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MIMIC-CXR-JPG/2.0.0/files/p13935870/s58516769/5b9fef60-68b498b7-274bcc20-63aa1378-fef15ddf.jpg
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no significant interval change. a pluerex drain projects over the left hemithorax, unchanged in position. small left pleural effusion with atelectasis and pleural thickening is overall unchanged. left upper lung opacity corresponding to mass on ct is unchanged. the right lung is clear. no pneumothorax. degenerative changes in the shoulders, worse on the right are unchanged. the heart size is normal.
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<unk> year old man with malignant pleural effusion s/p pleurodesis and pleurex. // please evaluate pleural effusion and pleurex.*** please perform before <num> am ***
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MIMIC-CXR-JPG/2.0.0/files/p11754870/s53796217/077b4f6a-6e1781f6-fdfa25b9-aea56b70-f9e0210c.jpg
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clear lungs bilaterally without pleural effusion or pneumothorax. heart size, mediastinal contour and hila are normal. no bony abnormality.
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female with new fevers and mild cough. status post pancreatic transplant <unk>. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19336651/s56388559/6945ef4d-9a05c132-2b076f64-2f3ddf4a-4d12a4f8.jpg
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as compared to the most recent prior chest radiograph, there has been no relevant interval change. re-demonstrated is a diffuse infiltrative pulmonary process, in addition to moderate central pulmonary vascular congestion and pulmonary edema, that has slightly progressed. there is a small left pleural effusion and probable small right pleural effusion with adjacent atelectasis. the heart remains mildly enlarged. median sternotomy wires are intact and well-aligned.
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history: <unk>m with sob // acute process
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the heart is mildly enlarged, and emphysema and left upper lobe fibrosis is again seen. the lungs are otherwise clear of focal consolidation, pleural effusion or pneumothorax. there are left axillary surgical clips. the mediastinal contours are normal.
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<unk> year old woman with left upper extremity dvt, fever, confluent rash over arm, chest and neck // rule out infectious source
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MIMIC-CXR-JPG/2.0.0/files/p19495094/s54478735/94d8b539-684694be-557d43cf-7091984c-8239b631.jpg
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left flexible chest tube remains in the left hemi-thorax. moderate left pleural effusion appears slightly decreased. cardiomediastinal silhouette is shifted to the left, but is unchanged. right basilar atelectasis is mostly unchanged. no pneumothorax is seen.
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<unk> year old woman with b/l pleural effusions of unknown etiology s/p ct-guided drainage of loculated left pleural effusion. // progression of l loculated effusion, presence of pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p18228504/s54133334/12c05904-7f3941ae-49c9c6ee-ae80dc95-cae7e766.jpg
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mild cardiomegaly is unchanged. mediastinal silhouette and hilar contours are stable. again appreciated are the two left upper lobe masses which are less distinct due to surrounding opacities compatible with expected post-procedural change. the right lung and the left lung base is clear. there is no pleural effusion or pneumothorax.
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two left upper lobe mass status post transbronchial biopsy, rule out pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p13916391/s53836554/12a408c7-6222d43b-95f756ae-00f8b28a-cefb4983.jpg
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the heart size is within normal limits. the mediastinal and hilar contours are normal. the lung volumes are low and retrocardiac consolidation is improved. there is a small-to-moderate pleural effusion on the right, increased from prior exams. there is no pneumothorax. no chest tube is in place. clips in the right upper abdominal quadrant represent prior cholecystectomy.
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<unk>-year-old male with alcoholic cirrhosis and right-sided hydrothorax status post chest tube, now here with hospital-acquired pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18282310/s58156922/cd2a225c-944a3bac-503a3be4-8566e9d9-715c48a5.jpg
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cardiac silhouette size appears mildly enlarged but similar compared to the prior study. prominence of the right mediastinal border and azygos region appears unchanged compared to the previous radiograph. hilar contours are unremarkable. pulmonary vasculature is not engorged. bibasilar linear opacities are compatible with areas of subsegmental atelectasis, along with small bilateral pleural effusions which are new in the interval. no pneumothorax is detected. there are no acute osseous abnormalities visualized.
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history: <unk>f with shortness of breath and hypoxia // please assess for pleural effusions/pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p11848467/s57205794/2df3c742-3bdab7e4-06a42a2a-352deaf3-31927395.jpg
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the heart is not enlarged. aorta is minimally unfolded. the mediastinal and hilar contours are otherwise within normal limits. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no free air seen beneath the diaphragm. probable right upper quadrant surgical clips. left clavicular fixation hardware is noted.
