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frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is no overt pulmonary edema. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is identified.
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progressive, intermittent chest pressure.
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endotracheal tube tip terminates at the level of the thoracic inlet, approximately <num> cm from the carina. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. atelectasis is noted in the left lung base. lungs are otherwise clear without focal consolidation. tiny right upper lobe calcified granuloma is again noted. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.
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history: <unk>m with intubation
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. there is a mild pectus deformity.
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history: <unk>m with chest pain. evaluate for pneumonia.
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endotracheal tube tip is <num> cm above carina. enteric tube tip is well below diaphragm. very shallow inspiration. minimal bibasilar opacities.
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<unk> year old woman with basilar artery occlusion, intubated // ? ett placement
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frontal and lateral views of the chest. compared to prior, there has been interval enlargement of the right-sided pleural effusion. there is a persistent left-sided effusion which is grossly unchanged. superiorly, the lungs demonstrate mildly indistinct pulmonary vascular markings suggesting vascular congestion. cardiomediastinal silhouette is unchanged, at least moderately enlarged. chronic changes seen at the shoulders bilaterally. mid thoracic vertebral body severe compression deformity is again noted.
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<unk>-year-old female with dyspnea and history of chf.
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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 is persistent elevation of the right hemidiaphragm.
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<unk> year old man with cough // ? pna
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normal cardiomediastinal and hilar contours. lungs are clear. pleural surfaces are normal.
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<unk>-year-old man with history of ibd, now with chest pain. evaluate for pneumonia.
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there is no focal consolidation or pneumothorax. vascular congestion is mild. bilateral pleural effusions are small. cardiomegaly is moderate. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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history: <unk>m with ?pulm edema // eval for fluid overload
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there is background moderate to severe cardiomegaly as well as moderate interstitial edema. there is slight increased opacity at the right lung base obscuring the right heart border which may represent a developing consolidation. there is a moderate right pleural effusion. no pneumothorax is seen.
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<unk>-year-old male with shortness of breath and cough. evaluate for pneumonia.
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there is persistent opacity at the right lung base in keeping with known persistent pleural effusion and regions of rounded atelectasis. overall, the appearance has not changed since prior. there is a persistent residual right apical pneumothorax. the left lung remains clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
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<unk> m cirrhotic with hx hcc p/w worsening <unk> edema. eval for worsening pleural effusion // eval for interval change
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with cough, fever // eval for acute process
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no significant change in comparison to <unk>. no pulmonary edema. mild retrocardiac opacity unchanged, likely atelectasis. stable severe cardiomegaly. there is no pneumothorax or pleural effusion. ett measures <num> cm above the carina. right atrial and right ventricular pacer leads in standard positions and contiguous with the left pectoral generator. ng tube tip terminates in the stomach. right ij catheter tip in the mid svc.
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<unk> year old man with intubated // serial exam
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a nasogastric tube terminates at the level of the ge junction as on the recent prior. right picc terminates in the mid svc. diffuse pulmonary opacities as well as thickened septal lines and vascular congestion reflect mild pulmonary edema. cardiac size is normal with normal cardiomediastinal silhouette.
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desaturation after fluids. assess for acute abdominal process.
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lung volumes are low with reticular interstitial opacities and indistinct left diaphragm. no evidence of pneumonia, pleural effusion, or pneumothorax. the heart is top normal is size.
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<unk> year old woman with cough x <num> months // ?lung pathology
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the heart is of normal size with normal cardiomediastinal contours. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
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severe malnutrition. evaluate for cardiopulmonary process.
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pa and lateral chest radiographs. median sternotomy wires are intact. mediastinal clips are again noted. opacity projecting over the anterior inferior chest on the lateral view only has no correlate other than fat on ct abdomen pelvis from <unk> which included this level. otherwise, the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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left-sided weakness and jaw pain.
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there is moderate bilateral pulmonary edema. there is an opacity in the right lower lobe which is likely pulmonary edema. although this may be a pneumonia, the lack of a consolidation seen on most recent ct from <unk> makes this less likely. there is a right subpulmonic effusion. heart size is top-normal. no pleural effusion or pneumothorax is seen.
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<unk> year old man with gpc bacteremia, hypoxia // eval for pneumonia
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frontal and lateral chest radiographs were obtained. low lung volumes and right middle lobe scarring are unchanged. lungs are otherwise clear without focal areas of consolidation. heart is normal in size, and mediastinal contour is within normal limits. there is no pleural effusion and no pneumothorax. position of right-sided port-a-cath with the tip near the cavoatrial junction is unchanged.
