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MIMIC-CXR-JPG/2.0.0/files/p10668617/s51587311/0f1a4611-5a26769c-dcc60caa-62b27dfe-84214227.jpg
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the patient is status post median sternotomy and aortic valve replacement. heart size remains mildly enlarged. hilar and mediastinal contours are normal. previously demonstrated tiny right apical pneumothorax is not appreciated on the current exam. patchy opacity in the left lung base appears slightly worse in the interval, with continued small bilateral pleural effusions. no pulmonary vascular congestion is present. there are no acute osseous abnormalities.
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history: <unk>m with recent cardiac surgery, cough
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improved but not resolved right lower lung opacity since <unk>. the small right pleural effusion seen on <unk> has resolved. there is no pulmonary edema or pneumothorax. moderate cardiomegaly is stable from <unk>. surgical clips over lying the right chest wall and left port-a-cath terminating in the low svc are unchanged.
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<unk> year old woman with met breast, recent rll pneumonia // pain right side/rib with deep breathing. ?rll pneumonia resolved, another acute process?
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there are low lung volumes. there is at least mild to moderate background pulmonary edema. bibasilar opacities are likely due to moderately-sized pleural effusions, although superimposed atelectasis or pneumonia would be difficult to exclude. no pneumothorax. severe cardiomegaly.
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history: <unk>f with dyspnea, copd on <num>-><num>l nc, wheezing // eval ? pna, edema, effusion
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chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. the pulmonary edema as seen on the prior radiograph has resolved.
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<unk>-year-old man with chest pain and history of right third rib fracture. evaluate for acute process.
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the lungs are moderately well inflated. no pleural effusion or pneumothorax. heart size and mediastinal contour are unremarkable. mild prominence of the right hila is unchanged since <unk>. atherosclerotic calcifications of the aortic arch are noted. limited assessment of the osseous structures are notable for multilevel degenerative changes of the thoracic spine.
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<unk>f with a-fib rvr now resolved. assess for pneumonia.
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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 or pneumothorax. visualized osseous structures are without an acute abnormality.
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<unk>-year-old female with shortness of breath.
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the cardiac silhouette size is normal. paramediastinal linear opacities compatible with prior radiation therapy are again demonstrated. the hilar contours are within normal limits. pulmonary vasculature is normal. small bilateral pleural effusions are new compared to the previous exam. no focal consolidation or pneumothorax is seen. bilateral breast prosthesis are present. there are no acute osseous abnormalities. remote right rib fracture is present.
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history of pleural effusions with abnormal breath sounds.
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there is stable enlargement of the cardiac silhouette. there is increased pulmonary edema, now severe with increased bilateral pleural effusions. lung volumes are low with bibasilar opacities likely a combination of effusion and atelectasis, though superimposed infection is possible. a left subclavian dialysis catheter is in unchanged position ending in the right atrium.
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history: <unk>m with dyspnea // acute process
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a dual lumen tunneled dialysis catheter terminates in the right atrium. the lungs are well-inflated. the cardiomediastinal silhouette is stable, with mild cardiomegaly, accentuated by ap technique. diffuse interstitial prominence is again noted, compatible with mild pulmonary edema. there is a likely small right pleural effusion, pneumothorax, or focal consolidation.
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history: <unk>m with weakness and vomiting // eval for pneumonia
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frontal and lateral chest radiographs were obtained. left chest tube remains in place. there is a persistent small left pneumothorax, pneumomediastinum, and pneumopericardium. the left lower lung opacity is somewhat improved. the cardiomediastinal silhouette and hilar contours are stable.
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patient with pneumothorax with chest tube in place, eval pneumothorax.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>f with neutropenia // ? pna, left axillae, abscess? enlarged lymph nodes.
