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the lungs are clear. the heart size is normal. mediastinal contours are normal. there are no pleural abnormalities. degenerative changes of the thoracic spine are seen.
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altered mental status with hyperglycemia, refusing meds. status post falls at home. evaluate for acute intrathoracic process.
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear. the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality seen.
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fever and cough.
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right chest wall port is again seen with catheter tip in the right atrium. there is pulmonary vascular congestion. suspected small bilateral pleural effusions are noted. cardiac silhouette is mildly enlarged as on prior. no acute osseous abnormalities.
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<unk>f with liver cancer, ams, hypoxia // eval for cns mets, thoracic abnormality, pe
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the ett is slightly high-riding, terminating at the level of the upper clavicles. the left ij central venous catheter ends in the mid to lower svc. there is no pneumothorax. diffuse bilateral airspace opacities are not appreciably changed. the heart and mediastinum are magnified by the projection.
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<unk> year old woman with aml and diffuse alveolar hemorrhage // please assess for interval change in pulmonary infiltrates
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compared with the immediate prior study of <unk>, there is increased pulmonary vascular congestion, bronchial cuffing, and moderate pulmonary edema. pleural effusions are small, is present at all. increased density at the right lower lobe could represent superimposed pneumonia in the proper clinical setting. a right ij central venous catheter ends in the cavoatrial junction. there is no pneumothorax.
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<unk> year old woman with multiple myeloma day <unk> s/p auto stem cell transplant now with bacteremia // evaluate for infection
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no focal consolidation, pleural effusion or pulmonary edema is seen. the cardiac and mediastinal contours are within normal limits.
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<unk>-year-old woman with screening, unable to have ppd. rule out tb.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with pancreatitis // eval for effusions
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. trace pleural effusion in the right costophrenic sulcus vs suboptimal inspiration. no focal consolidation or pneumothorax is seen.
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<unk> year old woman with sob for the last <num> days. // infection or effusion.
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the heart is again mildly enlarged. the aortic arch is calcified. the mediastinal and hilar contours, including a rounded expansile contour to the right upper mediastinum corresponding to a previously characterized thyroid goiter and tortuous great vessels, appears unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. right-sided rib deformities are not well delineated but appear not significantly changed; these suggest several remote prior fractures.
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headache and dizziness. patient on coumadin.
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there is tiny right apical pneumothorax, similar to prior. single right chest tube. worsened left basilar opacity, with mild volume loss, likely atelectasis. probable tiny left pleural effusion. shallow inspiration accentuates heart size.
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<unk>m homeless, found down <unk> station, xfer from <unk>, +etoh, r ptx. chest tube placed to waterseal // pls evaluate size of pneumothorax. please schedule btw <num>h and <num>h
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heart size and cardiomediastinal contours are normal. the lungs are mildly hyperinflated but clear without focal consolidation, pleural effusion, or pneumothorax.
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chest pain.
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the apparent increase in mediastinal caliber is due to patient positioning, rotated to the right. no apparent change in the left lung, which is clear but less well penetrated due to overlying breast tissue. there is a band of atelectasis in the right lung, seen on the radiograph from the prior day. no focal consolidations concerning for pneumonia.
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<unk> year old woman with hypercapnic respiratory failure. evaluate for pneumonia.
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in comparison with chest radiograph from <unk>, right thoracostomy tube has been removed. tiny right apical pneumothorax has improved. right basilar effusion has slightly increased. there is no left effusion. lungs are otherwise clear. mediastinal hilar contours are stable. mild to moderate cardiomegaly is unchanged.
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<unk> year old woman with alcoholic cirrhosis c/b portal htn, ascites, hepatic hydrothorax s/p chest tube pull from r side. // interval change in r pleural effusion
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old man with shortness of breath, chest tightness, elevated blood pressure
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study is limited by lordotic positioning. lung volumes remain low. the cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. minimal patchy bibasilar airspace opacities likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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history: <unk>m with chest pain
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lung volumes are decreased, leading to crowding of the bronchovascular structures. linear, bibasilar atelectasis is seen. otherwise, there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette are unchanged in appearance. calcifications are noted at the aortic arch. no free air is seen beneath the right hemidiaphragm.
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history: <unk>f with abdominal pain, brbpr, hx of perforated viscous // upright chest: evaluate for abdominal free air
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the patient is status post median sternotomy and aortic valve replacement. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are multilevel moderate degenerative changes noted in the imaged thoracic spine.
