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the heart is normal in size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there is similar moderate relative elevation of the right hemidiaphragm, compared to the left. there is no pleural effusion or pneumothorax. small osteophytes are present along the lower thoracic spine.
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shortness of breath and chest pain.
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endotracheal tube terminates <num> cm above the carina. right ij catheter is in the upper to mid svc. enteric tube is below the diaphragm with the tip is not visualized. moderate pulmonary edema with cephalization of the vessels is unchanged. the cardiomediastinal silhouette is stable. there is no large effusion or pneumothorax.
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<unk>-year-old woman with propranolol and bupropion overdose
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the lungs are well expanded. no focal consolidation is identified. mild bronchial wall thickening may reflect reactive airways disease. mild blunting of the right costophrenic angle may represent pleural thickening or a small pleural effusion. there is no pneumothorax or pulmonary edema. the heart size is top normal. patient has had prior right shoulder replacement. degenerative changes are also seen in the left shoulder.
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history: <unk>f with sob, tacky // pna?
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bibasilar opacities, predominately affecting the base of the right lung are suggestive of worsening pneumonia, markedly increased from <unk>. lung volumes are somewhat low which accentuates bronchovascular markings. the heart is minimally enlarged. the aorta is tortuous. no pneumothorax or large pleural effusion. mild pulmonary vascular engorgement and interstitial edema.
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<unk> year old woman with rll pneumonia with worsening hypoxemia // ? flash pulm edema
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the side hole of the right chest tube lies outside the chest and in the subcutaneous tissue. there is persistent moderate right pneumothorax with more anterior component component than apical. the pneumothorax may be slightly larger. the moderate residual right pleural effusion is stable and contains locules of air including fissural component. mild pulmonary vessel congestion is improved. mild cardiomegaly is unchanged.
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<unk>m s/p falls on <unk> presented w/large right hemothorax s/p chest tube, on waterseal // interval changes, effusions, pneumothorax. please do at <num>am
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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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history: <unk>m with chest pain shortness of breath // eval for pna
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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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<unk>f with chest pain. evaluate for infectious process.
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frontal and lateral chest radiographs demonstrate clear lungs with slightly low lung volumes, which are unchanged from prior. there is no effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal. the pulmonary vasculature is normal.
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<unk>-year-old male with difficulty ambulating, evaluate for infection.
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with fever // pna
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frontal and lateral views of the chest are compared to previous exam from <unk>. lungs are free of consolidation or effusion. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with fever, fatigue and shortness of breath. elevated white blood cell count.
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interval development of airspace opacity in the left lower lobe with silhouetting of the left hemidiaphragm, new since <unk>. there is ill-defined opacity in the right lower lobe. the cardiac silhouette is compared well. no interstitial edema. there is blunting of the left costophrenic likely small effusion.
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<unk> year old woman with hx of mca ich c/b seizure d/o p/w peg dislodgement and colonic pseudo-obstruction now with tachypnea, teachycardia, fever, concern for infection or aspiration // evaluate for acute process
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the lungs are clear. cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. pneumothorax or pleural effusion.
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<unk> year old woman with cough x <num>+ weeks, productive // ? pna
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there is asymmetry of the right lung base, which could be merely atelectasis, but given the clinical history, the possibility of superimposed pneumonia is considered. the right hilum is more prominent than the left, although this has not much changed since the radiograph from <unk> years prior in <unk>. there is no pleural effusion or pneumothorax. osseous structures are unremarkable.
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<unk> year old man with cough, fever, sob. r/o pneumonia.
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the lungs are well inflated and clear. no pleural effusion or pneumothorax. stable prominence of the right hilum, unchanged from <unk>. heart size, mediastinal contour, and hila are otherwise unremarkable. aortic arch calcifications are present. cardiac pacer and endovascular aortic valve replacement again noted. limited assessment of the osseus structures are notable for mild multilevel degenerative changes of thoracolumbar spine with anterior osteophytes and disc space narrowing.
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<unk>f with chest pain. assess for acute process
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. a left picc terminates in the mid svc, unchanged in position from the prior exam. the cardiomediastinal silhouette is normal.
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febrile neutropenia.
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no prior for comparison. subtle increased interstitial markings bilaterally may be due to minimal interstitial edema or related to chronic lung disease. no lobar consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. aortic knob calcification is seen.
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history: <unk>m with weakness, cough // pna?
