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the previously noted tiny right apical pneumothorax is not clearly visualized. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. spinal fusion hardware is noted.
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status post t<num> rib fracture, evaluate for pneumothorax.
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perihilar opacities, right greater than left, as well as cephalization of the vessels is compatible with pulmonary edema. the heart size may be mildly enlarged, particularly the right atrium as the carina is somewhat splayed. no focal consolidations concerning for pneumonia are present. no large pleural effusions and no pneumothorax.
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chest pain, question pneumonia.
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single frontal view of the chest demonstrates hyperinflated lungs. within the right upper lobe, an opacification is identified which corresponds to resolving lung abscess, better delineated on ct chest dated <unk>. the cardiomediastinal and hilar contours are unremarkable. when compared to prior examination dated <unk>, there has been no interval change. pulmonary vasculature is normal in appearance. there is no pneumothorax or pleural effusion. visualized osseous structures demonstrate no acute abnormality.
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<unk>-year-old male with respiratory distress.
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the lungs are well inflated and clear. the heart and mediastinal contours are normal. no focal consolidation, nodule, pneumothorax or effusion is present.
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<unk>-year-old woman with chest pain and shortness of breath.
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there are slightly low lung volumes, which results in bronchovascular crowding. note is made of mild bibasilar atelectasis. cardiomediastinal and hilar contours are unremarkable. the aorta is tortuous. no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with confusion // pna?
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improved bibasilar airspace opacities are most likely due to improving aspiration. prominence of the ascending thoracic aorta is stable. there are no new consolidations or pleural effusions. there is no pneumothorax.
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<unk> year old man with dysphagia and hypernatremia to <num> and hypoxic respiratory distress // evaluate for pulmonary edema, pna
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there is again seen right upper quadrant surgical clip, presumably due to prior cholecystectomy. there is again seen mild unchanged s-shaped scoliosis of the thoracic spine. there is stable mild degenerative joint disease of the thoracic spine, with mild compression deformity of a single lower thoracic vertebral body, unchanged from prior radiograph in <unk>. the cardiomediastinal silhouettes are unchanged in appearance. there is unchanged tortuosity of the thoracic aorta. the bilateral hila are normal. there is no evidence of pulmonary vascular congestion. there are no focal lung consolidations or lung nodules. there is no pneumothorax or effusion.
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<unk> year old woman with asthmatic bronchitis. former smoker // r/o infiltrate or nodule
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with cough, upper back pain // ? pna
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persistent subtle right lower lobe and retrocardiac opacity. left basilar atelectasis is noted. no pulmonary edema. no pleural effusion or pneumothorax. heart is top-normal in size. mediastinal contour and hila are unremarkable. intact median sternotomy wires. mediastinal clips are noted.
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<unk>f with n/v, cough, leukocytosis. assess for cardiopulmonary process.
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the lateral view is suboptimal. heart size is mildly enlarged with a left ventricular configuration. the aorta is diffusely calcified. the mediastinal and hilar contours are otherwise unchanged. no pulmonary edema is demonstrated. streaky opacity within the right lung base may reflect an area of atelectasis. infection cannot be completely excluded. no pleural effusion or pneumothorax is present. degenerative changes within the thoracic spine are mild. calcification is again seen within the left shoulder compatible with calcific tendinopathy.
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confusion.
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there is severe dextroscoliosis of the thoracic spine along with presence <unk> <unk> rods which are stable compared to the prior study. there is also a dual-lead pacemaker with proper placement of the leads into the right atrium and right ventricle respectively. heart size is normal and cardiomediastinal contours are unremarkable. lung fields are clear with no focal infiltrates, pleural effusions, or pneumothorax.
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<unk>-year-old lady with a history of copd presenting with cough and basilar changes, evaluate for pneumonia/infiltrate.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mild to moderately enlarged. the aorta is tortuous. no pulmonary edema is seen. some degenerative changes are seen along the spine.
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history: <unk>f with pre syncope and hypotension // ? process
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. fusion hardware within the thoracolumbar spine is partially imaged.
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altered mental status.
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frontal and lateral views of the chest. heart size is normal. left perihilar opacity obscures the upper left heart border. the lungs are otherwise clear. no pleural effusion or pneumothorax.
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cough and fevers.
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the heart size is normal. the hilar and mediastinal contours are normal. there appears to be consolidation along the left lower lobe with obscuration of the left cardiophrenic angle as well as opacification of the posterior lung base. there is no pneumothorax. there is a small left pleural effusion, as well as mild thickening of a major fissure. the visualized osseous structures are unremarkable.
