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single ap portable radiograph of the chest is limited by patient's lack of cooperation. since the prior radiograph, there has been interval removal of the feeding tube. there is evidence of progressive mild pulmonary edema characterized by vascular congestion bilaterally and thickening of the minor fissure. the imaged pleural surfaces are normal however the right diaphragm and pleural surface is not included on any image. the heart size is normal.
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shortness of breath. evaluate for intrathoracic process.
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the cardiomediastinal silhouettes are normal. the bilateral hila are normal. there are no focal lung consolidations. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or effusion. widening of the right acromioclavicular joint with are preserved of the distal right clavicle may be from prior trauma or surgical intervention.
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a <unk>-year-old woman with chest pain, evaluate for infection or pneumothorax.
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portable frontal radiographs of the chest demonstrate a weighted feeding tube projecting with the tip over the left upper quadrant. the tube has a sharp kink in it with the tip pointing superiorly within the stomach which may be why it is not flushing well. the patient has been extubated. otherwise, there is little overall change compared to the prior study with mild enlargement of cardiac silhouette and retrocardiac atelectasis as well as dense calcification of the mitral anulus. the right costophrenic angle is excluded from this image.
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subdural hemorrhage and subarachnoid hemorrhage. evaluate dobbhoff position. difficulty flushing tube after wire was removed even with water.
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heart size is mildly enlarged, likely accentuated due to low lung volumes. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. chain sutures are noted in the right upper lobe with partial resection of the right fifth posterior rib. volume loss in the right lung is similar with elevation of right hemidiaphragm minimal linear opacities in the right lung base, likely scarring. left lung is grossly clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with htn,hld,dmii presenting with atypical chest pain; left thoracic back wrapping around to left chest.
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pa and lateral views of the chest provided. left ij access central venous catheter is again seen with its tip in the low svc. mild elevation of the right hemidiaphragm again noted. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with increased confusion for the past six months, increasing daily falls for the past <num> weeks, acutely delirious in the past two days. history ms. <unk> <unk> for <unk> change or head bleed
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart size is normal.
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chest pain.
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a left pleural catheter is present and unchanged. no pneumothorax is identified. no focal consolidation or pleural effusion. the size of the cardiac silhouette is within normal limits.
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<unk> year old man with left pneumothorax // check interval change with tube clamped for <num> hrs. please do around <num>pm
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frontal and lateral radiographs of the chest demonstrate interval resolution of left pleural effusion and atelectasis. the lungs are clear. the cardiac and mediastinal contours are normal. no pleural abnormality is detected.
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left-sided atelectasis and pleural effusion. assess left lung.
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multiple areas of subsegmental atelectasis are noted without focal consolidation. there is no pleural effusion, pneumothorax, or pulmonary vascular congestion. <num> intact median sternotomy wires are unchanged. the cardiomediastinal silhouette, including a tortuous descending aorta and mild cardiomegaly are stable.
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<unk> year old man status post aortic aneurysm repair, evaluate for infiltrate or effusion.
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lung volumes are low which accentuates bronchovascular markings and the transverse diameter of the heart. given that, the heart is top-normal to minimally enlarged. the pulmonary vasculature is mildly engorged and there is mild edema. a right basal opacity suggests atelectasis however infection should be considered. no pleural effusion is identified. the left lung is clear.
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<unk>m s/p lap cholecystectomy with postop fever to <num>, diaphoresis, new oxygen requirement. crackles in right lung // eval for infection
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again seen, are bilateral lower lobe predominant airspace opacities. there is a small right-sided pleural effusion versus pleural thickening, also unchanged. mediastinal contour is stable. there is no pneumothorax. there is no definite new focal consolidation.
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<unk>-year-old man with shortness of breath evaluate for pneumonia.
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lungs: the lungs are well inflated. there is no consolidation. pleura: no pleural effusion is seen. heart: the heart is not enlarged. mediastinum and hila: there is no mediastinal mass. osseous structures: mild hypertrophic changes are noted. other findings: none
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history: <unk>f with cough x <num> week // r/o pna
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frontal and lateral views of the chest are obtained. there is mild-to-moderate interstitial edema. bibasilar atelectasis may also be present. the cardiac silhouette is mildly enlarged. on the frontal view, there is an ill-defined somewhat rounded opacity in the lateral right mid-to-lower lung, difficult on this study to discern whether osseous or pulmonary in nature due to the overlying soft tissue. consider oblique views or outpatient ct for further evaluation. no definite focal consolidation is seen. no pleural effusion or pneumothorax. cardiac silhouette is enlarged. rhere is suggestion of old anterior right seventh rib fracture.
