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MIMIC-CXR-JPG/2.0.0/files/p12035173/s55911011/8d76a476-e055592c-b7dbb34c-3a810797-9a535932.jpg
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increased left-sided airspace opacity likely represents a combination of increasing left pleural effusion and compressive atelectasis or collapse. pneumonia is possible in the proper clinical setting. mild volume overload is unchanged. the tracheostomy tube ends <num> cm from the carina. the right lung is clear. there is no pneumothorax.
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<unk>m s/p mvc w/ c<num> fracture intubated after developing respiratory failure now s/p c<num>-c<num> anterior fusion c/b neck swelling s/p takeback and washout; revision of anterior fusion, emergent posterior decompression fusion for cord compression // interval change - eval pleural effusion on ct
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the lungs are clear. there is no pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
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<unk>-year-old woman with an episode of confusion. evaluate for pneumonia.
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evaluation of the thorax is somewhat limited by rotation. a dobbhoff catheter has been newly placed and enters the stomach, finally terminating in the proximal duodenum. small bilateral layering pleural effusions are unchanged. there is no pneumothorax. the heart and mediastinum are magnified by the projection.
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<unk>-year-old female with history of alzheimer's and colon cancer status post status post partial colectomy who presented with altered mental status; evaluate dobbhoff placement.
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a left-sided pacemaker/defibrillator is seen with <num> leads in appropriate position. sternotomy wires and vascular clips are projected over the mediastinum. cardiomediastinal and hilar contours are within normal limits. the heart is top-normal in size. there is a small pleural effusion on the left as well as adjacent pulmonary opacities which could represent atelectasis or pneumonia. the right lung appears clear except for linear right basilar atelectasis. there is no pneumothorax identified. left apical thickening.
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<unk>m with ams // pna?
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the lungs are well expanded without focal opacities. cardiomediastinal and hilar contours are unremarkable with the exception of mild aortic tortuosity. there is no pleural effusion or pneumothorax. minimal bibasilar linear atelectasis. of note, there is no evidence of pneumoperitoneum.
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<unk>-year-old male with black stools and a history of duodenal ulcer. evaluate for evidence of pneumoperitoneum.
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cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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epigastric pain.
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abnormal contour of the mediastinum secondary to esophagectomy and gastric pull-through. no definite airspace consolidation. a right chest wall infusion port is unchanged. depression of the left hemidiaphragm is unchanged. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old woman with metastatic esophageal cancer, status post esophagectomy and gastric pull-through, presenting with dyspnea and crackles in mid left lung.
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lung volumes are low. the ett tip ends approximately <num> cm on carina, overall unchanged. right picc tip projects over the expected region the svc-ra junction, unchanged. mild edema and bibasilar atelectasis are unchanged. the heart size remains enlarged. no large pleural effusion or pneumothorax.
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<unk> year old woman intubated respiratory failure // worsening pna?
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portable supine chest film <unk> at <time> is submitted.
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<unk> year old woman hx of pulmanory edema and poor swallowing // aspiriation aspiriation
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. there is no pulmonary edema.
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psoriasis, atypical chest pain, infertility status post oocyte retrieval <unk> which has been complicated by severe ovarian hyperstimulation syndrome presenting with chest pain.
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the bulk of the stomach is herniated into the right hemithorax and massively distended with air. compared to the scout radiograph on the <unk> torso ct from <unk>, the distension of the subdiaphragmatic portion once equally severe has improved a little after placement of enteric tube ending in the debris filled distal stomach in the left upper quadrant. the abrupt tapering of the subdiaphragmatic stomach, the absence of bowel gas more distally in small or large gut, and the interim emptying of colonic gas indicate obstruction in the region of the pylorus, by stricture, volvulus, adhesion, abscess, or mass. aside from the right lower lung atelectasis due to the herniated stomach, the lungs are grossly clear. there is no appreciable pleural effusion or pneumothorax. the thoracic aorta is calcified and tortuous. cardiomegaly and pulmonary hypertension are well depicted in the torso ct. vascular clips in the right upper quadrant suggest prior cholecystectomy.
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abdominal pain and nausea. evaluate for free air.
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pa and lateral chest radiograph demonstrate low lung volumes. relative to prior radiograph dated <unk>, there has been little interval changes. the right hemidiaphragm appears elevated. the heart is enlarged though stable when compared to prior study. hilar and mediastinal contours are within normal limits. lungs demonstrate no focal opacity convincing for pneumonia. several healed right rib fractures are noted. no acute osseous abnormality is detected. there is no pneumothorax or pleural effusion.
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<unk>-year-old female with diminished right breath sounds. evaluate for pneumonia.