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there is significant elevation of the right hemidiaphragm with multiple surgical clips projecting over the right upper quadrant. a streaky opacity seen across the right lower lung is compatible with scarring. no other focal opacities are noted bilaterally with the exception of biapical pleuroparenchymal scarring. there is no pleural effusion or pneumothorax. multiple surgical clips are noted throughout the neck and left supraclavicular region. deformity of left clavicle appears chronic and post-traumatic. cervical spine fixation devices are also identified.
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patient with chest pain. evaluate for pneumonia.
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pa and lateral chest radiographs demonstrate a normal cardiomediastinal contour with a heart which is top-normal in size, unchanged. lungs are fairly well-aerated, without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for effusion or pneumonia in a patient with chest pain.
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a series of two radiographs are provided from <time> and <time> am. in the interval, the endotracheal tube was advanced. in the later radiograph, the endotracheal tube is appropriately positioned <num> cm above the carina. a right internal jugular central venous line terminates in the right atrium. an orogastric tube traverses the esophagus, into the stomach, and terminates inferiorly out of the field of view. there are unchanged bilateral pleural effusions. aeration of the right lung has improved, which may reflect more upright positioning. low lung volumes cause crowding of the pulmonary vasculature. bilateral lower lobe airspace opacities are unchanged and may reflect atelectasis or aspiration. there is no pneumothorax. the heart size is normal and unchanged.
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evaluate endotracheal tube position following re-intubation.
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there is moderate retrocardiac and left basilar atelectasis. a small left pleural effusion is possible. the right lung is clear. heart size is stable. no pulmonary edema or pneumothorax. no focal consolidations are noted. median sternotomy wires are identified.
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<unk>f with rapid afib with desat // eval for pleural edema
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an lvad device is in-situ. a swan-ganz catheter is incompletely visualized. a dobhoff tube terminates in the distal stomach or duodenum. unremarkable bowel gas distribution. airspace opacity at the right lung base incompletely evaluated.
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<unk> year old man with lvad // please check chest/kub to eval for new dobhoff tube placement location
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technique is limited due to underpenetration and positioning. allowing for this limitation, there is no significant change from prioor exams, with stable moderate cardiomegaly and bilateral layering effusions, right worse than left. no pneumothorax. an icd projects over the upper left hemithorax with a single lead in the right ventricle, unchanged from prior.
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<unk>-year-old male admitted with shortness of breath and chest pain.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. there are cholecystectomy clips in the right upper quadrant.
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<unk>-year-old woman with recent motor vehicle crash. now with altered mental status. evaluate for pneumothorax, pneumonia
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal opacification. no pleural effusion or pneumothorax is present. no subdiaphragmatic free air is identified.
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history: <unk>f with history of esophageal stricture with food impaction and inability to tolerate po
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with cough, left lower low ronchi
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a single frontal portable view of the chest was performed. there is no pleural effusion or pneumothorax. opacification at the left lung base is new from the prior study. the cardiac and mediastinal contours are normal. the hilar structures and pleural surfaces are unremarkable. the imaged upper abdomen is grossly unremarkable.
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abdominal pain presenting for the evaluation prior to the or.
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low lung volumes with bibasilar atelectasis, which is unchanged in comparison to the prior chest radiograph. the lungs are otherwise clear. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old woman with fever on admission, weakness, found to have <unk> // evaluate for pneumonia
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ap and lateral views of the chest were compared to chest cta from <unk>. the lungs are clear of focal consolidation. costophrenic angles are sharp and there is no pneumothorax. the cardiomediastinal silhouette is stable given differences in patient positioning. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with chest pain. question chf.
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small right pleural effusion is stable from prior study. the heart size is increased and pulmonary vascular congestion is present without overt pulmonary edema. there is no focal consolidation or pneumothorax.
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<unk>f with dypsnea evaluate for acute cardiopulmonary disease.
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frontal and lateral views of the chest. the lungs remain clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
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<unk>-year-old female with fever and cough.
