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MIMIC-CXR-JPG/2.0.0/files/p11948471/s54376706/2041e477-57a943e6-d7c13426-dd9a1cb5-bae49be0.jpg
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a portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and unchanged hyperinflated lungs which are clear. there is no pleural effusion or pneumothorax.
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known copd, status post right total hip arthroplasty on postoperative day <num>, now with acute shortness of breath and a respiratory rate in the <num>s.
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the lungs are clear without consolidation or edema. the previously noted pleural effusions have resolved. there is no pneumothorax. mild enlargement of the cardiac silhouette is stable. severe kyphosis with multiple compression fractures in the mid thoracic spine is unchanged. old healed rib fractures on the right are also unchanged.
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uri in late <unk>, now with purulent secretions.
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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 cp, afib // eval for pulm edema
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portable ap upright chest <unk> at <time> is submitted.
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<unk> year old woman with mvr/tvrep // r/o ptx, s/p ct d/c r/o ptx, s/p ct d/c
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cardiac silhouette size is borderline enlarged. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>f with congestive heart failure and chest pain
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ap portable upright view of the chest. a left upper extremity access picc line is again seen with its tip in the region of the mid upper svc. lung volumes are low though allowing for this the lungs are clear. cardiomediastinal silhouette unchanged.
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<unk>f with splenic abcess, has picc, need confirmation // picc placement
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focal opacity seen over the posterior costophrenic angle localizing to the left on the frontal view. elsewhere, the lungs are clear. cardiac silhouette is top normal. no acute osseous abnormalities.
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<unk>f with complaint of wheezing // wheezing-rule out infiltrate
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ct scan of the torso from <unk>
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<unk> year old man with l <unk> rib fx and small hemothorax after fall // please assess interval change
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
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<unk>f with dyspnea // r/o infiltrate
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endotracheal tube tip in stable position. enteric tube tip at gastroesophageal junction, should be advanced. small right pleural effusion. mild right basilar opacity, likely atelectasis. postoperative change left breast. normal heart size, pulmonary vascularity. no pneumothorax.
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<unk> year old woman with new ureteral stents // stent placement
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there is an asymmetric left lower lung opacity, which could be due to infection in the correct clinical setting. the right lung is clear. the cardiomediastinal and hilar contours are normal. no pneumothorax or large effusions.
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<unk> year old woman with iph. rule out infection.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is enlarged, mediastinal silhouette assessment demonstrate prominence of the main pulmonary artery, both unchanged since <unk>. mild upper zone re- distribution of the pulmonary vasculature is present but there is no overt pulmonary edema. a calcification in the low left correlates with a calcified thyroid nodule seen on prior ct.
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history: <unk>f with epigastric pain, diaphoresis // acute cardiopulmonary process
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moderate pulmonary edema is present but there are no focal opacities. cardiac silhouette size remains moderate to severely enlarged. mediastinal contour is stable. no large pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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<unk> y/o with hypoglycemia and hsortness of breath.
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pa and lateral chest radiographs were obtained. the lungs are well expanded. linear oblique opacity at the right base is compatible with atelectasis. there is a sharp triangular opacity along the right heart border. in addition, there is a focal sclerotic lesion overlying the proximal right clavicle. there is no consolidation, effusion, or pneumothorax.
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chest pain.
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compared to yesterday, lung volumes are improved. left segmental atelectasis is improved but still present on the current study. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. cardiomediastinal and hilar contours are stable with stable fullness of thoracic inlet, due to mediastinal fat as seen on the recent ct torso.
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question pneumonia.
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the cardiomediastinal hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are well hyperexpanded and clear without focal consolidation concerning for pneumonia. linear atelectasis at the left lung base is present. there is no pulmonary edema.
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history: <unk>m with chest pain // eval for pneumothorax
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in comparison last chest radiograph from <unk>, right pleural effusion and adjacent right basilar atelectasis are moderately improved. no pneumothorax. small left pleural effusion and adjacent left retrocardiac atelectasis are minimally improved. there is mild pulmonary vascular congestion without overt pulmonary edema. no new focal consolidation. mediastinal and hilar contours are stable. moderate cardiomegaly is unchanged.