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history of syncope, please evaluate for an acute cardiopulmonary process.
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lung volumes are low with secondary bronchovascular markings. left basilar opacity is similar compared to prior, potentially atelectasis although infection is not excluded. there is pulmonary vascular congestion without overt edema.
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<unk>m with hypoxia // eval for chf/pneumonia/pneumothorax
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cardiac silhouette is enlarged but similar compared to prior. there is pulmonary vascular congestion without evidence of overt pulmonary edema within the limitation of this exam given significant overlying soft tissues. no acute osseous abnormalities.
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<unk>m with systolic chf, presented with weight gain and dyspnea // please eval for edema or other abnormality
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single portable view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. moderate cardiomegaly is unchanged. there is mild pulmonary edema, slightly progressed since prior. no pleural effusion or pneumothorax is seen. tracheostomy tube is in place.
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cough.
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interval placement of a right basal a pigtail catheter. the size of the right pleural effusion has decreased. a small right apical pneumothorax is unchanged. there are however persisting opacities in the right lower lung zone. a small amount of atelectasis and volume loss is also present in the left lower lobe. the appearance of the cardiomediastinal silhouette is unchanged.
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<unk> year old woman with cavitary lung lesion, effusion and pneumothorax i/s/o recent pseudomonal pna // ? interval change s/p chest tube
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lung volumes are extremely low, limiting evaluation. a juxtahilar opacity could represent prominent pulmonary vasculature or a potential pneumonia or hilar mass. no pneumothorax or significant pleural effusion is identified. the heart size is not well evaluated due to positioning and low lung volumes.
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shortness of breath. history of muscular dystrophy.
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low lung volumes are seen with streaky bibasilar opacities which are likely atelectasis. no definite confluent consolidation is identified. cardiomediastinal silhouette is within normal limits for technique. tortuosity of the descending thoracic aorta is noted. enteric tube tip projects over the gastric fundus.
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<unk>m with new ng tube // ng tube placement?
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with chest pain
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the lungs are clear. no pneumothorax or pleural effusion is present. the cardiac silhouette, hilar, and mediastinal contours appear normal. there is no free subdiaphragmatic air.
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<unk>-year-old woman with abdominal pain after uterine biopsy. evaluate for free air. ap and lateral views of the chest
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the lungs are clear, cardiomediastinal silhouette and hila are normal. there is no pleural effusion, no pneumothorax.
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<unk>-year-old with abdominal pain and distention, please assess for acute process.
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pa and lateral views of the chest. no prior. lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with fever and dyspnea and shoulder pain.
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heart size is normal and the pulmonary vasculature is normal. there is no pulmonary edema. the mediastinal and hilar contours are normal. the lung parenchyma is normal, with the exception of a small platelike atelectasis at the left lung base. no pleural effusion or pneumothorax. no pneumonia.
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<unk> year old woman with atll sob, oxygen saturation <num>% on room air, wbc <num> // eval sob
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the radiograph is severely limited by patient positioning, with the majority of the right lung apex, and portion of left lung apex obscured by the patient's head and neck. lungs demonstrate heterogeneous opacification bilaterally at the bases, as well as in the retrocardiac opacification. additionally, there is increased intersitial markings which may be compatible with edema. the costophrenic angles are blunted bilaterally, right worse than left, indicate pleural effusion. the heart size appears mildly enlarged, and the cardiac pacemaker leads appear grossly in satisfactory position, however this is limited secondary to patient rotation. osseous structures demonstrate significant osteopenia.
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history: <unk>m with cough and fever. evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours appear unchanged. patchy left basilar opacity suggests minor atelectasis, which may be associated with distortion of the thorax by moderate-to-severe rightward convex curvature of the thoracic spine. accordingly, however, the left base is difficult to assess. the right lung appears clear.
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fever and hypotension.
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there are bilateral predominantly basilar airspace opacities right greater than left, mildly less severe when compared to <unk>. heart size is enlarged. the aorta is tortuous. there is no pleural effusion or pneumothorax. a calcified structure adjacent to the upper left trachea corresponds to a calcified thyroid nodule on prior ct scan.
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<unk>f with esrd on hemodialysis, cad s/p pci, iddm, htn, presenting with acute onset sob, evaluate for volume overload.
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right internal jugular central venous line is unchanged. the heart remains stably enlarged. a left-sided pleural effusion is small and has decreased in size. bibasilar atelectasis persists. there is also a small right-sided pleural effusion.
