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MIMIC-CXR-JPG/2.0.0/files/p18322831/s55536517/c477de79-ea8a0379-de6bf857-c6204516-373f0863.jpg
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mild enlargement of the cardiac silhouette is re- demonstrated. the mediastinal contour is unchanged. mild pulmonary edema is new in the interval with small to moderate size bilateral pleural effusions. bibasilar patchy opacities likely reflect atelectasis. no pneumothorax is identified. mild anterior wedge compression deformity of an upper thoracic vertebral body is unchanged.
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history: <unk>m presents with hypotension and weakness as well as cough x <num> day
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pa and lateral views of the chest provided. stable multifocal consolidations in the right lung, consistent with pneumonia. the presence of emphysema partially explains the extensive and atypical appearance. cardiomediastinal contours are stable. left lower lobe opacities are minimally decreased and could reflect atelectasis or pneumonia. small bilateral effusions are unchanged. no free air below the right hemidiaphragm is seen.
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<unk> year old man s/p esophagectomy now p/w rll pneumonia // perform at <num>am on <unk>. eval for interval change
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lungs are hyperinflated with prominent retrosternal clear space and coarsened interstitial markings suggesting emphysema. evaluation for small nodules limited on radiograph. no large mass or consolidation. no large effusion or pneumothorax. the heart size is normal. there is an unfolded thoracic aorta. the hila appear slightly prominent. bony structures appear intact. chronic deformity of the left midshaft clavicle noted. no free air below the right hemidiaphragm.
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<unk>-year-old female with failure to thrive and cough. evaluate for pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with constant epigastric/chest pain
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frontal and lateral chest radiographs are obtained. lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. overlying soft tissue structures and osseous structures are normal.
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evaluation of patient with cough.
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there is a moderate right pleural effusion with opacities in the right mid and lower lung. cavitation in the right lung mass is better appreciated on recent ct. the lung apices are relatively clear. the heart is normal in size but is shifted to the right secondary to volume loss in the right lower lung. there is no large pneumothorax.
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lung cancer with hemoptysis and fever. evaluate for aspiration, pneumonia.
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pa and lateral views of the chest provided. no free air seen below the right hemidiaphragm. mild left basal atelectasis noted. no signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette appears grossly within normal limits. bony structures are intact. bilateral ac joint arthropathy noted.
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<unk>m with shortness of breath and abdominal pain with guarding on abdominal exam.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with sob and cough.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with ches tpain // acute process?
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a portable frontal chest radiograph again demonstrates multiple endobronchial devices, unchanged in position. vascular congestion and pulmonary edema and may be minimally increased compared to the most recent chest radiograph. there is no large pleural effusion, and no pneumothorax.
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copd, status post endobronchial lung reduction, with ongoing bipap requirement. evaluate for pulmonary edema.
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evaluation is limited secondary to overlying trauma board. within these limitations, the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
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history: <unk>m s/p assault // injury
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the cardiac silhouette is mildly enlarged. the aorta is calcified. minimal basilar atelectasis is seen without definite focal consolidation. no pleural effusion or pneumothorax. no pulmonary edema.
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history: <unk>f with altered mental status // acute cardiopulm disease
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stable mild enlargement of the cardiac silhouette with normal mediastinal and hilar contours. interval removal of the right internal jugular central venous catheter with no pneumothorax. no pleural effusion or focal consolidation. unchanged old right rib fracture
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<unk> year old woman s/p ij removal // r/o pneumothorax
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the lungs are hyperinflated, suggestive of copd. a focal patchy opacity in the right upper lung field projecting over the right fifth posterior rib is noted. remainder of the lungs are clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. degenerative changes of the thoracic spine are noted. no subdiaphragmatic free air.
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<unk>-year-old male with complaint of abdominal and chest pain. evaluate for abdominal free air.
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ap and lateral chest radiographs demonstrate clear lungs without a focal consolidation. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pulmonary edema, pleural effusion, or pneumothorax. no air under the right hemidiaphragm. degenerative changes are noted within the thoracic spine, vertebral body of heights appear preserved.
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history: <unk>m with chest pain // ? acute cardiopulm process
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. stable bilateral prominent hila may represent adenopathy or vascular engorgement.
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<unk> year old woman with fatigue, paget disease and skin changes lower leg concerning for sarcoidosis
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there has been interval placement of an endotracheal tube, which terminates just distal to the clavicles. the patient has had median sternotomy with cabg. a left pectoral aicd remains in place. a newly placed swan-ganz catheter terminates in the right descending pulmonary artery. retained pacer leads are in place. there is no pneumothorax. marked cardiomegaly is unchanged. bilateral airspace opacities are slightly improved. new retrocardiac airspace opacification is likely due to atelectasis. extensive splenic artery calcifications are incidentally noted.