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a single-lead icd is in unchanged position. the lung volumes are low, somewhat limiting evaluation. there is minimal bibasilar atelectasis. the lungs are otherwise clear, without a consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart is mildly enlarged, unchanged from prior exam.
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chest pain. per omr, her icd fired this morning.
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the heart size is normal. the hilar and mediastinal contours are normal. there is a right-sided port-a-cath which appears to terminate in the mid svc, unchanged compared to the prior exam. the lung volumes are low. increased linear opacities at the lung bases bilaterally are likely due to atelectasis. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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history of altered mental status. please evaluate for pneumonia.
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endotracheal tube in situ with the tip in the appropriate position at the level of the medial clavicles. right-sided ijv cvp catheter in situ with the tip in the right atrium. nasogastric tube in situ in the stomach. bilateral pleural effusion with bibasal atelectasis appear radiographically similar.
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<unk> year old man with hx aml, pna // interval change evaluation
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there are small bilateral pleural effusions with overlying atelectasis. no definite focal consolidation is seen. azygos lobe is incidentally noted. no pneumothorax is seen. left apical pleural thickening/calcification is again seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
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history: <unk>m with doe // sob
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pa and lateral views of the chest were obtained. cardiomediastinal contour is notable for mild cardiomegaly. lungs are clear. pulmonary vasculature is within normal limits. there is no pleural effusion or pneumothorax.
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<unk>-year-old man with sudden onset shortness of breath and cough, rule out pneumonia/aspiration.
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right-sided port-a-cath tip terminates in the mid svc. cardiac and mediastinal contours are unchanged, with mild rightward shift the mediastinal structures. right-sided hilar lymphadenopathy is again noted, with right basilar opacity compatible with a combination of right lower lobe collapse and known malignancy.left lung is clear. the pulmonary vasculature is not engorged. a small right pleural effusion is demonstrated. no pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with confusion
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the tip of a right subclavian mediport extends at least to the level of the superior cavoatrial junction. the lungs are clear. there is no pneumothorax. flowing anterior spinal calcification with relative preservation of the intervertebral disc spaces is compatible with diffuse idiopathic skeletal hyperostosis (dish).
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<unk>-year-old male with history of mds and cough; evaluate for pneumonia.
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the lungs are hypoinflated. there is no pleural effusion, pneumothorax or focal airspace consolidation. streaky opacities are seen at the left lung base. heart is mildly enlarged but unchanged. mediastinal and hilar contours are unremarkable. note is made of surgical hardware in the cervical spine.
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altered mental status. evaluate for an acute 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. no free air below the right hemidiaphragm is seen.
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<unk>m with cough after potentially aspirating vomit
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. mid thoracic dextroscoliosis is noted.
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<unk>f with cough // ? pna
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the lungs are well expanded. bilateral reticular opacities are noted, most notably in the right upper lung, unchanged from prior exams and consistent with known emphysematous changes. there is biapical pleural thickening and thickening of the pleura along the minor fissure, similar to prior exams. trace pleural effusions are seen, minimally increased from prior exam. the cardiomediastinal silhouette is unremarkable.
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<unk> year old man with worsening ascites and hx of hep cirrhosis c/b hcc // eval for e/o hepatic hydrothorax or pna
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left-sided port-a-cath terminates in the low svc without evidence of pneumothorax.chronic right upper lobe opacity corresponds to partially calcified opacity seen on chest ct from <unk> no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the tubular structure projects over the upper abdomen, partially imaged
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history: <unk>m with fever and abd pain // r/o acute process
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heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are hyperinflated but clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
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history: <unk>m with dyspnea on exertion, history of multiple pulmonary infiltrates // evaluate for interval change in pulmonary infiltrates
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the heart size is normal. the mediastinal and hilar contours are within normal limits. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities present.
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cough and fever.
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lung volumes are low. increased retrocardiac opacity compared to the prior exam may reflect normal bronchovascular crowding and atelectasis in the setting of low lung volumes; however, infection appropriate clinical situation cannot be excluded. left lower lung atelectasis has increased in the interim. no large pleural effusion. the heart size is moderately enlarged, probably similar to the prior exam when accounting for lower lung volumes. the mediastinum is not widened. no pneumothorax. no acute osseous abnormality
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<unk>-year-old with shortness of breath and poor air movement on exam. pneumonia vs pleural effusion?
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portable semi-upright radiograph of the chest demonstrates well expanded clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation. the upper most apices are obscured by the patient's head.
