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compared to the prior study there is no significant interval change.
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<unk> year old man with scc s/p lul lobectomy // eval lll collapse cxr to be done at <unk>
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single frontal view of the chest was obtained. new nasogastric tube terminates below the left hemidiaphragm, which is elevated. diffuse opacities overlying both lungs has increased since <unk>. opacity overlying the left base is compatible with a moderate to large pleural effusion with probable underlying consolidation. blunting of the right costophrenic angle persists, compatible with a moderate pleural effusion. no pneumothorax. moderate cardiomegaly may be exaggerated by patient rotation.
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<unk>-year-old male with retroperitoneal bleed, now with new ng tube.
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well expanded with mild peribronchial infiltrates in the lower lungs, which may be seen in bronchitis. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable.
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<unk>f with cp sob fevers cough // r/o pna
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portable ap upright chest film <unk> at <time> is submitted.
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<unk>m with pmh significant for dchf (ef <unk>%, requiring multiple intubations in past), esrd on hd, htn, t<num>dm, afib on warfarin and cad who was transferred from <unk> s/p intubation for presumed chf exacerbation and further management. // status of pulm edema/pulm effusions status of pulm edema/pulm effusions
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the cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are similar. there is stimulator device seen within the left anterior chest wall with lead coursing cephalad into the left neck. lungs are clear. no pleural effusion, pulmonary edema, or pneumothorax is present. no acute osseous abnormality is visualized.
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history: <unk>f with acute onset right sided arm / shoulder pain
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. median sternotomy wires and cabg clips are noted. the cardiomediastinal silhouette is within normal limits.
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end-stage renal disease, on hemodialysis. preoperative evaluation for kidney transplantation.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is only mild cardiomegaly. there is no vascular congestion or pulmonary edema. right axilla/chest wall surgical clips are seen at. sternotomy wires are intact.
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<unk>-year-old with confusion. please assess for pneumonia.
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heart size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. minimal atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present.
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chest pain.
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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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<unk> year old woman with productive cough // ? pna
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with cough. evaluate for evidence of pneumonia.
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as compared to prior chest radiograph from <unk>, there has been interval worsening of a vague opacity in the right mid lung zone. the left lung is clear. costophrenic sulci are blunted bilaterally, likely related to pleural thickening. there is no pneumothorax. the cardiomediastinal and hilar contours are within normal limits.
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<unk>-year-old male patient with acute dyspnea and hypoxia, history of cirrhosis, encephalopathy. study requested for evaluation of aspiration, and/or pneumonia.
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pa and lateral chest radiographs were provided. the right internal jugular central line terminates at the cavoatrial junction. there is no focal consolidation or pneumothorax. left pleural effusion is unchanged since the prior exam. right basilar atelectasis has improved. cardiomediastinal silhouette is unchanged.
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history of cabg, pre-discharge evaluation, followup effusion.
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there is stable cardiomegaly. the aorta is tortuous and there is calcification of the aortic knob. there is prominence of the right hilus, similar in appearance to the prior examination in <unk>. there is a small right pleural effusion and likely small left pleural effusion. a <num>cm wide elliptical opacity in the left mid lung is better evaluated by the cta performed subsequently but available at the time of this review.
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<unk>f with sob // eval pna or chf
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. a very mild interstitial process is noted with peribronchial cuffing, which could be seen with airway inflammation, infectious bronchitis or possibly slight fluid overload.
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tachycardia and shortness of breath.
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the heart is at the upper limits of normal size. there is apparent widening of the right paratracheal stripe, although probably due to rotation. it is suspected that the appearance is unchanged when differences in technique are considered, but confirmation with a followup pa and lateral radiographs is recommended to demonstrate normal contours when clinically appropriate. the lungs appear clear. there is probably a very small left-sided pleural effusion and trace pleural effusion on the right, but not well demonstrated. bones appear demineralized.
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altered mental status.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. a linear left upper lobe opacity suggests minor atelectasis or scarring, but otherwise the lungs appear clear. there is no pleural effusion or pneumothorax. bony structures are unremarkable. there is mild rightward convex curvature centered along the lower thoracic spine.
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fever.
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bilateral interstitial markings may reflect interstitial edema or interstitial lung disease. there are small bilateral pleural effusions. there are no focal consolidations, and the heart size is normal.
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<unk>-year-old female with shortness of breath.
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ap upright and lateral chest radiographs were obtained. the lungs are hyperinflated and the diaphragms are flattened. a vague opacity in the mid left lung without definite correlate on the lateral projection and is likely due to soft tissue summation of shadows. there may be mild right basilar atelectasis. there is no effusion or pneumothorax. the top normal heart is unchanged. the central pulmonary vasculature is indistinct.