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<unk> year old woman with pleural effusion s/p right <unk> // ? ptx
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patchy right base and possible right middle lobe well opacity is worrisome for pneumonia. left base atelectasis/scarring is again seen. no large pleural effusion is seen. large bilateral upper hemi thorax bullae are re- demonstrated. cardiac and mediastinal silhouettes are stable.
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history: <unk>m with hypoxia // pna
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the patient is status post median sternotomy and cabg. moderate cardiomegaly persists. the mediastinal contours are unchanged. there is mild upper zone vascular redistribution and pulmonary vascular congestion, similar when compared to the previous exam. no pleural effusion, focal consolidation or pneumothorax is demonstrated. multilevel degenerative changes are noted in the thoracic spine with anterior osteophytes. several clips are also noted within the upper abdomen.
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history coronary artery disease with chest pain and right colon.
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study is moderately limited by significant patient rotation. increased airspace opacity over the right upper lung may be related to superimposition of structures related to rotation or early consolidation. opacity of the left lung base may represent a small effusion with associated atelectasis. there is no pneumothorax or pulmonary edema. thoracic compression fractures are incompletely assess, likely similar to prior studies. the cardiomediastinal silhouette is distorted due to patient rotation but likely unchanged.
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<unk>f with ams, evaluate for pneumonia
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again seen is a right-sided central venous catheter which terminates in the right atrium. the heart is severely enlarged. there is pulmonary vascular redistribution. there are bilateral lower lobe infiltrates and small bilateral pleural effusions. there are patchy areas of alveolar opacity in the right mid and upper lung.
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increased respiratory distress.
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heart size is borderline enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. fracture of the midshaft of the left clavicle is better assessed on the dedicated left clavicular films obtained concurrently.
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history: <unk>f with possible syncope, fall onto left shoulder, pain at proximal clavicle
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the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with cp // ptx
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with pain in throat and emesis after swallowing chicken bone, also with ruq pain and tenderness on exam. // assess for evidence of foreign body, free air, acute process.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with malaise, fatigue, cough // ? pna
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the lungs are clear. cardiac and mediastinal contours are normal. no pleural effusion or pneumothorax. osseous structures appear intact.
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<unk>f with failure to thrive // pneumonia?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax extensive opacity in the medial right lower lobe is most suggestive of pneumonia. elsewhere, the lungs appear clear.
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cough and fever.
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normal heart size, mediastinal and hilar contours. blunting of the left costophrenic angle on the lateral view is unchanged from prior. no focal consolidation, pleural effusion or pneumothorax.
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<unk> year old woman with persistant cough // ? pneumonia
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apparent mild cardiomegaly is likely due to the projection. there is mild prominence of the pulmonary vasculature and bilateral hila which may reflect a mild degree of congestive heart failure. no frank pulmonary edema. the trachea is central. the cardiomediastinal contour is normal. no pleural effusion, pneumothorax or consolidation seen.
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<unk> year old woman admitted w/ mi s/p <unk> <unk> <num> to lad // ? pulm edema, consolidation
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pa and lateral chest radiographs. the heart remains mildly enlarged. however there is no pulmonary vascular congestion or pleural effusion. there is no pneumothorax. old fracture is noted on the left.
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<unk> year old man with hx of myeloma, weakness, cough and shortness of breath.
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lordotic positioning .there is moderately severe cardiomegaly. relative prominence of the superior mediastinum is likely accentuated by a lordotic positioning. there is increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation, with obscuration of left hemidiaphragm and faint air bronchograms. equivocal minimal left pleural effusion. upper zone redistribution and mild vascular plethora, consistent with chf. hazy density at the right base could represent a combination of atelectasis and overlying soft tissues. attention to this area on followup films is requested. a small right effusion would be difficult to exclude. there is no pneumothorax or large pleural effusion.
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<unk>m with sob, evaluate for pneumonia or chf..