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status post cabg evaluate for effusion.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. spinal fusion hardware is partially visualized. mildly dilated loops of bowel in the imaged upper abdomen are incompletely imaged and not fully evaluated on this chest radiograph examination.
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<unk>m with dyspnea // acute cp process
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a right picc in stable position within the svc. there continues to be right lung base opacification which may represent pneumonia. the cardiac silhouette is stable in size. no new focal consolidation, pleural effusion or pneumothorax is seen.
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<unk>f hx of hepatopulmonary syndrome, nash cirrhosis s/p dbd liver transplant // new desats to <num>s-<num>s off venti mask
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there is moderately low bilateral lung volume. lungs are otherwise clear with no focal consolidation, lesions, pleural effusion, or evidence of pneumothorax. the heart is borderline normal in size; otherwise, cardiomediastinal silhouette is unremarkable. the pleural surfaces are within normal limite. degenerative changes of the thoracic spine discordant with age is noted.
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<unk>-year-old male with history of ulcerative colitis, presents with ulcer and cough suspicious for pneumonia.
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compared with most recent prior radiograph, there has been improvement in bilateral heterogeneous opacities. there is minimal persistent opacity at the left base. opacity overlying the right medial lung is consistent with the neoesophagus. right port-a-cath is in unchanged position. no pneumothorax or pleural effusion. normal heart size, mediastinal and hilar contours.
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minimally invasive esophagectomy and postop ards, check for interval change.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. prominence of the inferior right hila is similar to prior.
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history: <unk>f with hypoxia // pna?
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pa and lateral views of the chest provided. lung volumes are slightly low though allowing for this, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with right flank pain //
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lung volumes are low. coarsened lung markings are likely secondary to chronic lung disease. calcified pleural plaques layer on the bilateral hemidiaphragms and seen along the left pleura. cardiomegaly and aortic arch calcifications are mild.
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<unk>-year-old man with delirium.
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frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. cardiac silhouette is top normal in size. median sternotomy wires are identified. atherosclerotic calcifications are seen at the aortic arch. no acute osseous abnormalities are noted. surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>-year-old female with new atrial fibrillation.
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frontal and lateral views of the chest demonstrate bilateral diffuse interstitial abnormalities most pronounced in the right lower and mid lung zone, that has progressed substantially since <unk> radiograph. hilar adenopathy is also more pronounced on the right. the cardiomediastinal silhouette is unchanged. there is no pleural effusion or pneumothorax.
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<unk> year old man with metastaic rcc, assess overall tumor burden prior to starting new therapy.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
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<unk>f with cough x <num> days. currently undergoing ivf // eval for pneumonia, effusion
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heart size is mild to moderately enlarged. the mediastinal contour is unremarkable. there is mild interstitial pulmonary edema, new in the interval. no pleural effusion or pneumothorax is seen. retrocardiac patchy opacity likely reflects atelectasis. an ivc filter is noted within the upper abdomen, just to the right of midline.
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tachycardia, tachypnea and shortness of breath.
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heart size is normal. there is no pleural effusion, pneumothorax, or focal lung consolidation.
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<unk>-year-old woman with fever, sneezing rhinnorhea, evaluate for pneumonia
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
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cough and crackles in the right lower base. evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. hypertrophic changes are noted in the spine.
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<unk>-year-old man with chest pain.
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ap upright and lateral views of the chest provided. lung volumes are low. no focal consolidation, large effusion or pneumothorax is seen. cardiomediastinal silhouette appears within normal limits. the hila appear slightly congested. no overt edema. bony structures are intact.
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<unk>m with left sided chest pain, dyspnea
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lung volumes are slightly low leading to crowding of the bronchovascular structures. despite this, there is subtle increase in airspace opacity at the right lung base which may reflect patchy atelectasis although an early infiltrate cannot be excluded. no pleural effusion or pneumothorax. mild cardiomegaly is noted and may be secondary to ap projection.
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history: <unk>f with ams // eval for pna
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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> year old man with esrd for prerenal transplant evaluation.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. minimal degenerative changes are noted along the mid thoracic spine.
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cough and chest pain.
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a catheter again ends in the superior vena cava. the aortic arch is partly calcified. mild unfolding of the thoracic aorta is similar. the heart is normal in size. streaky left basilar opacity suggests minor atelectasis or scarring. there is no pleural effusion or pneumothorax. mild-to-moderate degenerative changes are similar along the thoracic spine.
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malaise and hypotension following recent surgery.
