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no picc line is seen within the field-of-view, which includes the left axilla. otherwise, the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. the aorta is tortuous. there is no pleural effusion or pneumothorax. minimal left basilar and left mid lung subsegmental atelectasis/scarring is present, similar to prior.
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<unk>-year-old female with picc line in the left arm. evaluate for placement.
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the heart size is normal. there appears to be slight increased fullness of the left hilum, however this may be positional. new bilateralnodular opacities are seen throughout both lungs. there is a new focal opacity in the lingula as well. there is no large pleural effusion or significant pneumothorax. the visualized osseous structures are unremarkable.
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history of dyspnea, history of uterine cancer. please evaluate.
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compared to the prior study there is no significant interval change.
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<unk> year old man s/p r thoracotomy/rml lobectomy/rul segmentectomy w hypercarbia // pls eval for interval change
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bilateral chest tubes are again seen in changed position as compared to radiograph from <unk>. the cardiomediastinal silhouettes are grossly unchanged. again seen are diffuse reticulonodular airspace opacities consistent with widespread metastatic disease with more confluent areas in the right mid and lower lung. there is improved aeration of the left lower lobe, with improved visualization of the left hemidiaphragm and retrocardiac areas. better appreciated on this study is a localized right anterior hydro-pneumothorax, with air-fluid level best seen on lateral view in the retrosternal region. moderate size of right effusion is unchanged since prior radiograph. there is also an unchanged small left pleural effusion. there is no left-sided pneumothorax.
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<unk> year old man with effusion, s/p r chest tube // assess for effusion
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the lungs are hyperinflated with marked emphysematous changes most pronounced within the upper lobes. chain sutures are seen within the left upper lobe. linear scarring is noted within the anterior aspect of the left upper lung lobe, unchanged. left suprahilar opacity is unchanged and better assessed on the prior ct. no new focal consolidation, pleural effusion or pneumothorax is present. the heart size is normal. calcifications of the aortic knob are re- demonstrated. mediastinal and right hilar contours are unchanged. no acute osseous abnormalities detected. partial resection of the left <num>th rib is again noted.
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fevers and shortness of breath.
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the lung volumes are slightly low. the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
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history of mgus presents with chest pain and abdominal pain. outpatient ct with massive lymphadenopathy. assess for infiltrate, lymphadenopathy.
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ap and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unremarkable. hardware is present in the cervical spine.
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<unk>-year-old woman with right abdominal pain, question cardiopulmonary process.
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in comparison to the prior radiograph on <unk>, lung volumes are lower. bibasilar interstitial opacities are new, and may reflect underinflation. there is otherwise no focal consolidation to suggest pneumonia. no pleural effusions or pneumothorax. heart size is normal. no acute osseous abnormalities identified. port-a-cath terminates at the cavoatrial junction.
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history: <unk>m with syncope, fatigue // evidence of pna
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with cough and fevers // pna
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lungs are clear. moderate cardiomegaly is stable. re- demonstration of elongated descending aorta. there has been interval removal of the right internal jugular venous central line. no evidence of pneumothorax, pulmonary edema, or pleural effusions. no focal consolidations are noted.
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<unk>m with renal transplant here w/ syncope // ? ptx, effusion, consolidation
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there are low lung volumes with crowding of the bronchovascular markings. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with cp, sob // pna?
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frontal and lateral views of the chest. there is prominence of the hila bilaterally compatible with patient's known adenopathy. comparing to scouts from most recent ct scan there is no definite change. on the lateral view there is more conspicuous focal opacity projecting over the anterior portion of a mid to lower thoracic vertebral body which likely is in the right lower lobe base on the lateral exam. nodule at the left lung base may represent a nipple shadow. known parenchymal nodules are better characterized by prior chest ct. elsewhere, the lungs are unchanged. the cardiac silhouette is not changed. no discrete abnormality identified by plain film in the supraclavicular region. azygos lobe again noted.
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<unk>-year-old male with history of metastatic lymphadenopathy who presents the supraclavicular swelling.
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the chest tube has been removed. no residual right-sided pneumothorax. suspected atelectasis of the right lower lobe. linear opacity projecting over the lower aspect of the right lung most likely represents minimal residual fluid in the transverse fissure. the cardiomediastinal shadow is stable. the left lung is clear.
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<unk> year old woman with previous ptx now s/p ct // interval change in ptx
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the lungs are mildly hyperinflated, consistent with copd. there is a linear opacity in the right upper lung zone, which has increased in size since the prior exam. there is no new consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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history of pulmonary embolism, asthma, and one day of chest tightness with shortness of breath.
