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there is moderate cardiomegaly which is unchanged compared to the prior exam. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. patchy ill-defined opacity within the right lung base could reflect developing infection or atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified.
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shortness of breath.
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are mild degenerative changes in the thoracic spine. appropriate positioning of the gastric band is identified in the left upper quadrant of the abdomen.
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recent gastric banding with vomiting and heartburn. assess gastric band location.
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frontal and lateral views of the chest are compared to previous exam from <unk>. somewhat linear left basilar opacity is again seen suggestive of atelectasis. elsewhere the lungs are clear of consolidation or effusion. again seen is prominent mediastinal contour superiorly on the right, potentially due to tortuous vessels however as previously suggested nonurgent ct suggested to further characterize. degenerative changes seen at shoulders bilaterally.
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<unk>-year-old female with fever. question pneumonia.
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lung volumes are low. no focal consolidation to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart size is top normal. there is tortuosity of the aorta and calcification of the aortic arch. the patient is status post median sternotomy. a previously seen left-sided picc has been removed.
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fever. no history of cough or dyspnea.
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lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. heart size is normal. cardiomediastinal and hilar silhouettes are normal. no pleural abnormalities.
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<unk> year old man with h/o of hcc, etoh cirrhosis, hcv, and ipmn // new liver transplant eval, please eval for any cardiopulmonary abnormalities
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ap portable upright view of the chest. overlying ekg leads are present. hila appear congested and there is mild interstitial pulmonary edema. mild left basal atelectasis is also noted. no large effusion or pneumothorax. heart is mildly enlarged. mediastinal contour is stable. bony structures are intact.
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<unk>m with recent dx of atrial flutter s/p ablation and recent aspiration pneumonia p/w tachycardia
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low lung volumes are noted. linear opacity on the lateral view anteriorly is likely secondary to atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, old healed anterior right rib fractures are suspected.
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<unk>m with confusion // ? pna
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no focal consolidation is seen. subcentimeter calcified right upper lobe pulmonary nodules most consistent with a calcified granuloma. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
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history: <unk>m with fall during assault // please eval fracture
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unchanged mild cardiomegaly. the aorta is calcified, indicating atherosclerosis. the mediastinal and hilar contours are normal. the pulmonary vasculature is congested, consistent with mild interstitial edema. again seen are severe emphysematous changes and left apical radiation fibrosis. bibasilar atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. again seen are surgical clips projecting over the left mid upper lung and axilla and right upper quadrant. the patient is status post left mastectomy. unchanged scoliosis.
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<unk>f w/shortness of breath, please eval for volume overload // <unk>f w/shortness of breath, please eval for volume overload
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there is persistent increased opacity at the left lung base likely due to component of left lower lobe atelectasis. superimposed left-sided effusion has decreased in size. the lungs are clear otherwise without consolidation or edema. the cardiomediastinal silhouette is stable. median sternotomy wires and mediastinal clips are again noted. vertebroplasty changes are noted as well surgical clips in the right upper quadrant.
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<unk>f with weakness // pna?
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pa and lateral views of the chest provided. right chest wall port-a-cath is present with right ij insertion and catheter tip in the mid svc. the lungs are clear without focal consolidation, large effusion or pneumothorax. the cardiomediastinal silhouette is normal. no signs of congestion or edema. bony structures are intact.
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<unk>f with all presenting with fever // ? infection
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a small left-sided pneumothorax appears unchanged allowing for small differences in technique. other findings are also unchanged.
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follow-up of left pneumothorax.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. linear opacities within both lung bases likely reflect areas of scarring or subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>m with hr <num>s- dyspnea on exertion
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lung volumes are low. the cardiomediastinal silhouette and hilar contours unremarkable. vascular calcifications are noted along the aortic arch. the lungs are clear without focal consolidation, effusion or pneumothorax. no acute bony abnormality is identified.
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dementia presenting with altered mental status and appearance of sepsis.
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heart size is normal. aorta is tortuous. mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are mild degenerative changes in the thoracic spine.
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chest pain.
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the cardiac, mediastinal, and hilar contours appear unchanged. the heart is at the upper limits of normal size. the lungs appear clear. there are no pleural effusions or pneumothorax.
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cough.
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a right picc is unchanged with the tip in the low svc. again, there is an opacity at the right base with elevation of the right hemidiaphragm, suggesting volume loss and atelectasis. a component of infection cannot be completely excluded. additionally, there is a small right pleural effusion. this is similar to the prior exam. the left lung is essentially clear. there is mild vascular congestion. no left pleural effusion or pneumothorax is identified. the cardiomediastinal silhouette is unchanged, with stable mild cardiomegaly.
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hypotension and cough. evaluate for pneumonia.