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<unk> year old man with mr <unk>/p mitraclip placement on <unk> // please eval for edema
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lung volumes are low which accentuates the cardiac silhouette and pulmonary vasculature. moderate cardiomegaly is unchanged given difference in technique with unchanged mediastinal contour. there is slight prominence of the central pulmonary vasculature suggestive of fluid overload. there is no frank interstitial edema. a left-sided <num> lead pacer remains in unchanged position. there is mild bibasilar atelectasis with some hazy peripheral opacity in the right lung field which may be related to check-in fluid from the small right-sided effusion. there is no pneumothorax. there is no distracted rib fracture although evaluation is difficult given technique. a compression deformity of a mid thoracic vertebral body is unchanged since <unk>.
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fall from walker with left chest pain and right knee pain.
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no esophageal enlargement is noted. no radiopaque foreign body.
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<unk> year old female with chest pain and history of esophageal stricture status post multiple dilatations. evaluate for enlarged esophagus.
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ap upright and lateral views of the chest provided. cardiomediastinal silhouette is unchanged with interval development of hilar congestion and mild interstitial edema. prominence of the main pulmonary artery mobile may be seen with pulmonary arterial hypertension, also confirmed on prior ct chest from <unk>. no large effusion is seen. no convincing evidence for pneumonia. bony structures are intact.
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<unk>m with cll, cirrhosis, afib and chf p/w abd distention and afib rvr with bibasilar rhonchi
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a portable frontal chest radiograph again demonstrates low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. vascular congestion is mildly improved. a right chest tube is unchanged in position, allowing for differences in patient positioning. there has been interval improvement of a right anterior pneumothorax. left base opacity is unchanged, likely representing pulmonary contusion, although superimposed infection cannot be excluded. subcutaneous emphysema in the right chest wall is slightly increased. prominence of the left hilum, which appears to be merely vessels on recent ct.
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evaluate for interval change in a patient with right rib fractures status post chest tube placement.
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there is persistent stable elevation of the left hemidiaphragm with superior displacement of the heart. mediastinal and hilar contours are stable. there is a new right upper lung opacification. there is no pleural effusion or pneumothorax.
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<unk>-year-old with fever, cough, wheezing, shortness of breath.
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opacity at the right lung base, silhouetting the right heart border and defining the minor fissure, is thought to represent a combination of atelectasis, pleural effusion and possibly consolidation. opacification at the left lung base is presumably atelectasis. these findings limit limite evaluation of heart size. there is no evidence for pulmonary edema. no pneumothorax. mediastinal structures are unremarkable.
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dyspnea, evaluate for pulmonary edema.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac mediastinal silhouettes are stable.
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history: <unk>m with mild hypoxia, ams, fever // evaluate for pneumonia, acuite process
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cardiomediastinal contours are normal. the lungs and pleural surfaces are clear.
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<unk> year old man with positive ppd. // any evidence for pulmonary infiltrates?
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as compared to chest radiograph from <num> day prior, widespread interstitial opacities have progressed. the background widespread nodular opacities with possible cavitation are unchanged. the cardiac silhouette is not enlarged. the hila contours are unchanged. no pleural effusion pneumothorax. the support devices are similar position.
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<unk> year old man with h/o lymphoma, fever, worsening dyspnea, acute liver failure // interval change
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the heart size is normal. the aorta remains tortuous and demonstrates mild mural calcifications. mediastinal and hilar contours otherwise are unchanged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. thickening of the minor fissure on the right is unchanged. old right <unk> posterior rib fracture is again noted. no acute osseous abnormalities are otherwise seen.
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weakness.
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other than bilateral platelike atelectasis, the lungs are clear. no pleural effusion, focal consolidation, pulmonary edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the hila are within normal limits. the right internal jugular venous catheter sheath ends in mid svc, unchanged. left pectoral dual lead cardiac pacemaker device appears intact and unchanged in position with <num> lead ending in the right atrium and the other in the right ventricle.
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<unk> year old man with chest pain with inspiration // please evaluate for fluid overload or other respiratory cause for pain with inspiration
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ap upright and lateral views of the chest provided. lung volumes markedly low limiting assessment. given limitations, there is no convincing evidence for pneumonia or edema. the cardiomediastinal silhouette is stable. there is a stable nodular appearance in the right perihilar region at the right costosternal junction. bony structures appear intact.
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<unk>f with hyperglycemia // ? infectious process
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the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. streaky bibasilar atelectasis is noted. the pleura is unremarkable. the cardiac and mediastinal contours are normal.
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cough and throat tightness, evaluate for infiltrate.
