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the patient is status post median sternotomy, cabg, and aortic and mitral valve prostheses. left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. moderate cardiomegaly is re- demonstrated. the aorta is tortuous and diffusely calcified. there is mild interstitial pulmonary edema, similar compared to the previous exam. small bilateral pleural effusions, left greater than right are noted, with interval increase in the amount of pleural fluid on the left. no pneumothorax is demonstrated. patchy opacity in the retrocardiac region likely reflects atelectasis. diffuse demineralization of the osseous structures is noted. several clips are demonstrated within the upper abdomen.
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congestive heart failure, orthopnea, shortness of breath.
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single frontal view of the chest shows overall little change from prior. again seen is mild pulmonary edema and stable cardiomegaly. small bilateral pleural effusions with resultant atelectasis are unchanged. again visualized is a stable retrocardiac opacity. there is no pleural effusion, pneumothorax or new consolidations.
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congestive heart failure with decreasing oxygen saturation.
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart size is normal. there is tortuosity of the aorta.
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chest pain. history of cardiac stent placement.
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frontal and lateral views of the chest. increased interstitial markings are again seen compatible with patient's known chronic lung disease. surgical chain sutures again seen in the right mid and lower lung. there is no confluent consolidation nor effusion. the cardiomediastinal silhouette is stable. right shoulder arthroplasty is again seen. no acute osseous abnormalities detected.
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<unk>-year-old female with open distal radius fracture, pre-op.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no radiopaque foreign body is identified. no subcutaneous free air is seen.
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history: <unk>f with question of throat foreign body
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compared to the prior study there is increase in the size of the heart and increase in the pulmonary vascular congestion. the left effusion is slightly larger than on the prior exam and there is increased left lower lobe volume loss/ infiltrate. the appearance of the lines and tubes are unchanged
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<unk> year old man with hct drop s/p cabg // eval for effusion/wide mediastinum, evidence of bleeding
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MIMIC-CXR-JPG/2.0.0/files/p10320946/s56685323/b4c53683-7e06ec37-406a454b-fe91c022-c2018d2e.jpg
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pa and lateral views of the chest provided. there is a right mid lung perihilar opacity which could represent pneumonia. however, centrally within this region is a subtle lucency which raises potential concern for a cavitary lesion. recommend ct to further assess. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. an azygous fissure is noted. bony structures are intact. no free air below the right hemidiaphragm. clips in the upper abdomen noted.
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<unk>f with dyspnea, chest pain
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the heart is mildly enlarged. mediastinal contours unremarkable. no focal consolidation is seen. there is no large pleural effusion or pneumothorax.
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history: <unk>m with pre op // pre op
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pa and lateral views of the chest provided. hyperinflated lungs are noted with a linear left lower lung density likely representing a focus of scarring. no focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette appears normal. imaged bony structures are intact. no free air below the right hemidiaphragm peer
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<unk>m with severe copd, chf presents with hypoxia.
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previously seen-stated pleural thickening is no longer present, wall is most likely superimposition of overlying structures external to the patient. no new abnormality. otherwise stable.
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<unk> yo aml s/p mec salvage tx, pending hsct, prior cxr showed "irregular thickening right lateral costal pleura". no h/o trauma, reproducible chest pain, cough, desaturation // please have patient disrobe to waist for study; prior artifact vs right pleural thickening? need for f/up ct?
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since the chest radiographs obtained <unk>, no significant changes are appreciated. severe cardiomegaly is unchanged and there is no pulmonary vascular congestion or pleural effusions. lungs are fully expanded and clear without focal consolidation. cardiomediastinal hilar silhouettes are otherwise unremarkable. median sternotomy wires are midline and intact. a dual lead pacemaker appears in unchanged position. cholecystectomy clips project over the right upper quadrant.
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<unk> year old woman with cough + fever + hemoptysis, on warfarin for atrial fibrilltation. non-smoker. no copd. lung exam today showed localized wheezing in left lower lung field. no pleuritic chest pain. no decrease in breath sounds or pleural rub. no other sx or signs of chf. // r/o pneuomnia
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there is a <num> to <num> mm nodular opacity projecting over the left mid lung field. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture seen.
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dizziness and chest pain.
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mild pulmonary vascular congestion is similar to prior. the cardiac and mediastinal silhouettes are similar in appearance. hilar contours are similar. there is slight increase in opacity left lung bases may be due to atelectasis but consolidation due to infection or aspiration not excluded. subtle irregularity of the anterior lateral right fourth and fifth ribs likely present on the prior study and not acute.