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pa and lateral views of the chest provided. the lungs are hyperinflated and lucent suggesting emphysema. the heart is mildly enlarged. the mediastinal contour is normal. no convincing evidence for pneumonia or edema. no effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with <unk>, infx w/u // pna?
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. although this study is limited for assessment of osseous structures, no bony abnormalities are identified.
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patient with syncope. evaluate for acute cardiopulmonary process.
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endotracheal tube terminates approximately <num> cm level the carina. enteric tube courses below the diaphragm, correlating in the stomach. patchy right basilar opacity is seen, increased since the prior which may be due to aspiration or atelectasis. new streaky left base opacity is also seen. the right costophrenic angle is not fully included on the image. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are grossly stable.
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history: <unk>m s/p intubation, please confirm tube placement // s/p intubation, please confirm tube placement
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as compared to <unk>, left pneumothorax and associated left pleural effusion have not substantially changed. mild pulmonary vascular congestion of the right lung has resolved. lung volumes are slightly lower compared to the prior. mild to moderate cardiomegaly.
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<unk> year old man with multiple cardiac comorbidities with with left pleural effusion s/p <unk> c/b trapped lung/persistent pneumothorax // eval for worsening effusion, pneumothorax, acute change
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thoracic scoliosis is re- demonstrated. no focal consolidation is seen. no large pleural effusion is seen although a very trace pleural effusion be difficult to exclude. there is no pneumothorax. biapical pleural thickening is re- demonstrated. the cardiac and mediastinal silhouettes are grossly stable.
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history: <unk>f with recent femur surgery <num> weeks ago presenting from clinic with chest pain. // acute cardiopulmonary process
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frontal and lateral radiographs of the chest were obtained. there is stable mild cardiomegaly. the mediastinal contours are unchanged. no focal consolidation, pleural effusion or pneumothorax. unchanged appearance of degenerative changes of the right shoulder and thoracic spine.
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left facial droop and slurred speech in patient on pradaxa.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar chest examination <unk> <unk>. the heart size has mildly increased in comparison with the previous examination. again no typical configurational abnormality can be identified. the aorta is mildly widened and elongated but does not demonstrate any local contour abnormalities. the pulmonary vasculature has developed an upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema nor are there any pleural effusions in the pleural sinuses. no evidence of acute pulmonary parenchymal infiltrates seen. no pneumothorax can be identified in the apical area. skeletal structures of the thorax are unchanged and show normal appearance with the exception of mild degenerative changes in the mid portion of the thoracic spine, but no evidence of vertebral body compression fracture.
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<unk>-year-old female patient with increasing shortness of breath, assess for infection, cardiomegaly, or other abnormality.
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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. there are degenerative changes of the visualized spine.
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<unk>f with amnesia. evaluate for ich, vessel occlusion,
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pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no displaced rib fractures identified.
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<unk>-year-old male status post mvc with left chest wall tenderness.
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there is persistent diffuse pulmonary fibrosis, better assessed on prior ct chest from <unk>. no focal opacity is identified. the cardiac silhouette remains mildly enlarged. there is no pleural effusion or pneumothorax. included upper abdomen is unremarkable.
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respiratory distress, fever and hypoxia, evaluate for pneumonia.
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left lower lobe opacity is new since <unk>. in addition, there is a possible lingular opacity. no pulmonary edema, pleural effusion or pneumothorax identified. the cardiac and mediastinal contours are stable.
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cough. positive ppd.
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there relatively low lung volumes. bibasilar atelectasis is mild. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. <num> lead left-sided pacemaker is seen with leads extending the expected positions of the right atrium and right ventricle. the cardiac silhouette is top-normal. the aorta may be tortuous.
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history: <unk>f with altered mental status // eval for pneumonia, ich
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the endotracheal tube ends <num> cm above the carina. the nasogastric tube is within body of the stomach. the lungs are clear. cardiac and mediastinal silhouettes are normal. no pneumothorax or pleural effusions.
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<unk> year old woman with intracranial hemorrhage and hydrocephalus s/p intubation // eval for interval change
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there is diffuse sclerosis of the vertebral bodies, and abnormal foci of sclerosis and bone expansion of bilateral ribs, compatible with metastatic prostate cancer. there are new small bilateral pleural effusions. there is no focal consolidation, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with with fever // pneumonia?
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a left-sided dual-chamber pacemaker device is again noted with lead position unchanged. again seen is a large hiatal hernia. the lungs are clear. the heart is top size normal and the mediastinal and hilar contours are normal. there is no osseous abnormality. of note, the trachea is deviated to the left most likely due to an enlarged thyroid. compression fractures of the thoracic spine appear worse.
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<unk> year old man with soboe, htn, diasy chf // etio dyspnea
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. a midline stripe of air is likely to be in the esophagus.
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<unk> year old woman with airway stenosis status post bronchoscopy.
