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portable upright chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with stage iv aggressive lymphoma // with low grade temp, r/o pna with low grade temp, r/o pna
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the lungs are clear. cardiac silhouette is normal. no pleural effusion or pneumothorax.
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fever and pleuritic chest pain.
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normal cardiomediastinal and hilar contours. normal pleural surfaces. multiple, new, bilateral pulmonary nodules, the largest of which is located at the left lung base and measures <num> cm. no evidence of pneumonia.
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<unk>-year-old man with a history of metastatic melanoma, now with fever and altered mental status. evaluate for pneumonia.
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ap portable upright view of the chest. midline sternotomy wires are again noted. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
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<unk>m with dyspnea // eval for cardiopulmonary process
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
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history: <unk>f with elevated lft's, s/p ccy, with ruq pain and cough // eval for abrnomality
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is notable for lv predominance. there are no displaced fractures. the imaged upper abdomen is unremarkable.
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chills, myalgias, question acute cardiopulmonary process.
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status post left pneumonectomy, with near-complete opacification of the left lung, and normal filling the left lung. a left-sided port is seen with the tip at the cavoatrial junction. the patient is at prior right axillary lymph node dissection. no acute focal consolidation within the right lung. no pneumothorax or significant effusion within the right lung.
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<unk> year old woman with lung cancer and neutropenia with new o<num> requirement // evaluate for cause of hypoxia
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lung volumes are low. cardiac, mediastinal and hilar contours appear stable. there is a very small pleural effusion on the right and a small one on the left with associated opacity, probably atelectasis. posterior left basilar opacification has increased somewhat; infectious process is not excluded. port-a-cath appears unchanged.
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severe abdominal pain.
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compared to the prior study there is a new tracheostomy in good location. the right ij line is unchanged. bilateral lower lobe infiltrates are unchanged.
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<unk> year old woman with new trach, ogt // pls eval ogt placement
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severe cardiomegaly is unchanged. the mediastinal contours appear stable, with calcification of the aorta again noted. again seen diffuse bilateral pulmonary edema, overall unchanged compared to the prior study. there are likely small bilateral pleural effusions. again seen are bibasilar patchy opacities which may reflect atelectasis. no pneumothorax is seen. the osseous structures demonstrate diffuse multilevel degenerative changes within the thoracic spine.
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history of lethargy, end-stage renal disease. please evaluate for pneumonia or fluid overload.
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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. coils are noted in the upper abdomen on the lateral radiograph.
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<unk>-year-old male with chest pain.
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again demonstrated is a fluid filled neoesophagus in the right mediastinum. the lungs are clear, there is no pleural effusion or pneumothorax, and the cardiac contour is normal. no evidence of pneumomediastinum.
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history: <unk>m with s/p partial esophagectomy w/ nausea/vomiting. evaluate for free air.
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the patient is status post median sternotomy and coronary artery bypass surgery. a prosthetic aortic valve is noted. there is no focal consolidation, pleural effusion or pneumothorax. the heart is normal in size, and there is no pulmonary edema.
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<unk>-year-old male with abdominal pain, preoperative chest radiograph.
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lung volumes are low. heart size is accentuated as a result and appears mildly enlarged. mediastinal and hilar contours are unremarkable. crowding of the bronchovascular structures is present without overt pulmonary edema. patchy and streaky opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. fusion hardware within the lower lumbar spine is partially imaged. compression deformity of a mid lumbar vertebral body as well as mild loss of height anteriorly of a vertebral body at the thoracolumbar junction are of indeterminate age.
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history: <unk>f with cough and confusion
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the lungs are clear without focal consolidation, effusion, or edema. there is mild enlargement of the cardiac silhouette, unchanged. no acute osseous abnormalities. ivc filter is identified in the abdomen. coils also project over the left upper quadrant.
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<unk>f with ams, cough // pna?
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lung volumes are low. compared with <unk>, there is more pronounced upper zone redistribution and vascular blurring. the bibasilar opacities are also somewhat more extensive. there is a probable small right effusion. a small left effusion cannot be excluded. there are air bronchograms at the left lung base. the cardiomediastinal silhouette is obscured by surrounding opacities, but is overall similar to prior. the svc and axillary stents are again noted, unchanged in position.
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history: <unk>f with esrd on dialysis now sob // evaluate for fluid overload review of prior imaging reports yields a history of hiv, asthma and right breast cancer.