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history of tracheomalacia, atrial fibrillation, diabetes, and myasthenia, presenting with fever, progressive productive cough for four days, evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. no pleural effusion. no evidence of pneumothorax.
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chest pain
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unchanged mild pulmonary vascular congestion with some vascular redistribution. stable mild cardiomegaly. the mediastinal and hilar contours are unchanged. the ng tube tip terminates in the fundus. the right ij central venous catheter terminates in the upper to mid svc.
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<unk> year old man with ng placed. // eval for changed ngt placement.
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the radiograph obtained at <time> hours shows new small bilateral pleural effusions, left greater than right. lung volumes remain low. however, there is evidence of new mild pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette is stable. the known right <unk> thoracic rib fracture is not seen on this exam. the followup radiograph of <time> hours shows increased elevation of the right hemidiaphragm, likely due to a combination of worsening atelectasis and pleural effusion. an endotracheal tube has also been placed, terminating at the level of the clavicles. there is increased opacification along the right paratracheal location, which could be due to a developing hematoma. the left lung is clear. there is no pneumothorax.
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<unk> year old man with rib fractures on r after scooter vs. truck accident, resp failure, now intubated // interval change, tube position <unk> year old man with multi trauma, likely pulm contustions on cxr, abdominal bleeding, now with increasing o<num> req. // any new consolidation or effusion?
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small left pleural effusion appears stable. there is improved aeration at the lung bases with minimal bibasilar atelectasis. no pulmonary edema or pneumothorax is detected. cardiomegaly persists. the aorta is tortuous and calcified. right rib fracture is again noted.
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<unk>-year-old male with shortness of breath, hypoxia, and cough.
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no focal consolidation, pleural effusion, pneumothorax or pulmonary edema. heart and mediastinal contours are within normal limits. deformity of the right acromioclavicular joint appears unchanged compared to <unk>, likely due to remote trauma.
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<unk>-year-old male with diabetes and chest tightness.
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blunting of the right lateral costophrenic angle is compatible with small pleural effusion as seen on prior. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk> year old man with recent liver transplant, recent hcap now presents with fevers // please assess for pna
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there has been a interval increased density and size of the left upper lobe consolidation abutting the suprahilar region. the extent of the more diffuse and patchy opacities is unchanged and possibly represents pulmonary edema and/or multifocal pneumonia. a small right pleural effusion. no pneumothorax. the size of the cardiac silhouette is unchanged. .
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<unk> year old woman with mca occlusion and sah and iph s/p and sdh s/p extubation // s/p extubation
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severe roto scoliosis and rib cage deformity limits the evaluation of the lungs. cardiac size is top normal. the upper lungs are clear. there is no pneumothorax. suspected small bilateral pleural effusions are associated with adjacent atelectasis. spinal hardware is noted.
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<unk> year old woman with new onset sob and hypoxia after possibly aspirating some liquid // evaluate for possible aspiration
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. mildly prominent opacity in the right infrahilar region appears unchanged and is suspected to represent normal descending vascularity, which is unchanged and associated with slight leftward rotation of the heart. there are no pleural effusions or pneumothorax.
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mastocytosis and elevated white blood cell count. question pneumonia.
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there is focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable and there are no acute skeletal abnormalities.
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<unk>-year-old man with moderate-to-severe asthma, rule out infiltrate.
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the lungs are well expanded and clear. no focal consolidation, effusion, or pneumothorax. several healed rib fractures are noted.
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<unk>-year-old man with fever.
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the patient is status post right pneumonectomy with rightward shift of mediastinal structures and opacification of the right hemithorax compatible with pleural calcifications and fluid. chain sutures are again noted within the left upper and lower lung fields compatible with prior wedge resections. no focal consolidation is identified. blunting of the left costophrenic angle is chronic. no pneumothorax or large pleural effusion is identified on the left. no pulmonary vascular congestion is noted. there are no acute osseous abnormalities.
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shortness of breath.
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upright pa and lateral radiographs of the chest were obtained. the lateral radiograph is somewhat limited by motion artifact and obscured by the patient's arms. the lungs are normally expanded and clear. the heart is somewhat globular and slightly enlarged, new since <unk>. pulmonary vascularity is normal and symmetric without frank pulmonary edema. no pleural effusion or pneumothorax is detected. the aorta is somewhat tortuous and calcified at the arch.
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chest pain. evaluate for etiology of chest pain.
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ap upright and lateral views of the chest provided. lungs are clear. no large effusion or pneumothorax. a retrocardiac opacity is again noted which likely reflects known hiatal hernia. cardiomediastinal silhouette is stable. bony structures appear intact. chronic left clavicle deformity noted.
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<unk>m on coumadin s/p fall down <num> stairs with known acute on chronic sdh.
