File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p15815620/s55696032/5d173583-8e208649-79e93395-e52eaae1-d40c1210.jpg
the cardiomediastinal silhouettes are normal. there is no focal lung consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
a <unk>-year-old man with fever and cough, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15162509/s55611878/6e2e34fe-9b20969d-629fd34d-e73b3c2b-963fed27.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with pkd pd fevers //
MIMIC-CXR-JPG/2.0.0/files/p15457995/s56729640/20b97d0d-cc2ef212-7a217394-c18d9297-51a39d63.jpg
the cardiac silhouette size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours otherwise are unremarkable. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
weakness.
MIMIC-CXR-JPG/2.0.0/files/p12465457/s57586893/1cbb1457-d80df908-13cc2d90-97def7f2-8c6bfd4f.jpg
right-sided port-a-cath is seen terminating in the low svc/ cavoatrial junction without evidence of pneumothorax. minimal left base atelectasis is seen. no focal consolidation or pleural effusion is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with fever and cough // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p19975790/s52126965/fe7da962-686f0094-bf0708f5-577f51c5-ff18204a.jpg
the lung volumes are slightly low, accentuating the heart size, which is top normal. there is no pneumothorax, pleural effusion, overt pulmonary edema, or focal consolidation worrisome for pneumonia. anterior wedge compression deformity of the t<num> vertebral body is stable since <unk>.
history: <unk>f with r shoulder, chest pain // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p19454978/s54844678/5180e323-2f458dd9-ed09ecb3-6528c63a-6b9b4f1f.jpg
single portable upright ap image of the chest. the right ij central line terminates in the right atrium. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged from prior exam.
sepsis and right ij central line placed.
MIMIC-CXR-JPG/2.0.0/files/p15932375/s52198380/86316359-edbdc85b-49a4c252-63cbf7e7-41219d75.jpg
single upright portable view of the chest demonstrates hazy alveolar opacities in the right perihilar region and right lung base. the heart is moderately enlarged, and calcifications are noted in the aortic arch. otherwise, the mediastinal contours are unremarkable. there is no pleural effusion or pneumothorax. the left lung is grossly clear.
<unk>-year-old male with hypoxia and dyspnea on exertion.
MIMIC-CXR-JPG/2.0.0/files/p10020944/s54752011/160eaaa6-2a12172c-85c2052e-837581bf-869f69e8.jpg
assessment is limited due to rightward rotation of the patient. allowing for this limitation, there is opacification of the right lower lung, likely due to a combination of atelectasis given volume loss with rightward mediastnal shift to the right and possible pleural effusion. small nodular opacities are seen in the aerated portion of the right lung, potentially vessels on end. the left lung is clear. there is no left-sided effusion. there is no evidence of pneumothorax. old bilateral rib fractures are identified. an endotracheal tube is seen ending approximately <num> cm above the carina. an esophageal tube ends beyond the gastroesophageal junction with the tip out of view. artifact from external monitoring and supporting devices is present.
<unk>-year-old man status post intubation. evaluate for tube placement.
MIMIC-CXR-JPG/2.0.0/files/p16530159/s55247432/addafa1c-ea70e342-9c9c9828-caac5357-cd5ef2d7.jpg
there are small persistent bilateral pleural effusions. degree of bibasilar atelectasis has improved likely in part due to improved aeration. there is no consolidation worrisome for pneumonia. cardiomediastinal silhouette is within normal limits. median sternotomy wires are intact. no acute osseous abnormalities.
<unk>m with recent cabg with nausea. // ptx, pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p13234429/s58680584/33761c65-bb2ea8b4-7d25c2f3-4d219f34-44280c4d.jpg
cardiac silhouette size is markedly enlarged, increased in the interval. mediastinal contour is grossly unremarkable. there is mild pulmonary edema. small bilateral pleural effusions are also present. patchy opacities the lung bases likely reflect areas of atelectasis. no pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p18381533/s59755007/d71021d3-4e7671f5-e0e3d79c-872796e0-635aa619.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. subsegmental atelectasis is seen in the left lung base. otherwise, the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with weakness // eval heart and lungs
MIMIC-CXR-JPG/2.0.0/files/p16973998/s53248863/d7187605-519a4977-ab6c2ae2-d50b7bde-2ede0f3e.jpg
there has been interval placement of an et tube with tip seen <num> cm from the carina. enteric tube passes below the inferior field of view, side-port past the ge junction. right central venous catheter tip projects over the lower svc. there is no confluent consolidation. pulmonary vascular congestion is noted. cardiomediastinal silhouette is unchanged. additional catheter projects over the upper abdomen and cardiac silhouette to be correlated clinically (external?)
<unk>f with intubated // eval post intubation
MIMIC-CXR-JPG/2.0.0/files/p18853927/s54100565/f0794726-a8363c11-e9fb302c-5ed37b9f-3171e47f.jpg
pa and lateral views of the chest are compared to previous exam from <unk>. biapical scarring is again noted which is partially calcified, more so on the right. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male status post fall with ht and loss of consciousness.
MIMIC-CXR-JPG/2.0.0/files/p19055240/s55843657/bc3fedce-aab3370a-188f0ba3-0482fae9-1b928824.jpg
cardiomediastinal contours are normal. the lungs are clear. biapical pleural parenchymal scarring is unchanged from <unk>. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with persistent hoarseness,chest tightness and cough // r/o pneumonia, adenopathy
MIMIC-CXR-JPG/2.0.0/files/p12248257/s58434553/931877dd-0f2574b2-50a4052d-f1fe961c-4fcb267c.jpg
pa and lateral views of the chest provided. a left cervical rib is unchanged. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar contours are normal. heart is upper limits of normal, mildly increased from <unk>.