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history: <unk>m with acute renal failure, ulcerative colitis
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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. bilateral breast implants are again noted.
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history: <unk>f with syncope with head strike
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the lungs are hyperinflated. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. dislocated left shoulder with proximal left humeral fracture, better assessed on left shoulder and humerus radiographs.
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history: <unk>f with left humerus fracture. // pre-op
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
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<unk>f with cough x <num>wk, evaluate for pneumonia.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with cough, difficulty taking deep breath // ? acute cardiopulm process
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cardiac silhouette size is normal. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are clear. previously noted pulmonary nodules seen on prior chest ct are not well assessed on the current radiograph. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
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history: <unk>f with chest pain // eval intrathoracic process
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. increased sclerosis in the medullary cavity of the left proximal humeral shaft may reflect a chronic bone infarct. no free air below the right hemidiaphragm is seen.
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<unk>m with chest pain
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ap and lateral chest radiographs were obtained. there is mild bronchovascular crowding and left basilar atelectasis likely related to low lung volumes. the cardiomediastinal silhouette is stable. there is no pleural effusion or pneumothorax. medial left base retrocardiac density corresponds to known hiatal hernia, similar in appearance compared to prior study. there are chronic degenerative changes of bilateral glenohumeral joints. an old sternal fracture is again noted.
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weakness, evaluate for acute cardiopulmonary process.
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compared to the study from the prior day there has been some interval partial clearing of the alveolar edema. however air there is still bilateral alveolar edema lower lobe greater than upper lobe with lower lobe volume loss. swan-ganz catheter and moderate cardiomegaly are unchanged. there small bilateral pleural effusions.
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<unk> year old woman with volume overload and chf // evaluate for volume overload
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external artifact projects over the left upper hemithorax. there are low lung volumes and bibasilar atelectasis. posterior basilar opacity seen on the lateral view may relate to atelectasis however consolidation due to pneumonia is not excluded. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with copd, cough, dyspnea // eval for pna
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pa and lateral views of the chest were reviewed. there is mild to moderate cardiomegaly. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well expanded with increased interstitial markings indicative of a chronic process. there is no focal consolidation concerning for pneumonia. clips from prior cabg are noted.
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productive cough for two weeks.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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<unk>f nstemi r/o widened mediastinum // <unk>f nstemi r/o widened mediastinum
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no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
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<unk>-year-old woman with cough, history of smoking. bronchial breath sounds on right. evaluate cough.
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the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>f with cp. // eval for cause of cp
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there has been interval removal of a left-sided pleural pigtail catheter. there is no pneumothorax. there is minimal if any left-sided effusion. there is likely mild to moderate retrocardiac atelectasis. the right-sided perihilar opacities are significantly decreased, with improvement in the right pleural effusion. there is a small basilar right pleural effusion with adjacent atelectasis, and a moderate residual loculated right pleural effusion. there is an age-indeterminate compression fracture of a mid thoracic vertebra. the heart size has decreased compared with prior studies. the right-sided hemodialysis catheter is in unchanged position. the left-sided picc line has been partially withdrawn, now terminating in the left subclavian vein.
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<unk> year old man with pleural effusion // eval
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dual lead left-sided pacemaker stable in position. the lungs remain hyperinflated, consistent with chronic obstructive pulmonary disease.no focal consolidation is seen. mild biapical pleural thickening is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. anchor screw noted overlying the right humeral head.
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history: <unk>f with cough for <num> days // eval for pna
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lung volumes are low, limiting evaluation of the lung bases. bibasilar atelectasis is seen. retrocardiac opacity most likely represents atelectasis, but a small focus of infection cannot be excluded. mild peribronchial cuffing and interstitial prominence is seen. no pleural effusion or pneumothorax is detected. there is no evidence for pulmonary edema. heart and mediastinal contours are within normal limits.
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<unk>-year-old female with asthma, now with fever and shortness of breath.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
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history: <unk>m with brief chest pain // evaluate for acute process
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with congested cough
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blunting of the right costophrenic angle may represent a small effusion. the lungs are clear without consolidation or edema. the cardiomediastinal silhouette is within normal limits. surgical clip is noted in the left upper quadrant. no acute osseous abnormality.
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<unk>m with chest pain., hx of sickle cell disease // ?pneumonia
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compared to chest radiographs from <unk>, platelike atelectasis in bilateral lower lungs has worsened. bibasilar atelectasis persists. lung volumes remain low. small right pleural effusion has minimally improved. no appreciable effusion on the left. there is mild central vascular congestion without overt pulmonary edema, unchanged. no focal consolidation. cardiomediastinal silhouette is stable.
