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MIMIC-CXR-JPG/2.0.0/files/p17888513/s58996239/03b5054b-ee9dc312-eb6c9717-3926daa3-35e5525e.jpg
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ap and lateral upright chest radiograph demonstrates symmetrically expanded lungs bilaterally. re- demonstration of a granuloma at the right lung base. bibasilar atelectatic changes noted. prominent vascular markings may reflect mild vascular congestion. cardiomediastinal and hilar contours appear stable in appearance. osseous structures are without acute abnormalities.
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<unk>-year-old female with altered mental status.
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the cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination and unremarkable. mild right infrahilar opacity is not significantly changed since the prior examination. there is no pneumothorax or pleural effusion. the lungs are clear.
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history: <unk>m with cough, fever // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p13030579/s57056328/f5f3bdd3-cedd3b89-89d8d40a-63f71c05-b04b2091.jpg
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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 chest pain and cough // eval for pneumonia, chf
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cardiomediastinal silhouette is within normal limits. a surgical drain terminates adjacent to the right heart border with associated atelectasis. small bilateral pleural effusions. a moderate pneumothorax is noted at the right lung apex.
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<unk> year old woman with lung ca // sp r vats
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pa and lateral view of the chest. no prior. lungs are clear of confluent consolidation or effusion. cardiomediastinal silhouette is normal. displaced distal right clavicular fracture is identified.
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<unk>-year-old male with productive cough and high fever. faint rhonchi in the left lower lobe.
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pa and lateral chest radiographs demonstrate clear lungs bilaterally. the lungs are symmetrically expanded. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pulmonary edema, pneumothorax, or pleural effusion.
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<unk>-year-old female with shortness of breath and chest pain.
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ap upright and lateral chest radiographs were obtained. lung volumes are lower compared with the prior study, accentuating the pulmonary vasculature and increasing bibasilar atelectasis. there is mild peribronchial cuffing, but no evidence of interstitial or alveolar edema. the heart and mediastinal contours are normal. no effusion or pneumothorax is present.
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<unk>-year-old woman with chest pain.
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the cardiac silhouette is stable in size. again noted is prominence of the hila consistent adenopathy seen on prior ct. a left posterior lower lobe mass is again seen, as demonstrated by opacity overlying the spine on the lateral view, better assessed on recent ct. multiple metastases are better identified on chest ct. a right-sided bochdalek hernia is again demonstrated. again seen is left basilar opacity, not significantly changed since recent examination. subtle blunting of the posterior left costophrenic angle may be due to a trace pleural effusion or pleural thickening.
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history: <unk>m with pmh of lll mass recent biopsy <num> days ago coming in <num>x hemoptysis // assess for effusion/opacities
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MIMIC-CXR-JPG/2.0.0/files/p12332206/s57741917/cd875dd9-3bc5e33e-85036fe7-7e0c5990-35250e41.jpg
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in comparison to the recent priors, an approximately <num> cm left pleural mass in the left mid hemithorax is stable in size. the previously seen left pleural effusion is not well appreciated on the current examination. residual abnormality on the frontal view may represent pleural thickening. lung volumes are low. the cardiomediastinal silhouette is stable and unremarkable. the pulmonary vasculature is normal.
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<unk> year old man with prostate cancer // question effusion size
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MIMIC-CXR-JPG/2.0.0/files/p14681188/s59105903/d5d7c3b5-be462245-109360c9-46bd05b2-74bf3d9c.jpg
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pa and lateral views of the chest provided. right-sided port-a-cath terminates in the right atrium. there is no focal consolidation, effusion, or pneumothorax. mild cardiomegaly is unchanged. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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history: <unk>m with recent liver instrumentation; coughl feer // eval for pna/intrabdominal abscess
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the heart is mildly enlarged, unchanged. there is mild pulmonary congestion. trace bilateral pleural effusions are presumed, which could be confirmed with a lateral view. there is no focal consolidation worrisome for pneumonia. no pneumothorax. mediastinal and hilar contours are unremarkable.
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shortness of breath. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18700699/s52566305/9507f1de-cddab523-17166b9b-a20c6417-cde614dc.jpg
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is unchanged. there is associated right basilar atelectasis. the left lung is clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>m with lethargy, encephalopathy
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MIMIC-CXR-JPG/2.0.0/files/p11172056/s51025854/b118ee53-9bc1e160-3261badb-ba464cd6-184e211f.jpg
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mild cardiomegaly is unchanged. thoracic aorta remains large and tortuous, as seen previously, with little change in comparison to prior study from <unk>. there is indistinctness as well as prominence of the pulmonary vasculature suggestive of mild to moderate pulmonary edema. no acute fractures are identified.
