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MIMIC-CXR-JPG/2.0.0/files/p18880255/s50657867/dfeb3d96-02a833e2-e0ef4e72-75294ae4-294180cb.jpg
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. consolidative opacity in the left lower lobe is concerning for pneumonia. right lung is clear. no pneumothorax or pleural effusion is identified. no acute osseous abnormalities seen. dextroscoliosis of the thoracolumbar spine is re- demonstrated.
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history: <unk>f with fever,cough // pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12070948/s59491417/0c841050-c7d04aa2-3024c671-3384e891-1ce39272.jpg
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patient is status post esophagectomy with gastric pull-through. decrease in the size of the neoesophagus and the amount of fluid since <unk>. mediastinal shift to the left, due to left upper lobe lobectomy is stable since <unk>. the right lung is hyperinflated but clear. heart size is normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.
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<unk> year old man with reported rll infiltrate in <unk>, treated for pneumonia, pls evaluate for continued infiltrate vs resolution // please evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p17102345/s52019714/9f5c3929-bee9d509-d457a3e0-b4b1b537-97c19634.jpg
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the lungs are clear of focal consolidation or effusion. relative elevation of the right hemidiaphragm is again noted. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. surgical clips identified in the right upper quadrant.
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<unk>f with dizziness // evaluate for acute changes
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MIMIC-CXR-JPG/2.0.0/files/p17259996/s52070210/0f893f9f-f84d0dc9-41b73585-f7d8e8df-5919f522.jpg
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a right picc line terminates in the low svc. an enteric tube projects over the gastric fundus, tip is not included in this examination. the cardiomediastinal and hilar contours are within normal limits. lungs are clear. hila, mediastinum and pleural surfaces are normal.
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<unk>-year-old female patient with post-op fevers. study requested for evaluation of atelectasis and/or consolidations.
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MIMIC-CXR-JPG/2.0.0/files/p11954605/s56876054/65f3cac9-07ea4c97-7d5c906f-8a00d486-70ef3052.jpg
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p13743127/s52106315/5a167f23-fe8878e6-63ef0836-8389bb68-c10cbce4.jpg
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there is no pulmonary edema, pleural effusion, pneumothorax, or focal consolidation. the cardiomediastinal silhouette is within normal limits.
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<unk>f with <num> days of cough and uri like symptoms with history of ra evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13558097/s50401716/4f2fd202-01ba8a68-d660c37c-2eeb4d27-0640bb79.jpg
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new since the prior study is increased opacity in the right infrahilar region, worrisome for pneumonia. there is a small to moderate right pleural effusion. left lung is clear. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. patient is status post median sternotomy and cabg. left-sided port-a-cath is again seen, terminating at the cavoatrial junction.
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history: <unk>m with bactermia, advanced panc ca // pna?
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MIMIC-CXR-JPG/2.0.0/files/p19157548/s52052099/b6915106-810e7065-b956e7ed-c245ba20-a5794e5a.jpg
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vascular congestion on the left lung is noted. left apex opacity is unchanged since <unk> and likely reflects pneumonia. increased opacities in the right lower lung likely combination of right pleural effusion with pulmonary edema. retrocardiac consolidation is unchanged. there is no pneumothorax. cardiac size is normal. right picc line in the mid svc. interval removal of the dobbhoff tube.
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<unk> year old man with aspiration pneumonia. // ?interval change
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MIMIC-CXR-JPG/2.0.0/files/p13586936/s54332665/09ccfabc-b9adc285-bddb0139-c83a4859-2bea984b.jpg
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lung volumes are low. there is a right pleural effusion and right basilar consolidation. no pneumothorax is detected on this view. heart and mediastinal contours are similar to <unk>, but difficult to evaluate in the setting of low lung volumes. pacing hardware appears similarly position.
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<unk>-year-old male with hypoxia.
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MIMIC-CXR-JPG/2.0.0/files/p19543748/s52133203/29bc3e62-1bd0b354-4aefd22e-d42818de-57766e21.jpg
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right basilar chest tube remains in unchanged position. small right hydropneumothorax is unchanged. there is increased patchy opacification within the right lung base. this could reflect asymmetric pulmonary edema given its rapid development over the course of a few hours. multiple scattered ill-defined nodular opacities are compatible with known metastatic disease. the cardiac and mediastinal contours are unchanged. streaky left basilar atelectasis is re- demonstrated.
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<unk> year old man with right pleural effusion status post catheter placement. please perform at <time>pm on <unk>
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MIMIC-CXR-JPG/2.0.0/files/p16277479/s55612788/1b3a68b6-11fea7a9-9dad7f2b-63e62ad3-1b8049b2.jpg
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there are relatively low lung volumes. right base opacity is seen likely representing combination of pleural effusion and atelectasis, underlying consolidation is not excluded. the cardiac silhouette is enlarged. the right aspect of the cardiac silhouette is not well assessed due to the right base opacity. aortic knob is calcified. there is mild pulmonary vascular congestion. no pneumothorax is seen.