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the et tube ends <num> cm from the carina. right ij ends in the mid svc. sternotomy wires and mediastinal clips are stable. enteric tube ends in the stomach. no significant change in bilateral parenchymal opacities.
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shock and respiratory failure, status post cardiac arrest. evaluate endotracheal tube placement.
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the cardiomediastinal contours are stable and within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
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<unk>f with cough, chest pain, evaluate for pneumonia.
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the patient is rotated, distorting the appearance of the mediastinum. ett tip projects about <num> cm from the carina. the neck does not appear to be in flexion. enteric tube traverses the hemidiaphragm into the left abdomen with its tip projecting just to the left of midline in the mid abdomen, and expected region of the distal stomach. otherwise, no significant interval change.
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<unk>-year-old woman with stroke. evaluate for og tube placement.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. a calcified granuloma projects over the right mid lung, not significantly changed. there is similar mild-to-moderate relative elevation of the right hemidiaphragm. bony structures are unremarkable.
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right thoracic pain over the lower ribs. no history of trauma. past medical history of amyloidosis.
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lungs are clear. no pleural effusion or pneumothorax. heart size is normal. dual lead defibrillator with the tips in the ra and rv is new.
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<unk> year old man with respiratory distress // interval changes
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no focal consolidation, pleural effusion, or pneumothorax is seen. mild interstitial abnormality is likely chronic. heart and mediastinal contours are within normal limits.
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<unk>-year-old female with right upper quadrant pain.
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are unremarkable. no pneumothorax, pneumonia, pulmonary edema, or pleural effusion.
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<unk> year old man with abnormal weight loss. night sweats // any intrathoracic abnormality
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MIMIC-CXR-JPG/2.0.0/files/p14362183/s58669531/e9e52b63-3e940bba-0086fbe6-133f37a3-9dab50cf.jpg
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two views of the chest demonstrate intact median sternotomy wires. cabg clips and epicardial leads are noted. the lungs are clear. the cardiac, hilar, and mediastinal contours are normal. no pleural effusion or pneumothorax.
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left-sided chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p17116674/s50585888/19025985-f661ef1d-6e2e4426-85db5421-aadd896d.jpg
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the lungs are clear. there is no pneumothorax. moderate cardiomegaly despite the projection is unchanged.
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<unk> year old woman with cough, recent mi // ? chf, infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p12849577/s52239893/34fc15ac-561604ae-d9e1652f-8ae47f97-16dfcf28.jpg
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. the lungs are clear. mild dextroscoliosis of the thoracic spine is unchanged.
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<unk>f with chest pain, seizure activity, evaluate for pneumothorax or pneumonia..
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moderate hyperinflation is stable. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable. the osseous structures and upper abdomen are unremarkable. a new enteric tube courses below the diaphragm and terminates within the stomach.
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<unk>f with small bowel obstruction, evaluate for ng tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p16334780/s52328887/560087fe-803a46f6-122bc1b7-7bd0d780-8b624631.jpg
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single portable upright frontal images chest. the lungs are hyperinflated. no focal mass is seen. calcified pleural plaques are again noted in the left lung laterally. the heart is top-normal in size. dense atherosclerotic calcifications are noted. degenerative changes and scoliosis are seen in the spine.
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fall.
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there is a tiny right apical pneumothorax. the alveolar infiltrate has partially cleared on the right but there continues to be alveolar infiltrates centrally more marked in the upper than lower lobe. there is volume loss in both lower lungs with some platelike atelectasis in the left lower lobe. the right ij line is been removed.
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<unk> year old man with ptx s/p chest tube which has now been removed. // assess for any recurrence of ptx
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the lungs are well expanded. a small right pleural scar is unchanged. the cardiac silhouette remains top normal in size, with probable mild retrocardiac atelectasis. the mediastinal contours are normal. the pulmonary vasculature is normal.
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<unk>-year-old male with disc herniation.
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frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation or pneumothorax. a pleural effusion is small. mild left basilar atelectasis is improved. cardiac silhouette is stable. the mediastinal silhouette is slightly narrower after cabg than it was immediately post operatively.
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status post cabg. evaluate for interval change.
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the cardiac, mediastinal and hilar contours appear unchanged. the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
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progressive left great toe pain and gangrene. preoperative for left lower extremity angiography.