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cardiomediastinal silhouette is within normal limits. lung volumes are low. retrocardiac opacity likely represent atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax
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history: <unk>m with confusion // eval for pna
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pa and lateral chest radiograph demonstrates hyperinflated lungs and flattening of the diaphragms. the heart is enlarged. there is no evidence to suggest pulmonary edema. there is no pleural effusion. no focal opacity convincing for pneumonia is identified. note is made of a severe compression deformity at the l<num> level with vertebroplasty changes.
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<unk>-year-old female with weakness.
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single frontal portable image of the chest. ett is in good position. ng tube passes into the stomach and coils back into the esophagus. the lungs are well expanded. there are diffuse dense opacities in the bilateral lungs consistent with severe pulmonary edema. there are no pleural effusions or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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intubated.
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the lungs are clear. the cardiac silhouette is mildly enlarged. the aortic knob is visualized. no upper mediastinal widening. no pulmonary edema are pneumonia. prior median sternotomy with intact sternal wires and dual lead defibrillator with the tips in the right atrium and right ventricle.
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<unk> year old man with history of cad, hfref presenting with cp // ?e/o dissecction
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there is a new left lower lung opacity which appears to involve the inferior lingular segment, which may represent pneumonia or atelectasis.there has been partial decrease in size of right subpulmonic effusion in comparison to prior exam. there is no left pleural effusion. the cardiomediastinal silhouette is unchanged. additionally, there is a small area of sort tissue gas adjacent to the most lateral border of the right rib margins which is seen on multiple prior radiographs. this most likely represents a pocket of subcutaneous emphysema status post right thoracotomy, however, persistence on multiple examinations raises the possibility that this may represent focal lung herniation. this would be more likely in the presence of significant focal patient pain in the region. otherwise, the lung parenchyma are grossly unchanged in appearance. there is stable biapical pleuroparenchymal scarring. there is no pneumothorax.
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<unk> year old woman with post-operative // observe for changes
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the cardiomediastinal and hilar contours are normal. the lungs are well expanded and clear. there is no pulmonary edema, pleural effusion or pneumothorax.
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<unk>-year-old with chronic pleuritic chest pain, intermittent shortness of breath.
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ap portable upright view of the chest. compared to prior study, there is increase in interstitial opacities throughout both lungs, which is more symmetric today. this most likely represents pulmonary edema. mild cardiomegaly is stable. aortic knob calcifications are stable. no large pleural effusion or pneumothorax.
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cough, evaluate for pneumonia.
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assessment is slightly limited due to patient rotation. allowing for this, the cardiac silhouette size appears borderline enlarged, unchanged. the mediastinal and hilar contours are grossly similar with mild atherosclerotic calcifications noted at the aortic knob. the pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is demonstrated. dextroscoliosis of the thoracic spine is re- demonstrated.
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history: <unk>f with past medical history of asthma and dchf presents with shortness of breath for <num> hours
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lung volumes are low, which results in bronchovascular crowding. increased interstitial markings likely reflect low lung volumes rather than pulmonary edema. cardiomediastinal and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with bradycardia // assess for acute process
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portable upright chest radiograph show some interval clearing of lung parenchyma for though of the right lateral chest is not included in its entirety on this image. dobbhoff is coiled at the level of the proximal stomach
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<unk> year old man with cirrhosis and dobhoff placement // eval dobhoff placement
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the dobbhoff appears to be coiled in the lower esophagus. bilateral alveolar opacities with pulmonary edema are again seen, similar prior exam. pleural effusions are similar to prior. the cardiomediastinal silhouette is similar to prior exam.
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<unk> year old man with liver cirrhosis // eval for placement - dobhoff
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. heart size is mildly enlarged, and likely accentuated by the low lung volumes. the mediastinal contours are normal. there is a right internal jugular port-a-cath with the tip terminating in the mid svc.
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hypotension and bradycardia.
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prior left-sided central venous catheter is no longer visualized. the lungs are clear. there is no focal consolidation, effusion or edema. the cardiomediastinal silhouette is within normal limits.
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<unk>f with chemo, cough, tachy // eval for consolidation
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enteric tube tip is below diaphragm, not included on the radiograph. endotracheal tube tip is <num> cm above carina. stable cardiopulmonary findings.
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<unk> year old man with hep c with hematemesis. s/p intubation for egd // evaluate placement of og tube
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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 sob, dec bs pls eval ptx // history: <unk>m with sob, dec bs pls eval ptx
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. bony structures appear within normal limits.
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chest pain.
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pa and lateral views of the chest <unk> at <time> is submitted.
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<unk> year old woman with right flank and back pain // eval for fx eval for fx
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upright ap and lateral radiograph of the chest. similar to the patient's prior presentations, there are multifocal heterogeneous opacities bilaterally. there is denser consolidation in the inferior portion of the right upper lobe with pleural thickening or fluid tracking within the major fissure on the right. there is no pneumothorax or pleural effusion. cardiac and mediastinal silhouettes are normal. pulmonary vascularity is normal. there is a percutaneous cholecystostomy tube and a biliary drain with surgical clips in the upper abdomen.