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the et tube is <num> cm above the carina. the ng tube tip is difficult to visualize, it is likely below the ge junction again seen are diffuse increased lung markings and in particular retrocardiac opacity worrisome for infiltrate. the heart continues to be moderately enlarged
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<unk> year old man vv ecmo // eval for lines/ett
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in comparison to the prior study there is no relevant change. the patient has a left-sided pacemaker battery of leads terminating the right atrium and right ventricle respectively. there is bibasilar atelectasis in addition to the probable small bilateral pleural effusions. the heart size is top-normal to mildly enlarged. there are no focal consolidations concerning for pneumonia. the upper lungs are clear without vascular congestion. there are bilateral chronic glenohumeral deformities. ivc filter is identified.
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<unk>f with confusion, chf // chf, acute cardiopulm disease //
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with dyspnea on exertion // evaluate for acs
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the lungs, heart, mediastinum, hilar contours, pleural surfaces are all normal.
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<unk>-year-old female with sore throat, question acute process.
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pa and lateral chest radiographs demonstrates clear lungs bilaterally. the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without acute abnormality.
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<unk>-year-old female with chest pain.
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pa and lateral views of the chest provided. suture material projects over the right upper lung as on prior. lungs remain clear bilaterally. no signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. no acute bony injury. chronic right lower ribcage deformity again noted.
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<unk>f with hx of asthma presenting with chest pain and shortness of breath
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. there is free intraperitoneal air seen below the right hemidiaphragm.
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<unk>f with abd pain // ? free air
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced rib fractures are visualized. surgical clips are seen overlying the right upper quadrant.
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history: <unk>m with right rib pain s/p assault // assess for chest traumaq
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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>m with worsening stroke symptoms // ?pna
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single portable upright image through the chest was provided. a left-sided single-lead pacemaker is seen with its tip terminating in the right ventricle. heart size is top normal. there is mild congestion of the central vessels with cephalization and kerley b lines indicative of interstitial edema. obscuration of the left costophrenic angle suggests pleural effusion. no focal consolidation is identified convincing for pneumonia. there is no evidence of pneumothorax.
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<unk>-year-old male with hypoxia.
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frontal and lateral radiographs of the chest were acquired. elevation of the right hemidiaphragm is not significantly changed compared to the prior study from <unk>. there is minimal atelectasis/scarring in the right mid to upper lung. the lungs are otherwise clear. the heart is normal in size. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
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chest pain. evaluate for evidence of congestive heart failure versus pneumothorax.
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mild cardiomegaly is unchanged. mediastinal and hilar contours are grossly unremarkable. no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. chronic bilateral rib fractures are again noted. degenerative changes in the thoracic spine and ossification of the anterior longitudinal ligament are again noted. mild dextroconvex curvature of the thoracic spine is also again seen. concurrent left shoulder radiographs are reported separately.
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chest wall pain, left shoulder pain.
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loculated right hydro pneumothorax, with right basilar pneumothorax component slightly increased. small volume right chest wall emphysema. single right chest tube. left lung clear. stable right basilar consolidation.
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<unk> year old man with left empyema, ct. worsened sob and hypoxia // ? pna, aspiration. change in effusion volume
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there appears to be near opacification of the left lung, likely secondary to patient's known malignancy. the extent of the patient's malignancy is better seen on the prior ct from <unk>. the right lung also demonstrates nodules that are better evaluated on the prior ct. there is a focal opacity along the right minor fissure, which did not have a ct correlate, and may be a focal consolidative process, however malignancy cannot be ruled out. there is no pneumothorax. the heart size is normal. the hilar and mediastinal contours are otherwise unremarkable.
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<unk>-year-old male with left upper lobe bac, status post tbbx, rule out pneumothorax.
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heart size remains mildly enlarged with a left ventricular predominance. the aorta is tortuous and diffusely calcified. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. small bilateral pleural effusions are similar in size compared to the prior study. there is associated atelectasis in the lung bases. no new focal consolidation or pneumothorax is present. lungs remain hyperinflated suggestive of copd. multiple compression deformities are again seen within the imaged thoracolumbar spine, some of which have undergone vertebroplasty.
