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MIMIC-CXR-JPG/2.0.0/files/p13963068/s57936328/433fbcfa-f294fcae-ff4513e9-e5497dbb-1fe28f99.jpg
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the lungs are clear. cardiac silhouette is normal in size. aorta is slightly tortuous. prominence of the right hilus is unchanged. no pleural effusion no pneumothorax and no pulmonary edema. no rib fractures on this nondedicated radiograph.
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<unk>f s/p fall // is there any sign of acute or subacute bleed?
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frontal and lateral chest radiograph demonstrates hyperexpanded lungs with a stable relative opacification of the lung bases likely exaggerated by hyperlucencies in the upper lung zones. no focal opacification concerning for pneumonia identified. mediastinal and hilar contours are unremarkable. mild enlargement of cardiac silhouette is unchanged. atherosclerotic changes noted in the aortic arch. no compression fracture identified.
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history of copd and chf with shortness of breath. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17510047/s53799193/8a39d0cd-b2acca8f-4486c019-99e5201b-240d7d15.jpg
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ap upright and lateral views of the chest provided. midline sternotomy wires are again noted. there is interval increase in bilateral pleural effusions, remaining small in overall size bilaterally. increased retrocardiac opacity may reflect atelectasis less likely pneumonia. there is mild hilar congestion and interstitial edema. heart size and mediastinal contour is unchanged. bony structures are intact.
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<unk>f with recent stroke, recrudescence symptoms neuro w/u
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pa and lateral views of the chest provided. as seen on yesterday's radiograph, there is increased prominence of the right hilar contours. findings may indicate adenopathy and further evaluation with nonemergent chest ct is advised. no signs of pneumonia or edema. no large effusion or pneumothorax. heart size is normal. mediastinal contour is unremarkable.
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<unk>f with fevers, cough, cll, recent xray with ? infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p16095948/s57020642/a4b5c540-2e540968-81c38383-d7d0123d-1bfce971.jpg
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no pulmonary edema. linear opacity at the left costophrenic angle corresponds to scarring when correlated with recent chest ct.
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history: <unk>f with cp, concern for nstemi // evidence of pneumothorax or pneumonia
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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. hilar contours are stable.
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history: <unk>m with cough and fever // pneumonia?
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MIMIC-CXR-JPG/2.0.0/files/p18036964/s56345654/08b0e758-07a07d3d-e37c384e-2b46c18b-262e03c4.jpg
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et tube terminates approximately <num> cm above the carina. left port terminates in mid svc. the enteric tube extends into the stomach and out of view. the right perihilar opacity has increased in density and size. the lung parenchyma is otherwise unchanged. no pleural effusion or pneumothorax. the cardiac silhouette is enlarged but unchanged. the mediastinal silhouette unremarkable and unchanged.
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<unk> year old woman with pmhx hfpef, t<num>dm, afib on ac, r mca stenosis/cva w/ residual deficits, autonomic dysfunction (supine htn w/ intermittent ambulatory hypotension, neurogenic bladder requiring tid catheterization c/b recurrent utis, neurogenic bladder requiring cic), asplenic relapsed refractory dlbcl s/p r-epoch, currently on cytoxan/etoposide/prednisone now in septic shock // evaluate for interval change
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MIMIC-CXR-JPG/2.0.0/files/p11784202/s54393945/11311240-dd876e0f-f21ffd35-29c6f012-00d454ac.jpg
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a right-sided port is in unchanged position ending in the lower svc. neural stimulator device in unchanged position. no focal consolidation, pleural effusion or pneumothorax is present. cardiomediastinal silhouette is normal.
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status post indwelling port placement on <unk> question pneumothorax concerning for oxygenation postop.
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single portable view of the chest. the lungs are clear of consolidation, effusion or pulmonary vascular congestion. cardiac silhouette is enlarged size likely accentuated by technique. mid thoracic dextroscoliosis is noted. no acute osseous abnormality detected.
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<unk>-year-old female with syncope.
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cardiac size is normal. mediastinal lymph nodes, hilar lymph nodes and lung nodules are better seen on prior ct. there is no evidence of pneumonia or pulmonary edema. there is no pneumothorax or pleural effusion. no evidence of displaced rib fractures. left port a cath tip is in the right atrium
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<unk> year old man with metastatic colon cancer now with anterior chest rt parasternal pain in chest wall - eval for pathologic fracture please of ribs/sternum // <unk> year old man with metastatic colon cancer now with anterior chest rt parasternal pain in chest wall - eval for pathologic fracture please of ribs/sternum
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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
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MIMIC-CXR-JPG/2.0.0/files/p14979074/s54225417/db57008b-b1445b27-24bd0922-a753c93a-d67d9313.jpg
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heart is normal in size. the aorta is diffusely tortuous without change. lungs are clear except for linear foci of scarring or atelectasis within the lung bases. no pleural effusion or pneumothorax. a healed left rib fracture incidentally noted, without change.