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hyperkalemia.
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MIMIC-CXR-JPG/2.0.0/files/p13326118/s54312245/2a399ddf-71365ae1-651d8394-90a2e6ee-3275dfc2.jpg
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there is tiny right pleural effusion, stable. right lung is clear. there is left pneumonectomy, with shift of mediastinal structures to the left, stable. normal pulmonary vascularity.
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<unk> year old woman with new pericardial fluid s/p pericardial window // assess lung fields any ptx after jp drain removal
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MIMIC-CXR-JPG/2.0.0/files/p13705090/s59681061/e9289cc9-9cc629a4-adf89061-7256498b-00ae0112.jpg
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pa and lateral views of the chest provided. patient's chin partially obscures the superior mediastinum. overlying ekg leads are present. 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 palpitations // eval for cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p11673799/s53828598/65875e42-c84f9c8b-a8974fe9-cb20c305-73966b9c.jpg
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there is no significant interval change compared to the immediate prior exam.heart size is within normal limits.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.
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<unk> year old woman with history of sarcoid, new chest/arm pain with negative cardiac workup. evaluate for lymphadenopathy.
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MIMIC-CXR-JPG/2.0.0/files/p16662316/s58333691/36d408e5-9f5282b7-3b329c34-f29fda22-690624be.jpg
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frontal and lateral views of the chest. the lungs are hyperinflated but remain clear focal consolidation. cardiomediastinal silhouette is within normal limits. old right posterolateral rib fracture is again seen. no acute osseous abnormality identified.
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<unk>-year-old male with cough and longstanding copd.
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MIMIC-CXR-JPG/2.0.0/files/p12323237/s51926506/e6377b8e-9c0f2068-587becaa-5a608db0-0f5d2a78.jpg
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the cardiac silhouette size is normal. the aorta remains markedly tortuous with minimal atherosclerotic calcification noted at the aortic arch. the mediastinal and hilar contours are otherwise unchanged, and the pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. clip is seen projecting over the epigastric region.
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fever, on immunosuppression.
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MIMIC-CXR-JPG/2.0.0/files/p17717614/s59506059/a62d1b18-c873c9ce-df6ae957-f7472ce1-4f512e9a.jpg
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the mediastinum is less wide than on prior radiographs of the time of discharge, consistent with decreasing postsurgical mediastinal hematoma. median sternotomy wires are noted.
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history: <unk>f with chest pain // acute process
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MIMIC-CXR-JPG/2.0.0/files/p17717274/s54385203/c4fcf3e4-40763964-8ae51b78-0a6c3c2d-c50c7e2e.jpg
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there is no consolidation, pleural effusion, or pneumothorax in. cardiomediastinal silhouette is within normal size. hilar silhouette is unremarkable.
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<unk> year old woman with recent hospitalization and pleural fluid seen, ongoing cough // r/o effusions, pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p13681567/s54276545/1717cb43-d51390bd-0c1287c8-e5eb509a-895b6595.jpg
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frontal and lateral views of the chest. the lungs are clear of consolidation. there is a nodular opacity projecting just lateral to the left hilum, this could be due to superimposed shadows from perihilar vasculature however shallow obliques suggested to exclude underlying pulmonary nodule. the cardiac silhouette is slightly enlarged. no acute osseous abnormalities detected.
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<unk>-year-old male with shortness of breath and lightheadedness.
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MIMIC-CXR-JPG/2.0.0/files/p17960078/s51457278/01575e6b-186210c4-533ace73-138ed863-6e7dfb0d.jpg
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pacemaker wires end in the right atrium and right ventricle. there are mild atherosclerotic calcifications of the aortic arch. the cardiomediastinal silhouette and hila are otherwise normal. there is no pleural effusion, no pneumothorax. prominent right thyroid lobe.
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<unk>-year-old with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p12471215/s57126726/d5656fdd-70337962-5b597aed-b8550a10-921ce818.jpg
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the heart size is at the upper limits of normal. the mediastinal contours demonstrate a mildly tortuous aorta but no evidence of aneurysmal dilatation. the lungs are clear without evidence of lobar consolidation or appreciable pulmonary edema. there is no pleural effusion or pneumothorax. expected degenerative changes are seen throughout the thoracolumbar spine.
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<unk>-year-old male with coronary artery disease and clinical signs concerning for pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p12135022/s56128279/867de850-704e53d2-bfa9895c-f40d5843-1a1f3f64.jpg
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the endotracheal tube tip projects approximately <num> cm above the carina. an esophageal catheter courses below the diaphragm with tip out of view. lung volumes are low with moderate bilateral pleural effusions and bibasilar atelectasis. no pneumothorax is detected on these views. acute left-sided rib fractures with large adjacent hematoma are better seen on prior ct.
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<unk>-year-old male with respiratory distress and fever.
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MIMIC-CXR-JPG/2.0.0/files/p14018526/s57176912/8d4824bb-964207c4-1cbf183e-9685c4ad-61aad8c8.jpg
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portable semi-erect chest film <unk> at <time> is submitted.