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abdominal pain in a patient with chronic pancreatitis complicated by common bile duct stricture, status post ptbd.
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cardiac silhouette size is normal. mediastinal and hilar contours are unchanged with atherosclerotic calcifications again seen throughout the aorta. pulmonary vasculature is normal. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected.
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history: <unk>f with dyspnea
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the cardiomediastinal silhouettes are normal. the bilateral hila are normal. there are no focal airspace abnormalities. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or effusion.
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<unk>-year-old with asthma and cough, evaluate for infection.
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endotracheal tube tip <num> cm above carina. right ij central line tip mid svc. enteric tube seen to the level of junction of proximal and mid stomach. no pneumothorax. improved left perihilar, basilar opacity. small left pleural effusion is stable. stable right basilar opacity, and tiny right pleural effusion. shallow inspiration accentuates heart size. normal pulmonary vascularity.
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<unk> year old man intubated with increased secretions // assess for pna
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. ill-defined patchy opacity is noted predominantly within the left lower lobe concerning for aspiration pneumonia. right lung is clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
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history: <unk>f s/p colonoscopy with possible aspiration event, cough.
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no typical configurational abnormality is seen. unremarkable appearance of thoracic aorta and mediastinal structures are normal. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. skeletal structures of the thorax are grossly unremarkable. there exists no prior chest examination in our records available for comparison.
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<unk>-year-old male patient with right-sided ptosis, assess for mass.
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there is increased opacity in the right upper lung in the background of diffuse fibrosis compared to prior. there is no pulmonary edema or pleural effusion. the heart size and mediastinal silhouette are unchanged from prior. right-sided port terminates in the right atrium.
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<unk> year old man with aml w/ worsening cough, <unk> sat <unk>% ra // pneumonia
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minimal plate-like atelectasis is seen in the upper lobes bilaterally. there is mild interstitial edema. no focal consolidation, pleural effusion, or pneumothorax is detected. heart size is mildly enlarged.
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<unk>-year-old male with end-stage renal disease on hemodialysis, now with fever and chills for <num> days.
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opacities projecting over the lower lobes on the lateral are concerning for infection. there is atelectasis at the right lung base with persistent elevation of the right hemidiaphragm. there is no pneumothorax. the cardiomediastinal silhouette is unchanged with unfolding of the thoracic aorta. median sternotomy wires are intact.
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<unk>-year-old male with hypoxia possible pneumonia. evaluate for acute process.
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nasogastric tube is coiled within the distal esophagus. there is no focal consolidation, pleural effusion or pneumothorax. there is appearance of a chronic interstitial abnormality. the cardiomediastinal silhouette is normal. again seen are multiple old healed rib fractures. the imaged upper abdomen is unremarkable.
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history: <unk>m with new ng tube // ng tube placement?
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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 pleuritic chest pain
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endotracheal tube tip is <num> cm from the carina. lung volumes are relatively low with secondary bronchovascular crowding and linear bibasilar opacities compatible with atelectasis. there is no confluent consolidation or large effusion. moderate cardiomegaly is unchanged given differences in technique. no acute osseous abnormalities.
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<unk>m w/ necrotic left great toe s/p left anterior tibial left dp balloon angioplasty now s/p left foot <unk> digit amputation <unk> with ams, hypoxia, hypotension s/p intubation // et tube check
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a <unk>-year-old woman with a crohn's flare.
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ap single view of the chest has been obtained with patient in upright position. no previous chest examination is available in our records for comparison. multiple ekg leads are overlying the chest and an external air tube is overlying the right upper hemithorax. the heart size is normal. thoracic aorta unremarkable, but shows some wall calcifications at the level of the arch. pulmonary vasculature is not congested and there are no signs of acute pulmonary parenchymal abnormalities. no evidence of pneumothorax in the apical area on either side. the right-sided lateral lower pleural sinus is mildly blunted, but it is unclear from this single chest view if this is pleural effusion or scar formation.
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<unk>-year-old female patient with lung nodule and lymphadenopathy, now status post transbronchial needle biopsy. evaluate for pneumothorax.
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heart appears to be normal in size and configuration. lungs are well expanded. cardiomediastinal contours are unremarkable. lungs are clear bilaterally with no evidence of focal infiltrates. no pleural effusions and no pneumothorax. the small pleural effusions that were seen on the prior study have now resolved. bony structures appear to be intact.
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<unk>-year-old lady with previous pneumonias and left dry basilar crackles, rule out pneumonia or effusion.