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history: <unk> with altered mental status
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frontal and lateral chest radiographs demonstrate a port-a-cath with the tip terminating in the right atrium. the cardiomediastinal silhouette is unchanged. there has been interval resolution of the right basiilar opacity, with residual bibasilar linear atelectasis. no pneumothorax is seen. a tortuous aorta and small hiatal hernia are redemonstrated.
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evaluate for resolution of recent pneumonia.
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lung volumes are low. the cardiac, mediastinal and hilar contours are unchanged, was the heart size remaining mildly enlarged. the pulmonary vascularity is normal and the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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shortness of breath.
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the cardiac, mediastinal and hilar contours appear stable. the aortic is again moderately tortuous. there is no pleural effusion or pneumothorax. calcified granuloma in the left mid lung appears unchanged. the lungs appear otherwise clear.
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cough and fever.
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again the tracheostomy tube appears to project over the midline. there is stable extensive subcutaneous emphysema in the lateral chest wall, pectoralis muscles and cervical regions bilaterally. diffuse unchanged reticulonodular interstitial process with a more focal airspace confluent opacity at the right apex appears stable compared to the prior exam. there has been slight interval improvement in the previously noted pneumothorax. there are stable small bilateral pleural effusions. there is stable pneumoperitoneum.
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history of trach leak repositioned by ip. please evaluate for position.
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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 chest pressure, dyspnea on exertion x<num> month
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube tip is within the stomach. the side port is not well assessed, but likely is at the ge junction. heart size is normal. the aorta is tortuous. fullness of the hila is noted bilaterally. no pulmonary edema is seen. streaky opacity within the left lung base likely reflects atelectasis. no pleural effusion or pneumothorax is seen. no displaced fractures are visualized.
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intubated, transfer.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is mild to moderately enlarged. mediastinal contours are grossly unremarkable. no pulmonary edema is seen. heterogeneity projecting over the upper image most likely relates to external artifact.
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*** code cord *** history: <unk>m with pre op*** warning *** multiple patients with same last name! // pre-op
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pa and lateral views of the chest. the lungs are clear. the heart, mediastinum, hilar and pleural surfaces are normal. no evidence of pneumonia.
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cough since <unk>, subjective fevers, sputum, evaluate for pneumonia.
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the lungs are well expanded and clear without focal consolidation, pneumothorax, or pulmonary edema. mild blunting of the left costophrenic angle may represent atelectasis, pleural thickening or trace pleural fluid. the cardiomediastinal silhouette is within normal limits.
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history: <unk>m with lt sided chest pain // evaluate for chf
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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<unk>m with cough and right cw pain // eval pneumonia or pneumothorax
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there are persistent bilateral patchy opacities. there appears to be improved aeration in the upper lung zones bilaterally, however opacities are dense in the mid lungs, right worse than left. heart size is normal. the mediastinal and hilar contours are normal. 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 sapho syndrome, on infliximab admitted last month with cough, dyspnea found to have bilateral infiltrates, all sputum cx negative, granulomas found on bronch, lungs clear today. please assess if bilateral infiltrates are resolving on empiric rx for pcp // ? resolution
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cardiomediastinal contours are normal. lungs are well-expanded and clear. no pleural effusion.
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<unk> year old woman with wheezing // cough severe for <num> weeks, r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p12071697/s50615023/54ce4a7a-ac20d481-ce21c097-4e290894-8b634e64.jpg
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pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
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<unk>-year-old female with fever, question pneumonia.
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a portable frontal chest radiograph demonstrates interval placement of an enteric tube, which terminates within the stomach. a left picc again terminates in the low svc. there has been interval removal of the right chest pigtail catheter. the bilateral lung apices are incompletely imaged, but the exam appears grossly unchanged, with a right pleural thickening and possible effusion with associated atelectasis. the cardiomediastinal silhouette remains mildly enlarged. there is no focal consolidation. the visualized upper abdomen is unremarkable.
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evaluate position of an enteric tube.