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<unk> year old man with concern for hcap vs aspiration pneumonia // please assess for worsening edema/infiltrates please assess for worsening edema/infiltrates
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MIMIC-CXR-JPG/2.0.0/files/p15426827/s53849751/2d78e806-fe12f6aa-1e2eb830-7f0a29e2-a8f1fc8b.jpg
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a single frontal view of the chest was obtained portably. low lung volumes results in bronchovascular crowding. increased opacity at the right lung base since <unk> likely represents a pleural effusion and atelectasis but supervening infection cannot be excluded. the right upper lung zone and the left lung are clear. the cardiac silhouette is unchanged. mediastinal silhouette and hilar contours are normal.
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cirrhosis and encephalopathy.
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MIMIC-CXR-JPG/2.0.0/files/p17483062/s55947400/e538c00e-a2b4e00f-016e3b1c-11491729-3a57a64f.jpg
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the lungs are symmetrically expanded and aerated. no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. bi-apical scarring is noted. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. the visualized upper abdomen is unremarkable. no acute osseous abnormality is identified.
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history of smoking with positional chest pain, here to evaluate for acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p16217465/s51880679/60dbafaa-ae50c873-ef0c0b13-ab14c701-bf928e98.jpg
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cardiomediastinal contours are normal. the lungs are hyperexpanded and clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
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<unk> year old woman with copd, smoker, increased sob // eval for resolution of opacity noted in <unk>
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MIMIC-CXR-JPG/2.0.0/files/p18001923/s58568647/6698a7c2-28875c36-57f3ff99-e875e221-31b00ea5.jpg
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the heart is mildly enlarged. there is mild interstitial edema, improved from <unk>. there are small bilateral pleural effusions. there is no focal consolidation or pneumothorax.
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<unk>-year-old male with cirrhosis and standing is of lower extremity swelling. evaluate for pneumonia, cardiomegaly or congestive heart failure.
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MIMIC-CXR-JPG/2.0.0/files/p16548855/s55668605/55c8d443-7ba3401d-38e61ddb-b3a6e2e5-564b460f.jpg
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<num> view of the chest shows the lungs are low in volume with mild bibasilar reticular opacities. the cardiac silhouette is accentuated, likely due to low lung volumes. the mediastinal silhouette and hilar contours are normal. no pleural effusion or pneumothorax is present. sternal wires are intact.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p13852380/s59667803/5faf06fa-f7476d4a-9f2a2010-71c38ca3-295fe5c7.jpg
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portable ap view of the chest was obtained. calcifed granuloma in the upper right lung. low lung volumes and resultant left basilar atelectasis. no focal air space consolidation or pulmonary edema. no pneumothorax or pleural effusion. the cardiomediastinal silhouette is normal. no bony abnormalities. no free air below the right hemidiaphragm.
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shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p19523647/s50688966/40f0b813-47e3b9a7-b6bcae2c-cf75c387-de308239.jpg
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there are small-to-moderate sized bilateral pleural effusions and associated basilar opacities, larger on the left than the right. these opacities may represent compressive atelectasis, though a component of infection is difficult to completely exclude. additionally, there is mild vascular congestion. no pneumothorax is identified. the mediastinal contours are unchanged, and normal. atherosclerotic calcifications are noted along the aortic arch. the heart is moderately enlarged. it appears slightly increased in size since the prior exam. otherwise, there has been little change.
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dyspnea. evaluate for infiltrate or pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p14661636/s51448868/5baa4a04-62fa38d0-28c0bb04-1d19b707-92495fbb.jpg
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normal heart, lungs, mediastinum, hila and pleural surfaces.
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<num> weeks of cough likely paroxysmal nocturnal dyspnea. exclude acute process.
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MIMIC-CXR-JPG/2.0.0/files/p13100702/s57173658/f31d614a-5339a65c-b6c33f91-b32c844e-0c762f90.jpg
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the lungs are clear without areas of focal consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits.
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<unk>-year-old female with chest pain. evaluate for cardiopulmonary process or pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p12323119/s59789259/f440b87c-8ea9bfca-fec3d270-fc0c3b03-2780ea26.jpg
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there has been interval removal of a right chest tube. there is a small right apical pneumothorax. otherwise, in comparison to the previous study, there is little change.
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<unk> year old man with s/p mvr- final ct d/c'd // evaluate for pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p17961065/s51945147/6760e300-c679800c-6960dc2c-1e5cdf34-85872321.jpg
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pa and lateral views of the chest provided. vp shunt tubing courses along the right neck and chest and is seen in the right upper quadrant. 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 psuedotumor cerebri s/p vp shunt and h/a now with difficulty breathing // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p11321986/s59427777/c3bdf87f-48f53582-effd4127-b90a9079-7a822e9c.jpg
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there is diffusely increased interstitial markings bilaterally with peripheral and lower lung predominance, overall slightly improved compared to <num> day prior. pattern of involvement is similar to prior chest ct, which showed nsip. cardiac silhouette is mildly enlarged, similar to prior.