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history: <unk>f with syncope, pls eval chest for pna and rib fx also r thigh pain and r thigh psl eval hip fx // history: <unk>f with syncope, pls eval chest for pna and rib fx also r thigh pain and r thigh psl eval hip fx
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there are small bilateral pleural effusions. the lungs are otherwise clear. there is no consolidation or pneumothorax. cardiac silhouette is top-normal in size. left chest wall dual lead pacing device seen. degenerative changes noted at the acromioclavicular joints bilaterally. no acute osseous abnormalities.
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<unk>m with l knee pain, s/p fall // eval for traumatic process
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increased lucency at the lung apices is compatible with patient's history of known copd. there are increased bibasilar opacities at the lung bases seen on both the frontal and lateral views which are new since remote prior. superiorly the lungs are clear of consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with cough, chest pain // eval for pneumonia, effusion
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ap and lateral upright images of the chest were obtained. these demonstrate clear lungs bilaterally. re-demonstration of right hemidiaphragm elevation. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are stable in appearance when compared to radiographs dated <unk>. there is no intra-abdominal free air. a stent is identified in the right upper quadrant, presumably biliary.
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<unk>-year-old male with subjective fever and abdominal pain x <num> hours.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there is no pulmonary edema. no displaced fracture is identified.
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history: <unk>m with hx htn, obesity, here with l sided chest pain // evaluate for cardiomegaly, effusion, pneumonia
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cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. prominence of the hila bilaterally reflects borderline enlarged pulmonary arteries. lungs are hyperinflated with severe emphysematous changes again noted. scarring within the lung apices is more pronounced on the right. no pulmonary edema is demonstrated. no focal consolidation, pleural effusion or pneumothorax is noted. previously seen pulmonary nodules on ct are not as well visualized on the current exam. <num> cm rounded opacity projecting over the left mid lung field is compatible with known osseous metastasis of the left fourth rib.
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history: <unk>m with new onset numbness and weakness of legs concerning for spinal stenosis. preop cxr // intrathoracic process?
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the et tube and right ij line are unchanged. the left pleural effusion is still moderate in size, but is slightly smaller than on the prior study. there continues to be dense opacity in the perihilar regions bilaterally in the retrocardiac region with infiltrate/volume loss in both lower lungs. there is pulmonary vascular redistribution.
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left-sided pleural effusion.
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heart size remains top normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are mild multilevel degenerative changes seen in the thoracic spine with mild loss of height anteriorly of a mid thoracic vertebral body.
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history: <unk>f with near syncope
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single portable upright frontal image of the chest. there has been interval increase in the opacity of the right lung base, which could represent atelectasis but is concerning for pneumonia or aspiration. the pulmonary vasculature is slightly more prominent than on prior exam and there are increased interstitial markings, consistent with mild pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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shortness of breath.
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a right-sided picc appears to end within the superior cavoatrial junction. of note, there is a curvature of the line in its course through the subclavian vein that was not seen in the prior examination. otherwise, the lungs are well inflated and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. mild elevation of the left hemidiaphragm is present. a healed right posterior rib fracture is present.
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<unk>-year-old female with picc malfunction. evaluate picc placement.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal, and unchanged from the prior exam.
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chest pain.
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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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*** fall precautions *** history: <unk>m with agitation. r/o infection. elev wbc // eval for pna
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frontal and lateral views of the chest. there are diffuse sclerotic osseous metastases throughout the vertebral bodies, ribs and other visualized osseous structures. the increased attenuation somewhat obscures detailed evaluation of the lungs which are grossly clear. the cardiomediastinal silhouette is within normal limits.
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<unk>-year-old male with hypotension.
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pa and lateral views of the chest provided. the lungs appear somewhat hyperinflated on the lateral projection. no focal consolidation, effusion or pneumothorax is seen. the heart is moderately enlarged. the mediastinal contour appears normal. no acute osseous abnormalities.
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<unk>f with doe, afib // acute pulm pathology
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there is minimal scarring in the lateral aspect of the right mid lung. the lungs are otherwise clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. there is re-demonstration of a left-sided pacemaker with unchanged positioning of right atrial and right ventricular leads.
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history of hiv, presenting with chest pain. evaluate for infiltrate.
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old woman with right-sided chest pain cough.
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frontal and lateral chest radiographs demonstrate a mildly enlarged heart and improved lung volumes compared to prior chest radiograph. the convex lateral contour of the right mediastinal margin reflects the dilated ascending aorta. no focal consolidation to suggest pneumonia. there is a small left pleural effusion. no pneumothorax is seen. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a patient with fever after operation.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. .