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<unk> year old man with stroke, please eval for aspiration // eval for aspiration pna
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MIMIC-CXR-JPG/2.0.0/files/p12067437/s52460348/627fbf90-6fb5ef7b-7940840d-4966462b-bd0fbd15.jpg
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portable semi-erect chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with trach // interval change interval change
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MIMIC-CXR-JPG/2.0.0/files/p19161405/s56850088/09c88e6f-ea379123-24d6b8a1-922db3e2-d7d60638.jpg
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits. cervical spine hardware is incompletely imaged.
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<unk>-year-old female with weakness.
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the heart is mildly enlarged. there is calcification of the aortic knob. the mediastinal and hilar contours are stable. increased opacity at the right lung base likely reflects a moderate sized pleural effusion. however, an underlying infectious process cannot be excluded. the upper lungs are essentially clear. there is no definite pneumothorax.
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unresponsive. evaluate for pneumonia.
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portable upright view of the chest demonstrates low lung volumes. small-to-moderate pleural effusions, right greater than left have decreaed in size since prior exam. there is persistent mild pulmonary edema, which has improved since <unk> exam. mediastinal wound vac is in place. the superior mediastinal sutures appear fractured, unchanged. heart size is moderately enlarged, stable. no pneumothorax.
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patient with history of atrial fibrillation.
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heart size is normal. atrial septal closure device is re- demonstrated. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities detected.
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history: <unk>f with suicide attempt
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the heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. there are mild degenerative changes involving the right acromioclavicular joint.
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cough and fever.
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MIMIC-CXR-JPG/2.0.0/files/p16606974/s57674676/d151fbc8-180dd66e-d3c103bf-a2ea9d34-4aaf5d5d.jpg
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there are relatively low lung volumes. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac silhouette size is top-normal to mildly enlarged. mediastinal contours are unremarkable.
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<unk>f w/ chest pain, please eval for cardiopulm change // <unk>f w/ chest pain, please eval for cardiopulm change
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MIMIC-CXR-JPG/2.0.0/files/p13323378/s53432378/7d363b1d-f9780d67-709355a2-014a4118-80273ad1.jpg
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there is patchy opacity obscuring the right heart border, consistent with right middle lobe pneumonia. compared to <unk>, there has been a partial clearing of this right infrahilar opacity. chronic pleural and parenchymal scarring is noted at the bilateral lung apices with associated upper lobe volume loss. the cardiomediastinal silhouette is normal size. there is no free air below the diaphragm.
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<unk> year old woman with <unk> rll pneumonia // follow up pneumonia
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. there is no displaced rib fracture.
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<unk>f with ped struck by bike, +loc, evaluate for trauma.
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heart size and cardiomediastinal contours are normal. hilar contours are stable. the hemidiaphragms are relatively flattened, which can be seen with copd. no focal consolidation, pleural effusion, pneumomediastinum, or pneumothorax.
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history: <unk>f with hematemasis x <num> // ? pneumomediastinum
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MIMIC-CXR-JPG/2.0.0/files/p17820950/s53051195/7f705ff8-62e79004-aa5bc62f-652ef5d0-919b767e.jpg
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ap upright and lateral views of the chest provided. left lower lobe retrocardiac opacity may represent pneumonia. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. bilateral shoulder hardware is seen without complication. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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history: <unk>f with altered mental status, fever // r/o infiltrate
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there has been no significant interval change. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. degenerative changes are again seen along the spine including multiple level osteophytosis.
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cerebral speech, no nonsense, questionable.
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the lungs are well expanded. a <num> cm rounded mass is again noted in the left upper lung, similar to prior exam. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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<unk> year old man with left lung nodule // assess for progression of lung mass or evidence of new lesions
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the cardiac, mediastinal, and hilar contours appear unchanged. multifocal opacities which persist in the upper lungs with volume loss suggest chronic scarring without definite superimposed disease. blunting of the left posterior costophrenic sulcus is unchanged, suggesting either trace pleural effusion or pleural thickening. bony structures are unremarkable.