<unk> year old woman with cough and sob r/o infiltrate // cough and sob r/o infiltrate
MIMIC-CXR-JPG/2.0.0/files/p10700130/s57993959/9bfb55da-14e51aac-b4477179-303aa3f9-405014a9.jpg
there is mild pulmonary vascular congestion. no definite pleural effusion or pneumothorax. heart size is enlarged. the aorta is calcified and tortuous.
<unk>-year-old female with confusion.
MIMIC-CXR-JPG/2.0.0/files/p10898945/s54177134/fa683e79-1f359b80-430e3daf-aebb6d8f-c72deaff.jpg
the thoracic aorta is mildly calcified and tortuous, similar to prior exam. otherwise, the cardiomediastinal silhouettes are unchanged and within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old man with hypertension, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16289699/s52090195/f0e1846b-363222c0-8176ae83-d8aecc26-e58d9a97.jpg
pa and lateral views of the chest. the biventricular pacemaker terminates with leads in the appropriate positions. the patient is post-median sternotomy and cabg. there is a slight increase in right pleural effusion. otherwise, the lungs are clear. there is no evidence of pneumonia and there is no left pleural effusion. there is no pneumothorax.
chf, decreased breath sounds on the right base, evaluate for pneumonia or effusion.
MIMIC-CXR-JPG/2.0.0/files/p11665654/s58578074/4902620a-f68c6301-24742eba-0346461c-5188e14a.jpg
linear opacity is identified at the left lung base. the lungs are otherwise clear focal consolidation or large effusion for overt pulmonary edema. the cardiomediastinal silhouette is within normal limits for technique.
<unk>f with cough and fever // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p12024744/s58333366/1862e86a-e86e4d6a-d62ab106-b288c790-b683d248.jpg
the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. note is made of minimal blunting of the right costophrenic angle seen only on the frontal radiograph, with no clear correlate on the lateral projection. the visualized osseous structures are unremarkable.
history of lymphoma, status post chemo. please evaluate given history of fever.
MIMIC-CXR-JPG/2.0.0/files/p15939466/s54959786/3e1ddc94-052bf6ef-6c4c8235-7073fc73-b3dfd788.jpg
pa and lateral views of the chest provided. the right pneumothorax is intervally increased, now moderate in size with increasing atelectasis in the right lower lung. no mediastinal shift. no additional findings.
<unk>m with r apical ptx. ?interval change since this morning
MIMIC-CXR-JPG/2.0.0/files/p19271229/s57616325/37c9b431-ce50239b-86bfd2b5-9f6a76c4-7dcff088.jpg
left-sided port-a-cath terminates in the low svc without evidence of pneumothorax.the lungs are clear without focal consolidation. no pleural effusion is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever and ruq pain. feels a little sob. hx of pancreatic cancer. // pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p15201393/s57925741/043f4e82-c4e7bab6-a8571ada-732501e3-4a30c4f1.jpg
ap upright and lateral chest radiographs were obtained. the lungs are well expanded and clear with the exception of retrocardiac faint opacity which is most likely atelectasis. there is no pleural effusion or pneumothorax. subtle gas lucency projecting over the heart at the midline could represent air in the distal esophagus or a subtle hiatal hernia. the heart is normal in size with normal cardiomediastinal contours. no displaced rib fractures are identified.
seizure disorder and seizure with fall.
MIMIC-CXR-JPG/2.0.0/files/p17690782/s55426469/ab25051b-921c0ed3-fedb0d90-9bfa41f6-3523db34.jpg
elevation of right hemidiaphragm is similar to prior with a stable small to moderate right pleural effusion. right base atelectasis is unchanged, but superimposed consolidation cannot be excluded. chronic by apical and perihilar fibrotic disease is unchanged. no pneumothorax. heart size and cardiomediastinal contours are stable.
history: <unk>f with sob fever // r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p14384394/s54684535/0a6a1d26-5a8dc649-a6f6c353-fdc0f78f-570aba8e.jpg
evaluation of the lungs is slightly limited due to underpenetration. within this limitation, no focal consolidation concerning for pneumonia is detected. a small oblique opacity in the right mid lung field on the frontal view may represent an area of mucus plugging versus scarring/atelectasis. streaky opacities in the bilateral bases are most compatible with atelectasis. no pleural effusions or pneumothoraces are seen. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline.
asthma-like symptoms, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11686084/s55416839/1c027d1b-ab8bd29a-e9bb20f4-8d1588e8-8773de0f.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain
MIMIC-CXR-JPG/2.0.0/files/p15806029/s51116614/76b58118-9842e72d-db72db9f-f0e2c31e-210559f8.jpg
pa and lateral views of the chest are reviewed and compared to the prior study. bilateral nipple rings are again noted. the lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. the cardiac, hilar and mediastinal silhouettes are normal.
evaluation for pulmonary signs of tb in man with hiv.