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history: <unk>m with liver ca, prior hx tace, ascites, p/w <num> days epig pain, doe // eval ? infiltrate, edema
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MIMIC-CXR-JPG/2.0.0/files/p14813481/s58863465/f6d3367c-eb487125-3e675d95-9ba7d90c-be27c3ee.jpg
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. a right-sided port ends in the mid svc.
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history: <unk>f with fever // eval infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p16837125/s53984517/adb66c73-f3f5efd7-2ca02bd3-2966ded8-d8355435.jpg
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the lungs are symmetrically well expanded and clear. no pleural effusion or pneumothorax. no pneumomediastinum. top-normal heart size. mediastinal contour and hila are unremarkable.
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<unk>f with history of swallowing a fish bone? pain with swallowing. . assess for obstructive lesion.
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single portable view of the chest. endotracheal, enteric, and chest tubes are no longer seen. right ij central line is unchanged. low lung volumes seen on the current exam. the lungs however are grossly clear. there is no visualized pneumothorax. postoperative changes of median sternotomy again noted.
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<unk>-year-old man postop day <num> from cabg, chest tube removal.
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the endotracheal tube tip is approximately <num> cm above the carina. an esophageal catheter courses below the diaphragm with tip out of view. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected on this single view. heart and mediastinal contours are within normal limits. prominence of the pulmonary vasculature in the upper lung zones may be due to positioning and/or hydration status. posterior right <unk>, <unk> and <num>th rib fractures are noted.
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<unk>-year-old male with seizures, intubated by ems.
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lung volumes are slightly low. a mild diffuse interstitial abnormality likely reflects mild interstitial pulmonary edema, not significantly changed. there is minimal left retrocardiac atelectasis, increased. there is no focal consolidation. moderate-to-severe enlargement of the cardiac silhouette is again noted with evidence of left atrial enlargement. there are no pleural effusions. no pneumothorax is seen.
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gram-positive cocci bacteremia with altered mental status. assess for pneumonia versus pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p15747693/s52813295/f26cf72c-194cfaf2-9c6ef306-69450995-b6ee283d.jpg
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the cardiomediastinal silhouettes are normal. there is a tortuous and calcified thoracic aorta. the bilateral hila are unremarkable. patchy opacities at the lung bases likely reflect atelectasis. additionally, an ill-defined opacity within the left lower lung appears new since <unk>, and may reflect superimposition of overlying structures. otherwise, there is no focal lung consolidation. there is no pulmonary vascular congestion. there is biapical pleuroparenchymal scarring. there is no pneumothorax or effusion.
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a <unk>-year-old man with hypotension, vomiting, and dizziness, evaluate for infiltrate, pneumothorax, or mediastinal air.
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MIMIC-CXR-JPG/2.0.0/files/p11722906/s55215048/234fc90b-2c488e99-bc003b46-9e035c3f-48386bd0.jpg
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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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abdominal pain and ulcerative colitis flare.
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MIMIC-CXR-JPG/2.0.0/files/p13129329/s52675075/954c8b3c-cf2af13d-264be450-71fcbdaa-c83cf4c3.jpg
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lungs are clear without focal consolidation, effusion, or edema. increased density projecting over the right side of the mediastinum and hilum are compatible with known calcified nodes. no acute osseous abnormalities.
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<unk>m with chest pain // eval for pna, chf
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MIMIC-CXR-JPG/2.0.0/files/p12156923/s59989759/411f5613-b080b119-83eed640-c9504d8f-81be3a52.jpg
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no focal consolidation is seen. there is no large pleural effusion or pneumothorax. cardiac silhouette is top-normal to mildly enlarged. the aorta is tortuous. no evidence of free air seen beneath the diaphragms.
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history: <unk>f with abdominal pain // abdominal pain
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sternotomy wires are intact and aligned. left basilar retrocardiac airspace opacity has increased. the right lung remains clear. there is no pneumothorax. mild cardiomegaly despite the projection is unchanged.
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<unk> year old man admitted with left leg pain, now with increased respiratory rate and difficulty breathing // interval change
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cardiac size is top normal. the lungs are clear. there is no pneumothorax or pleural effusion.
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<unk> year old man with cirrhosis presening with altered mental status // please eval for pna
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pa and lateral images of the chest demonstrate well expanded lungs, which are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. there is mild cardiomegaly. a pacer is seen in the anterior axillary position with intact leads in the expected course to the right atrium and right ventricle. there is no evidence of pneumonia or other abnormality.