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weight loss and history of aspiration pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11765192/s51276297/7a0b3e1d-6af23733-ba00b8a2-435fe422-241d0957.jpg
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mild right base atelectasis is seen.there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged. no pulmonary edema is seen.
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history: <unk>f with svt // eval for chf/pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p14569206/s58785838/82efb59d-af595217-180bd667-ca03701b-f5b7fce5.jpg
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suture chain is noted at the left lung apex. otherwise, the lung fields are clear. the cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
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<unk> year old man with uri symptoms, ?alcohol withdrawal seizure // eval for pneumonia
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right ij catheter tip projects over the mid svc, unchanged. other lines are external to the patient. moderate edema and central pulmonary vascular congestion new. asymmetric increased opacity in the right lower lobe may reflect aspiration and/or concurrent infection. no pleural effusion or pneumothorax. the heart is top-normal in size.
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<unk> year old man with new oxygen requirement // please evaluate for pna versus volume overload
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compared to chest radiographs from <unk>, mild bibasilar atelectasis has improved. no focal consolidation. no large pleural effusion. no pneumothorax. mediastinal and hilar contours are normal. mild cardiomegaly is stable. dish is noted in the thoracic spine.
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<unk> year old woman with severe copd, asthma now with doe, infxtious sx // any sign of pna
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opacity is noted in the left upper lobe in the region of known lesion. additional interstitial opacities are noted and likely represent mild pulmonary edema. there is no pneumothorax. cardiac and mediastinal silhouettes are normal.
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patient patient with metastatic prostate cancer and known left upper lobe lesion with dyspnea.
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the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable.
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<unk>f with chest pain radiating to the back, hx of aortic root dilitation // evaluate for acute change
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pa and lateral views of the chest were reviewed and compared to the prior studies. focal opacification in the left lower lung could represent atelectasis, aspiration or possibly saline infused during bronchoscopy. otherwise the lungs are clear without evidence of pulmonary edema, vascular congestion, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
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hypoxia status post bronchoscopy.
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lung volumes are low. mild cardiomegaly and central vascular pulmonary congestion is unchanged. new small pleural effusion on the left is identified, with possible mild left basilar atelectasis. no pneumothorax or lobar consolidation. multiple subtle left lateral rib deformities were better assessed on the recent cta chest.
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<unk>m with multiple left sided rib fx, now c/o acute sob. r/o acute process.
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MIMIC-CXR-JPG/2.0.0/files/p13428695/s53645909/d881f070-2f62b349-505794b8-e58d73ed-ee697fe9.jpg
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heart size is top normal. the mediastinal and hilar contours are unremarkable and unchanged. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are noted in the thoracic spine.
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history: <unk>m with chest pain, has history of congestive heart failure
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MIMIC-CXR-JPG/2.0.0/files/p12946478/s59517120/94dc53cc-396c68d4-7900b55a-3e743ac0-bc826bff.jpg
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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right-sided chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p12032991/s50519654/f35e3ddc-c286e92c-0eb05505-ce23aa22-b861960a.jpg
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. heart size is normal. the aorta is unfolded with calcification along the knob. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with fall, ams, abdominal pain
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pa and lateral chest radiographs are provided. lungs are hyperinflated but there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. osseous structures are intact.
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<unk>-year-old female with altered mental status, question pneumonia.
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since <unk>, increasing left lower lobe opacities are likely due to a combination of pleural effusion and moderate basilar atelectasis causing left hemidiaphragm elevation. superimposed pneumonia cannot be ruled out. small right pleural effusion and basilar atelectasis is also increased since <unk>. no obvious pneumonia is seen in the right lung. moderate cardiomegaly is unchanged. the right lung is clear. no pneumothorax.
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<unk> year old man with questionable rll pna on ct, please eval // pna?
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the lungs are hyperinflated with flattening of the diaphragms consistent with underlying copd. there is extensive biapical scarring, which appears slightly nodular. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is calcification of the aortic knob. no acute osseous abnormalities detected. there is generalized loss of height in the lower thoracic vertebral bodies.
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history: <unk>m with aaa, pre-op cxr // pneumonia? heart size?
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the aorta is tortuous, and unchanged from prior exams. the cardiomediastinal silhouette is otherwise normal.
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hepatitis c, on interferon. presenting with cough and fever. evaluate for pneumonia.
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left-sided subclavian vein terminates at the lower svc. interval insertion of a feeding tube with the tip in the body of the stomach. no pneumothorax. the lung volumes remain low with crowding of the bronchovascular markings. no evidence of interstitial edema. marked distension of the visualized small and large bowel can be ileus.