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MIMIC-CXR-JPG/2.0.0/files/p17705770/s56685965/18d79338-95616038-7d085721-ccd09613-27971dec.jpg
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ap portable upright view of the chest. left chest wall pacer device is again seen with leads extending to the region of the right atrium and right ventricle unchanged and with an intact appearance. midline sternotomy wires and mediastinal clips are again noted. the cardiomediastinal silhouette remains prominent though not significantly changed. low lung volumes limit the assessment. there is mild pulmonary edema with probable small bilateral pleural effusions. no pneumothorax. bony structures are intact.
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<unk>m with sob // eval for pna, pleural effusions
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MIMIC-CXR-JPG/2.0.0/files/p15633489/s53282001/fe0d9f36-a6bcdcea-be7d246c-aae811d1-f321317e.jpg
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since the comparison radiograph, degree of pulmonary vascular congestion, mild, is not worsened. mild interval increase in interstitial edema. small bilateral pleural effusions are noted. no pneumothorax. there is rounded contour and asymmetrical enlargement of the left hilum, as well as filling in of the inferior hilar window on the lateral view.
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history: <unk>m with chf, worsening symptoms and weight gain x <unk> weeks. evidence of acute process, especially volume overload.
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MIMIC-CXR-JPG/2.0.0/files/p13079621/s55257474/19826d88-7e9b8306-da468e79-b78a6eb7-8bb08fb2.jpg
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
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chest pain and dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p18661100/s53686193/adb85886-588cac57-494768f3-9a0ee1a2-c9684597.jpg
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lung volumes are appropriate. there indistinctness of the pulmonary vascular markings and prominence of the azygos. there is no large effusion. mild cardiomegaly is grossly unchanged from prior. no acute osseous abnormalities.
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<unk>m with dyspnea on exertion // please evaluate for pna, ptx
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MIMIC-CXR-JPG/2.0.0/files/p12530930/s58723919/9f7916be-f55595b2-412d7e0d-082b1966-b4c08f39.jpg
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frontal and lateral views of the chest. sternotomy cerclage hardware and mediastinal clips are intact. right ij central catheter has been removed. heart size and cardiomediastinal contours are stable. small bilateral pleural effusions with bibasilar atelectasis are similar to prior. no new focal consolidation or pneumothorax.
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<unk>-year-old male with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p11273035/s57064987/a81019b9-ea82dd25-8a9db6b3-a7d1c87f-49631fdf.jpg
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the lungs are well expanded. compared with prior exam, there are diffuse bilateral interstitial opacities, right worse than left, mostly in a perihilar distribution with bilateral hilar engorgement compatible with new pulmonary edema. a retrocardiac opacity is redemonstrated. there is no pleural effusion or pneumothorax. cardiomediastinal contours are unremarkable.
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<unk>-year-old male with hypoxia after administration of iv fluids. evaluate for fluid overload.
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MIMIC-CXR-JPG/2.0.0/files/p18508209/s58001586/57b22526-306907f8-4afc99d4-091c5e4b-263d3645.jpg
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on the radiograph of <time> the dobbhoff tube projects over the expected location of the left hemidiaphragm possibly partially in the esophagus. right lower lobe opacities are worsened with progressive blunting of the costophrenic angle likely reflecting combination of small pleural effusion and atelectasis. left retrocardiac consolidation is worsening. irregular opacities in the left upper lobe are also progressed. there is no pleural effusion or pneumothorax. moderate cardiomegaly is unchanged.
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<unk> year old man with stroke currently with dysphagia needed ng replaced. .
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MIMIC-CXR-JPG/2.0.0/files/p17300550/s51885137/455ae551-8ce757d8-b0b777f6-ca7342fa-8002ea7f.jpg
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a dual chamber left chest wall icd pacemaker is present with leads in the right atrium and right ventricle. there is no pleural effusion, pneumothorax or focal consolidation. clips are present in the bilateral apices with right pleural thickening, likely post surgical in nature. the heart is minimally enlarged. the bones are intact.
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status post dual chamber icd. confirm lead placement.
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MIMIC-CXR-JPG/2.0.0/files/p19615586/s57302592/3e1a647a-72000821-e28ffa21-29acb660-84b7c7c1.jpg
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pa and lateral views of the chest. left picc is seen with tip in the mid svc. asymmetric right apical scarring is again seen, unchanged. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is stable. descending thoracic aorta is tortuous. no acute osseous abnormality detected.
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<unk>-year-old female with fever.