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lung volumes are low. mild bibasilar opacities are likely atelectasis. there is no pneumothorax or pleural effusion. cardiac silhouette is exaggerated by low lung volumes. sternal wires are intact.
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history: <unk>m with cp, sob. current bilat pes // pna? worsening pe burden
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multiple, bilateral focal consolidations, several of which are new in synapse the prior exam on <unk>. stable moderate pulmonary edema. stable small bilateral pleural effusions. no pneumothorax. stable mild cardiomegaly. no interval change in the cardiomediastinal silhouette. no acute osseous abnormality. sternotomy wires and cardiac valves are intact and unchanged in position.
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<unk>-year-old man with fever, productive cough, and ronchi at the left base; eval for pna at llb.
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normal cardiomediastinal and hilar contours. lungs are clear. stable, mild, biapical pleural scarring, more pronounced on the left. no pneumothorax or pleural effusion.
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<unk>-year-old woman with chest pain radiating to the back.
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lung volumes are low. cardiac silhouette size is borderline enlarged. widening of the superior mediastinal contours due to the presence of mediastinal fat. hilar contours are normal. crowding of bronchovascular structures is present without pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. known fractures of the right-sided ribs are better assessed on the same day ct.
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open displaced right wrist fracture.
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portable semi upright radiograph of the chest demonstrates new placement of a left-sided chest tube. there has been interval decrease in size of the left pneumothorax. there is persistent but improved shift of the mediastinum to the right. there are increased interstitial markings in the bilateral lungs. there is a moderate left-sided pleural effusion. the cardiomediastinal and hilar contours are unchanged.
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<unk> year old woman with fall and right rib fractures, clavicle fracture, and small left pneumothorax, increased left pneumothorax on cxr // please assess status of pneumothorax, now with left chest tube
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there is new left basilar opacity which partially silhouettes the left cardiac border also seen posteriorly on the lateral view. elsewhere, the lungs are unchanged. there is no effusion. cardiomediastinal silhouette is within normal limits. median sternotomy wires and coronary artery stents are noted. no acute osseous abnormalities.
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<unk>f with cough // eval for infiltrate
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a dobbhoff tube terminates in the lower esophagus, above the ge junction. cardiomediastinal and hilar contours are within normal limits. there are no focal consolidations, pulmonary effusions, pulmonary edema or pneumothorax.
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<unk>-year-old male patient with pancreatitis. study requested to confirm dobbhoff placement.
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lung volumes are low. retrocardiac opacity with silhouetting of the left hemidiaphragm and lateral border of the descending aorta is nonspecific and could reflect any of a combination of atelectasis, focal pneumonia or even a small effusion. right infrahilar opacity with slight indistinctness of the right heart border could reflect infection in the appropriate clinical scenario. apparent elevation of the right hemidiaphragm may be related to positioning and technique versus volume loss. there is cardiomegaly, but no chf. aortic calcifications are present. no pneumothorax.
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<unk>-year-old woman presenting with weakness. evaluate for pneumonia.
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relative increase in density over the lower lung fields likely relates at least in part to overlying soft tissue although difficult to exclude right basilar consolidation. right middle lobe atelectasis/scarring is again seen. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac silhouette is markedly enlarged. mediastinal contours are stable. prominence of the pulmonary vasculature is slightly increased.
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history: <unk>f with dyspnea, decrased breaths ounds at bases, hx of chf // evaluate for pulmonary edema, pleural effusion, acute changes
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there is a left lower lobe retrocardiac opacity, better delineated on ct from the same day. otherwise, there is no effusion or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
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chest pain.
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previously small right pleural effusion is now large. the aerated portions of the right and left lung are clear. the left heart border is unremarkable. heart size is stable. no left pleural effusion.
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<unk> year old woman with cirrhosis and decreased breath sounds in right lower lobe // eval for pleural effusion and infiltrate
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no focal consolidation, pleural effusion, or pulmonary edema is seen. there is possibly a left pneumothorax. there is severe dextroconvex thoracic scoliosis. the aorta is calcified and tortuous. heart size is likely within normal limits, although suboptimally evaluated in the setting of scoliosis. mitral annular calcifications noted.
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<unk>-year-old female with recent stroke, now with weakness.