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<unk>m h/o seizures alcoholism s/p fall down stairs resulting in status epilepticus and right iph, unchanged bilateral sdh, unchanged sah, and acute fracture of the inferior left parietal bone with associated <num> mm epidural hematoma // interval cxr
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cardiomediastinal and hilar contours are normal. lungs are clear. pleural surfaces are normal.
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<unk>-year-old man with a history of aml, now with cough. evaluate for pneumonia.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. there are approximately <num> punctate densities projecting over the region of the aortic valve. these could potentially be calcific or metallic.
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<unk>f with cough // cough
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pa and lateral views of the chest provided demonstrate midline sternotomy wires and mediastinal clips again noted. the heart remains top-normal in size. aorta is unfolded. the lungs are clear without focal consolidation effusion or pneumothorax. the bony structures are intact. no free air is seen below the right hemidiaphragm. a metallic coil is again noted in the upper mid abdomen.
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<unk>-year-old male with altered mental status.
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endotracheal tube tip in the upper thoracic trachea approximately <num> cm above the carina. nasoenteric tube with side port at the ge junction. no evidence of pneumothorax. dense retrocardiac opacity, concerning for pneumonia. no large pleural effusion. cardiomediastinal silhouette is normal.
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<unk>m with intubation, likely pneumonia // r/o acute process .
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of pulmonary edema, pleural effusion or pneumothorax.
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dull chest ache. evaluation for acute process.
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the endotracheal tube is in satisfactory position with the tip approximately <num> cm from the carina. nasogastric tube courses below the diaphragm, the tip out of the field of view. a left subclavian central venous catheter is present with the tip at the cavoatrial junction. there is persistent mild pulmonary edema and basilar opacities, worse on the right than the left. overall, they are not significantly changed from prior exam.
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known subarachnoid hemorrhage with increasing ventilator requirements. evaluate endotracheal tube.
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support and monitoring equipment is unchanged compared to the prior study. lung volumes remain low with bibasal opacities and pleural effusions similar in extent when compared to the prior study. no new areas of consolidation seen. no pneumothorax seen.
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<unk> year old woman with iph, concern for ards. // interval change
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frontal and lateral chest radiographs again demonstrate moderate cardiomegaly, which is similar to mildly increased compared to <unk>. right apical postsurgical changes and right interstitial abnormality is unchanged. diffusely increased opacity bilaterally is consistent with mild pulmonary edema. there are also likely bilateral small pleural effusions. no definite focal consolidation is identified. the visualized upper abdomen is unremarkable.
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evaluate for chf versus asthma versus pneumonia in a patient with a history of copd, chf, presenting with worsening shortness of breath.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is normal. prominence of the ascending aorta may suggest mild ascending aortic dilatation.
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<unk>f with lle weakness and pain, history of recent stroke with lle deficits. // evaluate hemorrhage, r/o signs of infectionr/o hip fracture
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an endotracheal tube terminates approximately <num> cm above the level of the carina. a nasoenteric tube courses below the diaphragm, and terminates in the distal stomach. there is no pneumothorax or pleural effusion. lung volumes are somewhat low, with no focal consolidation or evidence of pulmonary edema.
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<unk>f with intubated transfer // eval ett
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the known right rib fractures as well as a small right pleural effusion are not clearly seen on the radiograph and are better assessed on ct chest. there is mild bibasilar atelectasis. the cardiac silhouette is normal. a left chest pacemaker has leads terminating within the right ventricle and the right atrium. there is no pneumothorax.
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status post fall with right axillary pain, evaluate for rib fractures.
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MIMIC-CXR-JPG/2.0.0/files/p13194043/s58383543/9f904911-96485669-0b533fd2-4f1518f0-bbcf7926.jpg
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right subclavian central venous catheter tip terminates at the caval atrial junction. low lung volumes are present. the heart size is mildly enlarged but accentuated due to low lung volumes. there is crowding of the bronchovascular structures with likely mild pulmonary vascular engorgement. moderate size right pleural effusion has increased compared to the prior study. additionally patchy opacities within the right lung base likely reflect compressive atelectasis though infection cannot be excluded. no pneumothorax is identified. there are no acute osseous abnormalities.
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fever, chills, central line placement.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with headache, +cmv load, transplant pt // pna?
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MIMIC-CXR-JPG/2.0.0/files/p14720255/s56653116/66a7738b-244fa2ac-afd79bc2-b8af3576-f1ac78e3.jpg
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portable semi-erect chest film <unk> at <time> is submitted.