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history: <unk>m with substernal cp // r/o infectious process
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midline tracheostomy tube is again seen. the previously seen right-sided picc is no longer present. moderate right and a small left pleural effusions are grossly stable in position. rounded density measuring approximately <num> cm projecting over the lateral right upper lung is stable. in the interval since the prior study, there has been significant interval increase in left perihilar opacity and is some right perihilar opacity to lesser extent. given history of pulmonary hemorrhage, findings could represent worsening hemorrhage, asymmetric pulmonary edema, infectious process not excluded. no evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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pulmonary hemorrhage, dyspnea.
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upright pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of large pleural effusion, pneumothorax, overt pulmonary edema, or focal airspace opacity. the heart is chronically mildly enlarged, stable compared to prior studies. a dual-lead pacemaker device is unchanged in position, with leads terminating in the right atrium and right ventricle. the heart is mildly enlarged. aortic arch calcifications are again noted. multilevel degenerative changes are present in the thoracic spine.
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<unk>-year-old female with shortness of breath. evaluation for infiltrate or chf.
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lung volumes are low which accentuates the size of the cardiac silhouette.heart size is mildly enlarged. aorta is unfolded. hilar contours are unremarkable. bronchovascular crowding is demonstrated without overt pulmonary edema. patchy opacities in lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
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history: <unk>m with right chest pain
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pa and lateral views of the chest. the lungs are clear of consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
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<unk>-year-old female with productive cough and shortness of breath. question pneumonia.
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re-identified is a left chest cardiac device with associated dual leads projecting over the right atrium and ventricle in unchanged, appropriate location. new since the prior exam is an enteric tube with distal tip projecting below the lower limit of the radiograph, however with side port seen projecting over the midline upper abdomen, difficult to definitively located however likely several cm distal to the ge junction. clip projecting over the left hemithorax is likely extracorporeal. the cardiomediastinal silhouette is stable, consistent with moderate cardiomegaly. the hilar within normal limits. re-identified are multifocal airspace consolidations, most conspicuously affecting the medial right upper lobe and right lung base, partially visualized. increased hazy opacification of the left lower lung is noted, possibly technical in nature. there is likely a small left pleural effusion. findings consistent with mild pulmonary vascular congestion are seen, incompletely evaluated on this study. no pneumothorax is identified.
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<unk>-year-old man with small bowel obstruction, aspiration pneumonia, evaluate ng tube placement.
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the carina is not well delineated. the tip probably lies approximately <num> cm above the carina. an orogastric tube is present and extends beneath the diaphragm off the film. other ng type tube is seen extending beneath diaphragm, off film. a left subclavian central line tip overlies the distal svc. no pneumothorax is detected. cardiomediastinal silhouette is probably unchanged allowing for technical differences and lower inspiratory volumes. there is upper zone redistribution and mild diffuse vascular blurring, consistent with chf, similar to the <unk>. again seen are small bilateral effusions, possibly minimally improved.
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<unk> year old woman s/p sfa stent // follow up effusions
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the cardiomediastinal silhouette is normal and unchanged. the hila and pleura are unremarkable. the lungs are markedly hyperinflated with flattening of the hemidiaphragms suggestive of chronic lung disease. bibasilar atelectasis and scarring is seen and unchanged from previous studies. no focal opacifications, pleural effusions, or pneumothorax are seen. chronic right-sided rib fractures are again seen and unchanged.
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<unk> year old woman with coarse breath sounds, cough x <num> weeks // r/o cap vs other
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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 syncope // eval for chf/pna
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pa and lateral views of the chest provided. minimal wispy opacity in the left lower lobe could represent a small focus of pneumonia in the correct clinical setting. otherwise lungs are clear. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact.
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<unk>m with h/o cold // eval for infection
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there is a large right effusion layering posteriorly with obscuration of the right hemidiaphragm. it is difficult to assess for an underlying infiltrate given the amount of effusion. there is mild pulmonary vascular redistribution. the stomach is markedly distended. left lung is relatively clear.
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status post thoracentesis with this decreased breath sounds.
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right chest wall port is new since prior. catheter tip at the ra/svc junction. the lungs are clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with hypoxia and cp // pna?
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with trauma status post being pushed down stairs
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low lung volumes continue to be seen, and the cardiac and mediastinal contours are normal. small left pleural effusion is seen on the lateral chest radiograph, and no focal consolidation or pulmonary edema is seen. no pneumothorax is visualized.
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<unk>-year-old woman with myasthenia <unk> status post thymectomy, evaluate for pneumothorax.
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected.
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chest pain.
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there is no evidence of free intraperitoneal air on upright film. 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> year man with acute abdominal pain, evaluate perforation.