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et tube is <num> cm the carina. enteric tube courses into the stomach and beyond the field of view. opacification at the right base with air bronchograms is worsening. lung volumes remain low. heart is top normal. there is mild pulmonary vascular congestion without frank pulmonary edema. the mediastinal and hilar contours are normal.
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<unk> year old man with new-onset pna // eval for interval change
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the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. partial eventration of the right hemidiaphragm is unchanged. there is stable multilevel degenerative disc disease noted in the thoracic spine. the right clavicle appears lower than the left clavicle with significant degenerative changes in the right acromioclavicular joint. no fracture or dislocation is detected.
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<unk>-year-old female with severe right medial clavicular pain, here to assess for intrathoracic pathology.
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compared with <unk> at <time>, i doubt significant interval change. minimal opacity in the right cardiophrenic angle is slightly more pronounced. catheter or tubing overlying the left lung on the prior film is not visualized on the current examination.
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<unk> year old woman with rul mass, pigtail in place // effusion size, chest tube position
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pa and lateral views of the chest provided.midline sternotomy wires and mediastinal clips with cardiac valve noted. there is no focal consolidation, effusion, or pneumothorax. heart size is top normal. mediastinal contour is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with weakness, pls eval pna
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar study obtained on <unk>. remarkable is that the heart size has increased during the latest <num> hours examination interval. there is no typical configurational abnormality, but the finding could be explained by increasing circulating blood volume. the pulmonary vasculature is slightly more distended but does not show any evidence of extravasation in the form of interstitial or alveolar edema and the lateral pleural sinus remain free. no evidence of new acute pulmonary parenchymal infiltrates are seen. no pneumothorax existing in the apical area. remarkable is that the previously described right-sided picc line projects now with its tip into the upper portion of the right atrium. this may be related to the described increase of the heart volume unless the picc line has been advanced inadvertently. observe that picc line may cause mechanical arrhythmias if in contact with the right atrial wall.
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<unk>-year-old male patient with acute myelocytic leukemia with cns involvement, status post bone marrow transplant, has acute mental status changes. evaluate for possible acute intrapulmonary infection versus pulmonary edema.
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there is linear opacity overlying the patient in the bilateral apices, which makes evaluation for pneumothorax difficult. however, there is likely moderate left and small right apical pneumothoraces. again seen is left apical pigtail pleural drainage catheter, unchanged in position. there has been interval improvement of pulmonary edema. moderate right pleural effusion with associated right lower lobe atelectasis and small left pleural effusion are mostly unchanged. the cardiac and mediastinal silhouettes are unchanged.
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<unk> year old woman with respiratory failure, effusion, chest tube pneumothorax // eval for pneumothorax
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left perihilar and retrocardiac opacities persist. the right lung remains clear. the patient is status post median sternotomy. the heart and mediastinal structures are otherwise unremarkable and unchanged. there are no concerning bone findings.
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interval change
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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>m with dizziness // ? cardiomegaly
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as compared to prior chest examinations, there is persistent heterogeneous right base opacity with interval increase in pleural fluid. there is trace left pleural fluid. the cardiomediastinal and hilar contours are stable. there is no definite pneumothorax.
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crackles. evaluate for pneumonia.
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lungs are clear. nipple shadows project over the lung bases. no pleural effusion. no pneumothorax. heart size is normal.
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<unk>f with chest pain // eval for structural process
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there is a small to moderate persistent left pleural effusion, smaller when compared to previous exam. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. anterior cervical fixation hardware is partially visualized as well as an ivc filter in the abdomen.
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<unk>f with epigastric pain s/p endoscopy <num> days ago // upright ot eval for free air
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with septic knee joint // pre op
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frontal and lateral views of the chest. a moderate-sized left pleural effusion is stable to mildly decreased since <unk>. there is left lower lobe atelectasis. the right lung is clear. no focal opacities are seen. there is no pneumothorax. the cardiac and mediastinal contours are normal. a new transesophageal tube ends beneath the diaphragm.
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cough and sputum.
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no acute pulmonary pathology including pleural effusion, pulmonary edema or pneumothorax is noted. heart and mediastinal contours are within normal limits, and no bony abnormalities are noted.
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<unk>-year-old woman with tracheobronchial malacia, status post bronch with y stent removal, now complains of chest pain, lethargy; evaluate for pneumonia.
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there is interval removal of the left-sided chest tube. there is no evidence of a pneumothorax. sternotomy wires and surgical clips overlying the heart shadow are again noted. cardiomediastinal contours remain unchanged. there is blunting of the left costophrenic angle with a small amount of pleural effusion, an overlying consolidation cannot be excluded which in the proper clinical context could represent pneumonia. lung fields are otherwise clear. bony structures are intact.