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single portable ap chest radiograph was provided. the right pleural effusion is unchanged in size since the prior radiograph. overlying opacity has slightly increased since the prior exam but most likely represents atelectasis. the left lung is clear. cardiomediastinal silhouette is unchanged. bony structures are intact.
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<unk>-year-old woman with cirrhosis, subacute onset of slurred speech, ataxia, rule out infection, decreased breath sounds in the right lower lobe, question pneumonia.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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multiple syncopal episodes and a cough.
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pa and lateral chest radiographs were obtained. the lungs are hyperinflated and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
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left chest pain
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline; however, there is slight right-sided compression of the upper trachea compared to the prior <unk> study. no acute osseous abnormality is detected.
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hiccups, here to evaluate for acute cardiopulmonary process.
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tracheostomy tube in situ with the tip <num> mm proximal to the carina. right basilar airspace opacification improved compared to previous imaging done <unk>, but has not resolved. small associated right-sided effusion. the left retrocardiac opacity is slightly improved. no pulmonary edema. no pneumothorax.
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<unk> year old man with tbi, trach, pna // serial exam
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pa and lateral chest radiographs are provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is notable for calcifications of the aortic arch but is otherwise unremarkable. multilevel degenerative changes of the thoracic spine are present but there are no acute fractures,
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<unk>-year-old female with lightheadedness, question pneumonia.
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the lungs are well expanded and clear. no focal consolidation, effusion, or pneumothorax is present. cardiac and mediastinal contours are normal.
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<unk>-year-old woman with severe asthma and persistent shortness of breath, not improving on prednisone.
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the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. there is mild elevation the right hemidiaphragm.
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pain. rule out infiltrate, pneumothorax.
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the cardiomediastinal and hilar contours remain stable with moderate cardiomegaly. there may be a small left pleural effusion with a new small left basilar opacity. there is no pneumothorax or right pleural effusion. there is no new focal consolidation; however, left basilar pneumonia is possible in the correct clinical setting.
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critical as, status post upper gi bleed, now hypotensive and tachycardic, evidence of infection.
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heart size is mildly enlarged, unchanged. mediastinal and hilar contours are similar with mild unfolding of the thoracic aorta again noted. atherosclerotic calcifications are noted diffusely throughout the thoracic aorta. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is visualized. there are mild multilevel degenerative changes seen throughout the thoracic spine.
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history: <unk>f with chest pain
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the heart is mildly enlarged. there is a retrocardiac opacity obscuring the left hemidiaphragm, suggesting a consolidation in the left lower lobe. air bronchograms are noted within the opacity. elsewhere, the lungs appear clear. there are no pleural effusions or pneumothorax.
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cough and fever.
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lung volumes are again low with right basal atelectasis, which potentially might represent pneumonia. the right heart border is obscured, new since prior. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. vp shunt is partially imaged.
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history: <unk>f with s/p trach decannulation today, persistent fever // eval ? aspiration, infiltrate, edema, effusion
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marked cardiomegaly is persistent and unchanged. no new focal consolidation, pleural effusion, or pneumothorax. no evidence of pulmonary edema. patient is post median sternotomy with intact wires.
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<unk> year old man with asthma, worsening cough, fever. evaluate for pneumonia or pulmonary edema.
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lung volumes are decreased, accentuating the cardiac silhouette and bronchovascular structures. the heart is top normal in size, unchanged. there is no definite focal abnormality suggestive of pneumonia. there is no large pleural effusion or pneumothorax.
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tachycardia, cough. evaluate for pneumonia.
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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.
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<unk>-year-old female with right posterior chest wall pain.
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compared with prior radiographs on <unk>, there is no significant change in a right-sided layering pleural effusion, with fluid in the minor fissure. there is improved aeration at the right lung base. there is no focal consolidation or pneumothorax. cardiomegaly is unchanged. median sternotomy wires are stable in position.
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<unk> year old man with chf exacerbation, cauti, new low-grade fever overnight with congestion, r/o infiltrate. // r/o infiltrate
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small right pleural effusion. there is no focal consolidation or pneumothorax. no pulmonary edema. the cardiomediastinal and hilar contours are normal.
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<unk>f with weakness // eval for pna
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there is a retrocardiac opacity obscuring the left hemidiaphragmatic contour. this may reflect pleural effusion with atelectasis or pneumonia. mild cardiomegaly is stable. there is no pneumothorax. pulmonary vascularity is normal.