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<unk>f with h/o a fib on metoprolol, cervical cancer s/p chemotherapy and radiation therapy c/b proctitis, newly diagnosed acute monocytic leukemia, on decitabine, found to have perirectal abscess and now s/p colostomy with worsening effusions and edema // interval change interval change
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MIMIC-CXR-JPG/2.0.0/files/p18554479/s57476859/40a21940-4dc607a8-248ed7aa-2ffc64a8-ba377a8f.jpg
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lingular opacity demonstrated on the prior study is not as well seen on the current study and may have been due to atelectasis. no definite focal consolidation is seen. mid lung linear atelectasis/scarring is seen. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with left sided chest pain, leukocytosis // pls eval for pna, pt was asked to give better inspiratory effort
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MIMIC-CXR-JPG/2.0.0/files/p13054145/s55874221/3851e386-17ea7ef2-050ba62f-41c7f6af-9643acb6.jpg
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there is interval increase in retrocardiac opacity compatible with a combination of volume loss/ infiltrate/ effusion. this is increased compared to the study from <unk>. volume loss is also seen at the right base.
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<unk> year old woman with hx of <num> vessel cad s/p cath with <unk> <unk> <num>, chronic diastolic chf, alcoholic cirrhosis s/p treatment for sbp, with wbc trending up but no known infection. // is there a consolidation in the lungs?
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MIMIC-CXR-JPG/2.0.0/files/p10270870/s56905979/4365dc0a-66dea0f5-30102ab0-4bdb0e52-da26d435.jpg
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frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are normal.
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vertigo with concern for stroke. evaluate for an acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p14368163/s56891073/90c0ca51-53c389fd-4ebcc7c8-07cb679c-24984c1a.jpg
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frontal chest radiographs demonstrate interval placement of an endotracheal tube, which terminates in the mid thoracic trachea. on initial radiographs, an enteric tube is seen terminating within the right lower bronchus. subsequent radiographs demonstrate removal of the enteric tube. there are increasing opacities bilaterally, consistent with edema, aspiration, or a combination of the two.
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status post intubation, in a patient with hypoxia.
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MIMIC-CXR-JPG/2.0.0/files/p16641118/s56899910/0fd51f67-0826d798-7bb23d63-ce053f40-105e74c7.jpg
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the right-sided port-a-cath tip terminates in the low svc. mild cardiomegaly is unchanged. the mediastinal and hilar contours are similar. the pulmonary vasculature is not engorged. patchy opacities are seen within the left lung base, potentially atelectasis, and not substantially changed from the prior exam. no focal consolidation, pleural effusion or pneumothorax is demonstrated. h-shaped vertebra are compatible with a history of sickle cell disease.
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history: <unk>m with history of sickle cell disease with pain bilateral ribs
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MIMIC-CXR-JPG/2.0.0/files/p14931360/s59588838/4b23f6b0-86ef0bd5-54af3ed3-0061e998-ef28c1bc.jpg
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pa and lateral chest views were obtained with patient upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. comparison demonstrates stable chest findings. thus, there is status post aortic stent grafting in the entire descending aorta, old radiation treatment scar formations in right upper lobe status post malignancy treatment and right-sided pleural thickenings and scar formations. the left lung base remains clear and there is no evidence of left-sided pleural effusion as the pleural sinus remains free. the extensive right-sided pleural densities remain unchanged. no pneumothorax is seen.
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<unk>-year-old female patient with previously treated lung cancer and increased dullness over left lung. question larger effusion.
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MIMIC-CXR-JPG/2.0.0/files/p10979480/s57225202/d1b02bdd-a99af2db-61b42b32-c0111d02-4f7477ba.jpg
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frontal and lateral radiographs of the chest demonstrates low lung volumes which accentuates top-normal heart size. volume loss in the right middle lobe with thickening of the minor fissure is unchanged. lungs are otherwise clear. right chest wall port-a-cath ends at the cavoatrial junction. no pleural effusion or pneumothorax. thoracolumbar fusion rods are intact.
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fever, question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15623806/s55769272/93ab4872-7c892a84-32ad260a-512e7f9f-160a1565.jpg
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the orientation of the ap film is lordotic. a nasogastric tube courses into the stomach, its distal course not visualized. the heart is at the upper limits of normal size with a left ventricular configuration. the mediastinal and hilar contours appear unchanged. there is new patchy opacification in the superior segment of the right lower lobe and also patchy new lingular opacification. on the lateral view only are vague posterior opacities that are hard to assess on the frontal view, but are probably within the left lower lobe in the retrocardiac region. on the prior ct there was substantial opacification in both posterior lower lobes, particularly the left; the posterior left lower lobe finding may be due to residual atelectasis or scarring, probably unchanged since the most recent of the prior radiographs from <unk>.