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the left-sided chest tube is been removed. there is a moderate left apical pneumothorax that is new. there is volume loss at both bases. the et tube has been removed. right ij line tip is in the right atrium. there is volume loss in both lower lungs
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<unk> year old man // eval for pneumo
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there has been interval placement of a left-sided pacemaker with <num> leads seen in appropriate position. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is mildly increased retrocardiac opacity from the prior study which likely represents atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old man s/p left sided pacemaker // r/o ptx; check leads
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patient is status post aortic core valve and mitral valve replacement with unchanged median sternotomy wires. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable.
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<unk>f with chest pain, dyspnea, evaluate for acute cardiopulmonary process.
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focal linear opacities are noted in the medial right upper lobe, potentially scarring. otherwise, the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pulmonary edema, pleural effusion, or pneumothorax. no focal consolidations are noted.
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<unk> y.o. <unk> man with history of iv drug use complicated by cellulitis/abscess s/p i d in <unk> presenting with severe right arm pain, redness, and swelling of <num> days duration.
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the large loculated right pleural effusion is unchanged. the fluid loculation within the major fissure is likely unchanged as well. a new left pleural drain has been placed and the small left pleural effusion has resolved. a right pleural drain is in unchanged position. unchanged bilateral mediastinal clips are noted.there is no focal consolidation, pneumothorax, or pulmonary edema.
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<unk> year old man with pleural effusion // eval
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pa and lateral views of the chest demonstrate blunting of the right costophrenic angle, representing a small pleural effusion. there is no evidence of pneumothorax or focal consolidation. the cardiomediastinal silouhette is unremarkable.
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<unk>-year-old male with altered mental status. evaluate for infectious process.
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the right costophrenic angle is not fully included on the image. given this, no focal consolidation is seen. there is no pleural effusion or evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.
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chest pain x.
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moderate to severe cardiomegaly is re- demonstrated. the mediastinal contour is unremarkable with atherosclerotic calcifications demonstrated at the aortic knob. moderate pulmonary edema appears slightly worse in the interval. no large pleural effusion or pneumothorax is seen. bibasilar airspace opacities likely reflect areas of atelectasis. degenerative changes are noted in the thoracic spine as well as within the acromioclavicular joints bilaterally.
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history: <unk>m with cad, afib w/ rvr from osh with aortic arch ulceration on osh ct, hypotensive and tachycardic // eval ? cardiomegaly, pulmonary edema
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frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. no pneumoperitoneum identified. no osseous abnormality present.
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epigastric pain, sharp. evaluate for pneumoperitoneum.
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assessment is limited by lordotic positioning and the patient's inability to raise her left arm. heart size is top-normal, unchanged. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities visualized.
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<unk> year old woman with confusion
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the lungs are low in volume but otherwise appear clear. no vascular congestion is seen on the current study. heart size is mildly increased with dense mitral annular calcifications again seen.
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tachypnea in the <num>s after starting tube feeds overnight, assess for worsening pulmonary congestion.
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
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<unk>m with recent diagnosed flu now with persistent high fevers to <num> // please evaluate for any evidence of pnuemonia
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is remarkable for a tortuous thoracic aorta and left ventricular configuration of the heart. focal eventration of right hemidiaphragm is noted
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history: <unk>f with doe // ? process
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lung volumes are low. this accentuates the size of the cardiac silhouette which appears at least mildly enlarged. the aorta is tortuous. the mediastinal and hilar contours are otherwise unremarkable. there is no pulmonary edema. minimal streaky opacity in the left lower lobe likely reflects atelectasis. no pleural effusion or pneumothorax is identified. mild degenerative changes are seen throughout the thoracic spine.
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history: <unk>f with confusion, falls
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there are few calcific nodular densities identified at the right lung base laterally likely calcified granulomas. elsewhere, the lungs are clear without consolidation, effusion or pneumothorax. cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. there is no free intraperitoneal air.