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fever.
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a single portable frontal radiograph of the chest was acquired. a left port-a-cath ends in the mid svc, not significantly changed. there has been interval extubation and removal of an enteric catheter. a partially imaged catheter projects over the right mid to upper abdomen, not significantly changed in appearance. there is a new density projecting below the accessed port in the left upper hemithorax. the lung fields appear otherwise clear. the heart size is normal. the mediastinal contours are not significantly changed. there are no pleural effusions. no pneumothorax is seen.
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history of liver cancer and altered mental status. evaluate for pneumonia.
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the lungs are clear. there is no focal consolidation, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. the known mid left clavicular fracture is not well seen on this exam. there is asymmetrical biapical scarring, better seen on the ct exam.
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history: <unk>f with new hypoxia, tachycardia // eval for acute process
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rounded <num> cm x <num> cm opacity projecting in the right upper lung may be external to patient and is not seen on prior radiograph. lungs are otherwise clear and pleural surfaces are normal. heart size, mediastinal contour and hila are normal.
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female with upper respiratory symptoms with one week of cough, subjective fever, rhonchi, wheezing. assess for pneumonia.
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sternotomy. linear band of atelectasis or scarring left lung base, stable. normal heart size. increased right basilar opacity, atelectasis versus pneumonitis. acute fractures right lateral ninth, tenth ribs, better appreciated on today's radiograph. fractures bilateral second ribs, right fifth rib, stable.
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<unk> year old man with emphysema, rib fxs, desatting // ?pulm pathology to explain desat
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the heart remains enlarged in size. there are new bilateral pleural effusions and moderate pulmonary edema. worsening retrocardiac opacity persists and may represent atelectasis or pneumonia in the correct clinical setting. single lead pacemaker defibrillator is present with tip terminating in the right ventricle. a catheter is seen projecting over the lower left hemithorax.
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chf, pericardial effusion status post drainage. evaluate for pulmonary edema.
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pacemaker-like device projects over the left pectoral region with lead tip in right atrial appendage, right ventricle and lead entering coronary sinus into the left ventricle. sternotomy wires are intact. lvad is unchanged in position. right lung is clear without pleural effusion. no pneumothorax. interval increase in mild left lower lobe atelectasis and pleural effusion with small left loculated effusion. stable moderate cardiomegaly with normal mediastinal contour and hila. no bony abnormality.
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<unk>-year-old female status post lvad. assess for pleural effusion.
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subtle opacity at the left lung base is new. mild elevation of left hemidiaphragm is unchanged. no other focal airspace opacity. heart size is normal. cardiomediastinal hilar silhouettes are unremarkable. an enteric tube side port terminates in the gastric body.
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<unk> year old man s/p laparotomy for sbo. hypoxic in pacu // aspiration.
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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. no displaced fracture is seen.
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chest pain x.
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once again, the heart is enlarged. there is prominence of the bilateral hila and pulmonary vasculature with prominent interstitial markings. overall, the appearances are consistent with pulmonary vascular congestion. <unk> b-lines noted at the right lung base. small nodular opacities, most prominent in the right upper lobe may represent early pulmonary edema. no definite areas of consolidation seen. degenerative changes throughout the thoracic spine.
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<unk> year old man with dm and new sob // evaluate for edema or effusion
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the lungs are well expanded but clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with edema // eval chf
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. each hilum is minimally prominent which may be associated with mildly enlarged lymph nodes or slightly prominent central pulmonary vessels. there is similar mild elevation of the right hemidiaphragm. the lungs appear clear. there are no pleural effusions or pneumothorax. there is no evidence for free air.
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abdominal pain. question of free air.
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there is streaky density at the lung bases consistent with subsegmental atelectasis. there is no definite focal consolidation. the patient is status post median sternotomy as before. mediastinal structures are unchanged. an endotracheal tube and right internal jugular sheath remain in place. a nasogastric tube has been advanced and now terminates below the diaphragm in the region of the gastric fundus or body.
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eval for effusion
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right-sided pleural effusion has decreased since prior. right basilar opacity is likely due to atelectasis, infection not excluded. elsewhere, lungs are grossly clear. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are noted. coils project over the right upper quadrant. no acute osseous abnormalities.
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<unk>m with fatigue // eval ? edema, effusion
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the lungs are relatively hyperinflated, with flattening of the diaphragms, which may be due to chronic obstructive pulmonary disease. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. the aorta is slightly tortuous.
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former smoker presenting with complaints of palpitations.
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no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. there is persistent minimal elevation of the right hemidiaphragm.
