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the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures are identified.
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history: <unk>m with cp // eval for cp
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the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. the pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. there are moderate degenerative changes again noted in the thoracic spine.
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fever.
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a left-sided pacemaker with one right atrial and two right ventricular leads is in unchanged position. there is no evidence of a lead fracture. epicardial leads are in unchanged position. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified.
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chest pain. evaluate for lead fracture.
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overall, there has been interval improvement in the right pleural effusion. the moderate left pleural effusion is overall unchanged in size. the position of the right port-a-cath is unchanged. bibasilar atelectasis, left greater than right is unchanged. no new focal consolidations concerning for pneumonia are identified. there is no pneumothorax.
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history: <unk>m with sob // pna? pleural effusions?
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with two week worsening progressive cough with sputum.
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the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
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history: <unk>f with coming with cough and ili // ?consolidation/pneumonia
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single portable supine chest radiograph was provided. the endotracheal tube is appropriately positioned in the mid trachea above the carina. the nasogastric tube courses below the diaphragm into the stomach. a hazy right lower lobe opacity is concerning for pneumonia. there are no pleural effusions or pneumothorax. the heart is mildly enlarged. the imaged upper abdomen is unremarkable. there are no displaced fractures.
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found down and hypoxia, evaluate for pneumonia.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits. the aorta is tortuous. the trachea is midline.
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chest pain, here to evaluate for acute cardiopulmonary process.
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frontal and lateral chest radiographs demonstrate improved bilateral lung aeration. there is a density in the left lower lobe which should be followed closely. the right lung is grossly clear. there are bilateral small pleural effusions. there is suspicion of small left apical pneumothorax without tension. there has been interval removal of left-sided central line. patient is status post left upper lobectomy with residual volume loss. again identified left <num>th rib fracture.
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<unk>-year-old with recent mediastinoscopy, left thoracotomy, and left upper lobe lobectomy. evaluate for pneumothorax.
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium. patient is status post median sternotomy and aortic valve replacement. lung volumes are low with mild enlargement of the cardiac silhouette, unchanged. mediastinal and hilar contours are similar. there is mild pulmonary edema, slightly improved in the interval. patchy opacities in the lung bases may reflect areas of atelectasis, but infection particularly in the left lung base cannot be completely excluded. no pleural effusion or pneumothorax is demonstrated. elevation of the left hemidiaphragm is again noted. no acute osseous abnormality is visualized.
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history: <unk>m with hypoxia, recent cough
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is no radiopaque foreign body. there is no evidence of pneumomediastinum. no acute osseous abnormalities.
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<unk>m with throat tightness / globus // r/o intrapulm process, foreign body
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left-sided pacemaker remains in unchanged position, with leads terminating in the right atrium and right ventricle. bilateral pleural effusions appear improved, however could also relate to patient's more erect positioning. evaluation of the cardiac silhouette is limited. no pneumothorax is identified. no focal consolidation is seen. a right-sided pleural drain is unchanged.
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<unk> year old man with chf and bilateral recurrent pleural effusions s/p bialteral pleurx placement // eval effusions eval effusions
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ap upright and lateral views of the chest provided. lungs appear clear though volumes are somewhat low. the heart is mildly enlarged. no overt edema is seen though there is likely mild central congestion. no convincing evidence for pneumonia. no pneumothorax. severe degenerative disease at both shoulders noted.
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<unk>f with fever // evidence of pneumonia
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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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there is leftward deviation of the right proximal trachea raising concern for thyroid mass.the cardiac silhouette is normal. the mediastinal and hilar contours are normal. the pleura is unremarkable. no focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen.
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<unk> year old woman with recent onset cough with some hemoptysis, some night sweats and chest pain with coughing // ? parenchymal abnormal.
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ap portable supine view of the chest. there is no focal consolidation, or supine evidence for effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
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<unk>f with confusion, ?pneumonia
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ap view of the chest. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal contours and hilar are normal.
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stroke and desaturation, query aspiration or other process.
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bilateral opacification of the lungs is most consistent with pulmonary edema which may be related to recent transfusion. asymmetric opacification in the right upper lobe may be edema however the possibility of a consolidation can be considered. cardiac size is normal. there is no pneumothorax or pleural effusion.