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<unk>m with fever s/p upper endoscopy/colonoscopy yesterday. // rule out pneumonia, atelectasis
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the left chest tube has been removed. the moderate left pleural effusion is unchanged. the known trace left apical pneumothorax is unchanged, and no new pneumothorax has developed since removal of the chest tube. the right lung is clear. moderate cardiomegaly is unchanged. lateral skin <unk> and significant soft tissue swelling are unchanged. the left subclavian central venous catheter tip ends at the low svc. there is no focal consolidation or pulmonary edema. there is stable mild cardiomegaly.
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<unk> year old man with chest tube d/c // evaluate after chest tube d/c
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the heart size measure at the upper limits of normal. unfolding of the thoracic aorta. no airspace consolidation. no pulmonary edema. no pneumothorax. pulmonary hyperinflation.
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<unk> year old woman with l subtrochanteric fracture // please obtain prior to or tomorrow. please obtain between <num>am to <num>am on <unk>. surg: <unk> (left femur orif)
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mild enlargement of the cardiac silhouette and increase caliber pulmonary vessels is in keeping with the patient's pregnant status. allowing for low lung volumes which results in crowding of bronchovascular structures, there is no evidence of pulmonary edema or focal consolidation to suggest pneumonia. no definite pleural effusion.
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<unk> year old gravid woman at <num>wks with acute onset of respiratory distress, tachypnea, tachycardia; with similar episode <num> weeks prior // eval for evidence of edema, vascular congestion or infiltrates
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heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for malignancy. no pleural effusion or pneumothorax is identified. the visualized osseous structures are unremarkable.
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history of pancreatic cancer, who presents for evaluation prior to clinical trial.
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a left apical pleural tube is in stable position. there is a persistent stable small left pleural effusion. plate-like atelectasis is present in the right middle lobe. the cardiomediastinal and hilar contours are stable. there is no right pleural effusion. there is no pneumothorax. two enteric tubes are seen, one terminating in the stomach and the other with the tip off the film. there is stable position of the upper abdominal drains.
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chest tube to water seal.
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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. subtle deformity of the posterior right eighth rib could be due to a fracture of indeterminate age; not optimally assessed on this study. consider dedicated rib series or ct as clinically warranted. no evidence of acute fracture is seen elsewhere.
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history: <unk>f <num>d s/p fall // ?rib fx
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as compared to chest radiograph from <num> day prior, multifocal airspace opacities, more pronounced in the left lower lobe have increased can be worsening infection. right lower lobe multi focal opacities are stable. no pulmonary vascular congestion. no pneumothorax. mild cardiac enlargement. no significant effusions.
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<unk> year old woman with renal transplant with sob, concern multifocal pna // concern for pul edema with pna
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frontal and lateral views of the chest. no prior. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are grossly unremarkable.
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<unk>-year-old male with abnormal stress test. question chf.
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the lung volumes are low. allowing for this, there is no convincing evidence of consolidation, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is no free air beneath the right hemidiaphragm.
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<unk> year old woman with chest pain // please evaluate for pna
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal consolidation concerning for pneumonia is identified. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is seen.
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<unk>-year-old male with chest pain and cough.
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lungs are well expanded with increased intersitial markings which are similar to the prior examination and may reflect interstitial lung disease. nodular density in the right lower lung is noted. there is no focal consolidation or pleural effusion. the heart is normal in size with tortuous intrathoracic aorta.
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<unk>-year-old man with cough.
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pa and lateral chest radiographs were provided. the lungs are well expanded. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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history of chest pain, evaluate for cardiopulmonary process.
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cardiac, mediastinal and hilar contours are normal. right lower lobe consolidative opacity is concerning for pneumonia. a small to moderate size right pleural effusion is also demonstrated. patchy opacity in the left lung base could reflect an additional area of pneumonia or atelectasis. no pneumothorax is identified. there is no pulmonary vascular engorgement. no acute osseous abnormality is identified.
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history: <unk>m with right sided abdominal pain status post pneumonia
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is seen. minimal scarring is noted within the lung apices. no acute osseous abnormalities are detected. anterior cervical fusion hardware is not well assessed on these views.
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hypoxia.