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history: <unk>f with cp // r/o card/pulm abnormality
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. the aortic knob is calcified. mediastinal contours are unremarkable.
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uri symptoms, syncope.
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there is no consolidation, pleural effusion, or pneumothorax. there is no evidence of pneumonia. the cardiomediastinal border is are normal and the hilar structures are normal. cardiac size is normal.
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<unk> year old woman with recent hospitalization at osh p/w wheezing and cough // please evaluate for pna
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patient is status post right diaphragmatic repair. clips are seen again projecting over the liver. there is an air-fluid level below the right hemidiaphragm. there is atelectasis of the right lower lobe. the left hemidiaphragm is slightly elevated compared to the right and is unchanged from previous. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged from previous.
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<unk> f s/p echinococcal cyst removal <unk> c/b diaphragmatic hernia now s/p r diaphragmatic repair and appendectomy // assess for effusion, position of diaphragm
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lungs are hyperinflated with flattening of the diaphragms and increased ap diameter suggestive of copd. minor left base atelectasis/scarring is seen. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac silhouette is top-normal to mildly enlarged. the aorta is calcified.
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history: <unk>f with dyspnea // please evaluate for acute abnormality
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the heart size is within normal limits. mediastinal and hilar contours are normal. the previously described resolving right upper lobe pneumonia has improved. there is increasing density over most of the left lung with a small left-sided pleural effusion. there is no pneumothorax. anchors are present within the right glenoid.
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<unk>-year-old male with shortness of breath, fever and hypoxia.
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
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fevers and chills as well as cough. assess for pneumonia.
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the lungs are well inflated and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pneumothorax, or focal consolidation concerning for pneumonia.
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history: <unk>f with fatigue // eval infiltrate
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again seen is the indwelling right-sided catheter, with tip over distal svc. in addition, there is a new right-sided picc line, with tip overlying the right atrium. no pneumothorax detected. inspiratory volumes are low and the right hemidiaphragm remains elevated, with opacity at the right base, similar to prior. minimal patchy opacity in the retrocardiac region is improved slightly. no gross effusion is detected on this ap view. no definite change in the cardiomediastinal silhouette. focal opacity the left upper zone represent artifact due to overlap of the first anterior and fifth posterior left ribs.
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<unk> year old woman with cns lymphoma, // assess for pleural effusion prior to giving methotrexate
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patient is status post median sternotomy and cabg. multiple surgical clips are seen in the mediastinum.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are grossly stable given differences in technique can't inspiration.. cardiac silhouette remains top-normal. hilar contours are stable.
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history: <unk>m with chest pain // eval for acute process
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there is trace left apical pneumothorax. pleural effusion is minimal, if any. there is left lower lobe volume loss. there is no pulmonary edema. mildly enlarged cardiac silhouette is unchanged. the chest tubes and mediastinal drain are in unchanged position. left picc terminates in low svc. right internal jugular vein introducer has been removed. sternotomy wires are intact.
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<unk> year old woman with chset tubes to water seal- // eval for ptx- obtain cxr at <num>:<unk>pm
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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>f intoxicated s/p vomiting and collapse, concern for aspiration or chest wall trauma // aspiration or chest wall trauma
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single frontal view of the chest. pneumomediastinum remains evident, though slightly smaller than on the prior exam. heart size and mediastinal contours are otherwise stable. small bilateral pleural effusions with adjacent bibasilar opacities have both slightly improved since the prior exam, though with persistent left lower lobe collapse. no pneumothorax. tracheostomy and peg tube are stable.
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laryngeal cancer and pneumomediastinum.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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history: <unk>f with new abdominal distension and mets. // pna/mass?
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the patient is status post recent median sternotomy and aortic valve replacement. following removal of multiple support and monitoring devices, there is no definite pneumothorax. stable postoperative appearance of cardiomediastinal contours. further improvement in left perihilar airspace opacification as well as improved aeration in the left retrocardiac region. on the right, a small to moderate pleural effusion has increased in size with adjacent worsening atelectasis.
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<unk> year old man with s/p avr-post pull // eval ptx
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities identified.
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history: <unk>m with chest pain.
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as before, there is a persistent retrocardiac opacity which may represent atelectasis or infection. the lungs are otherwise clear aside from moderate emphysesma. cardiomediastinal contours are normal. no pleural effusion. blunting of the costophrenic angles bilaterally may represent a small amount of pleural fluid.