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recent embolic stroke with intermittent chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p15680945/s58980193/8c7c8953-d6a40eae-a5bfd48b-9562cacb-10a38e8a.jpg
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the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. a left port-a-cath ends in the low svc. there is a stent in the left main bronchus. a gastrostomy tube is redemonstrated along the left mid abdomen. surgical clips are seen in the right upper abdominal quadrant. dense consolidation at the right lung apex is increased compared to the prior radiograph from <unk>, but not significantly changed compared to ct from <unk>. more heterogeneous opacities throughout the left mid-to-lower lung and at the right lung base are markedly increased compared to the prior radiograph from <unk>, but are also not significantly changed compared to prior ct from <unk>. aeration at the left lung apex is preserved. small bilateral pleural effusions were better seen on recent ct. there is no pneumothorax. the heart size is difficult to assess but was seen to be normal on prior ct.
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respiratory distress, intubated. assess for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p11354070/s56123827/a3cb446a-a6bdcc24-46eca107-a2bc06de-56c70244.jpg
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pa and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. no free air is seen below the diaphragm.
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<unk>-year-old female with right upper quadrant pain.
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MIMIC-CXR-JPG/2.0.0/files/p12653342/s58960379/637d2135-8f20a0c1-eb403c1c-5bb1e300-a31fcef0.jpg
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cardiac silhouette is unchanged since <unk>, but larger compared to <unk>. there is moderate bilateral pleural effusions, which appears stable on the right and slightly larger on the left compared to <unk>. there is no pneumothorax. pericardial drain is in unchanged position. left jugular line terminates in mid svc.
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<unk> year old woman with pleural eff and pericardial effusion. // comparison to previous.
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MIMIC-CXR-JPG/2.0.0/files/p18039782/s53855742/6b585fb8-c5b80aec-245d1f04-8e5e9663-b64f6798.jpg
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single upright portable chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal silhouette is within normal limits. there is no pneumothorax or pleural effusion. imaged osseous structures demonstrates no acute abnormality. upper abdomen is unremarkable.
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<unk>-year-old male with syncope.
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MIMIC-CXR-JPG/2.0.0/files/p19034608/s58807715/1926c9be-824165bf-77885cb1-38d78d9a-23efe03a.jpg
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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 pmh cad, ?diastolic chf with <num>d h/o lightheadedness, nausea, slight sob.
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MIMIC-CXR-JPG/2.0.0/files/p12864784/s59658873/b8525220-6a433ea4-98eec5dd-1b414cc6-39f94fca.jpg
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the heart size is severely enlarged and there is marked pulmonary vascular redistribution. with hazy alveolar infiltrates most marked in the lower lobes there small bilateral pleural effusions have increased compared to prior
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<unk> year old woman with rapid breathing // eval for reaccumulation of pleural effusion, pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p16387284/s58057406/cd520bb1-051e603f-d382a306-ec3b32c0-6f9e40c6.jpg
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<num> views of the chest demonstrate clear lungs. the cardiac, hilar, and mediastinal contours are normal. no pleural abnormality is seen.
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chronic bronchitis, now with persistent cough.
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MIMIC-CXR-JPG/2.0.0/files/p15777665/s52274413/5865fe65-c3958565-a77ed2ad-557f5316-ec5891e9.jpg
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pa and lateral views of the chest. low lung volumes. there is no focal consolidation, pleural effusion, or pneumothorax. there is mild to moderate cardiomegaly. the aorta is tortuous. there is a hiatal hernia.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p16562665/s58785248/c258df50-092146c5-cffc2a94-3f8d2487-d5338cc7.jpg
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there is a small-moderate size pneumothorax along the right lung with associated volume loss in the right lung. similar right costophrenic angle pleural thickening is noted. the left lung is clear, and there is no pleural effusion. the heart is top-normal in size, and the mediastinal contours are normal.
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<unk>-year-old male with hiv and history of spontaneous pneumothorax. please evaluate for pneumothorax or infectious process.
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MIMIC-CXR-JPG/2.0.0/files/p11296936/s55669759/af539414-e7bccf8c-8ebdefe3-5c4c8d57-a393c5bc.jpg
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single frontal view of the chest. lung volumes are low, exaggerating heart size which remains stable. there is a moderate degree of pulmonary edema with probable bilateral pleural effusions. no pneumothorax or lobar consolidation.