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<unk> year old man with metastatic renal cell carcinoma, presenting with fever. assess for pna. // ?pna
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heart is mildly enlarged accompanied by pulmonary vascular congestion, minimal interstitial edema, and small bilateral pleural effusions. . there are no acute osseous abnormalities. healed rib fractures are noted.
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<unk> year old man with new onset of a fib and systolic chf on echo. // chf/effusion/other path?
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as compared to chest radiograph from the same day, new right-sided internal jugular venous catheter with tip in the low svc. defibrillator and lvad are in similar positioning. the lungs are otherwise unchanged in appearance.
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<unk> year old man s/p lvad new tlc // check tlc placement
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bibasilar atelectasis, particularly on the left, is new compared to <unk>. this is due to low lung volumes. given low lung volumes, no evidence of focal pneumonia is present. no pneumothorax. cardiac size is normal.
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cough
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the lungs are clear without evidence of consolidation or edema. there is no pleural effusion or pneumothorax. the aorta is tortuous with mild atherosclerotic calcifications. moderate cardiomegaly is stable.
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increasing shortness of breath and history of chf.
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there is no focal consolidation, pleural effusion or pneumothorax. streaky atelectasis is noted at the left lung base. cardiomediastinal contours are normal. no acute osseous abnormalities. no subdiaphragmatic free air.
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<unk>-year-old female with mild dyspnea and cough
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heart size remains mildly enlarged but unchanged. the aorta slightly tortuous but similar. pulmonary vasculature is normal. lungs are clear. no pleural effusion pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with chest pain
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large left pleural effusion has increased in size compared to <unk>. underlying consolidation most likely represents atelectasis. no pneumothorax is detected. the right lung appears clear. multiple right rib fractures are again noted. right humeral head hardware is seen.
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<unk>-year-old male status post left thoracentesis with concern for chylothorax.
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the lungs are well-inflated and grossly clear. there is no pleural effusion, or pneumothorax. the hilar contours are normal. mild cardiomegaly is unchanged. mild degenerative change of the thoracic spine is unchanged from prior.
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<unk> year old man s/p recent transabdominal transperineal proctectomy. now with cough and chest congestion since discharge/ // ? pneumonia
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there is bibasilar atelectasis, unchanged from the prior day. mild pulmonary vascular congestion is still present. no pleural effusion or pneumothorax. heart size is stable. a large amount of air is noted within the colon, which is incompletely imaged.
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hypoglycemia. now with worsening dyspnea.
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ap upright and lateral views of the chest were provided. cardiomegaly is noted, stable with mild pulmonary edema. upper lobe lucency likely reflects emphysema. no large effusions are seen. there is no pneumothorax. aortic atherosclerotic calcification is noted. no acute osseous injury. no free air below the right hemidiaphragm.
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<unk>m with wound infection, assess for free air.
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pa and lateral chest radiographs were provided. a right picc terminates in the lower svc. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. bones are intact. sutures and clips are seen in the left upper quadrant.
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<unk>-year-old woman with right upper extremity picc associated dvt and chronic abdominal pain, now with chest pain. rule out pneumonia or effusions.
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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 cough // ? pneumonia
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lungs are clear. cardiac silhouette is normal in size. no pleural effusion, pneumothorax, or pulmonary edema.
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<unk>-year-old man with chest pain, question pneumonia.
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the cardiac, mediastinal and hilar contours appear stable. there is no definite persistent pneumothorax. basilar opacities have resolved. mild irregularity along the right lower lateral lung may represent a recent site of biopsy, but the lung are essentially clear.
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status post vats right lung biopsy.
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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>m with ckd elevated creatine. evaluate for pneumonia.
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the lungs appear mildly hyperinflated which may reflect a degree of copd. the trachea is central. the cardiomediastinal contour is within normal limits. the heart is not enlarged. bilateral apical pleural scarring likely reflects remote granulomatous disease. no lobar consolidation, pneumothorax or pleural effusion seen.
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<unk> year old woman with stroke // eval for pna
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the tracheostomy tube is no longer visualized. diffuse bilateral interstitial opacities with perihilar predominance have increased as compared to the prior examination. there is also increased airspace consolidation in the lower lobes. small bilateral pleural effusions are stable. cardiomediastinal silhouette is unchanged including engorgement of the azygos and central venous structures.
