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pa and lateral chest radiographs demonstrate clear lungs bilaterally. the cardiomediastinal and hilar contours are within normal limits. no pneumothorax is identified. no acute osseous abnormality is seen. there is no pleural effusion.
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<unk>-year-old female status post motor vehicle accident with right shoulder and left anterior chest pain.
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compared to the prior study there is no significant interval change.
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<unk> year old man with ett, fluid overload // interval change? pulm edema?
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lungs are relatively hyperinflated with biapical scarring. increased opacity projecting over the posterior costophrenic angle on the lateral view is suggestive of a small effusion, likely on the left. there is no consolidation worrisome for pneumonia nor edema. there is mild cardiac enlargement and dense mitral annular calcifications. compression deformity of a lower thoracic vertebral body is age indeterminate without prior. deformity of the proximal left humerus suggests prior fracture.
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<unk>f with right back pain s/p fall // ? ptx, effusion, fracture
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there is obscuration of the left hemidiaphragm which was also present on the prior study, appears chronic and may relate to atelectasis or epicardial fat pad. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are grossly unremarkable.
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history: <unk>m with cough, tachcardia // eval for pna
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there is no focal consolidation, pleural effusion, or pneumothorax. prominence of the right hilum is unchanged. the cardiomediastinal silhouette is normal.
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cough and fever. evaluation for infiltrate.
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there is a new et tube with tip <num> cm above the carina. the picc line tip is in the distal svc.
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<unk> year old woman with hypoxemic respiratory failure, intubated // ett placement
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are essentially clear noting minimal left basilar atelectasis versus scarring. costophrenic angles are sharp. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. surgical clips seen in the right upper quadrant suggesting prior cholecystectomy.
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<unk>-year-old female with history of breast cancer over <unk> years ago with pain at the costal margin. question pneumonia.
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the patient remains intubated. a right subclavian introducer catheter has been placed, which terminates probably at the level of the confluence of right internal jugular and subclavian veins. a left-sided chest tube has also been placed. lucency projecting over the left lower chest is stable and perception of a possible pneumothorax is likely artifactual. a left lower mediastinal contour abnormality has been reduced. an orogastric tube courses into the left upper quadrant, its full course not visualized. streaky left lower lobe opacity is worrisome for a contusion.
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trauma. status post chest tube placement on the left.
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in comparison to same day earlier examination, the endotracheal tube has been advanced forward which now terminates <num> cm cranial to the carina and is in appropriate position. there is otherwise no significant change compared to earlier examination.
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intubated with advancement of the endotracheal tube. evaluate endotracheal tube position.
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pa and lateral views of the chest provided. mild elevation the right hemidiaphragm is unchanged. 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 chest pain // evaluate for acute process
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heart size is normal. mediastinal and hilar contours are unremarkable. streaky and linear opacities are noted in both perihilar regions and lung bases likely reflective of atelectasis and/or scarring. no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is not engorged.
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history: <unk>m with hyperglycemia, diaphoresis
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low bilateral lung volumes. slight interval increase in the left lower lung zone airspace opacities. additionally there is a new opacity in the right midlung zone, peripherally. there is suspected small left pleural effusion. no pneumothorax identified. a partially evaluated ventriculoperitoneal shunt catheter courses along the left neck and left hemithorax. re- visualized are degenerative changes around the left shoulder.
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<unk> year old man with fevers, pod <num> vp shunt // evaluate pna
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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 seizure // eval for pneumonia
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right-sided chest tube has been removed. the cardiac, mediastinal and hilar contours appear stable. opacification effacing the right cardiophrenic angle as well as streaky left basilar opacities are unchanged and consistent with minor atelectasis. there is no substantial pleural effusion. a right apical pneumothorax has not increased.
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status post chest tube removal.
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lung bases are partially obscured by overlying pulse generator devices bilaterally. there is no pneumothorax. opacity at the left lung base most likely represents atelectasis, but infection cannot be excluded in the appropriate clinical setting. there is also subtle opacification of the left apex, which may represent pleural scarring. no large pleural effusions are seen. cardiomediastinal silhouette is within normal limits. median sternotomy wires are intact. patient is kyphotic. no acute osseous abnormalities are identified. surgical clips are seen in the epigastric region.
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history: <unk>m with altered mental status x<num> days, <unk>'s s/p deep-brain stimulator // evaluate for acute process
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
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history: <unk>f with cough // acute process?
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ap semi erect view of the chest provided. airspace opacity in the right lower lung is concerning for pneumonia. subtle opacity also seen at the left lung base, concerning for atelectasis versus pneumonia. hilar congestion is noted. difficult to exclude a component of pulmonary edema. small right pleural effusion is present. no large pneumothorax. mediastinal contours are stable. bony structures are intact.