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compared to prior radiograph, the lungs are hyperinflated. there has been improvement of the left lower lobe opacity, and while residual or new pneumonia may be present, evaluation is difficult due to severe underlying bronchiectasis. the right lower lobe opacity may have been present on prior exam. aortic stenosis is severe on prior ct. the heart size is top-normal. mediastinal and hilar contours are normal. no pleural abnormality is seen. dual-chamber left-sided pacer is seen. aortic knob calcification is unchanged.
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<unk> year old woman with recent pneumonia. resolution of pneumonia.
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single portable view of the chest is compared to previous exam from <unk>. the lungs are clear of focal consolidation, large effusion or pulmonary vascular congestion. cardiomediastinal silhouette is unchanged. mid thoracic dextroscoliosis and hypertrophic changes again seen in the spine. chronic deformities seen at the right humeral head and glenoid, similar to prior exam.
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<unk>-year-old female with chest pain. shortness of breath.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with chest pain
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ap portable upright view of the chest. 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 hypotension, generalized weakness // pneumothorax, other acute
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status post icd with leads in standard placement. previously seen bilateral effusions are resolved and bibasilar atelectasis continue to improve. decreased vascular congestion bilaterally. cardiomegaly slightly improved as well. no evidence of pneumothorax or pneumomediastinum. no focal consolidation.
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<unk> year old woman with recurrent vomiting, recent icd placement, subcutaneous thickening above xyphoid. // eval for subcutaneous air at site of skin thickening above xyphoid
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MIMIC-CXR-JPG/2.0.0/files/p15447063/s58049977/80c1d88e-0a84c04d-30ce809e-9692febe-25a3dc59.jpg
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mild cardiomegaly is unchanged with coronary artery stenting again seen. the mediastinal and hilar contours are stable with calcification of the aortic knob again noted. there is mild interstitial pulmonary edema, worse when compared to the prior study. additionally, more focal patchy opacities are noted within the periphery of the right upper lung field and left mid lung field, which are nonspecific but may represent areas of developing infection. small bilateral pleural effusions are noted. there is no pneumothorax. there are no acute osseous abnormalities.
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recent surgery with cough and fevers.
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lung volumes are low. heart size is borderline enlarged with a left ventricular predominance, unchanged. the aorta is mildly tortuous. hilar contours are unremarkable, and there is no pulmonary edema. bibasilar patchy airspace opacities appear slightly progressed in the interval, which could reflect a combination of patient's known chronic interstitial lung disease with superimposed atelectasis, but progression of the patient's known chronic interstitial lung disease cannot be excluded. there may be a small left pleural effusion. no pneumothorax is identified. there are no acute osseous abnormalities.
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chronic interstitial lung disease, bronchiectasis with progressive weakness of unclear etiology.
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MIMIC-CXR-JPG/2.0.0/files/p18798039/s50184390/0392054d-e0247e71-5f0f8c05-4b9668df-1793d154.jpg
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again seen is a right picc with tip terminating in the upper svc. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well expanded with a vague opacity at the right lung base which may represent an evolving aspiration.
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query aspiration pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12838969/s54934338/e4464b30-6f634812-cb50a41f-cea55249-4a6e0fb1.jpg
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frontal and lateral views of the chest. there is mild pulmonary vascular congestion without evidence of consolidation or effusion. linear opacity in the retrocardiac region on the lateral view may be due to focal atelectasis or thickening of the fissure. cardiac silhouette is enlarged but unchanged. dual lead pacing device is seen with leads in similar positions. median sternotomy changes are again seen. no acute osseous abnormality detected.
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<unk>-year-old male with syncopal episode and shortness of breath.
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allowing for differences in technique, comparing with the prior scout view, the cardiac, mediastinal and hilar contours appear unchanged. lungs are hyperinflated. there is no pleural effusion or pneumothorax. the lungs appear clear. bones appear demineralized with mild-to-moderate degenerative changes and rightward convex curvature centered along the mid thoracic spine. along the left upper lateral chest there are irregularities involving the lateral aspect of the descending upper left ribs concerning for one or more rib fractures, possibly involving the second through fourth ribs, although acuity is uncertain since old rib fractures were present on the left before.
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altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p11180362/s55561098/4f037de6-093d342b-8b01a861-da40ddef-8770b0c9.jpg
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small left apical pneumothorax is unchanged. otherwise, the lungs appear similar to prior same day chest radiograph. left pacemaker is in unchanged position. the heart is difficult to assess due to surrounding opacities and compressive atelectasis.
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<unk> year old man with lung cancer and severe pna // rule out worsening ptx
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MIMIC-CXR-JPG/2.0.0/files/p14243942/s56007679/fc841263-bd180dcc-d922514d-701c6089-ca13d5d0.jpg
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the cardiac, mediastinal and hilar contours appear stable. there is minimal medial basilar opacification bilaterally probably due to minor atelectasis. otherwise, the lungs appear clear. there is no pleural effusion.