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portable single frontal chest radiograph was obtained with the patient in upright position. a right chest tube has been inserted and loops downward from the apex with its tip projecting in the lower medial thorax. there is no pneumothorax. there is increased opacification at the left lung base, likely due to atelectasis. multiple lung nodules seen on ct are not well visualized on the radiograph. the heart size is normal. mediastinal contours are normal. there is no pleural effusion.
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patient is status post right vats and wedge biopsy, rule out pneumothorax.
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the right picc line ends in the lower svc. lung volumes remain low. the heart is mild-to-moderately enlarged, increased from <unk>. there is probable redistribution superiorly of the pulmonary vasculature, and mediastinal venous engorgement is increased. small amount of the left lower lung linear atelectasis is unchanged. no pneumothorax or focal consolidation. two biliary stents project over the right upper quadrant.
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<unk>m w recently diagnosed unresectable cholangiocarcinoma on ertapenam for ecoli bacteremia p/w fever of <num> // verify picc line position
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MIMIC-CXR-JPG/2.0.0/files/p12611003/s51221570/a45f3c5d-0f35d1a2-38a9dc9e-512d3107-a09c5cfa.jpg
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the patient is slightly rotated to her left which fortuitously allows for better visualization of the mediastinum. the silhouette of the right aspect of the mediastinum is unusual in configuration with pronounced bowing of the ascending aorta. there are no signs of acute hemorrhage. otherwise, cardiomediastinal silhouette is normal in appearance. the lungs are clear and well expanded bilaterally, but no masses, lesions, pleural effusions or areas of focal consolidation concerning for infection. there is no pneumothorax. pleural surfaces are unremarkable.
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<unk>-year-old female with rectangular density over right hemithorax on prior chest radiograph.
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there is a streaky linear right basilar opacity, in comparison to prior exams is stable, and may represent some chronic atelectasis or scarring. no new focal opacity is identified. there is no pleural effusion or pneumothorax. calcified and noncalcified pleural plaques appear grossly stable. the cardiomediastinal silhouette is normal.
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previously diagnosed pneumonia at<unk>. evaluate for resolution.
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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 fever and cough // evaluate for pneumonia
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ap upright and lateral views of the chest provided.there is diffuse pulmonary edema which is moderate in extent. compare to prior, appearance is more compatible with pulmonary edema then a pneumonia. cardiomediastinal silhouette is stably prominent. hila remain congested. trace pleural fluid outlines the fissures.
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<unk>m with sob, cough, fever
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the lung volumes are low, though unchanged. there is minimal basilar atelectasis. there is no new focal consolidation, pleural effusion, or pneumothorax. the cardiac and mediastinal silhouettes are unchanged.
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<unk>-year-old male with vomiting and abdominal pain, question pneumonia.
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the feeding tube extends below the level of the diaphragms but beyond the field of view of this radiograph, likely within the distal stomach. a left chest wall dual lead pacemaker is present. the tip of the right picc line extends to the level of the mid svc. no focal consolidation, pleural effusion or pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged.
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<unk> year old man with cauda equina s/p laminectomy on <unk>, developed csf leak, ams, post op <unk> repeat l<num>-l<num> laminectomy. // eval for ngt placement
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a portable semi-upright radiograph of the chest demonstrates an endotracheal tube at the level of the carina. right and left internal jugular catheters end in the mid svc. a nasogastric tube is again seen coursing below the diaphragm with the tip out of the view of the image. there has been slight interval decrease in the density of the left basilar opacification. opacification of the right hemithorax is similar in appearance. there is no pneumothorax.
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<unk>-year-old female with recent adjustment of endotracheal tube. evaluate for placement.
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heart size and mediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax. no concerning lesions identified. cholecystectomy clips are noted in the right upper quadrant.