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history of pneumonia. prescribed zithromax, but did not take meds, question pneumonia.
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ap upright and lateral views of the chest were obtained. the heart is normal in size and cardiomediastinal contours are unremarkable. lung volumes are low and atelectasis is noted at the left base and to a lesser extent right base. there is no focal consolidation, pleural effusion or pneumothorax.
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<unk>-year-old man with chest pain, evaluate for acute cardiopulmonary process.
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there is now prominence of interstitial markings at the bases consistent with moderate pulmonary edema. more prominent opacity is present at the right base which may be due to infectious process. the heart appears slightly enlarged since the prior radiograph, which may be technical in nature. there is no pleural effusion. the osseous structures are intact. there is mild dextroconcave scoliosis of the spine.
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<unk>-year-old female with hypotension and weakness, evaluate for cardiopulmonary process.
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frontal and lateral views of the chest. right chest wall port is again seen with its tip in the superior svc. there is a similar appearing region of consolidation in the lingula when compared to prior. left apical scarring is again noted. otherwise the lungs are clear. there is no effusion. cardiomediastinal silhouette is within normal limits.
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<unk>-year-old female with fever on chemotherapy.
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leftward shift of mediastinal structures with tenting of the left hemidiaphragm is compatible with left sided volume loss as a result of prior left upper lobectomy. heart size appears mildly enlarged. the aorta is slightly tortuous. pulmonary vasculature is normal. blunting of the left costophrenic angle likely reflects a small left pleural effusion. atelectatic changes are noted in the left lung base. right lung is clear. no pneumothorax is identified. multilevel degenerative changes are noted in the thoracic spine with anterior osteophytes. remote left-sided rib fractures are present
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chest pain.
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bibasal left mid lung linear atelectasis/scarring is re- demonstrated. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with confusion // pna
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the port-a-cath is again visualized. the heart size is upper limits of normal. there is no focal infiltrate or effusion. there is no significant change compared to prior exam.
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<unk> year old woman with aml now new fever // eval for 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 or pneumothorax. cardiac and mediastinal contours are normal.
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atrial fibrillation.
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as compared to prior chest radiograph from <unk>, there has been slight worsening of moderate to severe pulmonary edema, with likely increased left pleural effusion. the heart is enlarged. there are no new focal consolidations.
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<unk>-year-old female patient with chf and cough. study requested for evaluation of pulmonary edema/infiltrate.
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the patient is status post sternotomy. clips are present in the anterior mediastinum. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. mild subpleural scarring at each lung apex appears unchanged. the lungs appear clear. bony structures are unremarkable.
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persistent left-sided pleuritic chest pain.
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portable ap upright chest radiograph shows central pulmonary vascular congestion and haziness as well as bilateral airspace consolidation and interstitial fluid. cardiac size is unchanged.
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<unk> year old man with hypoxia // ? vol overload
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m with recent kidney transplant with fever today // eval pna
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frontal and lateral radiographs of the chest demonstrate well-expanded lungs. streak like atelectasis is seen in the right mid lung. atelectasis is also seen in the left base. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with l hip fracture. // eval for cardiopulmonary process
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portable ap upright chest film <unk> at <time>
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<unk> year old man with ngt partially pulled out and subsequently repositioned back in // pls eval ngt tip location/placement pls eval ngt tip location/placement
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the cardiac silhouette size is borderline enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lung volumes are slightly low. there is minimal atelectasis at the lung bases. no focal consolidation, pleural effusion or pneumothorax is seen. dish is re- demonstrated within the thoracic spine.
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chest pain.
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there appears to be a more conspicuous focal consolidation at the right lower lobe. no pleural effusions or evidence of a pneumothorax is identified. again seen is mild cardiomegaly. the mediastinal silhouette and hilar contours are unremarkable. the visualized osseous structures are unremarkable.
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history of shortness of breath, orthopnea and pnd. please evaluate for infiltrate/edema.
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the cardiomediastinal silhouettes are normal. there is tortuosity of the descending thoracic aorta. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or effusion.
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a <unk>-year-old man with a fever and cough, evaluate for pneumonia.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.
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<unk>-year-old with shortness of breath and cough.
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the left pectoral chest wall port catheter tip ends in the right atrium. tracheostomy tube projects over the upper mediastinum. in the imaged upper abdomen, gaseous distention of colon noted.
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<unk>f s/p trach increase in sputum production and fever, evaluate for pneumonia.
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portable chest radiograph <unk> at <time> is submitted.
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<unk> year old man with esrd, copd, s/p c<num>-c<num> lami and occiput-c<num> fusion, // interval change interval change
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frontal and lateral views of the chest demonstrate low lung volumes, accentuating bronchovascular crowding. allowing for such, there is no confluent consolidation to definitely suggest pneumonia. there is subsegmental atelectasis in the left lung base. no pneumothorax, vascular congestion, or pleural effusion.