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<unk> year old man with new aml and possible pna, s/p multiple blood products, with diffuse crackles // evaluate for volume overload and pna
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no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits.
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<unk> year old woman with fevers // rule out acute process
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the heart size is top normal. mediastinal and hilar contours are unchanged, with aortic knob calcifications again demonstrated. the patient is status post right upper lobectomy with fluid noted in the right upper hemithorax, similar to that seen on the prior ct. there is no focal consolidation, new pleural effusion or pneumothorax otherwise demonstrated. pulmonary vascularity is not engorged. minimal patchy bibasilar opacities likely reflect atelectasis.
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chest pain.
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the cardiac, mediastinal and hilar contours appear stable. patchy retrocardiac opacity appears streaky and probably due to atelectasis. otherwise the lungs appear clear. there are no pleural effusions or pneumothorax.
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altered mental status.
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
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chest pain.
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low lung volumes are again noted with secondary crowding of the bronchovascular markings. there is no confluent consolidation. the cardiomediastinal silhouette is unchanged. chronic deformity seen of the distal left clavicle.
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<unk>m with ams // presence of infiltrate, ptx
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
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<unk>m with history of fever and couph // rolw out pneumonia
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there has been interval resolution of the patient's previously demonstrated bilateral airspace opacification. there is no new, focal consolidation noted. there is no pneumothorax, pleural effusion, or pulmonary edema identified. the heart size is normal. mediastinal contours are stable. a moderate, hiatal hernia is again noted.
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history of recent pneumonia, evaluate for resolution.
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single frontal view of the chest was obtained. indistinct pulmonary vasculature markings are compatible with moderate pulmonary edema. increased opacity at the right lung base is compatible with atelectasis or infection. blunting of the right costophrenic angle is compatible with a small to moderate sized pleural effusion. no pneumothorax. heart size and cardiomediastinal contours are stable.
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<unk>-year-old female with tachypnea, shortness of breath, and wheezing. evaluate for acute process.
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postradiation mediastinal fibrosis is unchanged. lung fields are clear heart size is within normal limits. there is no pneumothorax.
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history: <unk>f with sob cough fevers x <num> weeks. // acute process
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ap single view of the chest has been obtained with patient in semi-erect position. comparison is made with the next preceding similar study of <unk>. unchanged position of tracheostomy cannula. picc line has been pulled back by about <num> cm and terminates, now overlying the superior mediastinal structures, <num> cm above the carina. this is close to the expected junction with the subclavian vein, but appears acceptable. other extensive right-sided pleural effusion is unchanged. evidence of multiple sternotomy wires in midline as before. within the heart shadow, the metallic components of a porcine aortic valve prosthesis is identified. heart size cannot be assessed on this single view chest examination because of other overlying structures.
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<unk>-year-old male patient status post tracheostomy with pleural effusions and now aspiration. picc line out <num> cm. evaluation for pneumonia. check placement of picc line.
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pa and lateral views of the chest. no prior. lungs are hyperinflated but clear of consolidation. mild biapical scarring is noted. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with shortness of breath.
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ap upright and lateral views of the chest provided. left chest wall aicd again noted with leads extending into the region of the right atrium and right ventricle. cardiomegaly is again noted with hilar congestion. mild interstitial pulmonary edema is also noted. no large effusion or pneumothorax. suture material projects over the left apex and right apex likely reflecting prior resection. mediastinal contour stable. bony structures are intact.
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<unk>m with abd pain/dyspnea // acute process
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pa and lateral views of the chest were compared to previous exam from <unk>. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with cough.
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the cardiomediastinal silhouette is within normal limits for age and technique and remains midline. there is atelectasis in the right upper zone, with several bandlike opacities. the right hemidiaphragm is probably slightly elevated. there is atelectasis at both lung bases. more hazy opacity at right base may reflect the presence of a small effusion. mild vascular plethora is noted, consistent with mild chf. a left chest tube is present. no pneumothorax is detected.