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new dobhoff is seen curling along the greater curvature of the stomach. no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
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<unk>-year-old man with ventricular mass status post vp shunt placement. questionable history <unk> <unk>'s, likely aspiration, status post dobhoff. evaluate placement.
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there is no pleural effusion, pneumothorax, focal consolidation, or pulmonary edema. the cardiomediastinal silhouette is normal.
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<unk>m with hematemesis after etoh/marijuana, presents with cp and sob, lungs are clear, tachy to <num>s, evaluate for ptx, pleural effusion, other acute process.
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lung volumes are increased compared to the prior study. no pneumothorax is identified. the heart remains moderate to severely enlarged. mediastinal and hilar contours are stable. left-sided dual-lumen dialysis catheter tip terminates at the svc/right atrial junction. clips projecting over the left superior mediastinal are unchanged. pleural calcifications along the right hemidiaphragmatic contour again noted. calcified mediastinal and hilar lymph nodes along with a calcified granuloma at the left lung are again noted. there is minimal bibasilar atelectasis. no pleural effusion is seen in the right costophrenic angle is sharp. curvilinear calcification is noted along the periphery of the spleen.
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attempted right subclavian line placement.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old man with hiv, cd<num> <num>, night sweats // assess for parenchymal abnormality
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
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back pain. question pneumothorax.
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pa and lateral chest radiographs were obtained. lung volumes are mildly low. a small left pleural effusion is new since <unk>. there is no new consolidation or pneumothorax. the cardiac and mediastinal contours are normal. the tip of a left chest port-a-cath terminates at the low svc. surgical clips project in stable positions over the mid abdomen. ascites is confirmed on recent ultrasound.
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shortness of breath.
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a left-sided picc line protrudes minimally into the uppermost right atrium. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the patient is status post coronary artery bypass graft surgery.
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picc line placement.
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MIMIC-CXR-JPG/2.0.0/files/p14189848/s58406458/a8b87f3d-55c3e4cb-8b4b04fa-d281c7a2-05b2621e.jpg
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the lungs are clear. there is no consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
|
<unk>f with cough // eval l pna
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MIMIC-CXR-JPG/2.0.0/files/p19622138/s52351060/ad5e187f-15eb638b-3525f10c-3fe9b80e-586820bd.jpg
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the heart size is top-normal. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with etoh w/d diarrhea spiking to <num>. // please eval for source of infection.
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MIMIC-CXR-JPG/2.0.0/files/p18458646/s54236957/e919b3a1-1124af3b-674b6079-380dde09-9a6ec840.jpg
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single frontal view of the chest. lung volumes are low. bibasilar linear opacities are consistent with atelectasis. no focal consolidation, substantial pleural effusion, or pneumothorax. cardiomediastinal contours are stable.
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shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p16967699/s52219025/16353158-e7cd864f-f895bca4-d6c0cfc0-4986ddf9.jpg
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there are low lung volumes resulting in crowding of the bronchovascular structures. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal.
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fever, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18202111/s53047706/6960543d-e69b4f03-a58397c3-201d8f54-e3b7b5f7.jpg
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding chest examination of <unk>. the heart size remains normal. no changes in mediastinal structures or appearance of thoracic aorta. the pulmonary vasculature is not congested. the previously identified rather well described nodular-appearing densities in the left lower lobe area remain. the same holds for an abnormal prominence in the lower portion of the left hilum. these lesions have not increased in size significantly. detailed comparison, however, suggests that there is probably some development of new similar nodular densities highly above and to the left of the previously described lower lobe densities. lateral view suggests that these new nodules are located in the left lower lobe posterior segment whereas the previously existing nodules are located mostly to the anterior portion of the lower lobe area. comparison also reveals that no pleural effusion has developed on either side and no pneumothorax is present in the apical area. the right hemithorax remains entirely normal.
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<unk>-year-old female patient with rheumatoid arthritis and rheumatoid nodules in lung, evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p12962955/s58319884/fb584912-05b6df40-b2bf111a-28acb862-c4fd6521.jpg
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the patient is status post median sternotomy. the lungs are moderately hyperinflated. the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation.
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history: <unk>m with weakness // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p16275728/s50669487/0d2d15ec-9fb39e73-61953565-baabb938-3c284dc8.jpg
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. mitral annular calcifications are noted. in the interim since the prior study appears that the patient has had a right-sided orthopedic shoulder surgery.