MIMIC-CXR-JPG/2.0.0/files/p15129243/s50475454/4cdc2260-5828082f-862c5da4-1b7fdceb-42b298ce.jpg
et tube is slightly low, terminating near the carina, especially given at the head is in an extended position. enteric tube is present with tip not captured on the current study. a right internal jugular approach central venous catheter is present with tip terminating at the cavoatrial junction. the cardiomediastinal and hilar contours are stable with early. there is no left pleural effusion. right pleural effusion is small if present. there is no pneumothorax. the lungs are well-expanded with mild pulmonary edema. bibasilar consolidations are slightly worsened, which may reflect pneumonia. there is no pneumomediastinum.
<unk> year old man with intubated // pneumonia
MIMIC-CXR-JPG/2.0.0/files/p12338003/s55216994/ca65363e-39d0028f-82a72ad3-db4441a7-e09ae109.jpg
cardiomediastinal contours are stable. small bilateral effusions have increased. multifocal consolidations in the right lung and left lower lobe have minimally increased in the right upper lobe. there is no evident pneumothorax residual contrast from video oropharyngeal swallow is noted
<unk> year old man s/p esophagectomy p/w rll pneumonia // perform at <time>am on <unk>. r/o interval change
MIMIC-CXR-JPG/2.0.0/files/p13176864/s51150345/f5da4e3e-bcad3306-77a90435-ad1b453a-08e12ddf.jpg
the heart size is top normal. the aorta is mildly unfolded with atherosclerotic calcifications noted at the aortic arch. diffuse ground-glass airspace opacities are noted in both lungs with mild perihilar haziness. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
substernal chest pressure.
MIMIC-CXR-JPG/2.0.0/files/p12455543/s55889134/8431295f-05c91af7-9696a4ef-dd1570db-46af1051.jpg
a new right lateral approach apical chest tube has been placed. the previously seen right apical loculated pneumothorax is stable in appearance. a right lower lobe effusion is stable. the cardiac and mediastinal contours are stable. right lower lobe atelectasis is stable. chronic interstitial lung disease is re-demonstrated with new mild interstitial edema.
<unk> year old woman s/p mech pleurodesis for pneumothorax // ptx/interval change
MIMIC-CXR-JPG/2.0.0/files/p12384428/s58541972/bf2b4649-29e53d28-93a7cebf-6de75998-e00ce702.jpg
there is a dobbhoff coursing below the diaphragm with tip off the film. there are moderate bilateral pleural effusions with associated atelectasis which are stable compared to prior study. interstitial edema present on prior study has improved. there is no pneumothorax. heart size cannot be assessed. the mediastinal and hilar contours are stable.
<unk>-year-old with afib, now with new onset hypoxia and tachypnea.
MIMIC-CXR-JPG/2.0.0/files/p19717536/s50074237/244aa02d-03e58dea-a1e51b29-ec8ac15d-6e97e71f.jpg
left-sided pacemaker device is noted with leads in unchanged positions in the right atrium and right ventricle. moderate cardiomegaly is similar compared to the prior radiograph. the mediastinal contour is unchanged. lungs are hyperinflated compatible with underlying emphysema. prominence of the hilar contours unchanged with mild pulmonary vascular congestion, as seen previously. patchy airspace opacities are noted in the left lung base, more pronounced than on the previous study, and may reflect early infection. no large pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are present in the thoracic spine.
history: <unk>f with productive cough and fever
MIMIC-CXR-JPG/2.0.0/files/p16468274/s53645935/d1f6d256-41a04cd2-8d48a622-03f5393a-259c870c.jpg
since yesterday, the left side pneumothorax has increased in size. left basilar atelectasis has improved. right lung is grossly clear. cardiomediastinal borders and hilar structures are normal.
<unk> year old woman left ptx // r/o ptx with ct on waterseal for <num> hrs. please do around <num>am
MIMIC-CXR-JPG/2.0.0/files/p12351481/s59062293/8e588495-d4016053-c898a126-39d50065-5a0580f7.jpg
ap vie of the chest provided. compared to prior study, there is interval increase in the amount of left pleural effusion. there is also new left basilar atelectasis, with slight ipsilateral mediastinal shift. small amount of pleural effusion is seen on the right. left-sided pleural drainage catheter is in unchanged position. there is no pneumothorax.
<unk> year old man s/p thoracentesis oon <unk> //
MIMIC-CXR-JPG/2.0.0/files/p11523412/s50021379/7ec0abbd-5ccd4a05-ede0238e-a454004e-99f5df3a.jpg
pa and lateral views of the chest. mild volume loss of the right hemithorax with elevation of the right hemidiaphragm is unchanged. no focal consolidation, pleural effusion or pneumothorax.
on amiodarone, evaluate for toxicity.
MIMIC-CXR-JPG/2.0.0/files/p11350221/s59334533/9b9e8ac9-46c699c3-b4818dcf-1aba3358-c4de6885.jpg
the lungs are hyperinflated and and clear. there is no superimposed consolidation or mass. linear streaky opacities in the lower lungs posteriorly could reflect known bronchiectasis, as better assessed on prior ct. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
productive cough for <num> week.
MIMIC-CXR-JPG/2.0.0/files/p19071507/s51138067/07f9d10a-f967d0bc-a886de5a-9dacae82-4647104a.jpg
lungs are grossly clear given patient's positioning. relative elevation of the right hemidiaphragm is noted. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with report of right hip fx, needs pre-op x-ray // acute process?