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<unk> year old man with pleural effusion // eval
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the lungs are relatively hyperinflated. linear left base atelectasis/scarring is seen. there is also a relative linear opacity projecting over the lateral right upper lung which may be due to scarring, however, this could be further assessed on dedicated chest ct. there is no pleural effusion. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous. no evidence of free air is seen beneath the diaphragm.
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history: <unk>f with diarrhea, abdominal pain and distention, rebound // r/o free air
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the cardiomediastinal silhouette is stable. hilar contours are stable. lung volumes are low. bibasilar opacities given the low lung volumes are likely atelectatic; however, infection cannot be excluded by this appearance. no evidence of effusion or pneumothorax. sternotomy wires are in place, and surgical clips project over the mediastinum. no acute bony abnormality is identified.
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runny nose and cough for two days.
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single portable view of the chest. the lungs are clear consolidation or large effusion. the trachea is mildly deviated to the left at the thoracic inlet raising possibility of underlying thyroid enlargement on the right. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
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<unk>-year-old male with cough and fever.
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no consolidation, pleural effusion or pulmonary edema is seen, and the heart size is mildly enlarged. left pacemaker is seen with leads ending appropriately at the right atrium and right ventricle. no pneumothorax is seen following placement.
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<unk>-year-old woman status post pacemaker placement.
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MIMIC-CXR-JPG/2.0.0/files/p17845979/s59177418/dda9caa4-972a84e1-789a8ff8-c356642d-0dccaf37.jpg
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the lungs are well-expanded and clear. no focal pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette and hila are normal. no acute osseous abnormality.
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<unk>-year-old man with a recent diagnosis of lymphoplasmacytic lymphoma, being treated, who presents with fever to <num>; evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p11551014/s50198931/15a9070b-49ed4713-7fd43f71-d89d5935-d8437c79.jpg
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frontal and <num> lateral views of the chest. on the frontal exam, the lungs are clear. on <num> of the <num> lateral exams there is increased opacity projecting near the posterior costophrenic sulci which clears on the <unk> lateral view and is likely due to atelectasis. there is no pleural effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
|
<unk>-year-old male with slurred speech and vomiting. question pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p15029428/s59264166/b63ea1e1-6f99bb84-d02549ca-46a9caa0-8c751a93.jpg
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
|
<unk>f with dyspnea // r/o pna
|
MIMIC-CXR-JPG/2.0.0/files/p14701621/s53136263/b34e5260-881ca002-a262342a-fe2c3651-9c18aba3.jpg
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the cardiac, mediastinal and hilar contours appear unchanged. vague upper lung opacities known to reflect architectural irregularity associated with emphysema appear similar to the prior radiographs. there has been no significant change. the lungs appear hyperinflated. there is no pleural effusion or pneumothorax. mild loss in body heights among several mid thoracic vertebral bodies appears similar to the prior studies.
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low-grade fever. history of hiv. increased cough. history of copd on home oxygen.
|
MIMIC-CXR-JPG/2.0.0/files/p18798845/s57552781/6e84de9b-7eea2922-1b778d32-54eb14b7-870ff7ea.jpg
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. there is no displaced rib fracture.
|
hemoptysis after chest injury.
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MIMIC-CXR-JPG/2.0.0/files/p12974096/s51411372/b6273305-bfe8ef20-f23d06ce-cfd1f936-1fa54f92.jpg
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there is a moderate right apical pneumothorax. there is no significant shift of midline structures. mild bibasilar atelectasis is again noted, left greater than right. known right <num>-mm <unk>-<unk> nodule and bilateral calcified granulomas are not well delineated on this study. cardiac silhouette appears stable. osseous structures are grossly unremarkable.
|
evaluation of pneumothorax status post liver rfa.
|
MIMIC-CXR-JPG/2.0.0/files/p17596476/s55121938/263f4819-b4dfd02c-ca367db9-416335f6-b612913e.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
|
history: <unk>f with chest pain // eval for structural process
|
MIMIC-CXR-JPG/2.0.0/files/p15942546/s57461975/8c33e857-81f93def-efd08420-70bd99bb-44c17e40.jpg
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. the heart size remains normal. no configurational abnormalities are identified. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area on the frontal view. when comparison is made with the next preceding study again a small fat pad adjacent to the apical area of the heart contour is noted, which is not a pneumonic infiltrate as it appears on both frontal and lateral views in typical location and remains unchanged.
|
<unk>-year-old male patient with history of asthma, worsening of persistent cough in the past four days, chills, and faint basilar rales following inhalation of noxious fumes last week. is there pneumonia?