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frontal lateral views of the chest. the lung volumes are low, which accentuates the bronchovascular structures. additionally, fine details obscured by overlying soft tissue. within these limitations, there is no pleural effusion, pneumothorax or focal airspace consolidation. linear atelectasis is seen anteriorly on the lateral view. the cardiac silhouette remains moderately enlarged. the hilar structures and mediastinum are unremarkable. calcifications are noted within the aortic arch. a left-sided pacemaker is unchanged in orientation.
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fall while on coumadin. evaluate for bleeding.
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the patient is status post median sternotomy and cabg. dense mitral annular calcifications are noted. cardiac silhouette size is normal. the aorta is mildly tortuous and diffusely calcified. pulmonary vasculature is normal. streaky opacities in the lower lobes likely reflect atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. ossification of the anterior longitudinal ligament is noted. there are clips from prior cholecystectomy in the right upper quadrant of the abdomen.
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history: <unk>f with shortness of breath
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ap views of the chest taken at different times. the first image demonstrates the dobbhoff tube in the upper esophagus, and the second image demonstrates the dobbhoff tube in the stomach. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
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liver failure, dobbhoff placement.
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frontal and lateral views of the chest were obtained. there is a moderate right pneumothorax. leftward indentation of the right heart border suggests minimal tension in the appropriate clinical setting. no left pneumothorax. no focal consolidation or pleural effusion. heart size is normal without evidence of pericardial effusion. there is suggestion of ascending aortic dilation on the lateral view. hilar contours are normal.
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<unk>-year-old man with pleuritic chest pain and decreased right breath sounds. evaluate for pneumothorax.
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single supine view of the chest. there is increased hazy opacity projecting over the right lung compatible with layering effusion and atelectasis. multiple right-sided rib fractures are better seen on subsequent ct. the left lung is grossly clear but partially obscured by overlying trauma board and hardware. the cardiomediastinal silhouette is within normal limits.
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<unk>-year-old man status post motor vehicle collision.
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the lungs are moderately well inflated. left lung is clear. heterogeneous right lower lobe opacity is only seen on frontal projection. there is cardiomegaly. visualized osseous structures are unremarkable. no displaced rib fractures identified. there is mild inferior subluxation of the distal end of the left clavicle relative to the acromion. limited visualization of associated fractures on this single view.
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<unk>m with head strike, confusion. assess for fracture.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. an opacity projecting just medial to the cardiophrenic border may represent a diaphragmatic hernia or paraspinal abnormality.
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chest pain.
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an endotracheal tube terminates at the orifice of right mainstem bronchus. an enteric tube passes far into the stomach. evaluation of the chest is limited due to multiple overlying lines and tubes. within this limitation, there are widespread interstitial opacities throughout the right lung with a basilar predominance as well as the left lung base. there is mild pulmonary vascular congestion and subtle kerley b lines suggesting interstitial edema. a small right pleural effusion cannot be excluded. no pneumothorax is detected on this semi-erect view. the cardiac silhouette is incompletely visualized in the setting of bibasilar opacities. the mediastinal contours are prominent due to tortuosity of the thoracic aorta with partial calcification of the aortic knob. densities projecting over the right humerus and soft tissues of the upper arm are likely external to the patient.
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sudden unresponsiveness requiring intubation, here to evaluate et tube position.
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ap portable semi upright view of the chest. et tube is in place with the tip positioned <num> cm above the carina. an ng tube courses into the left upper abdomen. scattered mild atelectasis noted. lungs otherwise clear. cardiomediastinal silhouette appears normal. bony structures are intact.
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<unk>m with intubation // eval for tube position
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pa and lateral views of the chest. no prior. relatively low lung volumes are seen. the lungs, however, are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. descending thoracic aorta is slightly tortuous. no acute osseous abnormality is detected. degenerative changes are seen at the left acromioclavicular joint.
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<unk>-year-old male with recent stent placement and new chest pain, question pneumonia.
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
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<unk> year old woman with recent sore throat, now with pleuritic chest pain, ?decreased bs in left lung base // r/o pna
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there has been interval removal of the prior enteric tube with attempted placement of a dobbhoff tube, with the first image showing the dobbhoff tube terminating in the right lower lobe bronchus, and the second showing the dobbhoff tube in the left main bronchus. a right picc line is present with tip terminating in the mid svc. the heart is borderline enlarged. mediastinal and hilar contours are unremarkable. there is no large pleural effusion or pneumothorax. biapical pleural scarring is again noted. please note that the right costophrenic angle is not captured on this exam. lung volumes are low, and there is no focal consolidation concerning for pneumonia.