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<unk>-year-old gentleman status post left upper lobe wedge, rule out pneumothorax post-chest tube removal.
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the lungs are well-expanded and clear. the heart size is upper limits of normal. otherwise, the cardiomediastinal silhouette is unremarkable. the hilar and pleural surfaces are normal in appearance. interval removal of the left subclavian central line.
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history: <unk>f with tachypnea, likely dka // r/o pna
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minimal bibasilar linear atelectasis/ scarring. an azygos lobe is incidentally noted. no pleural effusion or pneumothorax is seen. the cardiac silhouette is borderline in size. mediastinal contours are unremarkable.
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history: <unk>m with chest pain*** warning *** multiple patients with same last name! // ?pneumonia
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heart size is top normal to mildly enlarged. mediastinal silhouette and hilar contours are unremarkable and unchanged since at least <unk>. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p11212363/s57205127/c51e7f30-337ebc00-5033d316-8ea81ab1-5fc0ff12.jpg
|
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. no radiopaque foreign body is seen. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
|
<unk>f, healthy, with intermittent episodes of sob, o/w well // r/o pna, ptx, foreign body
|
MIMIC-CXR-JPG/2.0.0/files/p13149439/s54269281/09617f76-490774a1-41cd25de-041b160a-757866f8.jpg
|
there is a small right-sided pleural effusion. there is a suggestion of a pulmonary nodule seen on the lateral chest radiograph, but it is not seen on the frontal projection. the descending aorta is focally dilated with heavy calcification, and the cardiac silhouette is moderately enlarged. there is no pneumothorax.
|
<unk>-year-old woman with copd and cad.
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MIMIC-CXR-JPG/2.0.0/files/p19343087/s56768200/46286f1b-78288046-80600ff4-f93c7b20-ebc44310.jpg
|
low lung volumes cause bronchovascular crowding. allowing for this, there is no significant pulmonary vascular congestion or pulmonary edema. there is no pleural effusion, focal consolidation, or pneumothorax. the cardiomediastinal silhouette is stable. a moderate hiatal hernia is unchanged from multiple prior studies. the osseous structures and upper abdomen are unremarkable.
|
<unk>m with epigastric pain chest pain, evaluate for pneumonia or pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p13507998/s55035694/bcb3213f-81bd56b8-58a50971-e3152c29-4fecc7bf.jpg
|
there is no focal consolidation or edema. faint atelectasis is present at the left base. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. a pigtail catheter is overlying the mid abdomen. no free air is visualized below the hemidiaphragms.
|
fevers. evaluate for infiltrate.
|
MIMIC-CXR-JPG/2.0.0/files/p13346506/s54663498/109508f2-f53d9070-1ad7fc77-ea6493d7-077dce68.jpg
|
ap portable upright view of the chest. a small right pneumothorax is unchanged since the <unk> examination. multiple right rib fractures are again seen. the heart size remains normal. the hilar and mediastinal contours are within normal limits. mild elevation of the right hemidiaphragm is stable. there are no new effusions or consolidations.
|
<unk> year old man with traumatic injury after falling down ladder. new onset afib // ?structural cause of afib
|
MIMIC-CXR-JPG/2.0.0/files/p18056761/s58918068/d181468f-4e5f73e8-0ca76ae5-ce2d37b0-8fa5dec1.jpg
|
the cardiac, mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. more extensive opacity than before in the right lower lung, seemingly obscuring the right cardiac border to some extent, suggests middle lobe opacity. elsewhere, the lungs remain clear, however.
|
asthma, presenting with shortness of breath and hypoxia.
|
MIMIC-CXR-JPG/2.0.0/files/p19733656/s53978720/bb8a7c75-16a68e4e-7dbc61fa-889ad668-44bc2527.jpg
|
the lungs are clear. there is no effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
|
<unk>f with mvc, eval for ptx // eval for ptx
|
MIMIC-CXR-JPG/2.0.0/files/p15207957/s56290050/14748e1b-ab4c6808-3ff32a71-1c0c262a-8cc8857d.jpg
|
right ij catheter with tip in the mid svc. no pneumothorax. normal heart size, pulmonary vascularity. lungs are clear. no effusion.
|
<unk> year old woman with catheter directed thrombolysis // confirmation of location of pulmonary catheter
|
MIMIC-CXR-JPG/2.0.0/files/p19098363/s54804359/6650c7cb-bef7158e-9b8bbde1-f6b3e4db-98feb98f.jpg
|
in comparison to the chest radiograph from <unk>, there is re- demonstrated diffuse opacity throughout the right lung, concerning for pneumonia. the cardiomediastinal silhouette is unremarkable.