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MIMIC-CXR-JPG/2.0.0/files/p10304579/s52734979/09c94965-3bfe0c6c-c721ab60-0cf09683-6f7ca62d.jpg
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pa and lateral views of the chest provided. patient is slightly rotated to her left. lung volumes are low. the heart is moderately enlarged. no convincing signs of pneumonia or edema. no pleural effusion or pneumothorax. mediastinal contour appears within normal limits. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with chest pain // please eval for cardiomegaly, pna
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MIMIC-CXR-JPG/2.0.0/files/p17192920/s52188508/3b4f3307-1c9efaa3-5f865a85-18ec09f7-6d4de234.jpg
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the inspiratory lung volumes are decreased from the most recent prior study and considerably lower on the lateral radiographs. low lung volumes accentuate the interstitial lung markings and cardiomediastinal silhouette. there is no focal consolidation concerning for pneumonia. bibasilar atelectasis is greater on the left compared to the prior. no significant pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal contours remain prominent partially due to unfolding of the thoracic aorta. calcification of the aortic knob is unchanged. there is mild kyphotic curvature of the thoracic spine and multilevel degenerative changes. surgical clips projecting over the right upper quadrant of the abdomen are compatible with prior cholecystectomy.
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productive cough for the past week, here to evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14599722/s58342387/4eccbfe0-c68567d1-07c180c0-0af70f09-58fc1431.jpg
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. mediastinal contours are unchanged. bony structures are intact.
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<unk>-year-old woman presenting with back pain. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16458160/s58914820/fc88043d-71858423-d4933224-b1c0b37d-bd59fb41.jpg
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since the prior cxr, there is no significant change in appearance of the right-sided layering empyema and loculated gas collection at the right lung base. these findings are characterized on recent ct performed <unk>. no new areas of consolidation. left lung is essentially clear. no pneumothorax. stable cardiomegaly. single lead pacemaker is unchanged in position and terminates in the right ventricle.
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<unk> year old man with right sided empyema // assess for interval change
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MIMIC-CXR-JPG/2.0.0/files/p14033331/s50702198/fd3b6647-ccf63ab4-25008813-b22715ae-df43d71e.jpg
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ap upright and lateral radiographs demonstrate low lung volumes, resulting in bronchovascular congestion and bibasilar atelectasis. patient is status post median sternotomy, wires appear intact. heart size is normal. mediastinal and hilar contours are stable in appearance. there is no overt pulmonary edema. there is no pleural effusion. a dialysis catheter terminates in the atrium. no air under the right hemidiaphragm is seen. no acute osseous abnormality is detected. interval of picc line.
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<unk>-year-old female with bacteremia.
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MIMIC-CXR-JPG/2.0.0/files/p16712364/s54564271/e6bcaac1-6af78526-fb9b995c-a7b4a4a8-0ef1d095.jpg
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frontal and lateral views of the chest. the lungs are clear of focal consolidation or effusion. no pneumothorax. increased interstitial markings seen throughout the lungs are unchanged when compared to <unk>. cardiac silhouette is unchanged. hilar contours are also stable dating back to <unk>. no acute osseous abnormality identified.
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<unk>-year-old female with fall and right-sided pain. question pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p16478119/s50487346/c96bfc1f-d978c936-fe7c9e17-1383f84b-175e8733.jpg
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pa and lateral views of the chest provided. airspace consolidation is seen within the right lower lobe, concerning for pneumonia. elsewhere, lungs are clear. no large effusion or pneumothorax. no signs of congestion or edema. the heart and mediastinal contours appear normal. the imaged bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with cough and fever // r/o pna
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left apical consolidation is new since the prior study, raising concern for pneumonia. right lower lobe consolidation has resolved. chain sutures are seen in the right mid to lower lung. the lungs are hyperinflated with flattening of the diaphragms and increased ap diameter, consistent with chronic obstructive pulmonary disease. there is evidence of pulmonary emphysema. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with dyspnea // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p14861926/s58893492/d3943398-5d3194db-9637ede7-b5927001-2497b088.jpg
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pa and lateral chest views have been obtained with patient upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the, on previous examination, identified parenchymal infiltrates in the left lower lobe posterior segment have disappeared completely. no new abnormalities are identified. previously noted probably old scar formations in apical areas, mostly in right apex, have not changed significantly. they most likely represent old specific scar formations. no new abnormalities are seen.
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<unk>-year-old male patient with recent left lower lobe pneumonia, status post antibiotic therapy and resolution of symptoms. assess for resolution of infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p11793110/s51073220/a1ef6e27-536cc42a-817b1fa7-0cc2ef23-efb0c48a.jpg
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the heart is normal in size. the mediastinal and hilar contours appear normal. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures appear normal.
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fever.