MIMIC-CXR-JPG/2.0.0/files/p10667727/s51672295/42698e53-0bb2a237-939adc46-f3636a2f-ece2960c.jpg
the <unk> radiograph shows interval placement of a left ij dialysis catheter which ends in the mid svc. there is no pneumothorax. a dual lead left-sided pacemaker remains in place. a large right pleural effusion is unchanged. the trachea and mediastinal structures are midline, suggesting there is some component of atelectasis. the left lung is clear. the followup radiograph from <unk> shows slight increase in the large right pleural effusion. in addition, the left ij dialysis catheter has been slightly withdrawn, and now ends at the junction of the upper svc and brachiocephalic vein.
<unk> year old woman with chf // dialysis cath placement in lij contact name: <unk> <unk>, <unk>: <unk>
MIMIC-CXR-JPG/2.0.0/files/p11504429/s57196543/2e4f218e-2cb34da8-74f11b54-974ce683-84e596df.jpg
pa and lateral views of the chest provided. lungs are clear without focal consolidation, large effusion or pneumothorax. the heart size is stable and normal. there is prominence of the superior mediastinum which likely reflect enlarged thyroid gland as seen on prior cta head and neck. please correlate clinically. bony structures are intact. no free air seen below the right hemidiaphragm.
<unk>f with chest pain. hx pud // eval for acute process, free air
MIMIC-CXR-JPG/2.0.0/files/p16431831/s55341664/fcc88a27-b492da86-e7d769d4-fc3691eb-a48791c1.jpg
left costophrenic angle and lateral left lung base is excluded from the film. a tracheostomy tube is again noted. there is upper zone redistribution, with mild vascular plethora, consistent with early chf, slightly more pronounced. there are non-specific bibasilar opacities, slightly improved at the right lung base. as before, the differential includes chf, aspiration, or pneumonic infiltrates.
<unk> year old man with trach, difficulties weaning // evidence of pna, effusion
MIMIC-CXR-JPG/2.0.0/files/p11402257/s56321286/5fca017c-5d1aad5a-06e0490a-cbe524f9-d22afc3d.jpg
the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. focal area of the linear scarring within the right apex is unchanged. remainder of the lungs are clear. lungs remain hyperinflated compatible with underlying copd. no pneumothorax or pleural effusion is present. no displaced fractures are visualized.
assaulted with punches to both ribs and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p14232721/s55451355/8080d2d3-01ab7962-777f9cae-56693139-221878e9.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.
history: <unk>f with palpitations
MIMIC-CXR-JPG/2.0.0/files/p16666777/s55212137/15e1a2af-ca8266f5-971e0c49-dc88aadf-11ebade9.jpg
the patient is rotated and lung volumes are low. the visible aerated portions of lung demonstrate no evidence for focal consolidation, pleural effusion, or pneumothorax. no overt pulmonary edema is detected. heart and mediastinal contours are unremarkable within the limitations of a rotated examination. a right neck catheter courses inferiorly with tip projecting over the expected location of the mid superior vena cava. sternal wires and mediastinal clips are again noted.
<unk>-year-old female with shortness of breath and anemia.
MIMIC-CXR-JPG/2.0.0/files/p15655083/s52961339/b41a99e3-b99c48ff-c484796b-06aeeae5-bee45053.jpg
the ett is in standard position. enteric tube tip and side port projected with expected region of the stomach in the left upper quadrant. the newly placed right ij catheter tip projects over the expected region of the svc -ra junction. overall, no significant interval change in the radiographic appearance of the heart and lungs. persistent blunting of the left costophrenic angle most likely reflects a small pleural effusion. there is probably mild edema. the heart is top-normal in size. the descending thoracic aorta is slightly tortuous. aortic knob calcifications are minute old. no pneumothorax, focal consolidation, or significant right pleural effusion. bibasilar streaky opacities are likely atelectasis. mild dextroconvex curvature of the thoracic spine is unchanged. no acute osseous abnormality.
<unk>-year-old man with a right central venous line; evaluate line placement.
MIMIC-CXR-JPG/2.0.0/files/p19557552/s53091817/d449ff8b-f0994257-3774a986-384cb4c2-067c19a7.jpg
a right chest port is present with distal tip in the proximal right atrium. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. atelectatic changes are present in the right lung base. the lungs are well expanded without focal consolidation. the upper abdomen is unremarkable.
<unk>-year-old male with fever of unknown origin, on chemotherapy.
MIMIC-CXR-JPG/2.0.0/files/p17585185/s52484498/d9324ee4-bd97ba5c-f7038932-3e4c691d-377fa819.jpg
the heart size is top normal and unchanged. mediastinal and pleural contours are unremarkable. fluid collection in the major fissure and left lower lung is unchanged. subcutaneous emphysema of the neck and thorax remains stable. no pneumothorax is seen. again seen is an air-fluid level of the right posterolateral chest wall representing a loculated air and fluid collection.
<unk> year old woman s/p redo tracheobronchoplasty // check interval change
MIMIC-CXR-JPG/2.0.0/files/p10084245/s57758659/09e9ee3d-ab69b7df-9fc5fe50-b443261e-756d3b3a.jpg
the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. no evidence of rib fracture.
<unk> year old man with trauma during strenous physical activity on <unk>, sharp positional left rib pain since and tender to palpation at left lateral t<num> // is there evidence of left lateral rib fracture?
MIMIC-CXR-JPG/2.0.0/files/p15789800/s53072018/df191f5b-e67eb4b7-16170993-b1f92087-52647676.jpg
since the prior study, the endotracheal tube has been removed. the nasogastric tube is unchanged in position. lung volumes are unchanged compared to the prior study. there is persistent consolidation at the right lung base, unchanged in extent compared to the prior study. no pneumothorax seen. no definite pleural effusion.