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<unk>-year-old man with dyspnea. evaluate for pneumonia or pulmonary edema.
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lungs are well inflated. interval decrease in size of <num> x <num> cm (previously <num> x <num> cm) right lower lobe peripherally located opacity. no pleural effusion. no pneumothorax. heart size, mediastinal contour, and hila are unremarkable. coarse calcifications of the aortic arch are unchanged. surgical chain sutures project over the left mid lung and right lung apex. no free intraperitoneal air. visualized osseous structures are notable for multilevel degenerative changes of thoracic spine with anterior osteophytes, subchondral sclerosis and disc space narrowing. an anterior compression fracture of a mid thoracic vertebral body is unchanged from <unk>.
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<unk>f with epigastric pain, worse with eating, leukocytosis <unk>, multiple cancers recent ir guided biopsy of r lung. assess for consolidation. assess for perforated ulcer, gallbladder pathology, colitis
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the lung volumes have increased since prior exam. the lungs are clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk>m with dyspnea, prior cxr ?devp pna // ?cpd
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as compared to the prior examination dated <unk>, there has been no significant interval change. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. moderate mid thoracic dextroscoliosis is again noted.
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<unk>f with chest pain // cardiopulm process?
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there is hazy opacity projecting over the right mid to upper lung, in the distribution of ground-glass opacities on prior ct scan. there is also increased opacity on the lateral view over the lower spine new since prior lateral chest x-ray from <unk> potentially due to similar process. there is no effusion. right picc is no longer visualized. the cardiomediastinal silhouette is stable, aortic valve replacement and median sternotomy wires again noted. atherosclerotic calcifications are seen at the aortic arch. no acute osseous abnormalities identified.
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<unk>m with weakness // eval pna
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compared with the prior radiograph, there are continued low lung volumes with bibasilar atelectasis. the heart size, mediastinal, and hilar contours are unchanged and unremarkable. no new focal consolidation, pleural effusion, or pneumothorax.
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<unk>m with falls, chest pain, upper and lower back pain, abd pain with vomiting. eval for acute injury, gross aortic pathology.
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a picc line terminates in the uppermost portion of the right atrium. there is a nasogastric tube that terminates within the stomach. bilateral pleural effusions are again present, greater on the left than right; moderate on the left and small to moderate on the right. otherwise, the lungs appear clear. there is no evidence for free air. the lungs appear clear. the heart is normal in size. the mediastinal and hilar contours are unremarkable.
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cirrhosis and multiple recent hospitalizations. question free air.
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the endotracheal tube is less than <num> cm above the carina, directed towards the right mainstem orifice. an enteric tube courses along the esophagus and terminates in the stomach. the lung volumes are low. there is central vascular congestion with mild pulmonary edema. there is no definite pleural effusion and there is no pneumothorax. the cardiac silhouette is normal in size. fiducial markers are seen in the liver.
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intubated, evaluate tube position.
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the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. lungs are well-expanded. again seen is an irregular increased density along the right lateral lower chest, consistent with calcified pleural plaques, seen on prior chest ct. two new areas in the right upper lung. on the lateral view there is correlate of opacity projecting over the right upper lobe making the suspicious for parenchymal opacity. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
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<unk>f with cough and fever.
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a mild background generalized interstitial abnormality is identified. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. scoliosis is noted centered within the mid thoracic spine.
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history: <unk>f with sob // pna?
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, pneumothorax. cardiac and mediastinal contours are normal. the trachea remains deviated by known goiter. aortic tortuosity is unchanged.
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cough and fever.
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cardiac, mediastinal and hilar contours are within normal limits. heart size is normal. the aorta is mildly unfolded. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. mild degenerative changes are noted in the thoracic spine. numerous left axillary clips are present. circular radiopaque devices are noted within the anterior chest wall bilaterally, compatible with tissue expander devices.
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history: <unk>f with cough, fever, status post bilateral mastectomies
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lung volumes are lower accounting for pulmonary vascular crowding a increased prominence of the cardiac silhouette. no pulmonary edema or pneumonia. small if any left pleural effusion.
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<unk>m rle abscess, obesity, osa, new cough and <unk> edema // pulmonary edema?