|
MIMIC-CXR-JPG/2.0.0/files/p15616804/s51948855/e9f4658b-1bacb20d-ef98c265-db4478f0-d0d2ad05.jpg
|
compare with the prior radiograph, the right ij central line and nasogastric tubes have been removed, and the patient is now extubated. left-sided chest tube is unchanged in position,, but there is evidence of a tiny left apical pneumothorax, with a pleural line projecting in the left third interspace. there is no associated mediastinal shift. mediastinal drain again noted. no new focal consolidation. a left pleural effusion is small. median sternotomy wires are intact. cardiomediastinal silhouette is otherwise unchanged.
|
<unk> year old man s/p cabg w/air leak from chest tubes, now on water seal. evaluate for pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p15873275/s52317748/f32b9c9c-a1a24bf5-86e63d31-84e08ddc-847aa1f3.jpg
|
single portable view of the chest is compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is within normal limits and unchanged given differences in positioning and technique. surgical clips project over the left chest wall and axilla. gastric band is partially visualized. osseous structures are unremarkable.
|
<unk>-year-old female with multiple falls and pain.
|
MIMIC-CXR-JPG/2.0.0/files/p12745380/s57975197/83310773-90e87a49-37d0e876-cdcdba77-0812881b.jpg
|
there is no focal consolidation, large pleural effusion or pneumothorax. severe cardiomegaly is re-demonstrated. no acute osseous abnormalities identified. there is scoliosis of the thoracic spine, convex of the left.
|
history: <unk>f with evidence of chf // eval for acute process
|
MIMIC-CXR-JPG/2.0.0/files/p17871820/s51829940/e11e9a96-14f9537e-a4727f2f-d6aee6a5-b4fb515f.jpg
|
the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
|
recurrent uris with congestion, cough, and chills.
|
MIMIC-CXR-JPG/2.0.0/files/p16050017/s51416169/7c51946a-0009f576-cfc42aa1-53506a0a-b3544db4.jpg
|
the cardiac, mediastinal and hilar contours are normal. lungs are clear. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
|
palpitations.
|
MIMIC-CXR-JPG/2.0.0/files/p17889192/s56496870/2e059ee0-dd2b4a6f-4812c266-adf8d700-fd7ec973.jpg
|
frontal and lateral views of the chest are compared to previous exam from <unk>. lungs are clear of focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. posterior spinal fixation hardware is again noted. osseous and soft tissue structures are otherwise unremarkable. right shoulder arthroplasty is noted.
|
<unk>-year-old male with right-sided rib cage pain, right knee pain. possible fall, intoxicated.
|
MIMIC-CXR-JPG/2.0.0/files/p13691037/s53846656/012e94fe-cef551d4-ef421ced-a3bd8e58-c5d7bdd4.jpg
|
the heart is at the upper limits of normal size. the lung volumes are low. the mediastinal and hilar contours appear within normal limits. there are no pleural effusions or pneumothorax. the lungs are clear. the osseous structures are unremarkable.
|
chest pain and cough.
|
MIMIC-CXR-JPG/2.0.0/files/p10466017/s55121975/226906c1-0f8d94b3-c8248d00-6702f449-16f37c42.jpg
|
the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
|
new onset atrial fibrillation.
|
MIMIC-CXR-JPG/2.0.0/files/p15486233/s51531124/45073d65-30de6d2b-d3b6e763-1212d3ca-8b100359.jpg
|
right middle lobe scarring with atelectasis, bronchiectasis, and elevation of the right hemidiaphragm are essentially unchanged. there is no new consolidation or pleural effusion. the left lung is clear. there is no pneumothorax. the cardiomediastinal contour is stable.
|
<unk> year old male; h/o necrotizing rml/rll pneumonia and empyema; rt lung abscess; s/p vats and pigtail drainage of empyema in <unk> // assess rt pleural space; r/o effusionr/o pulmonary infiltrate rt lung
|
MIMIC-CXR-JPG/2.0.0/files/p11543398/s55716411/11d2ca55-839d6289-b74f4240-e365c55a-bbb0b464.jpg
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there are increasing bilateral pulmonary opacities with relative sparing of the left apex, which is partially obscured by an overlying tube. there is no pneumothorax. there is widening of the pleural space bilaterally and blunting of the costophrenic sulci most likely representing pleural fluid. the heart appears enlarged. the aorta is tortuous and calcified.