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the patient is status post aortic valve replacement and probably coronary artery bypass graft surgery. a dual-lead pacemaker/icd device appears unchanged. the heart is moderately enlarged. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones are probably demineralized. mild degenerative changes along the lower thoracic spine appear similar.
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bilateral lower extremity edema.
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low lung volumes make it difficult to determine if there is an infiltrative abnormality at the bases; upper lungs are clear. the pleurae, heart, mediastinal and hilar contours are normal.
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<unk>-year-old male with cough and bibasilar crackles. assess for pneumonia.
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there has been interval increase in right lung base opacity. in addition, diffuse increase in interstitial markings bilaterally suggests mild interstitial edema. cardiomediastinal silhouette is stable. there is no pleural effusion or pneumothorax. sternotomy wires are intact. an icd monitor is seen overlying the left hemithorax, with a single lead ending in unchanged position in the inferior wall of the heart.
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<unk>-year-old male with dyspnea. evaluate for pneumonia or chf.
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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 pmhx of cva who presents with syncope and unwitnessed fall // r/o pneumonia, rib fracture
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assessment is limited by patient rotation, as well as the patient's neck and chin obscuring assessment of the lung apices. lung volumes remain low. moderate cardiomegaly is unchanged, with similar rightward shift of mediastinal structures. a large hiatal hernia occupies the base of the left hemithorax with associated left basilar atelectasis. pulmonary vasculature is not engorged. there is no focal consolidation, large pneumothorax or pleural effusion. degenerative changes are again noted within the right shoulder.
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history: <unk>f with copd, shortness of breath
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ett in standard position. enteric feeding tube traverses the midline and ends in the left upper quadrant, unchanged. atelectasis of the left lung base is mild. otherwise, the lungs are clear. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the hila are unremarkable.
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<unk> year old woman with new ett ; evaluate new ett position.
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bibasilar consolidation continues to improve. the previously seen pulmonary edema has resolved. there is no pneumothorax. a left subclavian line is seen terminating in the lower svc. cardiomediastinal silhouette appears unchanged as compared to <unk> radiograph.
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<unk> year old man with pna // ?worsening pna ?worsening pna
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pa and lateral views of the chest were reviewed. compared to the most recent prior, increased interstitial markings, diffuse parenchymal opacities and hazziness of the pulmonary vessels indicates worsening moderate pulmonary edema. mild cardiomegaly and a tortuous aorta are unchanged. there is no pleural effusion or pneumothorax. mild degenerative changes in the thoracic spine are unchanged.
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cough and shortness of breath.
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as compared to the prior examination, there has been no significant interval change. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. stable, mild cardiomegaly is noted. the aorta is slightly tortuous. mediastinal and hilar contours are otherwise stable.
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diastolic dysfunction, now with shortness of breath.
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pa and lateral views of the chest provided. low lung volumes limits assessment. 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 acute chest pain
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the cardiomediastinal silhouettes are stable, consistent with mild cardiomegaly. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion.
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<unk>-year-old man with dyspnea, evaluate for evidence of effusion.
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lung volumes are low. there is associated bronchovascular crowding and mild basilar atelectasis. no focal consolidation, edema, effusion, or pneumothorax. the heart is probably slightly enlarged even with lower lung volumes but this is overall unchanged from <unk>. no acute osseous abnormality.
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<unk>f s/p unwitnessed fall, unable to provide history.
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portable semi-upright radiograph of the chest demonstrates worsening bilateral heterogeneous airspace opacities concerning for moderate pulmonary edema with superimposed multi-focal pneumonia. there is a small left-sided pleural effusion. the cardiomediastinal and hilar contours are unchanged. left-sided picc ends in the mid svc. no pneumothorax.
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<unk> year old man with aml, now in new afib with worsening hypoxemia. // please evaluate for worsening pulmonary edema.