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<unk> year old woman with resolving dyspnea // interval change
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are noted along the lower thoracic spine.
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chest pressure.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. imaged upper abdomen and osseous structures are unremarkable.
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history: <unk>f being admitted for ercp. // pre-op cxr
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ap and lateral views of the chest. the lungs are hyperinflated with coarse increased interstitial markings compatible with chronic underlying lung disease. there is new focal consolidation in the right upper lung, not seen on previous exam on the frontal view. there is trace blunting of the posterior costophrenic angles which may be small residual pleural effusions, improved from prior. the cardiomediastinal silhouette is unchanged. no acute osseous abnormality is detected.
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<unk>-year-old female with asymptomatic hyperkalemia. question pneumonia.
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low lung volumes accentuate the cardiac silhouette and bronchovascular structures. considering this factor, heart size is upper limits of normal. lungs are grossly clear on the pa view. localized opacity in the infrahilar region the lateral view is probably due to confluence of vascular structures accentuated by the low lung volumes.
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<unk> year old woman with pleuritic chest pain with respirations. // ? pna
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left-sided aicd device is noted with single lead terminating in the right ventricle. heart size remains moderately enlarged. aorta is tortuous. the mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is mildly prominent, with cephalization as seen previously, which suggests chronic pulmonary venous hypertension, without overt pulmonary edema. no focal consolidation, pleural effusion, or pneumothorax is identified. there are no acute osseous abnormalities.
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history: <unk>m with dyspnea, history of congestive heart failure
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frontal and lateral views of the chest were obtained. the heart is of normal size with stable cardiomediastinal contours. lung volumes are low. linear opacity at the right lung base is similar to prior and compatible with subsegmental atelectasis. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
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<unk>-year-old female with surgical wound infection. preoperative radiographs.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. opacity silhouetting the left heart border represents an epicardial fat pad. the cardiac and mediastinal contours are normal. there is no free air beneath the right hemidiaphragm.
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history: <unk>m with dyspnea, abd distention // please eval for any evidence of infection. please eval for any evidence of obstruction
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single portable view of the chest. no prior. the endotracheal tube is seen with tip <num> cm from the carina. ng tube seen within the stomach with the tip projecting backup towards but not definitively within the distal esophagus. there is left basilar opacity which silhouettes the hemidiaphragm potentially due to any combination of effusion, atelectasis, or consolidation. the right lung is grossly clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with liver transplant, failed, intubated.
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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 cp // acute process
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there is a hazy, heterogeneous opacity in the right lower lobe which may represent infection, tumor infiltration, atelectasis, or a combination of all three. widening of the mediastinum is caused by the patient's known malignancy. the left lung and upper right lung are mostly clear. there is no pneumothorax. a right pleural effusion is undoubtedly present.
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<unk>-year-old man with a history of lung cancer presenting with chest pain.
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compared with <unk> at <time>. the cardiac silhouette is enlarged and is probably larger, even allowing for technical differences. the configuration raises the question of a pericardial effusion. there is hazy opacity at both bases likely reflecting small layering bilateral effusions , with underlying collapse and/or consolidation. there is upper zone redistribution suggesting mild vascular plethora.
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<unk> year old man with cll, here with pericardial effusion s/p pericardiocentesis // eval for thoracic pathology s/p pericardiocentesis
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the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. no foreign body is visualized. there is no evidence for pneumothorax, pneumomediastinum or pleural effusion. there is similar mild-to-moderate relative elevation of the right hemidiaphragm. the lungs appear clear.
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nausea and foreign body sensation in the throat. prior history of food impaction.
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single portable view of the chest. no prior. exam is limited secondary to patient's low lung volumes. there are multiple posterior left rib fractures involving the posterior third through at least seventh ribs. there is no definite pneumothorax identified. cardiomediastinal silhouette is grossly within normal limits for technique and low inspiratory effort.
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<unk>-year-old man with scooter accident and chest wall crepitus. question pneumothorax.
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the patient is status post median sternotomy and cabg. left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. moderate to severe cardiomegaly is not substantially changed in the interval. mild pulmonary edema appears slightly worse from the previous exam. no large pleural effusion or pneumothorax is seen. atelectasis is demonstrated in the lung bases.