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<unk> year old woman with tachypnea, copd // evaluate for new consolidation
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two right-sided chest tubes are in unchanged position, one oriented vertically and one oriented towards the base. opacification at the right base is unchanged, consistent with prior surgery and a small amount of residual pleural fluid. stable subcutaneous emphysema is present in the right upper abdominal wall. there is no definite pneumothorax. a small left pleural effusion and atelectasis is unchanged. there is no new consolidation. the cardiomediastinal silhouette is stable. the aorta is tortuous. a right picc terminates in the mid svc and is unchanged.
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history of hemothorax status post vats. evaluate for reaccumulation of fluid.
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the heart is of normal size with normal cardiomediastinal contours. pulmonary vasculature is unremarkable. lungs are hyperinflated with flattened diaphragms, suggestive of copd. no pulmonary consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body. there are mild degenerative changes along the lower thoracic spine.
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altered mental status. evaluate for pneumonia.
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status post median sternotomy. a right picc line projects over the upper to mid svc and has been retracted since the prior study. moderate left and small right pleural effusions with subjacent atelectasis. persisting mild pulmonary vascular congestion. no pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.
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<unk> year old woman with picc. during routine dressing change, came out < <num> cm. want to confirm placement. // picc placement confirmation.
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MIMIC-CXR-JPG/2.0.0/files/p16276628/s56818897/c9ecad8e-62eb2f6f-abc2364d-06797822-4fda6289.jpg
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single portable radiograph is provided. cervical fusion hardware is noted. right internal jugular catheter has been removed. dobbhoff tube is seen below the diaphragm. left picc terminates in the lower svc. again seen is pulmonary vascular congestion, slightly worse since the prior exam and a small left pleural effusion. cardiomediastinal silhouette is unchanged. osseous structures are intact.
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<unk>-year-old man with polytrauma, evaluate for changes.
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MIMIC-CXR-JPG/2.0.0/files/p14574396/s51808356/c6fbb764-d00fb1d5-873284ac-2e1b2ee8-38083d9c.jpg
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. median sternotomy cerclage wires are noted. there is a small break in the superior wire.
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<unk>-year-old man presenting with altered mental status and vomiting. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14121603/s51247831/92ed106c-16744d8d-8be653de-959efcf0-1df01adc.jpg
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portable ap chest radiograph. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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<unk> year old man with acute psychosis // eval for consolidation
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MIMIC-CXR-JPG/2.0.0/files/p16913836/s51271391/f4d2dc82-ae2600c2-e299ce26-1a13fbc1-f6bd8895.jpg
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ap portable supine view of the chest. an endotracheal tube is seen with its tip located <num> cm above the carina. the endogastric tube descends into the left mid abdomen. the lungs are clear bilaterally aside from minimal left basal atelectasis. no supine evidence for effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette appears normal. no acute osseous abnormality.
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<unk>f with ich, obtunded
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MIMIC-CXR-JPG/2.0.0/files/p16291864/s52415379/d85186c5-a34c1beb-9d224f0e-5f476a11-0f5bee1a.jpg
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a left pectoral pacemaker with dual leads ending in the right atrium and right ventricle is unchanged. the lungs are hyperexpanded with flattening of the bilateral hemidiaphragms, compatible with copd. small bilateral pleural effusions are unchanged. there is increased pulmonary vascular congestion from <unk> with mild interstitial pulmonary edema. streaky opacities in the bilateral lung bases likely reflect atelectasis. the cardiomediastinal and hilar contours are within normal limits.
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history of end colostomy and recurrent small bowel obstructions, now with sudden desaturation, here to evaluate for pneumothorax or other acute process.
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MIMIC-CXR-JPG/2.0.0/files/p11226572/s51860612/f2f96a77-ffa800e0-fe3c692c-487ed51b-87b84b10.jpg
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focal opacity in the left lower lobe is not from nipple shadow and on retrospective review was imaged in the ct abdomen and pelvis on <unk> and likely represents atelectasis or focal scarring. no new focal opacity, pneumothorax, pleural effusion or pulmonary edema. heart size, mediastinal contour and hila are normal. no bony abnormality.
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female with possible pulmonary nodule.
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MIMIC-CXR-JPG/2.0.0/files/p18658996/s50069593/1e55cc34-3501d226-152de34d-aab9e6ef-cc6973d6.jpg
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a new left basilar chest tube is demonstrated with interval decrease in size of the left pleural effusion, now moderate in extent. there is a persistent layering pleural effusion on the right which is moderate in size. patchy bibasilar airspace opacities likely reflect atelectasis though infection cannot be excluded. cardiac, mediastinal and hilar contours are unchanged. no definite pneumothorax is present. nasogastric tube tip terminates at the distal esophagus, and should be advanced for optimal positioning.
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status post left thoracentesis for a large effusion.
