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MIMIC-CXR-JPG/2.0.0/files/p11761121/s50828124/814a2ffe-bb22910c-2ecd23c5-3efd3713-96e69b93.jpg
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the patient is rotated to the right, somewhat limiting the evaluation. lungs are low in volume but clear. heart size is exaggerated by ap technique but likely normal. the mediastinal and hilar contours are poorly evaluated but grossly unremarkable. there is no large pleural effusion or pneumothorax.
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chest pain. evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p12060317/s52183055/188f88ce-16ba3bfb-dc4ce262-07544810-81782da4.jpg
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a port-a-cath terminates in the superior vena cava. the heart is normal in size. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the chest is hyperinflated. the lungs appear clear. bony structures are unremarkable.
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shortness of breath and palpitations. history of lymphoma.
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MIMIC-CXR-JPG/2.0.0/files/p10351739/s57300529/3dfb799e-f4f2d4af-819452dc-7e997109-ba7f75d6.jpg
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lung volumes are slightly low, accentuating the cardiomediastinal silhouette. bibasilar atelectasis is noted, right greater than left, confirmed on the outside hospital ct. no focal consolidation or pneumothorax. pleural effusions are trace, if any.
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<unk>f with new oxygen requirement. evaluate for acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p19750112/s56682336/a9bdead0-0131c4cb-b0444e19-bdbcc13a-ee11c860.jpg
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there are low lung volumes. the lungs are clear with no evidence of nodule, mass, or consolidation. there is no pneumothorax or pleural effusion. the cardiac silhouette is top-normal in size. osseous structures are unremarkable.
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<unk>-year-old male with cough.
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portable upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man with multiple myeloma, concern for rll pneumonia vs. aspiration on chest ct. // please eval for pneumonia vs. aspiration pneumonitis please eval for pneumonia vs. aspiration pneumonitis
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MIMIC-CXR-JPG/2.0.0/files/p18379244/s54819608/59b83520-80d284ec-be409850-b98b3344-85ed18b6.jpg
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a left chest wall the single lead aicd is present. the patient is status post prior median sternotomy. minimal left basilar atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. the size of the cardiac silhouette is markedly enlarged but unchanged.
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<unk> year old woman with chf // eval interval change pulm edema
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MIMIC-CXR-JPG/2.0.0/files/p13730554/s59724157/85a03562-9783571f-b17a5ba2-a3af3107-d68be35f.jpg
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chronic flattening of right diaphragm with right lower lobe atelectasis and small right pleural effusion. hyperinflated lungs bilaterally without pulmonary edema or pneumothorax. clear left lung withouth pleural effusion. heart size is normal with a mildly enlarged left atrium and calcified mitral annulus. mediastinal contours and hila are normal. no bony abnormality.
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female with cough, fever and decreased breath sounds in the right lower lobe. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16185847/s59532916/94ed4a14-3b43a1a6-40764f5a-df311bbc-c136ea48.jpg
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pa and lateral views of the chest provided. scarring in the mid and lower lungs is unchanged from <unk>. no pneumothorax. small, bilateral pleural effusions and bilateral pleural thickening are unchanged. stable hilar adenopathy. mediastinum appears widened due to fat deposition and lymphadenopathy.
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<unk> year old man with severe cough, asthma, purulent producion, fever, sob // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p11258541/s50886464/103f66c7-05f48426-f659a9b5-d9256363-8b1e6777.jpg
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is no focal consolidation, pleural effusion or pneumothorax identified. subsegmental atelectasis is demonstrated within the right middle lobe and likely both lower lobes. there is no acute osseous abnormality. mild degenerative changes are noted in the mid thoracic spine.
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cough.
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MIMIC-CXR-JPG/2.0.0/files/p19324533/s52538343/ab24d868-d87edf0d-cbcdec09-f7546a7c-8eb8210c.jpg
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right pectoral infusion port terminates at the low svc. there is no consolidation, pleural effusion, or pneumothorax. cardiac silhouette is top normal in size.
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<unk> year old woman with new porta cath in place. // please confirm current placement of porta cath. surg: <unk> (eus)
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MIMIC-CXR-JPG/2.0.0/files/p16448454/s55018500/23090ce0-df244e03-e2e6ba8f-ca6092d0-a6b5bcd0.jpg
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there is no focal consolidation, pleural effusion or pneumothorax. multiple deformities of anterior right middle and lower ribs reflect previous chest trauma, perhaps with infection, responsible also for right pleural scarring and elevation of the right hemi hemidiaphragm. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
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history: <unk>m with cough // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p16449411/s56344786/2125650f-ee728431-50ff7577-d4dd5a81-dfc2d22b.jpg
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cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. previously demonstrated paraesophageal mass and multiple bilateral pulmonary nodules seen on prior ct are not well assessed on the current exam. pulmonary vasculature is normal. low lung volumes are present. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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history: <unk>f with known brain mets, headache and altered mental status
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MIMIC-CXR-JPG/2.0.0/files/p16390179/s56316590/0e6d5314-cdd319e2-7a1e489d-e6220781-6f95d1c8.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with cough
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MIMIC-CXR-JPG/2.0.0/files/p15243341/s53659873/2dc5771a-ceeb4ad8-a070c5ea-797f152b-6c4e63ad.jpg
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since chest radiographs dated <unk>, a new right-sided port terminates within the right atrium. lungs are fully expanded and clear. no pneumothoraces. new, moderate cardiomegaly. cardiomediastinal and hilar silhouettes and pleural surfaces are otherwise normal.