|
history: <unk>f with hypoxia and cough, recent admission for pneumonia // r/o pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p15131736/s52937624/d9cc9107-872f0471-6fba0396-edc86cf6-6e1a2a4e.jpg
|
exam is limited by patient positioning as well as the patient's chin and neck obscuring the lung apices. low lung volumes are present. heart size is moderately enlarged. atherosclerotic calcifications are noted at the aortic knob. mediastinal contours are unremarkable. crowding of bronchovascular structures is present with possible mild pulmonary vascular congestion. small left pleural effusion is likely present. patchy bibasilar opacities may reflect atelectasis. no large pneumothorax is present. there are hypertrophic changes noted in the thoracic spine.
|
history: <unk>f with copd, chf recent pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p12543884/s50147629/8c13f42f-3efa6343-792e22a3-40cbf714-564a1728.jpg
|
the lung volumes are lower in comparison to the prior study. there is some opacification of the left base which may represent atelectasis and less likely pneumonia, that could be better evaluated with pa and lateral radiographs. again seen are multiple calcified pleural and diaphragmatic plaques consistent with prior asbestos exposure. the cardiomediastinal silhouette and hilar contours are unchanged. the pleural surfaces are normal without effusion or pneumothorax.
|
evaluation for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p15220389/s54798558/b200de2d-33da7fa5-35fd7d6d-a274196e-1c442c9c.jpg
|
a right port-a-cath terminates in the mid svc. the inspiratory lung volumes are slightly decreased from the most recent prior study. streaky opacities in the lower lobes on the lateral radiograph likely represent mild basilar atelectasis. no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. the cardiomediastinal and hilar contours are within normal limits. right humeral hardware is re- demonstrated and the patient's known humeral lesion is incompletely evaluated.
|
<unk>-year-old woman with metastatic osteosarcoma with leukocytosis, here to evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p12501269/s57085624/abbd92ad-fcdd8f4a-8d2326a7-74771eba-c1eb0f81.jpg
|
frontal and lateral views of the chest demonstrate low lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is top normal. tortuous aorta is re-demonstrated. bibasilar opacities likely represent atelectasis.
|
patient with cough.
|
MIMIC-CXR-JPG/2.0.0/files/p12320125/s54424400/376f98b9-5bacc25d-28545871-3f5a58cc-a37857c1.jpg
|
left cardiac pacemaker is seen with leads ending in the right atrium and right ventricle. no consolidation, pleural effusion, or pulmonary edema is seen, and the cardiac silhouette is mildly enlarged compared to previous chest radiograph.
|
<unk>-year-old woman with history of tia and thrombosis, on coumadin and lovenox, presents with headache, found to have prepontine hemorrhage, evaluate for infiltrates.
|
MIMIC-CXR-JPG/2.0.0/files/p12997617/s57172881/4859bc83-61565efc-dece0653-98ad591e-8af886f4.jpg
|
the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
|
pain. assess for acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p15160731/s52118731/d1b7a1a6-c85ccffc-98ed9862-c7ca46ba-2e717371.jpg
|
pa and lateral views of the chest provided. left chest wall pacer device is seen with leads extending into the right atrium and right ventricle region as on prior. the heart size is unchanged appearing top-normal. the aorta is markedly unfolded as on prior with atherosclerotic calcification at the knob. there is no focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. bony structures are intact.
|
<unk>f with presyncopal event // pna?
|
MIMIC-CXR-JPG/2.0.0/files/p14681456/s58130829/7176a801-f592ca33-4b2fe071-e9219b13-8a75edda.jpg
|
heart size and cardiomediastinal contours appear normal. lungs are hyperinflated, similar to prior. bilateral upward retraction of the hila is unchanged, as is biapical scarring with calcified nodules. no focal consolidation, pleural effusion, or pneumothorax. no pneumoperitoneum is identified.
|
history: <unk>m with abdominal pain // eval free air diaphragm
|
MIMIC-CXR-JPG/2.0.0/files/p18594381/s53600174/3d469df3-e51b003c-67611d98-107e35a3-57f92052.jpg
|
lungs are clear. there is no consolidation, edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
|
<unk>f with cp // eval pna
|
MIMIC-CXR-JPG/2.0.0/files/p12273955/s53568268/842d5027-451885c0-bbcba964-6a1b9f57-e6989d30.jpg
|
ap portable view of the chest. there is vague increased haziness at the lung bases. there is no pleural effusion or pneumothorax. the cardiomediastinal contours are normal.
|
<unk>-year-old female with fever and dyspnea, fever to <num>, evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p12479159/s51680875/7cd4f9fc-20c4df07-58bc9ba7-0ff45f3d-fbb83a6a.jpg
|
left picc line has been retracted, now terminating at the approximate superior cavoatrial junction. heart size is stable and central vascular congestion is unchanged. no new consolidation to suggest pneumonia. no pleural disease. heterogeneous interstitial opacities at the lung bases have not significantly changed compared to the most remote radiograph from <unk>.