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<unk> year old woman with lung nodules concerning for metastasis // eval post op chnge following wedge resection
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there is a new small consolidation at the right lung base. otherwise the lungs are clear. there is no pneumothorax or pleural effusion. there is enlargement of the right mediastinum. the heart remains moderately enlarged, and the aorta remains large and tortuous. there is abnormal contour of the left upper mediastinum which suggests an aberrant right subclavian artery, which has been present on prior studies. the osseous structures are unremarkable.
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<unk>-year-old woman with fevers.
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the lungs are clear without infiltrate or effusion. the bony thorax is normal. the cardiac and mediastinal silhouettes are normal
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<unk> year old woman with unexplained anemia and thrombocytopenia // lymphadenopathy?
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no focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac mediastinal silhouettes are stable and unremarkable. no pulmonary edema is seen.
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history: <unk>m with doe // eval for pulm edema
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ap and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
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wheezing and cough.
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lung volumes remain low. even allowing for this, the heart is enlarged. a single lead cardiac device is unchanged in position as is a sternal plate. there is prominence of the bilateral hila with prominence of the pulmonary vasculature consistent with pulmonary vascular congestion and mild pulmonary edema. left lower lobe atelectasis. no pleural effusion seen. no pneumothorax.
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<unk> year old man with cad, pvd, s/p l aka and new change in ms, trop <num>.<unk> // assess cardiac contour, acute intrathoracic process.
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the indwelling left subclavian lead ends in the right ventricle as before, and the new lead travels along the chest wall through the right subclavian vein and ends outside the left ventricle. previous left pleural effusion has decreased to baseline, and the left mediastinal shift has resolved, but the left lower lobe collapse that followed the new lead placement has not fully resolved. moderate cardiomegaly is unchanged without pulmonary edema.
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<unk>-year-old man with new left ventricle lead placement. assess lead position.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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<unk> year old man with new doe // any explanation for doe on cxr?
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heart size is normal. slight tortuosity of the aorta is stable. there is mild cephalization of the pulmonary vasculature without overt pulmonary edema. minimal bibasilar, right greater than left, opacities likely reflect atelectasis. no pneumothorax or pleural effusion.
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history: <unk>m with palpitations // ? pna
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a new right pectoral port-a-cath tip terminates in the right atrium. scattered nodular densities seen throughout both lungs are more apparent compared with the prior chest radiograph of <unk>, characterized by ct of <unk> as metastatic disease. hyperinflation suggests underlying copd. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal.
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<unk>f with cancer on chemo, here with here, evaluate for consolidation.
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single portable view of the chest. the lungs are clear. cardiomediastinal silhouette is normal. osseous structures are unchanged.
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<unk>-year-old male with shortness of breath, wheezing and cough and fever.
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portable upright view of the chest demonstrates below normal lung volumes, which accentuates bronchovascular markings. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. imaged upper abdomen is unremarkable.
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patient with history of nash cirrhosis, now with altered mental status for three days. assess for pneumonia.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
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<unk>f with shortness of breaht, evaluate for pna
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persistent cardiomegaly is accompanied by unchanged tortuosity of the thoracic aorta. lung volumes remain low. lungs and pleural surfaces are clear.
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<unk> year old <unk> woman with cough for <num> weeks, history of positive ppd, chills and sweats // pneumonia, tuberculosis, other cause for chronic cough
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the heart size is normal. the hilar and mediastinal contours are normal. there is a new veil-like density over the bases of both lungs reflecting new small bilateral pleural effusions. an relative increase in opacification at the left base is either atelectasis or pneumonia. the small amount of right subdiaphragmatic free air is presumably post-procedural. there is no pneumothorax. the heart is normal in size. hilar and mediastinal contours are normal.
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<unk>-year-old female postop day <num> status post aortobifemoral bypass who presents for evaluation of fevers.
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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 remains normal. no typical configurational abnormalities identified. moderate widening of thoracic aorta, but no evidence of local contour abnormalities. similar to preceding examination, a left-sided permanent pacer is noted in anterior axillary position connected to two intracavitary electrodes terminating in unchanged positions. the pulmonary vasculature is not congested. no signs of acute or chronic pulmonary parenchymal abnormalities are present and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area.
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<unk>-year-old male patient with cough and left sided rhonchi.
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax.