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the cardiac, mediastinal and hilar contours appear stable, allowing for differences in technique, including mild-to-moderate cardiomegaly. there is no pleural effusion or pneumothorax. a new focal perihilar opacity in the left upper lobe could be seen with pneumonia but not specific. remodeled fractures of the right posterior ninth and tenth ribs appear old. the bones appear demineralized. there is mild chronic appearing loss in height among several lower thoracic vertebral bodies.
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status post fall.
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since yesterday, right pleural effusion has decreased. there is small left pleural effusion. improved right basilar opacity. again seen are bilateral pulmonary nodules, better seen on chest ct. shallow inspiration accentuates heart size. no definite pneumothorax.
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<unk> year old woman with pleural effusion s/p thoracentesis // r/o pneumothorax
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minimal bibasilar subsegmental atelectasis is unchanged. there is no new consolidation. a minimal trace left pleural effusion is present. the heart and mediastinum are within normal limits. mild kyphosis is unchanged. a new percutaneous cholecystostomy tube projects over the right upper quadrant.
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<unk> year old man with acute cholecystitis and question of infiltrates on cxr from <unk>. // please evaluate for interval change in infiltrates/pneumonia.
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there has been interval removal of the right ij catheter. left-sided picc catheter remains in position terminating within the low svc. the lungs are clear, but no areas of focal consolidation or vascular congestion suggestive of failure. persistent unchanged elevation of the right hemidiaphragm with associated right lower lobe atelectasis. no pneumothorax is identified. the cardiomediastinal silhouette is unchanged and within normal limits.
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<unk>-year-old female with pancytopenia, klebsiella, sepsis, now presents with increasing peripheral edema.
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the cardiac, mediastinal and hilar contours are unremarkable. there is lung volumes are low. there is no pleural effusion or pneumothorax. opacities at the lung bases are faint but greater on the right than left. elsewhere, lungs appear clear.
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cough. right upper quadrant pain and tenderness.
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the cardiac silhouette is unremarkable. linear atelectasis is seen at the bases and right middle lobe. no definite consolidation is identified. there is no large pleural effusion.
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history: <unk>m with coug,h fever, congestion // pna?
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in comparison with chest radiograph from <unk>, small bilateral effusions are minimally improved. new consolidation at the left lung base with associated air bronchograms suggests atelectasis or pneumonia. mild interstitial pulmonary edema is more prominent on the right, though this is likely reflective of positional differences and total volume is unlikely significantly changed. no pneumothorax. mediastinal and hilar contours are stable. mild cardiomegaly is unchanged.
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<unk> year old man with new b/l coarse breath sounds s/p left thoracentesis (<num> l drain) <unk> // re accumulation effusion vs chf? prior call at osh of ?pna of left lower lobe...is there evidence of that
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persistent atelectasis and post radiation changes in the right upper lobe with two fiducial markers in place. there is no focal consolidation, effusion or pneumothorax. left lung is clear. heart size is normal.
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<unk> year old woman with history of sclc, s/p ebus tbna and tbbx // eval for ptx
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lung volumes are very low, and there is consolidation at the left base. heart size is not well evaluated. there is no large pneumothorax. there is atelectasis at the right base. subdiaphragmatic free air is seen under the right hemidiaphragm.
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high-dose steroids with acute abdominal pain. evaluate for pleural effusion or pneumonia.
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the lungs are grossly clear. cardiomediastinal silhouette is stable given differences in positioning and technique. multiple bilateral rib fractures are again noted. compression deformity in an upper thoracic vertebral body was also seen on prior.
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<unk>m with new tachypnea, tachycardia // ? aspiration, pna
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. mild anterior vertebral body height loss in the upper thoracic spine may reflect a compression fracture of indeterminate chronicity.
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<unk>m with pleuritic chest pain.
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portable upright chest <unk> at <time> is submitted.
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<unk> year old woman esrd on hd with worsening dyspnea and oxygen requirement, febrile, please eval for pna // please eval for pna please eval for pna
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a tracheostomy has been placed in the upper trachea. lung volumes are low. there is extensive retrocardiac opacity, unchanged. airspace opacity at the right base may reflect atelectasis. the cardiac silhouette remains mildly enlarged. a right-sided internal jugular catheter ends in the upper svc.
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<unk>-year-old woman, status post tracheostomy and percutaneous gastrostomy placement.
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pa and lateral images of the chest demonstrates well-expanded lungs which are clear. there is no pneumothorax or pleural effusion. cardiac size is top normal. otherwise, the cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable.
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<unk>-year-old female with chest pain, cough and shortness of breath.