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<unk>-year-old male with history of bronchiectasis, now with new cough, and fever, shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p15700982/s59189022/851bd205-bbd44be2-c9c9b99f-f6884ef4-902874c5.jpg
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on a background of minimal chronic congestive heart failure and low lung volumes bibasilar opacifications again noted, left greater than right with increased opacification noted in the posterior costophrenic angle on the lateral view concerning for infectious process. no pleural effusion or pneumothorax. minimal rightward deviation of trachea may be due to goiter. please correlate clinically.
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cough, difficulty breathing, please evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16937963/s58910050/278691ba-bff5b93d-35946b46-9a652a4e-d437f506.jpg
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scarring at the right lung apex with architectural distortion is unchanged from the prior examination. there is mild blunting at the left costophrenic angle, unchanged and likely representing atelectasis or small effusion. there are calcifications are noted. the heart size is mildly enlarged. interval placement of a right ij line, which ends in the mid svc.
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history: <unk>m with hypotension // eval rij
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MIMIC-CXR-JPG/2.0.0/files/p10545214/s57849686/44ee1af4-1cad82e7-f38ef3c7-ebef0255-2348bf50.jpg
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion, pulmonary vascular congestion, or pneumothorax is present. there are no acute osseous abnormalities.
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fever and chills.
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pa and lateral views of the chest provided. a retrocardiac opacity contains a small air bubble likely a small hiatal hernia. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with multiple myeloma, neutropenic, cough/dyspnea/fevers
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MIMIC-CXR-JPG/2.0.0/files/p17346220/s55068578/bc275679-c2501b39-550ad31e-4d2e5fae-b2b2591e.jpg
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bilateral reticulolinear opacities are suggestive of underlying chronic interstitial lung disease. there is no focal consolidation, overt pulmonary edema or pleural effusion. the heart is normal in size.
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<unk>-year-old male with history of recent pneumonia presenting with mild hemoptysis. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16293281/s50156408/58eccd11-2e714b50-23ff8c98-7dd8f806-d27dd1da.jpg
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the heart is enlarged. lung volumes are decreased. engorgement of the pulmonary vessels suggests mild pulmonary edema. blunting of the left costophrenic angle is likely secondary to a small pleural effusion. there is no focal consolidation or pneumothorax.
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history: <unk>f with stg iv biliary adenoca w/ lue dvt, wbc <unk> // eval ? infiltrate, edema
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p13744924/s51770273/aabc32de-3410ad39-f31fa7cb-70f6343d-250a365d.jpg
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patient is rotated to the right.an opacity at the right lung base is similar to prior, and likely represents impacted bronchi in the right lower lobe with atelectasis. there is no new focal consolidation. blunting of the right costophrenic angle due to pleural thickening is unchanged. no left pleural effusion. no pneumothorax is seen. the cardiomediastinal silhouette is grossly unchanged.
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<unk>-year-old male with hypotension <unk> outpt, now <unk>, decr b/l breath sounds // pna vs ptx
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lung volumes are slightly low. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. the imaged upper abdomen is unremarkable.
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history: <unk>f with chest pain // eval for pneumo, widened mediastinum
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since the chest radiograph obtained <num> day prior, there are new hazy opacities in the mid and lower right lung. extensive parenchymal and pleural changes in the left hemithorax are grossly unchanged with at least a moderate, loculated, left apical pleural effusion and a moderate, dependent, left pleural effusion. the visualized cardiomediastinal and hilar silhouettes are unchanged. no pneumothorax.
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<unk> year old man with new onset vent requirement // evaluation
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac mediastinal silhouettes are unremarkable. no displaced fracture is seen radiographically.
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left-sided chest pain.
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pa and lateral views of the chest provided. a small left pleural effusion persists. otherwise lungs are clear. cardiomediastinal silhouette is stable. no pneumothorax is seen. bony structures are intact.
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<unk>m with lethargy // eval for infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p10909568/s57969687/9e9593d8-c08c75ff-8293de5e-fc5d82be-d7f2711f.jpg
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portable ap chest radiograph. the patient has been extubated in the interim. the right-sided picc has been removed. the lungs remain clear. there is no pleural effusion or pneumothorax. there is no evidence of pneumoperitoneum. tiny granuloma in the right upper lobe is stable. possible bibasilar interstitial fibrosis is difficult to assess on a portable radiograph, and a standard pa and laterl cxr is recommended when clinically feasible.
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bleeding duodenal ulcer. concern for perforation.