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substantial worsening of pulmonary edema with increased perihilar opacities, alveolar edema, increased cardiomediastinal silhouette and air bronchograms. worsening of bilateral large pleural effusions. moderate-to-severe bibasilar compressive atelectasis, right greater than left. there is some tracheal displacement to the right however this is likely due to mild malrotation of the patient. the osseous structures are stable.
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<unk> year old woman with tachypnea and increasing oxygen requirement // worsening pulm edema?
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a small left apical pneumothorax is seen. postsurgical changes are seen including small pleural effusions bilaterally. no focal consolidation or pulmonary edema is seen. the cardiac silhouette is enlarged consistent with recent cardiac surgery.
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<unk> -year-old male, evaluate pneumothorax.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
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<unk>-year-old female with seizure.
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lung volumes are low. there is no focal consolidation, effusion, or pneumothorax. the cardiac silhouette is markedly enlarged. the aorta is mildly unfolded. faint linear densities projecting over the upper chest likely represent external artifact.
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one-week shortness of breath.
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
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<unk>f with diabetic ketoacidosis, evaluate pneumonia.
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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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left-sided pacemaker device is noted with <num> lead terminating in the right atrium, and <num> leads terminating in the right ventricle, unchanged. mild cardiomegaly is stable. the aorta remains unfolded. the pulmonary vascularity is normal. the hilar contours are unchanged. the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
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history of aspiration pneumonia with altered mental status and wheezing.
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the heart size is mildly enlarged. prominent perihilar and basilar pulmonary vasculature is suggestive of pulmonary edema. there is a focal consolidation in the right upper lobe worrisome for infection. there are possible, subtle patchy consolidations in the left lung difficult to differentiate from underlying edema. no acute bony change is identified.
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shortness of breath.
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pa and lateral views of the chest. the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with cough.
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frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. there is no pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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shortness of breath. assess for pneumonia.
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endotracheal tube tip is seen approximately <num> cm from the carina. enteric tube is seen with side-port at the ge junction and should be advanced. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
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<unk>f with intubated xfer // et placement
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a left-sided pacemaker and dual leads are seen in expected position. the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion, pulmonary edema or pneumothorax.
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<unk> year old man with chest pain // eval for pneumo, widened mediastinum
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a right-sided chest tube is in satisfactory position and directed superiorly. subcutaneous emphysema along the right chest wall has improved. the lung volumes are low. the patient is status post resection of the right lower lobe. increased consolidation of the right lung base is though to reflect atelectasis and right middle lobe collapse. there is no evidence for torsion at this time. a new, small right pleural effusion is noted. there is no pneumothorax. minimal atelectasis is seen at the left lung base. the cardiac and mediastinal contours are unchanged. the tortuous aorta is again seen.
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carcinoid of the right lower lobe.
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persistent low lung volumes with mild interval improvement in multiple ill-defined bilateral heterogeneous opacities. no cavitation noted. there is a crowded appearance of pulmonary vasculature at the bases and mild cardiac enlargement from low lung volumes. mediastinal and hilar contours are normal. stable mild bibasilar atelectasis, left greater than right. no pneumothorax or large pleural effusion.
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<unk>-year-old male with history of aml, presents with pneumonia, acute kidney injury and increasing oxygen requirement. assess for pulmonary edema.
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a portable supine frontal chest radiograph demonstrates low lung volumes, exaggerating the cardiac silhouette and resulting in bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. no fracture is identified.
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status post trauma.
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the cardiomediastinal silhouette is moderately enlarged. additionally, there is prominence and haziness of the pulmonary vasculature. bibasilar atelectatic changes are visualized and bilateral small pleural effusions may be present. no acute fractures are noted. there are no focal consolidations.
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evaluation of patient with chest pain and shortness of breath.
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
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evaluation of patient with hyperglycemia.
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small bilateral pleural effusions are comparable in volume prior to placement of pacemaker. a left-sided transvenous pacemaker with lead terminating in the right ventricle is noted. no evidence of pneumothorax. cardiomediastinal silhouette is unchanged. median sternotomy wires and a prosthetic valve noted.
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<unk> year old woman s.p ppm implant // ptx, lead
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pa and lateral views of the chest provided. surgical clips noted in the upper abdomen. 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 cough // eval infiltrate
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since <unk>, a left pectoral implantable loop recorder is new. patient is status post right shoulder hemiarthroplasty. the lungs are clear with normal volumes. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pneumothorax, pneumonia, pleural effusion. slight tracheal deviation may be due to an enlarged thyroid.