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there is a right chest tunneled line with tip projecting over the low svc versus cavoatrial junction. an enteric tube courses inferiorly with distal tip projecting below the lower limit of the radiograph. the cardiomediastinal silhouette is stable. hazy opacities at the right cardiophrenic angle are unchanged in comparison to prior exams and likely reflect superimposition of normal structures. retrocardiac opacity better seen on subsequent ct. the hilar within normal limits. there is no pulmonary edema. there is no focal lung consolidation. there is no pneumothorax or sizable pleural effusion.
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<unk>m with cough, abd pain diffusely, and hypotensive, evaluate for infection.
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lungs: no acute infiltrate is seen. a nodular density persists in the left base probably nipple shadow. this was present in the past. pleura: there is no pleural effusion. mediastinum: no mediastinal mass is seen on this ap examination. heart: the heart is not enlarged. osseous structures: the osseous structures are normal for age. additional findings: the endotracheal tube is <num> cm above the carina. monitor leads overlie the chest. a feeding tube is projected over the abdomen and extends beyond the field of view of this chest radiograph. left-sided surgical clips are seen presumably in the breast.
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<unk> year old woman with ams, epidural abscess s/p laminectomy and endotracheal intubation // assess for et tube position
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two views were obtained of the chest. the lungs are somewhat low lung volumes with mild bibasilar atelectasis. old left-sided rib fractures are seen without new displaced rib fractures. there is no pneumothorax or pleural effusion. the cardiac size is normal with tortuous ascending aortic contour. mild degenerative changes are seen in the thoracic spine with unchanged mild height loss in the mid upper thoracic vertebral bodies. hyperdensities projecting in the abdomen on the lateral view are likely external to the patient.
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flank pain after fall
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a frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and fairly well-aerated lungs. there is no focal consolidation, pleural effusion, or pneumothorax is identified. calcification of the aortic knob is again seen.
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evaluate for pneumonia in a patient with chills, arthralgias, and myalgia.
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the lungs are well expanded and clear. small bilateral pleural effusions are new since <unk>. the heart size is normal, though mildly enlarged compared to prior. the mediastinum and hilar contours are similar to prior and normal. the distribution of pulmonary vasculature is unchanged and normal.
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<unk> year old woman with cough and wheezing. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19385219/s51580524/7d22f486-39a65ec8-930eb908-0f79bde2-baec2d5b.jpg
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there has been interval placement of a right-sided chest tube. there has been minimal decrease in the size of the right pleural effusion with persistent pleural fluid seen. there is persistent right middle and right lower lobe atelectasis. lung volumes remain low on the right. no left-sided pleural effusion seen. no pneumothorax seen. the cardiomediastinal contour is unchanged compared to the prior study.
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<unk> year old man with cirrhosis s/p <unk> for r pleural effusion. // r/o ptx
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the lungs are well expanded. the cardiomediastinal silhouette is within normal limits. known mediastinal and hilar nodes are not well appreciated radiographically. left-sided pacemaker with lead tips over the right atrium and right ventricle noted. multiple nodules an opacities seen on the chest ct from <unk> are poorly visualized by radiograph. on today's exam, there is a faint small patchy opacity in the right mid zone laterally, above a slightly thickened minor fissure; some patchy opacity at the right base, with blunting of the right costophrenic angle ; and minimal patchy opacity at the left base. findings at the right base are more pronounced and could represent early superimposed pneumonic infiltrate. the right midzone left base opacities are similar to the prior film. the prominent rounded density previously seen over the right lower lung is no longer visualized and, itself, may have represented a nipple shadow.
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<unk> year old woman with enterococcus bacteremia, lung nodules, rml infiltrate with worsened cough // eval for progression of infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p17147859/s50242373/60df340a-31a5266d-2f3912a7-3758a59c-9a5baa79.jpg
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stable cardiomegaly. normal mediastinal and hilar contours. stable, subsegmental atelectasis in the right middle lobe. otherwise, the lungs are clear. pleural surfaces are normal.
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<unk>-year-old woman with chest pain. evaluate for an acute process.
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pa and lateral views of the chest provided. marked cardiomegaly is again noted streaky retrocardiac opacity likely reflect scarring or atelectasis. no large effusion or pneumothorax. the thoracic aorta is mildly unfolded. no evidence of edema. bony structures are intact with multilevel degenerative changes in the t-spine.
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<unk>f with cough and fever. cxr yesterday at <unk> showed small left pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p17368467/s54922382/26b618cc-78481097-72bbf6cd-7de827b1-638fdafb.jpg
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there is a left chest tube which curves at the left apex. there is a trace right effusion. there is no focal consolidation or pneumothorax. cardiomegaly is mild. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. aortic arch calcifications are again seen.
