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MIMIC-CXR-JPG/2.0.0/files/p17029854/s52767510/52123fde-1b11c581-35e5e38a-c438a759-ff9f71ff.jpg | probable background hyperinflation, which could reflect copd. again seen is marked, polychamber cardiomegaly, similar to <unk>. the appearance raises the possibility of pericardial fluid, but no obvious interval change is identified. sternotomy wires and prosthetic mitral valve are again noted. there is upper zone redistribution and minimal vascular plethora, without other evidence of chf. the right hemidiaphragm is again noted to be elevated. there is patchy opacity in the right cardiophrenic region. this is similar in appearance to prior studies seen could reflect atelectasis and/or scarring. otherwise, no focal infiltrate is identified. minimal blunting of the posterior costophrenic angles is consistent with tiny bilateral pleural effusions versus minimal pleural thickening and is less pronounced than on <unk>. | history: <unk>m with dyspnea, hx chf/afib // overload? |
MIMIC-CXR-JPG/2.0.0/files/p16403658/s53361268/7f2f5bb5-59d27ef8-08925daa-f0771e3a-9b5f9070.jpg | since the prior study the enteric tube is been removed. right chest tube and a left chest wall port-a-cath are in unchanged position. small right apical pneumothorax is similar in size. lung volumes are low with bibasilar atelectasis. small left pleural effusion is unchanged. | <unk> year old woman s/p mie // check r ptx |
MIMIC-CXR-JPG/2.0.0/files/p13439963/s54102814/3ed0f6a0-c8ca4f77-40894f14-40ae8d00-c4c34001.jpg | the lungs are clear, but hyperexpanded. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. | history: <unk>f with chest pain // rule out penumonia, effusion, pneumothorax, pleuritis |
MIMIC-CXR-JPG/2.0.0/files/p19284340/s50120406/55a42163-9d204cf5-3207d895-7d3d402c-0cf45074.jpg | the cardiomediastinal and hilar contours are within normal limits. there is mild tortuosity of the descending aorta. no focal consolidation, pleural effusion or pneumothorax is identified. | abdominal pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15087570/s55160253/a2437634-bf2e1d5a-c87fe677-e1a6d525-82b08871.jpg | there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. there are aortic knob calcifications. | cough and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p12311430/s57629903/b74b5e8e-93fc90ac-370a352a-c7aae014-6b2f9606.jpg | pa and lateral views of the chest. there are right upper and right lower lung opacities which are most consistent with pneumonia. no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are normal. | cough and hemoptysis. |
MIMIC-CXR-JPG/2.0.0/files/p16207320/s56086984/b14bc669-c7d00ade-e2416d02-86cceddf-04e1a539.jpg | lung volumes are low leading to crowding of the bronchovascular structures. mild central pulmonary vascular congestion is noted. the bilateral costophrenic angles are not well visualized, which may be secondary to trace pleural effusions versus atelectasis versus body habitus. the upper lung fields are grossly clear without lobar consolidation or pneumothorax. heart is moderately enlarged and the descending thoracic aorta is tortuous. | history: <unk>f with pain // rule out pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14530333/s57635611/f94d357e-e2458dd9-a99758d5-edb3ee91-c3d53a22.jpg | there is a moderate right pleural effusion and a small left pleural effusion with adjacent bibasilar atelectasis and or consolidation. moderate to severe cardiomegaly is similar to recent study of earlier the same date, but increased with associated new pulmonary vascular congestion compared to earlier studies such as <unk>. there is no frank pulmonary edema. mediastinal wires and multiple surgical clips are unchanged from the prior study. | <unk>m with dyspnea, evaluate for pneumonia or pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p12924418/s55091426/07bf9742-f6834a44-8150f202-312fed05-04519849.jpg | pa and lateral views of the chest were reviewed and compared to the prior studies. the lungs are clear without focal consolidation, vascular congestion, pleural effusion or pneumothorax. cardiac and mediastinal contours are normal. there are no concerning osseous or soft tissue lesions. | cough for two weeks. |
MIMIC-CXR-JPG/2.0.0/files/p13912634/s50678469/6e975ec8-ed4ef70b-eec85a9c-bc8d7c27-935b314c.jpg | pa and lateral views of the chest provided. lungs are hyperinflated and lucent compatible with known emphysema. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm. | <unk>m with syncope and weakness pna? effusion? |
MIMIC-CXR-JPG/2.0.0/files/p19127789/s53048596/c3bdc734-840be0e0-f8e8d408-857af5e9-7327e62e.jpg | left pectoral icd in situ with the lead tips present in the right atrium and right ventricle. et tube in situ with the tip at the level of the medial clavicles <num> mm proximal to the carina. enteric tube in situ. swan-ganz catheter in situ with tip in the proximal pulmonary artery. post cabg changes. central and chest drains in situ. intra-aortic balloon pump catheter in situ with the tip <num> mm proximal to the arch of the aorta. no pneumothorax. lung volumes appear similar compared to prior. the cardiomegaly is slightly improved. left basal atelectasis/effusion appear slightly decreased in size compared to prior. | <unk> year old man with as above // s/p mvr/asd repair w/hypoxia r/o effusion/ptx |
MIMIC-CXR-JPG/2.0.0/files/p17250375/s55290119/0a984acb-a5706b6c-b22a2f6c-d3683b8d-7e3eb0e5.jpg | enteric tube tip in the distal stomach. right pleural effusion has decreased. improved right basilar opacity. minimal left basilar opacity, likely atelectasis. normal pulmonary vascularity. no pneumothorax. | <unk> year old man with spinal cord injury s/p ngt placement // please evaluate tube placement |