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MIMIC-CXR-JPG/2.0.0/files/p19466242/s58072048/a88b6fda-b12d5a60-fd354bc3-37971e08-15419e12.jpg
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the lung volumes are low bilaterally. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. healed fractures are noted in the right chest wall laterally. partially visualized cervical and thoracic spinal fusion hardware are unchanged in alignment and grossly intact.
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<unk> year old woman with cough and course breath sounds with wheezing in left lower lung field. fever <num>. // question of pneumonia
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there is a right-sided ij, which terminates in the low svc. there is a left-sided chest tube with tip projecting over the mid left lung. there has been interval extubation. heart size is mildly enlarged, overall stable compared to the preoperative exam. there is mild fullness of the hilum bilaterally due to pulmonary vascular engorgement, however there is no evidence of pulmonary edema. no large pleural effusion is identified. there is no evidence of a pneumothorax. note is made of gasseous distention of the stomach.
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history of cabg with air leak, evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p10407716/s51608889/88fe4b48-c69715f5-60a1d1ee-ef7ff84c-3b073996.jpg
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frontal and lateral views of the chest are compared to previous exam from <unk>. new when compared to prior is an ll defined left basilar opacity, not as clearly seen on the lateral exam. elsewhere, the lungs are clear. there is no effusion. cardiac silhouette is enlarged but stable in configuration. the aorta is slightly tortuous. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with atrial fibrillation.
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MIMIC-CXR-JPG/2.0.0/files/p18504955/s50748506/eb38c78c-a78bc194-6a60534d-e0d902eb-39be8494.jpg
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema.
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cough.
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MIMIC-CXR-JPG/2.0.0/files/p18935074/s58591940/a7471ac3-623a478d-b31138fb-5af42dbc-b517f45c.jpg
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pa and lateral views of the chest provided. left ij dialysis catheter and right ij access port-a-cath unchanged. cardiomediastinal silhouette remains prominent. hilar congestion again noted with mild interstitial edema. no convincing signs of pneumonia. no large effusion or pneumothorax. bony structures are intact.
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<unk>m with exertional chest pain for the past two days.
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MIMIC-CXR-JPG/2.0.0/files/p18697601/s51148041/d82f8dde-2d98df3d-0621110a-77333308-30557d96.jpg
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background hyperinflation/copd again seen, together with cardiomegaly, similar to the prior film. there is upper zone redistribution and mild vascular plethora, which is slightly more pronounced. no overt alveolar edema is identified. small bilateral effusions are again see, similar to the prior study. there is bibasilar atelectasis, but no frank consolidation is identified.
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<unk> year old man with chf exacerbation // any progression of pulmonary edema?
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MIMIC-CXR-JPG/2.0.0/files/p12958614/s56699805/af8c66ee-35dac855-7e659f8a-6dab9cb7-9d4ab5a7.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.
|
<unk>f with sob and cough, pls eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p10467645/s53963935/66b2edd5-45db0145-962d4f80-05e38dc2-97516f98.jpg
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as compared to prior chest radiograph from <unk>, there has been complete resolution of right middle lobe opacity. no new focal consolidations are identified. the cardiomediastinal and hilar contours are within normal limits. there are no pleural effusions. there is no pneumothorax. visualized osseous structures are grossly unremarkable.
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<unk>-year-old male patient with pneumonia. study requested to confirm resolution.
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MIMIC-CXR-JPG/2.0.0/files/p14394983/s57557256/c9aa5310-6886ca00-6b2904fc-02a9494a-f77e67bc.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>m with recent pna. hx of hiv // ?pna
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MIMIC-CXR-JPG/2.0.0/files/p15473564/s56941423/1653360d-622ffd01-2a1a9de6-813cceae-52f77484.jpg
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multi focal airspace opacities are identified in bilateral lungs, concerning for multi focal pneumonia. these are new since <unk>. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal size.
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history: <unk>m with cough and back pain // rule out acute pulmonary process
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MIMIC-CXR-JPG/2.0.0/files/p16842228/s51766049/dffccf45-de51cf01-ab27e6d6-02269e36-3c2e43a6.jpg
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the ng tube is in the stomach. the appearance of the lungs is not substantially changed.
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<unk> year old man with new ngt placement // ngt placement
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MIMIC-CXR-JPG/2.0.0/files/p16938559/s55970756/0b9896cc-a0318374-6e33724d-814094b0-44411638.jpg
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lung volumes are low. there is volume loss and opacity at both bases. the aorta is tortuous. the upper lungs are clear. heart size is within normal limits.
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dysphagia and the kidney.