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evaluation of patient with shortness of breath.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
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<unk> year old man s/p high speed bike accident/fall and significant facial trauma. //
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MIMIC-CXR-JPG/2.0.0/files/p15647805/s53200602/2003002b-1e438894-dd21dbb9-31311137-12b73519.jpg
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frontal radiograph of the chest demonstrates mild interval improvement in aeration of the left upper lobe which is predominated by a new left upper lobe mass resulting in bronchial obstruction and consolidation. lung volumes have reduced since the prior radiograph, resulting in appearance of vascular congestion. heart size is stable.
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seizure disorder with left upper lobe mass and new lethargy. evaluate for interval change.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
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<unk> year old woman with <num> week of cough, blood streaked sputum // r/o pneumonia, lung lesions
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there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is top normal. there is a <num> mm nodular density seen in the region between the anterior fourth and fifth ribs. the hilar and mediastinal contours are within normal limits.
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history of multiple myeloma, currently on treatment. low-grade fevers and dry cough. concern for infection.
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the lung volumes are normal and the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart is normal size. the mediastinal and hilar structures are unremarkable.
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fevers, cough and right lower lobe crackles. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16097417/s56628914/43ecc3d4-be4aa04d-27f7c450-85da3cc9-df31e727.jpg
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the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion. there is no evidence of a displaced rib fracture.
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<unk>f with fall and foosh after r knee impact yesterday. marked brusing at the r tib plateau, r hand palm pain and bruising w distal wrist pain ulnar and radial, +effusion and bruising at the elbow with limited flex/ex ability. // eval ? traumatic injury
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MIMIC-CXR-JPG/2.0.0/files/p16790250/s51168986/e0d1693e-af1e453b-fa0a1de6-b5769d7e-8749074e.jpg
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left-sided aicd device with single lead terminating in the right ventricle is re- demonstrated. there is mild enlargement of cardiac silhouette, unchanged. mediastinal and hilar contours are normal, and the lungs are clear. there is no pulmonary edema. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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shortness of breath.
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the cardiomediastinal and hilar contours are stable. a moderate to large loculated right pleural effusion is not significantly changed in size from the most recent prior examination. the left lung is clear. there is no pneumothorax.
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<unk>m with a history of mild asthma, dm, h/o cerebralmeningioma s/p resection admitted to <unk> on <unk> with recurrent large right pleural effusion and multiple pleural masses. // ? pleural effusion
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the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiac silhouette is mild-to-moderately enlarged, similar when compared to prior exam. no acute osseous abnormality is identified.
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<unk>-year-old female with dyspnea on exertion.
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MIMIC-CXR-JPG/2.0.0/files/p19653727/s55468921/2506660c-96c8d318-48440e3d-664d3bbc-38db080e.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
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<unk>f with wheezing // eval infiltrate
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lung volumes are low. there has been interval development of moderate to severe pulmonary edema. the heart is mildly enlarged. the azygos vein is distended. there is no large pleural effusion or pneumothorax.
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<unk> year old man with h/o flash pulm edema <num>vd and new o<num> req // eval for pulm edema
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MIMIC-CXR-JPG/2.0.0/files/p11316278/s55026066/3135ef23-aa1f5749-7064ddd0-3e223a9e-3f944a09.jpg
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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.
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history of cough. please evaluate.
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no focal consolidation, pleural effusion or pneumothorax is present. normal heart size with stable appearance of aortic tortuosity and atherosclerotic calcification. no evidence of pulmonary vascular congestion. mild elevation of left hemidiaphragm with adjacent scarring is chronic and unchanged dating back to <unk>.
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cough, chest pain, exclude acute process.
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MIMIC-CXR-JPG/2.0.0/files/p18552050/s57795460/8cc1d9ba-41ac1008-78c3aa72-83bac233-d2710113.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.
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<unk>f here with molar pregnancy, vaginal bleeding. // any evidence of lung pathology?
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MIMIC-CXR-JPG/2.0.0/files/p16573000/s53254269/0dd195c1-89e2ae1d-3449f230-0059ba80-aac7804f.jpg
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there is again a single chamber icd with a left chest wall generator, and shock coils in the right ventricle and svc.the lungs are clear and there cardiomegaly, slightly increased from the prior study of <unk>. no pleural effusion or pneumothorax.