|
<unk> year old man with hypoxia // please evaluate for parenchymal disease
|
MIMIC-CXR-JPG/2.0.0/files/p17477304/s52657692/d36f55e4-bc3109c2-67d729a6-c6885134-12565d63.jpg
|
a single portable ap semi-upright view of the chest is obtained. there is interval placement of a right internal jugular central venous catheter with tip near the confluence of the internal jugular and right subclavian veins. although the trachea appears narrower than before, a prior ct torso from <unk> showed displacement of the right innominate vein from the trachea; therefore, the increased distance between the right ij line and the trachea need not be due to a hematoma. lungs are clear. no effusion or pneumothorax.
|
<unk>-year-old man with urosepsis, central line placement.
|
MIMIC-CXR-JPG/2.0.0/files/p16429238/s57673775/b4583100-4bb3c968-a4b47da1-2f3f5aab-f2be4d10.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.
|
traumatic injury.
|
MIMIC-CXR-JPG/2.0.0/files/p17288749/s56656186/67a89822-26f73c3d-33f99582-cb4c7edc-ab95bfe4.jpg
|
lung volumes are low but similar when compared to the prior study. the patient has known tracheostomy is difficult to visualize due to patient positioning on today's study. there is persistent prominence of the pulmonary vascular structures and cardiomegaly, however there has been progressive opacification of the right lung base with air bronchograms and the appearances are suspicious for a combination of pulmonary edema and pneumonia. probable right-sided pleural effusion.
|
<unk> y/o man with complex medical hx of t<num> dm, rld <unk> obesity, pulmonary htn, complex sleep d/o requiring bipap, tracheomalacia s/p trach in <unk>, chf (ef <unk>%), and aflutter, presenting from clinic at request of pcp for progressive fatigue, dyspnea, and orthopnea. // assess for pulmonary edema
|
MIMIC-CXR-JPG/2.0.0/files/p15287015/s51334439/984a2a39-1fc5c6f0-bc94e190-638652ca-02d4a126.jpg
|
the heart is enlarged, even allowing for technique. lung volumes are decreased. there is mild atelectasis at the right lung base. there is no focal consolidation, pleural effusion or pneumothorax. distended loops of bowel are noted in the left upper abdomen.
|
history: <unk>f with dyspnea // evidence of chf
|
MIMIC-CXR-JPG/2.0.0/files/p17636898/s57757924/d25a7f42-8c630e8f-a01dd17f-23af60f7-0a7b7203.jpg
|
single supine portable view of the chest. tracheostomy tube is in stable position. multifocal opacities, particularly at the right upper lung and left lung base are similar when compared to prior. right-sided picc again seen with tip in the upper-to-mid svc.
|
<unk>-year-old male with vent, tracheostomy and shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p12998617/s53111457/197a7aed-7ea6e597-f69224f2-04b68fe1-0148a45f.jpg
|
the cardiac, mediastinal and hilar contours appear within normal limits and unchanged. streaky opacities at the left lung base indicate mild atelectasis. a small calcification projecting over the right upper lobe and the course of the right anterior fourth rib as well as the posterior right seventh rib suggests a bone island or parenchymal granuloma but unchanged. mild pleural thickening appears unchanged at each lung apex. there is no pleural effusion or pneumothorax. the chest appears hyperinflated.
|
cough and unsteadiness.
|
MIMIC-CXR-JPG/2.0.0/files/p17500024/s54092403/af92b998-2ff8a9e1-1d209fbd-61bd90a8-c5b53c09.jpg
|
the heart is borderline in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
|
hypertension. question effusion.
|
MIMIC-CXR-JPG/2.0.0/files/p11489146/s52930259/56a82eab-e06b4e05-25526899-6e20308c-bd1121fc.jpg
|
small apical residual pneumothorax appreciated on <unk> has completely resolved. minimal irregularity in the right lung apex is probably scarring. otherwise, lungs are clear. no effusions. the heart size is normal. the mediastinal and hilar contours are unremarkable.
|
spontaneous pneumothorax to look for interval changes.
|
MIMIC-CXR-JPG/2.0.0/files/p16056611/s54301975/fdc21097-2aeeb288-806426f6-194df66c-dcc90d55.jpg
|
there has been placement of a right chest tube. there is a small right apical pneumothorax. there is no mediastinal shift. compared to the prior radiograph from <unk>, there is a new hazy opacity in the left upper lung zone, which may be due to overlapping bony shadows, but in the right clinical setting, could represent aspiration pneumonia. the heart remains enlarged. there is no pleural effusion or pneumomediastinum.
|
<unk>-year-old woman with right lower lobe adenocarcinoma status post right vats. rule out pneumothorax and pneumomediastinum.