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hypotension.
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MIMIC-CXR-JPG/2.0.0/files/p14900935/s57469033/56606c35-0e85e849-25ac9ac2-e89b9f74-128b6650.jpg
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. there are <unk> ribs bilaterally, and no cervical rib is noted.
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<unk>-year-old female with likely thoracic outlet syndrome after presented with right arm pain. evaluate for cervical rib.
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MIMIC-CXR-JPG/2.0.0/files/p12677966/s53354874/a11f2de4-073e8d9e-ec90437d-bea9a8ae-b1964849.jpg
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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, sore throat // eval for infection
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MIMIC-CXR-JPG/2.0.0/files/p14912902/s55842395/1cbfbb92-f4652189-7ef237e3-48604e27-9b035a6b.jpg
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portable upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man with metastatic cancer and resp failure. // please eval for progression of pneumonia. please eval for progression of pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15964200/s51061323/196bbda2-6ff28be0-f0b58133-8de52b64-bc23455a.jpg
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there are low lung volumes, which accentuate the bronchovascular markings. increased prominence of the mediastinum most likely relates to lower lung volumes however, if there is clinical concern for acute mediastinal process, chest ct is more sensitive and should be considered. subtle left mid to lower lung opacity may be due to atelectasis, aspiration, or subtle infection. no large pleural effusion or pneumothorax seen. cardiac silhouette is top-normal. .
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history: <unk>f with hx of cva found on floor this morning. non-verbal at baseline. // eval for ich, c-spine fx, pna
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MIMIC-CXR-JPG/2.0.0/files/p12658542/s51073900/771f1b68-6e4a2d40-14934fe4-707557eb-1c524d9c.jpg
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bibasilar linear densities likely represent atelectasis. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart size is top normal. the aorta is tortuous. anterior wedging of a vertebral body at the thoraco-lumbar junction appears similar compared to ct from <unk>.
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<unk>-year-old female with cough and congestion.
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MIMIC-CXR-JPG/2.0.0/files/p15971503/s57529570/2b27aa0d-1166f9d4-a628c3c9-888914cb-4cd2768e.jpg
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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history: <unk>m with acute onset pleuritic chest pain. vitals, wnl // pleuritc chest pain, r/o pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p12007928/s58226085/e702092b-82dbe916-d040bac0-867a0888-c2842939.jpg
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there are new small bilateral pleural effusions, larger on the right than the left. the there is mild pulmonary edema. moderate cardiac enlargement is unchanged. left chest wall dual lead pacing device is again noted. no acute osseous abnormalities.
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<unk>f with sob // acute process
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MIMIC-CXR-JPG/2.0.0/files/p18730243/s50370908/f633a6e4-7d286a80-43f2635a-38d024fb-d4f30f35.jpg
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low lung volumes and bibasilar atelectasis are attributable to diaphragm elevation by ascites. moderate right pleural effusion is unchanged since <unk>. left pleural effusion is small. the heart is enlarged and mild to moderate pulmonary edema is stable. increased heterogeneous opacification of the right lower lung seen on the lateral view could be a combination of dependent edema and atelectasis or developing pneumonia. there is no pneumothorax.
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<unk> year old man with cirrhosis, persistent leukocytosis, and elevated bilirubin. // please evaluate for pneumonia/aspiration.
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MIMIC-CXR-JPG/2.0.0/files/p12839549/s53494661/0e16cc58-28660dd6-4f8a5745-ba5a7f7f-11280091.jpg
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pa and lateral views of the chest. comparison is made to previous exam from earlier the same day and from <unk>. the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old man with fevers, rigors and cough. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14852646/s55006998/eb9e0d0e-212fa3a6-86e86dfd-b1717080-40408937.jpg
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the cardiomediastinal silhouette and pulmonary vasculature are normal. there is no pleural effusion or pneumothorax. the right hemidiaphragm is mildly elevated. an opacity seen along the right lung base, which is also seen posteriorly on the lateral view. in the appropriate clinical context, this may represent pneumonia. however, other pathologies are not excluded.
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<unk>m with chest pain // eval for pna, pulmonary embolism
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MIMIC-CXR-JPG/2.0.0/files/p15506615/s58901413/d4098cef-29c67f71-5e190aff-9429d201-107b3d5d.jpg
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since the prior study, the previously described right infrahilar consolidation has improved, with persistent background moderate pulmonary edema and mild cardiomegaly. small pleural effusions are unchanged. there is no pneumothorax. monitoring and support devices are stable in position.