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an et tube terminates <num> cm above the carina in appropriate location. a right-sided picc line terminates in the mid svc. the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. focal opacity in the left mid lung is concerning for pneumonia. diffuse mild interstitial prominence of the central predominance is suggestive of pulmonary vascular congestion possible early pulmonary edema. right lower lobe opacities could represent atelectasis and or pneumonia. partially visualized is lower thoracic and lumbar spine spinal fusion hardware. there is no pneumothorax or pleural effusion.
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<unk>-year-old man intubated following transfer for suspected pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with syncope
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interval placement of pigtail catheter chest over the right lower hemi thorax with subsequent significant interval decrease in right pleural effusion. right base atelectasis is seen. the left lung remains clear. cardiac and mediastinal silhouettes are stable.
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history: <unk>m with new r chest tube // eval for pneumo
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the tip of the left picc line extends to the upper to mid svc. minimal atelectasis in the right mid lung zone. otherwise no focal consolidation, pleural effusion or pneumothorax identified. the a size of the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with hx of appendiceal mucinous adenocarcinoma with picc line. to verify picc positioning // to verify picc positioning
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
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<unk> year old woman with allergic reaction and chest pain
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the cardiomediastinal silhouettes are stable and within normal limits. the thoracic aorta is mildly tortuous. the bilateral hila are within normal limits. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
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<unk>-year-old man with chest pain, evaluate for acute process.
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two portable frontal chest radiographs were obtained. an endotracheal tube has been placed with the tip terminating at the mid clavicular heads. fullness and irregularity of the bilateral hila, aorticopulmonary window and azygos contour is accentuated by the low lung volumes. linear horizontal atelectasis is noted at the right base. no effusion, pneumothorax or new consolidation is noted.
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<unk>-year-old man status post hip orif with subsequent wide complex tachycardia, respiratory distress, requiring intubation.
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right picc tip terminates in the mid svc, minimally withdrawn by approximately <num> cm. patient is status post median sternotomy and cabg. left-sided pacemaker device with leads terminating in the right atrium, right ventricle, and region of the coronary sinus is unchanged. severe cardiomegaly is re- demonstrated. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. small right pleural effusion with right basilar atelectasis is similar. no new focal consolidation, left-sided pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. partially imaged in the upper abdomen is a stent within the proximal aorta.
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history: <unk>m with question of dislodged picc
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there is stable mild cardiomegaly. the hilar and mediastinal contours are stable. no focal consolidations concerning for infection are identified. there are small suspected bilateral pleural effusions. there are no pneumothoraces. the visualized osseous structures are unremarkable.
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history of hypertension, copd, presenting with chest pain. rule out infectious or other acute process.
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there has been interval removal of a right picc. the lungs are well expanded and clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
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weakness and hyperglycemia. evaluate for pneumonia.
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bilateral dependent pleural effusions as well as fluid in the major and minor fissures on the right are likely unchanged with minimal accompanying atelectasis. post-surgical changes from prior cabg, avr and mvr with intact sternotomy wires are seen. left picc in appropriate position with tip near the superior cavoatrial junction. upper quadrant clips are seen. no pneumothorax identified. heart remains mildly enlarged.
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<unk>-year-old woman status post avr and mvr. assess for pleural effusions.
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ap portable upright view of the chest. left chest wall pacer device is again seen with pacer leads extending to the region of the right atrium and right ventricle. overlying ekg leads are present. low lung volumes limits assessment. allowing for this, no focal consolidation, large effusion or pneumothorax is seen. cardiomediastinal silhouette is stable. bony structures are grossly intact.
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<unk>f with altered mental status // evidence of pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15314618/s52068751/63fac532-31d419cf-8327ecae-f86763c5-1f726a87.jpg
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in comparison to the recent chest radiograph, there has been interval advancement of a dobhoff tube into the proximal stomach. no other significant changes are appreciated.