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<unk> year old woman with cough and probable new dx ovarian ca // ? lesion
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pa and lateral chest views were obtained with patient in upright position. there is status post sternotomy and history of previous bentall aortic valve procedure. moderate cardiac enlargement with prominence of the left ventricle to the left and posteriorly, but there is presently no evidence of marked left atrial enlargement or significant pulmonary vascular congestion. surgical clips are overlying the area of the operated ascending aorta, but in the arch, the descending vascular contours are well delineated and there is no evidence of local aneurysmatic bulge. moderate amount of aortic wall calcifications are also noted. there is minor blunting of the right lateral pleural sinus, but this does not extend into the posterior area. on the left side, no evidence of pleural thickening is present. nowhere in the lung fields can one identify any acute pulmonary infiltrates and there is no evidence of pneumothorax in the apical area as seen on the frontal view. comparison is made with the next preceding available chest examination in our records dated <unk>. this examination constituted the last postoperative examination at the time when the patient underwent aortic valve replacement in our institution.
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<unk>-year-old male patient with shortness of breath and orthopnea for several weeks, evaluate for chf or other abnormalities.
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moderate cardiomegaly is stable. the mediastinal and hilar contours are also stable. there is no pneumothorax or pleural effusion. lungs are well-expanded. new medial right base opacity is noted, which may reflect pneumonia in the correct clinical setting. the upper abdomen is unremarkable. chronic degenerative changes of the left shoulder with areas of ossification are noted.
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<unk>f with cough
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frontal and lateral chest radiograph demonstrates moderately well inflated lungs with bilateral lower lobe atelectasis. scarring of the left cardiophrenic angle is noted. no pleural effusion or pneumothorax. stable mild cardiomegaly. the mediastinal contour and hila are unremarkable. sternotomy wires are notable for new disruption of third sternotomy wire.
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chest pain. assess for cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p18069126/s50228168/912c36db-d5edca7b-55964291-a2c53ab2-794b135c.jpg
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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<unk>f with fevers cough // pna? pna?
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supine ap radiograph of the chest demonstrates no airspace consolidation, but pulmonary vascular congestion as well as mild interstitial pulmonary edema. the heart size appears normal, but is obscured by external pacing pad. there is no pneumothorax. there is likely a left pleural effusion.
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<unk>-year-old man with abdominal pain and bradycardia.
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there are relatively low lung volumes. mild bibasilar atelectasis is seen. there is no focal consolidation, pleural effusion, or evidence of pneumothorax. the aorta is calcified and slightly tortuous. the cardiac silhouette is top-normal to mildly enlarged. degenerative changes are seen along the spine including mild anterior wedging of a thoracolumbar vertebral body.
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cough.
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the lungs are hyperinflated. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
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<unk> year old man with cough, dyspnea, n/v after exposure to fumes of oil-based spray paint. // evaluate for signs of chemical pneumonitis
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MIMIC-CXR-JPG/2.0.0/files/p14721325/s52140957/53cfa3c7-67bb2668-32d67739-2eb1107c-ab6aee36.jpg
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there is no focal consolidation, pleural effusion or pneumothorax. mild cardiomegaly is stable. aorta is unfolded and tortuous. no acute osseous abnormalities identified.
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history: <unk>f with sob // ? infectious process
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there is interval development of a moderate-sized right pleural effusion and associated atelectasis at the right base. the left lung is clear. there is no overt pulmonary edema. the cardiac silhouette is partially obscured and difficult to evaluate. the mediastinal contour is otherwise unremarkable. there is no pneumothorax. bones and the upper abdomen are grossly unremarkable.
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<unk>m esrd on dialysis with sob and evidence of fluid overload // please evaluate for pulmonary edema, effusion
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
|
<unk>m with confusion, ams // infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p17769329/s56323905/9b9cf472-70beb19c-7c488a97-4e9061cf-924dd015.jpg
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cardiac size is minimally enlarged. the lungs are hyperinflated and clear. there is no pneumothorax or pleural effusion.
|
<unk> year old woman with ed, pots, syncope, now w chest pressure // r/o pna, pe, ptx,
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there has been interval removal of the right chest tube. a moderate right pneumothorax with a small apical component and a larger component at the right costophrenic angle is noted. opacities in the right midlung and lung bases may represent atelectasis and/or aspiration.