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<unk> year old woman with lung nodule // sp l vats wedge
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lower low volumes results in crowding of the bronchovascular structures. bibasilar airspace opacities, worse on the right, are suspicious for pneumonia. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits.
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history: <unk>m with respiratory distress // eval for pneumonia, ptx
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MIMIC-CXR-JPG/2.0.0/files/p17286918/s54491955/1a979822-ff92bf78-1576f7f0-7ae3b746-79e0c244.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no subdiaphragmatic free air is present. clips are noted in the right upper abdomen.
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history: <unk>f with abdominal pain, history of obstructions/ulcers
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MIMIC-CXR-JPG/2.0.0/files/p11192935/s54885682/eb098268-6992dfc4-c1d8717b-b4924d88-32934b27.jpg
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portable semi-upright radiograph of the chest demonstrates poor definition of the right heart border, which may be positional. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion.
|
history: <unk>f with shortness of breath // eval for chf or pna
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MIMIC-CXR-JPG/2.0.0/files/p17792867/s52864621/78b93e5c-3860c77e-ad027608-df81959b-0db88c94.jpg
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the lungs are well-expanded and clear, with no pneumothorax, pleural effusion, pulmonary edema, or focal airspace consolidation. eventration of the right hemidiaphragm is noted. the cardiomediastinal silhouette is unremarkable. healed fractures of the posterolateral right fourth, fifth, and sixth ribs are noted.
|
<unk>m with cough, wt loss // r/o pna, mass
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when compared to prior, there is no significant interval change. ecmo device is again noted. left-sided central venous catheter is stable. cardiomegaly and bilateral pleural effusions persist.
|
<unk> year old man lvad // interval chnage
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MIMIC-CXR-JPG/2.0.0/files/p15624189/s54819522/d8ab8675-f208b032-f0d1b7fe-44e59c95-5d4c4d79.jpg
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moderate enlargement of cardiac silhouette persists. aorta is tortuous and calcified. right picc tip terminates in the proximal right atrium, unchanged. widening of the right paratracheal stripe is concerning for lymphadenopathy. there is no pulmonary edema. small bilateral pleural effusions are noted with adjacent compressive atelectasis. no pneumothorax is seen. mild anterior wedging of a lower thoracic vertebral body is re- demonstrated with multilevel degenerative changes noted in the thoracic spine.
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fever.
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MIMIC-CXR-JPG/2.0.0/files/p10884125/s54869758/c0278020-8f7e30f9-a825321a-84257279-cfa91007.jpg
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lower lung volumes are noted. there is bibasilar atelectasis. there may be trace residual left pleural effusion. there is no right pleural effusion. cardiomediastinal silhouette is within normal limits. increased density projecting over the anterior right third is from prior fracture, unchanged. compression deformity of a mid thoracic vertebral body is grossly unchanged.
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<unk>m with anterior rib chest pain pls evla fx
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MIMIC-CXR-JPG/2.0.0/files/p15114531/s59688743/0e446eb6-02bb584e-6ef1f95a-ad6430c9-f5669b5c.jpg
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the right picc has been removed in the interim. the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart size is normal. the mediastinum is not widened. surgical clips project over the left upper quadrant, unchanged. anterior spinal fixation in the lower cervical spine is partially imaged. multilevel degenerative changes in the thoracic spine are mild. rightward curvature of the thoracic spine could be positional though was also present on <unk>.
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<unk>-year-old woman with shortness of breath, productive cough, rhonchorous, and recent hospitalization. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18369810/s53107171/f3917e04-44f781b6-39e537fd-1a159f56-1443dc67.jpg
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right ij central line tip low svc. sternotomy. small bilateral pleural effusions, probably similar. stable right basilar atelectasis. linear band of atelectasis left mid lung. worsened left basilar opacity, likely atelectasis. shallow inspiration.
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<unk> year old man s/p cabg // interval chnage
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MIMIC-CXR-JPG/2.0.0/files/p17566649/s54721601/0ec319aa-b4dc4912-96c252d4-084e560d-58cbc6c6.jpg
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frontal and lateral chest radiographs demonstrate marked cardiac enlargement, unchanged compared to <unk>. lungs are fairly well-aerated without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a patient with stroke symptoms.
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MIMIC-CXR-JPG/2.0.0/files/p15636663/s58360659/46518276-aea5c7b3-ac8f2b5a-6e23896a-9f1ee5d7.jpg
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moderate cardiomegaly is unchanged. the lungs are clear. there is no evidence of pneumonia or pulmonary edema. no pleural effusion or pneumothorax. osseous structures are intact.