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tracheostomy tube is in stable position. left chest wall port seen with catheter tip in the lower svc. the lungs remain clear, without focal consolidation or effusion despite low lung volumes. the cardiomediastinal silhouette is within normal limits. chronic changes of the right third rib are identified. no acute osseous abnormalities. distention of the bowel in left upper quadrant, presumably colon is similar compared to prior.
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<unk>-year-old female with tracheostomy and increased shortness of breath with hemoptysis.
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pa and lateral views of the chest provided. there is airspace opacity in the left lower lobe which is concerning for an early pneumonia. right lung is clear. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with <num> days malaise, abd pain, ua and ctap neg, now w/ c/o r flank vs r subcostal pain
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no significant change from the prior exam. the lungs are well-expanded. no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. stable cardiomediastinal silhouette, hila, and pleura. slightly tortuous aorta, unchanged. stable in degenerative changes at the thoracic spine.
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<unk>-year-old woman with asthma exacerbation, chills, an shortness of breath; evaluate for pneumonia. please send copy of report to <unk>, md, as well
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no focal consolidation is seen peer there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are grossly stable.. skin fold is noted overlying the right chest.
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history: <unk>m with chest pain // ?infectious process
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there is a new <num> cm poorly defined nodule in left upper lobe anteriorly is suspicious for a pulmonary malignancy. alternatively, this may represent developing pneumonia in correct clinical setting. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. tortuous contour of ascending aorta is stable.
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history: <unk>m with chest pain, pls eval pna or rib fx // history: <unk>m with chest pain, pls eval pna or rib fx
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left chest wall dual lead pacemaker is present. no focal consolidation, pleural effusion or pneumothorax identified. the appearance of the cardiomediastinal silhouette is unchanged.
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<unk> year old woman with copd, acute episode of respiratory distress. // ? cause of acute respiratory distress
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the lungs remain hyperinflated. 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 general malaise, nausea, low temperature, no hypoxia, exam with decreased breath sounds in rll. // evidence of infiltrate, likely rll
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the radiographic technique is slightly apical lordotic. crescentic lucency under the left and right hemidiaphragms are consistent with peumoperitoneum, which appears new since the prior exam. stable bilateral low lung volumes and bibasilar atelectasis. significant interval improvement in the bilateral pleural effusions with the probably only minimal left pleural effusion remaining. right apical pleural scarring, stable. diffuse nonspecific bilateral patchy opacities are unchanged and likely correspond to the ground-glass opacities seen on recent ct which may be from infection. no overt pulmonary edema. no pneumothorax. stable substantial cardiomegaly. mediastinal contours are unchanged. stable slight rightward deviation of the trachea without tracheal lumen narrowing at the level of the clavicles is likely secondary to the left thyroid, as suggested by the recent ct.
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<unk>-year-old man with pleural effusions and edema. evaluate the evolution of the effusions.
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lung volumes are low, unchanged compared to the prior study. large layering right pleural effusion, also unchanged. moderate left-sided pleural effusion. there is associated bibasilar atelectasis. an endotracheal tube, right internal jugular catheter and nasogastric tube are unchanged in appearance compared to the prior study.
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<unk> year old woman s/p cardiac arrest now intubated, sedated. // evaluate for interval change
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pa and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. minimal biapical scarring is noted. partially imaged upper abdomen is unremarkable.
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patient with fever, dry cough and congestion.
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a nasogastric tube enters the stomach, tip not visualized. the endotracheal tube terminates at the level of the clavicles. the right ij central venous catheter terminates at the superior cavoatrial junction. the previous large right pleural effusion is substantially smaller, and is now trace at best. there is no pneumothorax. aeration of the right lung has substantially improved, but there are new extensive right lung airspace opacities. left perihilar airspace opacities have increased. the heart and mediastinum are magnified by the projection.
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<unk> year old woman with intubated // fluid, opacity
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tracheostomy tube is in place. lung volumes remain low. the left lower lung is essentially airless and probably collapsed. retrocardiac opacity persists and appears worse from prior exam, suggesting atelectasis or aspiration appropriate clinical setting. blunting of the left costophrenic angle suggest atelectasis and/or small effusion. platelike opacity in the right lower lung is probably atelectasis and slightly worse. the heart is severely enlarged, slightly worse compared to the prior exam. no frank pulmonary edema. the aortic valve is calcified, unchanged.
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<unk> year old woman with trach // interval change?
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the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
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<unk>f with cough // 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 stable.
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history: <unk>f with dizziness, s/p fall, now with expiratory rhonchi l > r // ?infiltrate
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
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fever.