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<unk>f with chest pain, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17858377/s51874203/5e76d05c-3f6a94e1-0d0f9fe5-39381a0b-4d221c87.jpg
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pa and lateral views of the chest. no prior. the lungs are clear. there is no pleural effusion. cardiomediastinal silhouette is within normal limits. osseous structures are notable for degenerative changes at the right glenohumeral joint. there is no visualized fracture.
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status post fall with posterior head strike.
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moderate cardiomegaly is unchanged. the aorta remains tortuous and diffusely calcified. the hilar contours are stable, with no evidence of pulmonary vascular congestion. minimal streaky opacity within the retrocardiac region likely reflects atelectasis. there is no focal consolidation. no pleural effusion or pneumothorax is identified. multilevel degenerative changes are present within the thoracic spine.
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congestive heart failure, atrial fibrillation, hypertension with failure to thrive.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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altered mental status. rule out infection.
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endotracheal tube terminates <num> cm above the carina. ng tube terminates below the diaphragm. there is increased retrocardiac opacity, consistent with aspiration or infection. linear opacity in the right lower lobe is consistent with atelectasis. a small left pleural effusion is not excluded. no pneumothorax. mild cardiomegaly and mediastinal contours are stable.
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history: <unk>f with intubation // placement?
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pa and lateral chest radiographs demonstrate aicd leads terminating in standard positions. median sternotomy wires and changes related to prior cabg are noted. there is mild basilar atelectasis. the lungs are otherwise clear. there is no focal consolidation, pleural effusion, or pneumothorax. atherosclerotic calcifications are noted in the aorta. the cardiomediastinal silhouette is otherwise unremarkable.
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nausea, vomiting, and abdominal pain.
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frontal chest radiograph. there is pulmonary vascular engorgement and mild interstitial edema. there is no pleural effusion or pneumothorax. the heart is moderately enlarged.
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history: <unk>f with mvc with hip fx // eval for pneumothorax, rib fx
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MIMIC-CXR-JPG/2.0.0/files/p11824883/s56897571/255f2c15-20885428-7acbe4ac-d992e384-491ee7bc.jpg
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study is slightly limited by patient rotation. mild enlargement of the cardiac silhouette is re- demonstrated. the aorta remains tortuous with dilatation of the ascending aortic contour again noted. pulmonary vasculature is not engorged. subsegmental atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present.
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history: <unk>m with chest pain
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pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
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<unk>-year-old female with epigastric pain.
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frontal and lateral radiographs of the chest when compared to the prior study demonstrate new asymmetric opacity at the left base well seen on the frontal and in the retrocardiac region, well seen on the lateral, corresponding to a left lower lobe pneumonia. additionally, there is mild increase in interstitial markings concerning for worsening pulmonary edema. mild-to-moderate cardiomegaly is noted and stable. intact median sternotomy wires are seen. a tortuous aorta alters the contour of the mediastinum which is otherwise unchanged. the remainder of the lung parenchyma is clear. no pleural effusion or pneumothorax is seen.
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cml and neutropenia with worsening cough and diffuse rales. evaluate for pneumonia.
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the cardiac and mediastinal silhouettes are stable. right paratracheal opacity is stable. no focal consolidation is seen. there is no pneumothorax. no pleural effusion is seen.
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history: <unk>m with l leg pain, new fever // r/o pulmonary infiltrate
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cardiomediastinal silhouette is unremarkable. there is no parenchymal consolidation. there is no pleural effusion or pneumothorax.
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<unk> year old man with etoh cirrhosis, ascites, varcies(grade ii) // please assess for any cardiopulmonary abnormalities
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the lungs are hyperinflated. there is no opacity worrisome for pneumonia. there is however focal somewhat linear opacity projecting over right upper lung and the anterior second rib. it is not clearly visualized on the lateral view. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality.
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<unk>f with chest pain // ? pna
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since prior exam, the left pigtail chest tube has been removed. there is no pneumothorax. there is minimal bibasilar atelectasis. the lungs are otherwise clear. there is no overt pulmonary edema or pleural effusion. the cardiomediastinal silhouette has an expected postoperative appearance. sternal wires are intact.
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status post cabg. evaluate for pneumothorax after chest tube removal.
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cardiac silhouette is enlarged. there is central pulmonary vascular engorgement and indistinct pulmonary vascular markings. there is no effusion or focal consolidation. no acute osseous abnormalities identified.
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<unk>f with dyspnea // infiltrate?