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<unk> year old man with aspiration // assess for dobhoff placement <num> stage xray
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right-sided central venous catheter again seen with tip at the ra svc junction. moderate cardiomegaly is again noted. the lungs are clear without focal consolidation or large pleural effusion. enlarged hila bilaterally is compatible patient's known pulmonary hypertension. no acute osseous abnormalities.
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<unk>f with dyspnea // acute process
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with visual hallucinations, chest pain // eval for consolidation
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permanent pacemaker remains in place, with leads in the right atrium and right ventricle. cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion. combined alveolar and interstitial pattern involving the right lung to a much greater degree than the left is present. additionally comment a more confluent opacity is present in the right juxta hilar region there is no definite pleural effusion or pneumothorax.
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<unk> year old woman with afib, here with fevers to <unk> // eval for pna vs. chf exacerbation
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there are relatively low lung volumes and a minimal left base atelectasis. no focal definite consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with left sided cp // eval for cp
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there is mild right base base atelectasis. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. right paratracheal opacity without indentation on the adjacent trachea is stable, possibly prominent vasculature.
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history: <unk>f with <unk> days of headache, altered ms // r/o pneumoniar/o hemorrhage
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pa and lateral views of the chest demonstrate low lung volumes. the upper mediastinum is somewhat prominent, possibly due to mediastinal fat; however, slight deviation of the trachea to the right suggests the possibility of underlying mediastinal lymphadenopathy. otherwise, the lungs are clear, with no evidence of pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia.
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<unk>-year-old male with bilateral upper extremity numbness and tingling with ekg changes and history of cocaine abuse. evaluation for acute process.
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emphysema, worse in the left lung, is similar to priors. lung volumes are low. cardiac size is normal. there is no focal consolidation. there is no pneumothorax or pleural effusion. aortic knob calcifications are again seen.
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<unk>f with hypoxia // pna?
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left picc tip position in mid svc. there is no malpositioning or kinking of the picc throughout its course. cardiac size is normal. tortuous aorta. the lungs are clear. there is no pneumothorax or pleural effusion.
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<unk> year old male w/ recurrent aml // lue picc site significantly swollen, evaluate for placement
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ap portable upright view of the chest. endotracheal tube is in place with its tip approximately <num> cm above the carinal. recommend slight retraction for more optimal positioning. the ng tube extends into the left upper quadrant likely residing within the stomach. small bilateral pleural effusions persist. cardiomegaly is unchanged.
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<unk> year old man with gi bleed s/p intubation // et tube and og placement
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MIMIC-CXR-JPG/2.0.0/files/p18918213/s55828155/1853f923-9ee0b0ce-88bfe821-f1f5d576-d6afa9ba.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p10825934/s50456646/4eb4c5a6-1bd5cce8-f4ec880e-91728465-50defd0b.jpg
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the heart is top-normal in size, and the aorta is mildly tortuous.there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema.
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<unk> year old woman with hx of syncope, elevated d-dimer // ?pe ?pe
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compared to the prior study there is no significant interval change.
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<unk> year old woman with trach // assess lungs
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MIMIC-CXR-JPG/2.0.0/files/p12630493/s52944147/8dff4b4e-42fcca1f-a3b8e738-d00555b2-f76ae7ae.jpg
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the cardiac silhouette size remains mildly enlarged. the aorta demonstrates mild tortuosity and calcifications at the aortic knob. the lungs are hyperinflated with emphysematous changes again noted. patchy bibasilar airspace opacities persist, with continued bronchial wall thickening noted diffusely. no new areas of consolidation are present. there is no pleural effusion or pneumothorax. remote right-sided rib fractures are again seen.
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dyspnea.
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frontal radiograph of the chest demonstrates appropriate position of pleurx catheters. there has been mild improvement in the right basilar opacity with continued loculated right pleural effusion with associated atelectasis. basilar atelectasis is also noted in the left lung. right upper lobe interstitial abnormality is again noted, and unchanged. no pneumothorax is detected. the cardiac and mediastinal contours are unchanged from the prior radiographs.
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metastatic lung adenocarcinoma, status post pleurodesis and pleurx catheter placement. followup from procedure.
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MIMIC-CXR-JPG/2.0.0/files/p14122844/s53733184/a4380902-471ef67e-294c8544-2a2de68b-3002e6ad.jpg
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pa and lateral views of the chest. lungs are hyperinflated but clear of consolidation or effusion. cardiomediastinal cardiac silhouette is top-normal in size. no acute osseous abnormalities detected.
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<unk>-year-old female with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p15751341/s51614702/768c5205-d1dccf05-7ababc50-80b5ecc3-34424d56.jpg
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compared to the prior radiograph, no significant change. a right-sided central venous catheter is unchanged, with its tip projecting over the cavoatrial junction. no focal consolidation, pleural effusion, or pneumothorax is identified. cardiomediastinal and hilar contours are unchanged.