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altered mental status.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
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<unk> year old man with eosinophilic lung disease and worsening cough // e/o pna
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MIMIC-CXR-JPG/2.0.0/files/p12420954/s51868674/fff4128b-6c5dbb3e-dfdf906a-72711441-23d67166.jpg
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the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>f with chest pain, sob // presence of ptx, infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p17400716/s58661057/833a915c-da19a0f6-b4f16605-4f74b45d-c90f8421.jpg
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there is a moderate amount of pulmonary edema. cardiomegaly is again present. bilateral pleural effusions left greater than right. no focal opacities concerning for pneumonia. no pneumothorax.
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<unk>f with cough, l>r crackles // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p12576428/s58319754/9d356942-c827eba7-0ad6589c-5f46a5c5-865fe89f.jpg
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heart size is mildly enlarged. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk>f with cough and fever, please eval for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p19453522/s56305136/0a69057d-9ce321b9-458ff445-c6d4d1a8-e74fb451.jpg
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cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax. bones are grossly unremarkable.
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history: <unk>m with cp, lethargy // ? ptx, effusion, consolidation
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MIMIC-CXR-JPG/2.0.0/files/p17886891/s52781069/5586fcc2-2d09cad8-cea49764-f64f8fa4-4cd5b06d.jpg
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the heart size, mediastinal, and hilar contours are normal. the lungs are slightly hyperinflated, but clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with cough, ams. eval for pna.
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MIMIC-CXR-JPG/2.0.0/files/p17675778/s52759489/0f3545de-0a24b8a3-5d309892-b2b55514-6a3e23b5.jpg
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lungs are clear on the frontal view. on the lateral view heterogeneous radio opacity, <num> cm across, in the middle lobe or lingula, projects over the anterior cardiac silhouette. its chronicity is indeterminate because there are no prior lateral chest radiographs. it could be a scar,, but it could also be a small pulmonary infarct or in lung nodule. when feasible, repeat radiographs should be obtained at full inspiration if the abnormality persists it should be evaluated with chest ct. no effusion or pneumothorax. heart is top-normal in size. mediastinum and hilar contours are normal. no subdiaphragmatic free air is identified.
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history: <unk>m with epigastric pain // epigastric pain, blood, sob
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MIMIC-CXR-JPG/2.0.0/files/p14657829/s55740528/fb038088-de0c9c2a-83134e31-41b0ca1d-b957279e.jpg
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portable upright view of the chest demonstrates low lung volumes. loculated right pleural effusion is essentially unchanged since <unk>. small left pleural effusion persists. moderate cardiomegaly is unchanged. fullness at the level of azygos vein is noted. aortic arch calcifications are noted. pulmonary edema appears progressed since prior. there is no pneumothorax. bibasilar airspace opacities may reflect compressive atelectasis.
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patient found down. assess for pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p19663512/s51258750/6c1c5e0c-eeb9089b-3fc6ecdd-9c9fa915-1369337f.jpg
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an icd device is noted over the left anterior chest. lead positions remain unchanged from the prior study. heart is normal in size and configuration. cardiomediastinal contours are unremarkable. lungs are clear with no evidence of focal infiltrates. no pleural effusion and no pneumothorax.
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<unk>-year-old lady with history of idiopathic dilated cardiomyopathy, heart failure, status post biventricular icd in <unk>, rule out lead dislodgement.
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MIMIC-CXR-JPG/2.0.0/files/p16016920/s50801751/65873fd9-1fa871eb-35707d56-b18bf2ee-76f6ed78.jpg
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the cardiac silhouette remains enlarged. the cardiac and mediastinal silhouettes are stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. no overt pulmonary edema is seen.
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history: <unk>m with cough, weakness // ? acute cardiopum process
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MIMIC-CXR-JPG/2.0.0/files/p19932477/s58429716/896d6cbd-2e37e258-aeb9a2e6-b4dbe906-f2a2ae53.jpg
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
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<unk> year old woman with severe asthma, complains of new cough. on exam sounds diffusely wheezy consistent w/ baseline, but has some expiratory rales in r base. // rule out pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12124741/s52979134/ebf694d1-74d14ed6-c1695437-a0c9b0f3-cb905ce8.jpg
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lungs are low in volume but clear. there is no pleural effusion or pneumothorax. a left subclavian port-a-cath is seen terminating in the superior cavoatrial junction. heart is top normal in size and normal cardiomediastinal silhouette. slight leftward deviation of the trachea is stable and perhaps due to thyroid enlargement.
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chest pain, assess for acute process.