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MIMIC-CXR-JPG/2.0.0/files/p18662708/s52255924/5241548a-fea59dc8-54533946-a9782b62-fd47a84f.jpg
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lung volumes are low. elevation of the right hemidiaphragm is chronic. heart size is moderately enlarged. dilatation of the main pulmonary arteries is compatible with pulmonary arterial hypertension, unchanged. crowding of the bronchovascular structures is demonstrated. there is likely mild pulmonary vascular engorgement. mild bibasilar atelectasis is noted. no focal consolidation, pleural effusion or pneumothorax is identified, though assessment of the right lung apex is limited due to obscuration from soft tissue from the patient's neck projecting over this region. diffuse sclerosis of the osseous structures is compatible with renal osteodystrophy.
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end-stage renal disease on hemodialysis, fatigue.
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MIMIC-CXR-JPG/2.0.0/files/p18814172/s58063035/e09dc93a-4d6526ae-76a5c9a1-d7444d85-7b85e89c.jpg
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mild to moderate enlargement of cardiac silhouette appears similar compared to the previous exam. the mediastinal and hilar contours are stable, with unchanged widening of the right paratracheal stripe compatible with known lymphadenopathy. there is no pulmonary edema. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are multilevel degenerative changes in the thoracic spine. surgical anchor is visualized within the left humeral head.
|
chest discomfort, history of cardiomyopathy.
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MIMIC-CXR-JPG/2.0.0/files/p13071437/s56856202/12d964d0-5c9d08ae-b76a7966-283fe9b1-cbe90c06.jpg
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lungs: the lungs are well inflated. there is no consolidation. pleura: no pleural effusion is seen. heart: the heart is not enlarged. mediastinum and hila: there is no mediastinal mass. osseous structures: the osseous structures are normal for age. other findings: venous access device is again noted
|
<unk> year old man with a history of aml sp allo transplant now with fever. please evaluate for infiltrate. // <unk> year old man with a history of aml sp allo transplant now with fever. please evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p15231942/s59001574/a36f0cf8-9b54145e-c164adea-585befa7-15a64b3c.jpg
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
|
<unk>f with cough and fevers // r/o acute process
|
MIMIC-CXR-JPG/2.0.0/files/p11080025/s56194131/9ed25ff3-1e68ce55-618a492e-8975d469-b76a313e.jpg
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ap upright and lateral views of the chest provided. the heart remains markedly enlarged. marked hilar engorgement is noted with moderate to severe pulmonary edema. small pleural effusions likely present. no pneumothorax. bony structures are intact.
|
<unk>f with dchf, dyspnea on exertion x <num> weeks without pain, weight gain <num>lb over past month, bibasilar crackles, concern for chf exacerbation
|
MIMIC-CXR-JPG/2.0.0/files/p15228243/s56962932/497b144a-6067c671-49e36181-09ad70a3-1d2b58cc.jpg
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aeration of the lungs has improved in the interim. no focal consolidation, effusion, edema, or pneumothorax. mild cardiomegaly is unchanged. the descending thoracic aorta slightly tortuous and/or ectatic, unchanged. aortic knob calcifications are unchanged.
|
<unk> year old man with a history of cll now with persistent cough. please evaluate for new infiltrate.
|
MIMIC-CXR-JPG/2.0.0/files/p10386562/s59995673/523499f4-2a486239-e7d19a50-a9483650-473f0937.jpg
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multiple calcified pleural plaques are unchanged from yesterday. new increased opacity at the right lung base could represent aspiration. indistinctness of the pulmonary vasculature is consistent with pulmonary vascular congestion. stable appearance of the cardiomediastinal silhouette and elevated right hemidiaphragm. no pleural effusion or pneumothorax.
|
hypoxemia, fever, chest congestion and respiratory distress required nonrebreather. evaluate for infiltrate, volume status.
|
MIMIC-CXR-JPG/2.0.0/files/p11929342/s57496402/2e95fa03-94d18574-ed925b67-cd64a27b-9f153e1c.jpg
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in comparison to <unk> chest radiograph, there has been significant improvement of the small right apical pneumothorax with near-resolution. the bilateral (right greater than left) small pleural effusions and left basal atelectasis are again seen and are unchanged in comparison to most recent study. stable moderate cardiomegaly without overt pulmonary edema. right picc line is in stable position at the cavoatrial junction. median sternotomy wires are intact and aligned. the replaced mitral valve is visualized and in stable position.