MIMIC-CXR-JPG/2.0.0/files/p18283050/s50001417/5b37ed21-cd7243ba-57075a00-eaf6659f-b2d52860.jpg | the patient is status post a right upper lobectomy with a new right apical pneumothorax. cardiac enlargement and mediastinal widening are likely postoperative. there is no pulmonary edema and little if any pleural fluid. chest tube ends in the right lung apex. right ventricular transvenous pacing wire is in expected location. | <unk> year old woman s/p rul lobectomy. |
MIMIC-CXR-JPG/2.0.0/files/p10800175/s50704518/0e95cc69-b47dfaf0-96b54022-1878fa11-5f058ecd.jpg | compared to the most recent prior dura has been no significant interval change. again seen is a spiculated left lower lobe mass. prominent background interstitial markings as well as complete collapse of the right lower lobe and right apical consolidation are all unchanged. there is likely a small right pleural effusion. no pneumothorax is seen. | <unk>-year-old female with sudden dyspnea. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11558309/s56196465/deda0e8f-dfed0c71-35eeee49-38b4fece-29f6b6d3.jpg | there is no focal consolidation, pleural effusion, or pneumothorax. there is no recent or non-recent tb. the cardiomediastinal silhouette is normal. the osseous structures are unremarkable. | <unk>-year-old woman requiring to have screening for tb. no exposure. |
MIMIC-CXR-JPG/2.0.0/files/p14702147/s58546051/c73065e8-94e6ff1d-429d6b95-ab4f9526-bc0a7993.jpg | pa and lateral views of the chest provided. low lung volumes limits assessment. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no evidence of congestion or edema. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with cp // ? infectious process, ptx |
MIMIC-CXR-JPG/2.0.0/files/p19095736/s54589140/ea772a88-5c901369-a89f2f8d-102bdaca-0ce44881.jpg | the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. streaky opacity in the retrocardiac region overlying the spine on lateral view, most likely represents pulmonary vessels. | <unk>m with cough and chest pain, evaluate for pneumonia or acute process . |
MIMIC-CXR-JPG/2.0.0/files/p19673112/s54425637/6050b01e-656fb44c-8029ef40-5afc164f-c87e9432.jpg | the lungs are essentially clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the heart size is normal. mediastinal and hilar contours are normal. | neutropenia and cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13306212/s56564214/fc55648d-7a82fe9d-83e97f25-72ed3715-cc0b1b77.jpg | cardiomediastinal contours are normal. lungs and pleural surfaces are clear. | <unk> year old woman with basal ganglia hyperintensity // sob |
MIMIC-CXR-JPG/2.0.0/files/p12788091/s52398303/99f0319d-13553fa9-e1a4f316-84bab7ae-7497f72b.jpg | the patient is status post sternotomy and aortic valve replacement. the heart is mildly enlarged with a left ventricular configuration. there is no discrete focal opacity but fissures are thickened with a mild interstitial abnormality and pulmonary vascular indistinctness, suggesting mild pulmonary edema. opacification of posterior costophrenic sulci suggests small pleural effusions and perhaps coinciding atelectasis. | shortness of breath, dyspnea, cough. |
MIMIC-CXR-JPG/2.0.0/files/p18427137/s51348374/78603c40-88b9788c-98c1e2e6-e0892ce9-e84c6c66.jpg | the lungs are clear without focal consolidation, effusion, or pulmonary edema. enlargement of the cardiac silhouette is stable and in part due to prominent mediastinal fat although mild underlying cardiomegaly is also possible. no acute osseous abnormalities. | <unk>f with cough, malaise // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11654751/s52121709/cd502512-0f76a888-4c2c6cab-be7ea463-cd6d79a2.jpg | lungs: the lungs are well inflated. there is no consolidation. pleura: no pleural effusion is seen. heart: the heart is not enlarged. mediastinum and hila: there is no mediastinal mass. osseous structures: the osseous structures are normal for age. other findings: none | <unk> year old man with cough > <num> months; h/o asthma and tobacco use // eval pulmonary abnormalities |
MIMIC-CXR-JPG/2.0.0/files/p10404505/s53430741/f0ba06d1-8ce7d0ee-574edb49-3af9fcb5-890f2f80.jpg | low lung volumes and technical factors limit the interpretation of this film. increased mediastinal pedicle as well as vascular engorgements and may be mild cardiomegaly are related to failure. no focal consolidations concerning for pneumonia are present. no pleural effusion is present. no pneumothorax. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p17392879/s51288628/e32b1d88-77694392-7c3b80f4-1f7ad198-1defc17b.jpg | interval removal of the ett and enteric tube. the right ij ends in the mid svc. sutures are noted in the mid upper right lung and unchanged. small bilateral pleural effusion with adjacent atelectasis, greater on the right. mild cardiomegaly. slightly tortuous descending aorta. stable cardiomediastinal silhouette. no pneumothorax or focal consolidation. multiple bilateral rib fractures better demonstrated on recent ct. | <unk>-year-old man with several rib fractures s/p cpr, intubation for respiratory distress several days prior; evaluate interval changes. |
MIMIC-CXR-JPG/2.0.0/files/p19557745/s55117131/fd949ebb-9d663d0c-967d2dca-7f98c53b-ba064103.jpg | the lungs are clear of consolidation, effusion, or vascular congestion. the heart is mildly enlarged. no acute osseous abnormalities. | <unk>m with sob, a fib w rvr, also has <unk> <unk> swelling l knee swelling. please r/o r knee fracture and rle dvt. // overload? |
MIMIC-CXR-JPG/2.0.0/files/p19147139/s54389300/d86aed60-e4cff4cc-d6ae889a-6301c4d4-74988ab9.jpg | pa and lateral views of the chest. linear bibasilar opacities are most suggestive of atelectasis. there is no effusion. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications again noted at the arch. no acute osseous abnormalities detected. | <unk>-year-old female status post right knee replacement. question infection. |