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<unk>f with hypoxia // pna
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left internal jugular central venous catheter appears to terminate in the region of the mid to lower svc without evidence of pneumothorax. lung volumes are low. the cardiac and mediastinal silhouettes are grossly stable given differences in lung volume. no definite focal consolidation is seen. there is no pleural effusion.
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history: <unk>f with port, hypotenson // eval line placement
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right lower lobe opacity has improved. mild to moderate pulmonary edema has minimally improved. bilateral effusions are unchanged allowing the difference in positioning of the patient. there are no other interval changes
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<unk> year old woman intubated, vol overload, prior mucus plugging, now w decreased r bs, decreased vol on ps // please eval fr interval changes
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. however, allowing for limitations, 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 dyspnea // ?pna, fluid overload
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heart size is top-normal. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. clips in the right upper quadrant indicate prior cholecystectomy. no additional radiopaque foreign bodies are seen.
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history: <unk>f with chest pain, sensation of foreign body
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the cardiac silhouette and pulmonary vasculature are unremarkable. there are small, bilateral pleural effusions. midline sternotomy wires are intact and well aligned. evidence of prior left rib trauma is noted. there has been interval removal of a right-sided internal jugular sheath.
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<unk> year old man with s/p cabg // eval postop changes
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ap portable upright view of the chest. multiple overlying ekg leads are present limiting assessment. lung volumes are low. there is mild hilar congestion without frank pulmonary edema. small bilateral pleural effusions are likely present. the heart is mildly enlarged. no definite pneumothorax is seen. bony structures appear grossly intact.
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<unk>m with sob // ? infiltrate
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dense left retrocardiac opacity most likely represents atelectasis, but pneumonia could be considered in the appropriate clinical setting. background interstitial pulmonary edema is mild. bilateral pleural effusions, small on the right, and trace on the left. no pneumothorax. heart size is moderately enlarged. note is made of a prostatic mitral valve. aortic arch calcifications are noted. the median sternotomy wires are intact. no acute osseous abnormalities identified. no subdiaphragmatic free air.
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<unk>-year-old male with left-sided weakness. evaluate for pneumonia.
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pa and lateral views the chest were provided. the heart is mildly enlarged though this is stable. there is no focal consolidation, effusion, or pneumothorax seen. atherosclerotic calcifications along the aortic knob are present. the imaged bony structures appear intact.
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<unk>-year-old female with pain status post mechanical fall.
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patient is status post median sternotomy and aortic valve replacement. heart size is mildly enlarged but unchanged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is identified. linear opacity within the right middle lobe likely reflects scarring, not substantially changed from the prior ct. no acute osseous abnormality is detected. there are moderate degenerative changes within the thoracic spine.
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history: <unk>f with generalized weakness and cough
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ap portable semi upright view of the chest. overlying ekg leads are present limiting assessment. lung volumes are low. when compared with the prior ct effacement of the left heart border likely reflects known prominent epicardial fat pad. there is persistent consolidation in the right medial lung base which remains concerning for pneumonia though a component of scarring and atelectasis may contribute to this opacity. no large effusion is seen. the heart size difficult to assess. mediastinal contour is stable and normal. bony structures are intact.
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<unk>m with rcc, recent pneumonitis.
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heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. minimal atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. marked degenerative changes of the left glenohumeral joint are present. left-sided vp shunt catheter is incompletely assessed.
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history: <unk>m with seizure activity // pneumonia?
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heart size is normal. the mediastinal and hilar contours are normal. the peripheral pulmonary vasculature is normal, and right hilus moderately enlarged. bibasilar opacities are most consistent with mild pulmonary edema. no focal consolidation is identified to suggest pneumonia. no pleural effusion or pneumothorax is seen.
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<unk>f with pes off lovenox <num>d now with worsening cough, sob // evaluate for acute process, interval change
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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. screws within the right humeral head partially imaged. no free air below the right hemidiaphragm is seen.
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<unk>m with cp + elev trop // acute process for cp.
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there are bilateral pleural effusions, moderate to the large on the right and moderate on the left. bilateral lower lobes are probably collapsed. bilateral upper lungs are well-aerated without pulmonary edema. cardiac silhouette is obscured by pleural effusions. mediastinal silhouette is normal size.
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<unk> year old man with h/o bilateral pleural effusion s/p right thoracentesis // assess for interval change
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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.