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<unk> year old man with probable cmml with hypoxia and ct concnerning for acute inflammatory process vs. infection. now on steroids. // eval for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p17710466/s52425428/586539bb-b72f7dde-1e4151a6-4f7ee303-95a7f6f2.jpg
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since the prior radiograph on <unk>, there has been interval removal of the endotracheal tube, enteric tube, left chest tube, and pulmonary artery catheter. the lungs are better aerated, but volumes are still low. there are small bilateral pleural effusions with adjacent atelectasis, similar to the prior cxr. no pulmonary edema. no pneumothorax or pneumopericardium. interval decrease in post-op mediastinal widening. stable cardiomegaly.
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<unk> year old man with s/p cabg and mvr // s/p ct removal
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MIMIC-CXR-JPG/2.0.0/files/p17656727/s54075460/f14f02f2-f1cb3b77-e6f9e8cc-29320c30-72aa5a15.jpg
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since the prior study there has been increase in interstitial opacification in keeping with pulmonary edema. heart size and right pleural effusion are larger. left pleural effusion remains small. no pneumothorax.
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<unk> year old woman with fever and altered mental status. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17825104/s57268132/b5e4e33b-e2b9a63c-af9efa68-33d93d14-b59213c0.jpg
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extensive subcutaneous gas projects over the chest wall and imaged portion of the lower neck. lucency at the mediastinum is also compatible with pneumomediastinum. no definite pneumothorax identified given limitation of overlying gas within the overlying soft tissues. no acute osseous abnormalities identified.
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<unk>m with subq air, chest pain // expansion of subq air? pneumothorax?
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MIMIC-CXR-JPG/2.0.0/files/p18733782/s57490430/69700740-faf7bf19-63ecb114-08d9bea0-aef4f0b2.jpg
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the heart size is borderline enlarged, slightly increased in size compared to the previous study. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear. blunting of the costophrenic angles on the lateral view posteriorly is compatible with trace bilateral pleural effusions. no pneumothorax is a is identified. there are mild degenerative changes in the thoracic spine.
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syncope.
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MIMIC-CXR-JPG/2.0.0/files/p14609338/s53513761/d60b8438-2f6c2581-cf87b98d-1c53ba27-2f5e0190.jpg
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ap upright and lateral views of the chest <unk> at <time> are submitted.
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<unk> year old woman with hypoxia after mechanical fall and sah // aspiration v/ pna aspiration v/ pna
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MIMIC-CXR-JPG/2.0.0/files/p13199590/s59110592/c71f5ff0-32b418d0-9f63bce2-a0bdb777-0df5913b.jpg
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the lungs are clear. there is no consolidation, effusion, pneumothorax or vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
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<unk>m with new onset sob and palpitations in the setting of recent weight gain. // ?edema
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MIMIC-CXR-JPG/2.0.0/files/p16560053/s55518581/9e0e9b5a-bc30d1d9-23ba49ba-cec149fd-74fb84b8.jpg
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as oppose to earlier film, there is a right apical hyperlucent zone. despite the fact that no pleural line is seen, a pneumothorax must be suspected. right pleural effusion has decreased. there is increased opacification of the left lower lung likely related to a combination of pleural effusion and atelectasis. right picc line terminates in the upper svc.
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<unk>-year-old male patient, status post cabg/avr and status post right thoracentesis.
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MIMIC-CXR-JPG/2.0.0/files/p16534334/s58328255/43ac46ab-3df36e71-c4b64d5e-daf0e957-ed5303d0.jpg
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portable ap supine chest film <unk> at <unk> submitted.
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<unk> year old man with picc pulled out slightly. // evaluate picc evaluate picc
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MIMIC-CXR-JPG/2.0.0/files/p10623984/s50954931/5d7300b2-9944e262-ea673a5d-ff242f29-4031cea1.jpg
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right internal jugular central venous catheter tip terminates at the junction of the svc and right atrium. endotracheal tube terminates approximately <num> cm from the carina. an enteric tube tip is within the stomach. heart size is normal. aortic knob is diffusely calcified. mediastinal and hilar contours are unremarkable. interstitial opacities are seen within the left upper lung field, findings which could reflect chronic changes. similarly, linear opacities within both lung bases may reflect scarring or perhaps subsegmental atelectasis. no focal consolidation, large pleural effusion or large pneumothorax is detected on this supine exam. multiple fractures are seen involving the ribs bilaterally, left clavicle, and left proximal humerus, all which appear chronic.
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history: <unk>m with intubation
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MIMIC-CXR-JPG/2.0.0/files/p14909918/s54510332/b7695732-120e6e54-a48b75bb-bb0db9c0-03b3a4f3.jpg
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bibasilar opacities are similar to prior and was better evaluated on the prior ct chest which showed mild nsip fibrosis. there is no new focal opacity in the lungs. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
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right lung crackles <unk> year old man with smoking history crackles right lung // right lung crackles
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MIMIC-CXR-JPG/2.0.0/files/p11962852/s59341986/5c38ddff-3b94f996-7b3d791a-c8968696-411179d1.jpg
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mild bibasilar atelectasis is noted. there is no focal consolidation, pleural effusion, pneumothorax, or overt pulmonary edema identified. stable, moderate cardiomegaly is noted. mediastinal and hilar contours are stable. several small surgical clips are noted overlying the left mid lung.