<unk> year old man with <unk> yo man with unknown medical hx transferred from osh for iph with ive now s/p evd in the ed. // interval change
MIMIC-CXR-JPG/2.0.0/files/p10281270/s58000141/03e7db40-51cfab9b-b67eca89-24ef0e5a-4f4057f5.jpg
the lungs are well inflated and clear. the cardiac silhouette remains mildly enlarged. the aorta is mildly tortuous. there is no pleural effusion or pneumothorax. the included upper abdomen is unremarkable. no acute osseous abnormality is identified.
status post fall, rule out occult chest infection.
MIMIC-CXR-JPG/2.0.0/files/p19130309/s54720556/a059c0c6-5e8892e0-c7a0190d-c49956bd-2e0d39b6.jpg
the lungs are moderately well inflated with bilateral perihilar interstitial opacities. there is mild cephalization of vasculature. trace pleural effusion is only seen on lateral view limiting evaluation for side. no pneumothorax. stable mild cardiomegaly. mediastinal contour and hila are otherwise unremarkable. a left chest wall pacer device is seen with lead tips in the right atrium and right ventricle. intact median sternotomy wires are again noted.
<unk>m with dyspnea, weakness. assess for pulmonary congestion, pneumonia
MIMIC-CXR-JPG/2.0.0/files/p10760672/s57270460/95379858-d41beac2-adfe8310-37dc0747-7c85aa22.jpg
an endotracheal tube terminates approximately <num> cm above the carina. a nasogastric tube and left subclavian central venous catheter are unchanged in position. there is no pneumothorax, focal consolidation, or pleural effusion. the cardiac and mediastinal contours remain within normal limits.
intraparenchymal hemorrhage.
MIMIC-CXR-JPG/2.0.0/files/p18098524/s51579882/3b30dfe8-741683a8-0a2f4346-91cc7166-134d7be0.jpg
there has been interval placement of a right internal jugular central venous catheter, terminating at the low svc/ cavoatrial junction. bibasilar opacities persist which may be due to infection, aspiration areas no evidence of pneumothorax is seen. the remainder of the study is without significant change.
history: <unk>f with cvl, pls assess location // history: <unk>f with cvl, pls assess location
MIMIC-CXR-JPG/2.0.0/files/p16517380/s53184753/86c76bf3-471d5b2b-1ff2fe75-7872d1b5-2c0b5265.jpg
the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. views of the upper abdomen are unremarkable. no acute osseous abnormality.
<unk>m with esophagostomy, notes several weeks of intermittent fevers, evaluate for infection.
MIMIC-CXR-JPG/2.0.0/files/p10389285/s58949902/c90e68c3-bd1d5ea1-91c41db2-fa111e08-446124f2.jpg
there is no pneumothorax. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion. the lungs appear clear.
follow-up of possible minimal pneumothorax at the left apex.
MIMIC-CXR-JPG/2.0.0/files/p16842228/s57219284/d2eb41aa-bbd88382-354a2161-18ccc2eb-29e2536a.jpg
the cardiomediastinal silhouette is within normal limits. there is no focal consolidation. mild pulmonary edema. no focal infiltrate. degenerative change throughout the right shoulder. no pneumothorax.
<unk> year old man with wheezing and o<num> requirement // please eval for infiltrate vs. edema
MIMIC-CXR-JPG/2.0.0/files/p16947035/s52925469/1f835494-241bca6e-d9f86af6-1e9ee3c6-e98e1dfe.jpg
pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
<unk>-year-old male with pain.
MIMIC-CXR-JPG/2.0.0/files/p14988347/s50702909/bab96f44-1aa8a391-fd6c2e71-c3b084cc-b1d501c1.jpg
since <unk>, small bilateral pleural effusions have increased mildly. the pulmonary vasculature is mildly more congested. the heart is stably enlarged. there is no focal consolidation or pneumothorax.
<unk> year old woman with shortness of breath // r/o interval increase in pleural edema
MIMIC-CXR-JPG/2.0.0/files/p13591875/s51647262/0cdd7d45-99ace544-32327e84-4cd38255-245e1ed8.jpg
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. the osseous structures are unremarkable.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13724767/s52597779/4e766a29-a8e45de6-ec707dcc-69770cf9-cdf68a09.jpg
there is now a right-sided central venous catheter with tip projecting over the mid svc. there is no pneumothorax. previously seen opacity in the right hemi thorax has resolved. left chest wall single lead pacing device is again seen.
<unk>m with s/p cvl // <unk>;l for cvl
MIMIC-CXR-JPG/2.0.0/files/p15615259/s52292106/be371339-31f678d2-568e63bc-298e70c5-49df3082.jpg
the overall appearance of the lungs are unchanged with hyperinflation and relative lucency in the upper lobes. bibasilar reticular opacities are chronic and unchanged. no acute focal consolidation. the cardiac silhouette remains enlarged with a stable calcified aneurysm along the posterior left ventricle.
<unk> year old man with chronic cough but new crackles // copd/effusion
MIMIC-CXR-JPG/2.0.0/files/p11091907/s53676181/160d8951-d6b0f183-39f4546a-ab50f69c-0f20e543.jpg
the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette is normal in size. mediastinal and hilar contours are within normal limits.
<unk>-year-old female with chest pain, here to evaluate for acute intrathoracic pathology.