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<unk> year old woman with cough // cough x <num> weeks
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a right port-a-cath is unchanged in position with the tip terminating in the upper to mid svc. the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal silhouette is top normal in size but stable. evidence of dish is noted in the thoracic spine.
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weakness, here to evaluate for pneumonia.
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single frontal view of the chest was obtained. new ng tube terminates below the diaphragm. large-bore right central catheter has been removed. right pleural effusion has increased, now moderate to large, and has apparent loculated components at the right base and major fissure. new mild pulmonary edema. upper lobe predominant emphysema is unchanged. heart size is normal.
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<unk>-year-old female with encephalopathy and vzv meningitis. evaluate ng tube position.
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no focal consolidation is identified. there is unchanged appearance of opacifications in the left lung base, likely due to a combination of atelectasis and pleural effusion. there is a small right pleural effusion. mild pulmonary edema persists. the heart is moderately enlarged, but stable. left sided pacemaker is seen with transvenous leads in the right atrium, right ventricle, and left ventricle.
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history: <unk>m with hx of chf and dyspnea // ?pulmonary edema
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the heart is at the upper limits of normal size. there is mild unfolding of the thoracic aorta. the aortic arch is calcified. the chest is hyperinflated. there is no pleural effusion or pneumothorax. a small calcified granuloma is present at the left lung apex. the lungs appear otherwise clear. bony structures are unremarkable.
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cough and fatigue.
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lung volumes are low but no focal parenchymal opacities are identified. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with sudden onset of bilateral leg swelling. evaluate for pulmonary edema.
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right picc tip terminates in the lower svc. heart size is normal. mediastinal and hilar contours are unchanged. linear scarring in the left apex is similar. diffuse bronchiectasis is re- demonstrated with areas of lucency compatible with regions of air trapping, more so within the right lung compared to the left, better appreciated on the previous ct. increased patchy opacities are noted within the left lung base, new from the previous study, findings which could reflect atelectasis but infection or aspiration cannot be excluded. chain sutures are seen within the left lower lung field. there is no pleural effusion or pneumothorax. no acute osseous abnormalities detected.
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history: <unk>m with extensive pulmonary history, bronchoscopy yesterday presents with shortness of breath
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lung volumes are low with secondary crowding of the bronchovascular markings. there is suggestion of superimposed pulmonary vascular congestion without overt edema. cardiac silhouette as slightly enlarged, also accentuated by technique. no acute osseous abnormalities.
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<unk>f with weakness // ?pna
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there are changes related to emphysema. there is superimposed mild interstitial pulmonary edema and small bilateral effusions with bibasilar atelectasis. there are no new focally occurring opacities concerning for pneumonia. there is no pneumothorax. the cardiomediastinal and hilar contours are stable demonstrating marked cardiomegaly. there is tortuosity of the thoracic aorta, which contains atherosclerotic calcification.
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<unk>-year-old female with acute onset of shortness breath after receiving platelet transfusion. evaluate for fluid overload or transfusion-related injury.
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the lungs are well expanded. the right lung is clear. much of the left lung is obscured by the cardiac silhouette, but there appears to be atelectasis in the left lung base. small bilateral pleural effusions are seen. the cardiomediastinal silhouette is moderately enlarged.
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history: <unk>m with ams // infection
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MIMIC-CXR-JPG/2.0.0/files/p11739453/s51804819/43b19946-32e43294-81b1f982-ce8d1ab6-6465dc8f.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>m with hemoptysis // r/o r/o infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p19865581/s53019683/c981a321-63ce1fef-80a15318-84b45ea5-768b43e0.jpg
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subtle linear calcification is noted along the lateral left lower hemi thorax of unclear clinical significance, unclear whether pleural, within subcutaneous tissue, or external to the patient. . last additional possible linear calcification is seen projecting over the right upper hemi thorax. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta is tortuous. the cardiac silhouette is top-normal.
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history: <unk>m with leukocytosis // pneumonia?