|
MIMIC-CXR-JPG/2.0.0/files/p13777829/s58254850/e7ce5c2f-28ab5154-01e4847b-00f15d28-48b396d1.jpg
|
the heart size is normal. there has been slight interval improvement in the moderate right pleural effusion, with adjacent atelectasis. the mediastinal contours are normal. the left lung is clear. there is no pneumothorax. the visualized osseous structures are unremarkable.
|
history: <unk>f with concern for effusion // evidence of effusion
|
MIMIC-CXR-JPG/2.0.0/files/p17591410/s51299011/b71f7086-b09b2e84-91b126e5-35d39ae5-e39716dd.jpg
|
frontal and lateral chest radiographs demonstrate a new left chest pacemaker with the lead overlying the right ventricle. there is no pneumothorax. mild cardiomegaly is unchanged and there is mild bilateral lower lobe atelectasis. the lungs are otherwise clear. there are small bilateral pleural effusions.
|
status post pacemaker placement.
|
MIMIC-CXR-JPG/2.0.0/files/p12034246/s56880354/35bce2be-7280563d-a178a83e-b18c129b-7d23d8c9.jpg
|
the endotracheal tube tip terminates approximately <num> cm from the carina. orogastric tube tip courses through the stomach, off the inferior borders of the film. heart size is normal. mediastinal and hilar contours are unremarkable. mild bibasilar airspace opacities likely reflect atelectasis. there is mild elevation of the right hemidiaphragm. no large pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
|
endotracheal tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p10050755/s53755468/66eafa77-33bf62a9-a1575a73-17d10d4a-b08cd39c.jpg
|
there has been continued interval improvement of the opacity at the right upper lung when compared to last month's exam. faint left upper lung opacity is similar compared to recent exam which had developed since older exam. there is no new focal opacity. cardiomediastinal silhouette is unchanged given projection. tubing projects over the left upper quadrant. no acute osseous abnormalities.
|
<unk>m with h/o recent pna with worsening respiratory status // ? new pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p11130435/s56409215/94e8da8d-abcf0795-cbd515d5-7d3cecaa-73cd5c03.jpg
|
the lungs are grossly clear noting that the left costophrenic angle is excluded from the field of view. there is relative elevation of the right hemidiaphragm. left chest wall port is noted with catheter tip at the ra svc junction. no acute osseous abnormalities identified.
|
<unk>m with seizure // ? infectious process
|
MIMIC-CXR-JPG/2.0.0/files/p10957591/s55947118/b1b76ba9-fbe0c93a-35284b4d-759a725c-5ebeacec.jpg
|
the lungs are hyperinflated. chronic scarring is noted in the bilateral bases. the heart is enlarged. the patient is status post cabg. there is no pneumothorax, pleural effusion, or consolidation.
|
history: <unk>m with chest pain // ? chest pain
|
MIMIC-CXR-JPG/2.0.0/files/p14369857/s54019989/2ad837bd-bd36a0da-78d06982-cbe6ca71-e786d185.jpg
|
a left-sided picc line terminates in the mid-to-lower superior vena cava. the heart is probably at the upper limits of normal size. trace pleural effusions are suspected based on blunting of posterior costophrenic sulci and slight fullness of lateral sulci. however, the lung fields appear clear. given technique, cardiac and mediastinal contours are probably within normal limits.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p13326903/s51131930/bdcfec82-92a88d6e-878a3358-8c3953e5-f8172ee6.jpg
|
the heart is normal in size. there is similar calcification and unfolding along the thoracic aorta. the mediastinal and hilar contours appear unchanged, allowing for differences in technique. there is no evidence for pleural effusion or pneumothorax. the lungs appear clear. slight degenerative changes are similar along the thoracic spine.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p19707324/s55098257/81d863c0-6d9bc3e7-bd710843-8728ab2b-adc962fd.jpg
|
the lungs are grossly clear however, known right basilar calcified pleural based opacity is not clearly delineated on this portable film. the cardiac silhouette is moderately enlarged similar to prior and there is enlargement of the main pulmonary artery.
|
<unk>m with complete av block // eval for acute cardiopulmonary process
|
MIMIC-CXR-JPG/2.0.0/files/p17679569/s55683858/44860c80-c42c7401-a954bc60-4257bd75-f664d293.jpg
|
there is a right-sided chest tube with tip projecting over the upper mediastinum. epidural catheter projects over the midline. ekg leads overlie the chest wall. there is asymmetric decrease in right lung volume compared to the left side. extensive right perihilar opacities likely represent atelectasis and vascular congestion related to the recent surgery. linear atelectasis also seen in the left lower lobe. there is a small right pleural effusion. bony thorax is unremarkable.