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chest pain, question pneumonia
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. oblique mid left clavicular fracture is noted, potentially chronic but to be correlated clinically.
|
<unk>m with cough // cough
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MIMIC-CXR-JPG/2.0.0/files/p11543836/s53616365/e80f8d30-85ce2944-a80b7243-fc65d71d-fffe1785.jpg
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the previously noted spiculated lesion/scar in the right lower lung zone shows interval decrease in size. associated right-sided effusion or pleural thickening. adjacent right middle and lower lobe atelectatic changes. the cardiomediastinal shadow is normal. the left lung is clear.
|
<unk>m w/ enlarging spiculated rll nodule s/p r vats lower lobectomy // interval change
|
MIMIC-CXR-JPG/2.0.0/files/p15831207/s53268287/32ded822-e2b72328-8d4f42fa-95549e3d-0884bd42.jpg
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portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. bilateral heterogeneous pulmonary opacities, predominately in the lower lobes, are slightly more prominent over the interval. new left-sided pleural effusion is small. the cardiomediastinal and hilar contours are unchanged. endotracheal tube minutes <num> cm from the carina. right-sided port-a-cath ends at the cavoatrial junction. nasogastric tube ends in the neo-esophagus. there is no pneumothorax.
|
<unk> year old man s/p r chest tube pull. // r/o pnx
|
MIMIC-CXR-JPG/2.0.0/files/p16403314/s54650383/dd643466-d1262c34-99cd624b-527c03e5-8ac789b3.jpg
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an ng tube is present, with its tip overlying the proximal stomach. there is suggestion that the side port lies in the region of the ge junction, though not necessarily beyond that. right subclavian picc line tip overlies the distal svc. no pneumothorax detected. again seen are low inspiratory volumes with patchy opacities at both lung bases, similar to prior. no new focal opacity is identified. there is pulmonary vascular plethora which could reflect chf, but is likely accentuated by low inspiratory volumes. note is made of thinned wire like leads coursing across the right chest into the neck.
|
<unk> year old man with persistent tachypnea, altered mental status, high risk for aspiration, copious secretions // r/o aspiration, pna, edema
|
MIMIC-CXR-JPG/2.0.0/files/p13475033/s58757097/1299b94a-f07cab56-9e0c278e-416e2eea-39578211.jpg
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moderate cardiomegaly is stable. note is made of aortic and coronary artery calcifications, notably in the lad. generalized chronic interstitial abnormalities remain unchanged. no focal pulmonary abnormality is identified to suggest pneumonia. there is no large pleural effusion or pneumothorax.
|
chest pain. evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p13791185/s55328944/2652aad5-ba6f71a8-dbe52501-f779b1b0-cafdca4b.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 for the past six hours, mid-sternal radiation to both scapula
|
MIMIC-CXR-JPG/2.0.0/files/p17379788/s58773323/5261c4f3-41564d4e-2df97227-7e5be61c-6a384700.jpg
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pa and lateral views of the chest provided. lungs are hyperinflated and largely clear. there is a linear right suprahilar opacity which could represent a focus of scarring. no signs of pneumonia edema effusion or pneumothorax. the heart size is normal. the aorta is mildly unfolded. bony structures are intact. no displaced rib fractures are seen. imaged thoracic spine appears to align normally.
|
<unk>f with weakness, fall // pna?
|
MIMIC-CXR-JPG/2.0.0/files/p13565877/s58461129/9c885cef-08e9c171-95f0aa12-d19c0858-982a37fa.jpg
|
the heart size is normal. the aorta is mildly unfolded. the mediastinal and hilar contours are unchanged. calcified bilateral pleural plaques are re- demonstrated. the lungs are hyperinflated but clear. no focal consolidation, pleural effusion or pneumothorax is seen. the pulmonary vasculature is normal. there are no acute osseous abnormalities.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p17826875/s57021823/a9eee0fc-72eee72b-1f2eb9c8-e171a83a-6b4c4c1f.jpg
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lung volumes are normal. there is no focal consolidation, effusion or pneumothorax. there is no pulmonary vascular engorgement or overt pulmonary edema. previously seen left basilar opacity has resolved. mediastinal and hilar contours are stable. atherosclerotic calcifications at the aortic arch are noted. allowing for differences in technique, mild cardiomegaly is unchanged. left lateral rib fractures are chronic. intervertebral disc height loss in the mid thoracic spine at two continuous levels is unchanged.
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<unk> year old man with dm s/p renal tx on pred/mmf presenting with weakness, diarrhea, rigors // please evaluate for any evidence of pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p13536747/s55113201/5b600e1a-d9919fff-b43dc6dc-d534b47b-2790ac48.jpg
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pa and lateral views of the chest <unk> at <time> are submitted.
|
<unk> year old woman with s/p mvr/tvr // eval postop changes eval postop changes
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MIMIC-CXR-JPG/2.0.0/files/p15002645/s54829151/f52220c5-ade72f1c-fa667ab8-53350743-32c1a9e6.jpg
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pa and lateral views of the chest were obtained. the heart is normal size and cardiomediastinal contours are stable. lungs are clear. there is no pleural effusion or pneumothorax.