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MIMIC-CXR-JPG/2.0.0/files/p11928413/s52787174/c7fac91a-abe43557-ee147804-1e3835f6-4c97818b.jpg
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right central catheter tip is in the lower svc. there is no pneumothorax. there are low lung volumes. cardiomegaly and widened mediastinum are stable. new mild vascular congestion. bibasilar atelectasis have minimally increased. if any there is a small right effusion. left picc tip is in the upper to mid svc. there is a probably second catheter projecting in a right paramediastinal location, intravascular? please correlate clinically unchanged position of the sternal plate
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<unk> year old man with new right hd line // eval for ptx and line tip
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
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shortness of breath and cough for <num> days. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15466684/s57192331/db75ca69-c4673101-f0915eb7-3bc3c02a-bac603e8.jpg
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the lungs are clear focal consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is stable. tortuosity of the descending thoracic aorta with atherosclerotic calcifications is again noted. hypertrophic changes are noted in the spine.
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<unk>f with syncope // syncope cause? infection?
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as compared to prior chest radiograph from <unk>, there has been no significant change. pulmonary vascular congestion is chronic. lungs appears slightly more congested since <unk> but unchanged from yesterday. moderate cardiomegaly is stable. there are asbestos-related calcified pleural plaques. a small right pleural effusion is unchanged. there is no pneumothorax. tip of the right internal jugular line is at the level of the superior cavoatrial junction.
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<unk>-year-old male patient with history of cabg, tavr, chronic pulmonary asbestosis, now presenting with sepsis secondary to uti gnr bacteremia and concern for chf exacerbation. study requested for evaluation of worsening pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p18034575/s50279815/a4d0a285-cb9005f7-941189f3-7ab71eb2-1f60d4bc.jpg
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the cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is within normal limits. there is minimal atelectasis at the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. no subdiaphragmatic free air is present.
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abdominal pain.
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MIMIC-CXR-JPG/2.0.0/files/p12505527/s59271559/0ac88df6-91dd9011-ae508c68-7d8dfb79-217dfeb7.jpg
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heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. streaky opacity within the left lung base with suggestion of bronchiectasis and airway wall thickening is noted. right lung is clear. no pleural effusion, focal consolidation or pneumothorax is seen. no acute osseous abnormality is identified.
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history: <unk>m with shortness of breath, chest pain, peripheral swelling /
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MIMIC-CXR-JPG/2.0.0/files/p18217740/s56359196/61d3383f-45dd9ae6-ef50f452-ac624a8e-f89d3dbf.jpg
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pa lnd lateral views of the chest. no prior. on the lateral view, there is a vague nodular opacity projecting over the aortic arch which may localize to the right upper lung. elsewhere, the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with new onset of afib.
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pa and lateral views of the chest were provided. the lungs are clear. no effusion or pneumothorax. no signs of chf. cardiomediastinal silhouette is normal. bony structures are intact with large anterior spurs in the mid to lower t-spine. no free air below the right hemidiaphragm.
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<unk>-year-old male history of mid chest pain.
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pa and lateral chest radiographs demonstrate clear lungs bilaterally. no focal consolidation concerning for pneumonia is identified. cardiomediastinal contour or appears unremarkable. there is no pneumothorax or pleural pleural effusion identified. osseous structures demonstrates no acute abnormality.
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<unk>-year-old male with cirrhosis, and increased abdominal distention, and dyspnea.
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subtle bibasilar opacities seen on the frontal view, not substantiated on the lateral view, may be due to atelectasis and overlying vascular structures although a residual pneumonia is not excluded in the appropriate clinical setting. comparison with prior would be helpful for further evaluation in this patient reportedly being diagnosed with pneumonia at an outside facility. no pleural effusion or pneumothorax is seen. there is no pulmonary edema. aortic knob calcification is seen. the cardiac silhouette is not enlarged. there is moderate to severe compression deformity of a mid thoracic vertebral body of indeterminate age. correlate clinically and for acuity.
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elevated white count, cough, copd. reports being diagnosed with pneumonia at an outside facility.
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MIMIC-CXR-JPG/2.0.0/files/p11320106/s55999850/4dfe1c80-b6b3f91f-d6add418-3e6c062b-20958527.jpg
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endotracheal tube tip is approximately <num> cm from the carina. enteric tube seen within the stomach with tip pointed towards the fundus. lung volumes are low. cardiac silhouette is mildly enlarged even giving technique. opacity at the right lung base may be due to atelectasis although aspiration or infection are also possible. no acute osseous abnormalities identified.
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<unk>m with intubated // eval for ett
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MIMIC-CXR-JPG/2.0.0/files/p10493855/s51175921/17f1af95-f3c9f92b-f4331fce-7c34a5b1-1d1f67de.jpg
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk>m with dyspnea, evaluate for acute cardiopulmonary disease.