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an endotracheal tube tip is <num> cm above the carina. there is no evidence of displaced rib fracture or pneumothorax. there is diffuse asymmetrically distributed central opacification, left greater than right. there are no large pleural effusions. the cardiomediastinal and hilar contours demonstrate tortuosity of thoracic aorta and enlargement of the main pulmonary artery. there is mild cardiomegaly. incidentally noted are two ivc filters projecting over the mid abdomen.
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<unk>-year-old female status post pea arrest. evaluate for pneumothorax.
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hyperinflated lungs with flattening of the diaphragm due to emphysema. of incidental note, there is bilateral apical pleural thickening. the lungs are otherwise clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. no pneumothorax or pleural effusion. unchanged
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<unk> year old man s/p radical cystectomy with ileal loop u.d, bladder ca // please evaluate for any abnormalities
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post right upper lobectomy. stable moderate partially loculated right-sided effusion and persistent right juxta hilar opacity. interval increase in subsegmental atelectasis of the left base.
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<unk> year old woman pod<num> from r upper lobectomy // change in intrathoracic process
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pa and lateral views of the chest. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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cough and fever, history of positive ppd.
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evaluation is somewhat limited by the patient's body habitus. at the right base, there is localized pleural and parenchymal scarring with volume loss, which appears similar to prior exams. no new consolidation is identified. there is no pulmonary edema, pleural effusion, or pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal.
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fever. evaluate for pneumonia.
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compared to chest radiograph from <unk>, lung volumes are mildly decreased. there is no focal consolidation, effusion, or pneumothorax. there is minimal bibasilar atelectasis. mild peribronchial cuffing in the bilateral juxtahilar regions suggest airway inflammation, which can be seen in asthma. mediastinal and hilar contours are normal. heart size is normal.
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<unk>m with h/o poorly controlled asthma p/w dyspnea and productive cough// consolidation?
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unchanged right ij central venous catheter with tip in the upper svc. heart size is stable. compared to <unk>, there is new consolidation in the right mid lung, concerning for atelectasis, aspiration or pneumonia. there is interstitial prominence in the mid, lower lungs, consistent with interstitial pulmonary edema, moderate. interval decrease in size of a left pleural effusion. no pneumothorax. the mediastinal and hilar contours are normal. there are no acute osseous abnormalities.
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<unk> year old man with aml and recent pleural effusions with shortness of breath. // evaluate for cause of shortness of breath.
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the cardiac, mediastinal and hilar contours appear unchanged since the prior study. aside from right suprahilar scarring, which is also unchanged, the lungs appear clear. there are no pleural effusions or pneumothorax. mild-to-moderate degenerative changes are noted along the thoracic spine.
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prior gastric ulcers and <unk>'s esophagus, presenting with chest and epigastric pain. question free air or pneumomediastinum.
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MIMIC-CXR-JPG/2.0.0/files/p12342646/s52759310/34281d15-5b3dadab-8748f78e-f4020958-4788ce3c.jpg
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the lungs are well-expanded and clear. no focal consolidations. no pulmonary edema. normal cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
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history: <unk>f with r anterior chest wall / breast pain x <num> hours, tender to palpation // eval ? subcutaneous lesion, r sided infiltrate
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compared to the prior exam, the right ij line is unchanged. there is a worsened appearance of the right lung with increased right effusion, increased right lower lobe and upper lobe infiltrate. there is also hazy left-sided infiltrate, pulmonary vascular redistribution, perihilar haze, with increased cardiomegaly. there is a small left effusion.
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bilateral upper lobe aspiration pneumonia.
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portable ap upright chest film <unk> at <time> is submitted.
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<unk> year old woman with b cell lymphoma on chemo, p/w from home w/ brbpr, now with guaiac + stool (no frank brbpr or melena observed here). she is now acutely very sob, orthostatic with bp to <unk>, hr <num> standing. // eval for interval change eval for interval change
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MIMIC-CXR-JPG/2.0.0/files/p10610461/s52844009/8e6f1897-818c553e-2c0a454e-0d050a95-83512615.jpg
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation worrisome for pneumonia.
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history: <unk>f with n/v, fever // eval for consolidation
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cardiac, mediastinal, and hilar contours are normal. pulmonary vascularity is normal. assessment of the lungs is somewhat limited due to motion. allowing for this, no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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diabetic ketoacidosis.
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subtle reticular markings at the lung bases seen to represents a dendridiform pulmonary microcalcifications on prior ct are grossly stable. no new focal consolidation is seen. there is no pleural effusion. the cardiac and mediastinal silhouettes are stable. there has been interval removal of a right internal jugular central venous catheter.