|
<unk>-year-old man with chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p12303667/s56230969/b8ec370f-450e80d9-25461f27-72d3da41-d6e10bae.jpg
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a frontal and lateral view of the chest demonstrate a diffuse interstitial abnormality. there are no focal areas of consolidation to suggest pneumonia. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
|
lymphangioleimyomatosis with cough fevers and wheezing for <num> month, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11941410/s51099784/3e47676c-0867840f-55101fa4-dc04c37c-45cf9d7d.jpg
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a left chest wall dual lead pacemaker is present. low bilateral lung volumes with diffuse but predominantly perihilar airspace opacities. small bilateral pleural effusions are present. no pneumothorax identified. the appearance of the cardiac silhouette is unchanged.
|
<unk> year old woman with multiple myeloma with worsening hypoxia // eval hypoxia
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MIMIC-CXR-JPG/2.0.0/files/p13767267/s50343020/0dae0d74-495882d9-9873e34e-f3716ac1-2b1f3080.jpg
|
the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. although there is no definite focal opacity to suggest pneumonia or vascular abnormality to suggest pulmonary edema, there are, at both the apices and along each costophrenic sulcus, vague increased interstitial opacities. this indicates the possibility for developing interstitial lung disease. bony structures are unremarkable. no fracture is identified.
|
pleuritic left chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p19354278/s58262722/cd34a4f1-d8f1726d-ec88d850-e4f0424a-5a30f59a.jpg
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lucency underlying the left hemidiaphragm may represent pneumoperitoneum or the stomach bubble. correlation with left lateral decubitus views of the abdomen could be useful in differentiating between these <num> entities. low lung volumes cause bronchovascular crowding and subsegmental atelectasis. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. moderate acromioclavicular degenerative changes are noted bilaterally.
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<unk>m with abd pain, peritoneal signs, recurrent sbo, evaluate for pneumoperitoneum
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MIMIC-CXR-JPG/2.0.0/files/p12259778/s52461502/c14ab2f6-17e4e462-c6c2d315-b6939a6b-fc4ee728.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 dyspnea // evaluate for acute process
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MIMIC-CXR-JPG/2.0.0/files/p15469477/s57874471/14f51972-7f6b43ff-0dc9759a-1cdb6eff-94cc59a1.jpg
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. heart size is top normal. the mediastinal silhouette is unremarkable. there are no acute fractures.
|
<unk>-year-old female with chest pain. question cardiomegaly.
|
MIMIC-CXR-JPG/2.0.0/files/p17981003/s50493081/7d57c7bc-7cc3aa6f-98203211-dfe62f8f-d38a52a2.jpg
|
a pacemaker generator is seen overlying the right chest with <num> leads attached, <num> in unchanged position, <num> in the expected location the right atrium and <num> in the expected location of the right ventricle. the <unk> lead is new, terminating in the position of the obtuse marginal coronary vein with the wire extending through the coronary sinus. severe enlargement of the cardiomediastinal silhouette with the contour suggestive of an element of pericardial effusion is not significantly changed from <unk>. the previous right pleural effusion and basilar opacity has resolved. there is no pneumothorax is present. left lower lung opacities unchanged from <unk>. surgical clips overlie the left axilla.
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new biventricular pacemaker, evaluate pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p16047294/s50170717/85f464b4-e024254a-758d4d79-29426c20-61cd2f29.jpg
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pa and lateral views of the chest. calcified right middle lobe nodule is again seen, unchanged. the lungs are otherwise clear. there is no consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
|
<unk>-year-old male with diabetes with hyperglycemia.
|
MIMIC-CXR-JPG/2.0.0/files/p12760762/s56180869/14565996-da8b84bb-2b5427f3-2258a1f4-3cc243f2.jpg
|
the cardiac, mediastinal and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p12102463/s56932065/4d763f5f-3461475b-ec754fc5-0a644637-80d6c7e8.jpg
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a portable frontal chest radiograph again demonstrates an enteric tube coursing below the diaphragm and off the inferior edge of the image, endotracheal tube terminating in the mid thoracic trachea, and central line terminating in the right atrium, all unchanged in position. the cardiomediastinal silhouette is normal. bilateral opacities are increased compared to prior chest radiographs from the same day and the day prior. there is no appreciable pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
|
evaluate for interval change in a patient with <unk> <unk>'s procedure status post leak, now with ards sepsis.