|
pna, consolidation, volume overload
|
MIMIC-CXR-JPG/2.0.0/files/p12066929/s58096526/5619e2df-c549ca8c-83dbd3ac-fa59a4e7-60b6e1d1.jpg
|
the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
|
history: <unk>m with seziure d/o p/w two seziures // r/o pna
|
MIMIC-CXR-JPG/2.0.0/files/p17055118/s51664735/2afed2ae-5a3a34b3-6605d27f-d90df20f-c3c9198c.jpg
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single portable view of the chest. the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is within normal limits. median sternotomy wires noting a broken top wire, and mediastinal clips are again noted. no acute osseous abnormality detected.
|
<unk>-year-old male with fatigue. question pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p12521687/s52180073/6a1c429a-23dbd55e-78a93973-00fd31ad-2f801b92.jpg
|
pa and lateral views of the chest. there are bilateral band-like opacities extending towards the periphery are unchanged from most recent study and likely represents scarring. no pericardial or pleural effusion. there are no new opacities. a bulge in the right lower mediastinum represents left atrial enlargement. no evidence of pneumonia. no pulmonary vascular congestion.
|
history of lupus with bibasilar crackles and intermittent dyspnea, evaluate for interval change. question interstitial lung disease.
|
MIMIC-CXR-JPG/2.0.0/files/p10826816/s53221391/391c20ed-9b717b59-881c269d-5ff8df72-4adc16b9.jpg
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frontal and lateral radiographs of the chest show interval removal of an endotracheal tube since the preceding radiograph. mild pulmonary edema is improved with decreased pulmonary vascular congestion since <unk>. low inspiratory lung volumes are unchanged. bibasilar opacification with air bronchograms may represent focal consolidation in the correct clinical context or atelectasis. the right lung base is elevated by a subjacent subpulmonic right pleural effusion. no pneumothorax is present. the cardiomediastinal silhouette is unchanged. severe degenerative changes are noted in the thoracic spine.
|
<unk>-year-old male admitted with cerebellar hemorrhage and new afib, now with cough, here to evaluate for pneumonia or other pulmonary pathology.
|
MIMIC-CXR-JPG/2.0.0/files/p10388400/s59966168/bfa16b26-fa32eb66-530fb855-c4f57e58-9e4237e2.jpg
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the patient has been extubated and the nasogastric tube has been removed. a right subclavian central venous catheter terminates in the low svc. the right-sided pigtail catheter is unchanged in configuration. a small to moderate right pleural effusion may have increased. airspace opacities at the right base have also increased. the right subclavian central venous catheter terminates at the superior cavoatrial junction. a small to moderate left pleural effusion has is unchanged. left lower lobe collapse is also unchanged. moderate cardiomegaly despite the projection is unchanged.
|
<unk> year old woman with r chest tube to water seal pls obtain <unk> pm // <unk> year old woman with r chest tube to water seal pls obtain <unk> pm
|
MIMIC-CXR-JPG/2.0.0/files/p11314492/s53263068/c8568306-4584cf3d-7e1e8332-d23f3efb-e593cc90.jpg
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pa and lateral chest radiographs were provided. compared to the most recent prior radiograph, there is no significant change. again seen are changes of a right upper lobectomy. chronic pleural abnormality at the right base with some effusion is stable. prominent right hilus is unchanged. there is no focal consolidation or pneumothorax. the bones are intact.
|
<unk>-year-old woman with copd and history of chf, now with dyspnea on exertion. rule out chf.
|
MIMIC-CXR-JPG/2.0.0/files/p12139024/s55894119/afcbcdd0-cbb02374-53d9e169-88d1d424-f317851f.jpg
|
an endotracheal tube has been placed and appears slightly deviated to the right, however, the clinical team confirms an endotracheal location. the tip is located <num> cm above the carina. there is a non layering, large left pleural effusion. left retrocardiac opacity is likely a combination of pleural fluid and atelectasis. given the diffuse parenchymal abnormality, evaluation of the left hilus and mediastinum is limited. the right lung is clear. no pneumothorax.
|
upper gi bleed status post intubation. evaluate et tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p16511521/s56544749/60100e40-2c077a09-b2bfe81b-44575e9d-e757848e.jpg
|
the cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. no overt pulmonary edema is demonstrated. patchy right basilar opacity likely reflects atelectasis. known emphysematous changes are better assessed on the previous ct. no focal consolidation, pleural effusion or pneumothorax is present. multilevel degenerative changes in the thoracic spine are re- demonstrated. right humeral head prosthesis and intramedullary rod within the left humerus are partially visualized. remote healed right rib fractures are re- demonstrated.