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new diagnosis of dlbcl, now with fever.
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MIMIC-CXR-JPG/2.0.0/files/p10665320/s51943526/4c0a2ceb-2ba23856-b1b680eb-e804f9f2-395a16a4.jpg
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cardiomediastinal contours are normal. lungs and pleural surfaces are clear.
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<unk> year old woman with smoking for many years // r/o any abnormality
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MIMIC-CXR-JPG/2.0.0/files/p12807868/s59463629/fc48155b-0077230d-58ac2073-3e8542ad-34a2e6a5.jpg
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cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are unremarkable. there is mild pulmonary vascular congestion. patchy atelectasis is seen in the bases without focal consolidation. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.
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history: <unk>m with atrial fibrillation
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MIMIC-CXR-JPG/2.0.0/files/p12238440/s52792401/816a0a68-ea285dd4-1ec5ad25-0d4c888c-d2ac948b.jpg
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance.
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history: <unk>m with cough and chills x <num> days with pmhx of splenectomy // ? pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p10136619/s51814207/0a73e53b-fbb95ebb-3f2512ab-e149b5c1-96f8302c.jpg
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widespread airspace and interstitial opacities are minimally improved since <unk>. there do not appear to be new pleural effusions. there is no pneumothorax. the heart and mediastinum are within normal limits. a rounded calcification in the right upper quadrant likely corresponds to a gallstone. right shoulder degenerative changes are advanced.
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<unk> year old woman with hypoxemia and ground glass opacities // interval change
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MIMIC-CXR-JPG/2.0.0/files/p13588863/s58605290/e575982e-b6b0e118-7a374aae-be6adfc7-b4438ce7.jpg
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examination is performed at <time> p.m. with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the findings are unchanged and the on previous ct identified nodular lesion in the apical segment of the right lower lobe is again identified and appears unchanged. no new pulmonary abnormalities are seen. no pneumothorax has developed on either side. observed is that there exist local irregular contoured pleural thickenings in both apices.
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<unk>-year-old female patient status post lung biopsy and fiducial mark placement. evaluate for pneumothorax as patient is in radiology care unit.
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MIMIC-CXR-JPG/2.0.0/files/p10145553/s54510240/196cd5bf-30f61a47-ed1db53c-018757c1-7f43570b.jpg
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biapical pleural thickening/scarring is stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the lungs are relatively hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. the cardiac and mediastinal silhouettes are stable and unremarkable. the hilar contours are stable.
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six weeks of cough.
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frontal and lateral views of the chest were obtained. there is borderline cardiomegaly. the cardiomediastinal contours are normal. there is possible mild cephalization which may suggest increased pulmonary venous pressures. the lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign body.
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<unk>-year-old female with chest tightness and shortness of breath. evaluate for acute cardiopulmonary process.
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frontal and lateral views of the chest were obtained. low lung volumes results in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal and hilar contours are normal.
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cough and chest pain.
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pa and lateral chest views were obtained with patient in upright position. available for comparison is a preceding chest examination dated <unk>. as before, there is moderate cardiomegaly with a configuration indicative of left ventricular enlargement. thoracic aorta is mildly widened and elongated and shows calcium deposits in the wall, mostly at the level of the arch. there is, however, no evidence of local aortic contour abnormalities. the pulmonary vasculature is not congested. there is now a parenchymal infiltrate on the right lung base and the lateral view confirms this finding in the form of some hazy parenchymal densities and a peripheral plate atelectasis in the right lower lobe posterior segment. no other acute abnormalities are seen; however, the lung bases have a generally hyperinflated appearance suggestive of copd. when comparison is made with the preceding chest examination obtained <unk> years ago, the moderate cardiac enlargement existed already at that time. there existed also a few for pneumonia suspicious infiltrates on the right base, but they have changed their appearance to some degree.
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<unk>-year-old male patient with cough, evaluate for pneumonia.
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the lung volumes are low. there is diffuse prominence of the interstitial markings, most consistent with mild pulmonary edema. there is no consolidation, pleural effusions, or pneumothorax. the cardiomediastinal silhouette is normal. degenerative changes are noted in the thoracic spine. no definite fracture is identified.
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fall and altered mental status. evaluate for chf.
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right-sided port-a-cath terminates in the low svc without evidence of pneumothorax. no focal consolidation is seen. biapical pleural thickening is re- demonstrated. there is no pleural effusion. the cardiac and mediastinal silhouettes are stable with tortuous, right-sided aortic arch.