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history: <unk>f with cp, sob // evidence of pneumothorax
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there is obscuration of the right heart border which could be due to slight pectus deformity. the lungs are well expanded and otherwise clear. cardiac silhouette is within normal limits. no acute osseous abnormalities. left shoulder arthroplasty changes are noted. mid thoracic dextroscoliosis is noted.
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<unk>f with l shoulder pain, s/p l shoulder replacement/prosthesis // l shoulder hardware - any abscess/blood collection?
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a moderate left pleural effusion is similar to yesterday. otherwise, the lungs are clear. no focal consolidation or pneumothorax is present. cardiomegaly is mild. there is no evidence of chf.
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<unk>-year-old man with cirrhosis and new ascites.
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single portable view of the chest. there are new regions of consolidation at the lung bases in the retrocardiac region and silhouetting the descending thoracic aorta as well as the right lung base medially. superiorly the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the arch. no acute osseous abnormalities detected.
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<unk>-year-old male with atrial fibrillation and chest tightness.
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cardiomediastinal contours are stable with widening of the mediastinum and moderate to severe cardiomegaly. pulmonary edema has markedly improved. there is no pneumothorax. bilateral effusions have decreased now very small. sternal wires are aligned
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<unk> year old woman with s/p mvr/tvr/asd closure // eval post op changes
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portable ap upright chest radiograph was obtained. new left basal consolidative opacity has developed in the interim from the previous examination with faint right basal opacity and linear atelectasis. given the appearance of aspiration on the previous chest ct, findings are most suggestive of aspiration. a g-tube is incompletely assessed on the lower edge of the image. cardiomediastinal silhouette is unchanged.
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<unk>-year-old man with pneumonia on recent chest x-ray with worsening respiratory status. assess for interval change.
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previously visualized scarring in the left lung base has remained stable. otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette remains stable. visualized osseous structures are normal. calcifications of the aortic knob are again noted.
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evaluation of patient with cough and fever.
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left-sided pacer device is noted with leads terminating in the right atrium and right ventricle as well as an epicardial lead projecting over the left heart border, unchanged. moderate cardiomegaly is re- demonstrated. the mediastinal contours similar. mild pulmonary vascular congestion is minimally improved from the prior study. small left pleural effusion is similar compared to the prior study with left basilar opacity, potentially atelectasis but infection or aspiration is not excluded in the correct clinical setting. there is no pneumothorax. multiple remote right-sided rib fractures are noted. marked degenerative changes of the left glenohumeral joint
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history: <unk>m with weakness
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lung volumes are slightly low resulting in slight bronchovascular crowding. nonetheless, the lungs are clear. no focal consolidation, effusion, pneumothorax, or edema. the heart is normal in size. the mediastinum is not widened. the hila and pleura are unremarkable. the left hemidiaphragm is slightly elevated, likely secondary to-is but non dilated loops of bowel. no subdiaphragmatic free air. no acute osseous abnormality.
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<unk>-year-old woman presenting with pleuritic left-sided chest pain. evaluate for pneumothorax or pulmonary embolism.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. a small hiatal hernia is noted. the imaged upper abdomen is unremarkable. the bones are intact.
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<unk>f with weakness // r/o infiltrate
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heart size is at the upper limits of normal or slightly enlarged. aorta is calcified. no chf, focal infiltrate, or effusion is identified. no pneumothorax is detected.
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<unk> year old woman with new afib unknown etiology // any pulmonary edema or consolidation
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there is a focal opacity at the right lung base concerning for pneumonia. the heart and central pulmonary vasculature remain mildly enlarged. there is no pleural effusion or pneumothorax. included upper abdomen is unremarkable.
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<num> weeks history of cold like symptoms and chest pain, evaluate for pneumonia.
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the cardiomediastinal and hilar contours are stable from <unk>. subtly increased airspace opacities at the base of the right lung could potentially reflect focal aspiration, or atelectasis. there is no large pleural effusion or pneumothorax. severe kyphoscoliosis is demonstrated and unchanged.
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<unk> year old woman with <num> days of severely decreased po intake and cough. // please evaluate for pneumonia, etiology of cough.
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pa and lateral views of the chest were provided. there has been interval increase in right pleural effusion, now large, with increasing right lower lung collapse. left lung remains well aerated. cardiomediastinal silhouette is grossly stable though the right heart border is not visualized due to adjacent effusion. bony structures appear intact.
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<unk>-year-old man with shortness of breath, right-sided chest pain.
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pa and lateral views of the chest <unk> at <time> are submitted.
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<unk> year old man with pancreatic cancer admitted with e.coli uti/bacteremia and hyponatremia, incidentally found to have a new right lung nodule. // eval for right lower lung nodule seen on cxr from <unk> eval for right lower lung nodule seen on cxr from <unk>
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no pleural effusion, focal consolidation or pneumothorax.