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<unk> year old woman with endometrial cancer s/p port placement into r subclavian vein. // s/p port placement, assess for pneumothorax and appropriate placement and other abnormalities.please call <unk> with wet read.page <unk> if abnormal result surg: <unk> (port placement)
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MIMIC-CXR-JPG/2.0.0/files/p14986539/s53719053/a8e20b6e-9b403763-87e23e17-fa83725c-5203dea2.jpg
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pa and lateral chest radiographs demonstrate no focal consolidations, pleural effusion, or pneumothorax. the heart size is normal. there is mild tortuosity of the aorta. the cardiomediastinal silhouette is otherwise unremarkable. sclerotic appearance of the thoracic vertebral bodies likely represents osseous metastatic disease.
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fatigue and fever. history of prostate cancer.
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postoperative appearance of cardiomediastinal contours is stable compared to the recent postoperative radiograph. bibasilar atelectasis and small pleural effusions persist. retrosternal lucencies on the lateral view or likely related to recent sternotomy.
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<unk> year old man with s/p cabg pod <num> // eval for effusion or infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p14274309/s50644564/802328ed-1bf8d24b-227434fb-8921de5f-10e2201c.jpg
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cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. the pulmonary vasculature is normal. mild bronchiectatic changes are re- demonstrated within the lung bases. patchy opacity in the left lung base is concerning for infection. right lung is clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities visualized.
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dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p13401072/s54307114/69f7d362-7db6132d-f82a8b49-1b5fd9ff-bed878a1.jpg
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pa and lateral chest views were obtained with patient in upright position. our records do not include a previous chest examination available for comparison. the heart size is well within normal limits. no configurational abnormality is seen. thoracic aorta unremarkable. no mediastinal abnormalities are present. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. skeletal structures of the thorax grossly within normal limits. no evidence of pneumothorax in the apical area on the frontal view. nonprominent extrathoracic soft tissue structures are noted, match the clinical information of patient's weight loss.
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<unk>-year-old male patient with weight loss and muscle weakness, evaluation for prior evidence of tuberculosis or other lesions of infectious etiology.
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MIMIC-CXR-JPG/2.0.0/files/p14395663/s57650583/84a0aa13-97fdd153-aec66a2a-de9f2ae5-32530932.jpg
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the lungs are hyperinflated, and there are no focal consolidations or pleural effusions or pulmonary edema. an endotracheal tube is in appropriate position. a any enteric tube terminates in the distal esophagus, and recommend further advancement.
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<unk>-year-old female status post endotracheal tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p12441371/s58028189/81488f3d-3d1fc66d-c4e5639d-00018c82-258072c7.jpg
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the cardiac, mediastinal and hilar contours appear stable. generalized opacification has improved somewhat suggesting reduction in fluid overload, but on this examination there is a developing opacity projecting over the right lower lung, probably in the right lower lobe. there is still a substantial nodular focus projecting over the left mid lung and possibly a second one projecting nearby. the right mid-to-lower lung is difficult to assess for any possible nodules.
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worsening dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p10467003/s55269416/a7f669eb-90f89c67-9abf7d8f-2af018f5-3918c9c5.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with wheezing
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MIMIC-CXR-JPG/2.0.0/files/p18477317/s55187423/e340e624-86ddbaff-09555e49-50effcde-38bb3725.jpg
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the heart is not enlarged. the trachea is indented rightwards because of mediastinal adenopathy better evaluated on chest ct from <unk>. bilateral hilar fullness likely reflects hilar adenopathy better evaluated on chest ct. there is minimal scarring and pleural thickening in the right upper lung better seen on chest ct. focal opacity in the left upper lung reflects left upper lobe mass better evaluated on most recent chest ct. there is no new focal consolidation, pneumothorax or pleural effusion.
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<unk> year old woman with nsclc metastatic to brain, now presenting with abdominal pain and splenic infarcts; mild hypoxia // assess for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12356657/s53366892/7be91417-9de12222-44b0c7fa-514413da-aa585853.jpg
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frontal radiograph of the chest demonstrates interval placement of an orogastric tube which is seen coursing through the esophagus below the level of the diaphragm with tip terminating in the fundus of the stomach as well as sidehole within the fundus of the stomach, appropriate position. otherwise, exam is stable since the prior study from three hours prior.
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<unk>-year-old man with orogastric tube replacement. evaluation for position.
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MIMIC-CXR-JPG/2.0.0/files/p16128931/s51029748/cd9f0653-53bd8cbb-911cd0dc-7a3a8a5f-b3cb475f.jpg
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the lungs are clear without focal opacity, pleural effusion or pneumothorax. there is no pulmonary edema. the previously noted pulmonary nodules are not well assessed by radiographs. the heart is normal in size, and the mediastinal contours are normal. no displaced rib fractures are noted.
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<unk> year male with renal cell carcinoma and right <unk> posterior rib pain.
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MIMIC-CXR-JPG/2.0.0/files/p15622137/s51258755/c25d11b1-9b4a2a0c-efd3ceb1-64e49d1c-dc4c645e.jpg
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frontal and lateral views of the chest again demonstrate extensive bilateral predominantly peripheral, fibrotic disease. a rounded opacity is evident in the right mid lung and corresponds to the site of a newly diagnosed lung cancer. there is no pleural effusion or evidence of volume overload. sutures are seen within the right upper lung. there is no pneumothorax or new consolidation.