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history: <unk>f with copd worsening cough // r/o pna
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a new lucent seen below the right hemidiaphragm is highly concerning for free intraperitoneal gas. however, as the patient has a eventrated right hemidiaphragm on prior radiographs, a left lateral decubitus abdominal radiograph or ct may be helpful to confirm suspected free intraperitoneal air if warranted clinically. exam is otherwise remarkable for bibasilar atelectasis, small right pleural effusion, and marked gastric distension.
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<unk> year old woman with gib, cdiff, recent tips, now with new onset shortness of breath // ?acute process, pulmonary edema
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pa and lateral views of the chest provided. the lungs appear hyperinflated with coarsened reticular markings slightly more pronounced the lower lungs which could reflect chronic airways inflammation in the setting of asthma. no lobar consolidation, pleural effusion or pneumothorax. no signs of pulmonary edema or congestion. cardiomediastinal silhouette appears normal. bony structures are intact. there is a mid thoracic spine compression deformity which is unchanged from prior <unk> exam.
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<unk>m with asthma exacerbation, cough x <num>wk // eval for pneumonia
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there is a left-sided basilar chest tube in place. the amount of pleural effusion appears decreased since the prior examination. however, there does appear to be a small left-sided pneumothorax, measuring up to <num> mm along the lateral aspect of the lung. there is persistence of mild increased opacity in the left retrocardiac region, consistent with atelectasis. there is a diffuse alveolar and interstitial process involving the right hemithorax, although uncertain whether this is due to the portable technique and slightly decreased penetration. there is suggestion of a layering right-sided pleural effusion.
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status post pleurodesis. evaluate for pneumothorax.
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evaluation of the lateral views is limited due to patient's arm positioning. the lung volumes are low which causes apparent enlargement of the cardiac silhouette. the aorta is slightly unfolded. the lungs are clear without focal opacity, pleural effusion or pneumothorax. there are degenerative changes in the right acromioclavicular and coracoclavicular joints.
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<unk>-year-old woman with hypertension and altered mental status. evaluate for pneumonia.
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the tip of the dobhoff feeding tube extends into the stomach. the tip of the right picc line projects over the distal svc. there has been interval removal of the right chest tube. interval increase in the in the extent of the with right lung airspace opacities. a right pleural effusion is also noted. no pneumothorax identified. a layering left pleural effusion is also present with subjacent atelectasis/consolidation.
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<unk> year old woman with necrotizing pneumonia, pneumothorax s/p chest tube removal. // please eval for reaccumulation
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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>m with l sided weakness. r/o infection that could cause recrudence of prior cva symptoms
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. although dedicated rib films were not performed, no fracture is identified. there is mild leftward convex curvature centered along the mid-to-lower thoracic spine.
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status post recent assault with persistent right anterior rib pain. question fracture.
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lungs are hyperinflated. lungs are clear of consolidation, pleural effusion or pneumothorax. soft tissue prominence at the right cardiophrenic angle has remained unchanged since the earliest available chest radiograph on <unk>. this finding is usually due to mediastinal fat, or occasionally a pericardial cyst. heart size is top-normal. mediastinal contours are normal. no acute osseous abnormalities are identified.
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history: <unk>m with word finding difficulty, s/p hemicrani // eval for acute process
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both lungs are well expanded and clear. there are no lung opacities concerning for pneumonia. heart size is top normal. mediastinal and hilar contours are normal.
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<unk>-year-old man with persistent cough. no fever, rule out pneumonia.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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cough.
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left-sided aicd is stable in position. the appearance of the lungs is without significant interval change. there are bilateral, right greater than left, pleural effusions with overlying atelectasis. opacity at the right lung base raises concern for overlying pneumonia, underlying pulmonary mass is not excluded on this study.
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history: <unk>m with chf exacerbation. prior cxr with ?consolidation // please eval s/p diuresis
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frontal radiograph of the chest shows a new right picc with the tip terminating in the right atrium. for more appropriate positioning, this should be retracted by approximately <num> cm. compared to the prior study, there has been interval improvement in aeration of the bases bilaterally with slight improvement in bilateral pleural effusions. bibasilar atelectasis persists. the apices are clear. pulmonary vascular congestion is worse indicative of moderate pulmonary edema. enlarged cardiac contour is stable.
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biliary sepsis, status post extubation. evaluate interval change in left lower lobe collapse.
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the cardiomediastinal silhouette is stable. there is no pneumothorax. diffuse parenchymal scarring worse at the right lung base in the right mid lung is again seen with a moderate amount of architectural distortion. there are numerous calcified granulomas, worse in the left midlung. right-sided pleural thickening is unchanged. moderate rightward tracheal deviation is likely related to parenchymal scarring.
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history: <unk>m with <unk> edema, cough // acute process
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<num> views were obtained of the chest. the lungs are mildly hyperexpanded without focal consolidation, pleural effusion or pneumothorax. mild interstitial abnormality is unchanged, likely chronic or recurrent, mild edema. the heart is normal in size with tortuous aortic contour.
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recent pneumonia, new weakness.