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the patient is status post a left upper lobectomy with associated volume loss, scarring, and tracheal deviation to the left. this is stable in comparison to the prior radiograph on <unk>. there are multiple bilateral rounded nodular opacities, predominantly at the bases. in comparison to the prior radiograph on <unk>, the number of these opacities have increased, particularly on the right. given how well defined these nodules are, this is concerning for widespread metastatic disease. no definite pneumonia is identified, but given the underlying parenchymal abnormalities, it cannot be completely excluded. there is no pleural effusion, pneumothorax, or pulmonary edema. no compression fracture is identified.
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shortness of breath. history of lung cancer status post a partial lobectomy. evaluate for pneumonia.
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the lungs are hypoinflated, accounting from bronchovascular crowding. otherwise, there is no focal opacity bilaterally. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. incidental note is again made of an azygos fissure.
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<unk>-year-old female with shortness of breath. evaluate for evidence of acute cardiopulmonary process.
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single frontal view of the chest was obtained. there has been interval removal of a transvenous pacer. the cardiomediastinal silhouette is stable. no pneumothorax, focal consolidation, or pleural effusion.
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<unk>-year-old female with recent mi complicated by complete heart block, now with pacer wire removed. patient currently desaturating. evaluate for pulmonary process.
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small focal consolidation in the right upper lobe, new since <unk>. no pleural effusion or pneumothorax. normal cardiomediastinal silhouette, hila, and pleura. normal pulmonary vasculature. no acute osseous abnormality.
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<unk> year old woman with hx of cough and fever. evaluate pneumonia.
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pa and lateral views of the chest. no prior. the lungs are clear of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with sharp chest pain.
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lungs are fully expanded and clear without consolidations or effusions. heart size is normal. there is abnormal prominence of the left hilum. cardiomediastinal and hilar silhouettes are otherwise normal. pleural surfaces are normal.
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<unk> year old woman with prolonged coughing with productive sputum over the past <num> weeks, // please evaluate for pneumonia
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lung volumes are decreased compared to the prior study. this accentuates the size of the cardiac silhouette which is likely within normal limits. mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures. minimal bibasilar atelectasis is noted, but no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
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fall, cough.
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MIMIC-CXR-JPG/2.0.0/files/p13660993/s52709140/f1713b4e-f8084b91-0ac63767-a78c5422-8e79984e.jpg
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the lungs are well expanded and clear without focal consolidation, pleural effusion, or pneumothorax. the pheresis catheter ends in the region of the cavoatrial junction, unchanged in position from <unk>. no kink is seen along its course. heart size is normal. mediastinal silhouette and hilar contours are normal.
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<unk>-year-old woman with aml and no blood return from pheresis catheter. please check placement.
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MIMIC-CXR-JPG/2.0.0/files/p15098892/s54505291/e47b9da5-bfef6582-64aaaab1-c1215bd0-ef003df5.jpg
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there is no pleural effusion or pneumothorax.
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complete heart block.
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MIMIC-CXR-JPG/2.0.0/files/p17392822/s56581036/0d97973d-ca6e0cbd-442a0a6d-1d7c0552-4dd5d98f.jpg
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ap portable upright view of the chest. there has been interval placement of a right ij central venous catheter with its tip in the mid svc region. unchanged from prior study are bilateral consolidations compatible with pneumonia. otherwise no change. no pneumothorax.
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<unk>m with central line placement // eval for line
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MIMIC-CXR-JPG/2.0.0/files/p15762623/s51925588/6cb4b1d9-14669823-7e11e723-f7a8abcd-9e192d11.jpg
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compared with the prior study, mild cardiomegaly is unchanged. mediastinal and hilar contours are unchanged. increased diffuse interstitial lung markings suggest mild interstitial pulmonary edema. intact median sternotomy wires and mediastinal clips again seen.
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<unk>m with cp and ekg changes. cardiopulm process?
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there is now nearly complete opacification of the left hemithorax with some aeration in the left upper lobe. there was leftward mediastinal shift. no pneumothorax is appreciated.
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respiratory failure.
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MIMIC-CXR-JPG/2.0.0/files/p15657021/s57969288/e7607632-9261756a-0ee5623b-c67d03f0-20b27a7c.jpg
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frontal and lateral chest radiograph demonstrates well expanded and clear lungs. no pleural effusion or pneumothorax. heart size, mediastinal contour , and hila are unremarkable. no focal opacity. limited assessment of the upper abdomen is within normal limits.
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<unk>f with cough, hx asthma. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12854165/s54700169/4457e285-0a9e4a59-04847e46-3d62840d-8d43ba22.jpg
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frontal and lateral radiographs of the chest demonstrate low lung volumes with results in bronchovascular crowding. small bilateral pleural effusions with adjacent atelectasis are stable. the cardiomediastinal and hilar contours are unchanged. no pneumothorax.