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new diagnosis of lung cancer with dizziness and shortness of breath, evaluate for fluid overload.
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MIMIC-CXR-JPG/2.0.0/files/p12333367/s52934343/c43e1696-0266bb7f-a59f9751-410be5b3-58cafd1a.jpg
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the heart is normal in size. the main pulmonary artery contour is mildly prominent, but unchanged and probably compatible with a normal variant. mild unfolding of thoracic aorta is also similar. there is minimal relative elevation of the right hemidiaphragm compared to the left. there is no pleural effusion or pneumothorax. streaky opacity at the left lung base is compatible with minor atelectasis. there is no pleural effusion or pneumothorax. small osteophytes are noted along the thoracic spine.
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shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p13687044/s54184668/ce746136-e2070ddc-38fae7cc-b6be22d5-5d1ff00e.jpg
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a right central venous catheter is seen terminating in the right internal jugular vein or right brachiocephalic vein. as compared to prior chest radiograph from <unk>, patient is slightly rotated. there is a possible pleural reflection evident along the mid-upper portion of the right lung, concerning for a small right pneumothorax. there is right-sided pleural effusion with compressive atelectasis at the right lower lung base. the left hemidiaphragm is somewhat better visualized and demonstrates mild left lobe atelectasis.
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<unk>-year-old male patient with dchf and hypotension. study requested for interval change and evaluation of pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16574261/s51904356/e347586d-1ce94b03-b0e614c9-83b9d2bb-99f7157a.jpg
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. in particular, there is no pneumomediastinum.
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<unk>-year-old with vomiting. question pneumomediastinum.
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MIMIC-CXR-JPG/2.0.0/files/p17863255/s51493746/b69865a6-1866da1c-d63aa0cf-8e73153b-1d41b7c8.jpg
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streaky bibasilar opacities are likely due to atelectasis. superiorly the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications seen at the aortic arch.
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<unk>m with cough, + fall today // eval for consolidation
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there is a moderate cardiomegaly. the hilar and mediastinal contours are unremarkable, except to note moderate aortic knob calcifications. lungs are mildly hyperinflated, but no focal consolidation, pleural effusion or pneumothorax is seen. a calcified right thyroid lobe nodule is again redemonstrated.
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<unk>-year-old man with hypotension, hypoxia and syncope.
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endotracheal tube ends <num> mm above the carina. nasogastric tube noted; tip is not visible. bilateral pulmonary vascular engorgement is unchanged. the left hemidiaphragm is not well defined, likely reflecting a small pleural effusion. cardiomediastinal contours are unchanged. no pneumothorax.
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<unk>-year-old man with polytrauma, attempt at left subclavian line, assess for interval change, rule out pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p10866397/s50061435/cdc2668f-2635db19-1055db4e-578d48c5-dd20dd52.jpg
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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. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with intermittent cp radiating into back, dyspnea
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MIMIC-CXR-JPG/2.0.0/files/p14346384/s56976449/0c6910df-11e88bc3-7de7ff7e-fc223d57-a4b44265.jpg
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there is minimal bibasilar atelectasis. the lungs are otherwise clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. a small eventration of the left hemidiaphragm is unchanged. cervical spine hardware is partially imaged, and unchanged from the prior exam.
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nausea and vomiting. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19553832/s57428336/2c0d5463-024bbe3e-e6f41f0c-f138a484-e0187620.jpg
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the heart is mildly enlarged. there is mild pulmonary vascular redistribution. there is no focal infiltrate. there is a probable small left effusion. compared to the prior exam aeration in the lower lungs is improved
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<unk> year old man with s/p acdf c<num>-<num> with increase secretions, please evaluate for infectious process. // <unk> year old man with s/p acdf c<num>-<num> with increase secretions, please evaluate for infectious process.
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MIMIC-CXR-JPG/2.0.0/files/p13713048/s53484162/15f765a1-61ab555a-3883683b-4f05dc1e-43287c0b.jpg
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the lung volumes are low. hilar prominence is likely secondary to crowding. no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits given the limitations of low lung volumes. a prominent epicardial fat pad is noted
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<unk>-year-old male with left shoulder film showing possible pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p10850048/s56379122/140060c2-a86f31d0-08c26f48-319211c7-a8ea4993.jpg
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the cardiac, mediastinal and hilar contours appear stable. opacification in the right lung has resolved. there is vague increase in interstitial opacification of the left lung including small nodular foci in the left upper lobe worrisome for a reurrent/chronic infection, new since the prior study. previously, there were few nodular foci in the left mid lung that have resolved. there is no pleural effusion or pneumothorax.
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cough. chronic curtain esophageal stricture status post recent endoscopic dilatation.
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MIMIC-CXR-JPG/2.0.0/files/p11832764/s59459243/e8cefdb7-29ee5ef0-130777c0-60eba195-d763d9ff.jpg
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the lungs are mildly hypoinflated with minimal bibasilar and lingular atelectasis, left greater than right. the lungs are otherwise clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. no free air under the diaphragm. visualized bowel gas pattern is nonobstructive.
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<unk>f with mgus, dm<num>, htn p/w <num> week of malaise, fatigue, nausea. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16814659/s52197186/ed4c0ace-4d9b8e9e-67641a83-faf19878-7d25a5fb.jpg
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is top-normal in size. the thoracic aorta is unchanged from the prior study when consideration is given to slight patient rotation. no acute osseous abnormality.