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chest pain. rule out acute process.
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the lungs are clear. heart size is top normal. there is no pneumothorax. stable appearance of the regional soft tissues and bones.
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<unk> year old man with fevers, cough, rll rhonchi // pneumonia?
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the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
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<unk>-year-old male with productive cough.
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the heart is mildly enlarged, stable since the prior study. lung volumes are slightly low, with mild pulmonary vascular congestion. there is no evidence of pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. multiple surgical clips project over the right hemi thorax, unchanged.
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history: <unk>f with chest pain and afib w/ rvr // eval for chf/pneumonia
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a right ij central venous catheter ends at the mid svc. there is no evidence of pneumothorax. there is a subtle left basilar opacity which may represent atelectasis. there is no pleural effusion. cardiomediastinal silhouette is normal. there are degenerative changes of the bilateral glenohumeral joints.
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<unk>f with s/p central line placement, evaluate for pneumothorax.
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the lungs are well inflated. there is no consolidation. early chf would be difficult to exclude as are slightly increased markings in the right base but this could be due to technique. the heart size is borderline. a pacer is noted.. the osseous structures are normal for age.
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history: <unk>m with wheezing // eval fluid, pna
|
MIMIC-CXR-JPG/2.0.0/files/p16113703/s54500687/870ba61e-8657bd59-ed90c3b1-e31f93e1-ff01147b.jpg
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the new right picc terminates in the mid svc. the lungs are clear, and the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
|
status post picc line placement. evaluate positioning.
|
MIMIC-CXR-JPG/2.0.0/files/p17472354/s51437703/bd7ca65a-03ba9ec1-eb46e497-d1dbada7-b7ee6f21.jpg
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there is a vague, asymmetric opacification of the right lower lobe, seen both on the frontal and lateral projections, which may represent an early consolidation. there is no pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. the mediastinal contours are normal.
|
bronchitis, rule out infiltrate.
|
MIMIC-CXR-JPG/2.0.0/files/p17122884/s59838447/0189d55a-cc33d4b8-3755fbd5-8455c2f7-559e820d.jpg
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the lateral radiograph is suboptimal. the right subclavian approach picc tip projects over the expected region of the low svc. small bilateral pleural effusions persist, decreased larger on the right compared to <unk>. the parenchymal opacities in the right lung on the prior exam are less conspicuous and almost completely resolved particularly in the right lateral and right lower lobe. no frank edema or pneumothorax. cardiomediastinal silhouette are within normal limits.
|
<unk>-year-old man with aml, anemia, brbpr, abd pain, fever. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14264400/s50878895/facc10ad-6502f9e6-978fce32-9441f9c0-60e736ee.jpg
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the lungs are clear without focal consolidation, effusion, or edema. linear opacity at the left lung base again noted suggestive of scarring the cardiomediastinal silhouette is stable. surgical clips again noted in the right upper quadrant. no acute osseous abnormalities.
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<unk>f with fever // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p19229684/s59088277/89dfd2cd-45b2338c-3f5a4669-4bab61a1-ebeef82f.jpg
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the lungs are clear without focal consolidation. there are trace bilateral pleural effusions, similar to prior. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged.
|
history: <unk>f with cough, fever, dyspnea // infiltrate, effusion, edema
|
MIMIC-CXR-JPG/2.0.0/files/p13639031/s51578188/055699f1-1abd0627-65fcca9a-02ed5a1c-737157c2.jpg
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lung volumes are low. no focal consolidation, pleural effusion, or pneumothorax is detected on this single frontal view. lung markings and pulmonary vasculature are exaggerated at the lung bases, possibly due to low lung volumes and overlying soft tissues. heart and mediastinal contours are within normal limits
|
<unk>-year-old female with tachycardia and palpitations.
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MIMIC-CXR-JPG/2.0.0/files/p15206209/s52024858/254490a0-aac9cb71-5eea51c0-386c202d-f7facb50.jpg
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there are at least <num> right-sided rib fracture seen. no pneumothorax. no left-sided rib fracture seen. there is mild pulmonary vascular congestion but no overt pulmonary edema. the cardiomediastinal contour is unchanged compared to the prior study. small hiatus hernia. left lower lobe atelectasis. blunting of the left costophrenic angle likely reflects a small pleural effusion versus pleural scarring. compression fracture in the mid thoracic spine. moderately severe s-shaped scoliotic curve convex to the left centered at l<num>
|
<unk>f s/p mechanical fall w/ r rib fx, t<num> compression fx, c<num> spinous fx, r orbital wall fx, acute splenic infarct, scalp lac, hd<num> pod<num> cervical laminectomy c<num>-t<num>. // icu
|
MIMIC-CXR-JPG/2.0.0/files/p18222804/s50508001/2c5b1f83-c86b0ace-3317f86e-c499d2d9-1fc92d1b.jpg
|
pa and lateral views of the chest were reviewed and compared to the prior studies. normal heart, lungs, pleural and mediastinal surfaces.