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history: <unk>m with chest pain and shortness of breath
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a picc line terminates in the mid superior vena cava and appears unchanged. the heart appears mildly enlarged. the mitral anulus is calcified. the aortic arch is also calcified. the cardiac, mediastinal and hilar contours appear stable. there are again very small bilateral pleural effusions. the lungs appear clear.
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difficulty drawing from picc line.
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MIMIC-CXR-JPG/2.0.0/files/p14271401/s56924843/14ef1919-4fa2b525-c2e1535c-2173f93d-c6841b91.jpg
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prominence of the left upper heart border and or main pulmonary artery segment are unchanged compared to the study from <num> days ago but more prominent than the <unk> film. cardiac size is enlarged, again unchanged compared to a few days ago but increased compared to <unk>. perihilar vascular congestion does not appear prominent and no definite pleural effusions are seen. the soft tissues of the upper arms obscure the retrosternal air space on the lateral view.
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<unk> year old woman with pulmonary hypertension // resolution of pulmonary edema?
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the stent is not visualized. there has been some interval partial clearing of the opacity seen in the upper lobe on the most recent study from <unk>. however, there continues to be a right upper lobe infiltrate. the right lower lobe continues to have volume loss/infiltrate. the left heart border is obscured and is unclear if there is volume loss or infiltrate in the left lower lobe
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<unk> year old woman with stage iv endometrial ca p/w sob found to have <unk>% right mainstem bronchus occlusion by tumor s/p debridement w/stent placement <unk> now with rigors // interval change in airway obstruction, stent visibility
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MIMIC-CXR-JPG/2.0.0/files/p16249154/s53224535/7eec0a10-7165e92f-a812476b-03e06243-9845507b.jpg
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evaluation is somewhat limited secondary to patient body habitus. within this limitation, there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiac size is within normal limits. the descending aorta is somewhat ectatic.
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history: <unk>f with cough, fever // pna?
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MIMIC-CXR-JPG/2.0.0/files/p15684891/s55984603/8ae5584e-114e8997-13564183-7eb31172-453d9434.jpg
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the lung volumes are stable. the cardiomediastinal and hilar contours are normal. a left pigtail catheter projecting over the infrahilar region has in place in the interval. the small left apical pneumothorax is slightly larger. no pleural effusions. again seen, are left second, third and fourth rib fractures. also a left displaced mid clavicular fracture is re- demonstrated.
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<unk> year old man with ptx // chest tube placement
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MIMIC-CXR-JPG/2.0.0/files/p12078677/s58675657/ed805dcd-0053a36e-9d9ced91-22631edb-992fc47f.jpg
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chest pa and lateral radiograph demonstrates hazy prominence of the pulmonary vasculature, and azygous vein, and hila. in addition to stable mild to moderate cardiomegaly, findings suggest mild pulmonary edema. increased interstitial markings may be due to increased fibrosis compared to one year prior or relate to interstitial edema superimposed on chronic stable lung disease. no focal opacification concerning for pneumonia identified. low lung volumes are noted bilaterally with eventration of the right hemidiaphragm and interposition of bowel between the liver and diaphragm with adjacent atelectasis. no pleural effusion or pneumothorax.
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fever, cough, shortness of breath. please evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p15844553/s58431042/c602c27d-8877a830-602ccf38-c1f51121-377f1dd2.jpg
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single supine ap portable view of the chest was obtained. no focal consolidation is seen. there is no pleural effusion or evidence of pneumothorax. mediastinal contours are normal. the cardiac silhouette is accentuated by ap, supine technique. no displaced fracture is identified.
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history: <unk>f with s/p mvc // please assess for traumatic injury
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MIMIC-CXR-JPG/2.0.0/files/p12113804/s56681378/625f1008-668ab5d8-749f56aa-8c6b17bd-25001d24.jpg
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single frontal view of the chest was obtained. the heart is of normal size with normal cardiomediastinal contours. indistinct pulmonary vascular markings are compatible with mild pulmonary edema. blunting of the right costophrenic angle with adjacent atelectasis is compatible with a small right pleural effusion, which appears slightly increased since <unk>. no focal consolidation or pneumothorax. no radiopaque foreign body.