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<unk>-year-old woman with acute onset chest pain. evaluate for aortic dissection, pneumothorax, pulmonary edema, or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19919213/s56468846/95d40988-fb6754b8-57c20fc2-b058e255-66a284da.jpg
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compared with the immediate prior study, mild central pulmonary vascular congestion with moderate associated interstitial pulmonary edema is new with interval increase in moderate cardiomegaly. underlying interstitial lung disease is present. blunting of bilateral costophrenic angles is chronic and likely related to pleural-parenchymal scarring rather than small effusions. biapical scarring is unchanged. there is no focal consolidation or pneumothorax. the cardiomediastinal contour is stable.
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<unk>m with doe, sob evaluate for pneumonia or chf.
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pa and lateral views of the chest. blunting of the right costophrenic angle is again seen suggestive of scarring given chronicity. posterior costophrenic angle remain sharp without evidence of effusion. the lungs are clear of consolidation. the cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
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<unk>-year-old female with recurrent pneumonia presents with cough and fevers.
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two portable views of the chest. endotracheal tube is identified with tip approximately <num> cm from the carina. left internal jugular central venous catheter seen, tip in the region of the left brachiocephalic vein. there are diffuse bilateral parenchymal opacities. moderate-to-large right-sided pleural effusion seen surrounding the right lung. more focal lucency in the right lung measuring approximately <num> cm, compatible with area of cavitation on prior chest ct. no acute osseous abnormality is identified.
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<unk>-year-old female with pneumonia, intubated.
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portable ap semi-upright chest radiograph was provided. a dual-chamber left chest wall pacemaker is present with leads in the right atrium and right ventricle. lung volumes are low but there is no focal consolidation, pleural effusion or pneumothorax. the heart is enlarged. the bones are intact.
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<unk>-year-old man with pacemaker. evaluate type and if there is an infectious process.
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an endotracheal tube is in appropriate position ending approximately <num> cm above the carina. cardiomediastinal silhouette is unchanged. there is no pneumothorax or pleural effusion. there is no focal lung consolidation. no acute osseous abnormality is seen.
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<unk>m with intubation, evaluate endotracheal tube placed.
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portable semi supine chest film <unk> at <time> is submitted
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<unk> year old woman with necrotizing pancreatitis, r pleural effusion // please evaluate for interval change please evaluate for interval change
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MIMIC-CXR-JPG/2.0.0/files/p15682570/s57042889/7e196a02-5c41eb1e-90b5e8b3-b2cd1a86-b78f6ab9.jpg
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frontal and lateral radiographs of the chest demonstrate substantial right-sided pleural effusion with displacement atelectasis of the right lower lobe. possible right middle lobe atelectasis as well. cardiomediastinal and hilar contours are unchanged. there is moderate cardiomegaly. transvenous aorto-biventricular pacer leads are in unchanged position.
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<unk>-year-old man with history of right-sided pleural effusion.
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the lungs are clear without focal consolidation or edema. there are trace bilateral pleural effusions. previously seen right-sided central venous catheter is no longer visualized. the cardiomediastinal silhouette is within normal limits. no free intraperitoneal air identified.
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<unk>f with presyncope, <num> week s/p adrenalectomy // any pna or atelectasis
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MIMIC-CXR-JPG/2.0.0/files/p12325327/s53935342/30b63605-88814ccd-56255c4c-eeea4a5e-30a91d41.jpg
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low lung volumes are present. mild enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. again demonstrated is linear atelectasis or scarring within the right middle lobe. small right pleural effusion is not changed in the interval. no focal consolidation or pneumothorax is present. no acute osseous abnormalities detected.
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history: <unk>m with altered mental status
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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. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with chest pain, resolved // eval for acute process
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there has been interval retraction of the nasogastric tube, the tip of which is now seen within the lower esophagus. as compared to the prior examination, there has been no significant interval change. redemonstrated is right-sided apical scarring. there is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema identified. the heart size is grossly normal. the mediastinal contours are normal
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rising wbc, evaluate for pneumonia.
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compared to the prior study there is no significant interval change.
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<unk> year old man with spinal cord compreswsion, ngt in place // evaluate ngt placement
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MIMIC-CXR-JPG/2.0.0/files/p15197783/s55666880/6848e106-1786d805-7bf2f72e-280512b8-ce5055ef.jpg
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persistent atelectasis at the right lung base. otherwise, lung fields are clear. unchanged cardiomediastinal silhouette. no pneumothorax.
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history: <unk>m with cough and sob // pna
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MIMIC-CXR-JPG/2.0.0/files/p13999801/s55523172/6f5dfe66-9e4e5f4c-03eeae6a-c169c1b6-29ac72d4.jpg
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the heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
|
back pain.
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MIMIC-CXR-JPG/2.0.0/files/p10287348/s54511447/20a4edeb-5295b276-c0a45697-251fe8a8-2609a87c.jpg
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right apical scarring is again noted. the lungs are otherwise clear without focal consolidation or effusion. the cardiomediastinal silhouette is stable. mediastinal clips and median sternotomy wires are again noted. no acute osseous abnormalities.