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<unk> year old man s/p k/p txp p/w n/v fevers // assess for pna
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>. position of previously described hd catheter is unchanged. previously existing picc line has been removed. there is now increasing density on the left lung base obliterating the left-sided diaphragmatic contour and clouding of the mid portion of left hemithorax. considering that patient is in semi-upright position tilting significantly backwards, the described density most likely indicates further progression of the on previous examination suspected beginning pleural effusion. a semi-circular line running parallel to the chest wall circumference in the upper portion of the left hemithorax represents a skinfold. it is traversed by vascular lungs structures and thus not indicative for a pneumothorax. there are also some densities of lesser degree on the right lung base.
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<unk>-year-old male patient with hepatitis b virus cirrhosis with atn, now on hemodialysis. hypothermia, evaluate for progression of consolidation or effusion.
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no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits.
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<unk>-year-old male with chest pain and report of recent lung infection.
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the heart is again mild-to-moderately enlarged. the main pulmonary artery contour appears moderately enlarged. the aortic arch is calcified. opacities at the lung bases have markedly improved, leaving streaky opacities, most prominent at the left retrocardiac region. there is increased interstitial abnormality suggesting mild vascular congestion. there is no pleural effusion or pneumothorax. mild-to-moderate rightward convex curvature centered along the lower thoracic spine with multilevel mild degenerative changes noted along the lower thoracic levels. the bones appear demineralized.
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status post fall with right femur fracture. preoperative study.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with sob on exertion // ?pna, consolidation
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the feeding tube ends in the mid to distal stomach. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette and hilar structures are normal. there is overdistension of the bowel.
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<unk> year old woman with eating disorder, ng placement // ng placement
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MIMIC-CXR-JPG/2.0.0/files/p12921066/s58322020/00babf7b-9711880b-ba966e37-9f84361e-d106a67b.jpg
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities. calcific densities projecting over the left breast are again noted.
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<unk>f with cirrhosis, <unk> // infectious w/u
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MIMIC-CXR-JPG/2.0.0/files/p18001760/s53945737/7cdde258-219ed068-d374517a-e4629637-8ea5624f.jpg
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the lungs are clear. the heart is top-normal in size. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p19203359/s50996036/5ed9882d-4ee78328-c1ab4b0a-27ff224a-5b73e73c.jpg
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there is no focal consolidation, effusion, or pneumothorax. there is mild to moderate bibasilar atelectasis, worse on the right than the left. the cardiomediastinal silhouette is normal. right chest port catheter tip is in the upper to mid svc. enteric tube courses below the diaphragm, with the tip out of view. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m powerport please confirm tip location
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MIMIC-CXR-JPG/2.0.0/files/p12336678/s58860771/8884dfcd-57714e24-de15308f-b95bac54-0748edd7.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 elev wbc <unk> and cough, pls eval for pna // history: <unk>f with elev wbc <unk> and cough, pls eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p14487388/s52906805/4bfd2115-850c8efd-ee9a75f3-55d77ba6-827de5e6.jpg
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pa and lateral views of the chest provided. midline sternotomy wires again noted. there is persistent left pleural effusion which is moderate in size. a left basal chest tube is again noted. compressive atelectasis in the left lower lung is also likely stable from prior. the right lung remains clear. no pneumothorax. bony structures appear grossly intact.
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<unk>m with chest tube, bloody output
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frontal and lateral views of the chest are compared to previous exam from <unk>. when compared to prior, there has been interval resolution of the previously seen left-sided effusion. there are persistent changes suggestive of pleural thickening on the right; however, is less extensive when compared to the right, suggestive of prior component of effusion. underlying scarring is also possible, not significantly changed from prior. there is no new consolidation. cardiac silhouette is enlarged but stable. hypertrophic changes are seen in the spine, also unchanged.
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<unk>-year-old male with question chf given bilateral lower extremity swelling.
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small biapical pneumothoraces without evidence of tension status-post bilateral chest tube and mediastinal drain removal. interval removal of an endotracheal tube. bibasilar atelectasis is essentially unchanged compared to <num> day prior. mild pulmonary vascular congestion without overt edema. moderate to severe cardiomegaly is unchanged. a right ij terminates in the mid svc. median sternotomy wires are midline and intact.