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compared to most recent prior exam, there has been little interval change. multifocal parenchymal opacities persist. biapical scarring is seen. no new focal consolidation or pneumothorax is detected. blunting of the right costophrenic angle on frontal view may be secondary to pleural thickening, but small pleural effusion cannot be excluded. heart and mediastinal contours are stable and within normal limits. surgical clips project over the right upper quadrant, possibly reflecting prior cholecystectomy.
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<unk>-year-old female with cough, congestion, and bilateral lower extremity swelling.
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frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old male with cough and sore throat, tachycardia to <num>.
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pa and lateral chest radiographs were obtained. the lungs are well inflated and clear. no effusion, pneumothorax, or focal consolidation is present. the cardiac and mediastinal contours are normal.
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<unk>-year-old woman with bradycardia.
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single ap view of the chest demonstrates stable position of the tracheostomy tube. the patient is status post right upper lobectomy with persistent right upper lobe opacification with clips in place. a right right pleural effusion is persistent, with little aerated intervening lung in the right mid thorax. there is increased pulmonary vascular markings in bilateral aerated lungs, likely accentuated by low lung volumes.
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<unk>-year-old female with squamous cell carcinoma status post resection. question interval change.
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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 hemoptysis, r upper chest pain // ? acute cardiouplm process
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endotracheal tube terminates <num> cm above the carina. ng tube terminates below the diaphragm. left ij catheter terminates at the mid-to-lower svc. cardiomediastinal contours are stable with mild cardiomegaly. vascular markings at the right lung base are less prominent, compatible with improved vascular congestion. retrocardiac opacity and blunting of the left costophrenic angle is compatible with small pleural effusion with adjacent atelectasis. no pneumothorax.
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<unk>-year-old female with respiratory failure. evaluate for interval change.
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. gj a tube with tip projecting over the right abdomen. surgical clips are seen in the right upper quadrant.
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history: <unk>m with cough // acute process
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pa and lateral views of the chest. no prior. linear opacity is seen in the right mid lung suggestive of atelectasis. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with chest pain.
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the et tube terminates approximately <num> cm above the carina. there is an enteric tube which extends below the diaphragm with the tip in the body of the stomach. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is mild bibasilar atelectasis. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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history of asthma exacerbation. please evaluate.
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increased opacity at the right lung base likely reflects a combination of pleural fluid and consolidation as seen on the prior ct. apical pleural fluid is also noted. the extent of airspace opacity/ consolidation is slightly improved compared to the earlier chest radiograph. the left lung appears grossly clear. no pneumothorax seen. the visualized bony structures are unremarkable in appearance.
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<unk>f w/ lung ca w/ acute sob // evaluate for ptx vs worsening effusion
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there is minor left basilar atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with dyspnea // infiltrate?
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there is persistent moderate cardiomegaly with worse and pulmonary edema. no focal consolidation. no large pleural effusion or pneumothorax. unchanged calcification of the aortic knob. note is made of interruption of the third sternal wire from the top, unchanged from prior.
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<unk>m with fever, weakness // eval for pna
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semi-erect portable frontal chest radiograph demonstrates interval placement of a left-sided internal jugular venous catheter terminating likely at the confluence of the subclavian vein and superior vena cava. otherwise, exam unchanged. no pneumothorax.
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left ij placement, assess position.
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tracheostomy. right ij central line tip in the low svc. single right chest tube. surgical clip right axilla. right basilar pneumothorax has mildly decreased. small right pleural effusion is more prominent. there is tiny left pleural effusion, stable. mildly improved right mid lung, basilar opacity. left lung is clear.
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<unk>f w/history of lung ca, s/p left vats and lul wedge resection in <unk>, right vats w/rul wedge resection in <unk>, found to have residual cancer at staple line, now s/p right-sided thoracotomy with rul resection on <unk> with significant intra-operative anemia. // please perform at <time> today. chest tube unclamped due to significant r basal pneumothorax after clamp trial. eval for change
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frontal and lateral radiograph of the chest. normal heart size, mediastinal and hilar contours. calcification at the aortic knob is unchanged. lungs low in volume, but clear. no pleural effusion or pneumothorax.
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altered mental status, question pneumonia.
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the heart is at the upper limits of normal size. the aortic arch is partly calcified. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. small anterior osteophytes are present throughout the mid-to-lower thoracic spine. there is an anomalous right eighth rib that appears to bifurcate into two ribs anteriorly.
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chest pain.
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left-sided port-a-cath tip terminates at the junction of the svc and right atrium, unchanged. heart size appears borderline enlarged, likely due to ap technique and lower lung volumes. a coronary artery stent is re- demonstrated. enteric tube tip terminates in the stomach. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. minimal atelectasis is noted in the lung bases. there are no acute osseous abnormalities. clips are seen in the right upper quadrant of the abdomen.
|
history: <unk>f with port. unable to flush. // port catheter tip position?