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<unk>m with confusion, weakness, liver disease // eval pna
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MIMIC-CXR-JPG/2.0.0/files/p15250318/s56660815/943e901e-2648a94b-f72ff8e3-7b4e2dc6-07e0f890.jpg
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low inspiratory volumes. allowing for this, the heart is not enlarged. mild prominence of the mediastinum could reflect low inspiratory volumes. there is some patchy opacity at both lung bases. while this could reflect atelectasis, the appearance is more suggestive of pneumonic infiltrates or areas of aspiration. no chf, effusion, or pneumothorax is detected. no free air identified beneath the diaphragms.
|
<unk> year old woman w/ complicated diverticulitis s/p ir drainage of abscess, with persistent abdominal pain and high narcotic usage // please perform upright cxr to r/o free air
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MIMIC-CXR-JPG/2.0.0/files/p12359458/s55693329/b04d10d5-9929b3ad-f88d5c30-4d4849f8-40f361d9.jpg
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
|
<unk> year old man with known seizure d/o. <num> seizures today, <num> in ed. // please assess for pna
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MIMIC-CXR-JPG/2.0.0/files/p17448624/s55101056/337cf30c-f9a9dbfb-37e09ff7-d524c38a-2a14c079.jpg
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chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
|
cough and chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p13217652/s52253847/8688ae64-0410a462-bb855295-eb840d09-cd8dd783.jpg
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the cardiomediastinal and hilar contours are normal. there is no focal consolidation, pleural effusion or pneumothorax.
|
hypertension. question pneumonia, reason for cough, fever.
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MIMIC-CXR-JPG/2.0.0/files/p13259676/s54877014/0c21dc96-077a5403-37e75aca-650ad97f-cf8dd870.jpg
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the ng tube terminates below the stomach with the tip likely in the antrum of the stomach. incidentally noted is mild distention of the bowel consistent with ileus. air is seen within the large colon. only the bases of the lungs are visualized; however, there is evidence of moderate bilateral pulmonary edema as well as a small left pleural effusion and adjacent atelectasis. there is no evidence of a pneumoperitoneum.
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history of seizures, please evaluate ng tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p19542943/s50189686/aa45ddbf-6c921439-eeb812fc-04213544-9999b38f.jpg
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mild cardiomegaly is persistent. there is calcification of the aortic knob. otherwise, the hilar and mediastinal contours are unremarkable. opacities in the mid to lower lungs have continued to improve and appear interstitial in character, suspected to represent persistent or resolving airway inflammation. degenerative changes are seen throughout the spine. there is no large pleural effusion or pneumothorax.
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history of altered mental status. please evaluate for pneumonia.
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a new large right pleural effusion is demonstrated. there is an associated right basilar opacity likely reflecting compressive atelectasis. left lung is clear. there is mild leftward shift of mediastinal structures as result of the pleural effusion. the right hemidiaphragm appears elevated as an abdominal catheter is seen projecting over the right lung base. no pneumothorax is identified. there are no acute osseous abnormalities.
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right upper quadrant pain, right shoulder pain, <num> weeks status post liver surgery.
|
MIMIC-CXR-JPG/2.0.0/files/p16383099/s58241926/acfcf9f5-35b6066b-f2167284-576917cb-9f7ae2c6.jpg
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normal mediastinal and hilar contours. normal heart size and prominent pericardial fat pads. normal pleural surfaces and fully expanded, clear lungs. no acute pneumonia, pneumothorax, or pleural effusion.
|
<unk>-year-old woman with a history of asthma, now with cough and back pain at t<num>-<num>. evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p10919141/s52495441/f98a1e9f-026ce29e-a7b98959-5b3bdcc7-c86cad34.jpg
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frontal and lateral views of the chest. relatively low lung volumes areseen. the lungs however are grossly clear. there is no pulmonary vascular congestion or effusion. blunting of the right lateral costophrenic angle is likely due to overlying soft tissues. the cardiac silhouette is slightly enlarged as on prior. the aorta is tortuous. no acute osseous abnormality is detected.
|
<unk>-year-old female with shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p13659078/s56676351/600acf9a-f2895e5c-17544895-ad67f110-de867729.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. bilateral breast implants are incidentally noted.
|
<unk> year old woman with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p14975146/s58903493/3c1eae3a-da5fa2d0-5f565e6a-ac4159b2-aa196657.jpg
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there is a left-sided port-a-cath with the tip terminating within the mid svc. lung volumes are low, resulting in crowding of the bronchovascular structures. no focal consolidation, pleural effusion, pneumothorax, or overt pulmonary edema is seen. the heart size is normal. mediastinal contours are normal.
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breast cancer and lightheadedness.
|
MIMIC-CXR-JPG/2.0.0/files/p10352302/s57050566/cd29d85b-e3f60a63-888f9b95-0cac140f-eaedbdfc.jpg
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size is unchanged and remains within normal limits. unremarkable appearance of thoracic aorta. pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses remain free. no pneumothorax in apical area. skeletal structures of the thorax grossly within normal limits.