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<unk> year old man s/p ct removal // eval for ptx
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MIMIC-CXR-JPG/2.0.0/files/p17865195/s57074036/8bafee6d-bd04c56a-ad30a1ca-6097337d-274385b9.jpg
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there is a right picc line terminating at the cavoatrial junction, unchanged. cardiomediastinal silhouette is stable. there has been worsening of bilateral effusions, right side greater than left. underlying consolidation would be difficult to exclude. there is no pneumothorax. bones in the upper abdomen are grossly unremarkable.
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history: <unk>f with hypoxia // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p18572264/s51928677/edb1b46f-5f79dc9e-ae8865d6-d5aa56fe-9db5883b.jpg
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unchanged, with a tortuous thoracic aorta. the cardiac size is within normal limits. no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation is seen.
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<unk>-year-old female with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p10171936/s53381257/59868c5a-63dc0daf-b6a294e5-642ef803-89583845.jpg
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pa and lateral views of the chest. the lungs are clear. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. no pleural effusion. no evidence of pneumothorax.
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<unk>-year-old male with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p18239313/s52247476/e93bceab-cdc08e7a-45e678d1-cb70f6d3-864d6eef.jpg
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there remains a moderate left pleural effusion with atelectasis. cardiomediastinal and hilar silhouettes are stable.
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<unk>-year-old man with acute desaturation and decreased breath sounds on the right.
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MIMIC-CXR-JPG/2.0.0/files/p15362238/s50488961/8de7108f-5659a147-14c4a635-c87c2452-3a8780ed.jpg
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the patient is status post median sternotomy and cabg. left-sided pacemaker device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus. heart size remains mild to moderately enlarged. the aorta remains tortuous. hilar contours are unchanged. moderate size right pleural effusion is re- demonstrated with a laterally loculated component, not substantially changed in the interval. no overt pulmonary edema is demonstrated. right basilar opacity could reflect compressive atelectasis though infection cannot be completely excluded. left lung is grossly clear. no pneumothorax is identified.
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history: <unk>m with shortness of breath
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MIMIC-CXR-JPG/2.0.0/files/p10330091/s54486375/016a42a7-f9e0ae12-c0490972-a586e4b3-4a0a9925.jpg
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right-sided picc line and a ng tube is appearing good position. poor inspiratory effort. allowing for this, the lungs are grossly clear. no significant interval change from prior study
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<unk> year old woman with new fever, tachypnea // assess infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p13820022/s51249495/730279c2-e1f08075-072bfc0c-69f871aa-826c465e.jpg
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tubes and lines are unchanged from yesterday. lung volumes have decreased with mild vascular congestion. left retrocardiac opacity has improved. mild edema, increased from the prior studyl
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<unk>-year-old man after vf arrest, please evaluate volume status and assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14153269/s56429352/93029fcc-6f7298d2-2e53676a-bb8bc980-e7bddbc8.jpg
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
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<unk>f with small bowel obstruction, positive for perforation. // preop, acute cardioprocess
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MIMIC-CXR-JPG/2.0.0/files/p19900981/s50164104/871308d6-cbb63d3d-0f54d469-679b90f6-e818599f.jpg
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cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged. no focal consolidation is seen. there is no large pleural effusion although trace pleural effusions are difficult to exclude. no evidence of pneumothorax is seen. no overt pulmonary edema.
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history: <unk>m with hx sickle cell, hypoxia // ? infectious process
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MIMIC-CXR-JPG/2.0.0/files/p18676703/s55463816/009c6340-2ce9802e-007f090c-e4cd649c-e4f6eb97.jpg
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there is mild cardiomegaly. the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits.
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<unk>f with hypoglycemia, cough // ?cpd
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MIMIC-CXR-JPG/2.0.0/files/p12591618/s54419194/f0970707-3617de59-e154ede9-55e29739-5fc322d7.jpg
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the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. small nondisplaced fractures seen on the recent chest ct are not visualized on this exam.
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<unk>-year-old man with multiple rib fractures. please assess.
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MIMIC-CXR-JPG/2.0.0/files/p15149599/s55526663/efc654fd-7aca6270-3c22b048-6777d5cd-568cfb55.jpg
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lung volumes are normal. there is no consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no subdiaphragmatic free air. no acute osseous abnormalities identified.
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<unk>-year-old female with epigastric and lower chest pain
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MIMIC-CXR-JPG/2.0.0/files/p19557765/s53281262/d4140310-51e1f6a9-348df382-680f4882-40a77f3b.jpg
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.