MIMIC-CXR-JPG/2.0.0/files/p19857331/s55129587/9c4ea42b-5ba943ae-a287b38a-d383139e-aac571da.jpg | there is stable mild cardiomegaly. the hilar and mediastinal contours are unremarkable. note is made of stable biapical scarring, worse on the left. there is a tortuous aorta. no focal consolidations concerning for infection are identified. there has been interval worsening of left lung base atelectasis. there may be a small left pleural effusion. the dobhoff extends below the diaphragm with the tip in the body of the stomach. | history of dobbhoff placement. please evaluate dobbhoff location. |
MIMIC-CXR-JPG/2.0.0/files/p13504697/s52598178/acbb83cd-f6c21aa7-a3a7761f-9ab034eb-2987cf90.jpg | pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion and the pulmonary vascularity is normal. | fever of unknown origin. |
MIMIC-CXR-JPG/2.0.0/files/p14663808/s59076467/2ff1f5ac-d8f1c4c0-459c95f4-008db055-699f2b50.jpg | single portable frontal upright chest radiograph is obtained. tracheostomy tube projects approximately <num> cm above the carina. right-sided port-a-cath is in the lower svc. heart is mildly enlarged, but the cardiomediastinal contour is otherwise unremarkable. linear basilar opacities likely represent atelectasis. lungs are clear. no large pleural effusion or pneumothorax is identified. bony structures are grossly intact. | altered mental status and new trach, evaluate for pneumonia and trach placement. |
MIMIC-CXR-JPG/2.0.0/files/p14135978/s53207279/9e35c403-e7ddd94b-323ae030-f8debb40-5b0a15d3.jpg | ap and lateral views of the chest. right chest wall dual lead pacing device is again seen. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. cardiac silhouette is stable in configuration. no acute osseous abnormalities. the degenerative changes again seen at the left shoulder. | <unk>-year-old female with dizziness and hypertension. question cerebellar bleed. |
MIMIC-CXR-JPG/2.0.0/files/p16176829/s55908025/0802e54e-8ec9ab60-0d979c71-f6cc71cf-caeb1474.jpg | the lungs are well expanded and clear. pleural surfaces are normal without pleural effusion or pneumothorax. heart size, mediastinal contour and hila are normal. | cough, shortness of breath. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12870148/s54742376/7dd818bb-0642bd5f-5313cc81-dddd3d90-d8ef70fb.jpg | the lungs are clear. the heart, mediastinum, hilar contours are normal. the pleural surfaces are normal. there is no pleural effusion or pneumothorax. | cough and dyspnea, presents with atypical pneumonia, assess for resolution of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12598063/s58713011/c696625c-d0f8b1b2-eb5da7e8-1e1ae95c-e626f547.jpg | a port-a-cath terminates in the lower superior vena cava. a left subclavian line has been removed. the cardiac, mediastinal and hilar contours appear stable. the heart is normal in size. there is no pleural effusion or pneumothorax. the lungs appear clear. small anterior osteophytes are again present along the lower thoracic levels. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p14280440/s53470799/6070303f-9eed75f6-a77b78ce-ab36d5aa-20d6d871.jpg | the patient is status post prior median sternotomy. there has been interval removal of the right internal jugular central venous catheter. mild left basilar atelectasis and a trace pleural effusion. no pneumothorax is identified. the size the cardiac silhouette is mildly enlarged but unchanged. | <unk> year old woman s/p cabg // interval change- please obtain cxr after <num>pm |
MIMIC-CXR-JPG/2.0.0/files/p17663540/s57867523/974ed6d1-257cceb4-cf813edf-4cc9949c-117302f6.jpg | lung volumes are relatively low. there is bibasilar atelectasis. prominence of the mediastinum is due to mediastinal fat. cardiac silhouette is within normal limits for technique. no acute osseous abnormalities. | <unk>m with ams // eval for pneumo |
MIMIC-CXR-JPG/2.0.0/files/p12673808/s53796301/eaad3fd7-c442a230-ab1e1cff-76fa9b2c-6cc5dbfd.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. there is mild anterior reduction in height of the t<num> vertebral body. | cough and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p11722132/s57998159/f1fbdbdd-adf80f7c-1456366d-bec306f0-0b5a9238.jpg | well inflated lungs. no focal opacity. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. left mid lung linear atelectasis is noted. limited assessment of the osseous structures demonstrates rib fractures extending from right posterior second through fifth ribs. second rib fracture, anterior fracture fragment is anteriorly displaced and demonstrates periosteal reaction consistent with subacute or chronic component. no definite acute fracture identified although correlation with physical exam is suggested. chronic right clavicular and scapular fractures are identified. | <unk>m with facial trauma. assess for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13709012/s58617443/e184f4d5-952890e2-c86729c4-3fee2fbd-d25cfbc4.jpg | pa and lateral views of the chest provided. the lungs are clear bilaterally. there is no consolidation, effusion or pneumothorax. no evidence of pneumomediastinum. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm. | <unk>-year-old woman with recent swallowing of a chicken bone, with concern for esophageal perforation, question pneumomediastinum. |
MIMIC-CXR-JPG/2.0.0/files/p14625469/s50552175/ed3cdffa-6dba1380-0be98c8f-dda19970-0c6df5ab.jpg | lungs are fully expanded and clear. there is no focal consolidation, effusion, or pneumothorax. mediastinum, hila and pleural surfaces are unremarkable. heart size is normal. | <unk> year old woman with persistent cough // ? lesion |