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MIMIC-CXR-JPG/2.0.0/files/p11665626/s56775012/4182aefa-d085f444-117544da-143791d6-1fee5c53.jpg
|
portable semi-erect chest radiograph <unk> <time> is submitted.
|
<unk> year old man with intubated, chest tube // eval for interval change eval for interval change
|
MIMIC-CXR-JPG/2.0.0/files/p17240999/s53985276/43f717cd-45478434-ab5efaf8-79056ea9-91217045.jpg
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lungs are clear. there is no pleural effusion or pneumothorax. no free intraperitoneal air is seen. the cardiomediastinal silhouette is unremarkable.
|
upper or lower gi bleed and bilateral cva tenderness. ? perforation.
|
MIMIC-CXR-JPG/2.0.0/files/p17266901/s51228557/244eab3c-418be41a-357a3906-da45b7ec-70dccc1b.jpg
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ap view of the chest provided. sternal wires are in standard alignment and are in unchanged positions compared to prior radiographs. left apical pneumothorax is stable. persistent bibasiar atelectasis is again seen. there are small pleural effusions seen bilaterally.
|
<unk> year old woman s/p cabg, please eval sternal alignment
|
MIMIC-CXR-JPG/2.0.0/files/p14277220/s55719848/7f3bfa34-77a25257-faceb73a-e24cca91-cc2edd51.jpg
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bilateral hazy opacities interstitial are visualized and likely representative of fibrotic changes. otherwise the lungs are without a focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute fractures are identified.
|
trauma.
|
MIMIC-CXR-JPG/2.0.0/files/p12009234/s57843422/7b5ff853-47e36579-7157748d-973b16f0-cb5e52da.jpg
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. small bilateral pleural effusions are noted along with streaky opacities in the lung bases. there is no pneumothorax. no acute osseous abnormalities are seen.
|
shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p16956992/s54382420/bc2dff40-e1fdb2e9-d8342264-98939dff-db70648d.jpg
|
there has been interval placement of endotracheal tube, and enteric tube terminates in the stomach. there is continued severe pulmonary edema, and the cardiac silhouette is normal in size. no pleural effusion is seen.
|
<unk>-year-old man with possible ards status post intubation. evaluate endotracheal tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p12073186/s54578036/4a41bd0c-027c9c19-e6bdf452-f8f28521-e0ed506b.jpg
|
the heart and mediastinal contours are within normal limits. the lungs demonstrate widespread nodular densities. no pneumothorax is seen. a small right-sided pleural effusion is present. the visualized portion of the spine demonstrates only mild degenerative change.
|
<unk>-year-old male with multiple bilateral nodules status post lung biopsy. the nodule biopsied was in the right lower lobe.
|
MIMIC-CXR-JPG/2.0.0/files/p16044547/s51345571/f0dcaa42-f2ff6edd-c0f89ab6-72d9892c-201d05d5.jpg
|
lungs are hyperinflated. no focal consolidation is seen. minor streaky medial left base atelectasis is seen. no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. the aorta is calcified. thoracic scoliosis is noted.
|
history: <unk>f with ms, progressive <unk> weakness // please eval for acute cp process
|
MIMIC-CXR-JPG/2.0.0/files/p16381749/s52125598/72df7f03-0dc825f1-aacc869f-ef4e8788-0df59cba.jpg
|
lung volumes are slightly low. the heart is moderately enlarged. the mediastinal and hilar contours are normal. on the lateral projection there is blunting of the posterior costophrenic sulcus likely reflecting small bilateral pleural effusions. there is no pneumothorax. there is a mild pulmonary edema.
|
history: <unk>m with dyspnea // acute process?
|
MIMIC-CXR-JPG/2.0.0/files/p12276520/s50267871/df524f64-cb084bc3-5237228a-0e8105ca-0a7f0995.jpg
|
there are relatively low lung volumes. bibasilar atelectasis/ scarring is seen. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta is tortuous. the cardiac silhouette is not enlarged. multiple surgical clips are seen overlying the right axilla.
|
history: <unk>f with cough fever // pna?
|
MIMIC-CXR-JPG/2.0.0/files/p17007670/s59780370/324c6c9e-39721489-6c59da59-3e6d2199-682d1747.jpg
|
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>f with pleuritic l sided chest pain
|
MIMIC-CXR-JPG/2.0.0/files/p10043321/s59164130/8ff2f157-79bfb603-dd3e1d79-1e06b70e-48e3a925.jpg
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a right chest tube is in unchanged position. a small right apical pneumothorax persists, similar in appearance to prior. stable moderate cardiomegaly with improvement in pulmonary edema, now mild. a small right pleural effusion is present.
|
<unk> year old woman s/p vats. now sob // acute change?
|
MIMIC-CXR-JPG/2.0.0/files/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg
|
frontal and lateral radiographs of the chest were acquired. there is a diffuse interstitial abnormality, with a perihilar predominance, suggestive of mild interstitial pulmonary edema. moderate enlargement of the cardiac silhouette is not significantly changed. a small left pleural effusion is not significantly changed. there is no definite right pleural effusion. the mediastinal contours are unchanged. there is a small hiatal hernia, not significantly changed. there is no pneumothorax. surgical clips project over the upper abdomen on the lateral radiograph. multilevel degenerative changes of the thoracolumbar spine are noted. anterior wedging of a lower thoracic vertebral body is not significantly changed.