|
fall with confusion.
|
MIMIC-CXR-JPG/2.0.0/files/p19048545/s56652670/d108945f-e77e9da5-7a6abaa1-994a4a64-61926cca.jpg
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
|
asthma and cough.
|
MIMIC-CXR-JPG/2.0.0/files/p14290455/s53193310/e8d3dab8-377f06a6-67dbe9e6-be191404-aed4620a.jpg
|
cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing mildly enlarged. the aorta is mildly tortuous. the pulmonary vasculature is normal. known air collection within the right anterior pleural space likely reflective of a pneumothorax is not well seen on the current exam. the remainder of the lungs appear unchanged. there is no large pleural effusion. contrast from the recent ct is noted within the collecting systems.
|
chest pain and shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p13676276/s57836671/0a74d252-d27cb1a0-610a89d3-fce269dd-3f610ac1.jpg
|
the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. the patient has had a right mastectomy as well as a right axillary dissection.
|
history: <unk>f with breast ca on chemotx, with chest pain and fever // eval effusion, pna
|
MIMIC-CXR-JPG/2.0.0/files/p11992675/s58901535/684f30c0-41207578-32fcd3be-64880d9f-2dcbd05a.jpg
|
the heart is mildly enlarged. the left cardiac contour probably corresponding to the atrial appendage appears somewhat prominent and central pulmonary arteries are probably slightly enlarged. there is a mild interstitial process with kerley b lines, particularly evident in the right lung, and this suggests mild vascular congestion. there is exaggerated kyphotic curvature of the thoracic spine and a lower thoracolumbar mild superior endplate compression deformity that is age indeterminant. the bones appear demineralized.
|
chills and weakness.
|
MIMIC-CXR-JPG/2.0.0/files/p15957723/s59569784/b8cadbfe-377c0b8f-e4aa5fc8-715b8250-a9868f49.jpg
|
the cardiac silhouette is mildly enlarged. hilar and mediastinal contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
|
history: <unk>f with afib presents doe x <num> days. // r/o pna vs pulmonary edema r/o pna vs pulmonary edema
|
MIMIC-CXR-JPG/2.0.0/files/p13156444/s51942020/1064d26e-0956dc5f-f207e402-d476fb25-f0940cc5.jpg
|
the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.
|
<unk>m current smoker with shortness of breath and diffuse wheezing
|
MIMIC-CXR-JPG/2.0.0/files/p11012882/s57403564/2658717f-c9ec2cb8-6913d5b8-ba5eeae6-7040c0e7.jpg
|
frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
|
patient with left supraclavicular fullness, rule out structural abnormality or lymphadenopathy.
|
MIMIC-CXR-JPG/2.0.0/files/p19384482/s59498681/5e50f350-7a461a25-9af016a4-de2796e3-e9ad2cbd.jpg
|
streaky bibasilar and retrocardiac opacities appear slightly improved as compared to prior. the lungs are hyperinflated. cardiac silhouette is unchanged. pulmonary arteries appear enlarged. no pneumothorax.
|
history: <unk>m with dyspnea, orthopnea // acute process
|
MIMIC-CXR-JPG/2.0.0/files/p12538793/s50589359/af7f9a97-441fa000-4f8b336a-1909862a-2a1be219.jpg
|
there is been interval replacement of a left picc with the tip projecting over the mid svc. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax.
|
picc placement.
|
MIMIC-CXR-JPG/2.0.0/files/p16148446/s51279249/231542bb-0a887a5b-e7c0b452-52bc89be-1ee36134.jpg
|
since the prior outside hospital radiograph, the tip of the endotracheal tube has slightly advanced, which may be a function of chin position, and is located less than <num> cm from the carina. the nasogastric tube is in the stomach. lung volumes are low and there is mild bibasilar atelectasis. no pleural effusion, consolidation, pulmonary edema or pneumothorax. heart size is normal.
|
history: <unk>f with s/p intubation concern for status. // ett placement confirmation
|
MIMIC-CXR-JPG/2.0.0/files/p15389058/s58995261/d78b554a-087b83d8-24a9f458-2b66111d-5760c8d0.jpg
|
there hazy perihilar and bibasilar opacities as well small bilateral pleural effusions. more dense consolidation seen at the left lung base medially. mild cardiac enlargement is noted, likely slightly accentuated by lower lung volumes. no acute osseous abnormalities.