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a right chest wall port-a-cath is in unchanged position ending in the cavoatrial junction. stable normal heart size and tortuosity of the thoracic aorta. left basilar linear atelectasis is unchanged. otherwise, the lungs are clear. no pleural effusion or pneumothorax. vertebroplasty in the lower thoracic spine is unchanged.
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<unk> year old woman with multiple myeloma on chemo, two week history of cough. afebrile. r/o infiltrate // cough x<num> days. no improvemnet on antibiotics. on chemotherapy. afebrile
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MIMIC-CXR-JPG/2.0.0/files/p19363901/s55536479/b27adf5d-2874cf99-a97e946f-78823ecf-0bc3c7b2.jpg
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left base atelectasis is seen. there is blunting of the left costophrenic angle which may be due to a trace pleural effusion. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen.
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history: <unk>f with acute onset left sided chest pain // pneumothorax?
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MIMIC-CXR-JPG/2.0.0/files/p19483685/s54231693/bf7675e2-cfb72ead-08eca66a-bae32009-87ef87a2.jpg
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frontal and lateral radiographs of the chest were acquired. 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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question of myocardial infarction with percutaneous intervention <unk> years ago, lost to follow up. now presenting with bilateral weakness. assess for cardiac abnormalities.
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MIMIC-CXR-JPG/2.0.0/files/p16438060/s58242333/be835807-d45dbafd-7cccba05-e5583afe-cd7d6e6f.jpg
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lung volumes are relatively low. increased interstitial markings are seen in the lungs particularly in the right upper lung. surgical chain sutures and clips project just lateral to the right hilum. right-sided volume loss is noted with rightward tracheal deviation. there is no focal consolidation. blunting of the posterior costophrenic angles could be due to small effusions or pleural thickening. cardiac silhouette is mildly enlarged. tortuosity with atherosclerotic calcifications seen in the thoracic aorta.
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<unk>f with abd pain, ruq tenderness, fatigue, fever // pna? cholecystitis?
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MIMIC-CXR-JPG/2.0.0/files/p14645074/s57561291/345b636b-1e2616d9-fee5c4b5-5b54d4ef-bb539207.jpg
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cardiac silhouette size is normal. the aortic knob appears dilated to <num> cm, more pronounced than that seen on the prior ct of the chest from <unk>. hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
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history: <unk>m with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p13294123/s51885034/d6b3576d-f7048648-7aa71bd4-6fc793d6-9a326197.jpg
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interval improvement of middle to upper left lung consolidations when compared to <unk> study and normalization of mediastinal structures (previously with a leftward shift). there is stable bilateral lower lobe reticulations compatible the patient's known interstitial lung disease. the cardiomediastinal silhouette is mildly enlarged and stable from previous studies.
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<unk> year old man with lul narrowing now s/p dilation // post dilation
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MIMIC-CXR-JPG/2.0.0/files/p17042066/s59543894/cc69f7a5-090a430d-a707f88b-807ebe32-0f5eed07.jpg
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable. there is a new dual lead pacemaker with tips projecting over the expected location
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<unk> year old man s/p ppm // <unk> year old man s/p ppm
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MIMIC-CXR-JPG/2.0.0/files/p19985757/s50121353/07f156e2-b8290a19-a20244c9-953487ed-659ba091.jpg
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no significant interval change as compared to chest radiograph from <num> day prior. no pulmonary edema, pneumonia, effusions or pneumothorax. cardiomediastinal silhouette is unchanged. the dual lead pacer is in similar positioning.
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<unk> year old woman sp av nodal ablation // pulmonary edema?
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MIMIC-CXR-JPG/2.0.0/files/p18790815/s52380672/fadc898a-fa622bec-f0a0ab5d-097e80ed-c16f47bf.jpg
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no previous images. the heart is normal in size and lungs are clear without vascular congestion or pleural effusion.
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cough for a month.
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MIMIC-CXR-JPG/2.0.0/files/p15182579/s57892008/a56a4be2-73c69fce-03e4e77c-5ece0b04-dad8daf2.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 stable.
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history: <unk>m with sob confusion // eval for pna cxrhead ct eval for ich
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MIMIC-CXR-JPG/2.0.0/files/p18297847/s53337004/d2cdce24-b1f30a30-12a8d19e-a2280b7d-510eb22b.jpg
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lung volumes are low and accentuate heart size and interstitial markings. no focal consolidation, effusion or pneumothorax. there is no central vascular congestion congestion without overt pulmonary edema. mild hilar prominence and mild cardiomegaly are stable.