|
shortness of breath and cough.
|
MIMIC-CXR-JPG/2.0.0/files/p15600053/s57852063/d3ed415a-efcc3d40-d9815264-8a042b07-b1a4fa93.jpg
|
et tube tip is <num> cm from the carina. enteric tube passes off the inferior field of view. there is some increased opacity in the left perihilar and retrocardiac region superiorly and left hemithorax volume loss raising the possibility of underlying atelectasis. elsewhere, the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
|
<unk>f with intubated, sah // r/o aneurysmal bleed
|
MIMIC-CXR-JPG/2.0.0/files/p15743778/s56999724/2155a2eb-dbff8fbe-5c2da008-c24e1cb5-63dc5fd7.jpg
|
since prior, there has been a mild interval increase of the moderate left pleural effusion with associated atelectasis. small right pleural effusion is stable. cardiomediastinal silhouette is unchanged. there is no pneumothorax. right ij central venous catheter ends in the upper svc.
|
<unk> year old man s/p cabg, evaluate for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p19206717/s50304647/ed18c399-e286fc22-5f192076-89f502d9-3ef8f6e3.jpg
|
heart size is mildly enlarged. mediastinal and hilar contours appear unchanged with enlargement of the pulmonary arteries, better assessed on the previous ct, compatible with pulmonary arterial hypertension. there is upper zone vascular redistribution without overt pulmonary edema. chronic interstitial opacities are again noted predominantly along the periphery and lung bases with bronchiectasis also noted in the lower lobes. patchy ill-defined opacities are re- demonstrated in both lower lung fields as well as within the upper lobes bilaterally, more so on the right. overall, the findings within the left lung base and left upper lobe appear minimally improved, with the opacities in the right lung base perhaps slightly worse. small bilateral pleural effusions are likely present. no pneumothorax is demonstrated. remote left-sided rib rib fractures are again seen.
|
history: <unk>f with copd exacerbation, impending respiratory failure
|
MIMIC-CXR-JPG/2.0.0/files/p14526945/s54334565/3b67293e-a214386e-ead97ae5-02a50450-ce2cdcc1.jpg
|
cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
|
<unk> year old man with afib on amio // f/u afib on amiodarone- monitor for evidence pulmonary toxicity
|
MIMIC-CXR-JPG/2.0.0/files/p11783844/s51549460/e9a3e3c4-57838751-66c6cd53-eb938fd8-8d0e9d5d.jpg
|
endotracheal and enteric tubes are no longer seen, presumed removed in the interval. patient is somewhat rotated to the left. there is been slight interval increase in right mid to lower lung opacities. blunting of the left costophrenic angle persists, possibly due to a trace pleural effusion. cardiac and mediastinal silhouettes are stable.
|
<unk> year old woman with respiratory failure s/p intubation // interval change
|
MIMIC-CXR-JPG/2.0.0/files/p18878487/s53012035/70c0bd1d-930c6891-7be975d2-0281c8fe-647fb958.jpg
|
pa and lateral views of the chest. on the lateral view, an oblong density extending from a pulmonary vessel is seen in the anterior chest. otherwise, the lungs are clear without evidence of consolidation. no pneumothorax or pleural effusion. the cardiac, mediastinal, and hilar contours are normal.
|
cough and hemoptysis.
|
MIMIC-CXR-JPG/2.0.0/files/p19650793/s54721126/fda51176-8fd6b222-f6232198-9630641d-d2e58e00.jpg
|
lung volumes are lower on the current exam with secondary crowding of the bronchovascular markings. there is mild superimposed pulmonary edema. more discrete opacities in the right mid to lower lung as well as in the retrocardiac region are now seen. moderate cardiac enlargement is grossly similar given lower lung volumes. degenerative changes noted at the shoulders. old right lateral rib fractures are seen. surgical clips seen in the right upper quadrant.
|
<unk>m with dyspnea // pna?
|
MIMIC-CXR-JPG/2.0.0/files/p17234374/s56319858/cd1aaf29-818d6024-43eee0ee-17ddb4ff-8e403b40.jpg
|
there has been interval increase in size of the right super hilar mass now measuring approximately <num> x <num> cm, previously <num> x <num> cm, compatible with known malignancy. heart size is normal. mediastinal contours are unchanged. pulmonary vasculature is not engorged. lungs are otherwise clear without new focal consolidation. no pleural effusion or pneumothorax is seen. moderate multilevel degenerative changes are noted in the thoracic spine.
|
history: <unk>m with small volume hemoptysis
|
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