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<unk>f with immunocomprised all nausea vomiting maliase. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19338519/s53279855/dbf5a843-874442f0-8aa25bfd-8b639013-83f04435.jpg
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small right pneumothorax is stable. swan-ganz catheter tip is in the proximal main pulmonary artery there is persistent widening of the mediastinum. no other interval changes.
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<unk>m w/ alcoholic cirrhosis s/p deceased high risk olt // please assess right pneumothorax. please obtain by <num>am
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severe cardiomegaly is unchanged. patient is post asd repair. previously seen right pleural effusion has resolved. lungs are clear without focal consolidation or pneumothorax. median sternotomy wires are intact.
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<unk> <unk> speaking female with episode of sob. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19633644/s59872716/3b9e798e-883133ac-994783c7-ca77004d-43afbaf7.jpg
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right upper lobe opacity is improved since most recent radiograph and stable since ct chest from <unk>. there is residual volume loss and streaky opacities likely due to post radiation changes. a persistent loculated right pleural effusion is likely also stable. no new consolidation is identified. known mediastinal and right hilar lymphadenopathy are better evaluated on prior chest ct. the cardiac silhouette is stable. there is no pneumothorax. a right mainstem endobronchial stent is again noted. visualized upper abdomen is unremarkable.
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chemotherapy and radiation with weakness, evaluate for acute process within the chest
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MIMIC-CXR-JPG/2.0.0/files/p10765994/s53106885/d26b108b-97eb5235-a160ea43-45125e66-3eab4a74.jpg
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pa and lateral views of the chest show no focal airspace consolidation. radiation changes in the left paramediastinal area and left base are not significantly changed from the prior radiograph. left pleural thickening is stable, and likely due to post-treatment changes. a small left, probably loculated, pleural effusion is stable from the most recent chest radiograph <num> days prior, but new from <unk>. there is no pulmonary edema or pneumothorax. the cardiomediastinal silhouette is stable and normal in size.
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cough. history of lung cancer.
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MIMIC-CXR-JPG/2.0.0/files/p10732832/s54354897/129ccc0e-832c6f49-dfefd936-4a8f582e-23da888c.jpg
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trauma board and other overlying structures limit assessment. the lungs are grossly clear without pleural effusion or pneumothorax. the heart and mediastinal contours are unremarkable. no displaced rib fractures are identified.
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mvc
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MIMIC-CXR-JPG/2.0.0/files/p16572865/s56137019/497cabc9-44d15467-053e5c8c-3f4f9777-0faac00b.jpg
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an endotracheal tube tip terminates approximately <num> cm from the carina. orogastric tube tip is within the stomach. the cardiac, mediastinal and hilar contours are within normal limits. no focal consolidation is seen. minimal atelectatic changes are noted within the lung bases. no pleural effusion or pneumothorax is identified.
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tachypnea
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MIMIC-CXR-JPG/2.0.0/files/p16987914/s58912050/8edf2fd7-b16ac7b4-2f1f2e83-b7a1b96d-d8133634.jpg
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the right apical and right inferolateral pneumothorax is not appreciably changed, moderate in size. bibasilar opacities persist. there is no new focal airspace opacity to suggest pneumonia. the heart is not enlarged. the mediastinal contours are normal. there is no pleural effusion. bilateral pleural plaques are redemonstrated.
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dyspnea on exertion, shortness of breath. evaluate for history of pneumothorax, progression or change, infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p13326152/s51382658/6e5a1cad-ffd45d61-6b77afce-c8337025-05b627b9.jpg
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portable upright ap radiograph was obtained. this demonstrates small lung volumes and resulting bronchovascular crowding. the heart is enlarged though evaluation of heart size with ap technique is suboptimal. patient is additionally rotated. there is observation of the left hemidiaphragm as well as retrocardiac opacities for which infection cannot be excluded. obscuration of the costophrenic angles bilaterally may reflect bilateral pleural effusions.
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<unk>-year-old female with shortness of breath.
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the heart size is within normal limits, and the mediastinum and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. there has been no change from prior exam.
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<unk>-year-old female with two months of chronic cough as well as nausea, loss of appetite, and weight loss.
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MIMIC-CXR-JPG/2.0.0/files/p14010624/s52128877/a665d335-deeeb900-ef246a86-b8da86fb-b87f3908.jpg
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there is minimal bilateral lower lung atelectasis. engorgement of the pulmonary vasculature with associated cephalization is increased compared to the prior chest radiographs from <unk>. there is no frank interstitial pulmonary edema. the heart is normal in size. there are no pleural effusions. no pneumothorax is seen. there is bulging of the ascending aortic contour. the mediastinal contours are otherwise normal.