MIMIC-CXR-JPG/2.0.0/files/p14589477/s51692372/2f8617b5-b2f1e58d-b718b044-241c1780-53c37bab.jpg | slightly rotated positioning. portable semi-upright radiograph of the chest demonstrates slightly low lung volumes. the cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination, with mild to moderate cardiomegaly and slight unfolding of the aorta again noted. increased right paramediastinal density immediately below the right clavicular head likely represents artifact due to patient obliquity. no chf. there is no definite pleural effusion or pneumothorax. equivocal tiny right sided effusion. no obvious focal infiltrate and no focal consolidation is identified. | history: <unk>f with ams // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15020971/s59195119/2e44f83c-54689c28-6a55b93e-8d0b1498-dbbd97b9.jpg | extremely low lung volumes without definite consolidation. heart size is likely normal, allowing for low lung volumes. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. there are multilevel degenerative changes of the visualized thoracolumbar spine. | <unk>f with dyspnea and right upper quadrant pain. evaluate for pneumonia, free air under diaphragm |
MIMIC-CXR-JPG/2.0.0/files/p11089893/s56503095/4e639b60-dee1b1b4-367e7a83-d7232b97-3e5151f3.jpg | pa and lateral views the chest provided demonstrate bilateral lower lobe consolidation concerning for worsening pneumonia. airspace opacities also suspected in the right upper lobe. there are pleural effusions which are small though slightly increased from prior. there may be a component of lower lobe atelectasis as well. the heart and mediastinal contour appears stable. bony structures are intact. no free air below the right hemidiaphragm. | <unk>f with ?pna // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p17676327/s52896295/335400d1-3f57e3cb-ec42e20e-45aec79c-88155eb3.jpg | interval placement of an endotracheal tube is seen, terminating approximately <num> cm above level of the carina. enteric tube is seen coursing below the level of the diaphragm, terminating in the proximal stomach, and could be advanced that it is well within the stomach. there are low lung volumes. the mediastinum appears widened, also noted on the prior study although more conspicuous on the current study. unclear whether this relates to differences in inspiration and technique, correlate with concern for mediastinal process. clinical concern for acute mediastinal process, chest cta should be considered. opacity at the left costophrenic angle may relate to overlying soft tissue although an underlying atelectasis or effusion not excluded. no pneumothorax is seen. | history: <unk>m with ich and intubated // eval ett placement |
MIMIC-CXR-JPG/2.0.0/files/p12074097/s58347616/895b8497-945acbb2-49e6b0d2-ebdbf513-4cb6e467.jpg | the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax. | chest pain |
MIMIC-CXR-JPG/2.0.0/files/p11153472/s50657405/63c30527-ffa97fda-02cee7c3-0df50d2e-4e4ba57d.jpg | portable ap upright chest film <unk> at <time> is submitted | <unk> year old man with aspiration // aspiration pneumonia aspiration pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18694702/s50628382/7c5c11e8-f126e3a6-35ae0d85-8f9b6562-d9135d3e.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old male with possible pneumonia with cough. |
MIMIC-CXR-JPG/2.0.0/files/p12964119/s55773451/af05e5e2-d663b40d-592844b8-5e740700-5d4b1965.jpg | frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p18553288/s50488316/ac3a0b7f-56606849-ec9b4e9d-276c081b-375dd49e.jpg | the heart is mildly enlarged. calcifications are noted in the ascending aorta. lungs are clear with no evidence of focal consolidation to suggest pneumonia. mild atelectasis is noted over the left base. no significant pleural effusions and no pneumothorax. | <unk>-year-old woman with hypoxia status post ureteroscopy, laser lithotripsy, ? aspiration pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16946732/s51068284/eba80e71-8d8622a5-ffb42444-a3e06b94-c617250d.jpg | indwelling supportive and monitoring devices are unchanged and in appropriate position. lung volumes are low with new patchy bibasilar opacities. mediastinal contours, hila, cardiac silhouette is unchanged from <unk>. no pleural effusion or pneumothorax. right axillary surgical clips and diffuse sclerotic skeletal metastatic disease are unchanged. | <unk> year old woman with vent dependence // interval change |
MIMIC-CXR-JPG/2.0.0/files/p10544620/s55894261/070295e9-08209a5b-c785d662-d9066906-b530d428.jpg | the new right-sided picc line ends in the mid to low svc. there is no pneumothorax. allowing for changes in technique, there is little change compared with the prior study of <unk>. there is stable moderate to severe cardiomegaly without pulmonary edema, suggesting possible cardiomyopathy. there is a stable moderate left-sided pleural effusion.there is no focal consolidation or pneumothorax. | <unk> year old woman with picc for access // eval picc placement |
MIMIC-CXR-JPG/2.0.0/files/p13181123/s57211562/a653ea28-f5335766-859e76f0-f19685ac-4331fdf6.jpg | the cardiac, mediastinal and hilar contours are unchanged, with heart size within normal limits. the pulmonary vascularity is not engorged. minimal left basilar atelectasis is noted. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. multiple old left-sided rib fractures are again noted. | right upper quadrant abdominal pain with subacute cough. |
MIMIC-CXR-JPG/2.0.0/files/p10607737/s56399225/c78f06e2-58805296-7d2451f3-1eff4264-c1af45c2.jpg | the cardiomediastinal and hilar contours are within normal limits. as compared to prior examination, there has been interval development of diffuse bilateral parenchymal opacities. no definite focal consolidation, pleural effusion or pneumothorax identified. | <unk>m with dizziness |