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compared to earlier the same day, i doubt significant interval change. again seen is a moderate to moderately large right pleural effusion. there is likely underlying collapse and/or consolidation, although the level of the diaphragm is obscured. a small amount of fluid is again seen extending into the minor fissure. heart size is at the upper limits of normal. the cardiomediastinal silhouette remains midline. the left lung and the upper right lung remain grossly clear. no chf or left-sided effusion. a small, somewhat rounded density is noted along the lower edge of the left anterior fourth rib adjacent to the chest wall, not fully characterized --? question due to something outside the patient. minimal wedging of the presumptive t<num> and <unk> vertebral bodies, slight accentuation of kyphosis at t<num>-<unk> is again noted, unchanged.
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<unk> year old woman with r pleural effusion, suspected alcoholic hepatitis // evaluate for presence of pneumonia
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et tube and enteric tube are in standard position with tip of enteric tube off the film. left subclavian line is in standard position with tip terminating in the upper svc. there is no pneumothorax. vascular congestion bordering on pulmonary edema of the right lung is seen. left retrocardiac opacity is mostly atelectasis with resultant volume loss and mild leftward shift of the mediastinum. calcifications of the aortic knob are noted.
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right mca occlusion, assess for interval change.
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the heart size is enlarged. mediastinal contour is normal. there is no pleural effusion or pneumothorax. there is an area of linear asymmetry in the right lung zone. there is no frank pulmonary edema.
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<unk> year old woman with dyspnea, leg swelling, evaluate for pneumonia or volume overload..
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. bilateral radiopaque nipple piercings are present.
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history: <unk>f with thyroidectomy now with neck swelling, fever, cough
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pa and lateral views of the chest provided. lung volumes are low. there is mild atelectasis in the left lung base. no convincing signs of pneumonia, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with fatigue, intermittent chest pain // ? acute cardiopulm process
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the lungs are clear without effusion or pneumothorax. the cardiac silhouette is normal in size. the mediastinal contours are normal. the pulmonary vasculature is normal.
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<unk>-year-old female with chest pressure, evaluate for infiltrate.
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there is a small area of pleural and parenchymal scarring at the right costophrenic angle, stable as far back as <unk>. 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 woman with low grade fevers // please r/o pneumonia
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pa and lateral views of the chest provided. there is essentially no change from prior with persistent mild cardiomegaly and hilar congestion. mild interstitial pulmonary edema again noted with tiny left pleural effusion. no convincing signs of pneumonia. no pneumothorax. bony structures are intact.
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<unk>f with recent pleural and cardiac effusions, p/w report of fever
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heart size is borderline enlarged. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. lungs are clear and the pulmonary vasculature is normal. no acute osseous abnormality seen.
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neck pain and thoracic spine pain after being hit by car door.
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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<unk>f with pleuritic r chest pain x<num>d // eval pna
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MIMIC-CXR-JPG/2.0.0/files/p10266157/s59951795/b42bdcd9-93678be1-c10feb72-50aff245-6aee0994.jpg
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart size is within normal limits. there is tortuosity of the aorta. there is suggestion of possible lucencies in the posterior ribs, for example left posterior eighth rib, incompletely evaluated.
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altered mental status with slurred speech.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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<unk>m with history of vomiting and retching
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the cardiomediastinal silhouettes are normal. the bilateral hila are normal. a linear opacity in the right lower lung is compatible with platelike atelectasis. otherwise, the lungs are clear. there is no pneumothorax or effusion.
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a <unk>-year-old man with hypertension, concern for pneumonia.
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there is no pneumothorax. increased right base opacity could represent post-bronchoscopy hemorrhage, residual lavage fluid, or possibly right middle lobe pneumonia.there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with rml nodule s/p bronch with biopsy // eval for ptx
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MIMIC-CXR-JPG/2.0.0/files/p14309502/s51217364/a91785d7-aaca6c86-8ff5cbaa-15e366d5-7184210b.jpg
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the lungs are well expanded. streaky opacities in the left lower lobe, better seen in the lateral view, is unchanged in appearance from the previous exam, may relate to chronic scarring or combination of minimal bronchiectasis/fibrosis and vascular prominence . otherwise no focal opacities are seen throughout both lungs. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p18512879/s57526008/3c126377-12269ad3-53f1370a-b8239df9-57663e2e.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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history: <unk>m with sudden onset l sided cp // ptx? ptx?
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MIMIC-CXR-JPG/2.0.0/files/p16131849/s55157447/0bbb5750-7bd3b88b-1fbd97fb-05ef0ebf-1997ac61.jpg
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there has been interval worsening of a moderate left-sided pneumothorax with slightly increased deviation of the trachea to the right. mild left basilar atelectasis is persistent, with new small left pleural effusion. the hilar and mediastinal contours are normal. the heart size is normal. there is no pleural effusion.