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<unk> year old woman with hypoxia // evaluate pleural effusions
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compared to the prior study there is no significant interval change.
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<unk> year old man with trach // please eval interval change
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MIMIC-CXR-JPG/2.0.0/files/p10534984/s57940272/199261bd-6c1f8128-704a6229-d44e67ac-f0f683d8.jpg
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pa and lateral chest radiographs were provided. lungs are well expanded. there is no focal consolidation or pneumothorax. blunting of the right costophrenic angle is likely due to a small pleural effusion. the cardiomediastinal silhouette is normal. there are no displaced fractures.
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history of lymphoma with fever and productive cough, rule out infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p19613373/s54749021/4d76a3ac-264d37fa-1142e60d-466155ec-74cf7510.jpg
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compared to the prior study there is no significant interval change. the ng tube is in the stomach. spinal fixation device and scoliosis are again seen. the heart is normal in size. the lungs are clear without infiltrate or effusion
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<unk> year old woman with cp here with sz. // ng tube placement
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MIMIC-CXR-JPG/2.0.0/files/p15092125/s56605898/22558c42-99c5e643-d70608c9-4c72acc5-61571f4b.jpg
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p18335994/s53929017/dd7a1ff6-fe591472-e23d0d06-c20d9be4-4102e775.jpg
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there is an ill-defined rounded opacity in the left upper lobe that is new since the prior radiograph. it could be a mass or prominent vasculature. there is mild interstitial prominence, which is also new, and likely represents mild pulmonary edema. there is no evidence of consolidation, pleural effusion or pneumothorax. bibasilar atelectasis is stable from the prior exam. the cardiomediastinal silhouette is normal in size. the patient is status post a cabg. the sternal wires are intact. clips and a stent are noted within the mediastinum.
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chest pain. evaluate for pneumonia or chf.
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MIMIC-CXR-JPG/2.0.0/files/p12523062/s53642314/6b7a1101-90690062-e9317ded-3b0a4335-d8ea7be0.jpg
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lung volumes are normal. there is a left-sided aicd device with a single lead following the expected course to the right ventricle. right port-a-cath is in place with tip terminating in the lower svc. no focal consolidation, pleural effusion or pneumothorax is seen. there is no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are normal. heart size is normal.
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history: <unk>m with chest pain // ? effusions, consolidation
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MIMIC-CXR-JPG/2.0.0/files/p19847863/s57811099/2ebd3a61-ad335cef-9e8c425b-d15b6644-31ce24c8.jpg
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with cough and sob // eval pna
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MIMIC-CXR-JPG/2.0.0/files/p10980327/s56391299/6905a044-be6ba673-35bc8e2e-2537a0ab-26d3a861.jpg
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the lungs are well-expanded and clear. the heart is upper limits of normal in size and accompanied by mild pulmonary vascular congestion. there is no pleural effusion, pneumothorax, or focal consolidation worrisome for pneumonia.
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history: <unk>m with intermittent l sided cp // eval pneumonia, other acute process
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MIMIC-CXR-JPG/2.0.0/files/p16562665/s56808935/71a6877e-d6f0af14-f27af7a8-3e6fc803-b5826066.jpg
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small right apical pneumothorax has decreased. extensive subcutaneous emphysema in the right neck and chest wall has also minimally decreased. small layering right pleural fluid unchanged. lungs grossly clear. heart size normal. right pigtail pleural drainage catheter unchanged in position. new endobronchial valves in the right upper lobe segmental bronchi.
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<unk> year old man with persistent air leak s/p ebv // assess valve placement
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MIMIC-CXR-JPG/2.0.0/files/p15486935/s54983070/cc0a02ee-dc32e938-fe5d3c7f-54d63f89-33d5b147.jpg
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compared with prior radiographs on <unk>, there is a subtle retrocardiac opacity. there is bronchiectasis of the right lower lobe. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. a right-sided port-a-cath terminates at the cavoatrial junction.
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<unk> year old man with multiple myeloma with cough // r/p pna
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MIMIC-CXR-JPG/2.0.0/files/p15461483/s57395944/31974755-9e36b005-a5864f33-563d64d2-76bcd471.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the aorta is calcified and tortuous. the cardiac silhouette is top-normal. mild biapical pleural thickening is seen.
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history: <unk>m with syncope // infiltrate?