MIMIC-CXR-JPG/2.0.0/files/p18033567/s51858064/4a37095f-eee5facf-588d46ab-9d6d37d3-a6951e0d.jpg
pa and lateral views of the chest provided. confluent consolidation within the right lower lobe with air bronchograms is compatible with pneumonia. small right effusion difficult to exclude. left lung is clear. heart size and mediastinal contour appear normal. bony structures are intact.
<unk>f with shortness of breath and cough // rule out pneumonia
MIMIC-CXR-JPG/2.0.0/files/p14256999/s50558821/70627fdf-71ea4d76-27becd3e-3ad2d0cd-56772c0f.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. epicardial fat pad along the left heart border again suspected. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain // please eval for cardiomegaly
MIMIC-CXR-JPG/2.0.0/files/p10342636/s53843080/61510a50-f85f97b8-9f31cc89-9f1b8676-4d3a99cf.jpg
the cardiac, mediastinal and hilar contours appear unchanged. there is a persistent opacity in the medial segment of the right middle lobe with volume loss, probably unchanged since prior examinations. subpleural opacity at the right lung apex appears also probably unchanged. there are no pleural effusions or pneumothorax.
fever. immunosuppression.
MIMIC-CXR-JPG/2.0.0/files/p13439409/s58619286/5fb31da9-39ed7a22-fc950bec-25681cd5-676d7d6a.jpg
when compared to yesterday's exam, there has been no significant interval change. et tube tip is <num> cm from the carina. enteric tube passes below the field of view. moderate severe cardiomegaly with dual lead pacing device is again noted. degree pulmonary edema is unchanged.
<unk> year old woman with resp failure, intubated // eval int change
MIMIC-CXR-JPG/2.0.0/files/p14336133/s56975839/bbcf9dfa-fc21701a-14be9043-85a2e636-e90fbca7.jpg
lungs are hypoinflated with heterogeneous opacity of the left lung base, which likely represents atelectasis. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is appropriate for size given portable technique and low lung volumes.
<unk> year old woman with epilepsy, <num> general tonic-clonic seizures. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19538920/s57297323/c350e781-65b8e290-88ece3b1-cc1acd04-53185070.jpg
the cardiomediastinal and hilar silhouettes are stable since the prior exam. no focal consolidation, pleural effusion, or pneumothorax. intact median sternotomy wires and unchanged positioning of the mediastinum surgical clips. no evidence of free subdiaphragmatic air.
<unk>f with acute abdominal pain. evaluate for free air.
MIMIC-CXR-JPG/2.0.0/files/p13425233/s53802071/bd97c0a3-5deaf42b-b58dabaa-3237e4d2-9c6f9ea3.jpg
normal heart, lungs, pleural and mediastinal surfaces.
<unk> year old man with chronic cough.
MIMIC-CXR-JPG/2.0.0/files/p14023270/s56214651/ed8644c5-b9bacba3-377834e0-e5b211cb-3c3e9c77.jpg
cc is status post median sternotomy and cabg. severe cardiomegaly is unchanged. there is mild to moderate pulmonary edema, as seen previously. the mediastinal and hilar contours are similar with atherosclerotic calcifications noted diffusely in the descending thoracic aorta. small bilateral pleural effusions have decreased in size compared to the prior study. patchy atelectasis is noted in the lung bases. no pneumothorax is identified. there are moderate degenerative changes in the thoracic spine.
history: <unk>m with chf, copd, cad presents with progressive dyspnea, fluid retention, cough
MIMIC-CXR-JPG/2.0.0/files/p17281207/s54965072/b58d199a-9d3bd323-ca85712c-61c60848-238d6eda.jpg
frontal and lateral views of the chest. the lungs are now clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified.
<unk>-year-old female with sickle cell and leukocytosis. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18780219/s57374017/7f55d2af-bc6f510a-8c7a3ec4-885b1b1b-cdd6a5b3.jpg
heart size is normal. the mediastinal and hilar contours are unremarkable except for mild tortuosity of the thoracic aorta. the pulmonary vasculature is not engorged. linear opacities within the left lung base likely reflects subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.
<unk>f with shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p11807843/s56464379/4b2c3d94-4af859f0-4efc944e-f4d2634d-cc7b50b7.jpg
a left picc continues to coil within the left subclavian vein. the endotracheal tube and nasogastric tube are in stable position, and cervical spinal hardware is partially visualized. the lungs are essentially clear without focal consolidation or pleural effusion. the heart size is normal.
<unk> year old man with cervical spine injury status post decompression, intubated as of morning of <unk> // interval change?
MIMIC-CXR-JPG/2.0.0/files/p19362001/s57714460/f5e9389d-8cd04a26-889ada27-c5df6e56-3abc3db9.jpg
ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study obtained five hours earlier during the same day. patient remains intubated. comparison with the previous study, an ng tube can now be identified, seen to pass well below the diaphragm. chest findings remain unaltered. subclavian central venous line on left side, atelectasis in left lower lobe area, pulmonary congestive pattern as before.
<unk>-year-old female patient with past medical history significant for dementia, copd who presented with encephalopathy. evaluate for ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p14331984/s50978183/4017dacc-f59f1808-8d1c0a09-383d8cbd-baa09507.jpg
the lungs are clear. severe chronic cardiomegaly is present. there is no pneumothorax. a small left pleural effusion has improved from when the ct was performed, <unk> at <time>, which was new from the radiograph taken <num> hours before that, at <time>.
<unk>-year-old woman with nausea and vomiting after breakfast this morning.