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chest pain. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14993854/s50129482/05dc6e6e-775b9f42-070a62a4-4053ae3e-09a30147.jpg
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cardiac silhouette size remains mildly enlarged but unchanged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. lungs are hyperinflated with emphysematous changes again noted at the apices. linear opacities are again noted within both lower lobes, perhaps slightly worse in the interval on the right, most likely reflective of atelectasis. no pleural effusion, new focal consolidation or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>m with cough, dyspnea
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MIMIC-CXR-JPG/2.0.0/files/p13573221/s58925065/dbaf6b92-f1ecb7e6-8870b856-c356eb74-205d16e8.jpg
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are slightly more prominent than in <unk>, though most likely due to a rotated position. the cardiac silhouette is normal.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p15198478/s59684065/f9d0e3dc-64856a82-b10c40b7-517086d7-de03cf5e.jpg
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pa and lateral views of the chest were obtained. lungs are clear bilaterally with no focal consolidation, effusion or pneumothorax. no evidence of chf is present. cardiomediastinal silhouette is normal.
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chest pressure, chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p14535212/s53448085/a82ae4a4-3ca40783-1564df51-7c73e91b-9ab1587f.jpg
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the heart size is normal. mediastinal and hilar contours are unchanged and within normal limits. the pulmonary vascularity is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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alcoholic cirrhosis with malaise, jaundice.
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MIMIC-CXR-JPG/2.0.0/files/p19375617/s52346842/438005fd-28dff14a-64f0b352-3716db02-9838d0da.jpg
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new bibasilar densities are noted. a linear density at the left base is likely related to low lung volumes and atelectasis, however the density at the right base is less well-defined and more concerning for pneumonia in the proper clinical setting. there is persistent moderate distention of the colon at the splenic flexure, which is essentially unchanged dating back to <unk> and may be chronic. more severely and acutely dilated loops are better evaluated on the recent abdominal radiographs of <unk>.there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk> year old woman s/p lumbar lami on <unk> with concern for tmc // comparison xr
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MIMIC-CXR-JPG/2.0.0/files/p11307058/s51697632/3f5dec1b-45644e70-ed34cbb0-1a80da55-77581541.jpg
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there is new left lower lobe opacity compatible with infection. elsewhere, lungs are clear. lobulated contour abutting the aortic arch and projecting over the ap window on the frontal view is compatible with thoracic aortic aneurysm with prior dissection. no acute osseous abnormalities.
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<unk>f with weakness, infectious work-up // eval pna
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MIMIC-CXR-JPG/2.0.0/files/p15662564/s59424385/dabd07ce-ac1396a3-3b9a4636-b400d9ea-87d4c948.jpg
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a left pectoral dual-lead pacemaker sends leads to the right atrium and right ventricle, although the right pacer lead has an unusual configuration. there is an airspace opacity projecting over the lower spine on the lateral radiograph, and a faint nodular opacity in the right upper lobe. the lungs are hyperinflated. there is no pneumothorax. mild blunting of the costophrenic angles there is most likely due to trace pleural effusions or thickening. the heart and mediastinum are within normal limits.
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<unk> year old woman with cough, sob, copd // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p11852853/s52081062/55e0f4f0-afd654f9-ae02f094-7041bcf1-b6d84ee6.jpg
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the heart is upper limits of normal in size. the lungs are clear without pleural effusion or pneumothorax. there is left lung basilar pleural thickening. the hilar and mediastinal contours are unremarkable. osseous structures are unremarkable. incidental note is again made of a vp shunt catheter and surgical clips in the paratracheal region, likely from previous thyroid or parathyroid surgery.
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<unk> year old woman with h/o + ppd, no cough, fever, or chest pain. r/o pulmonary tb.
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MIMIC-CXR-JPG/2.0.0/files/p19131048/s56863775/b00abe6c-d64b53ee-dcb654df-d48aa8ec-9fbcca52.jpg
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portable ap semi-erect chest radiograph <unk> at <time>
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<unk>f s/p distal gastrectomy for gastric outlet obstruction and gj tube <unk> c/b sepsis, afferent loop syndrome, arf, now s/p takeback, repeat rny, new handsewn dj anastomosis with bile leak, s/p trach // ?fluid status ?fluid status
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.
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cough, fever.
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MIMIC-CXR-JPG/2.0.0/files/p18299196/s51612690/e9422479-c929f4d6-0f598ae8-825915db-73f4c33f.jpg
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lung volumes remain low. atelectasis at the left base is improving. there is no new focal airspace opacity. there is no pleural effusion or pneumothorax. the heart is top normal. mediastinal hilar contours are normal.