MIMIC-CXR-JPG/2.0.0/files/p12250995/s59612311/f8573cb6-4d3caa05-6642d788-3f0f18e0-9847c6e6.jpg | the lungs are clear without focal consolidation, effusions or pneumothorax. the cardiomediastinal silhouette is normal. bony structures appear intact. | cough for <num> weeks, wheezing. question focal consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p13636610/s53244249/a1e5956f-a1349a1d-8b2da8b4-dbd57d49-0e68ee0a.jpg | pa and lateral images of the chest demonstrate well-expanded lungs which are clear. there is some slight hyperinflation seen. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable. | <unk>-year-old female with acute bronchitis and persistent cough with recent tbc exposure. |
MIMIC-CXR-JPG/2.0.0/files/p14231575/s58502876/69bce1e8-38883170-679c028b-49807713-e0c7c4b3.jpg | there are relatively low lung volumes and bibasilar atelectasis. there is blunting of the posterior left costophrenic angle which may be due to a trace pleural effusion. previously noted subtle right apical opacity is less conspicuous than on the prior study. this lateral left basilar atelectasis/scarring, similar to prior. the cardiac and mediastinal silhouettes are stable. | <unk> year old woman with dyspnea, recent admission for pneumonia // please eval for worsening of pneumonia, other cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p17428214/s56778825/b0f4baa8-8113c24a-b797ef80-1a65651f-f9b52bcf.jpg | heart size is top normal. mediastinal and hilar contours are within normal limits. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15906836/s54034978/1f830480-caf033de-80fe9f69-1aadd1ca-67c363b5.jpg | single portable view of the chest. when compared to film from earlier the same day, there has been no significant interval change. again seen are bilateral mid lung and lower lobe opacities, worse on the right than on the left. the cardiomediastinal silhouette is stable, noting atherosclerotic calcifications at the aortic arch. no acute osseous abnormalities. | <unk>-year-old male with increased respiratory effort. |
MIMIC-CXR-JPG/2.0.0/files/p15426182/s54908002/3391bc76-e49d0fcf-9e6509ba-891b74b2-651c238a.jpg | there is bilateral lower lobe volume loss with alveolar infiltrates in the lower lobes. there is pulmonary vascular redistribution with hazy buys bilateral vasculature. the heart size is mildly enlarged. there bilateral pleural effusions are small. the right ij line tip is in the svc. | <unk> year old man with recent disseminated adenovirus infection in <unk> c/b kidney transplant failure, now with altered mental status, supplemental oxygen requirement // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p13203329/s51616470/4a8a5539-816130bd-ab336ce8-709f1076-3b174c4d.jpg | there has been interval removal of a right internal jugular transvenous pacer from <unk> but a right ij sheath is in place with the tip terminating in the upper svc at its origin. a left pectoral pacemaker has been placed in the interval from the prior study with two leads, which appear to terminate in the right atrium and in the apex of the right ventricle on this single frontal view. the inspiratory lung volumes remain low, which accentuates the appearance of the cardiomediastinal silhouette. allowing for this, the cardiac silhouette is enlarged but stable. mild engorgement of the pulmonary vessels is unchanged. mild diffuse opacification of the bilateral lungs, greater on the right than the left, likely reflects a combination of mild pulmonary edema and subsegmental atelectasis. retrocardiac opacification at the left lung base is consistent with volume loss in the lower lobe. small pleural effusions are present bilaterally. no pneumothorax is detected. there is significant s-shaped thoracolumbar scoliosis. | status post dual-chamber pacemaker placement, here to confirm lead placement. |
MIMIC-CXR-JPG/2.0.0/files/p12445879/s59465936/fc2f3531-2b1784f5-99fbe36a-38dd800b-6291862d.jpg | in the interval since the prior radiograph obtained approximately <num> hour earlier there has been no significant change. supporting devices are in standard position. left pleural effusion is again noted. expected postoperative appearance of cardiomediastinal silhouette. | patient status post cabg. evaluate effusion. |
MIMIC-CXR-JPG/2.0.0/files/p10250152/s57561989/b86f8caf-0f5ccbed-c5feb03c-0893f0b0-e84ab0f5.jpg | frontal and lateral radiographs of the chest demonstrate persistent small left-sided pleural effusion, which is not significantly changed from the prior study. also seen is left basal pleural thickening with adjacent rounded atelectasis. the right lung is clear. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, consolidation, or evidence of overt pulmonary edema. | <unk>-year-old female status post pleurx catheter placement for pleural effusion, now with dyspnea on exertion. evaluate for re-accumulation of pleural effusion or evidence of heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p16194986/s58848830/66452cae-7392dd7a-f17e10b9-a674a9f4-ab075eda.jpg | lung volumes are slightly low, but the lungs are clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable. nipple rings are noted. | <unk>-year-old male with chest pain and fever. |