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<unk>m stageiii ckd, etoh/hep c cirrhosis (meld <unk>, c) from osh w/worsening renal function s/p liver <unk>kidney <unk> transplant with malnutrition s/p tube feed placement // assess location of feeding tube tip
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an endotracheal tube remains in place with its tip located at least <num> cm from the level of the carina. a dobbhoff tube tip is positioned over the stomach. a right ij central venous catheter tip is located in the lower svc. a hemodialysis catheter tip is located within the right atrium. linear atelectasis in the left lung base is little changed. decreased lung volumes accentuate the pulmonary vasculature. the cardiac silhouette is normal in size, the mediastinal contours are normal, and pleural surfaces appear normal.
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<unk>-year-old female with respiratory failure, evaluate for interval change.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. osseous structures are unremarkable.
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<unk> year old woman with <num> day hx of uri sx, fine rales r posterior base. please rule out pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p10970562/s57064023/126be53c-4c9c0e1a-2e1b1bbd-b34c617d-a5d98ab0.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
|
history: <unk>m with failure to thrive and night sweats
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MIMIC-CXR-JPG/2.0.0/files/p16630525/s55474417/626416c0-6073cd99-d03127af-eb4bb74f-cbf4fdd0.jpg
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right-sided port-a-cath terminates in the low svc without evidence of pneumothorax. no focal consolidation is seen. there is no pleural effusion or pneumothorax. mild biapical pleural thickening is re- demonstrated. cardiac and mediastinal silhouettes are stable. thoracic scoliosis is re- demonstrated.
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history: <unk>f with rapid af, dyspnea // ? acute cardipulm process
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MIMIC-CXR-JPG/2.0.0/files/p12168028/s54851232/ad813ee3-d1bedc9a-8c24c275-7add57ea-84b412de.jpg
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the lungs are slightly hyperinflated but clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. old left clavicular head posterior left eighth rib fracture is noted.
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<unk>m with dyspnea, hepatomegaly, abd pain // ?pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15419160/s51160253/4870918d-a6c8f0f9-25b297b3-68750036-cfa6d807.jpg
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patient is status post median sternotomy and cabg. heart size remains mildly enlarged but unchanged. the aorta is tortuous. mild interstitial pulmonary edema is worse in the interval. more focal patchy opacity in the right lung base may reflect asymmetric pulmonary edema or atelectasis, however early infection is not excluded in the correct clinical setting. small bilateral pleural effusions have decreased in size compared to the prior study. there is no pneumothorax. no acute osseous abnormality is detected.
|
history: <unk>m with cabg <num> weeks ago now with increased hr, ?rlll.
|
MIMIC-CXR-JPG/2.0.0/files/p12147443/s58555395/325eca36-049d9a17-9634ac7c-40124a8c-96af3d2d.jpg
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single portable chest radiograph is provided. lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. the heart is mildly enlarged. imaged upper abdomen is unremarkable.
|
history of fever, elevated lactate. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p10209685/s51278677/4df03300-b1ed20c0-92c0ddff-36cd8fef-117cebef.jpg
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are essentially clear except for minimal atelectasis in the lower lobes. no focal consolidation, pleural effusion or pneumothorax is present. moderate degenerative changes with anterior osteophyte formation seen in the lower thoracic spine.
|
history: <unk>f with history of atrial fibrillation presents with lightheadedness and vertigo.
|
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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.
|
history: <unk>m with cough and subjective fever
|
MIMIC-CXR-JPG/2.0.0/files/p17285109/s56759285/4fa5983b-89197f8d-5525d24b-88c0ba0e-958ac98b.jpg
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pa and lateral views of the chest provided. blunting of the right cp angle may reflect a small effusion and/or pleural thickening. no left effusion. no focal consolidation concerning for pneumonia. no pneumothorax. no signs of congestion or edema. no free air below the right hemidiaphragm. heart size is normal. mediastinal contours unremarkable. bony structures are intact.