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<unk>-year-old male with liver disease, presents with altered mental status. question infection.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm is seen.
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<unk>f with ruq pain and fever // cholecystitis?
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small volume pneumoperitoneum seen on the lateral radiograph. increased heart size, mildly improved. borderline pulmonary vascularity, similar. bibasilar opacities are stable on the left, mildly improved on the right. mild bilateral pleural effusions.
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<unk> year old man with gastric outlet obstruction, gastric cancer, prostate cancer, now s/p xrt // eval for pna
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interval placement of bilateral chest tubes. persistent small right hand moderate left pneumothoraces without midline shift. a right apical cap is again seen as well as marked right mediastinal widening. right lung and retrocardiac opacities correspond to pulmonary contusions seen on ct. an endotracheal tube terminates approximately <num> cm above the carina. previously described fractures are grossly unchanged.
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<unk>f with mvc, bilateral pigtail placement*** warning *** multiple patients with same last name! // evaluate for improvement of pneumothoraces
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there has been interval decrease in left pleural effusion after thoracentesis. no pneumothorax is present. the right pleural effusion is unchanged; however, there is increased volume loss with an opacity silhouetting the right heart border consistent with collapse of the right middle lobe and atelectasis of the right lower lobe. the cardiomediastinal silhouette is unchanged. a left port is unchanged in position.
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status post left-sided thoracentesis, check for pneumothorax.
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pa and lateral views of the chest. no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar contours are normal.
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hypoxia.
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ap portable upright view of the chest. midline sternotomy wires and mediastinal clips are again noted. there is focal airspace consolidation in the right mid lung concerning for pneumonia. there is associated small right pleural effusion. there is possibly a small left pleural effusion as well. a component of mild pulmonary edema is difficult to exclude in the correct clinical setting. the left lower lobe is poorly assessed given low lung volumes and ap portable technique. no pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.
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<unk>m with dyspnea, hypoxia, presyncope // evaluate for flluid overload, pneumonia
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since <unk>, new opacities are seen in the right perihilar region, possibly reflecting radiation treatment changes and mild right adjacent atelectasis. concurrent pneumonia cannot be excluded in the appropriate clinical setting. even given ct chest from <unk>, direct comparison is difficult. mild retrocardiac atelectasis is noted. the left lung is clear. the heart size is mildly enlarged. no pneumothorax or pleural effusion.
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<unk> year old man with nsclc s/p xrt right hilum, with decreased pfts and decreased breath sounds in right base, ? effusion // any acute infiltrate or effusion
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there are relatively low lung volumes. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are grossly unremarkable, likely exaggerated by supine position and ap technique.
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history: <unk>m car collision, no ejection, +seatbelt, confusion, vomiting*** warning *** multiple patients with same last name! // intracranial process, ptx, frx
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frontal and lateral views of the chest were performed. the heart has decreased in size from the prior study but remains mildly enlarged. there is prominence of the central vasculature without overt signs of pulmonary edema. bibasilar atelectasis is noted. there is no pleural effusion or pneumothorax. a tortuous and a dilated aorta is again noted. sternotomy wires and mediastinal clips are unchanged.
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recent aortic root repair and right lower extremity dvt now with persistent fevers.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are well inflated and clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. axillary clips are noted bilaterally.
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history: <unk>f with chest pain
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a tracheostomy is in place. sternotomy wires appear intact and appropriately aligned. a left picc terminates in the low svc. there are extensive multifocal opacities throughout the lungs bilaterally. heart size is normal. the mediastinal and hilar contours are normal. there may be small bilateral pleural effusions. no pneumothorax.
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<unk>f with resp failure and hemoptysis // eval for pna
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old woman presenting with lightheadedness and coarse lung sounds on exam. evaluate for pneumonia
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very shallow inspiration accentuates heart size. bilateral perihilar opacities are stable. more prominent right basilar opacity, likely atelectasis in the setting of shallow inspiration. pneumonitis cannot be excluded. gastric distention. lucency medial right chest, likely related to overlap of pulmonary opacity. if there is concern for free abdominal air, decubitus radiograph recommended.
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<unk> year old man with increasing o<num> requirement // pulmonary edema?
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endotracheal tube tip is approximately <num> cm from the carina. enteric tube seen with side-port past the ge junction, tip off the inferior field of view. the lungs are clear. the cardiomediastinal silhouette is within normal limits.