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<unk> year old woman with new o<num> requirement and cough. concern for aspiration or other acute process
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MIMIC-CXR-JPG/2.0.0/files/p15110303/s59920594/0a66fbed-78bfa90f-761842ed-ca058941-1aaa53c0.jpg
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heart size is normal. some calcification of the thoracic aorta minor unfolding is seen. unchanged left upper lobe pulmonary granuloma. the lung parenchyma is clear. no evidence of congestive change. the visualized osseous structures are grossly normal
|
<unk>f w/ stage v ckd secondary to membranous nephropathy from probable sarcoid and htn who presents for dialysis initiation // needed for dialysis initiation
|
MIMIC-CXR-JPG/2.0.0/files/p18637661/s59224991/3b11b7a0-920dee30-ea7a0ec4-e5a02ecd-2f1c86a4.jpg
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. no displaced rib fracture.
|
history: <unk>m with rib pain, etoh use // eval for ptx, rib fx
|
MIMIC-CXR-JPG/2.0.0/files/p12881216/s52880208/1410870a-b97dc7cf-66812777-1ab58167-979720ae.jpg
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heart size is normal. hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
|
cough and fever.
|
MIMIC-CXR-JPG/2.0.0/files/p11559130/s55343251/38bfa1f4-2084f1f3-7f5b720a-b6d4f952-ca92c6c5.jpg
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the cardiomediastinal and hilar contours are within normal limits. there is hyperexpansion of the lungs, consistent with chronic pulmonary disease. there is a new focal consolidation at the lateral aspect of the left upper lung. there is no large pleural effusion or pneumothorax. the right lung is essentially clear.
|
copd, wheezing. rule out acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p12122558/s52901758/2014bf9d-d50e8116-ec3389bc-d630006f-4aa9b85a.jpg
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal mediastinal contours. lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. no radiopaque foreign body. pulmonary vascular markings are normal.
|
<unk>-year-old female with tb exposure.
|
MIMIC-CXR-JPG/2.0.0/files/p16787195/s55658837/1df24734-3f3486e8-a16aff05-26b510d2-7d00b0c1.jpg
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there is no focal consolidation, pleural effusion or pneumothorax. mild apical pleural thickening is present. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
|
history: <unk>f with chest pain, shortness of breath // r/o chf, pna
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MIMIC-CXR-JPG/2.0.0/files/p14133413/s53690309/95f13c5c-fd69f2d3-a3268b4f-01a0a135-3435797e.jpg
|
the lungs are hyperexpanded, consistent with the diagnosis of copd. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures and pleural surfaces are unremarkable. there are no acute osseous abnormalities.
|
prolonged copd exacerbation within episodes of sputum production. assess for pneumonia bronchiectasis.
|
MIMIC-CXR-JPG/2.0.0/files/p18813314/s53794563/6a536790-b5820554-6f8e673b-efaab63f-3b369f8d.jpg
|
there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. no free air.
|
history: <unk>f with epigastric pain // evaluate for acute process, free air, consolidation
|
MIMIC-CXR-JPG/2.0.0/files/p18306706/s56211445/daa2f8c9-adb401b2-041bdc75-9d82682b-b097653f.jpg
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endotracheal tube tip is <num> cm from the carina. the lung volumes remain low with new moderate left-sided effusion and increasing retrocardiac and right basilar opacities. mild cardiomegaly persists.
|
<unk> year old woman with gbm s/p resection, now return to or for concern of infection, remains intubated post-op // evaluate ett position
|
MIMIC-CXR-JPG/2.0.0/files/p12222086/s51158867/449ec7e4-fc627f5a-de490098-78e2417d-009a0eba.jpg
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patchy opacity in the right middle lobe appears only slightly increased compared to earlier studies from <unk> and <unk>, most suggestive of atelectasis. there is no pleural effusion or pneumothorax. the cardiac, mediastinal, and hilar contours are unchanged.
|
fever and cough.
|
MIMIC-CXR-JPG/2.0.0/files/p18556519/s58198325/edec566b-99f912e1-e45bce28-6f900823-fbfb66e0.jpg
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pa and lateral views of the chest provided. right ventricular pacer lead and left generator are in normal position. diffuse, prominent interstitial lung markings are mildly improved from <unk>. no pleural effusion or pneumothorax. hilar contours are normal. moderate cardiomegaly is unchanged.
|
<unk> year old man with af, tachycardia-bradycardia syndrome s/p single chamber pacemaker via l subclavian vein // lead position, pneumothorax
|
MIMIC-CXR-JPG/2.0.0/files/p17484682/s52273033/96d77c46-d7500560-08c7d874-3fec3409-d010c412.jpg
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pa and lateral views of the chest provided. minimal subsegmental left mid to lower lung atelectasis noted. no convincing signs of pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette appears unremarkable aside from an unfolded thoracic aorta. no free air below the right hemidiaphragm. bony structures are intact.