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MIMIC-CXR-JPG/2.0.0/files/p10277901/s51928606/7eb78c61-88011ea0-efec4410-455660ef-7acdfa3f.jpg
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there is diffuse of opacification of the right lung base, likely a combination of layering moderate size pleural effusion and atelectasis. left basilar opacity also likely reflects a small to moderate size pleural effusion with adjacent atelectasis. mild pulmonary vascular edema is present. unchanged enlargement of the thoracic aorta and pulmonary arteries. deviation of the upper trachea by a right superior mediastinal mass, previously shown to be a calcified thyroid nodule on ct chest from <unk>, is unchanged. no pneumothorax. moderate cardiomegaly is not significantly changed.
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dyspnea. evaluate for evidence of chf.
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MIMIC-CXR-JPG/2.0.0/files/p19730192/s57023434/f59e5e39-cefa8ad1-9924ae17-287499be-445abd7e.jpg
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ap portable upright view of the chest. airspace opacity in the medial right lung base is concerning for pneumonia. left lung is clear. no large effusion or pneumothorax. heart size is within normal limits. the mediastinal contour is normal. bony structures are intact.
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<unk>m with stroke, weakness // infilatrate?
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MIMIC-CXR-JPG/2.0.0/files/p11392949/s51245510/56ff9e48-16d7dd0c-0f0000f0-f65864a7-d80e6f06.jpg
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded. there is a new small ill-defined opacity projecting over the right lower lateral lung, only well seen on the frontal view. there is no additional focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.
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<unk>f with cough <num>wks productive of sputum, pneumonia?
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MIMIC-CXR-JPG/2.0.0/files/p11154185/s58452534/190f4d1a-35d89c2e-45236aef-10c6fa68-d2fa55ef.jpg
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
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history: <unk>f with epigastric pain*** warning *** multiple patients with same last name! // ? infectious process
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MIMIC-CXR-JPG/2.0.0/files/p13976804/s51573346/ed072a0b-3d3a228f-e856d91e-a313e15d-70c407cc.jpg
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a right internal jugular catheter is unchanged with the tip in the mid svc. since prior exam, the lung volumes are lower. this is accentuating the bronchovascular structures. there is new mild interstitial edema. left basilar atelectasis is slightly worse. there is also likely a small left pleural effusion. there is no right pleural effusion. the cardiomediastinal silhouette is slightly larger, in keeping with the worsening fluid overload. sternal wires are intact.
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status post cabg with dropping hematocrit.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with new onset doe // eval for pna, pleural effusion, pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p18829597/s57746374/9ffb54bd-7692704e-23a3a80d-1531d94d-69961918.jpg
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frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p11016935/s51683155/62fefce3-f6ecb665-461a4358-37a5af91-dec27897.jpg
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pa and lateral views of the chest provided. patient is status post cabg with median sternotomy and aortic valve replacement. moderate-to-severe emphysema with apical predominance. <num> mm nodular opacity in the right upper lobe has not changed. heart is top-normal in size. no focal consolidation, pleural effusion or pneumothorax. vertebroplasty changes are seen in the mid-thoracic spine.
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<unk> year old man with chest pain. // please evaluate for thoracic pathology.
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MIMIC-CXR-JPG/2.0.0/files/p14413855/s51352798/3f5e332b-abcfbb20-9c2b07f7-35c00d74-c27ce1a2.jpg
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cardiomediastinal silhouette is within normal limits. lungs are clear except for linear bibasilar atelectasis or scar. blunting of the left costophrenic sulcus is unchanged and corresponds to extrapleural fat on recent ct abdomen. there is no large effusion or pneumothorax.
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history: <unk>m with tia // ?acute process
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MIMIC-CXR-JPG/2.0.0/files/p11676845/s57418627/1097655b-9f690af5-6cc45124-c56f661a-27c1098b.jpg
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single frontal view of the chest provided. there is a mild atelectasis of the left lung base. blunting of the right costophrenic angle could be due to a trace right pleural effusion. no focal consolidation, or pneumothorax. there is prominent superior right mediastinal contour, likely from the tortuosity of great vessels as seen on the c-spine ct of the same day. the cardiac silhouette is normal. imaged bones are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with syncope x<num> this am // ?infection ?edema
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MIMIC-CXR-JPG/2.0.0/files/p17706804/s52440281/dd187f0b-c75e4e85-3011af83-52205afb-9b4662cf.jpg
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there is no mass, nodule, focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
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weakness. evaluation for mass.