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MIMIC-CXR-JPG/2.0.0/files/p18315945/s51609374/5c2a4128-31305d11-9df5c564-7c544b3c-53268b4f.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p14574355/s55293591/8a286c4f-030388da-7950149f-8f47a1ec-4d70204a.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
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shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p14610106/s55596537/b7ae7abc-56a980d0-be5c6417-80479e82-e78041c8.jpg
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lung volumes are slightly reduced. heart size is mildly enlarged. aortic knob is calcified. mediastinal and hilar contours are unchanged with prominence of the pulmonary arteries, better seen on the prior study, compatible with underlying pulmonary arterial hypertension. attenuation of the pulmonary vascular markings towards the lung apices is compatible with emphysema, as seen on the prior chest cta. mild pulmonary vascular congestion persists. increased interstitial opacities are noted predominantly involving the lower lobes, and likely reflective of the patient's chronic interstitial lung disease. blunting of the left costophrenic angle likely reflects a trace left pleural effusion, not significantly changed from the prior exam. there is no pneumothorax.
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altered mental status and hypotensive.
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MIMIC-CXR-JPG/2.0.0/files/p13288913/s55787682/5dbe6bef-54f77280-eeea9c65-b4ec73b2-77703a4d.jpg
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left-sided dual-chamber pacemaker device leads terminating in the right atrium and right ventricle, unchanged. heart size remains mildly enlarged. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. patchy opacities in lung bases may reflect atelectasis, slightly worse in the interval. no new focal consolidation, pleural effusion or pneumothorax is seen. moderate multilevel degenerative changes are noted in the thoracic spine. fractures of the left sixth and seventh posterior ribs are subacute, seen on the previous examination. no definite new osseous abnormalities detected. extensive degenerative changes are present involving both glenohumeral joints.
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history: <unk>m with fall, head injury
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MIMIC-CXR-JPG/2.0.0/files/p11807924/s53239739/19e4a805-df58efec-f7997608-858fa63f-25cf5319.jpg
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pa and lateral images of the chest demonstrate well-expanded lungs, which are clear. there is again seen a left mid zone granuloma identified on previous imaging. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable.
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<unk>-year-old female with history of asthma, now with dyspnea, wheezing, and back pain.
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MIMIC-CXR-JPG/2.0.0/files/p18646760/s55645181/c19e2f54-8bc34d6a-a134dd0e-9d8738c0-bb88bb7b.jpg
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frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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patient with elevated prolactin and cervical lymphadenopathy, identify hilar lymphadenopathy.
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MIMIC-CXR-JPG/2.0.0/files/p17192431/s50910847/43c36cb4-af599197-fd1f98ee-3553fae8-4757652e.jpg
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ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed and direct comparison with the next preceding similar study obtained one day earlier. heart size, thoracic aorta and mediastinal structures are unchanged. the same holds for the position of the left-sided picc line and an ng tube that reaches below the diaphragm. the ng tube ever has been withdrawn by about <num> cm and points now into the mid portion of the stomach. distended large bowels as before. no new parenchymal densities are identified. the lateral pleural sinuses appear free; however, the diffuse haze on the lung bases can be well explained bilateral pleural effusions layering in the posterior portion of the pleural spaces as the patient is in semi-erect position. the next previous available pa and lateral chest examination confirmed pleural effusions on the lateral view was obtained on <unk>.
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<unk>-year-old female patient with metastatic carcinoma, bowel obstruction, now with diffuse rhonchi and auscultation bench. evaluate for possible infiltrates. new mild pulmonary edema versus aspiration.
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MIMIC-CXR-JPG/2.0.0/files/p10301609/s53310032/8c64a465-c1783915-e7d2f2f9-f34d07c5-0db30e72.jpg
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single frontal image of the chest demonstrates an increased left pleural effusion. the right lung is clear. cardiomediastinal silhouette is obscured by the large left effusion. there has been interval removal of the nasogastric tube. the right port-a-cath is seen in unchanged position. there has been interval insertion of a chest tube on the left. there is no pneumothorax or other complication seen. visualized osseous structures are unremarkable.
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<unk>-year-old male with metastatic colon cancer, now with shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p19939993/s58744183/6f12b003-abb7a06b-2ea7101c-65079070-3223c963.jpg
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since the radiographs obtained <unk>, no significant changes are appreciated. lungs are fully expanded and clear without consolidations or effusions. heart size is normal. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
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<unk> year old woman with pneumonia // followup
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MIMIC-CXR-JPG/2.0.0/files/p19616513/s50047995/d7d30168-6a050b8d-d905485c-c40d1210-b156adb6.jpg
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the lungs are normally expanded and clear. the heart is larger since the study of <unk>, now top normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. left brachiocephalic vascular stent is re-demonstrated. loss of height of two vertebral bodies at the thoracolumbar junction is unchanged.