|
history: <unk>m with abdominal distention, ?jaundice per wife // obstruction? hepatobilairy pathology
|
MIMIC-CXR-JPG/2.0.0/files/p14197240/s56322761/7ba10c7b-1412c70c-f1c8e819-67c0a5be-928a0182.jpg
|
frontal and lateral views of the chest demonstrate stable to slightly more pronounced moderate cardiomegaly. the mediastinal and hilar contours are unremarkable. mild tortuosity of the thoracic aorta is unchanged. the lungs are well aerated, without evidence of pneumothorax, vascular congestion, or pleural effusion. there is no consolidation to suggest pneumonia. mild thoracic kyphosis and minimal spondylosis is present.
|
<unk>-year-old male with persistent cough and right basilar rales. question infection.
|
MIMIC-CXR-JPG/2.0.0/files/p14344189/s51182707/0b47e541-58fc1184-39331fef-c2446099-4b4843d2.jpg
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the cardiomediastinal contours are stable and within normal limits. the lungs continue to demonstrate diffuse airspace and intersitial opacities, which show a worsening trend from <unk> to <unk>, but then show improvement from <unk> to present. blunting of the costophrenic angles as well as subtle obscuring of the hemidiaphragms suggests some degree of bibasilar atelectasis and small bilateral pleural effusions. there is no pneumothorax.
|
<unk>-year-old female with worsening interstitial lung disease and worsening dyspnea.
|
MIMIC-CXR-JPG/2.0.0/files/p15808806/s55995520/8c29dde6-17da5b7c-0f771e00-9b57976c-de3e636b.jpg
|
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
|
<unk> year old woman with chest pressure // r/o cardiomegaly, pulm edema, pna
|
MIMIC-CXR-JPG/2.0.0/files/p10000935/s50578979/d0b71acc-b5a62046-bbb5f6b8-7b173b85-65cdf738.jpg
|
lung volumes remain low. there are innumerable bilateral scattered small pulmonary nodules which are better demonstrated on recent ct. mild pulmonary vascular congestion is stable. the cardiomediastinal silhouette and hilar contours are unchanged. small pleural effusion in the right middle fissure is new. there is no new focal opacity to suggest pneumonia. there is no pneumothorax.
|
leukocytosis, low-grade temperature, rule out focal infiltrate.
|
MIMIC-CXR-JPG/2.0.0/files/p17900973/s59798032/26f323da-ab4819ac-1519aed4-8121e66e-adca705a.jpg
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the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. the right costophrenic angle is blunted by some combination of atelectasis and effusion. cardiac and mediastinal contours are normal. biventricular pacing leads project over the expected locations. the stomach is dilated with air.
|
hypoglycemia and hypoxemia.
|
MIMIC-CXR-JPG/2.0.0/files/p15144589/s53461026/9e966696-eb6dab34-0f35570e-67debf5a-d5278178.jpg
|
heart size is normal. mediastinal and hilar contours are unchanged and unremarkable. focal consolidative opacity within the right upper lobe is concerning for pneumonia. left lung remains clear. no pleural effusion or pneumothorax is present. pulmonary vasculature is normal. no acute osseous abnormality is detected.
|
history: <unk>m with shortness of breath and fever
|
MIMIC-CXR-JPG/2.0.0/files/p10246275/s59914700/609a966d-076abefd-86022440-a6d88f63-9d60b9fa.jpg
|
pacer wires are unchanged in position, ending in the right ventricle and right atrium. the cardiomediastinal silhouette is normal. there is no pneumothorax or pleural effusion. there is subtle opacity in the left perihilar region, increased from prior.
|
<unk>f with cough and chest pain, evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p19735459/s51713547/4c32fd69-c876b723-5b2b6c7a-54cc38f6-92062b3b.jpg
|
a portable frontal chest radiograph demonstrates a replaced tracheostomy appears normally positioned, terminating in the upper thoracic trachea. a right picc now crosses midline, now terminating in the left subclavian vein. the remainder of the exam is unchanged.
|
evaluate position of replaced tracheostomy.
|
MIMIC-CXR-JPG/2.0.0/files/p18832487/s50409616/920f5d18-a75fe180-1990b68c-627175eb-f9e98a57.jpg
|
lateral left upper lung opacity with scarring and <unk> fiducial markers is grossly stable since the prior study. adjacent lesions and the left upper lobe concerning for tumor recurrence are better assessed on prior pet-ct and chest ct. prominence of the hila is grossly stable. no definite new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
|
syncope, chest pain x.
|
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