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history of pneumothorax and chest tube in place. please evaluate for interval change.
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since <unk>, small pleural effusion is unchanged. the cardiomediastinal silhouette and hilar contours are normal. a feeding tube is seen in the stomach and continues out of view. a right picc line tip terminates in the lower svc. no pneumothorax.
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<unk> year old man with pleural effusion // eval
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the lungs are somewhat hyperinflated, but clear. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous. a catheter with balloon, presumably a gastrostomy to, is partially seen projecting over the left upper quadrant.
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history: <unk>m with sob // pneumo
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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three days of cough and chills. history of copd, hypertension, and diabetes.
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MIMIC-CXR-JPG/2.0.0/files/p17576736/s50203090/a565e98c-755063f0-3622828f-ddc4ce87-1c4dea4e.jpg
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unchanged moderate-sized left pleural effusion with underlying atelectasis versus consolidation. no right pleural effusion. no cardiomegaly or shift of mediastinum. visualized bones are unremarkable.
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<unk> year old woman presents with tachycardia and left sided chest pain. cta revealed left pleural effusion with left lower lobe consolidation. // progression of pleural effusion
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pa and lateral views of the chest demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal in size. no displaced rib fracture is identified.
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popping of right anterior inferior chest with movement and coughing. evaluate for fracture or dislocation.
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ap upright and lateral views of the chest <unk> at <time> are submitted.
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<unk> year old woman with <unk>'s, htn with decreased breath sounds at left base and tachypnea // eval for infiltrate/effusion eval for infiltrate/effusion
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a single ap portable chest radiograph was obtained. there is a persistent crescentic opacity of collapsed right middle lobe. a hazy opacity has developed in the right pneumonectomy space.the left lung is clear. the heart and mediastinal contour are normal. note is made of a prominent gastric bubble. left-sided subcutaneous emphysema is unchanged.
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<unk>-year-old woman status post right-sided vats right upper lobectomy and hematocrit drop.
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MIMIC-CXR-JPG/2.0.0/files/p13216227/s50317537/a72ea366-caf943c0-18530aba-a269b30c-4169c4ea.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.
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<unk>m with ckd that has new onset left pleuritic chest pain. evaluate for pneumothorax, pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p12174954/s55380413/2a6f2037-8a3d22a3-24e76ded-4663f2d1-95dc4cba.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cough, dyspnea // eval for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p16387284/s50712235/20e72be1-8abea65d-39c0542e-e94c4312-a09b1c6b.jpg
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low lung volumes are again noted and there is left basilar atelectasis. interval resolution of previously seen pleural effusions. there is a right basilar opacity silhouetting the right cardiac margin which on the lateral seen anteriorly in could be due to mediastinal fat. the lungs are otherwise clear. median sternotomy wires and mediastinal clips are noted. cardiac silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f w/ left-sided chest pain radiating to back and l arm since yesterday, constant. ?pna // <unk>f w/ left-sided chest pain radiating to back and l arm since yesterday, constant. ?pna
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heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. mild elevation of the right hemidiaphragm with tenting appears unchanged, likely the sequela of prior pneumonia and chest tube placement. no acute osseous abnormalities present.
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history: <unk>m with reported positive ppd. no cough, no fever // needs cxr for rule out tb
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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 productive cough // eval pna
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MIMIC-CXR-JPG/2.0.0/files/p18379785/s53243588/1c27dd02-72ea97a5-37944bee-f2ab816c-c203dab9.jpg
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heart size is borderline enlarged. the mediastinal and hilar contours are within normal limits l. no chf, focal infiltrate, effusion or pneumothorax is detected. nodular density questioned on the chest x-ray from <unk> is not appreciated on today's radiograph. there are no acute osseous abnormalities.
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history: <unk>f with cp // eval for ptx
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MIMIC-CXR-JPG/2.0.0/files/p11640104/s53709132/b6f60149-b30c254e-03ed8df0-3031d33e-99cc1814.jpg
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the cardiac, mediastinal and hilar contours appear stable, including mild to moderate cardiomegaly and a tortuous appearance to the aorta. widening of upper mediastinal contours is apparently due to tortuosity of the great vessels and also unchanged. as better depicted on the lateral view there is an opacity in the posterior left lower lobe that is streaky and has increased but noting decreased lung volumes on the lateral view on this study. there is no pleural effusion or pneumothorax.
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altered mental status.