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<unk> year old woman with cough, productive x <num> weeks // pneumonia
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the cardiac silhouette and pulmonary vascularity are prominent for a patient of this age. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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history of fevers, please evaluate for pneumonia.
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the cardiac, mediastinal, and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are within normal limits. there has been no significant change.
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chest pain.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. minimal patchy opacity is seen in the right lung base likely reflective of atelectasis. left lung is clear. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>f with tachycardia // eval for infiltrate
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endotracheal tube terminates <num> cm above the carina. an orogastric tube courses below the diaphragm, tip is not included in this examination. an svc stent is again seen. the heart is mildly enlarged. no focal consolidation or large pleural effusion identified.
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<unk> year old woman with ett // placement? placement?
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lung volumes are low. again noted is bibasilar atelectasis /scarring. the lungs are otherwise without a focal consolidation. no large pleural effusion or pneumothorax is seen. cardiomediastinal silhouette appears unremarkable. no acute fractures are identified.
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chest pain and hypoxia.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.
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history: <unk>m with blood in stools. symptomatic // cough, pna?
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MIMIC-CXR-JPG/2.0.0/files/p19760462/s52730447/2afcb55b-5270808b-a6cbaa5d-e04d774e-f34b255a.jpg
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the lungs are normally expanded without evidence of pneumonia. heart size is normal. the mediastinal and hilar contours are normal. there is slight prominence of interstitial markings reflecting pulmonary vascular congestion without frank pulmonary edema. there is no pleural effusion or pneumothorax.
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history: <unk>f with chest pain and fever // eval for pneumonia
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pa and lateral views of the chest. small bilateral pleural effusions, right greater than left, are unchanged. likely bibasilar atelectasis. there is an air ocollection in the upper mediastinum at thoracic inlet of unclear etiology, may be residual tracheal dilation. the cardiac and hilar contours are stable. no focal consolidation. no pneumothorax.
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status post tracheobronchoplasty five days ago, evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p14637100/s55591528/31d2afe2-93ddc7b5-db8ba78a-0bece2e0-d546841e.jpg
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right-sided dual lumen central venous catheter tip terminates at the lower svc. moderate enlargement of the cardiac silhouette persists. the aorta is tortuous and diffusely calcified. mild pulmonary edema is new in the interval. patchy bibasilar airspace opacities may potentially be reflective of atelectasis. no pleural effusion or pneumothorax is seen.
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history: <unk>f with febrile elderly woman with dementia and crackles
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a small right pleural effusion is noted. the left lung is clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pneumothorax, pneumonia, or pulmonary edema.
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<unk> year old man with bladder cancer // question of disease recurrence
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lung volumes remain low. heart size is mildly enlarged, unchanged. mediastinal and hilar contours are unremarkable. crowding of bronchovascular structures is present without overt pulmonary edema. atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is seen. elevation of the right hemidiaphragm is unchanged.
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history: <unk>f with dyspnea
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MIMIC-CXR-JPG/2.0.0/files/p16480990/s53516432/703ab058-33716116-1b7c07a0-87967581-2e5db6d4.jpg
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a portable frontal chest radiograph demonstrates a right chest port with the tip in right atrium. lung volumes are persistently low, and there is redemonstration of diffuse bilateral opacities, which are increased in the right upper lobe. the remainder of the exam is unchanged, including at least <num> wedge compression fractures, heterogeneous bone density secondary to known metastatic disease, and right scapular and left humeral head fractures, which are unchanged and likely pathologic. there is no pleural effusion or pneumothorax.
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metastatic breast cancer. evaluate for worsening opacities or new infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p14982245/s53211066/558d3288-87036dd5-86af1eaa-76fc725c-a39108cd.jpg
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pa and lateral views of the chest provided. lungs are hyperinflated. lucency in the upper lungs is consistent with known underlying emphysema. no signs of congestion or edema. 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 worsening cough, congestion, change in sputum color despite inhaled steroids // r/o pneumonia
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bilateral fibrotic changes again seen. calcified pleural plaques are also noted. no new focal consolidation is seen, and the heart is mildly enlarged. calcifications are noted at the aortic knob.
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<unk>-year-old female with altered mental status. evaluate for acute process.