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history: <unk>m with preop for hand laceration
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MIMIC-CXR-JPG/2.0.0/files/p15911391/s51070567/7c85911d-12e98abd-8093c467-59d9acd4-fd1e5c1c.jpg
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a right internal jugular approach tunneled dialysis line ends in the right atrium in unchanged position. normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with chest wall pain // ?port position
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MIMIC-CXR-JPG/2.0.0/files/p17779334/s52234977/f90ae7fd-cf93df47-1e5b52d6-bdea19d9-4fd79994.jpg
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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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fever and body aches. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12397265/s55358714/14be59e8-778e74ef-105ceb22-78316ac3-e7c5a838.jpg
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pa and lateral views of the chest. the lungs are clear. there is no effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is normal. mild mid thoracic dextroscoliosis is seen with hypertrophic changes of the spine.
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<unk>-year-old male with pain with deep breath.
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MIMIC-CXR-JPG/2.0.0/files/p15340094/s59978465/bcbd131f-51996d8b-775c3631-b0b50a00-b28637fe.jpg
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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history: <unk>f with palpitations // cardiopulmonary process?
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MIMIC-CXR-JPG/2.0.0/files/p11464574/s59620403/8138bcce-bbf229e1-d2aab09b-86076bcd-c7c627fb.jpg
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frontal and lateral views of the chest. the lungs are now clear, previously seen effusion has resolved. there is no pneumothorax. cardiomediastinal silhouette is within normal limits. dual-lead left chest wall pacing device is seen with lead tips in the right ventricular apex and right atrium. no acute osseous abnormality is identified.
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<unk>-year-old female with severe chest pain of the chest wall.
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MIMIC-CXR-JPG/2.0.0/files/p15502607/s53070950/bacf75b4-2c73c91f-c6c36193-e16d8c9e-23b70cbf.jpg
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there has been interval placement of a dual-chamber pacemaker with the leads terminating in the right atrium and right ventricle. there is stable postoperative widening of the cardiomediastinal contours compared to the recent radiographs. there appears to be a small right-sided pleural effusion and moderate to large left-sided effusion with superimposed atelectasis. there is also stable patchy atelectasis in the right lung base. the heart size is stable.
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<unk>-year-old female status post recent median sternotomy and cabg, who presents for evaluation of dual-chamber pacemaker lead position.
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MIMIC-CXR-JPG/2.0.0/files/p17096041/s54416921/a92b8d74-f377044c-726ba186-a182b7d3-e2b2281d.jpg
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an endotracheal tube terminates <num> cm above the carina. an enteric tube descends below the field of view. the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. left hemidiaphragm is relatively elevated.
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<unk>m with endotrachial intubation // evaluate endotrachial intubation, ogt
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MIMIC-CXR-JPG/2.0.0/files/p16795652/s50612504/05e0a894-ada6e455-2247cec9-b08ab92b-ff670a73.jpg
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frontal and lateral views of the chest. the lungs are clear. there is no consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is unchanged noting moderate cardiomegaly. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is detected.
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<unk>-year-old female with altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p19336751/s52844729/ada138c3-b4340b10-5d3cd152-d8f280ac-84ce216c.jpg
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multiple right and left apical focal opacities are compatible with parenchymal scarring seen on the <unk> ct chest exam. severe emphysematous changes are seen in the lungs with flattening of the diaphragm. there is no focal consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal, hilar, and pleural surfaces are unchanged. compression deformities in the lower thoracic/upper lumbar vertebral bodies are unchanged.
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<unk>m with sob // eval pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12352223/s59825583/421a3725-195b91bd-7c8e4ed4-7f435bd7-736126a8.jpg
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overlying ekg leads are noted. lung volumes are low. allowing for this, the lungs appear clear. no focal consolidation, effusion or convincing signs of edema. cardiomediastinal silhouette appears normal. bony structures are intact.
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<unk>-year-old man presenting with cough and fever; evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14134178/s51550447/1558e2a7-c3a6ceb7-26293c9b-08e364d4-519d41bc.jpg
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a left picc terminates at the upper svc. the heart size remains normal. the upper mediastinal contour remains within normal limits. there is no pneumothorax. a moderate right pleural effusion appears slightly improved since the <unk> examination. no left effusion is seen. there is no superimposed new consolidation.
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non-hodgkin's lymphoma with recent washout from spinal surgical site infection. known pleural fusion.
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MIMIC-CXR-JPG/2.0.0/files/p19284781/s57548193/72ef9b42-492619f7-5787cdc2-2e2d98dd-506abe4f.jpg
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left-sided chest tube is in unchanged position. there is a persistent, unchanged loculated left pleural effusion with patchy aeration of underlying left lung. right lung is clear. no change in cardiomediastinal silhouette. bony thorax is unchanged.