MIMIC-CXR-JPG/2.0.0/files/p11173810/s51339949/8abcebca-02e609c2-d68a1dcb-a7aa7070-3a0bba9d.jpg
the patient is status post lvad placement, with the cannula in unchanged positions. left chest wall aicd, with biventricular pacemaker, is unchanged, with the leads in standard positions. median sternotomy wires appear to be intact. severe cardiomegaly is unchanged compared to the prior exam. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable.
<unk>m with epigastric pain/fatigue for several days, diarrhea and vomiting this morning. // evaluate for infection
MIMIC-CXR-JPG/2.0.0/files/p12361859/s55280684/0189f23f-6c85012e-7f08442a-b7ebd123-542bfde2.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable and stable. right upper quadrant surgical clips are from presumed cholecystectomy. no pulmonary edema is seen.
history: <unk>f with palpitations // acute process
MIMIC-CXR-JPG/2.0.0/files/p13275896/s56868136/35e7b368-58f8a5a8-500a60a3-e439b14a-1cefa0de.jpg
the endotracheal tube is in satisfactory position <num> cm from the carina. an enteric tube courses below the diaphragm with the tip out of the field of view. again, there is blunting of the left costophrenic angle, likely due to small effusion. there is no right effusion. there is no pneumothorax. there is mild vascular congestion without overt pulmonary edema, improved from the prior exam. there is minimal left basilar atelectasis. there is no focal airspace opacity to suggest a pneumonia. the mediastinal contours are normal. the heart size is at the upper limits of normal.
history of coronary artery disease with a gi bleed, status post transfusions. evaluate for pulmonary edema or effusions.
MIMIC-CXR-JPG/2.0.0/files/p19236953/s53563982/452e9636-4ca58fbe-b1b1bc29-84bf7bdf-adf7b9b7.jpg
pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13188644/s56363631/0ad67888-69d15aca-dcf97a45-7dc80fbe-db9a3e32.jpg
single supine portable view of the chest. low lung volumes are noted with secondary crowding of the bronchovascular markings. within this limitation and due to limitation of overlying trauma board, the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits allowing for this limitation. no displaced fracture is identified.
<unk>-year-old male with <num>-foot fall.
MIMIC-CXR-JPG/2.0.0/files/p13374297/s52041239/ec9c4b83-a1fd5b71-98358452-6ed57e9a-f9764df2.jpg
the cardiac silhouette appears enlarged but is likely exaggerated by low lung volumes. the mediastinal silhouette appears normal and is without signs of svc enlargement. there is a left moderate pleural effusion that is new when compared to <unk> study. there is multiple levels of height loss within the thoracic spine which may be better evaluated by dedicated spine study.
<unk> year old woman with rue swelling, no dvt, and <num>l o<num> requirement // evaluate for obstructing rul mass, edema
MIMIC-CXR-JPG/2.0.0/files/p17152921/s56775806/7ee60b52-88177b4d-30f69526-8d80913c-d2c4e18c.jpg
heart size is normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. cervical spinal fixation hardware is incompletely imaged.
history: <unk>m with fevers, chest pain
MIMIC-CXR-JPG/2.0.0/files/p16767048/s51494645/44129fc6-cf220abd-f6822536-ee383001-bf1a6c12.jpg
lung volumes are low. cardiac silhouette size is not enlarged. the aorta is mildly tortuous. crowding of the bronchovascular structures is present without overt pulmonary edema. linear opacities in the lung bases, more so on the left, are compatible with areas of subsegmental atelectasis. no large pleural effusion or pneumothorax is seen. no areas of focal consolidation or demonstrated. no acute osseous abnormality is detected. extensive degenerative changes are seen involving the left glenohumeral joint.
history: <unk>m with weakness, active cancer
MIMIC-CXR-JPG/2.0.0/files/p14325448/s55169574/791167a4-d16113e8-64a519ed-34f13f2c-c4b77be2.jpg
frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. right costophrenic angle is obscured, suggestive of small pleural effusion. there is no left pleural effusion. bibasilar opacities likely represent atelectasis. pulmonary vascular congestion is noted. hilar and mediastinal silhouettes are unchanged. heart is mildly enlarged. compression deformity of mid thoracic vertebral body with associated kyphosis at this level is unchanged since priors.
patient with recent leg fracture with increased shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p12679298/s52133308/fd0fe52e-7c9b996d-68ebf6b5-124ec39d-dbb62998.jpg
the right picc line is in unchanged position. the lung volume is small, exaggerating pulmonary vascular markings. no new consolidation. no pulmonary edema. bilateral subsegmental atelectasis is stable. mild left pleural effusion is unchanged. no pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk> year old woman with chf exacerbation // pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p19753019/s55335227/42aeb1f0-c9557a8e-bb5c7210-84fc5e6b-53bfcc0e.jpg
lateral left lower lung opacity seen on the frontal view, not substantiated on the lateral view, may be due to atelectasis, less likely infection. the lungs are hyperinflated. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the aorta is calcified and tortuous. no pulmonary edema is seen. there is levo thoracic scoliosis.
history: <unk>f with rash, fever // presence of infiltrate
MIMIC-CXR-JPG/2.0.0/files/p18676703/s58366797/e58ed561-bfabaa5d-20f6e2d5-06096fc4-d830611a.jpg
portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. bibasalar opacification likely represents atelectasis or aspiration. superimposed infection could be considered in the appropriate clinical setting. small left-sided pleural effusion. there is no pneumothorax. the cardiomediastinal and hilar contours are unchanged.