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the cardiomediastinal and hilar contours remain normal. atelectatic changes or scarring is again seen at the left lung base. new widespread airspace opacities are present throughout the left lung, likely pulmonary hemorrhage. there has been interval placement of a fiducial seed in the medial aspect of the left upper lobe. the right lung remains clear. there is no pneumothorax. a left port-a-cath is present with tip terminating in the cavoatrial junction.
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left upper lobe fiducial placement.
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MIMIC-CXR-JPG/2.0.0/files/p19237156/s54909017/c8a97e28-b2bea714-db0c0714-92d07104-164e5884.jpg
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single portable view of the chest. linear bibasilar opacities may be due to atelectasis or scarring. right mid lung surgical chain sutures are again identified. superiorly, the lungs are grossly clear. the cardiomediastinal silhouette is stable. median sternotomy wires are again noted. no acute osseous abnormalities.
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<unk>-year-old female with hypertension and confusion.
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pa and lateral chest radiographs were obtained. there are new diffuse bilateral interstitial opacities and bilateral septal thickening. the pulmonary vasculature is engorged and mild cardiomegaly has mildly worsened. there is no focal consolidation, effusion, or pneumothorax.
|
shortness of breath.
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the endotracheal tube ends <num> cm above the carina. there is no focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. deviation of the trachea to the left is from an enlarged right thyroid gland that is better evaluated on the recent ct of <unk>.
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<unk> year old man with new intubation. evaluate position of the endotracheal tube.
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MIMIC-CXR-JPG/2.0.0/files/p17927957/s55753395/dc8c8c34-5fc3a5fc-a5df7ece-10d2fb59-7c52efc1.jpg
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cardiac silhouette size is normal. patient is status post right upper lobectomy. mediastinal and hilar contours are unchanged. small right pleural effusion appears similar compared to the prior exam with resolution of previously noted left trace pleural effusion. no focal consolidation or pneumothorax is visualized. pulmonary vasculature is not engorged. no acute osseous abnormality is detected.
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history: <unk>f with recent thoracic surgery
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MIMIC-CXR-JPG/2.0.0/files/p13777833/s52375829/a3db59f0-e6981102-adc2bf51-27690df8-10c7e418.jpg
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a large gas-filled hiatal hernia is similar in appearance to chest radiograph from <unk>. severe cardiomegaly is stable <unk>. a right picc terminates in the region of the cavoatrial junction, unchanged from <unk>. no pneumothorax. opacities in the bilateral lower lungs likely represent combination of layering pleural and atelectasis.
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<unk>f with emesis // please evaluate for acute abnormality
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MIMIC-CXR-JPG/2.0.0/files/p11806352/s54532640/eb6baecb-7562612b-560d8f39-d778ed38-740e9484.jpg
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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tachycardia. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12429546/s56442386/eb8ff31e-fb2ee8ac-ea6d0b42-872cd187-451afc00.jpg
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as compared to <unk>, the right upper lobe and perihilar right-sided parenchymal opacity have slightly improved. small right and moderate left pleural effusion persist in almost unchanged manner. no new focal parenchymal opacities. retrocardiac atelectasis is stable. no overt pulmonary edema.
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<unk> year old woman with stemi, multifocal pna // progression of pna?
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MIMIC-CXR-JPG/2.0.0/files/p10018169/s56519856/7b463646-59098c02-f5a5c93a-081b0861-c05685d2.jpg
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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history: <unk>m with headache, leukocytosis // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p16858077/s57938943/9a5924bd-985ea320-8b845ea7-82f67214-7940db18.jpg
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. there may be minimal increased opacity at the right heart border/cardiophrenic angle, likely secondary to crowding of bronchovascular structures. the lungs are otherwise clear without evidence of focal consolidation, nodule, or mass. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
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<unk>-year-old woman with seizures, evaluate for infection.
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MIMIC-CXR-JPG/2.0.0/files/p19292817/s56649845/d6702998-c46db22a-7a0c8521-c2397112-3c214924.jpg
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the mediastinal contours are within normal limits. the thoracic aorta is tortuous with mild calcification of the aortic knob. the cardiac silhouette is normal in size. the hilar contours are within normal limits. the lungs are symmetrically well-expanded and well-aerated without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. mild multilevel degenerative changes are noted in the thoracic spine.