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history: <unk>f with cough, sob // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p12008386/s56858197/a5176d02-0a4ab11f-397ad0e5-e41680b8-2892e14d.jpg
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the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits despite the projection. regional bones and soft tissues are unremarkable.
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<unk> year old woman with mediastinal lymphadenopathy. // eval post op change s/p mediastinoscopy
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MIMIC-CXR-JPG/2.0.0/files/p13568398/s56379422/5ca17484-d6ae3898-f43d58af-c452cfa4-6ee19ec2.jpg
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right lung base opacity is increased and left lung base opacity is new since <unk>. the opacity at the right lung base is larger than left. findings are suggestive of superimposed pulmonary edema in the setting of right lung base pneumonia. lungs are hyperinflated. emphysema and biapical scarring are similar as before. enlarged right hilar silhouette is again noted. there is no pneumothorax. bilateral pleural effusions are small. cardiac silhouette is normal size.
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<unk> year old man with copd and lung ca now w/ acute hypoxia and sob // evaluate for acute process
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MIMIC-CXR-JPG/2.0.0/files/p18261550/s59279846/5d3d7c0b-66200042-b44ea9eb-c5ee7082-dedd8b89.jpg
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moderate enlargement of the cardiac silhouette is re- demonstrated. the mediastinal and hilar contours are similar. there is no pulmonary edema. mild atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>f with hypoxia at night // ? pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p16952127/s59293648/8c532485-4c3bb3f1-9384e46c-7ea32c5e-c337c3fa.jpg
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the lungs are well expanded without focal opacities. moderate-to-severe cardiomegaly is unchanged from prior. there is no pleural effusion or pneumothorax. there is stable elevation of the left hemidiaphragm. no evidence of subdiaphragmatic free air.
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<unk>-year-old male with abdominal pain and weakness. evaluate for free air.
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MIMIC-CXR-JPG/2.0.0/files/p14460495/s58500063/1c5c2929-ece83f96-1ded4e31-3122c831-8c18aff2.jpg
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a right-sided picc line again terminates at the cavoatrial junction. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. mild rightward convex curvature is centered along the lower thoracic spine, as before.
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delirium.
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MIMIC-CXR-JPG/2.0.0/files/p14309697/s53937203/3bd57236-87f6eb5e-5eb1cd76-2629312f-b9670a2a.jpg
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is a small left pleural effusion, overall unchanged compared to the prior exam. there is no evidence of pneumothorax. old right posterior sixth rib fracture is re- demonstrated.
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history: <unk>f with chest pain // pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15239151/s58555202/2490df11-9db20b07-9d7a4f8f-329ac18d-f351f148.jpg
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is probably a trace pleural effusion on the left. a patchy opacity projecting over the right upper lobe suggests pneumonia. likewise, pneumonia may involve the left lower lung, but less striking.
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cough and hypotension and hypoxia.
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MIMIC-CXR-JPG/2.0.0/files/p18019452/s57374296/6dd3b99c-ef8de5c8-6d95f095-83e14da0-8900e0cc.jpg
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a single portable chest radiograph was obtained. an airspace opacity in the left lower lobe is new since <unk>. the left heart border remains sharp. the medial left hemidiaphragm is obscured. in addition, there is a small left pleural effusion. there may be a subtle, developing opacity in the right lower lobe. there is no pneumothorax. cardiac and mediastinal contours are normal.
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shortness of breath hypoxia and fever.
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MIMIC-CXR-JPG/2.0.0/files/p18568697/s57651720/b04c0b62-a568ea81-ad4a8782-b8a937ab-43d37a09.jpg
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pa and lateral views of the chest. no prior. lungs are clear. costophrenic angles are sharp. the cardiomediastinal silhouette is normal. note is made of hypoplastic first ribs.
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<unk>-year-old female with chest pain radiating to the right shoulder and jaw.
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MIMIC-CXR-JPG/2.0.0/files/p12735903/s54685580/2d24268f-e35faa5e-c5a2a403-225bd426-b187a652.jpg
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a left chest wall pacer and and dual leads are in stable position. the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>m w/syncope and vt // <unk>m w/syncope and vt
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MIMIC-CXR-JPG/2.0.0/files/p15028203/s53076151/92e07d93-aeee9e52-0e768e4e-5f85df80-f844c19a.jpg
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with cp // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p16022077/s51283209/12c8e8b1-12276503-c9cec76c-dc4165b4-dfb7620c.jpg
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portable ap chest radiograph demonstrates two left pigtail catheter is in constant position with no appreciable interval increasing pneumothorax. if there is a pneumothorax, it may be anterior which is difficult to detect on supine images. an endotracheal tube is seen terminating <num> cm above the level of the carina in appropriate position. an enteric tube descends and uncomplicated course, it is tip out of view. a right picc terminates in the level of the mid superior vena cava. right-sided pleural effusion is minimally increased with adjacent atelectasis. there are no new focal consolidations. the cardiomediastinal and hilar contours are stable allowing for changes in patient positioning.