|
influenza-like illness and cough in a patient with hypoxia.
|
MIMIC-CXR-JPG/2.0.0/files/p15132350/s51513589/0f4f11d2-efea06fe-6f828df7-6f7f0ebf-0387b7bc.jpg
|
lung volumes are low but not significantly changed compared with prior exam. there are diffusely increased interstitial markings, with some associated plate-like atelectasis in both bases. blunting of the right costophrenic angle might be related to small pleural effusion with associated scarring, unchanged from prior. streaky left base retrocardiac opacity may represent atelectasis. cardiomediastinal contour is unchanged. the aorta is tortuous with severe atheorsclerotic calcifications. diffuse osteopenia is re-demonstrated. degenerative changes of both shoulder joints are again seen.
|
<unk>-year-old female with shortness of breath and hypoxia. evaluate for evidence of pneumonia or congestive heart failure.
|
MIMIC-CXR-JPG/2.0.0/files/p15112095/s54749169/98402132-328a7c29-fbb94a86-d42657d6-fd86838e.jpg
|
supine portable ap view of the chest was provided. an endotracheal tube is seen with its tip residing <num> cm above the carina. the og tube courses into the left upper quadrant with the distal side port below the level of the diaphragm. the lungs appear clear bilaterally. the hila appears somewhat prominent though this could be due to portable supine technique. the heart size is normal. no supine evidence for effusion or pneumothorax. the imaged osseous structures appear intact.
|
<unk>-year-old female, unresponsive, status post intubation, assess tube position.
|
MIMIC-CXR-JPG/2.0.0/files/p17007441/s54648146/8b3903c9-56e1d68c-5ef6a8b2-d52d960c-7c07be00.jpg
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the et tube is in unchanged position from prior exam. lungs are well expanded. mild edema has improved from prior exam. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
|
<unk> year old man with rsv respiratory failure, intubated // interval change
|
MIMIC-CXR-JPG/2.0.0/files/p10623647/s55482956/41bfdf15-06268da7-1157bc75-0db2de54-7585b690.jpg
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there are opacities in the right lower lobe and lingula. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
|
<unk>m with cough and flu like illness for over a week. // ? acute cardiopulmonary process
|
MIMIC-CXR-JPG/2.0.0/files/p18689476/s53062458/089b4982-37498c6b-f2c81efe-87397b27-f5ae3da3.jpg
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there is are low in volume, with mild bibasilar atelectasis, but the lungs are without focal consolidation. there is no pleural effusion. new moderate enlargement of the cardiac silhouette due to cardiomegaly (physiologic in late pregnancy), and/or pericardial effusion is exaggerated by low lung volumes. there is no engorgement of either lung or mediastinal vessels to suggest pressure eleveation in either circulation.
|
pregnant patient with elevated d-dimer.
|
MIMIC-CXR-JPG/2.0.0/files/p19097066/s59662208/e869add6-3b567955-9d90e68d-0a04eb7f-d529af4a.jpg
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the cardiac, mediastinal and hilar contours are normal. there is a right middle lobe opacity. otherwise, the lungs are clear. there is no associated finding of lymphadenopathy or pleural effusion.
|
<unk>-year-old with cough and left basilar rhonchi.
|
MIMIC-CXR-JPG/2.0.0/files/p12432545/s59667862/eff71424-83f89a0a-21c2850b-947feb34-b12f32c6.jpg
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frontal and lateral views of the chest were performed. the lungs are hyperinflated. there is no focal airspace consolidation to suggest pneumonia. the previously seen small bilateral pleural effusions have resolved. there is no pneumothorax. a calcified and tortuous aorta is redemonstrated. the cardiac silhouette is top-normal in size and unchanged from the prior study accounting for differences in technique. the hilar structures are unremarkable. pleural thickening and pleural plaques are seen over the right upper lung, representing prior asbestos exposure. deviation of the trachea to the left is compatible with the known thyroid mass (suspicious for malignancy by cytology.) the degree of deviation has increased since <unk> but is unchanged from <unk>. the imaged upper abdomen is unremarkable.