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missed dialysis. evaluate for pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p11362587/s52098273/07396892-e3116d6f-92ddd1e4-3d65f7a5-057b7beb.jpg
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heart size remains mildly enlarged. the mediastinal and hilar contours are similar. there is mild pulmonary vascular congestion without overt pulmonary edema, new in the interval. patchy bibasilar atelectasis is increased compared to the prior study. no large pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
|
history: <unk>f with nstemi from outside hospital with new hypoxia
|
MIMIC-CXR-JPG/2.0.0/files/p15357459/s54139132/51eaf1cb-7936d3e8-744bfb61-894b0ee3-40c094a2.jpg
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a left-sided aicd/pacemaker device is again noted with leads terminating in the right atrium, right ventricle, and coronary sinus. epicardial leads are also noted. the heart remains moderate to severely enlarged but stable. mediastinal contour is unchanged, with tortuosity of the thoracic aorta again noted. calcifications of the thoracic aorta are most pronounced at the arch. the hilar contours are unchanged, with mild pulmonary vascular congestion again noted, not significantly changed in the and prior study. small left pleural effusion which appears to be partially loculated laterally is not significantly changed in the interval, with continued retrocardiac opacity likely reflective of atelectasis. the right lung otherwise is grossly clear, and no pneumothorax is detected. there are multilevel degenerative changes of the thoracic spine.
|
congestive heart failure, biventricular pacer with worsening shortness of breath for <num> days.
|
MIMIC-CXR-JPG/2.0.0/files/p17348831/s55255377/6929b942-8484c33e-2754d51a-c6646618-72a22a90.jpg
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the main pulmonary artery is enlarged, as seen on preceeding chest ct. the aorta is calcified and tortuous. the cardiac silhouette is enlarged. no focal consolidation is seen. there is no large pleural effusion or pneumothorax. no overt pulmonary edema. no displaced fracture is seen.
|
history: <unk>m with sob, chest pain // presence of pulmonary edema, rib fx
|
MIMIC-CXR-JPG/2.0.0/files/p15090960/s58587509/b439845a-a7b8bf1f-b9dc7834-0ab97091-af088e74.jpg
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. an old left posterior rib fracture is noted. there are no acute osseous abnormalities.
|
cough.
|
MIMIC-CXR-JPG/2.0.0/files/p11897028/s53492109/8a71cb04-82644c15-2e28153d-bcfd2083-7a610e2f.jpg
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the cardiac silhouette is top-normal. mediastinal contours are unremarkable. no large pleural effusion is seen. there is no pneumothorax. peripheral reticular opacities bilaterally and at the lung bases bilaterally suggest chronic lung disease. no priors available for comparison, but no definite consolidation aside from what is felt to be chronic, to suggest acute pneumonia.
|
history: <unk>f with crackles right base // eval for pulm edema
|
MIMIC-CXR-JPG/2.0.0/files/p14184360/s55085326/ce14d244-d120e4b6-2966c154-11eda412-8c6b6ec0.jpg
|
frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
|
seizure, evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p15543664/s58800477/4277e306-f94f9a82-43c233c3-b55167c1-f0704a3d.jpg
|
an endotracheal tube is low in position, terminating <num> mm above the level of the carina. an enteric tube courses through the esophagus, into the stomach, and is directed superiorly the terminating in the fundus of the stomach. the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
|
history: <unk>f intubated // eval ett position
|
MIMIC-CXR-JPG/2.0.0/files/p12146984/s58654382/6d8cdec3-0920eed1-56bd8e0c-01159850-abdc61eb.jpg
|
frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. there is no free air under the diaphragm.
|
hypotension and fatigue.
|
MIMIC-CXR-JPG/2.0.0/files/p18624799/s58341895/c49b87d9-ceee4c6e-82031ae7-a3d8bcec-6669dac1.jpg
|
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
|
palpitations.
|
MIMIC-CXR-JPG/2.0.0/files/p14848461/s52911636/ddf64306-8753a160-46b96038-135b5753-cb3cf76e.jpg
|
when compared to prior, there has been interval placement of a left base chest tube. degree of opacification of the left hemi thorax has decreased with some aeration in the left lung although multi focal nodular densities are suspicious for underlying nodules and regions of persistent atelectasis/consolidation. although not definitive, there is suspected left apical pneumothorax medially. right lung pulmonary nodules as seen on previous exam.