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<unk>f with anaphylaxis intubated // eval ett tube placement
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there are low lung volumes. the cardiomediastinal silhouettes are stable. aortic arch calcifications are again noted. the bilateral hila are within normal limits. there is bibasilar atelectasis. pulmonary vascular congestion and mild pulmonary interstitial edema is not appreciably changed since earlier same-day radiograph. there is no new focal consolidation. there is no pneumothorax or pleural effusion.
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<unk>-year-old woman status post thoracentesis, evaluate for pneumothorax.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. a right picc tip terminates at the cavo-atrial junction.
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<unk>-year-old man with history of all, now with fever and headache.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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<unk>f with cough, evaluate for pneumonia.
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lung volumes are markedly diminished, however, similar to prior exams. there is mild interstitial prominence on the current study slightly accentuated over prior studies with prominence of bilateral hila. no focal infiltrate is identified. the cardiomediastinal configuration and morphology is stable. there is subtle blunting of the right costophrenic angle, possibly indicating a small effusion. no pneumothorax is evident. body habitus limits evaluation of the osseous structures, but they are grossly stable.
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multiple myeloma with shortness of breath with exertion and chest pressure.
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there is mild hyper inflation and lucency in the upper lung fields compatible with known emphysema. there are no focal opacities to suggest pneumonia. the cardiomediastinal silhouette and hilar contours are stable. there is no cardiomegaly. there is no pleural effusion or pneumothorax.
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complaining of productive cough with yellow sputum production. pneumonia?
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MIMIC-CXR-JPG/2.0.0/files/p15211528/s51970936/4daee4fc-e8b5bda1-d00fa5d1-c5a8c326-3e65a7ec.jpg
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the patient is status post median sternotomy and cardiac valve replacement. <num> lead right-sided pacer device is stable in position. the cardiac and mediastinal silhouettes are stably enlarged. prominence and indistinctness of the hila likely due to fluid overload/vascular congestion with mild interstitial edema. no pleural effusion or pneumothorax is seen. right infrahilar opacity is felt to most likely relates to prominent vasculature although a consolidation is not excluded in the appropriate clinical setting.
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history: <unk>f with fever, cough // eval for infection
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the lung volumes are slightly lower compared to the prior study, with persistent mild bibasilar opacities, possibly atelectasis. the cardiomediastinal silhouette is stable. there is no pneumothorax or overt pulmonary edema.
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<unk> year old man who is pre-op for or // pre-operative planning surg: <unk> (vp shunt)
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MIMIC-CXR-JPG/2.0.0/files/p13364281/s50938551/2de6a6cb-1154bd5e-df31299f-379c71ea-fd11234c.jpg
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left basilar opacity has mildly improved. there is tiny left pleural effusion, stable. right lung is clear. pulmonary vascularity has improved. heart size is at the upper limits of normal. no pneumothorax. prominent main pulmonary artery, suggest pulmonary artery hypertension.
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<unk> year old woman with o<num> requirement (<unk>% sat on <num>l nc), no emphysema on prior ct chest // ?acute process that could account for o<num> requirement
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MIMIC-CXR-JPG/2.0.0/files/p17311449/s58682701/7839bcfe-a0455819-fe0a36fc-66edab22-d01cc4a1.jpg
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. the lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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cough, shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p10373824/s55495106/3b5e8d52-a95d34e1-83edbc0f-0270d7bf-fb29936b.jpg
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the cardiac silhouette is mildly enlarged and stable from previous studies. the aorta is heavily calcified otherwise the mediastinal silhouette is unremarkable. the hila are normal. the lungs are hyperinflated with flattening of the diaphragms. there is a small left pleural effusion but no evidence of focal consolidations or pulmonary edema.
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<unk> year old woman with history of asthma, chf, increased dyspnea // ? worsening chf, pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12252195/s52351156/1a68113b-155b53bc-7466a2e0-069965aa-876fc0ba.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. no pulmonary edema is seen. there is no evidence of free air beneath the diaphragms.
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diffuse abdominal tenderness.
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low lung volumes results in crowding of the bronchovascular structures. a previously identified right upper lobe pulmonary nodule is no longer visible on today's study. mild bibasilar atelectasis is noted. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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history: <unk>f with likely central vertigo // eval for cardiopulmonary process
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MIMIC-CXR-JPG/2.0.0/files/p16444272/s50353513/a0c775de-cfd8b25e-abc54e17-637a138d-5945f4ea.jpg
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ap single view of the chest has been obtained with patient in upright position. comparison is made with the next preceding studies obtained <num> and <num> hours earlier. marked cardiac enlargement as before. position of right-sided chest tube as well as smaller draining catheter unchanged. unaltered position of previously described left-sided picc line terminating in lower svc and probably approaching right atrium. there is no evidence of pneumothorax. as before, markedly congested vascular pattern in lungs and evidence of bilateral pleural effusion. the congestive vascular pattern persists and may even have increased further. size quantitation of this process on single chest view has limitations.