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the inspiratory lung volumes are low, decreased from <unk>. left basilar opacities may represent atelectasis in the setting of low lung volumes although infection is not excluded in the appropriate clinical context. there is no pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. patient is status post median sternotomy with multiple intact sternal wires. the thoracic aorta is mildly tortuous. multiple mediastinal surgical clips are compatible with prior cabg surgery. no acute osseous abnormality is detected.
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hypoxia with o<num> sats of <num>%, here to evaluate for acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p16312465/s55011763/19127cf6-7165c966-19f1a34b-a8197509-1c21c405.jpg
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cardiomediastinal is unremarkable considering change in patient position. lungs are clear. no pleural effusion or pneumothorax is seen.
|
<unk> year old woman with elevated pa pressures and sob, suspicion for chronic pes // pre-vq scan cxr; please perform before v/q scan (planned for <num>pm <unk>) pre-vq scan cxr; please perform before v/q scan (planned for
|
MIMIC-CXR-JPG/2.0.0/files/p14300511/s59834811/ecf780e2-ab1892e0-7b13d7cb-d940c648-58df6cf5.jpg
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frontal and lateral views of the chest were obtained. the lungs are well expanded. subtle nodular opacity in the right upper lobe and the right middle lobe are more conspicuous than on <unk> and may represent early or developing infection. the remainder of the lungs is clear. heart size is normal. there is no pleural effusion or pneumothorax. mediastinal silhouette and hilar contours are normal.
|
<unk>-year-old woman with fever. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16040458/s50830031/db948825-17b3448d-1c38b157-b43dd4fd-d422e888.jpg
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cardiac silhouette size is borderline enlarged, unchanged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. low lung volumes are demonstrated with minimal streaky bibasilar atelectasis present. no pleural effusion or pneumothorax is clearly evident. extensive widespread osseous metastatic disease is again noted.
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history: <unk>m with tachycardia, lower extremity edema
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there is no focal consolidation, pleural effusion, vascular congestion, nodule, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
|
depression entering facility, requiring evaluation for tuberculosis.
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MIMIC-CXR-JPG/2.0.0/files/p17119812/s53544167/e80035ef-3979590d-24d773b6-5c0ac412-c71196c6.jpg
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal consolidation convincing for pneumonia is identified. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are within normal limits. osseous structures demonstrate no acute abnormality.
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<unk>f with fever, cough, sputum, dyspnea
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MIMIC-CXR-JPG/2.0.0/files/p13855588/s55296296/e90315d6-c68d6221-7f5572ee-9851af28-81b78540.jpg
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right-sided picc tip is not visualized as obscured by spinal hardware and is an at least to the low svc. given for differences in technique, bilateral moderate pleural effusions and bibasilar opacities likely have not substantially changed given the semi erect technique. mild pulmonary vascular congestion. heart is upper limits of normal in size. spinal hardware is incompletely evaluated on this portable chest radiograph exam.
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<unk> year old woman with new fever, h/o pancreatitis, colitis // please eval for infiltrate, effusion
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MIMIC-CXR-JPG/2.0.0/files/p18562338/s56137457/76887d66-f822f40a-7d775596-f3f37352-47aca135.jpg
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a new right pigtail catheter takes a sharp turn, and may be kinked. the small to moderate right pneumothorax has not substantially changed. aeration at the right base has improved, possibly on the basis of resolving contusion. the left lung is clear.
|
<unk> year old woman with polytrauma and pneumothorax on right. // ?pigtail placement
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MIMIC-CXR-JPG/2.0.0/files/p16370208/s50349743/f80d218f-5dd26cf2-7c294de8-fcb24afe-7240ff13.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart is not enlarged. a right upper paratracheal mass is better evaluated on most recent chest ct from <unk>.
|
<unk> year old man with bladder cancer in the mediastinum // question of drug induced pneumonitis
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subtle <num> cm ovoid opacity projecting over the posterior right sixth rib may be due to overlap of structures however, recommend a shallow oblique radiographs to exclude underlying lesion. the left lung is clear. there is persistent slight blunting of the bilateral costophrenic angles. no pulmonary edema is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with <unk> edema // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p13559141/s53038031/3a51f379-0fc4b821-1df1bc22-368a12e8-3fb3cf85.jpg
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. patchy opacity within the lingula is concerning for an area of infection. right lung is clear. no pleural effusion or pneumothorax is demonstrated. several fiducial markers are noted projecting over the upper abdomen, just to the right of midline.
|
history: <unk>f with cough, nasal congestion, rhinorrhea.
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MIMIC-CXR-JPG/2.0.0/files/p12465457/s55644102/a4bdb6f6-ec8abe25-82a72989-02e09bcd-f8900fd0.jpg
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frontal and lateral chest radiograph demonstrates right port tip within the right atrium. the lungs are well inflated. new right middle lobe opacity most consistent with atelectasis. right lung is otherwise clear. triangular opacity within the left lung base best seen on lateral projection likely represents scarring from previous inflammatory disease. no left pleural effusion. no additional focal opacity. heart size, mediastinal contour and hila are unremarkable.
|
<unk>f with fever on chemo. assess heart and lungs.
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