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<unk>m +cp // <unk>m +cp
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MIMIC-CXR-JPG/2.0.0/files/p18842881/s54437284/5b8520ee-97309902-bc1956c7-0891d813-b3aacb1c.jpg
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
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cough, right upper quadrant pain.
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MIMIC-CXR-JPG/2.0.0/files/p16861367/s59689710/2887ee0e-fd3f2dac-0f1ec937-b63a1c3f-2b845a94.jpg
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compared to the prior study there is no significant interval change.
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vasospasm.
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MIMIC-CXR-JPG/2.0.0/files/p16196998/s58424637/c1a9ad07-aa78f5b5-3c1ebd64-9d1fb1e7-4f649ea3.jpg
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patient's condition required examination in sitting upright position using ap frontal and left lateral views. comparison is made with the next preceding similar study of <unk>. status post sternotomy, cardiac enlargement and previously identified left-sided permanent pacer with evidence of right atrial and biventricular pacing electrodes in unchanged position. the previously identified advanced interstitial edema with patchy densities in bilateral position has markedly improved. no new local discrete pulmonary parenchymal infiltrates are present, nor is there evidence of increased pleural effusion in either lateral or posterior pleural sinuses. no evidence of pneumothorax in the apical area.
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<unk>-year-old male patient with aspiration pneumonia and heart failure. signs of worsening pneumonia versus pulmonary edema?
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MIMIC-CXR-JPG/2.0.0/files/p18855302/s53537225/bafbef15-550a6520-fbcd3b2c-81552b65-3050c322.jpg
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interval placement of a right internal jugular catheter with tip in the right atrium. heart size is normal and unchanged. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is bibasilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
|
<unk>f with hypotension. now w r ij cvl // confirm r ij cvl
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MIMIC-CXR-JPG/2.0.0/files/p17584340/s59386808/ed88547c-a457de74-5f7975d1-4b285248-0e18c06b.jpg
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one ap frontal view of the chest and lateral view of the chest. there is a large posterior left fifth rib lesion that is similar compared to ct chest on <unk>, representing metastatic lesion. there are no new bone lesions. there are degenerative changes of the thoracic spine. there are low lung volumes which crowd the pulmonary vasculature. bilateral linear areas of atelectasis with no evidence of confluent consolidation. there is no pleural effusion or pneumothorax.
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shortness of breath, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17412632/s59216038/e8a3473f-b3f42b26-31878ab4-e77b8ab5-462b8690.jpg
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heart size is mildly enlarged with a left ventricular predominance. the aorta is diffusely calcified and tortuous. no mediastinal widening is otherwise noted. pulmonary vasculature is not engorged. hilar contours are normal. linear opacities in both lung bases are compatible with areas of subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are moderate multilevel degenerative changes seen in the thoracic spine.
|
history: <unk>f with history of cad, chf, who presents with chest pain and new twi, concern for new cardiac ischemia.
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MIMIC-CXR-JPG/2.0.0/files/p15872837/s54440196/da814ae2-a172f505-560cd12e-90701a65-2c773fae.jpg
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the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. visualized osseous structures are unremarkable.
|
history: <unk>f with cough/chest pain x <unk> days with fever and decreased r lower lobe lung sounds // ? pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p17149055/s57020980/e5a51681-e751de46-6622627a-1c0a1841-309f2310.jpg
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a frontal supine view of the chest was obtained portably. the patient has been extubated. the nasogastric tube follows the expected course, ending in the stomach which is distended with air. the right internal jugular catheter ends in the mid svc and appears kinked on this single image. low lung volumes results in bronchovascular crowding with right basilar atelectasis. retrocardiac opacity is likely due to atelectasis. there is no substantial effusion or pneumothorax. heart size is normal. an imaged loop of small bowel is dilated to <num> cm.
|
lower gi bleed and hemodynamic instability status post total colectomy.
|
MIMIC-CXR-JPG/2.0.0/files/p16414344/s59141017/e5c2c915-09fc8aaf-3023c331-14ebdfb4-a1b0b4b7.jpg
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lung volumes are lower than on the previous study. the cardiomediastinal and hilar contours remain stable accounting for this fact. mild blunting of the left costophrenic angle is indicative of a small pleural effusion. there is no pneumothorax. bilateral parenchymal opacities have substantially worsened since the prior study. note is made of a stent in the left axilla, likely in the left subclavian vein.
|
assess for interval change in pulmonary edema.
|
MIMIC-CXR-JPG/2.0.0/files/p14122934/s59534907/f0a49bff-d43939ec-c4b5c712-bda9be2d-51c7eaa1.jpg
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the left lung volume is low with elevation of left hemidiaphragm suggesting volume loss likely secondary to left basilar atelectasis. small moderate left pleural effusion. right basilar atelectasis. there are extensive indistinct interstitial markings which are more likely consistent with pulmonary edema but some may reflect chronic lung disease and/or interstitial lung disease. the cardiomediastinal silhouette is enlarged with associated pulmonary vascular congestion. stable calcification of the aortic arch and descending aorta.