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<unk>-year-old female patient with chronic chylothorax, status post chest tube and pleurx, status post clamping of tube, evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p16658959/s54694693/820f4dc1-29182d31-4bc4c76d-d32f4304-37a96d56.jpg
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ap upright view 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. staple lines project over the epigastrium. nasogastric tube terminates in the stomach.
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history: <unk>f with abd pain, likely obstruction // please eval ngt placement
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MIMIC-CXR-JPG/2.0.0/files/p15357247/s50393559/3bdb08a6-fc57b472-d97d5d47-bb278d08-2cf11ec6.jpg
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elevation of the left hemidiaphragm is unchanged. linear atelectasis the lateral left lung base is new. lungs are otherwise well expanded and clear. no pleural abnormality. moderate to severe cardiomegaly is unchanged. no pulmonary edema. cardiomediastinal hilar silhouettes are unremarkable. dense aortic calcifications are again noted. multiple gaseously distended loops of large bowel project over the upper abdomen.
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<unk> year old woman with new leukocytosis and <unk>'s syndrome, w/ hx of aspiration // eval for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p19229277/s50845482/43e3def1-1a5ab567-0a487703-6085befd-9f2110b8.jpg
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ap portable upright view of the chest. an ng tube courses inferiorly into the left upper quadrant. a left chest tube is in place, stable in position from prior exam. there are bilateral pleural effusions which are small with associated mild compressive lower lobe atelectasis. mild pulmonary edema persists. the heart size remains within normal limits. the mediastinal contour is normal. bony structures are intact. gaseous distension of bowel in the upper abdomen noted with skin <unk> present.
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<unk> year old man with ingestion of bleach, s/p esophagogastrectomy, with chest tube.
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MIMIC-CXR-JPG/2.0.0/files/p18990392/s53850911/96c22d60-9dd8789b-8a6cc84d-ded4707c-d76389c5.jpg
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the metallic pattern along the mid portion of a left brachiocephalic and subclavian stent shows irregularity along the mid portion of the stent where it crosses over the left first rib. this is probably due to an impression on the stent by the rib, but appears new since the prior ct, which was performed very shortly after placement. the cardiac, mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. there is similar mild relative elevation of the right hemidiaphragm.
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clot in dialysis fistula.
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MIMIC-CXR-JPG/2.0.0/files/p10901772/s58428869/14f70ed1-f8adb004-ef1093a9-2778a3e7-b8684437.jpg
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the newly placed a left ij approach central venous catheter tip projects over the expected region of the cavoatrial junction. a left single lead pacer defibrillator tip projects over the expected region of the right atrium. cardiac valve replacement, median sternotomy wires, and mediastinal clips are unchanged. lung volumes remain low. blunting of the costophrenic angles bilaterally suggests small bilateral pleural effusions. no pneumothorax or frank pulmonary edema. the cardiomediastinal silhouette is unchanged.
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<unk>-year-old woman status post left ij placement. evaluate for line placement.
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MIMIC-CXR-JPG/2.0.0/files/p13160558/s54159479/95b8209c-2cc02c91-1005f61b-64f333d7-ec293eb7.jpg
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. tiny nodular density projecting over the upper lung field on lateral view only is likely external to the patient as it is not seen on frontal view. heart and mediastinal contours are within normal limits.
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<unk>-year-old male with lightheadedness and near syncope.
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MIMIC-CXR-JPG/2.0.0/files/p16492005/s53357237/0c20a5af-c0a4902f-5bfdb30b-3c947edb-5a1a3f74.jpg
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right-sided picc terminates in the low svc without evidence of pneumothorax. the lungs relatively hyperinflated. bibasilar atelectasis/ scarring is seen. there is eventration of the posterior left hemidiaphragm. no large pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. hardware is seen in the proximal right humerus with chronic deformity of the right glenohumeral joint.
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history: <unk>m with picc line, confusion, h/o left lung pleurodesis. // picc line placement, focal consolidation
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MIMIC-CXR-JPG/2.0.0/files/p13446545/s58734975/fcb7037a-8ca7ab7d-b2677bd2-cbb40e50-0e70431d.jpg
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are unremarkable. no pulmonary edema, pleural effusion, or pneumothorax. no focal consolidations are noted.