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MIMIC-CXR-JPG/2.0.0/files/p17975714/s57191082/0d9f7656-a809ae20-61c79baf-dd6c92eb-aa06da45.jpg
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the heart size is at the upper limits of normal. the mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob. lung volumes are somewhat low, with bibasilar atelectasis and scarring of the left base. there is no large pleural effusion or pneumothorax. there is no appreciable pulmonary edema. an old healed left posterior rib fracture is noted in the mid thorax.
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<unk>-year-old female with question of dehydration, but also history of chf.
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MIMIC-CXR-JPG/2.0.0/files/p12465122/s55829378/f14399db-6492d5f3-d9d238d6-e4057bab-687bf3fb.jpg
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evaluation is limited due to artifact from the underlying trauma board. within this limitation, an endotracheal tube is seen with the tip terminating just above the thoracic inlet. nasogastric tube is seen coursing below the diaphragm with the tip terminating in the right upper quadrant within the stomach. the inspiratory lung volumes are low with streaky opacities at the bilateral bases, reflecting atelectasis. no pleural effusion or pneumothorax is detected. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. no acute osseous injury is identified.
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status post assault with altered mental status, now intubated, here to evaluate for et tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p11223186/s51430825/bfd4966d-1f7c5e3c-0bd804ef-57ae37c2-46e13fe0.jpg
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pa and lateral views of the chest provided. ill-defined opacities involving predominantly the right lower lobe are unchanged from <unk> and likely represent calcified pleural plaques seen on ct abdomen and pelvis <unk>. there an opacity overlying the superior segment of the right lower lobe which is unchanged from <unk> and may represent an infectious process. a distended azgyous vein is again seen. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. there is no acute osseous abnormality. there is no free air under the hemidiaphragms.
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history: <unk>f with malaise, recent pna // ? acute cardiopuml process
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MIMIC-CXR-JPG/2.0.0/files/p17700562/s55013498/f6865669-fb3cd54b-b9afd6a3-9d0e2ae7-5fa600f1.jpg
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there is irregular potentially interstitial opacity along the periphery of the left lateral lung on the frontal view which is not clearly identified on the lateral. there is possible tethering of the left hilum towards the periphery. additionally, there is a suggestion of prominent extrapleural fat lateral to this opacity. while infection is not excluded, this is an unusual presentation for pneumonia. this could also be a pleural-based scar or peripheral subpleural interstitial fibrosis. the right lung is clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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cough. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11347765/s57582405/f14ab4cf-ddd07934-eca2166d-597196fb-24f4bf0e.jpg
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the lungs are hyperexpanded but clear. no pleural effusion or pneumothorax is identified. the heart is normal in size with normal cardiomediastinal contours.
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<unk>-year-old gentleman with smoking history and cough. assess for mass or infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p11186918/s50676149/a8dfeadb-c592552f-4e195e39-52daf789-53ec425f.jpg
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the lungs are hyperinflated but clear. cardiomediastinal and hilar contours are stable. aorta is mildly tortuous. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with pancreatitis // ?effusions
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MIMIC-CXR-JPG/2.0.0/files/p16277550/s53700998/35fe4efa-d807861b-851110bd-3a800dda-5a81ab9a.jpg
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ap portable upright view of the chest. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable. imaged osseous structures are intact.
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<unk>f with shortness of breath
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MIMIC-CXR-JPG/2.0.0/files/p10121836/s59382182/96f8fbde-1e8b6ec3-af746dbf-d7e08f40-c51518b0.jpg
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pa and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal given patient's dextroscoliosis. there is no pleural effusion or pneumothorax.
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weakness, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13670383/s53733274/156f31d1-621ee898-3c640d9b-3dee6db7-63d3967b.jpg
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since the prior study there has been placement of a left pigtail catheter which projects over the left mid lung. the left-sided pneumothorax is decreased in size, now small. there is new left lower lobe atelectasis. there is no pleural effusion on either side. cardiomediastinal silhouette is normal.
|
<unk>f with l-pneumothorax s/p pigtail placement // evaluate for l-pigtail catheter placeme
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MIMIC-CXR-JPG/2.0.0/files/p17403921/s54577632/7fe49d0c-c640df98-9b3df548-5e8b0bc3-b81d7eea.jpg
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left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. mild cardiomegaly is noted. the mediastinal and hilar contours are unremarkable. patchy opacities in the lung bases likely reflect areas of atelectasis. pulmonary vasculature is not engorged. no pleural effusion, focal consolidation or pneumothorax is present. there are no acute osseous abnormalities. spiral tacks are noted within the upper anterior abdominal wall compatible with prior hernia repair.