|
left-sided chest pain, rule out pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p18097296/s53045648/9f1d4cd5-fada6bd7-9bc95b22-37ff38df-9b67f569.jpg
|
cardiac silhouette size is normal. the aorta is tortuous and demonstrates atherosclerotic calcifications along the arch. hilar contours are normal. pulmonary vasculature is not engorged. lungs are well inflated without focal consolidation. patchy retrocardiac atelectasis is seen. no pleural effusion or pneumothorax is detected. no acute osseous abnormality is visualized.
|
history: <unk>m with fall
|
MIMIC-CXR-JPG/2.0.0/files/p10604519/s50176174/ab568773-05bd82a1-e692fa2d-e99bd81a-96d954c6.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>m with chest pain // acute process
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MIMIC-CXR-JPG/2.0.0/files/p11628599/s57993109/1e8099c5-6c0ccdbe-4502fde2-7b51393d-4db9152f.jpg
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lungs are clear and lung volumes are normal. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. mediastinal and hilar structures are unremarkable.
|
chest pain, evaluate for an acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p11386202/s50809612/54778b93-052a0f9c-94e50f77-87e193d8-407841a5.jpg
|
pa and lateral views of the chest provided. tiny clips are noted in the lower neck. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
|
<unk>f with c/o cp and sob with hx thyroid ca
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MIMIC-CXR-JPG/2.0.0/files/p10906758/s54912927/8acefe64-00521994-d660b6f9-a2f447d2-56d8d173.jpg
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the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
|
fever, dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p13559686/s53155967/65ba6fb2-01cab31e-881a73b1-f86f8001-f5232564.jpg
|
there are moderate bilateral pleural effusions with overlying atelectasis, underlying basilar consolidation difficult to exclude particularly on the left. there is pulmonary vascular congestion. no pneumothorax is seen. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable.
|
history: <unk>m with new onset of afib // eval for pna pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p13129645/s54771320/309353e5-c7b23e07-7acf2309-dbf07696-3f5ddb01.jpg
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frontal and lateral views of the chest were obtained. the heart is of top normal size with unremarkable cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. previously seen tiny right apical pneumothorax is no longer identified. no pleural effusion. pulmonary vasculature is unremarkable. <unk>, <unk>, <unk>, and <unk> right posterolateral rib fractures have undergone interval minimal bony callus bridging. no new fracture visualized. no radiopaque foreign body.
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<unk>-year-old male with dizziness and afib. evaluate for infection or new chf.
|
MIMIC-CXR-JPG/2.0.0/files/p13503602/s59757713/e2910d7c-c8023ccb-3f5fe704-45816a0e-58a249f0.jpg
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. there is a retrocardiac opacity adjacent to the left hemidiaphragm, better seen on lateral view. this could represent an early developing pneumonia. no appreciable pleural effusion or pneumothorax is seen. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a patient with fever.
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MIMIC-CXR-JPG/2.0.0/files/p19650702/s50150796/3a94e5c7-2177985a-5eba6e49-1d1bcc37-02c418fa.jpg
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patient is status post tracheobronchoplasty. since <unk>, the previously noted right upper lung opacities are improved. there is mild pulmonary congestion, left worse than right. a small left pleural effusion is probable. mild bibasilar atelectasis is increased. a right chest tube is in unchanged positioning. the heart size is stable. widening of the mediastinum is expected postsurgically. an apical right pneumothorax is tiny, if any.
|
<unk> year old woman with tbm // effusion ptx
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MIMIC-CXR-JPG/2.0.0/files/p16789661/s54942114/49fefb85-7cb741a5-67b55299-9d9d319c-5e45bfad.jpg
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
|
<unk>-year-old male with history of lingular infiltrate with worsening shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p16213706/s58275877/32896961-b70efe7e-532b0d8e-5afdf0ce-926332fb.jpg
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pa and lateral chest radiographs demonstrate no focal consolidation, no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. median sternotomy wires are noted.
|
rib right rib pain. evaluation for fracture.
|
MIMIC-CXR-JPG/2.0.0/files/p12948096/s56403226/204109f8-77236490-67698009-139f019e-0a2fc71b.jpg
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portable upright view of the chest demonstrates no evidence of pneumothorax. right-sided chest tube is in unchanged position. lungs are clear. there is no pulmonary edema. hilar and mediastinal silhouettes are unremarkable. heart size is normal. partially imaged upper abdomen is unremarkable.
|
patient with recurrent spontaneous pneumothoraces, status post chest tube placement. assess for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p13216160/s53903759/2140f441-7f1a01ef-706f2df1-ea2babfd-6d389b45.jpg
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a left-sided port-a-cath catheter ends in the lower svc, unchanged. there is a right convex scoliosis centered in the mid thoracic spine.