|
<unk>m with htn, cad, dm p/w cough x <num>d, sob x <num>d, b/l crackles on exam // eval for pna, pulm edema
|
MIMIC-CXR-JPG/2.0.0/files/p15162354/s57277015/ba1f88ea-7e3d47e3-a9a61fc0-21def6e9-1c03cf95.jpg
|
the lungs are clear of focal consolidation, effusion, or pulmonary edema. cardiomediastinal silhouette is within normal limits. dense atherosclerotic calcifications noted in the thoracic aorta.
|
<unk>m with chest pain, elevated trop // eval heart and lungs
|
MIMIC-CXR-JPG/2.0.0/files/p17035637/s58184794/2a4359ea-f4cbd88b-711a549d-22bed362-fa5383e7.jpg
|
frontal and lateral views of the chest. the patient is rotated to the left with respect to the film. the heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no pneumoperitoneum. post-traumatic changes are present at the distal right clavicle.
|
<unk>-year-old male with epigastric pain.
|
MIMIC-CXR-JPG/2.0.0/files/p14848780/s50273703/65c6ddef-499f47f2-fa21acb4-02354f29-039b5c94.jpg
|
tracheostomy tube in good position. mediastinal wires and mitral valve repair . no pneumothorax. mild pulmonary vascular congestion. mild cardiomegaly. slight increase in bibasilar opacities are likely atelectasis. underlying and interstitial disease is better seen in prior ct
|
<unk> year old woman with rll mass s/p ebus tbna/tbbx // ?ptx
|
MIMIC-CXR-JPG/2.0.0/files/p13717240/s53408052/1eec0f91-0157730d-fed2dd11-cccacadb-6eaf3309.jpg
|
pa and lateral views of the chest. lungs are clear. there is no pleural effusion or pneumothorax. heart size is top normal. slight prominence of ascending aorta which could relate to tortuosity but underlying mild dilatation cannot be excluded.
|
<unk> year-old male with chest pain, question cardiomegaly.
|
MIMIC-CXR-JPG/2.0.0/files/p12525488/s51438717/66bd7823-a1dde913-575d7415-1a126c42-f561e283.jpg
|
lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. a right sided picc terminates in the upper svc. there is a probable healed anterior right fourth rib fracture.
|
<unk>m with knee replacement on iv abx through right picc after surgical infection.
|
MIMIC-CXR-JPG/2.0.0/files/p11039391/s57785500/03eb77d9-7d8ffc3d-d5e5bf6e-1b193d9a-b2f02012.jpg
|
the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
|
perforated uterus from iud, evaluate for acute intrathoracic process.
|
MIMIC-CXR-JPG/2.0.0/files/p12408912/s56827115/7f91f7b8-2e10bab2-19e053be-cea97a1d-793b00c2.jpg
|
the heart size is normal. left hilar fullness is noted, similar to the prior exam from <unk>, and corresponds to the known left juxta hilar mass with lingular collapse, overall unchanged compared to the prior exam. postoperative changes after right upper lobectomy are seen. bronchiectasis is seen at the right lung base. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
|
history: <unk>m with dyspnea. please evaluate for infiltrate.
|
MIMIC-CXR-JPG/2.0.0/files/p18729517/s59028826/bf4042a0-80008bc3-2c167cfd-b664b843-c82eaa7e.jpg
|
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.
|
<unk> year old woman with history of bronchiectasis of the right middle and lower lobes with <unk> days of left upper chest discomfort after carrying a heavy object on the left side. // please evaluate for left sided pulmonary pathology
|
MIMIC-CXR-JPG/2.0.0/files/p18661100/s56785924/3a48441b-e2b486fc-49862c64-7a1a7420-9b0c360d.jpg
|
the lungs are clear without consolidation, large effusion, or overt pulmonary edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
|
<unk>m with doe // pna? pulmonary edema?
|
MIMIC-CXR-JPG/2.0.0/files/p18931342/s50226234/5189e6dd-b8867c42-0a68047a-12191a3b-9752de59.jpg
|
continued low lung volumes are seen without changes, and small effusions are seen bilaterally. no focal consolidation is seen. the cardiac and mediastinal contours are unchanged from previous chest radiograph.
|
<unk>-year-old male with shortness of breath, evaluate for collapse.
|
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