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history: <unk>f with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p18218394/s58207592/4b4ed791-c86f8d9c-4eb01551-66063939-b4245249.jpg
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the heart is normal in size. the mediastinal and hilar contours are unchanged. there is no pleural effusion or pneumothorax. slight subpleural thickening at the right lung apex suggests minor scarring. new blunting of the right costophrenic sulcus suggests there may be a trace pleural effusion, but not substantial. the lungs appear clear. there is no pneumothorax. mild elevation of the right hemidiaphragm is unchanged. bony structures are unremarkable.
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shortness of breath. history of asthma.
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MIMIC-CXR-JPG/2.0.0/files/p11074330/s57830163/b6639ff9-b0c7c476-9627e795-aa0896eb-d7cc4046.jpg
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
|
fever and malaise on immunosuppressants for ulcerative colitis.
|
MIMIC-CXR-JPG/2.0.0/files/p14785819/s59471236/7d0d68b4-cc53029f-ac7f6522-bb809956-28a749a6.jpg
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no acute osseous abnormality detected.
|
history: <unk>f with chest pain // evaluate for acute process
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MIMIC-CXR-JPG/2.0.0/files/p10266157/s56192257/581048d1-b0fb50f9-042b90ff-a8d6c9e4-63fbc617.jpg
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linear left basilar opacities likely atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
|
<unk>f with chest pain // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p16314705/s54106702/84a6ae4f-733eba58-27cdd6d0-3aaec52a-8d7b4782.jpg
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
|
<unk>f with pna // pna?
|
MIMIC-CXR-JPG/2.0.0/files/p12554679/s55773918/01b28122-a21f855a-d33b1b71-81a9412b-633760fc.jpg
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frontal and lateral chest radiographs again demonstrate a small left apical pneumothorax which is decreased in size. the remainder of the exam is unchanged, demonstrating a normal cardiomediastinal silhouette and lungs which are well aerated and clear. there is no pleural effusion.
|
multiple rib fractures and a left pneumothorax, status post removal of a pigtail catheter. evaluate for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p16781763/s54009074/d901607c-b1d104dc-313502c7-66475ef9-996fc343.jpg
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frontal and lateral views of the chest demonstrate well expanded and clear lungs. no focal opacity. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures demonstrates a pectus deformity and is otherwise unremarkable. visualized upper abdomen is within normal limits.
|
history: <unk>f with cough and sob. assess for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p10890380/s50342707/0e4c0d4f-949687ad-830cb88c-ebd1f9b3-933740ea.jpg
|
pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. no focal consolidation is identified concerning for pneumonia. no evidence of pulmonary edema. there is no pleural effusion or pneumothorax.
|
<unk>m with new onset afib // ? intrapulmonary process
|
MIMIC-CXR-JPG/2.0.0/files/p13745545/s57852306/4c322c17-80017f80-5297eb75-e77686fe-2c73462f.jpg
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left dual-lead pacer is unchanged in appearance. trace left greater than right pleural effusions are similar in appearance to the previous examination without evidence of pneumothorax. changes of emphysema are noted. the heart is moderately enlarged with pericardial calcifications again seen. rounded opacity projecting over the cardiac apex is likely due to pericardial calcficiations though a loculation of fluid or rounded atelectasis could have a similar appearance.
|
<unk>-year-old man with chest pain after thoracentesis, assess for pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p19587093/s57452705/d4a314ff-229d6d76-3cb88e99-663d85c9-cf378543.jpg
|
frontal and lateral chest radiographs demonstrate clear lungs without focal consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are stable with enlargement of the pulmonary arteries seen since <unk>.
|
<unk>-year-old female with asthma and copd with productive cough. evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p12878814/s53793843/c9388386-002566f0-58750660-49e57848-287b4fbb.jpg
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again seen is a right basilar opacity silhouetting the right cardiac margin. there is also a retrocardiac opacity as well. blunting of the costophrenic angles bilaterally suggests persistent bilateral pleural effusions, left greater than right as seen on prior. the cardiomediastinal silhouette is otherwise unremarkable. right sided central venous catheter is again noted. no acute osseous abnormalities.
|
<unk>m with hypotension, fever, rll crackles // eval for acute process
|
MIMIC-CXR-JPG/2.0.0/files/p14634306/s53308995/22824b4c-78210271-d1b1bb66-025849a1-a55a0827.jpg
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since prior, there is new collapse of the right upper lobe. a right basilar opacity has completely resolved. cardiomediastinal silhouette is stable. there is no large pleural effusion. endotracheal tube and nasoenteric tube are appropriately positioned. left ij central venous catheter ends in the low svc. median sternotomy wires are intact. esophageal temperature probe located at the gastroesophageal junction.