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<unk>m s/p l vats hematoma evacuation lul hematoma and mediastinoscopy ln sampling <unk> s/p <num> chest tube removal // please obtain at <time>am, s/p chest tube removal, pneumothorax?
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MIMIC-CXR-JPG/2.0.0/files/p10787013/s50356870/1c5119b7-6ff5c983-c9b6c213-8d4c9232-da19b6f7.jpg
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since <unk>, the mild interstitial edema has essentially resolved. slightly low bilateral lung volumes, but otherwise the lungs are clear without focal consolidation. no pleural effusion or pneumothorax. probable top normal heart size. mediastinal contours and hila are unchanged. prominent dextroconvex scoliosis and mild degenerative changes of the thoracic spine are unchanged.
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<unk> yo f w/ hx of chronic sob of unclear etiology (cxr suggestive of interstitial lung disease and hyperinflation, pfts remotely reportedly normal), anxiety/depression, chronic pain syndrome presenting from home with fever, cough and dyspnea, found to have influenza a. although she has diffuse bronchospasm, she is without respiratory distress or oxygen requirement. // please assess for evidence of pneumonia, aspiration event.
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MIMIC-CXR-JPG/2.0.0/files/p17316016/s52870260/017acec7-9dc652d2-0730b432-b1da92d6-59fc17c6.jpg
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patient is status post median sternotomy. heart size is mildly enlarged and dense mitral annular calcifications are noted. the aortic knob is calcified. mediastinal and hilar contours are unchanged with a small hiatal hernia noted. pulmonary vasculature is not engorged. minimal atelectasis is seen in the lung bases without focal consolidation. blunting of the costophrenic sulci on the lateral view is compatible with subpleural fat deposition, as seen on the ct obtained the same day. no pleural effusion or pneumothorax is demonstrated. mild degenerative changes are noted within the imaged thoracic spine with slight loss of height at <unk> mid thoracic vertebral bodies, unchanged.
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history: <unk>f with cough and fever
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MIMIC-CXR-JPG/2.0.0/files/p11430768/s51501276/62d9adfb-39f73198-e17906f4-abcd8da4-202c46fa.jpg
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lung volumes are low, accounting for bronchovascular crowding. there is an ill-defined opacity in the left cardiophrenic angle, which appears to obscure the left inferior cardiac margin, new compared with exam performed four hours ago. no other focal opacities are identified. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk>-year-old male with aphagia. evaluate for acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p11532890/s52762182/7d11f4f5-5212b762-40d527bb-bb01cd97-87c7c8a8.jpg
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the endotracheal tube terminates <num> cm above the carinal. two transesophageal catheters are present. a right ij catheter terminates at the mid to upper svc. there has been interval removal of a left central venous catheter. central pulmonary vascular congestion and mild pulmonary edema are unchanged since <unk>. moderate right and small left pleural effusions have slightly enlarged.
|
post liver transplant, with elevated temperature.
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MIMIC-CXR-JPG/2.0.0/files/p13284428/s57579497/3fb0a424-cab3714c-23dd17fc-ea52ee40-4a7bedf9.jpg
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heart size and cardiomediastinal contours are normal. lung volumes are low, but the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
|
history: <unk>f with recurrent chest pain, concerning for unstable angina // evaluation for intrathoracici process that would cause chest pain other than a cardiac source.
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MIMIC-CXR-JPG/2.0.0/files/p14166603/s55794397/61806638-fbe7ef72-1fa546d1-4edd5f84-d9d28c20.jpg
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an endotracheal tube is appropriately positioned. a left upper extremity picc tip projects over the lower svc. an ng tube is in place, the inferior extent is not visualized. a right chest tube is unchanged in appearance. a small right pleural effusion remains. no pneumothorax is evident. right greater than left infrahilar consolidation is improving compared with priors, likely reflecting improvement in atelectasis.
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<unk>-year-old male status post cardiac arrest with right flail chest with a chest tube in place for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p13162132/s51669144/1c9c972a-356dd3aa-81edbd62-8248766d-ec18fcc7.jpg
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a nasoenteric tube is in-situ, the tip appears to be in the stomach. prominent loops of what appears be large bowel are seen in the left upper quadrant. lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no consolidation, pneumothorax or pleural effusion seen.
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<unk> year old woman with many underlying psych concerns, eating d/o, pulled ngt now readvanced // ngt in place?
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