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<unk>-year-old female with septic shock and cardiac arrest x<num> complicated by bilateral pneumothoraces status post chest tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p17097837/s51242994/f5de4f91-f64c1dab-b02c2bb5-fa35dcfd-a2ea4a43.jpg
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frontal and lateral views of the chest demonstrate fully expanded and clear lungs. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pleural surfaces are normal.
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history of cll with cough, assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19017770/s57510352/73c8ea48-c93f23da-6b684c8e-2319b9f6-25740b3b.jpg
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cardiomediastinal silhouette is within normal limits. there is no focal consolidation, pleural effusion, or pneumothorax. left basilar opacities likely represent atelectasis. the bones are grossly unremarkable.
|
history: <unk>m with head trauma // assess for ich, c-spine fx, pna
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MIMIC-CXR-JPG/2.0.0/files/p12648027/s53874298/ef92edd5-9d702562-c7a2cd13-90441fcf-b1229a94.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is moderate elevation of the left hemidiaphragm that appears somewhat increased. there is no pleural effusion or pneumothorax. the lungs appear clear. bones are probably demineralized.
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wheezing, shortness of breath, and cough.
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MIMIC-CXR-JPG/2.0.0/files/p13009896/s54229048/a4fcf61a-64e3ebde-e47688ff-4aff5131-a0ad43b3.jpg
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the cardiomediastinal silhouette and pulmonary vasculature are normal. there is prominence of the hila, particularly on the right. on the pa film, there appears disease and vague right lower lung opacity, which is not well visualized on the lateral film. there is no pleural effusion or pneumothorax.
|
<unk>m with decreased breath sounds // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p12601251/s50634833/4448b18e-c9042176-1c8dfc19-5ca1a5c7-d6586d27.jpg
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compared to prior chest radiograph, there is no significant change. cardiac silhouette is enlarged. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
|
<unk>f with weakness and abdominal pain, evaluate for pneumonia or effusions..
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MIMIC-CXR-JPG/2.0.0/files/p14022439/s54836942/2ee7ec05-e38b36da-a1f9e061-7c5911c5-746bd000.jpg
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the lungs are clear. there is no consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. median sternotomy wires are again noted. no acute osseous abnormalities identified.
|
<unk>m with cp // evidence of infection or pneumo
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MIMIC-CXR-JPG/2.0.0/files/p15659181/s51363438/4ce5f937-028fec9f-43461f2e-d08533d0-3ceee93a.jpg
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
|
<unk>-year-old male with cough. please evaluate.
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MIMIC-CXR-JPG/2.0.0/files/p12028875/s52441827/5544639c-1cc97309-b7f5c0c1-59978e5d-0e3d0449.jpg
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images are poorly penetrated. cardiac borders are not well defined though heart size is likely enlarged. vascular congestion is present with enlarged azygous vein. there is no pneumothorax. probable small pleural effusions are if likely present. mediastinal widening is likely due to a combination of vascular engorgement and mediastinal fat deposition.
|
history: <unk>f with hypoxia // eval for consolidation
|
MIMIC-CXR-JPG/2.0.0/files/p14420248/s59175497/d10cec7f-cecab974-9ed99b57-909c3a92-8723f1a9.jpg
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cardiac silhouette size remains mildly enlarged, and apparent decrease in size is likely due to differences in technique and inspiration. the aorta remains tortuous. a vascular stent is again noted projecting over the right subclavian region. pulmonary vasculature is not engorged. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
|
history: <unk>m with new onset atrial fibrillation
|
MIMIC-CXR-JPG/2.0.0/files/p17322845/s54589346/5a1e60e2-68e086b6-a40f136e-c4612393-97071385.jpg
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the picc has been pulled back and is now within the mid svc. improved aeration with minimal subsegmental atelectasis in the lung bases. the heart is not enlarged. no pneumothorax or significant effusions.
|
<unk> year old man admitted with rle cellultis and abscess s/p i d , now with pleuritic cp after picc line placement // assess for picc line placement s/p incidental placement into ra with <num>cm withdrawal
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MIMIC-CXR-JPG/2.0.0/files/p11041930/s52201290/e233302d-6a34889b-36ff3d52-90dcd9d4-a53f5354.jpg
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pa and lateral views of the chest were reviewed and compared to the prior studies. normal lungs, heart, pleural and mediastinal surfaces. orthopedic anchors in the right humeral head are noted.