<unk> year old woman with ams, cough, fever // focalopacity (s/p ivf resuscitation)
MIMIC-CXR-JPG/2.0.0/files/p19981210/s58268363/8c70bd86-b4d305e7-27ebef20-6f3ea527-be1f0ae5.jpg
the lungs are clear with no focal opacities. there is some minimal bibasilar atelectasis. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are clear without effusion or pneumothorax. the left chest wall pacing device and pacer leads are unchanged in appearance.
new non-st elevation mi and bibasilar crackles on exam. evaluation for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15353451/s55997674/bc9dbc99-e0ca98fe-ba92f957-99e129fd-0360a473.jpg
the lungs remain hyperinflated, with flattening of the diaphragms.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged..
history: <unk>f with coarse lung sounds and dizziness // pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p13475033/s56512741/98a7c378-eac30aa7-6f338a89-4d7394da-3fe0294d.jpg
moderate cardiomegaly is unchanged compared to exams dating back to <unk>, however appears slightly increased compared to exams from <unk>. there has been interval increase in moderate pulmonary vascular congestion and diffuse bilateral interstitial lung markings as well as peribronchiolar cuffing concerning for pulmonary edema. widening of the superior mediastinum is due to mediastinal lipomatosis and tortuous vessels as seen on the prior ct from <unk>. right-sided morgagni hernia is unchanged. there is no large pleural effusion or pneumothorax. compression deformities of the mid thoracic spine are unchanged compared to the prior exam.
<unk> year old man with cough, chest pain // please evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p15789074/s52726529/cf943b85-e1a37298-ebcc84ea-f50bcfdb-ed3e0845.jpg
pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman with crohn's disease, considering anti-tnf therapy // evidence of current/prior mtb evidence of current/prior mtb
MIMIC-CXR-JPG/2.0.0/files/p11658675/s59163358/460f7e70-b22260bc-cac68405-48bd6ad6-406bebc2.jpg
compared to the prior study performed nine hours earlier, there has been interval increase in density of the bibasilar opacities which likely represent aspiration pneumonia superimposed on chronic scarring and atelectasis at these locations. the upper lung fields are clear. there is no mediastinal widening. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
evaluate for interval change in patient with chronic aspiration pneumonia, now admitted for recurrence.
MIMIC-CXR-JPG/2.0.0/files/p13665827/s53848740/6a8f8193-ee551649-ef2dccd9-22233f4d-740d8265.jpg
pa and lateral views of the chest provided. a nodular opacity projecting over the right upper lung appears bilobed and measures approximately <unk>.<num> mm in maximal dimension. in the absence of prior imaging studies, a nonemergent chest ct may be obtained to exclude underlying nodule. lungs are otherwise clear without signs of pneumonia or edema. heart and mediastinal contours are normal. bony structures are intact.
<unk>f with chest pain // eval for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p16662316/s58029168/2421df2e-ceea6603-fe381867-bfedca92-30ec067f.jpg
slightly rotated positioning. this may account for slight leftward positioning of the cardiac silhouette. the cardiomediastinal silhouette, including its positioning, is unchanged. there is probable background hyperinflation. again seen is a junction line traversing the midline, unchanged. there is minimal patchy opacity at both lung bases on the frontal view and a band of opacity projecting over the lung on the lateral view. no frank consolidation or effusion is seen. no pneumothorax is detected. limited assessment of the osseous structures demonstrates an old healed lateral nondisplaced ninth rib fracture.
copd, intoxication. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10976602/s51665787/488776b6-966a5d0d-72bbb682-717628f9-b247431d.jpg
the heart is enlarged. there is gas in either stomach or bowel portion of the left hemidiaphragm, which is similar in appearance to the prior study. there is a small effusion on the left side. there is no evidence of pneumonia or pulmonary edema. there is no pneumothorax. mediastinal contours are grossly normal.
diastolic chf. evaluation for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16358341/s57368568/e2b7e98c-0c979e99-a5a18a04-88282d30-3ec60cd2.jpg
pa and lateral chest radiographs provided. lung volumes are slightly low. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is mildly enlarged since the prior exam. old healed rib fractures are noted on the right.
history of physical assault, loss of consciousness and intoxicated. question malalignment.
MIMIC-CXR-JPG/2.0.0/files/p16815301/s54443076/dc37d000-b072b34e-f144cf6b-223858f9-3043e153.jpg
unchanged mild cardiomegaly. no evidence of pneumonia. the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
bilateral upperlobe wheezing/rhonci // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p13444104/s53406111/53968969-0927a4ba-ed749c81-c069df6d-9ce77533.jpg
portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with aml. cough/sob, eval infiltrates // eval infiltrates eval infiltrates
MIMIC-CXR-JPG/2.0.0/files/p13477109/s55437438/e0974647-78176bcc-d5a6038b-f595995e-a393cc27.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. bony structures are unremarkable.
labile sugar and weakness.
MIMIC-CXR-JPG/2.0.0/files/p16751019/s56408109/38c8186c-b39d7047-ef4c0cb9-f3d27ef1-1f10d04a.jpg
prominent heart size and cardiomediastinal contours are similar to the prior exam. heterogeneous opacity along the medial right lung base has increased and may represent aspiration or infection. small left basilar opacity is similar to prior. no substantial pleural effusion or pneumothorax. no radiopaque foreign body.
possible aspiration. evaluate for infiltrate.