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<unk>-year-old female patient with cough, chills and poorly controlled diabetes mellitus, evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p17076416/s50444408/4d1d0d38-833b46f4-d84079f8-f8eac1d3-b61364a7.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
|
history: <unk>f with <num> day hx of l sided cp w radiation to the l arm; also with l leg pain; recent travel from <unk> // eval for cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p19517056/s53738215/1a1ae54b-66e5c695-6fa741e5-3d0e8c7c-254d8db6.jpg
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subtle increased opacity at the left lung base may represent pneumonia in correct clinical setting. no pneumothorax or pleural effusion is identified. cardiomediastinal and hilar silhouettes are normal size.
|
history: <unk>m with ms // eval pna or other acute process
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MIMIC-CXR-JPG/2.0.0/files/p14105959/s50134274/de2c126d-396b979b-6698c771-8d8fa188-4b54771e.jpg
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lung volumes are slightly low. aside from minimal bibasilar atelectasis, the lungs are clear. the heart is moderately enlarged. the mediastinal contours are normal. there are no definite pleural effusions. no pneumothorax. the patient is status post midline sternotomy and cabg. marked degenerative changes of the right acromioclavicular joint are seen. a cortical step-off in the anterolateral aspect of the right sixth rib is consistent with a minimally displaced fracture. no definite additional rib fractures are seen.
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frequent falls with right chest tenderness, evaluate for pneumonia or rib fracture.
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MIMIC-CXR-JPG/2.0.0/files/p15539740/s53371409/cdade0f9-ea2a97bd-7d5eb265-bec37e57-70c0dfe6.jpg
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a left subclavian dual lumen port-a-cath remains in place with the tip projecting over the cavoatrial junction. heart size is normal. cardiomediastinal silhouette and hilar contours are unchanged and unremarkable. lungs are clear. the pleural surfaces are clear without effusion or pneumothorax.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p18269165/s55828404/f4f01deb-68ef93e1-8ca6faa2-74bcd36c-6d5e521b.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 present. there are no acute osseous abnormalities.
|
motor vehicle collision with neck and chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p16736195/s56576928/8c7fea90-d9201afc-58921638-5d53b7b0-8dc053f7.jpg
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linear left basilar opacities most likely atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. free intraperitoneal air is compatible with recent laparoscopic surgery.
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<unk> year old man with failure to wean o<num> // atelectasis vs pneumonia status post laparoscopic surgery on <unk>.
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MIMIC-CXR-JPG/2.0.0/files/p14550319/s56653366/d2ec0894-9ddb4bdb-5e5ab211-0e374b3c-0e6c3c46.jpg
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relative sites opacity projecting over the lung bases bilaterally is likely due to overlying soft tissue. no correlate is seen on the lateral views. no definite focal consolidation. there is no pneumothorax. there is a mild atelectasis at the lateral left lung base and a very trace left pleural effusion is not excluded. no large pleural effusion is seen. there may be a hiatal hernia. the cardiac silhouette is top-normal. the mediastinal and hilar contours are unremarkable.
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cough, hypoxia.
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MIMIC-CXR-JPG/2.0.0/files/p17277208/s58011290/839fed6a-cca4b557-ce883f2e-7ce8adf6-34e58f9c.jpg
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no re-accumulation of bilateral pleural effusions. a drain projects over the right lower hemithorax. multiple bilateral nodules compatible with metastatic disease are overall similar in size and appearance with the exception of the right paramediastinal lesion which is less distinct on today's exam but probably still some. no pneumothorax or focal consolidation. the heart is normal in size.
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<unk> year old woman with pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p12989816/s57625009/073d5537-5eb672b6-9fb0993c-16d1c378-24aa8d0e.jpg
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cardiomediastinal silhouette and hilar contours are normal. lungs are extremely hyperinflated with flattening of the hemidiaphragms compatible with copd. a small right apical granuloma is unchanged since <unk>. lungs are otherwise clear without evidence of fibrosis. there is no pleural effusion or pneumothorax. healed fractures of the lateral left <unk> and <num>th ribs are noted.
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amiodarone presenting with dyspnea. evaluate for amiodarone toxicity.
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MIMIC-CXR-JPG/2.0.0/files/p10685894/s55829828/3ceff577-23efb88f-b8b6655f-aeda2f9b-9c7fad43.jpg
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heart size is normal. mild calcifications of the aortic knob. cardiomediastinal silhouette is unremarkable. there is increased fullness of the right hilum as compared the prior study along with subtly increased opacities at the right base. lungs are clear. there is no pleural effusion or pneumothorax.
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history of liver transplant with new cough.
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MIMIC-CXR-JPG/2.0.0/files/p15209290/s57743185/c4ad2d2d-0f1d11da-29ff1898-1680dec8-a904f0e3.jpg
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pa and lateral views of the chest demonstrate hyperexpansion of the lungs with relative flattening of the hemidiaphragms, consistent with copd. the hila are prominent. the cardiomediastinal silhouette is not enlarged. patchy opacity at left lung base is consistent with atelectasis. no frank consolidation concerning for pneumonia is identified. there is no pleural effusion, pneumothorax, or overt pulmonary edema.
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<unk>-year-old male with copd and shortness of breath with fevers. evaluation for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p10862862/s56354631/46c1f6b2-15366883-c3cfe105-749fc034-760ebc16.jpg
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large air-fluid level seen in the left upper abdomen likely within the stomach with elevation of the left hemidiaphragm. elevation of the left hemidiaphragm is chronic. there is left base atelectasis and likely pleural effusion. no pneumothorax is seen. the cardiac and mediastinal silhouettes are grossly unremarkable.
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history: <unk>m with ruq pain, cirrhoiss // ? pna- cxr? portal venous thrombosis- u/s
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MIMIC-CXR-JPG/2.0.0/files/p10364180/s55680773/830adb5c-364a275f-d605d284-2b0cb2c0-4dbb3405.jpg
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heart size is only top normal. nevertheless, worsened moderate pulmonary edema and small pleural effusions are presumably cardiac in origin. there is increased density within the right lower lobe, is dependent atelectasis or pneumonia<num>. no pneumothorax.