|
<unk> year old woman with tracheobronchomalacia, now s/p tracheobronchoplasty // <unk> year old woman with tracheobronchomalacia, now s/p tracheobronchoplasty, pod<num>
|
MIMIC-CXR-JPG/2.0.0/files/p13603221/s58870620/ec46493f-c4ce2528-17530a2e-ef0baa5b-c34f2dc5.jpg
|
the lungs are clear and well-expanded. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the heart is normal in size. the descending thoracic aorta is slightly tortuous or ectatic. the mediastinum and hila are within normal limits.
|
<unk>m history of hcv genotype <num>-b cirrhosis now with hcc dx <unk> now on c<num>d<num> gem/doxil presenting with abdominal pain, now with confusion // r/o pneumonia, infiltrates
|
MIMIC-CXR-JPG/2.0.0/files/p15237353/s52096160/0710850e-ad19203f-06ed6683-863f57aa-ceeb65cb.jpg
|
endotracheal tube terminates <num> cm above the carina. the enteric tube extends into the stomach with tip out of view. lung volumes are low. small bilateral pleural effusions may be present. the heart appears mildly enlarged which may be secondary to low lung volumes. bibasilar atelectasis is noted. no evidence of pneumothorax.
|
history: <unk>m with s/p intubation // eval for tube placement
|
MIMIC-CXR-JPG/2.0.0/files/p16244464/s59590269/ae2343b7-84cd70bd-3870be7d-b3dba5f4-27f7d418.jpg
|
frontal upright and lateral chest radiographs demonstrate low lung volumes. cardiomediastinal contour is unchanged compared to the prior study. the heart is normal in size. eventration of the right hemidiaphragm is stable. the lungs are clear without focal consolidation. there is no pleural effusion and no pneumothorax.
|
chest pain, evaluate for infiltrate.
|
MIMIC-CXR-JPG/2.0.0/files/p10165672/s54799024/53b504b6-19968757-56b357ca-6d4c980f-fa012b50.jpg
|
frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is stable cardiomegaly. there is no pneumothorax, pleural effusion, or consolidation.
|
<unk>-year-old man with end-stage renal disease and right upper lobe pneumonia. evaluate for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p19038213/s54015267/be52c88d-7802fd19-0a2ab19c-2abefb45-1796c00b.jpg
|
pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
|
<unk>-year-old male with new onset of afib. question cardiomegaly.
|
MIMIC-CXR-JPG/2.0.0/files/p16505030/s51059773/6fd045c6-b03adae9-b3256b94-91158dd8-5d2ec8cd.jpg
|
there are multifocal airspace opacities, particularly in the left mid lung and at the right lung base, which may be due to infection. old healed right rib fractures are incidentally noted. there is no pneumothorax. mild cardiomegaly despite the projection is present. mild indentation of the right lateral wall of the upper trachea may be due to an enlarged right thyroid lobe. clinical correlation including palpation is suggested.
|
<unk> year old man with fever and alk hep // eval for pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p16823121/s55317239/89894607-5746ee6d-2da03eee-909220ff-1183741a.jpg
|
the lungs are hyperinflated. a vague nodularity is noted overlying the right upper lobe on the ap view and most likely representative of costochondral calcifications at the right anterior first rib. there is mild left basilar atelectasis. otherwise, the lungs are without a focal consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures identified. mild degenerative changes are noted throughout the thoracic spine.
|
cough.
|
MIMIC-CXR-JPG/2.0.0/files/p12468660/s52837557/1ef34557-3282e3e6-1bc4c73d-600b86fa-68b191b7.jpg
|
the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal, and hilar contours appear unchanged. the heart is mildly enlarged. the chest is mildly hyperinflated. trace bilateral pleural effusions are suspected, but markedly decreased. there has also been resolution of fissural thickening. the lungs appear clear. moderate degenerative changes and loss in height among several lower thoracic vertebral bodies appear unchanged. the bones appear demineralized.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p13419676/s59626417/f546ce68-7bf36fa7-0b13e106-aa236130-21115069.jpg
|
there has been interval removal of an endotracheal and enteric tube. lung volumes are unchanged and accentuate the transverse heart size. there are mild atelectatic changes at the base of the left lung, obscuring the left hemidiaphragm. no pneumonia or congestion is identified.
|
<unk> year old man with choking s/p cardiac arrest, now with fever. r/o aspiration pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p19762081/s55232980/dfdd819e-1e1b70fa-0291f7be-78ffa454-6c453454.jpg
|
ap portable upright view of the chest. lungs are hyperinflated and clear. overlying ekg leads are present. no large effusion or pneumothorax. the heart appears mildly enlarged. the mediastinal contour is unchanged with atherosclerotic calcifications along the thoracic aorta. the hila are mildly prominent and unchanged. bony structures are intact.
|
<unk>f with sob
|
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