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history: <unk>m with fevers cough dyspnea // r/o infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p11406241/s58528801/db4c84f7-4e91197f-6f827cc2-e9d7a90d-cd1a8748.jpg
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assessment of the lung apices is limited as the patient's chin and neck project over and obscure this region. heart size remains within normal limits. the aorta is tortuous. lungs again demonstrate changes compatible copd with flattening of the diaphragms and hyperinflation. bibasilar airspace opacities are re- demonstrated, and most likely reflect atelectasis. blunting of the costophrenic angles on the lateral view posteriorly likely reflect small bilateral pleural effusions. no pulmonary vascular engorgement is demonstrated. no large pneumothorax is identified.
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altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p15509023/s50122748/c035deab-a24b48fa-86c4b9df-183365a7-c646915a.jpg
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lung volumes are low. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old woman with cough, chills blood tinged sputum.
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MIMIC-CXR-JPG/2.0.0/files/p12224514/s52375727/3da93828-b1c3c016-901ec923-cd8af80b-f79427d5.jpg
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the cardiac, mediastinal and hilar contours appear stable. the course of the aorta is again tortuous. there is no pleural effusion or pneumothorax. there is a similar eventration of the anterior right hemidiaphragm. the lungs appear clear.
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sudden onset of occipital pain status post recent fall.
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MIMIC-CXR-JPG/2.0.0/files/p17983533/s52022223/40d5bbac-2551f3e3-b1dd4b5a-264d9d3d-3616c01f.jpg
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the lung volumes are slightly low, accentuating the pulmonary vasculature and heart size, which is mildly enlarged. there is hazy opacification in the retrocardiac region in the left lung. linear scarring/atelectasis in the left mid lung is unchanged. there is no pneumothorax, overt pulmonary edema, or large pleural effusion. changes related to prior median sternotomy and valve replacement are again noted.
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history: <unk>m with intoxication, chest pain // please evaluate for acute cp process
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MIMIC-CXR-JPG/2.0.0/files/p16860613/s58493185/623c7a6c-dc831e4c-341d86fc-df447b12-970e26b1.jpg
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the right-sided pic line appears to terminate in the right atrium, overall unchanged compared to the prior exam. the patient is status post aortic valve replacement. there is a left-sided pectoral pacemaker with the leads in appropriate position in the right atrium and right ventricle. there are stable small bilateral pleural effusions. there is no evidence of a pneumothorax. moderate cardiomegaly is stable. no definite focal consolidations concerning for infection are identified.
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history of large left rectus sheath hematoma. progressive leukocytosis. please evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p13896515/s58373469/f1324f6e-a72d0eb7-dbe2b51f-8da51dcb-822e61dc.jpg
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as compared to the prior radiograph performed yesterday morning, there has been slight interval improvement in extent of interstitial pulmonary edema. there are no large pleural effusions. there is no pneumothorax. persistent moderate cardiomegaly. median sternotomy wires are intact. left pectoral pacemaker is unchanged in visualized.
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<unk> year old man with chf, sepsis, bacteremia, tachypnea // ?interval change
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MIMIC-CXR-JPG/2.0.0/files/p19270543/s51284142/1b3c0bd5-87282796-53cb4901-4b6dbe44-8e471da8.jpg
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the patient is status post median sternotomy. the heart size is mildly enlarged, increased in size compared to the previous study. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. minimal atelectasis is noted at the lung bases. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>f with vomiting
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MIMIC-CXR-JPG/2.0.0/files/p18146957/s50663227/7df63114-5a798be7-0b9b7845-3fe61faa-fc866c32.jpg
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interval removal of et tube. ng and right picc line are unchanged in position. there has been interval generalized opacity of the right lower and mid lung likely representing an effusion with associated atelectasis and volume loss. cardiomediastinal silhouette is otherwise unchanged.
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<unk> year old man with respiratory failure, intubated // eval for pna, effusions eval for pna, effusions
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MIMIC-CXR-JPG/2.0.0/files/p11673731/s51281625/5b3d9d6a-8807bfaf-d39df859-af728d96-235e04d4.jpg
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low lung volumes are present. the heart size is normal. the mediastinal contours are unremarkable. there is crowding of the bronchovascular structures but no pulmonary edema is demonstrated. the hilar contours are unremarkable. patchy opacities in the lung bases may reflect atelectasis, aspiration or pneumonia. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are noted in the thoracic spine.
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shortness of breath and cough.
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MIMIC-CXR-JPG/2.0.0/files/p10064049/s51334169/29488069-a94af3a0-78cffa0f-135abbcb-ca4771d3.jpg
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<num> cm right lower lobe pulmonary nodule was better assessed on recent prior ct. calcified left lower lobe pulmonary nodule is also re- demonstrated. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are grossly stable.