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<unk>-year-old female with shortness of breath and desaturation. evaluate for chf versus pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12855734/s58826729/c39b0224-1fdc6a75-595a4475-e1396d7b-5bddc0e1.jpg
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lung volumes are low, but the lungs are grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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history: <unk>m with weakness and cough productive of dark sputum // any consolidation
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MIMIC-CXR-JPG/2.0.0/files/p10750771/s53274584/fbe5e78b-cc107d06-9aa4d79f-e98fe041-4f30ff95.jpg
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. no acute rib fracture is identified. the cardiomediastinal silhouette is normal.
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pain, history of rib fracture. evaluate for contusion.
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MIMIC-CXR-JPG/2.0.0/files/p19245893/s56708628/bdc4ba05-c38ecd4a-928d2479-7f4365b0-9e0c2b95.jpg
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prior cabg, avr and median sternotomy. the wires are in stable position and not correct. interval development of mild interstitial pulmonary edema. there is mild to moderate cardiomegaly. a small left-sided pleural effusion. there is retrocardiac and left basal opacity, likely atelectasis. there is focal kyphosis of the lower thoracic spine with multiple compression fractures, overall have not significantly changed since <unk>.
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<unk> year old woman with history of cad, chf, c/o cough and sob // evaluate for chf or pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p19477853/s55304290/625c82ca-4cbb987b-180f98dd-3f2a3236-d8df4adf.jpg
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ap and lateral views of the chest. there is complete opacification of the right hemithorax with left-sided mediastinal shift. the left lung is grossly clear. cardiac silhouette cannot be assessed due to silhouetting on the right. no acute osseous abnormalities.
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<unk>-year-old female with cough and dyspnea.
|
MIMIC-CXR-JPG/2.0.0/files/p16634427/s52068255/00a085b5-1851c366-a28606e8-eb40eec0-e3e25af2.jpg
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cardiac device is seen with single lead in appropriate position. right ij swan-ganz catheter is in appropriate position and unchanged. mild cardiomegaly is seen with minimal vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen.
|
<unk>-year-old woman with history of idiopathic cardiomyopathy and class iv heart failure, ejection fraction is <unk>%, currently listed for heart transplant at outside hospital. presents status post rhc swan placement.
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MIMIC-CXR-JPG/2.0.0/files/p15410047/s58409146/e0d08fb6-f62ca569-57d8eb05-771ac1d3-0e7f6c30.jpg
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
|
lactic acidosis, tachycardia.
|
MIMIC-CXR-JPG/2.0.0/files/p17077582/s51911386/157c8f42-ffa37d05-3a1cd298-b27e4a6d-f7ec6789.jpg
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heart size pulmonary vascular is top-normal. engorgement and cephalization persists, but has improved compared to <unk> when mediastinal veins, normal caliber today, were also mildly dilated. the pulmonary arteries in the hila and the left atrium are still enlarged. there is no pulmonary edema, focal consolidation, or pleural effusion.
|
fever, cough.
|
MIMIC-CXR-JPG/2.0.0/files/p12721193/s53445842/0cc68d16-8e688ebd-80573c6e-6dc3ac48-ef1ac31d.jpg
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pa and lateral views of the chest. small amount of loculated fluid in the right lateral lower lung is unchanged. previously seen small loculated collection within the minor fissure has resolved. no left pleural effusion. no pneumothorax. mild apical scarring bilaterally is unchanged. cardiomediastinal and hilar contours are normal. no focal consolidations.
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followup effusions.
|
MIMIC-CXR-JPG/2.0.0/files/p19165656/s54262882/4d9212e7-18cf6245-7e44e19e-85f05801-b3947bfc.jpg
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pa and lateral views of the chest provided. left chest wall aicd unchanged with leads extending to the region the right atrium and right ventricle. lungs are clear without focal consolidation, large effusion or pneumothorax. there is no convincing evidence of congestion or edema. mild cardiomegaly is noted. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>m with weakness // pna?
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MIMIC-CXR-JPG/2.0.0/files/p17016980/s57870951/f7997d46-7062730f-d479594b-c36e515a-04dc5743.jpg
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extensive consolidation is present involving the right upper and mid lung as well as more subtle heterogeneous opacification at the right lung base. heart size and pulmonary vascularity are within normal limits, in the left lung is grossly clear. possible layering right pleural effusion. no evidence of pneumothorax.