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chest pain and dyspnea on exertion, here to evaluate for widening of the mediastinum or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18708171/s59490282/2dcdba36-62f0dc1c-483a29dd-0878bb68-c4371460.jpg
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frontal and lateral views of the chest. heart size is top normal. mediastinal contours are unremarkable. interstitial markings appear diffusely mildly increased without focal consolidation. no pleural effusion or pneumothorax. chronic right-sided rib fractures are appreciated.
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chest pain and shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p14616068/s59931667/d9b0d8b9-d62bc7bb-7fc5c24c-e7bd0ecc-beab2e1d.jpg
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the lungs are clear without focal consolidation. there is no pneumothorax or pleural effusion. the cardiomediastinal and hilar contours are within normal limits.
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<unk>m with l sided chest pain. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16742247/s58533716/c1c18cf3-a25f7a5e-2050a8b4-86ef362c-8c9aacdd.jpg
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frontal and lateral chest radiographs demonstrate interval clearing of previously noted areas of peribronchovascular abnormality in the bilateral lower lobes. within the right upper lobe, there is new faint peribronchovascular airspace opacity. there is no focal consolidation, or abscess. there is no pleural effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are notable for unchanged calcified lymphadenopathy. lingular and right middle lobe bronchiectasis is unchanged.
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<unk>-year-old male with hlh status post chemotherapy with multiple pseudomonal pneumonias and worsening cough. evaluate for new abnormalities.
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MIMIC-CXR-JPG/2.0.0/files/p14253065/s51156251/b202b37d-4fcf450b-f94db492-560109d9-ac1ca729.jpg
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the lungs are clear focal consolidation, effusion, or vascular congestion. there is relative elevation of the right hemidiaphragm. the cardiomediastinal silhouette is within normal limits. there is an apparent abandoned wire along the left chest wall projecting in the region of the upper svc. there is a thoracolumbar s-shaped scoliosis.
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<unk>f with cough x <num> days // r/o pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p19634960/s56091060/32f0ec22-deea75c4-fff578e0-26128f77-744ef5d1.jpg
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the right lung is hyperexpanded with mild leftward shift of the mediastinum. there is consolidation of the peripheral left upper lung zone seen only on the pa view. there is no pleural effusion or pneumothorax. the heart size is normal. there is irregularity of the left hilar contour. these findings would be compatible with a prior history of empyema.
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persistent cough.
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MIMIC-CXR-JPG/2.0.0/files/p17983903/s50124358/590c170c-14a1392a-05dfc077-72afe2c1-ecd1a77c.jpg
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picc line on the right is in the low svc. the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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history: <unk>f with picc line, fevers // eval pna, also eval picc
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MIMIC-CXR-JPG/2.0.0/files/p12378259/s57764611/a7b649f8-a9792071-ebc05c65-17bef53e-738c48bb.jpg
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serial radiographs demonstrate positioning of a feeding tube in to the stomach as detailed in the wet reading report. within the lungs, the diffuse airspace opacities have slightly improved compared to <unk> radiograph.
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<unk> year old man with recurrent pna, cad, tachy-brady, had clogged ngt that was removed, now team requesting dobhoff placement, first stage completed // two-part cxr for dobhoff placement, clinician at bedside
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MIMIC-CXR-JPG/2.0.0/files/p10277852/s59222838/d3ab2230-c754da0d-88ec5370-4c0a29d8-c5723821.jpg
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comparison with chest radiograph from <unk>, multifocal opacities in the bilateral upper zones and right mid zone have resolved. there is no new focal consolidation. no pleural effusion or pneumothorax. mediastinal and hilar contours are stable. heart size is normal.
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<unk> year old man with pneumonia // follow up on pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12764286/s55616574/f4b225b9-7f1ccc25-43011aae-a20d4bdb-55013504.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 cp/sob // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p13750451/s52925403/44e06b56-fc041bd7-f2c19f3b-9cd19cb9-5f38e492.jpg
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pa and lateral chest radiographs <unk> at <time> are submitted.