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<unk>-year-old female with known diastolic congestive heart failure and copd. evaluate for pulmonary edema or focal consolidation.
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MIMIC-CXR-JPG/2.0.0/files/p10618182/s54545724/f0d51270-38dd80db-f4271259-e32e4da2-b27ff6b4.jpg
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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history: <unk>f with low grade fevers. r/o bronchitis.
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MIMIC-CXR-JPG/2.0.0/files/p15491563/s57870903/53675aa3-0ed1a196-2ae610a2-9ee8359a-cfb9e660.jpg
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the heart is moderately enlarged, but probably unchanged in size, allowing for differences in positioning. the mediastinal and hilar contours are probably also unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear within the limitations of technique.
|
status post recent stent presenting with jaw pain.
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MIMIC-CXR-JPG/2.0.0/files/p14874510/s57061662/2e3b1f67-7cbbabb0-7e592c69-068667a0-3c071c6a.jpg
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no focal consolidation is seen. there is no large pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable. hilar contours are stable.
|
history: <unk>f with h/o asthma, endorsing productive cough and fever // ?consolidation
|
MIMIC-CXR-JPG/2.0.0/files/p17843033/s54084424/3376cff4-ee1b37bf-adfc5fb3-16d969dd-46cdaba1.jpg
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an endotracheal tube terminates <num> cm above the carina. an enteric tube courses below the diaphragm and its tip terminates in the gastric fundus. moderate-to- severe cardiomegaly is unchanged. the right hemidiaphragm is not visualized, likely related to the presence of a moderate to large pleural effusion. small left-sided pleural effusion is present. left lower lobe opacity could reflect atelectasis, however, a superimposed infection cannot be excluded. there is no definite pneumothorax. there is no overt pulmonary edema.
|
<unk>-year-old male with et tube and ogt placement.
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MIMIC-CXR-JPG/2.0.0/files/p14295739/s56885799/54fca341-4ff505b1-5619beca-e153289c-7f58eebd.jpg
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patient's condition required examinations in sitting semi-upright position using ap frontal and left lateral views. comparison is made with a similar preceding study of <unk>. the heart size has increased and bilateral basal densities are now obscuring diaphragmatic contour and blunting the lateral pleural sinuses. the lateral view confirms the bilateral pleural effusions that have increased and blunting the posterior pleural sinuses more than before. within the heart shadow, there are rather typical calcifications within the aortic valve area strongly suggesting the presence of aortic valve stenosis. additional linear calcifications in the ascending aorta are seen as before. no new abnormalities in the pulmonary parenchymal area and skeletal structures are unchanged. several preceding chest examinations are reviewed and include studies of <unk>, <unk>, and <unk>. a previously suspected calcification on the right lung base was identified as being located in the right breast. thus, there is no evidence of new acute or old chronic pulmonary parenchymal abnormalities. on the previous examinations, the rather typical aortic valve calcifications were also noted but reported apparently as this finding was of no greater importance in this elderly demented patient.
|
<unk>-year-old female patient with advanced dementia, right shoulder septic arthritis and colitis, appearing more ill this morning with poor inspiratory efforts. please evaluate for consolidation or effusions.
|
MIMIC-CXR-JPG/2.0.0/files/p16716950/s55203576/9b61151e-0862adb4-7a7aa314-a08cccb5-1924d356.jpg
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there are bilateral diffuse pulmonary opacities with an apico-basal gradient and associated bilateral hilar engorgement and layering pleural effusions, left worse than right, in the setting of large cardiomegaly. rightward deviation of the trachea appears slightly more conspicuous than in prior exam, but this may be related to semi-upright position with upward displacement of the mediastinum.
|
<unk>-year-old male with hypoxia. evaluate for pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p10321950/s59901847/7a6bcaec-d51d2de6-e7e9e465-58cd7ef2-816d8b38.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. right-sided picc terminates at the svc/ brachiocephalic junction, and has migrated proximally since the prior study
|
history: <unk>m with non flushing picc // verify picc placement
|
MIMIC-CXR-JPG/2.0.0/files/p18902344/s50754580/03fd2ac3-1a0c5929-0e4de8ab-59d68852-c94d5ddc.jpg
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there has been interval placement of an endotracheal tube with the tip terminating approximately <num> cm from the carina. an orogastric tube tip courses below the diaphragm, off the inferior borders of the film. study is limited due to patient rotation. worsening opacification of the right lung base is noted and may be attributable to patient rotation. there may be a small right pleural effusion. the left costophrenic angle is not included in this exam. streaky left basilar opacity also persists. there is mild pulmonary vascular congestion. no pneumothorax is identified.
|
intubation.
|
MIMIC-CXR-JPG/2.0.0/files/p13206563/s55139313/a501d497-7f46ad32-d7160b84-42a11b08-ca55e0c2.jpg
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portable semi-upright radiograph of the chest demonstrates low lung volumes. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax or consolidation concerning for pneumonia.
|
<unk>-year-old man status post right rib resection.
|
MIMIC-CXR-JPG/2.0.0/files/p13153210/s58641334/027956a1-66b1c1ad-f00f459e-f04aafa9-b2cb8102.jpg
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cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is present.