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<unk> year old man s/p r vats wedge biopsy w/ r chest tube // do at <num>am on <unk>. r/o ptx
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
|
<unk>-year-old female with cough.
|
MIMIC-CXR-JPG/2.0.0/files/p13965801/s51054543/8de4bd45-d6369b1a-70b7dd4a-6ae5b878-db483f40.jpg
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there has been interval improvement of aeration throughout both lungs since the initial appearence of diffuse ground glass nodular opacities. lung volumes are low. the lungs are clear with no focal consolidation, effusion, or pneumothorax. the cardiac and mediastinal contours are normal.
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<unk>-year-old woman with diffuse ground-glass opacities, status post biopsy.
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MIMIC-CXR-JPG/2.0.0/files/p10890227/s55420579/091250f4-51c7950c-b01b45d3-0c6418b2-18bf91cd.jpg
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the cardiac, mediastinal, and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are similar along the thoracic spine.
|
cough.
|
MIMIC-CXR-JPG/2.0.0/files/p17788370/s54044849/14380890-41e3dacc-ea9abf9e-14125f3c-b3e19fdc.jpg
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interval removal of right pigtail chest tube with loculated residual air seen in the tract of the chest tube. interval insertion of <num> chest tubes in the right. no pneumothorax. left picc line terminates in lower svc, unchanged. the pulmonary edema is stable. the pulmonary venous congestion is stable. the right pleural effusion is stable. the left pleural effusion has increased slightly. no new consolidation. the cardiomediastinal silhouette has increased in size likely due to patient position.
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<unk> year old woman with r parapneumonic effusion/empyema s/p r vats decort // postop film. pls evaluate for ptx/htx.
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left basilar pneumothorax has significantly decreased since prior exam. interval placement of left pleural catheter. improved left basilar atelectasis. improved right basilar atelectasis. mild right pleural effusion. normal heart size, pulmonary vascularity. cardiac pacemaker. port-a-cath in place. surgical clips upper abdomen.
|
<unk> year old woman with l pleural effusion s/p thorascentesis, with resultant pneumothorax, s/p <unk> chest tube // please evaluate for interval changes of ptx
|
MIMIC-CXR-JPG/2.0.0/files/p15002496/s53899716/c15faf7b-1d8a5bf2-9d5e6d9f-78b0be4e-af9a5809.jpg
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frontal and lateral chest radiographs again demonstrate mild cardiomegaly. the lungs are clear without focal consolidation or pulmonary edema. a moderate right pleural effusion with associated atelectasis is unchanged. there is no pneumothorax.
|
increase shortness of breath. evaluate for chf versus pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p11106524/s53001747/9b2d7544-4876e379-151d6e2f-8833a13b-4c8435e3.jpg
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. air is noted in the upper abdomen. there is volume loss in the right lower lobe. a small right pleural effusion is likely present. underlying consolidation is not excluded.
|
<unk>m with hyperglycemia and hypotension, plus cough. please eval for cardiopulmonary change
|
MIMIC-CXR-JPG/2.0.0/files/p19523301/s57154522/d9b20a01-37217921-7ab486f3-b42735cb-38543d01.jpg
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the lung volumes are low. allowing for rotation, low lung volumes and ap portable technique, the cardiac, mediastinal, and hilar contours appear unchanged, including suspected mild cardiomegaly. the aortic arch is calcified. there is patchy left basilar opacity suggestive of minor atelectasis, but otherwise the lungs appear clear. although difficult to entirely exclude, there is no definite evidence for pleural effusion.
|
shortness of breath.
|
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allowing for the overlying trauma board, there is no traumatic injury is identified. there are low lung volumes. the lungs are clear without focal consolidation, pneumothorax or large effusion. the left lung base is obscured by overlying metallic objects. the heart size is top-normal. the right <unk> and <unk> anterior rib fractures identified on the ct scan are not visualized in this study.
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trauma, fall <unk>+ feet onto ladder with significant pain over right ribs and right upper quadrant.