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history: <unk>m with tachycardia // eval for chf/pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p11768345/s51375261/98122a1a-f789c304-ee18f4d5-74f0585e-8274b602.jpg
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. the included osseous structures are grossly normal.
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<unk> year old woman with pleuritic type of cp. // ?pleural effusion
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MIMIC-CXR-JPG/2.0.0/files/p16141152/s51937314/d023ee77-0e810e97-dfb4278d-c06f1dfb-9a5c00d8.jpg
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frontal and lateral views of the chest. relatively low lung volumes are seen with linear left basilar opacities most suggestive of atelectasis. the lungs are otherwise clear without consolidation or vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
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<unk>-year-old male with end-stage renal disease and hypertension, presenting from mri with shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p10158501/s59733160/70e34ffe-9c209850-fcf9635e-0ac75e6e-ba4a6039.jpg
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is detected. somewhat oblong density measuring <unk> millimeters is seen projecting over the right <unk> posterior rib as it crosses the right <unk> anterior rib, likely a non aggressive osseous lesion such as a bone island, and not felt to be within the lung as is is not seen on the lateral view.
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cough for <num> weeks with right-sided crackles.
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MIMIC-CXR-JPG/2.0.0/files/p16540820/s55119613/2e8198d1-679264cb-3dfd7a07-6e6deda0-2d055fc1.jpg
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pa and lateral views of the chest demonstrate low lung volumes. there is an airspace opacity involving the right lung base, which is also seen projecting over spine on the lateral view. no pleural effusion or pneumothorax is seen. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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patient with fever and cough. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13771920/s51540208/0d466872-5df1cae0-074ea094-0d91505b-7ff45614.jpg
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected. a percutaneous gastrojejunostomy catheter is partially imaged in the upper abdomen.
|
history: <unk>f with tachycardia to <num>s, chest pain
|
MIMIC-CXR-JPG/2.0.0/files/p17722636/s57751062/bc0b3bef-1e191be9-f12ac837-5003d44d-9cf13ff2.jpg
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frontal and lateral chest radiographs demonstrate a normal cardiac silhouette. there is increased opacity of the left upper lobe, with traction upon the trachea and left mainstem bronchus, consistent with the patient's known neoplasm. no focal consolidation to suggest pneumonia is identified. retrocardiac opacity likely represents atelectasis and a small left effusion. there is no pneumothorax. the visualized upper abdomen is unremarkable.
|
evaluate for pneumonia in a patient with advanced lung cancer.
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MIMIC-CXR-JPG/2.0.0/files/p12312635/s55010405/f6f8fa94-9861ec44-fca8ebcf-95bc1fe3-a69324dd.jpg
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heart size is mildly enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are hyperinflated without focal consolidation. minimal atelectasis is noted in the left lung base. no pleural effusion or pneumothorax is present. there are mild multilevel degenerative changes in the thoracic spine.
|
history: <unk>f with chest pain
|
MIMIC-CXR-JPG/2.0.0/files/p16693201/s59306088/1f9f2b12-7e618b2c-574bd6a3-04a57df9-c158dd95.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. trace bilateral pleural effusions are suspected. there are patchy opacities in both lower lobes, as well as probable opacities in the right middle lobe and lingula, worrisome for pneumonia. the bony structures are unremarkable.
|
hypoxemia.
|
MIMIC-CXR-JPG/2.0.0/files/p13568894/s51610415/49d1ede0-1598496f-8dfb646d-792888d6-ad33a9fb.jpg
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the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
|
<unk>m with chest pain, cough. assess for infiltrate.
|
MIMIC-CXR-JPG/2.0.0/files/p18524592/s57719745/370caee8-5c7e6c63-f2240bc7-4fe88027-ec7712a4.jpg
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frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
|
patient with one-year history of night sweats, assess for cardiopulmonary disease or lymphadenopathy.
|
MIMIC-CXR-JPG/2.0.0/files/p15944907/s58531424/92ce98d7-9701ecbe-3b1b7fae-af3a75c8-298b5645.jpg
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the film is somewhat blurry owing to motion artifact. the cardiac, mediastinal and hilar contours are probably unchanged. there is no pleural effusion or pneumothorax. within the limitations of technique, the lungs appear clear. a right-sided picc line has been removed.
|
altered mental status and confusion.
|
MIMIC-CXR-JPG/2.0.0/files/p19748852/s56710125/1e5b0917-f8620c55-35718695-ad6e9f79-61599401.jpg
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cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen including no displaced rib fractures.