MIMIC-CXR-JPG/2.0.0/files/p15395501/s57624300/f0196da7-bba842ec-6416e9bb-c23eeaca-7c1a5563.jpg | cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. the thoracic aorta is calcified and tortuous as seen on prior thoracic ct. there is a hiatal hernia. there is no definite focal consolidation. increased opacification posterior to the heart on lateral view likely corresponds to atelectasis as seen on prior ct. | <unk>-year-old man with fall and new right sided weakness and numbness, evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15201551/s58803864/c7c34932-3b152d02-136823aa-d46dbf76-403ea3dc.jpg | the lungs are moderately well inflated with bilateral mid and lower zone linear opacities, likely linear atelectasis. there is no lobar consolidation. small bilateral pleural effusions present. there is cardiomegaly and aortic knuckle calcification. sternotomy sutures are seen in place. | <unk> year old woman with fever, prolonged hospital stay // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p19173988/s53227264/c0a3e6a9-2ed21122-879a9637-0453f5aa-bb5d9136.jpg | there again appears to be slight interval increase in the loculated left basal pneumothorax compared to the film from <unk> performed at <time> a.m. the pigtail catheter appears to be in place. there is again minimal left-sided pleural effusion, stable compared to the prior exam. the fissural loculation in the left upper lung appears stable compared to radiographs dating back to <unk>. the heart size is normal. the hilar and mediastinal contours are unremarkable. | <unk>-year-old male with pneumothorax who presents for evaluation of interval change. |
MIMIC-CXR-JPG/2.0.0/files/p13849668/s52088994/184fc2cd-be33c601-4636e292-c507d4df-b48355e0.jpg | pa and lateral chest radiograph demonstrate clear lungs bilaterally. streaky opacity at the left lung base is sequela of atelectasis. there is no pneumothorax, pleural effusion, or pulmonary edema. cardiomediastinal and hilar contours are within normal limits. there is no air under the right hemidiaphragm. | history: <unk>m with syncope, wbc <unk> // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12157063/s50748922/c815b2ee-1bf5aa30-2a8f6361-99b90e8d-6bbf0f76.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old man with dyspnea on exertion // evidence of atlectesis vs pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p18198470/s56899937/35b552fa-4dbfb3db-b85aaf14-6d5e9c3c-fc4c91ea.jpg | pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the trachea is deviated to the left above the thoracic inlet, raising the possibility of right-sided thyroid enlargement. no acute osseous abnormalities identified. | <unk>-year-old female with epigastric and left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12878814/s53769136/c81126a4-54bb1f30-c52ac872-09adc5ea-9d0725a1.jpg | right-sided central venous catheter is unchanged. heart size is stable.heterogeneous right perihilar opacity is unchanged from <unk>, representing pneumonia as seen on pet ct. patchy bibasilar opacities likely reflect atelectasis. no pleural effusion. | <unk> year old m w/ relapsed follicular lymphoma s/p with multiple relapses and multiple salvage chemo regimens. proceeded w/ autologous stem cell transplant in <unk>, found to have relapse again in <unk>; underwent rituximab and revlimid and proceeded w/ double umbilical cord blood transplant <unk>, admitted day +<num> for diarrhea and failure to thrive. |
MIMIC-CXR-JPG/2.0.0/files/p18397764/s59493554/6bf9a574-4ee6634a-2a1339a3-1610fc14-8f68b951.jpg | the lungs are clear. there is no effusion or pulmonary vascular congestion. cardiac silhouette is top normal. no acute osseous abnormalities. | <unk> year old woman with atyp cp // atyp cp |
MIMIC-CXR-JPG/2.0.0/files/p14207746/s56366313/100ec518-ad09020f-7432a46f-c046a051-9b228897.jpg | pa and lateral views of the chest. the lungs are clear. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. | <unk>-year-old female with non-productive cough for one and a half weeks, to rule out intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p17953959/s54978858/494ae53d-2c8f6049-9bce1b3c-d623e8dd-397161ed.jpg | there is persistent elevation of left hemidiaphragm.slight blunting of the left costophrenic angle may be due to pleural thickening versus a very trace pleural effusion. no large pleural effusion is seen. there is no evidence of pneumothorax. no definite focal consolidation is seen. the cardiac and mediastinal silhouettes are unremarkable. chronic deformity of posterior left sixth rib is re- demonstrated. | history: <unk>m with syncope // assess for pna |
MIMIC-CXR-JPG/2.0.0/files/p14873669/s54074299/35274286-69d92dc6-5232a586-685a5282-23c40171.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with h/o necrotizing pancreatitis, ec fistula. now with fever // rule out lung infectious source |
MIMIC-CXR-JPG/2.0.0/files/p13852497/s50123013/0c0b2e4d-2de9740a-3fd21bc8-0ed2aed1-65b02252.jpg | on the lateral view a <num> mm nodular opacity projecting just anterior to the spine roughly at the level of t<num> is not substantially changed. normal heart size, mediastinal and hilar contours. no pleural effusion or pneumothorax. | <unk> year old woman with ? nodule seen on previous x-ray // ? nodule seen on previous x-ray, no symptoms currently, previous x-ray done for cough |
MIMIC-CXR-JPG/2.0.0/files/p12609519/s55478185/dd2f6eab-d3879fdc-5b44beb9-75694551-f79dde4a.jpg | pa and lateral views of the chest provided. bibasilar atelectasis is significantly improved with increased lung volume. the lungs are otherwise clear. no pneumothorax. small, left pleural effusion is improved. hilar and cardiomediastinal contours are normal. | <unk> year old woman with rny gastric bypass in <unk> w/ recurrent marginal ulcers s/p vats vagotomy. // eval post-op change, s/p vats vagotomy. |
MIMIC-CXR-JPG/2.0.0/files/p13478618/s55012280/adeec873-01c361da-7f98daff-c7b6af80-b7ea0ecf.jpg | et tube and ng tube remain in standard position. right picc line tip terminates in the cavoatrial junction. there is a new diffuse opacification at the left upper lobe. left lower lobe atelectasis is stable compared to yesterday. cardiomediastinal and hilar contours are normal. | <unk>-year-old presented with status epilepticus, assess interval change. |