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MIMIC-CXR-JPG/2.0.0/files/p11129224/s50655149/4a9ed5be-c098f7cd-74aac9cf-02549b58-12a9ba04.jpg
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the lung volumes are normal. the lung shows normal structure and transparency. with the exception of a small atelectasis at the left lung bases the lung parenchyma is free of parenchymal opacities. no lung nodules or masses. normal size of the cardiac silhouette. normal appearance of the hilar and mediastinal structures on both the frontal and the lateral image.
|
<unk> year old man with long history of smoking and now with myopathy // evaluate for mass
|
MIMIC-CXR-JPG/2.0.0/files/p15031793/s54028749/1c4189be-375f8459-237f91be-8cfd37ad-48a18b46.jpg
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chest pa and lateral radiograph demonstrates right-sided tunneled hd line with distal port in the upper right atrium and the more proximal port in the distal svc. no pleural effusion or pneumothorax evident. mediastinal and hilar contours are unremarkable. heart size is top normal, though comparable to <unk> chest radiograph.
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end-stage renal disease, new tunneled hd line; please evaluate for line placement.
|
MIMIC-CXR-JPG/2.0.0/files/p14160099/s52253350/ab40fae8-b744a868-37cc67aa-937b5972-c47edb6f.jpg
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there is an opacity at the right lung base abutting the right heart border, which could represent pneumonia in the appropriate clinical setting. this is best appreciated on the frontal view, with no definite correlate on the lateral view. there is no pleural effusion or pneumothorax. heart size is top-normal. no acute osseous abnormalities identified.
|
<unk>f with flu-like symptoms including productive cough x<num> days. // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p19299811/s52603108/25329868-617d8547-b9bdaae3-ecca5c77-5f74b9a6.jpg
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a single ap chest radiograph was obtained. bilateral airspace opacities obscure both hemidiaphragms. the hila are indistinct bilaterally, but more enlarged on the right. bilateral pleural effusions are small. there is a partial collapse of the left lower lobe. mild cardiomegaly may be slightly worse compared with <unk>. there is no pneumothorax.
|
shortness of breath.
|
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is no pneumoperitoneum.
|
epigastric pain and hematemesis, evaluate for free air under the diaphragm.
|
MIMIC-CXR-JPG/2.0.0/files/p13703589/s58666649/83be4225-20ba5957-62520137-4e8b7413-7f40abbc.jpg
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. heart and mediastinal contours are unremarkable.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p11502360/s57809115/e72631ab-d7ff0d25-702cea02-b9179eb3-bca105c4.jpg
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there relatively low lung volumes. there is minimal bibasilar atelectasis without definite focal consolidation. no large pleural effusion is seen. there is no pneumothorax. cardiac and mediastinal silhouettes are unremarkable.
|
history: <unk>m with found unresponsive and apneic at game after methadone use*** warning *** multiple patients with same last name! // ?aspiration
|
MIMIC-CXR-JPG/2.0.0/files/p11197538/s59034308/38e3cf4d-8b595ec5-7776f6d9-84f42bf3-1829a1fe.jpg
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sequential radiographs demonstrate advancement of a dobhoff tube from the midesophagus into the stomach with the tip likely located within the gastric antrum. an additional catheter possibly associated with a wound vac is again seen projecting over the mid abdomen. moderate left and small right pleural effusions with associated bibasilar compressive atelectasis are unchanged. the remaining lung parenchyma is clear. heart size is normal. visualized cardiomediastinal and hilar silhouettes are normal. a right-sided picc terminates in the right atrium. bilateral breast implants are again noted.
|
<unk>f assess dobhoff placement
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MIMIC-CXR-JPG/2.0.0/files/p15360048/s53539912/882ab3a6-40b4849b-9093eaf5-ac27c3a2-90dcabd4.jpg
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there are now out <num> visualized esophageal stent, previously <num>. the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. there is no visualized pneumomediastinum. mid thoracic dextroscoliosis is noted. calcific density projects over left upper quadrant, new since prior.
|
<unk>m with esophageal strictures s/p stent placement w/ po intol // stent migration?
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