|
productive cough, fevers and arthralgias.
|
MIMIC-CXR-JPG/2.0.0/files/p10592002/s51728482/ad582141-5b748b2f-c456f25a-705b7a04-b32e22e4.jpg
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heart size is normal. the mediastinal and hilar contours are normal. mild atherosclerotic calcifications are noted at the aortic knob. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no subdiaphragmatic free air is present.
|
history: <unk>f with hypotension after scopes
|
MIMIC-CXR-JPG/2.0.0/files/p13765796/s53182859/1f33c3b0-d7d72fdb-df80de8a-d4816c5b-47925715.jpg
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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.
|
history: <unk>f with chest pain // chest pain
|
MIMIC-CXR-JPG/2.0.0/files/p16497062/s51505785/a6e69708-bb6c4e05-46c27ba7-8fc4d24d-872e535e.jpg
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the right ij central line has been removed. the lungs are well expanded and clear. there has been resolution of the previously seen left base atelectasis. there is blunting of the costophrenic angles bilaterally, which may reflect pleural thickening versus small bilateral pleural effusions. the cardiomediastinal silhouette is unremarkable. median sternotomy wires and mediastinal clips are seen, consistent with a history of cabg. no evidence of pulmonary edema.
|
history: <unk>m s/p cabg, new bigeminy // eval for infiltrate
|
MIMIC-CXR-JPG/2.0.0/files/p18858092/s58726351/5c086d77-77be1cfe-849f6337-19eee2f2-3e340a17.jpg
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left picc tip terminates within the left brachiocephalic vein. heart size is normal. the aorta remains unfolded. the mediastinal and hilar contours are normal. subsegmental atelectasis versus linear scarring is present within the lingula. the lungs are otherwise clear. no pleural effusion, focal consolidation or pneumothorax is seen. no acute osseous abnormalities detected. there are mild degenerative changes in the mid to lower thoracic spine.
|
unusual pain in the neck upon flushing picc.
|
MIMIC-CXR-JPG/2.0.0/files/p14222981/s51140230/a3e4e1fb-f0ec75f5-5bd321d4-cccfe203-614beedd.jpg
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the patient is severely rotated on the current study, this limits assessment. the swan-ganz catheter appears broad-based similar in configuration and the ecmo catheter is unchanged in location. the endotracheal tube terminates <num> cm above the level the carina. a nasogastric tube terminates, likely in the stomach. no pneumothorax seen. apparent hazy opacification of the left lung is likely due to patient positioning. presumed hero graft in the right axilla.
|
<unk> year old woman s/p ecmo // eval for pneumothorax
|
MIMIC-CXR-JPG/2.0.0/files/p15613928/s50844161/861f18ba-9af5dda9-a5d9ded8-60570bb4-9fb229ff.jpg
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
|
<unk>-year-old female with dyspnea.
|
MIMIC-CXR-JPG/2.0.0/files/p12420277/s50914678/535f19e4-5a543fac-8384dcbb-ede3246a-3102e866.jpg
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the lungs are hyperinflated, without focal opacities. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fractures are identified.
|
<unk>-year-old male with right-sided rib pain. evaluate for evidence of rib fracture.
|
MIMIC-CXR-JPG/2.0.0/files/p18331462/s55201054/ffe4c087-991fbf8d-e6138dd6-78939604-acbad996.jpg
|
there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
|
<unk>m with near syncopal event, possible arrhythmia // ? acute cardiopulm process
|
MIMIC-CXR-JPG/2.0.0/files/p17310670/s51373313/3e4b01d9-427b37a9-c975d301-c6a2c863-fc77d649.jpg
|
moderate cardiomegaly is stable. pacer leads are in standard position. small to moderate bilateral pleural effusions larger on the left side associated with adjacent atelectasis are grossly unchanged. . there is no pneumothorax. there are moderate degenerative changes in the thoracic spine.
|
<unk> year old man with recurrent pleural effusion. pleurax draining ><unk> cc <unk> times/week. // r/o change
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MIMIC-CXR-JPG/2.0.0/files/p14435216/s52707836/9b0a8a0d-fc16d74f-07f363d1-4868a84a-f78c3a2b.jpg
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the et tube and right ij line are unchanged. there continues to be moderate cardiomegaly and volume loss at both bases. there is mild pulmonary vascular redistribution. and a tiny right pleural effusion
|
<unk> year old man with alcoholic cirrhosis, intubated for airway protection, self-extubated and re-intubated overnight // please evaluate interval change
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