|
history: <unk>f with palpitations after mvc // ?rib fracture ?pneumothorax
|
MIMIC-CXR-JPG/2.0.0/files/p10659857/s59206984/def67b8b-d06bdcbd-0d89f3c6-73abcec6-b18444d2.jpg
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the lung volumes are normal. no focal consolidations. the cardiomediastinal contours are normal. a small right pleural effusion. the left pleural surfaces are normal. no pneumothorax. stable thoracolumbar scoliosis. stable left glenohumeral arthroplasty. stable appearance of lumbar spinal fusion hardware. the left chest port catheter terminates in the upper right atrium, unchanged.
|
<unk> year old woman with post-op hypoxemia // any consolidation?
|
MIMIC-CXR-JPG/2.0.0/files/p13630694/s51707295/c1452b32-f78e747e-280c58c5-5d016634-ad3ff306.jpg
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the heart size, mediastinal, and hilar contours are normal. there is a linear opacity identified at the right lung base medially. the lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax.no evidence of free subdiaphragmatic air.
|
<unk>f with epigastric pain. eval for free air.
|
MIMIC-CXR-JPG/2.0.0/files/p17396841/s54041620/6deea67a-89f97535-563086dc-620e57ab-554d5937.jpg
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as compared to chest radiograph from earlier today, on the nasogastric tube has retracted with the tip just distal to the gastroesophageal junction and needs to be advanced at least <num> cm. endotracheal tube and left ij catheter in good position. moderate pulmonary edema is unchanged. retrocardiac opacity and moderate effusion on the left has not substantially changed. no pneumothorax.
|
<unk> year old man with respiratory failure with ett s/p ogt replacement // eval for ogt placement
|
MIMIC-CXR-JPG/2.0.0/files/p10329846/s51578866/f46c917b-63a9cb84-80ebfb86-e33437aa-57775ef5.jpg
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lung volumes are low, resulting in bronchovascular crowding. there is chronic blunting of the left costophrenic angle, not significantly changed from prior. the cardiac silhouette is not enlarged. the hilar are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. median sternotomy wires are present.
|
history: <unk>m with ams, drug use, r/o infectious w/u // ?pna
|
MIMIC-CXR-JPG/2.0.0/files/p11325169/s57654597/7224d747-6d808227-1843e1ed-c7704d14-fc7607c1.jpg
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there is mild cardiomegaly. the mediastinal and hilar contours are within normal limits. as compared to prior chest examination, there has been interval removal of right-sided central venous catheter. residual patchy opacity at the right lung base likely relates to resolving consolidation, with the previously noted right upper lobe opacity completely resolved. no new focal consolidations are identified. the left lung is clear. there is no pneumothorax. tiny bilateral pleural effusions are smaller than on the prior study.
|
weakness, dyspnea. rule out acute cardiopulmonary disease.
|
MIMIC-CXR-JPG/2.0.0/files/p17578234/s58366446/aaf7f320-653d344b-42c3744b-be4c341c-9c7ffbbb.jpg
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ap portable upright radiograph demonstrates a left chest wall aicd with svc and right ventricular shock coils, unchanged. the moderate right and small left pleural effusions are essentially unchanged in size. pulmonary edema is moderate. there is adjacent compressive atelectasis of the left and right lower lobes. there is no pneumothorax.
|
pleural effusions. evaluate for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p14827799/s57942080/a5e91a79-4c507277-91217548-76ab333c-2d91c1fc.jpg
|
cardiac, mediastinal and hilar contours are within normal limits. aortic knob calcifications are present. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
|
cough.
|
MIMIC-CXR-JPG/2.0.0/files/p15910450/s53040208/2a9bf84e-ca5b2e08-0ac56159-ba1f1e58-c7d5a3c6.jpg
|
frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contour. lungs are clear. no pleural effusion or pneumothorax evident. no osseous abnormality identified.
|
recurrent syncope. assess for infectious process.
|
MIMIC-CXR-JPG/2.0.0/files/p17698386/s58976532/023fa37c-bc72062c-77c46756-2473e90c-0d189b0e.jpg
|
the tip of the endotracheal tube is in appropriate position terminating <num> cm above the carina. the enteric tube is also in satisfactory position terminating in the gastric body with a side port below the ge junction. there is an opacity at the left lung base as well as atelectasis at the right lung base. there is mild pulmonary vascular congestion. no pneumothorax is seen.
|
<unk>-year-old woman with seizures, intubated, evaluate for et tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p16742247/s50103430/962d1b7f-bd8be2aa-56cb9acb-32f68301-a940659c.jpg
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pa and lateral views of the chest provided. airspace consolidation is noted within the inferior lingula and right lower lobe concerning for multifocal pneumonia. no definite additional areas of involvement. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.
|
<unk>m with hx of aml s/p bmt in <unk> currently on lenolamide, presents with fever // any e/o pna? acute process?
|
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