|
<unk>-year-old female with left flank and back pain. evaluate for acute cardiopulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p13193330/s56992177/423f46aa-a5de9c92-796bcb30-5a323bcf-fc5b3fe1.jpg
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pa and lateral views of the chest provided. midline sternotomy wires are noted. low lung volumes limit evaluation. the heart is top-normal in size. hilar congestion with mild pulmonary edema noted. small bilateral pleural effusions are present. no pneumothorax. no convincing evidence for pneumonia. bony structures are intact.
|
<unk> year old woman with myasthenia <unk> s/p thymectomy p/w multiple episodes of atrial fibrillation
|
MIMIC-CXR-JPG/2.0.0/files/p15830413/s53616389/eced21d5-6ec05104-03e47a6c-dca6b840-37eee71c.jpg
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elevation of the right hemidiaphragm is unchanged since ct <unk>. there is no focal consolidation, effusion or pneumothorax. the size of the heart is top normal.
|
right upper lobe biopsy.
|
MIMIC-CXR-JPG/2.0.0/files/p15403351/s51447773/6fd27eb4-b463c56a-ea3c810c-80d01dd2-362ad1d0.jpg
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heart size is normal. mediastinal and hilar contours are unchanged. atherosclerotic calcifications are noted within the aortic arch. the pulmonary vasculature is not engorged. patchy opacities are noted within the lung bases which could reflect areas of atelectasis, but infection is not excluded in the correct clinical setting. no pleural effusion or pneumothorax is present. ossification of the anterior longitudinal ligament is re- demonstrated within the thoracic spine.
|
history: <unk>m with atrial fibrillation, mitral regurgitation, lightheadedness // evaluate for pulmonary edema
|
MIMIC-CXR-JPG/2.0.0/files/p19650702/s52397496/00fa5454-d5a8304d-29ca4253-3a7e6c8d-c824f4a3.jpg
|
pa and lateral views of the chest provided. stable moderate cardiomegaly and widened mediastinum. opacity adjacent to right thoracotomy site is unchanged and consistent with expected postoperative changes. stable bibasilar atelectasis. no pneumothorax or pleural effusion.
|
<unk> year old woman s/p tbp with leukocytosis // perform at <time>am on <unk>. r/o interval change
|
MIMIC-CXR-JPG/2.0.0/files/p10461589/s55788309/c8eedee5-cee64e90-707661e6-520d56dc-274cdc7c.jpg
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there is no change in the size or appearance of the large right upper lobe mass. there are no focal consolidations. the pulmonary vasculature is normal. the heart is not enlarged. there is no pleural effusion. there is no pneumothorax.
|
<unk> year old man with mass // r/o pneumothorax s/p bronchoschopy
|
MIMIC-CXR-JPG/2.0.0/files/p15790597/s59963757/2d53b63b-ee6f2d19-2638e2dc-d2cf8b50-005bc568.jpg
|
cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. pulmonary vasculature is normal. the hilar contours are unremarkable. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. there are mild degenerative changes in the thoracic spine.
|
hyponatremia, weakness
|
MIMIC-CXR-JPG/2.0.0/files/p10585932/s55114624/852a07ef-b8e61354-2d813df4-6b7cf582-5d7e6846.jpg
|
frontal and lateral chest radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. the lungs are clear. no pleural effusion or pneumothorax evident. left humeral hardware noted.
|
fever, pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p10775646/s56796482/6a662d77-487926b8-281db3bd-435c728a-23e3affa.jpg
|
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
|
<unk>f with chest pain, leukemia // r/o infiltrate
|
MIMIC-CXR-JPG/2.0.0/files/p18526154/s59146919/6f931ee4-8bdb7d12-62c832cf-88ce53c5-749fdb43.jpg
|
there is no pneumothorax. left perihilar mass is again seen. shallower inspiration. tiny right pleural effusion, similar. normal heart size.
|
<unk> year old man with lll mass, s/p biopsy // ptx?
|
MIMIC-CXR-JPG/2.0.0/files/p19228066/s55268167/88543a89-d6245065-ee4ae6e4-1c5b9a20-8b439463.jpg
|
very limited view of the chest without obvious pneumothorax or edema. the patient is rotated, limiting evaluation of the cardiomediastinal silhouette, but an enlarged calcified aorta is again noted. right lower lung nodule is obscured. note is made of a large right calcified thyroid nodule.
|
<unk>-year-old female with new hypotension and tachypnea status post trauma.