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<unk>f with abdominal pain, sob, h/o pleural effusion
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MIMIC-CXR-JPG/2.0.0/files/p10425960/s58597083/ddc08247-bc099a19-2b087295-cdf9cd93-b407329a.jpg
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there are numerous minimally displaced posterior left-sided rib fractures of at least the <unk>-<unk> robs. no significant pneumothorax is seen. lungs are clear of focal consolidation or pleural effusions. the cardiac and mediastinal silhouette is normal.
|
<unk>f year old female with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p12183714/s59441621/488cf28a-815e4cab-9e594af6-e23af8e7-708dc1de.jpg
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right picc tip terminates in the mid svc. lung volumes are low. the heart size is normal. the mediastinal and hilar contours are unremarkable. patchy linear opacities are noted in both lung bases, most likely reflective of atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
|
fevers, positive blood cultures.
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pa and lateral views of the chest. there has been no significant interval change. again seen is significant lucency in the right midlung compatible with loculated pneumothorax as characterized by chest ct from earlier the same day. the cardiomediastinal silhouette is stable noting an enlarged tortuous aorta and cardiomegaly. no acute osseous abnormality detected.
|
<unk>-year-old female with shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p13243522/s52264315/9bf22ebc-4920e7fc-e87fd1d5-755d97c5-a75c7f1d.jpg
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there has been interval removal of the picc. the heart size is enlarged. the mediastinal and hilar contours are within normal limits. the lungs demonstrate severe bronchiectatic changes with consolidation of the right upper lobe and lingula, progressed since prior study. multiple areas of pulmonary opacification are present with a heterogeneous distribution. there is no large pleural effusion or pneumothorax.
|
<unk>-year-old male with cystic fibrosis and history of recurrent pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16286447/s56825253/5cd55d07-4b43b180-4aa6ce0c-1ca211dc-63d5bce3.jpg
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frontal and lateral chest radiographs demonstrate a normal cardiac silhouette size. thoracic aorta is diffusely calcified and mildly tortuous. mediastinal and hilar contours are unchanged. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. there are multilevel degenerative changes of the thoracic spine.
|
nausea and vomiting.
|
MIMIC-CXR-JPG/2.0.0/files/p15813164/s58873265/34bdac88-4bcdcca6-3ff742cc-927c972b-696fdaf4.jpg
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding chest examination of <unk>. status post sternotomy. previous chest examination identifies it as status post aortic valve replacement. heart size is now within normal limits. the thoracic aorta is moderately widened and elongated but no local contour abnormalities are identified. pulmonary vasculature is not congested. no evidence of acute parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. a well-demarcated round less than <unk>-mm calcification is seen on the left lung base laterally. a granuloma which was already identified on preoperative chest examination of <unk>. comparison with the next preceding pa and lateral chest examination of <unk> at that time existing and remaining moderate cardiac enlargement has now normalized. thus, postoperative cardiac enlargement has regressed.
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<unk>-year-old male patient with cough for one month, no fever, evaluate for infiltrates or other new processes.
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the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours are unremarkable. the lungs appear clear. there are no pleural effusions or pneumothorax.
|
altered mental status.
|
MIMIC-CXR-JPG/2.0.0/files/p16159717/s55303615/82fe4aa1-81817475-5d09c48c-afd1149f-933d298b.jpg
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et tube tip is seen <num> cm from the carina. enteric tube is seen at the upper aspect of the field of view likely coiled in the pharynx. otherwise, there has been no change.
|
<unk>f with ngt placed // eval ngt
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MIMIC-CXR-JPG/2.0.0/files/p11938979/s51368347/b99fa3dd-ae59cc5b-c1a1708f-a90bb6a7-a122607d.jpg
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frontal and lateral views of the chest. the lungs are clear of confluent consolidation, effusion, pulmonary vascular congestion. degree of cardiomegaly is unchanged. no acute osseous abnormality is detected.
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<unk>-year-old female with dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p12122321/s53692154/e908e673-103c8047-bd91d5d7-2374fe5b-2e20897d.jpg
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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.
|
<unk>m with chest pain afetr falling off bicycle // r/o #
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