|
history: <unk>f with confusion // eval pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p12500900/s59278618/40dbaed0-e96bea79-ac84a5e6-54dfe6e0-922f1775.jpg
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cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. linear opacities in both lung bases are compatible with areas of subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
|
history: <unk>f with left sided chest pain
|
MIMIC-CXR-JPG/2.0.0/files/p17056620/s53556962/6e0cf182-08692774-862d11b1-8d28e473-3521f6f2.jpg
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are mildly hyperexpanded, consistent with copd. no definite consolidation is identified. there is no pleural effusion or pneumothorax. again noted is a retrocardiac opacity, not changed since prior examination, which may represent a hiatal hernia.
|
<unk> year old man with bullous pemphigoid with low grade temp to <num> overnight and tachycardia. // ?pna
|
MIMIC-CXR-JPG/2.0.0/files/p15672432/s57985730/6dbd3238-da33724e-44179562-00ee8880-9f9c01be.jpg
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when compared to <unk> chest radiograph, the pulmonary vascular congestion, cephalization of pulmonary vessels, diffuse bilateral interstitial edema, and moderate size left pleural effusion have improved. bilateral small pleural effusions persist (left greater than right.). there is interval worsening of the right basal atelectasis and severe persistent left basilar atelectasis. post-cardiothoracic surgery mediastinal changes are stable. the tip of the right ij terminates in the upper right atrium.
|
<unk> year old man with s/p cabg // f/u effusions, atx
|
MIMIC-CXR-JPG/2.0.0/files/p13597710/s55726496/d88369db-421bd694-e3887dab-6ed2bb53-c330b8c9.jpg
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single frontal view of the chest. left ij central venous catheter terminates in the upper svc. ill-defined opacity at the right lung base may represent atelectasis, infection, or aspiration. lungs are otherwise clear. heart size and cardiomediastinal contours are stable.
|
left internal jugular line placement.
|
MIMIC-CXR-JPG/2.0.0/files/p14663808/s55334482/4635c95a-1daf82fe-4948b948-209ddd53-1efb4d28.jpg
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. degenerative changes are noted along the spine.
|
chest radiograph obtained for preoperative planning.
|
MIMIC-CXR-JPG/2.0.0/files/p10486632/s58553762/8f91a406-1e812d9c-fe9ce480-752978b7-0386823b.jpg
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a right pigtail thoracostomy tube is unchanged in position since the <unk> <time> examination. there are now increased opacities throughout the right lung, reflecting a combination of increased fluid and/or atelectasis. a right upper zone opacity remains unchanged. the left lung remains clear. there is no pneumothorax. a left picc terminates at the lower svc.
|
lung cancer with right pleural effusion.
|
MIMIC-CXR-JPG/2.0.0/files/p19797689/s53300845/b22f94b9-d3172146-269a799d-ae24b0db-ffe20d66.jpg
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the lungs are well expanded. no focal opacities are identified. a prominent right hilum is unchanged from prior exam. moderate cardiomegaly appears unchanged from prior. a tortuous aorta is present. atherosclerotic calcifications of the aortic knob are re-identified. there is no pleural effusion or pneumothorax.
|
<unk>-year-old female with shortness of breath and chest pain. evaluate for evidence of acute cardiopulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p16399025/s53388140/77f75959-748884f4-abde43ae-dd152a6e-28e65fe9.jpg
|
the lung volumes are slightly low, similar compared to the prior study. there is no pleural effusion, pulmonary edema, pneumothorax, or focal opacification. multiple healed left-sided rib fractures are again seen. no acute osseous abnormality is detected.
|
<unk>m with chest pain, hip pain, lower back pain // r/o fracture
|
MIMIC-CXR-JPG/2.0.0/files/p17013291/s54859376/2aff5c0c-a7ed4da6-981a1508-de22a022-dc50adf7.jpg
|
compared to the prior study there is no significant interval change.
|
<unk> year old man with fluid overload // fluid overload
|
MIMIC-CXR-JPG/2.0.0/files/p10912090/s59961123/623dbc44-19e8195b-b231584e-cad9204b-bca9fb46.jpg
|
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. clips are noted in the right upper quadrant of the abdomen.
|
history: <unk>f with fever.
|
MIMIC-CXR-JPG/2.0.0/files/p16759761/s52966050/af129678-0c60b7a8-1efd6431-22ab0a30-e081fe0b.jpg
|
cardiac, mediastinal and hilar contours are unchanged and within normal limits. pulmonary vasculature is normal. lungs remain hyperinflated. patchy and linear opacities within the lung bases likely reflect areas of atelectasis and/or scarring. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
|
history: <unk>m with cough and history of liver transplantation
|
MIMIC-CXR-JPG/2.0.0/files/p16599161/s56597242/38d9b092-ae136fde-41f4d265-72711dd5-20c1cb9e.jpg
|
sternotomy wires are intact. dual-chamber pacemaker with lead tips in right ventricle and right atrium. right swan-ganz catheter with tip at outflow tract. et tube is <num> cm above the carina and in correct position. end of ng tube extends into proximal stomach. left chest tube is unchanged. low lung volumes bilaterally with mild increase in left lower lobe atelectasis. no additional focal opacity, pulmonary edema, pleural effusion, or pneumothorax. heart is mildly enlarged with normal mediastinal contour and hila. no bony abnormality.
|
male status post cabg and chest tube removal. assess for pneumothorax.
|
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