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MIMIC-CXR-JPG/2.0.0/files/p15804949/s53385735/fd69f29b-9d5374de-e3a01602-76f38b07-df002ccd.jpg
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there appear to be chronic rib deformities at the anterior lateral right upper chest.
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history: <unk>m with copd and dm<num> presenting with intermittent chest pain, dyspnea, cough x <num> week // rule out pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p16512794/s54862874/8fe43d0d-c570de46-27d9cfa0-8f7f1056-74958189.jpg
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the lungs are hyperinflated but clear. previously noted pleural effusions are no longer visualized. cardiomediastinal silhouette is within normal limits. prosthetic aortic valve and median sternotomy wires are again noted. no acute osseous abnormalities.
|
<unk>m with <num> hrs chest tightness, // r/o infection, mediastinal abnormalities
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MIMIC-CXR-JPG/2.0.0/files/p16822208/s52103710/00531038-32d88c46-e8745318-5fa70657-192f6e31.jpg
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continued enlargement of cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. no acute pneumonia or vascular congestion.
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smoker with persistent cough.
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MIMIC-CXR-JPG/2.0.0/files/p14859542/s52264399/ce70f517-7be19364-73faec65-39c22d81-38fd2159.jpg
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax.
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<unk>-year-old with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p16842605/s57263751/72ff0ece-22f329a0-9b5d52ba-945af76a-207df47a.jpg
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portable single frontal chest radiograph was obtained. a right ij terminates in the upper svc. the new core valve projects over previous bioprosthetic aortic valve. lung volumes are low. the heart is moderately enlarged. there is no pulmonary edema, pleural effusion, or pneumothorax. a large hiatal hernia is again noted.
|
patient status post core valve placement, post-op evaluation.
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MIMIC-CXR-JPG/2.0.0/files/p11717234/s57523949/7a6d354b-8f01aeb8-00765fee-c4d62049-9691e19e.jpg
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pa and lateral images of the chest demonstrate well expanded lungs with prominent interstitial markings bilaterally. a very small pneumothorax remains, now this has improved since previous imaging. right pigtail catheter is seen again in place in the right lower chest. left pleural effusion is again seen, unchanged from prior imaging. again seen is a collapsed lower thoracic vertebra which appears to be chronic since at least <unk>. other visualized osseous structures are unremarkable.
|
<unk>-year-old male with chf and right hydropneumothorax, status post thoracostomy with pigtail catheter placement.
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MIMIC-CXR-JPG/2.0.0/files/p12111976/s57623452/4ab4c4f5-b1484d4d-f92acf2e-76ce1a98-7924630e.jpg
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the heart continues to be moderately enlarged, and a left-sided cardiac device is in stable position. the right port-a-cath terminates within the cavoatrial junction. there is mild pulmonary edema, and the patient is status post median sternotomy and cabg.
|
<unk>-year-old male with chf status post pacemaker p pacemaker presents with atypical substernal cp. evaluate for consolidation
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MIMIC-CXR-JPG/2.0.0/files/p16274789/s52283058/3edc6416-03cb0d51-346d39ec-75efa22f-899ec374.jpg
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cardiac size is normal. the aorta is tortuous. chronic bronchiectasis and loss of volume of the right middle lobe and chronic bronchiectasis in the lower lobes bilaterally are better seen in prior ct. there is no pneumothorax or pleural effusion. there are no new lung abnormalities. there are mild degenerative changes in the thoracic spine
|
history: <unk>f with intermittent sob // r/o infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p18477137/s53314375/9811f4b9-6dfef9b8-8982838f-773386ac-fd8ba7eb.jpg
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the lungs are well expanded. no focal parenchymal opacities are identified. however, compared to the patient's radiographic baseline appearance from <unk>, there is minimal increase in vascular caliber as well as interstitial markings suggesting mild interstitial edema/vascular congestion, which is unchanged from <unk>. massive cardiomegaly is not significantly changed compared with prior exam. prominent right hilum is stable in configuration since at least <unk> and secondary to hilar lymphadenopathy, better appreciated in prior chest ct. there is no pleural effusion or pneumothorax. an icd device projects over the left axilla, with epicardial and venous leads in unchanged position compared with prior exam.