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the lungs are clear. marked cardiomegaly is unchanged. mediastinal contours are stable. there is no pleural effusion or pneumothorax. no displaced rib fractures are identified.
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lower rib pain after fall.
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MIMIC-CXR-JPG/2.0.0/files/p14939850/s52402425/13b95bca-661d3961-e81a2584-ab204b87-d5d0c457.jpg
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heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. patchy bibasilar airspace opacities are worse compared to the prior radiograph, but present when compared to the prior ct. at the time of the ct, this was likely felt to reflect acute on chronic bronchitis and bronchiolitis. small left pleural effusion is noted. there is no pneumothorax. no acute osseous abnormalities are seen.
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cough.
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the heart is normal in size. the mediastinal and hilar contours appear within normal range. costophrenic sulci are partly excluded, but there is no evidence for pleural effusion. there is no pneumothorax. there is a patchy right mid lung opacity, not present before and suggesting a subtle focus of infection. streaky left basilar opacity is also present in the retrocardiac region.
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asthma, cough, and fever.
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MIMIC-CXR-JPG/2.0.0/files/p11888962/s58180991/10118467-4fcc2743-a2535b85-d0df649f-b56170b1.jpg
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endotracheal tube tip in good position. enteric tube tip in the mid stomach. sternotomy, valve prosthesis. increased heart size, pulmonary vascularity, similar. left basilar consolidation, worsened. small left pleural effusion, worsened. mildly improved right basilar opacity.
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<unk> year old man with <unk> m w/ hx avr on coumadin, htn, hld, niddm, who presents with acute right thalamic iph with ivh, intubated, evd placed. // e/p intubation
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MIMIC-CXR-JPG/2.0.0/files/p14845803/s51352196/7e2cde02-1d436830-8d1e76f7-ca6204d8-bf8012a8.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. there is a nodular opacity projecting over the left apex that appears more prominent than on the prior radiographs, although it is difficult to compare to the more recent prior ct. although it had not substantially changed since the earlier ct, an apparent change in radiographic appearance is noted, so a followup chest ct is recommended. elsewhere, the lungs remain clear.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p10174683/s55598208/ee4064ff-0693b314-f22b72dc-eea54479-1b364cad.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. there are no displaced rib fractures.
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<unk>f with cp on exertion. evaluate for rib fractures, pneumothorax, pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17886951/s53893845/9c710fc5-d0be356f-7d928ff0-65d1e089-9860f9e9.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the aorta is tortuous. the cardiac silhouette is not enlarged.
|
transient right-sided weakness.
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MIMIC-CXR-JPG/2.0.0/files/p10904848/s58776388/a3b60896-39c7bf28-fa3c0855-ea960c17-840a8029.jpg
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pa and lateral views of the chest demonstrate a hazy opacification projecting over the right mid lung, in the anterior segment of the right upper lobe. there is also persistent apical pleural thickening on the left with resolution of the prevously seen left base opacity and resolution of left pleural effusion, consistent with changes status post left upper lobectomy. there is no evidence of pneumothorax, pleural effusion or pulmonary edema.
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<unk>-year-old male with shortness of breath. evaluation for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p11206127/s59724829/76c7d6c8-42edcec2-6d981e60-ac5542ed-689d1684.jpg
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lungs are mildly hypoinflated with crowding of vasculature. best seen on lateral view is increased opacity projecting over the posterior costophrenic angle which likely localizes to the right base on the frontal view. left basilar linear atelectasis is noted. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
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<unk>m with sob, history of recent pneumonia. assess for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p18605505/s53149530/daef5c8d-33432701-c4fa2009-47c65424-a8f9fb61.jpg
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single ap supine radiograph demonstrates an enlarged heart. obscuration of the left hemidiaphragm is suggestive of a pleural effusion. bilateral perihilar patchy opacities may reflect mild pulmonary edema. there is no pneumothorax. patient is status post tracheostomy. a right picc is identified, its tip terminating within the mid svc. no acute osseous abnormalities detected.
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<unk>-year-old female with cardiac arrest.
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MIMIC-CXR-JPG/2.0.0/files/p11995284/s59238952/683029b9-bf548c57-bbdc5e55-fe6c0995-f13f6415.jpg
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there has been interval placement of a tunneled dialysis catheter with the tip terminating in the low right atrium. a left picc has been slightly retracted with the tip now terminating at the level of the carina in the mid svc. the patient is status post median sternotomy. the inspiratory lung volumes remain extremely low. there is increased opacification of the right lung base in comparison to the most recent prior study likely reflecting a combination of increased pleural fluid and underlying atelectasis. left basilar atelectasis is unchanged. a small left pleural effusion is also noted with slightly increased left basilar atelectasis. no pneumothorax is detected. the cardiomediastinal silhouette is incompletely evaluated due to bibasilar opacification but is likely unchanged.