|
MIMIC-CXR-JPG/2.0.0/files/p11526668/s56988154/6629308b-9696ca5e-ee91c8a7-5367cdb9-8f9115e8.jpg
|
compared with prior exam, there is satisfactory positioning of the patient in this pa and lateral views. there has been significant interval improvement of previously noted pulmonary edema. lung volumes continue to be low, with bibasilar streaky opacities, more pronounced in the left, which might represent atelectasis with or without superimposed pneumonia. although widening of the mediastinum is not significantly changed by plain film from <unk>, subsequent ct demonstrated new extensive paratracheal lymphadenopahty. blunting of the right cardiophrenic angle is stable since at least <unk>, suggesting scarring. tracheal deviation is not significantly changed from prior and is secondary to goiter, partially imaged in prior ct chest from <unk>. moderate-to-severe cardiomegaly is unchanged. a moderate hiatal hernia is not significantly changed in size from prior.
|
<unk>-year-old female with questionable widened mediastinum in prior examination limited by poor positioning. please perform pa and lateral chest radiograph for better assessment.
|
MIMIC-CXR-JPG/2.0.0/files/p13051109/s58456895/556dcf55-3c608c42-dedf9435-64cb81df-67ecbffe.jpg
|
heart size appears top normal. the aorta remains tortuous with diffuse atherosclerotic calcifications. mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. patchy linear opacities in the lung bases likely reflect areas of atelectasis in the setting of low lung volumes. no focal consolidation, large pleural effusion or pneumothorax is present. mild degenerative changes are seen in the thoracic spine.
|
history: <unk>m with fever, weakness // ? pneumonia or other acute cardiopulm proces
|
MIMIC-CXR-JPG/2.0.0/files/p12325171/s55315801/1108b061-7d275497-0c96004f-15c63cab-d08c8634.jpg
|
the heart size is normal. mediastinal and hilar contours are unremarkable. aortic knob calcifications are again seen. there is mild biapical scarring. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
|
chest pain and hypertension.
|
MIMIC-CXR-JPG/2.0.0/files/p11262894/s54581351/4a66b45d-b769e871-3ac32b38-d8bd4137-42bc3d84.jpg
|
moderate left pleural effusion appears marginally smaller when compared to prior. prior left base pigtail catheter is no longer visualized. the lungs are otherwise clear. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits atherosclerotic calcifications are noted at the aortic arch.
|
<unk>m with dyspnea, h/o infection // ? acute cardipulm process
|
MIMIC-CXR-JPG/2.0.0/files/p13541333/s54280691/fdd42aa6-482a35dc-8aa49e61-44795368-ccd15758.jpg
|
the heart size is top normal. mediastinal and hilar contours are within normal limits. the pulmonary vascularity is normal and the lungs are clear. no pleural effusion, focal consolidation or pneumothorax is visualized. clips from prior cholecystectomy are seen in the right upper quadrant. no acute osseous abnormalities are present.
|
confusion.
|
MIMIC-CXR-JPG/2.0.0/files/p12988457/s56544372/7b9cb605-3b81730c-a6fca8e5-d01416c3-58c1b5c8.jpg
|
there is a hiatal hernia. bilateral lower lobe atelectasis is worse on the left. the lung volumes are low. there are probable small bilateral pleural effusions. mild cardiomegaly is stable. no pneumothorax. the aortic knob is calcified.
|
<unk>-year-old man with altered mental status. evaluate for acute cardiopulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p19218926/s51262944/2b9a5637-a87d13bb-4adc118a-77a8693d-759197ef.jpg
|
no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the aorta is calcified. the cardiac silhouette is not enlarged. a right humeral prosthesis is seen although not optimally evaluated. degenerative changes are seen at the bilateral acromioclavicular joints. surgical clips are noted overlying the left axilla.
|
hypotension.
|
MIMIC-CXR-JPG/2.0.0/files/p10157506/s56637894/f631ed1d-c047c292-459853f2-6aaab768-cfaa30b3.jpg
|
bibasilar atelectasis is noted. no convincing signs of pneumonia edema effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. bony structures are intact.
|
<unk>m with confusion x <num> months // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p13346927/s50305451/a8ff53eb-c877e6aa-578160d4-78a867b0-d1320e97.jpg
|
the lungs are well expanded. a small calcified granuloma is seen in the left apex overlying the medial left clavicle. the lungs are otherwise clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
|
chest pain, concerning for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p17743587/s50317699/7d97260f-41e9ccad-1b863db9-7460d136-be1123b1.jpg
|
the lungs are well expanded. there is mild interstitial edema. there is no nodule, consolidation, or mass. heart size is top-normal. there is no pneumothorax or pleural effusion.
|
<unk>-year-old female with fever and hypoxia, concerning for pneumonia.
|
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