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<unk> year old man with appendicitis, tachypnea // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p12140444/s51543392/1c837dfd-81c466e5-f331e91d-9ad3004c-cfa08258.jpg
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
|
history: <unk>f with possible recrudescence of her previous stroke. looking for infectious cause // ?pna
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MIMIC-CXR-JPG/2.0.0/files/p14550799/s54613827/aa7d20b7-fc355620-a61a7069-319d87cc-b09a606d.jpg
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pa and lateral views of the chest provided. platelike atelectasis is noted at the left lung base. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
|
<unk>m with cva. // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p18146671/s53205894/b3ea872f-7f28d547-13675402-c8d82bdd-a33c51d9.jpg
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pa and lateral views of the chest provided. lungs are hyperinflated. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
|
<unk> year old man with severe asthma and sob // sob
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MIMIC-CXR-JPG/2.0.0/files/p10504711/s56760549/075ce9c5-bc6c1a21-3fc42cf1-b804ee10-0cce8e2e.jpg
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overall, there is no significant interval change. no focal consolidation, pleural effusion or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the aorta is calcified.
|
<unk> year old man with fevers, chills today // eval pna
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MIMIC-CXR-JPG/2.0.0/files/p15939603/s59819695/9629ac71-79f21bfd-03b18a86-381f3a38-0a777ee4.jpg
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compared with prior radiographs on <unk>, there is slight increase in right hilar enlargement. left hilar enlargement is unchanged. there is no major mediastinal lymphadenopathy. right upper lobe scarring is unchanged. there is a <num> mm round hyperdensity in the left upper lobe, of uncertain etiology and doubtful clinical significance. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal.
|
<unk> year old man with hx of sarcoid and hypernephroma // assess for stability or inactivity of sarcoid
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MIMIC-CXR-JPG/2.0.0/files/p13953303/s52168384/ddce8bbb-520db15d-85ca9a10-f1c14b3b-2d938f32.jpg
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with syncope, fall found down // ich, c-spine fracture
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MIMIC-CXR-JPG/2.0.0/files/p19306731/s59491511/d7356517-ff0be7ea-3c1da8c7-bef37e6f-03e1f78f.jpg
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ap portable upright view of the chest. lung volumes are low. there is mild pulmonary edema without large effusion or pneumothorax. given the perihilar opacities, the possibility of a superimposed pneumonia is difficult to exclude. the heart is top-normal in size. mediastinal contour is normal. imaged osseous structures are intact.
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<unk>m with sob, cp intermittently x <num> month. // pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p16331971/s58033016/c249edfb-c0f31076-59a1688c-c95fce2e-d5c2b557.jpg
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the heart size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine.
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chest pain and shortness of breath over past <num> days.
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MIMIC-CXR-JPG/2.0.0/files/p13956237/s57296503/bc416db8-176f4d13-11dee296-ae8a2570-e5ef8d62.jpg
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no focal consolidation, pneumothorax, or pulmonary edema is seen. a small left pleural effusion is seen. heart size is normal. mild aortic tortuosity and calcification is seen.
|
<unk>-year-old male with chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p13072849/s52621164/e300b803-745f420e-ec018eb1-8d4c46ef-1088dc61.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>m with chest pain // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p10846829/s58560820/63b27745-9aecbdc1-702ac5c0-abacd447-635e8b64.jpg
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lung volumes are low. the cardiac silhouette is enlarged. bibasilar opacities have substantially improved since <unk> with residual patchy and linear opacities remaining, right greater than left. bilateral pleural effusions have also decreased in size with residual small effusions.
|
history: <unk>m with febrile hypotension // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p17554598/s50915941/035986c4-1af0688c-aab1a628-f7597152-126f6045.jpg
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there are low lung volumes. this accentuates the size of the cardiac silhouette which is likely mildly enlarged. the aorta is tortuous and demonstrates diffuse calcifications. crowding of the bronchovascular structures is noted, though no overt pulmonary edema is visualized. retrocardiac ill-defined opacity is present with small left pleural effusion. no pneumothorax is identified though evaluation of the lung apices is limited due to patient positioning and the patient's chin obscuring the left lung apex.
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hypoxia and shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p19602093/s54163721/77375d60-1d4e32a8-c73ac320-5f3b009a-94a2e2eb.jpg
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frontal and lateral views of the chest are compared to previous exam from <unk>. new when compared to prior is increased opacity at the right upper lung medially. lungs are otherwise clear and the cardiomediastinal silhouette is within normal limits. hypertrophic changes are seen in the spine.
|
<unk>-year-old male with fever.