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<unk> year old man with new single chamber icd // assess lead position assess lead position
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MIMIC-CXR-JPG/2.0.0/files/p12580788/s57929079/05d2c803-b6c6dafb-401198ce-3d78ed17-c52887be.jpg
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. osseous structures are unremarkable without a displaced rib fracture. no radiopaque foreign body.
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<unk>-year-old female with right thorax pain status post fall. evaluate for rib fracture.
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MIMIC-CXR-JPG/2.0.0/files/p14347948/s58208866/6dc6472b-8896b809-aa5b643e-2724f6bd-ec7c0e10.jpg
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low lung volumes are new from <unk>. a homogeneous opacity at the right lower lung obscures the diaphragmatic interface and is consistent with pleural fluid. there is blunting of the left costodiaphramgatic angle, consistent with a small pleural effusion. there is collapse of the left lower lung. upper lungs are clear. there is no pneumothorax. a right internal jugular venous catheter terminates in the mid-to-lower svc. a drain is identified in the upper abdomen.
|
<unk>-year-old female patient with persistent tachycardia, numerous crystalloid in recent days. study requested to rule out effusion and/or acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p17585185/s51515760/83ed6eb3-4bf3d474-ae4f09b4-543b8409-95a025ec.jpg
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transverse cardiomegaly. mild increase in prominence of the pulmonary vasculature, but no overt pulmonary edema. no airspace consolidation. linear sutures projecting over the right hemithorax. no suspicious pulmonary nodules or masses.
|
<unk> year old woman with history of tbm p/w acute shortness of breath // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p17724039/s55819531/fc07f9a2-8902dbb8-f356d8d5-3e53e417-6abb6b85.jpg
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. left anterior descending artery calcifications are seen.
|
<unk>-year-old male with chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p15884790/s59248691/8345cdd9-77f99ed4-e9824c41-a43e69bb-fc7fc668.jpg
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a right ij central venous catheter ends in the lower svc. dual lead left-sided cardiac aicd in place. a right midline catheter is partially imaged.small bilateral layering pleural effusions have increased. increased bilateral interstitial opacities are likely due to pulmonary edema. moderate cardiomegaly appears slightly increased. tubular opacities projecting over the left heart may be due to coronary calcifications or stents. there is no pneumothorax.
|
<unk> year old man with cvl placement // assess rij cvl placement
|
MIMIC-CXR-JPG/2.0.0/files/p15807175/s58881193/f58735ff-252ec771-19f02300-a64919eb-b070a073.jpg
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is stable in configuration. osseous and soft tissue structures are unremarkable.
|
<unk>-year-old female with syncope.
|
MIMIC-CXR-JPG/2.0.0/files/p17345538/s59492982/51a45e99-23a9013a-60713860-c2d8b7cc-b8d477fa.jpg
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right sided picc tip terminates in the mid svc. the patient is status post median sternotomy and closure hardware with cabg clips. heart size is mildly enlarged but unchanged. the aorta is diffusely calcified and tortuous. blunting of the left costophrenic angle is compatible with a small pleural effusion, decreased in extent compared to the prior exam. small right pleural effusion also appears smaller compared to the prior exam. streaky left basilar opacity likely reflects atelectasis. there is no pneumothorax, though the patient's chin slightly obscures evaluation of the extreme lung apices. no pulmonary vascular congestion is seen. right curvilinear subdiaphragmatic lucency is compatible with pneumoperitoneum, which is not unexpected in this patient on peritoneal dialysis.
|
hypotension.
|
MIMIC-CXR-JPG/2.0.0/files/p16120959/s50622616/e8f5375d-686a436d-85a4ef38-a5289e70-ef9baa46.jpg
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pa and lateral views of the chest were obtained. the lungs are clear bilaterally with no evidence of focal consolidation or pulmonary edema. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of free air below the right hemidiaphragm.
|
fever, chills, fatigue, and cough.
|
MIMIC-CXR-JPG/2.0.0/files/p16525584/s52934736/c5e9095e-6173f0b6-d9e9dc1e-0443f0a9-6618b1c0.jpg
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compared with prior examination dated <unk>, there has been minimal interval change. redemonstrated is a tortuous aorta. there is no focal consolidation or pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal and hilar contours are otherwise stable.