|
<unk> year old woman with s/p mvrepair // eval rt apical ptx
|
MIMIC-CXR-JPG/2.0.0/files/p15612808/s55679082/c2045135-fd094217-a865d416-d9e3b674-1a7203c6.jpg
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frontal and lateral views of the chest were obtained. lung volumes are low, exaggerating heart size. cardiomediastinal contours are unchanged. bibasilar linear opacities are compatible with atelectasis. right pleural effusion is small. no pneumothorax. right upper quadrant biliary drain is incompletely imaged.
|
<unk>-year-old male with right-sided abdominal pain and shortness of breath. evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p18066180/s59556098/7ef69b1e-382133c5-b322b12b-fa1d4818-e43c8d0d.jpg
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t-shaped tracheostomy tube appears in unchanged position. heart size remains mildly enlarged. mediastinal and hilar contours are unremarkable. there is mild cephalization of pulmonary vascular markings without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is identified. linear opacities in the lung bases likely reflect areas of atelectasis. no acute osseous abnormalities seen. small amount of subcutaneous emphysema in the supraclavicular regions is seen bilaterally.
|
history: <unk>f with shortness of breath
|
MIMIC-CXR-JPG/2.0.0/files/p13952511/s55165556/24f2487c-805df15d-b9d7f29e-2d761b7a-dadd1350.jpg
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frontal and lateral views of the chest are compared to previous exam from <unk>. low lung volumes are seen on the current exam, particularly on the lateral. linear opacity at the right lung base is most suggestive of atelectasis. there is no large confluent consolidation, no large effusion. cardiac silhouette is enlarged with stable configuration. triple-lead pacing device again seen with lead tips unchanged in position. right picc seen with tip projecting across the midline with tip on the left similar to <unk> but changed since <unk> when it was more appropriately positioned. osseous and soft tissue structures are unchanged noting multiple compression deformities in the lower thoracic spine.
|
<unk>-year-old female with chf, presenting with altered mental status.
|
MIMIC-CXR-JPG/2.0.0/files/p13046528/s55251745/61ac405e-7531375e-09eab77b-2c8ded50-82a48e43.jpg
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extensive left greater than right pulmonary opacities predominantly accounted for by known metastatic disease and fibrotic changes are similar in degree. more confluent opacities in the left lower lobe are similar to the previous study allowing for differences in lung volumes and could reflect aspiration or pneumonia. small bilateral pleural effusions may be present without pneumothorax. cardiac silhouette is obscured but appears grossly stable. right port-a-cath is unchanged in position.
|
metastatic pancreatic cancer with acute respiratory distress, assess for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p10603001/s53177476/95745f42-8540e7a4-97945757-44cd4e4f-b3d12288.jpg
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blunting of the posterior costophrenic angles is compatible with small pleural effusions. there is pulmonary vascular congestion without overt pulmonary edema. there is no focal consolidation. moderate cardiac enlargement is similar compared to prior. no acute osseous abnormalities.
|
<unk>m with asthma, chf p/w dizziness/weakness // ?vascular congestion or other signs of fluid overload.
|
MIMIC-CXR-JPG/2.0.0/files/p18998679/s51603961/e6b88965-cd0225af-f9d84686-5e8e5733-39a79ba4.jpg
|
heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. compared to the previous exam, there are worsening bibasilar airspace opacities concerning for progression of pneumonia. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
|
dyspnea on exertion, cough, fever.
|
MIMIC-CXR-JPG/2.0.0/files/p15048999/s53580916/27751ce6-fa65d50a-b058e94d-144507b0-82f32342.jpg
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pa and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema from the mid and upper lung field when compared to the study from three days ago. there are persistent bilateral lower lung opacities representing residual edema and/or atelectasis. small pleural effusions are also present. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no evidence of residual pneumomediastinum. a right subclavian hemodialysis catheter has been placed and terminates at the expected location of the cavoatrial junction.
|
evaluate for interval change in pneumomediastinum in patient with renal failure status post traumatic intubation.
|
MIMIC-CXR-JPG/2.0.0/files/p13109130/s52588317/e26cfd40-00796218-d75ae609-5429f8da-275f2cce.jpg
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cardiac size is enlarged. no focal consolidation. no evidence of pulmonary edema. there is no pneumothorax or pleural effusion. again seen is the increased pulmonary vascularity bilaterally. left picc with tip in the mid svc.
|
<unk> year old woman with hx of cad s/p des in <unk>, dm<num> oninsulin, htn, hld, and copd who is s/p bicondylar tibial plateau fx on <unk>, s/p i d on <unk>, now s/p i d (<unk>, <unk>). now with cough and decreased o<num>sat // ? respiratory infection
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