MIMIC-CXR-JPG/2.0.0/files/p10597833/s54335093/0fa8e41a-d53d8500-c74f641a-093014f5-5fdcf141.jpg | all support devices including an endotracheal tube, right ij central line, and ng tube remain in satisfactory position. there is no pneumothorax. extensive bilateral airspace opacities are not appreciably changed. the heart and mediastinum are normal size despite the projection. | <unk> year old woman with severe ards, who recently had og tube placed. og tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p19780160/s58759371/8b8234ca-c2713c8d-1709f74f-5812f253-aa227bc3.jpg | the left picc tip persists at the lower svc. there has been interval placement of a right-sided central venous catheter whose tip terminates at the upper svc. there has been interval placement of an endotracheal tube that sits <num> cm above the carina. no endogastric tube is seen projecting over the stomach and it is not definitively seen coursing along the central chest. otherwise, the heart size and mediastinal contours are within normal limits. the lungs demonstrate bibasilar atelectasis. a left pleural effusion is present, the extent of which is difficult to approximate on a supine exam. assessment for pneumothorax is limited by positioning as well. the visualized portion of the upper abdomen demonstrates a stent in the right upper quadrant as well as embolization coil material and clips. | <unk>-year-old male with an upper gi bleed and recent intubation. |
MIMIC-CXR-JPG/2.0.0/files/p17633349/s58136610/6d461588-5ea690e4-eda04be4-41dc1df2-a88ef662.jpg | again seen is a left-sided pacemaker with the leads ending in the right ventricle. again seen is cardiomegaly, stable compared to the prior exam. otherwise, the mediastinal and hilar contours are normal. there are stable small bilateral pleural effusions. there is no pneumothorax. no new focal consolidations. | <unk>-year-old male with cough and fever presents for evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p10025630/s59510909/63b4a386-b9f8383a-f9066254-91b885fb-12cc7aa8.jpg | compared to the prior radiograph, lung volumes are lower, particularly in the right lower lobe. a new right lower lobe opacity on both views is at least atelectasis. superimposed pneumonia is not excluded. a small right effusion is new. no pneumothorax. cardiomediastinal and hilar silhouettes are normal. | <unk>/f s/p right tka with oxygen requirement, increasing wbc, and elevated temp. evaluate for pneumonia or atelectasis. |
MIMIC-CXR-JPG/2.0.0/files/p12151284/s58342052/a41a971d-85281d60-c07a12a6-d9516453-b640d3b3.jpg | a portable frontal chest radiograph demonstrates widening of the right mediastinum, patchy right lung opacities with more dense consolidation of the right lower lung, as well as right pleural effusion and irregular thickening of the pleura, concerning for complex complications of a known right lung malignancy. the left lung is clear. the cardiac silhouette is difficult to evaluate given right lower lung dense consolidation, but appears to be normal in size, shifted to the left. there is no pleural effusion on the left. no pneumothorax is present. the visualized upper abdomen is unremarkable. | evaluate for pulmonary edema in a patient with recent atrial fibrillation and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13318865/s51326647/29aee18f-39e46167-50beb871-abbb08a4-59750c6f.jpg | pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation. costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. note is made of a filter projecting over the mid abdomen on the right. | <unk>-year-old male with hiv, fever. question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p10512064/s52313898/bdbb2cfe-3f626bef-3b78ddc0-c6fb450f-9781cf58.jpg | frontal and lateral views of the chest demonstrate an enteric tube extending to the stomach. the side port is not readily discernable. the cardiomediastinal silhouette is unremarkable. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. | <unk>-year-old female with chest pain. question acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15199913/s55741515/11198787-6c14a1bd-bcddfce4-cfcf1788-69892192.jpg | a port-a-cath terminates in the superior vena cava, making a loop along its mid course, as seen previously. the cardiac, mediastinal and hilar contours appear unchanged. there is no focal parenchymal opacity. the left costophrenic sulcus is slightly blunted, so there may be a trace pleural effusion. no pneumothorax is seen. | hodgkin's disease, presenting with a pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11701424/s54712720/61bf9b1a-d7456b4f-5a9d4056-d28ead90-68011b57.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the chest is hyperinflated. the lungs are clear without focal or diffuse abnormality. pulmonary vasculature is unremarkable. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign body. there is calcification of the aortic knob. | <unk>-year-old female with chest pain. evaluate for pneumonia or chf. |
MIMIC-CXR-JPG/2.0.0/files/p10927165/s56856278/c7afd7d4-dd4abf79-66c28b5d-b7d59a24-0204948a.jpg | the heart size at the upper limits of normal. no interstitial edema. no pleural effusions. no airspace consolidation. unfolding of the thoracic aorta. spondylotic changes of the thoracic spine. no hilar adenopathy. | <unk> year old man with positive quantiferon gold // signs of tb |