|
<unk> year old man intubated, evaluate for interval change
|
MIMIC-CXR-JPG/2.0.0/files/p14152817/s57952411/190a2848-643df492-13267857-5b9465e9-61a23dfe.jpg
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. allowing for this the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
|
<unk>m with fever, cough // pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p15204724/s54509605/488f6d83-ba5ea652-eaa21e55-651049b4-e09e182d.jpg
|
right-sided volume loss is noted. linear opacities in the right upper lobe may represent scarring and or bronchiectasis. linear opacities at the right lung base may represent atelectasis or scar. there is pleural thickening along the right lung apex and lower lung which could be calcified as well as prominent extrapleural fat. there is no pneumothorax. the aorta is tortuous. the cardiomediastinal silhouette is otherwise unremarkable.
|
<unk>m with hemoptysis // evidence of infection or fluid overload
|
MIMIC-CXR-JPG/2.0.0/files/p16285590/s57324436/d23fbea4-78705b87-0268c10b-dce6428c-50f8a52e.jpg
|
since the prior exam, there is no change. the left pleural pigtail catheter is in unchanged position. there is no reaccumulation of a pleural effusion. bilateral lower lobe bronchiectasis is stable. there is no new consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal.
|
evaluate for change. history of shortness of breath and non-small cell lung cancer with left pleural effusion treated by chest tube.
|
MIMIC-CXR-JPG/2.0.0/files/p15881313/s51905526/17f690d0-962e24f6-ba46992a-535e220d-69495650.jpg
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there has been interval decrease in the amount of atelectasis at the bilateral bases, although some mild atelectasis is still present. the cardiomediastinal and hilar contours are unchanged. a right-sided internal jugular central venous line ends at the mid svc.
|
<unk>-year-old man with worsening oxygen requirement status post exploratory laparotomy.
|
MIMIC-CXR-JPG/2.0.0/files/p17333150/s52390852/ba1089d1-f4e5feec-a17f26b9-0f2fadb5-bb029703.jpg
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ap portable supine view of the chest. pigtail chest tube has been placed at the left lung base. there has been interval expansion of the left lung with no significant residual left effusion. no pneumothorax.
|
<unk>f with left sided pigtail
|
MIMIC-CXR-JPG/2.0.0/files/p19632593/s55789808/dcb684ad-17b29100-6db4e1a6-962ce28f-a578e810.jpg
|
compared to <unk>, lung volumes remain low. lungs are clear. no pleural effusion or pneumothorax. heart size is normal and unchanged. as before, the patient is status post midline sternotomy and cabg.
|
history: <unk>m with chest pain // please evaluate for acute cp abnormality
|
MIMIC-CXR-JPG/2.0.0/files/p13167798/s57852428/6beb4e7e-12831222-02185ba6-0b11f775-0068faef.jpg
|
heart size is top normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion, pneumothorax, focal consolidation is present. no acute osseous abnormality is detected.
|
history: <unk>f with cough
|
MIMIC-CXR-JPG/2.0.0/files/p12664350/s58733207/01adfbbd-b7cce648-38a0ed73-f15d06d9-bed3e1bb.jpg
|
the cardiac, mediastinal and hilar contours appear unchanged. there is somewhat increased opacification of the right costophrenic sulcus with elevation and flattening which may reflect scarring or atelectasis associated with a small persistent pleural effusion, but this appearance is unlikely to reflect an acute process. to some extent, this opacification was present on the prior examination, although less prominent. there is no evidence for pleural effusion on the left. there is no pneumothorax. a patchy focal opacity projecting over the right upper lobe suggests minor scarring which is unchanged. an oval nodular focus projecting over the left lower lung probably is due to a nipple shadow.
|
palpitations.
|
MIMIC-CXR-JPG/2.0.0/files/p12726753/s50851700/4091145a-c2cebcee-74514cdc-81605f7e-4c157e56.jpg
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the heart is mildly enlarged. the right hilum is mildly enlarged. retrocardiac opacity likely represents atelectasis. the pulmonary vascular engorgement is mild. there is no pneumothorax. small bilateral pleural effusions are likely. temporary pacer leads are seen.
|
<unk>m with stemi. evaluate for acute process.
|
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