tube passes below the inferior field of view. low lung volumes are noted with secondary crowding of the bronchovascular markings. innumerable bilateral pulmonary nodules are better seen on ct which includes the lung apices. cardiomediastinal silhouette is within normal limits for technique. atherosclerotic calcifications noted throughout the aorta. there is peripherally calcified <num> cm lesion in the left upper quadrant.
<unk>f with intubated, confirm ett placement
MIMIC-CXR-JPG/2.0.0/files/p11648387/s53519926/63d83e0d-12304288-5ae7826e-e77d98e1-28a97f6c.jpg
right lower lateral chest is excluded from the examination. other pleural surfaces are normal. the lungs are moderately well inflated and clear of acute abnormality. the constellation of bronchiectasis and infectious nodules in the right middle and lower lobes seen on chest cta most recently <unk> is no worse, but has not been reevaluated here by subsequent chest ct. no pleural effusion. no pneumothorax. heart size, mediastinal contour, and hila are unremarkable. visualized osseous structures are notable for mild degenerative changes of the mid thoracic spine with anterior osteophytes.
<unk>m with hx cf, anxiety, medication noncompliance who presents after accidental overdose of medications, including benadryl and trazodone. assess for cardiogenic sequelae.
MIMIC-CXR-JPG/2.0.0/files/p13473495/s54861751/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.jpg
endotracheal tube tip terminates approximately <num> cm from the carina. orogastric tube is seen coursing below the diaphragm, with the tip not well visualized. the heart remains severely enlarged. there is mild pulmonary edema which has progressed compared to the previous study with a probable layering left pleural effusion. persistent bibasilar airspace opacities again may reflect atelectasis, aspiration or infection. there is no large pneumothorax on this supine study.
intubation.
MIMIC-CXR-JPG/2.0.0/files/p19206977/s51665675/946b7d6f-a3c96616-8e7ce155-93af6bbb-5eaab2ed.jpg
no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
shortness breath and hyperventilation.
MIMIC-CXR-JPG/2.0.0/files/p13864100/s55569946/7f693b7e-b0c35961-47d7d26d-b0a92a8c-5c15c1a5.jpg
cardiac silhouette is enlarged with mild vascular congestion without frank edema. lungs are clear. there is no large pleural effusion or pneumothorax. endotracheal tube is in place, <num> cm cranial to the carina; however, the endotracheal cuff is inflated to a greater diameter in the trachea. a right internal jugular sheath is in place.
bright red blood per rectum, status post emergent extended right hemicolectomy. assess position of endotracheal tube.
MIMIC-CXR-JPG/2.0.0/files/p11900721/s54936907/50a45523-39bc5da2-dc6782cc-c358b524-6d3bc78b.jpg
ap upright and lateral views of the chest provided. metallic coils project over the right upper quadrant. interstitial opacities likely reflect mild interstitial edema. the heart is stable though top-normal in size. no large effusion or pneumothorax. no convincing signs of pneumonia. mediastinal contour appears stable and normal. bony structures are intact.
<unk>f with cirrhosis, presents with ams // eval for acute process, portal vein thrombosis
MIMIC-CXR-JPG/2.0.0/files/p11646000/s55746846/d32ea903-ea3183d4-dabb5957-0e7c12ab-0c60e6f0.jpg
pa and lateral chest radiograph demonstrates clear lungs. no focal opacity convincing for pneumonia is identified. left basilar atelectasis is mild. cardiomediastinal and hilar contours are within normal limits. there is no large pleural effusion or pneumothorax. visualized osseous structures demonstrates no acute abnormality.
<unk>f with hx of ra, with night sweats.
MIMIC-CXR-JPG/2.0.0/files/p14508231/s55606151/6046fa60-83a181ad-08c68555-9cd3366f-86b48185.jpg
the lungs are clear without focal consolidation, effusion, or edema. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. anterior cervicothoracic hardware is partially visualized.
<unk>f with chest pain, syncope // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p18770653/s50670252/4f16519b-ada8347e-93f74839-cb35dd42-ff9a0bb6.jpg
patchy left lower lobe opacity is worrisome for early /mild pneumonia. the right lung is clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p12726877/s51568864/6c6b370b-37389d07-042b8f10-cbe320a1-855e1310.jpg
ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. mild atelectasis noted in the lower lungs. heart size is normal. the aorta is unfolded and mildly calcified. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. degenerative changes at the shoulders noted, right greater than left.
<unk>f with aspirated blood // pneumonitis
MIMIC-CXR-JPG/2.0.0/files/p17540607/s59955245/86cccbf9-8f126f24-79c264d4-fa7f929b-671b9941.jpg
there is no pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. asymmetric hazy opacification of the right mid and lower lung is likely due to shadowing from asymmetric breast tissue. additionally, indistinctness of the right heart border is present with associated subtle increased opacity overlying the heart on the lateral view, concerning for right middle lobe consolidation.
<unk>f with f/c, muscle spasms, evaluate for cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p15649581/s50001867/27777401-52524d26-549cd556-9c55761e-ef982807.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain
MIMIC-CXR-JPG/2.0.0/files/p13312240/s51762240/7588dd73-c7115169-960bfc5e-73b71673-28bf9ce9.jpg
compared to prior examination there has been removal of an upper enteric tube and endotracheal tube. a right internal jugular central venous catheter remains at the level of the mid svc. a left implanted icd is unchanged. the cardiac silhouette remains stably enlarged. mediastinal and hilar contours are unremarkable. lungs are clear without focal consolidation worrisome for pneumonia. trace bilateral effusions are noted. no pneumothorax. an aortic stent projects over the mid abdomen.
status post evar with ams. new cough.
MIMIC-CXR-JPG/2.0.0/files/p18533644/s55057423/3de74887-21acc33e-1374f485-02722818-3e0e374f.jpg
a pacer unit projects over the left chest with a lead in the coronary sinus. severe cardiomegaly persists. small bilateral pleural effusions are present with underlying atelectasis. there is no pneumothorax. pulmonary edema is slightly worse.
an <unk>-year-old female with shortness of breath.