|
<unk>m with dyspnea and h/o melanoma found to have pleural effusion // eval for interval change s/p left thoracic pigtail placement
|
MIMIC-CXR-JPG/2.0.0/files/p15119590/s51375160/38266b50-857932c2-2b15045a-3b36591c-6a1c5725.jpg
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portable chest radiograph demonstrates newly placed nasogastric tube seen descending in an uncomplicated course with its tip located within the left upper quadrant in the expected location of the stomach. extensive left-sided pleural effusion with adjacent atelectasis persists. there is additional atelectasis of the right base. no new focal consolidation identified. no pneumothorax.
|
<unk>-year-old female status post distal gastrectomy now with bilious emesis. evaluate for nasogastric tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p18380697/s55898647/48d3af5f-b7de046b-8b74d2ab-0ef5e06e-ac3a59c2.jpg
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the lungs are moderately well-expanded. moderate biapical symmetric scarring is unchanged. stable bilateral lower lobe nodular opacities, right greater than left with stable representative <num> mm right lower lobe nodule. coronary artery calcifications are present.
|
<unk>f with chest pain. assess for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p10008304/s50053244/68bdf27f-1354ec44-64222012-e565c33f-f38dc778.jpg
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits. aortic arch calcifications are seen.
|
<unk>-year-old male with fever and elevated lactate.
|
MIMIC-CXR-JPG/2.0.0/files/p17262795/s54965803/99474515-e1588c3a-70b6f02d-817ba0cf-e8feb9a9.jpg
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there are low lung volumes. this causes crowding of the bronchovascular structures. heart size is borderline enlarged, and the mediastinal and hilar contours are grossly unremarkable. no overt pulmonary edema is noted. focal opacity within the retrocardiac region may reflect an area of pneumonia or aspiration. no pleural effusion or pneumothorax is seen. <unk> rod and spinal fusion hardware is noted within the imaged thoracolumbar spine. there are no acute osseous abnormalities.
|
cerebral palsy, seizures.
|
MIMIC-CXR-JPG/2.0.0/files/p18079777/s50862186/615c9a7f-dc0ba857-427a94ac-d734abed-7d522a7f.jpg
|
portable semi-erect chest radiograph <unk> at <time> is submitted.
|
<unk> year old man with chest tube // please eval chest tube please eval chest tube
|
MIMIC-CXR-JPG/2.0.0/files/p15928453/s51060137/e25866e4-48a2dee6-2181bf44-fb7cc3ce-3ea6967f.jpg
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portable ap upright chest radiograph provided. there has been interval placement of a right chest tube with its tip directed at the right lung apex, with interval re-expansion of the right lung and only trace residual pneumothorax identified. otherwise, no change. an ivc filter and clips are again noted in the upper abdomen.
|
<unk>-year-old with right pneumothorax status post chest tube insertion, assess residual pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p16690867/s54799189/2d4d5a73-b1af9f77-ea9d5bd4-daac2a2c-da25d0a8.jpg
|
left-sided aicd/ pacemaker device is re- demonstrated with leads terminating in unchanged positions within the right atrium, right ventricle, and region of the coronary sinus. moderate to severe cardiomegaly is again noted. the mediastinal and hilar contours are unchanged. mild pulmonary vascular congestion is similar to the previous study with probable trace right pleural effusion. there is no focal consolidation or pneumothorax identified. levoscoliosis of the thoracic spine is re- demonstrated.
|
history: <unk>f with recent pacemaker, now with pulsating left chest wall
|
MIMIC-CXR-JPG/2.0.0/files/p19395626/s53794346/a449193a-15a634d7-94590c93-aaf66987-bfbb0e5d.jpg
|
moderate cardiomegaly is unchanged compared to the prior exam. the mediastinal and hilar contours are stable, with diffuse atherosclerotic calcification of the thoracic aorta. there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. minimal atelectasis is noted within the right lung base. no acute osseous abnormalities detected.
|
hypertension.
|
MIMIC-CXR-JPG/2.0.0/files/p13597710/s55493058/f521253a-80c4c94f-81e22ad2-902026f1-f11c56f1.jpg
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in comparison to the chest radiograph obtained <num> day prior, no significant changes are appreciated. left basilar opacities are similar in appearance and may reflect underlying bibasilar atelectasis or developing pneumonia. mild cardiomegaly. severe pulmonary artery enlargement is unchanged <unk> portion to be mildly enlarged peripheral pulmonary vasculature, suggesting pulmonary hypertension. no pulmonary edema. probable, small, bilateral pleural effusions.
|
<unk> year old man with bacteremia, schf, tachypnea // eval for pulmonary edema
|
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