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MIMIC-CXR-JPG/2.0.0/files/p15866669/s55642285/1a4f99b1-31464fcd-8613de4f-41819afb-bae0b14b.jpg
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the endotracheal tube terminates at the clavicular junction approximately <num> cm from the carina. there has been placement of a nj tube which most likely terminates at the pylorus. there is a ng tube, positioned within the stomach. compared to the prior radiographs, bilateral pleural effusions appear slightly improved; however, this could be due to patient being positioning differences. there is no pneumothorax or definite focal consolidation. cardiomediastinal silhouette is stable.
|
<unk>-year-old woman with alcoholic pancreatitis, status post intubation, ng tube, please include abdomen emptying to confirm nj placement.
|
MIMIC-CXR-JPG/2.0.0/files/p15003969/s50495969/076af708-390340be-515b7f7a-8ec8da71-b8c5f7ff.jpg
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
|
history: <unk>m with cp. // pna? ptx?
|
MIMIC-CXR-JPG/2.0.0/files/p17863255/s55476904/2d4b2551-c0ce5216-925fdc9c-f11923ae-47ecf656.jpg
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the cardiomediastinal silhouettes are unchanged in appearance. the bilateral hila are normal. there has been significant improvement of previously seen right lung base opacification. there is minimal residual opacity at the right cardiophrenic angle which may represent crowding of normal vascular structures in the setting of low lung volumes and poor inspiratory effort combined with basilar atelectasis. there is probable left basilar atelectasis as well. there are no other new focal lung consolidations. there is no evidence of pulmonary vascular congestion. there is no pneumothorax.
|
<unk> year old man with prior abnormal x-ray // assess r lower lobe
|
MIMIC-CXR-JPG/2.0.0/files/p12500505/s50794229/989030b0-385a83bc-d39b896e-9112d306-c6e75b93.jpg
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the lung volumes are low. there is lleft basilar atelectasis with mild volume loss and elevation of the left hemidiaphragm, increased since the prior exam. there is no focal consolidation to suggest pneumonia. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged with persistent unfolding and tortuosity of the aorta and mild cardiomegaly. moderate degenerative changes in the thoracic spine with mild compression deformities appear unchanged. evaluation is limited due to osteopenia.
|
cough. evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p10232271/s52993689/8da41505-78dd52e8-15cba1e1-374a6a68-549c67f5.jpg
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there is dense consolidation in the right mid lung likely localizing right middle lobe. more streaky opacity noted at the left lung base, potentially atelectasis. elsewhere, lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
|
<unk>f w/ h/o avm, recent ica embolization, with fever, altered mental status, recent fall // assess for ich
|
MIMIC-CXR-JPG/2.0.0/files/p10516213/s52670563/1b84eea3-ae392dfa-fa100ed2-327be131-eb411076.jpg
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single portable frontal chest radiograph demonstrates left picc tip at the superior cavoatrial junction, similar in appearance to previous examination. persistently hypoinflated lungs with vascular crowding and bibasilar atelectasis. no new focal opacity. no pleural effusion or pneumothorax. heart size, mediastinal contour and hila are otherwise unremarkable. limited assessment of the upper abdomen is within normal limits. lower thoracic/ upper lumbar spinal hardware is present.
|
picc line placement. assess picc.
|
MIMIC-CXR-JPG/2.0.0/files/p15483978/s51658830/d5444176-c9ae8871-80ba7614-907adc59-5b9477ed.jpg
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no pleural effusion or pneumothorax is seen. the lung volumes are slightly low, but lungs are clear bilaterally. cardiomediastinal silhouette is unremarkable.
|
<unk>-year-old female cough // r/o pneumonia r/o pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p17770657/s50170341/0e3f8459-2b944097-bffb91c8-6578b8ac-e143b9a2.jpg
|
dobhoff tube has been repositioned and now passes below the diaphragm and crosses the midline, likely within the second portion of the duodenum. the wire is still in place. exam is otherwise unchanged.
|
status post cabg, status post sternum removal, please evaluate for dobbhoff tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p11803961/s50744085/98751b35-4b4bb85b-bacad0b2-173833d1-1564aaf7.jpg
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there is stable elevation of the right hemidiaphragm. the lungs are grossly clear. moderate cardiomegaly despite the projection is stable. there is no pneumothorax. regional bones and soft tissues are unremarkable.