|
<unk> year old man with sob, crackles all the way both lung fields // ? chf
|
MIMIC-CXR-JPG/2.0.0/files/p14169880/s53923703/2c837379-05e9ffae-b496340c-2b09254f-4847ad20.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 tachycardia // eval ptx
|
MIMIC-CXR-JPG/2.0.0/files/p10541652/s59187821/bca18d8c-e9e0f505-eb75503a-c006dc28-1df5206d.jpg
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pa and lateral views of the chest. since prior there has been resolution of the right anterior pleural-based density which was likely a hematoma. biapical scarring right greater than left is again seen. the lungs are otherwise clear. cardiomediastinal silhouette is unchanged. osseous structures demonstrate no acute abnormality. presumed coils seen in the anterior chest wall.
|
<unk>-year-old male confusion.
|
MIMIC-CXR-JPG/2.0.0/files/p14382048/s56512513/a94fa83f-cb9f8378-55599d31-1f1ea13a-07506ab2.jpg
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there is an orogastric tube. the radiopaque tip extends beneath the diaphragm and partially off the film. it overlies expected site of the gastric fundus, similar to <unk>. it has not passed beyond the pylorus. right sided catheter overlies the right atrium. left-sided catheter overlies did distal svc near the svc/ra junction. no pneumothorax is detected. again seen is the right-sided pigtail catheter at the right lung base medially. there is probable atelectasis and mild vascular plethora in the right lung, similar to the prior study. no obvious pneumothorax is identified. no gross effusion. radiopaque structure again seen overlying the lower right chest wall. again seen is cardiomegaly with dense increased retrocardiac opacity and obscuration left hemidiaphragm, similar to the prior film. mild vascular plethora seen in the left upper lung. possibility of a small left pleural effusion cannot be excluded.
|
<unk> year old man with pleural effusion s/p chest tube // assess for pneumothorax; chest tube placement
|
MIMIC-CXR-JPG/2.0.0/files/p18745255/s58038380/d43178b4-a85b3120-3b7b154a-356aeb50-cc949571.jpg
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
|
diffuse malaise. evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p11226405/s52772131/3d07f917-66632c9f-ec00fa12-487007d4-4840ef09.jpg
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there are overlying ekg leads. the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. bony structures are intact
|
<unk>f with asthma exacerbation. evaluate for acute cardiopulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p17119475/s58216120/0e0c1001-ca9679ef-46722a0f-75f0d077-271163d2.jpg
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there is bibasilar atelectasis. low lung volumes. no definite focal consolidation consistent with pneumonia. no edema. no pneumothorax. the cardiomediastinal and hilar contours are stable.
|
acute asthma exacerbation viral bronchitis, evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p18780759/s50263176/60f37db8-a831073a-0e2598b7-e61a19b4-6edde8c2.jpg
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cardiac silhouette size remains moderately enlarged, with prominent epicardial fat re- demonstrated. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not large. lungs are hyperinflated without focal consolidation. no pleural effusion or pneumothorax is clearly identified. multiple areas of lobulated lateral pleural thickening are seen bilaterally likely reflective of pleural fat deposition, however <num> of these regions within the left lateral lower hemi thorax is larger compared to the previous chest radiograph, measuring approximately <num> x <num> cm on the frontal view. no acute osseous abnormality is visualized.
|
history: <unk>m with shortness of breath
|
MIMIC-CXR-JPG/2.0.0/files/p15680141/s59033552/faf9ec63-34ce2120-d0bce6eb-df8d3b6d-88795c55.jpg
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the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are clear without evidence of focal consolidations, pneumothoraces or pleural effusions. the visualized osseous structures are unremarkable.
|
history of left lower chest wall pain. rule out pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p12428492/s52221861/fc0b3c1c-e8c285b9-26907659-56401727-3b52d565.jpg
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no previous images. the heart is normal in size and lungs are clear without vascular congestion or pleural effusion.
|
cough for three weeks.
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MIMIC-CXR-JPG/2.0.0/files/p14449392/s56052206/f32dd8eb-2a5f560f-2d1e8dc2-d6a5093a-b9e693bd.jpg
|
ap upright and lateral views of the chest provided. lateral view is somewhat suboptimal due to overlying arm. there is no focal consolidation, effusion, or pneumothorax. heart size appears top-normal. mediastinal contour is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
|
<unk>f with ams and leukocytosis and cough pls eval for pna //
|
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