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left picc with clinical concern for change in position, here to evaluate picc placement.
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MIMIC-CXR-JPG/2.0.0/files/p16180157/s53968113/5b8fc0ea-05af921a-c365df0d-042cb56b-638d2907.jpg
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frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion or consolidation. a left-sided icd is seen with right atrial and right ventricular leads in the expected position.
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<unk>-year-old man status post icd placement for ventricular tachycardia. evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p11184724/s52218404/a9057891-15006b50-98d77d67-c13c6631-6634bd2b.jpg
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compared to the prior study there is no significant interval change.
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<unk> year old woman with sepsis/sirs // ?pna
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MIMIC-CXR-JPG/2.0.0/files/p13808136/s55898653/9c4dc67f-3959ca9f-591c5b0d-eb7b6426-72d2c513.jpg
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portable semi-upright view of the chest demonstrates et tube terminating <num> above the carina. low lung volumes. small bilateral pleural effusions are unchanged. retrocardiac consolidation and bibasilar patchy opacities are stable. hilar and mediastinal silhouettes are unchanged. heart size is top normal. no pneumothorax.
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assess for ett placement.
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compared to prior, there increased interstitial markings throughout the lungs. there are new small bilateral pleural effusions. more dense opacity identified at the right lung base medially. cardiac silhouette is within normal limits. median sternotomy wires are intact. no acute osseous abnormalities.
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<unk>m with h/o chf, mi c/o doe and cp // c/o doe-= r/o chf/pna
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MIMIC-CXR-JPG/2.0.0/files/p13272743/s53297669/c1a2e616-e826ace3-f789849b-17c9dff3-c23eab9e.jpg
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pa and lateral views of the chest provided. loops a right upper extremity access picc line is seen with its tip in the low svc. pulmonary vascular congestion is noted with mild interstitial pulmonary edema. small to moderate bilateral pleural effusions are present, left greater than right. there is airspace consolidation in the left lower lobe which may represent atelectasis and/or pneumonia. no pneumothorax. heart size is difficult to assess. mediastinal contour appears grossly unremarkable. bony structures are intact.
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<unk>f with known pna with pleural effusion with worsening sob
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MIMIC-CXR-JPG/2.0.0/files/p17332406/s55071663/5f62ca17-0b08553f-5155ef1a-cf8ca073-7cf4a2ca.jpg
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pa and lateral views of the chest are compared to previous exam from <unk>. on today's frontal view, lower lung volumes are seen. bibasilar opacities may be due to atelectasis given these lower lung volumes and as they are not visualized on the lateral view. superiorly, the lungs are clear. cardiomediastinal silhouette is stable. there is suggestion of a posterior eighth rib fracture, however, superimposed linear vascular markings may contribute to this appearance. other soft tissue and osseous structures are unremarkable. there are chronic changes identified at the left acromioclavicular joint which appears separated with superior subluxation of the lateral clavicle. there is adjacent dystrophic calcifications.
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<unk>-year-old male with altered mental status. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12517435/s55923061/76733be3-4f1a7101-498abb7e-f6a026a9-d62e8b7f.jpg
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a right ij catheter terminates at the cavoatrial junction. multiple sternal wires to no prior sternotomy. since the <unk> radiograph, there has been improved aeration of both lungs, particularly the left. mild bibasilar atelectasis remains. there is no pneumothorax. a trace left effusion remains. mild cardiomegaly is unchanged.
|
<unk> year old man with cabg.
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MIMIC-CXR-JPG/2.0.0/files/p18341496/s58843555/c1dc97ac-93af276e-ed3f4f9a-7a444686-8a69cb24.jpg
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the heart is normal size, and the mediastinal contours are normal. there is no pulmonary edema. surgical hardware of the left clavicle and humerus is again noted.
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<unk>-year-old male with left chest pain. evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p16679562/s57350265/c9b9062e-0d2db3c5-05eb7d0b-c0355a39-b4915f03.jpg
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lung volumes are slightly lower compared to the prior exam. edema has improved. no pleural effusion or definite focal consolidation. retrocardiac opacity in streak like opacities in the left lower lobe are most likely atelectasis. the heart is mild-to-moderately enlarged. the mediastinum is not widened.
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history: <unk>m with worsening sob s/p cta // eval for pleural edeema
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