|
joint pain and necrotic skin lesions. evaluate for pulmonary pathology.
|
MIMIC-CXR-JPG/2.0.0/files/p11208426/s53904379/84f37553-a89602a8-b7a5b463-459e4a64-283125ea.jpg
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the heart size is normal. the mediastinal and hilar contours are unremarkable. extensive emphysematous changes are again seen, most pronounced within the upper lobes bilaterally. deformity of the left upper and lateral hemithorax with increased sclerosis of the left anterolateral ribs is a result of patient's known large chest wall mass, better demonstrated on the prior chest ct. trace left pleural effusion is again seen. no new areas of focal consolidation, right pleural effusion or pneumothorax is demonstrated. there is no pulmonary vascular congestion.
|
neutropenic fever and cough.
|
MIMIC-CXR-JPG/2.0.0/files/p16610414/s56840517/d60f8859-687525d9-6e336434-7c5f0e9f-8e22dc47.jpg
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single frontal view of the chest was obtained. the heart size is mildly enlarged. lungs appear clear without focal consolidation, pleural effusion, or pneumothorax. a large skin fold overlies the right lateral chest wall. the right posterior <num>th rib is fractured and mildly displaced.
|
probable right rib fracture status post fall. evaluate for pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p12465184/s59239236/8f5f88af-e4ffeebf-98d7bcaa-c80e45ef-672c02d1.jpg
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upright ap and lateral views of the chest demonstrate unchanged position of right port-a-cath, which terminates at the cavoatrial junction, and a partially visualized jejunostomy catheter projecting over the epigastrium, as well as cholecystectomy clips in the right upper quadrant. there is no subdiaphragmatic free air. the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pneumothorax, or focal airspace opacity.
|
<unk>-year-old female with dyspnea and abdominal distention. evaluation for air under the diaphragm, or acute cardiopulmonary disease.
|
MIMIC-CXR-JPG/2.0.0/files/p14430335/s51729821/772e239f-efa44723-c9416702-7d93383f-6af52698.jpg
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pa and lateral views of the chest were obtained. the lungs are clear bilaterally with no evidence of focal consolidation or congestive heart failure. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no bony abnormalities. no free air below the right hemidiaphragm.
|
seizure.
|
MIMIC-CXR-JPG/2.0.0/files/p17919687/s59243038/d1331491-d3603b4c-2c9ee52c-388b3415-ecaebe31.jpg
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dense left retrocardiac opacity most likely represent atelectasis. there is mild pulmonary vascular congestion. the lung apices are not captured on the current study, and there may be tiny pneumothoraces, particularly on the right. no sizable pleural effusion on the right. slight blunting of the left costophrenic angle may represent a small effusion. heart size is top normal. ill-defined lucency projecting over the left superior heart border may represent pneumomediastinum. there is extensive subcutaneous emphysema.
|
<unk> year old woman s/p lap hiatal hernia repair with nissen fundoplication // eval for ptx, effusion
|
MIMIC-CXR-JPG/2.0.0/files/p10330091/s54607387/ead6ef1f-7b0c9dfe-4ec1e0c2-11f1b0f1-2d01b616.jpg
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ap portable semi upright view of the chest. there has been interval placement of a right ij central venous catheter with its tip projecting over the low svc. there is no pneumothorax. otherwise no change from prior. free air persists below the right hemidiaphragm.
|
<unk>f with central line placed // confirm central line placement
|
MIMIC-CXR-JPG/2.0.0/files/p19536313/s51693559/60be72f1-f24e82ea-63dc0e14-8a00636b-8b22da77.jpg
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right picc terminates in the lower svc. the previously layering left pleural effusion is now more dependent, likely due to patient positioning. linear air-fluid level in the left lung base is concerning for hydropneumothorax. no new parenchymal opacity is appreciated.
|
<unk> year old woman with peritoneal carcinomatosis, pulmonary embolus and recent gi bleed and hemoptysis. evaluate for pulmonary infarct
|
MIMIC-CXR-JPG/2.0.0/files/p19612731/s58196864/70ba525a-a0feff3f-b2b42f46-1da3024f-4214de42.jpg
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pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
|
<unk>-year-old female with substernal chest tightness.
|
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