MIMIC-CXR-JPG/2.0.0/files/p15288721/s54572066/e29a7822-b48758a7-e00c8ab6-44717b0b-a680076c.jpg | portable upright chest radiograph was obtained. low lung volumes and patient body habitus limit assessment with unchanged bibasilar opacities, likely atelectasis. mild interstitial edema is suggested by indistinct pulmonary vasculature and unchanged. heart size is top normal. no appreciable pneumothorax is identified. | pulmonary hypertension, asthma and pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p18553055/s57048679/3a06c14a-e8f1f16c-911f8b94-6f4b7898-f403e3e0.jpg | the heart is top-normal in size. the lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. there is redemonstration of a dense calcification in the upper abdomen consistent with known renal mass. | fever, cough. question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p10402854/s57321968/ac1356c8-df536ac6-866e5cd8-11ae6f56-159eff68.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | history: <unk>m with history of asthma p/w difficulty breathing // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14307251/s51332658/17339cbc-b7d2db82-8b6aea05-d7805033-c72181e2.jpg | compared to the prior chest radiographs <unk> <unk>, a left basal opacity has improved however a right basilar opacity has developed. patchy opacities in the upper lobes have slightly increased compared to the <unk> radiograph but were present in <unk>. the aorta is ectatic and calcified. the trachea is deviated to the right. the heart size is normal. | history: <unk>f with sob // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14029260/s54064912/f8362d48-d9580faf-c212b8ee-d0e5e905-30169709.jpg | pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. | cough and chills |
MIMIC-CXR-JPG/2.0.0/files/p14129095/s58261261/ffa62bd0-12ff4dbc-1532883d-3c05ff77-f8edbab7.jpg | left-sided port-a-cath is again seen, terminating in the cavoatrial junction/ proximal right atrium. the cardiac and mediastinal silhouettes are stable. previously seen right base opacity has significantly decreased with possible minimal residual remaining. the left lung is clear. there is no pleural effusion or pneumothorax. | history: <unk>f with weakness, chest pain, on chemo // eval for infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p18250797/s56617550/bce3e00f-e248f359-716fda45-a282f19c-2945d998.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding chest examination of <unk>. the heart size is within normal limits. no typical configurational abnormality is seen. thoracic aorta is mildly widened and elongated but without local contour abnormalities or wall calcifications. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area on the frontal view. skeletal structures of the thorax are grossly unremarkable. when comparison is made with the previous examination of <unk>, no significant interval change can be identified. | <unk>-year-old female patient with high blood pressure and shortness of breath following flu. |
MIMIC-CXR-JPG/2.0.0/files/p11023786/s51239870/d43df70e-c3c862fb-949f1f63-10803b15-70c6796b.jpg | pa and lateral views of the chest provided. lungs appear somewhat hyperinflated with flattened diaphragms compatible with copd. the heart is top-normal in size though unchanged. mediastinal contour is normal. no large effusion or pneumothorax. bony structures are intact. | <unk>f with copd and cad pw sob and cp. |
MIMIC-CXR-JPG/2.0.0/files/p15929503/s55052256/35fcc87e-15a63bfd-b62c523a-dbd2b774-c796a1fc.jpg | left-sided aicd device is noted with leads in unchanged positions in the right atrium right ventricle. patient is status post median sternotomy. moderate to severe enlargement of the cardiac silhouette is unchanged. mediastinal hilar contours are similar. there may be mild pulmonary vascular congestion without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is identified. bilateral lateral pleural thickening is unchanged. no definite pneumothorax is present although assessment of the lung apices is obscured by the patient's neck and chin projecting over these regions. no acute osseous abnormality is identified. | history: <unk>m with hyperglycemia, chf, reported weight gain |
MIMIC-CXR-JPG/2.0.0/files/p16820602/s51959787/b5d1e770-7f5b2ad4-69b1138e-4be705a2-d3014706.jpg | the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute fractures are identified. | evaluation of patient with asthma exacerbation. |
MIMIC-CXR-JPG/2.0.0/files/p14023270/s59396738/668a170c-b07bb7a3-79c91405-8152443e-4dd9964b.jpg | there has been interval increase in the amount of vascular plethora. the heart is moderately enlarged. lung volumes are low. | <unk> year old man with shortness of breath and desaturation // pulmonary edema vs pna |
MIMIC-CXR-JPG/2.0.0/files/p17187652/s55746156/4617a1c5-6cfd8b7c-6be8491c-5282e4d5-504a96a5.jpg | <num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. | chest pain, assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p19210997/s51124495/4512af2a-c4ff26c4-695e0bc8-0c5eff3f-f38f1b36.jpg | one ap upright and lateral view of the chest. there is no focal consolidation. heart is mildly enlarged and there is mild vascular congestion. there is no pleural effusion or pneumothorax. again seen is right shoulder arthroplasty. there is decreased demineralization of all of the bones. the wedge deformity in the upper lumbar spine is similar to prior study. | malaise, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13591339/s50807832/8dfc7364-4b01d723-c7a4c573-b21605d7-8427a010.jpg | cardiomediastinal silhouette is within normal limits. no focal consolidation or pulmonary edema. small bilateral effusions are noted. coarsening of the bronchovascular markings and hyperinflation is stable. no pneumothorax. degenerative changes of the bilateral shoulders are again noted. | <unk>f with fever to <num> and neck pain today as well as stiff neck. evaluate for consolidation. |
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