|
<unk> year old woman with dyspnea and suspected chf // eval for pulmonary edema
|
MIMIC-CXR-JPG/2.0.0/files/p17951619/s50388389/7f443780-14a06d74-58f73fba-57cabb95-3ccc1b13.jpg
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frontal and lateral radiographs of the chest demonstrate normal heart size. the mediastinal silhouette and hilar contours are normal. the right chest wall port-a-cath is in unchanged position with the tip in the lower svc. a biliary drain and stents projects over the right upper quadrant the lungs are clear. no pleural effusion or pneumothorax.
|
pancreatic cancer, biliary drain, fever and left lower quadrant pain with bowel movements earlier. question infection
|
MIMIC-CXR-JPG/2.0.0/files/p12904593/s59250096/a98cb7d8-56a85f88-38f601f6-f782df83-87a3d77d.jpg
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left-sided central line terminates in the upper svc. et tube terminates appropriately approximately <num> cm above the carina. small bilateral pleural effusions are persistent. mild cardiomegaly is stable, with prominence of the hilar and mediastinal contours, likely secondary to low lung volumes. there has been slight interval increase in mild bibasilar atelectasis. an enteric tube extends below the diaphragm with the tip in the body of the stomach. there is no evidence of pneumothorax.
|
history of mesenteric ischemia status post exploratory laparotomy. please evaluate for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p12251785/s52454930/8b4414cd-aaf4fdca-1effc33e-fb421dcf-bc415096.jpg
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heart size is mildly enlarged but unchanged. mediastinal and hilar contours are stable. there is mild interstitial pulmonary edema, new compared to the prior chest radiograph. no pleural effusion or pneumothorax is seen. linear opacities at the lung bases likely reflect atelectasis. there is no pneumothorax. diffuse demineralization of the osseous structures is noted. compression deformity of a mid/ lower thoracic vertebral body is unchanged.
|
dyspnea on exertion, on hemodialysis.
|
MIMIC-CXR-JPG/2.0.0/files/p11717909/s51409536/ea47c557-92fcaf75-13b7ed5c-c784b2b8-3d83111c.jpg
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cardiomediastinal contours are stable. patient is status post heart transplant. the lungs are clear. there is no pneumothorax or pleural effusion. sternal wires are aligned. multiple clips in the mediastinum are noted.
|
<unk> year old man s/p heart transplant <unk> with cough-coming from holding area-result to dr. <unk> // infiltrated,acute pulmonary process
|
MIMIC-CXR-JPG/2.0.0/files/p14801770/s54249844/bb189ec5-4fb8f9a9-1fe169af-a73f4785-2e82220a.jpg
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linear and a wedge-shaped opacities are present in both juxta hilar regions, and appear to correspond to the anterior segment of the right upper lobe and superior segments of the lower lobes. subtle reticulonodular opacities are also present in the left perihilar region. heart size is normal, and there is no definite mediastinal or hilar lymphadenopathy. there is no pleural effusion.
|
<unk> year old man with high fever and productive cough; normal exam // ?pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p19979469/s57559342/a56ba08e-9b32ffd8-2b9e55dc-9ddf4910-01154117.jpg
|
frontal and lateral views of the chest. right chest wall port is seen with catheter tip in the upper right atrium, similar to prior. the lungs are clear of consolidation or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
|
<unk>-year-old male with subjective fevers nonproductive cough, on chemotherapy for pancreatic cancer.
|
MIMIC-CXR-JPG/2.0.0/files/p16312024/s56358510/fe1e2947-01c71b2e-2699dd1f-9d514899-df22ec2b.jpg
|
pa and lateral views of the chest. no prior. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
|
<unk>-old male with productive cough and red streaks. question bronchitis.
|
MIMIC-CXR-JPG/2.0.0/files/p17295976/s50756671/98711577-68c72386-1df6baef-916116b4-6a3e0924.jpg
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ap upright portable chest radiograph demonstrates low lung volumes bilaterally. there is no consolidation concerning for an pneumonia. heart size is enlarged though slightly exaggerated by image technique and low lung volumes. there is no pneumothorax, pulmonary edema, or pleural effusion. hilar contours are within normal limits. patient is status post median sternotomy. a midline trach is identified, its tip difficult to see given projection. imaged osseous structures and upper abdomen are unremarkable.
|
<unk> year old man with ? ptx // ? ptx
|
MIMIC-CXR-JPG/2.0.0/files/p14494004/s55591829/b7ce2646-6e2afab3-2a6442c5-3a427f04-de345591.jpg
|
the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart appears to be enlarged likely secondary to patient positioning. the mediastinal contours are normal.
|
<unk> year old man with st elevation myocardial infarction, cough.
|
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