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<unk>-year-old male with probable chf, with shortness of breath and chest pain. evaluate.
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MIMIC-CXR-JPG/2.0.0/files/p12621822/s52693399/e682df5a-49d124e9-7b448c7d-17627550-23042f37.jpg
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ap portable upright view of the chest. dialysis catheter again seen with its tip in the cavoatrial junction region. midline sternotomy wires and mediastinal clips again noted. there is cardiomegaly unchanged with hilar congestion and mild pulmonary edema. bibasilar opacities may reflect atelectasis with probable small pleural effusions noted bilaterally. no large pneumothorax. bony structures appear intact. aortic calcification is noted.
|
<unk>f with dyspnea // pleural effusion
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MIMIC-CXR-JPG/2.0.0/files/p13473357/s59308537/9c1b98b5-0adae2f8-473f722c-36a232e2-82b27a52.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.
|
history: <unk>m with fever, cough // r/o pna
|
MIMIC-CXR-JPG/2.0.0/files/p16254450/s52500806/d35cf2b0-cccc8cac-6a6f5c65-4eeb6628-c2900054.jpg
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there is moderate cardiomegaly. widened right sided mediastinum, prominence of the aortic arch and irregularity along the wall of the descending aorta is secondary to known aortic dissection. lungs are essentially clear. there is mild atelectasis at the lung bases bilaterally. there is no focal consolidation, large pleural effusion or pneumothorax.
|
type a and b aortic dissection.
|
MIMIC-CXR-JPG/2.0.0/files/p10966979/s50541328/84a9fcd1-9cede2a0-8c89507e-49c3a27c-3aecaa83.jpg
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pa and lateral views of the chest. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
|
cough and fever.
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MIMIC-CXR-JPG/2.0.0/files/p12323237/s58016442/4453d1e0-55d70404-bb9abc75-a7ee97eb-ce35e492.jpg
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the cardiac silhouette continues to be mildly enlarged with improving mild pulmonary edema since the last radiograph. an ascending swan-ganz catheter is unchanged with the tip overlying the region of the tricuspid valve. the intra-aortic balloon pump is in the descending aorta approximately at the level of the superior margin of the left main bronchus. there is no pneumothorax.
|
<unk>-year-old man with pancreatic cancer on chemotherapy presents with myocarditis and cardiogenic shock. please evaluate for interval change and placement of lines.
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MIMIC-CXR-JPG/2.0.0/files/p18478155/s50832226/fee7210d-303661c6-790f2bac-7873be91-334bb602.jpg
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the lungs are well inflated and grossly clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are grossly unremarkable. there is no pleural effusion or pneumothorax. note is made fusion hardware in the lower cervical spine.
|
<unk> year old man with chronic cough after influenza; history of positive ppd s/p inh, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg
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the heart size is top normal with unchanged mediastinal silhouette and hilar contours. there is a large heterogeneous consolidation of the right lower lung with air bronchograms compatible with pneumonia. there also increased reticulonodular opacities in the upper right lung field likely as a component of asymmetric pulmonary edema or multifocal pneumonia. small right pleural effusion may be present. there is also a small left-sided effusion with subtle opacities at the left lung base which could be atelectasis or a further component of pneumonia. there is no pneumothorax.
|
shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p16577271/s58636889/776d30b0-799e051f-f548e8df-85c98e9c-245801a5.jpg
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elevation of the right hemidiaphragm is due to the presence of a right subcapsular complex hepatic fluid collection as seen on the ct. small right pleural effusion is also demonstrated with associated mild right basilar atelectasis. minimal left basilar atelectasis is also present. the cardiac, mediastinal and hilar contours are unremarkable. there is no pulmonary vascular engorgement. there are multilevel degenerative changes in the thoracic spine.
|
leukocytosis and new oxygen requirement.
|
MIMIC-CXR-JPG/2.0.0/files/p13332867/s51180560/9e82107d-6e44cc9c-c0de171e-2e24c038-5d45f554.jpg
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heart size is normal. the mediastinal and hilar contours are unchanged, was similar enlargement of the hilar regions bilaterally. lung volumes are low with patchy opacity in the lung bases likely reflective of atelectasis. there may be mild pulmonary vascular engorgement without overt pulmonary edema. no large pleural effusion or pneumothorax is present. widening of the right ac joint is unchanged, and may be postsurgical.
|
history: <unk>m with cough, shortness of breath
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