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<unk> year old male with a history of etoh cirrhosis, hepatocellular carcinoma s/p rfa, dm<num>, possible prior hypoglycemic seizure who presents with an acute confusional state, found to have new-onset af, positive urine amphetamines, and vt (with a pulse) s/p successful cardioversion and <unk> transferred to <unk> for further care. // any interval change?
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MIMIC-CXR-JPG/2.0.0/files/p13297743/s52368954/a7260c3b-a71fd508-50d508eb-65220dc0-56ca8f60.jpg
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ap portable semi upright view of the chest. a new central venous catheter is seen projecting over the left neck extending inferiorly to the level of the aortic knob. given the vertical orientation of the catheter and findings seen on prior ct chest, the catheter likely resides within a small pericardial vena or branch of the left superior intercostal vein. removal is recommended. subtle opacities in the lower lungs likely represent atelectasis. there is no pneumothorax. no large effusion. cardiomediastinal silhouette appears grossly stable. bony structures are intact.
|
<unk>f with sob // ?pna
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MIMIC-CXR-JPG/2.0.0/files/p12079400/s59844432/bcbf1542-7d24750b-ac3f08bf-d7b147e7-64088a06.jpg
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a moderate right apical and lateral pneumothorax is unchanged compared to the prior radiograph performed <num> minutes prior. the lungs are hyperexpanded consistent with provided history of chronic obstructive pulmonary disease. multiple blebs are noted. bilateral patchy and linear opacities are relatively stable and likely represent scarring. blunting of the right costophrenic angle is unchanged. the cardiac and mediastinal contours are normal.
|
history: <unk>m with copd, h/o ptx // eval ptx
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MIMIC-CXR-JPG/2.0.0/files/p19974380/s57628221/c1630ab2-b1ab1f09-6a3a565b-738ac81f-a69f9be8.jpg
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persistent mild-to-moderate pulmonary vascular congestion; however, pulmonary edema is improved asymmetrically better on the right. mediastinal silhouette remains stably at the upper limits of normal. calcifications are noted at the aortic arch. colonic interposition is again noted. osseous structures remain normal.
|
evaluation of patient with altered mental status for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p15784578/s52293608/f55e039e-3ec12874-f993d012-e3c3702e-84aca0a7.jpg
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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.
|
left flank pain and cough.
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MIMIC-CXR-JPG/2.0.0/files/p13948751/s54835354/74ebabe0-d5993ff8-e4783297-fcf68516-9e9376a8.jpg
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the heart is normal in size. the aorta is moderately tortuous. patchy calcification is noted along the aorta. there is no pleural effusion or pneumothorax. lungs appear clear. surgical clips project over each upper quadrant. there is mild probably chronic loss in two adjacent vertebral body heights along the lower thoracic spine.
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depression.
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MIMIC-CXR-JPG/2.0.0/files/p17172316/s55471923/9acb1760-eabac6c6-8b22a16e-da58c370-f507b488.jpg
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this series of radiographs demonstrates positioning of a nasogastric tube, which ultimately courses into the stomach and out of the field of view. there are low lung volumes, which results in bronchovascular crowding. there is an unchanged appearance of supra and infrahilar left-sided consolidative opacities. left-sided pleural drainage catheter is in place. there has been interval removal of the right-sided pleural drainage catheter and the endotracheal tube. the cardiomediastinal and hilar contours are unchanged. a right upper extremity picc ends in the mid svc.
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<unk> year old man with dysphagia s/p dobhoff tube placement // please evaluate position of dobhoff
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MIMIC-CXR-JPG/2.0.0/files/p10318893/s53196981/5a64ed8f-7b3983f9-aaf4d920-a5ba00f8-d7b83b88.jpg
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frontal and lateral views of the chest demonstrate increased opacification in the left retrocardiac region and right lower lobe consistent with multifocal pneumonia. the cardiomediastinal and hilar contours are normal. there is slight blunting of the left costophrenic angle which may represent a small pleural effusion. there is no pneumothorax.
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<unk> year old man with r lower lung rhonchi, fevers, hypoxia, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17608002/s56199824/bb90a3b6-469445ce-c59d24ab-c13b881d-d34c21b0.jpg
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since <unk>, no significant change. prominent right hilar region is unchanged. moderate cardiomegaly. mild pulmonary central vascular congestion. no pleural effusions. no pneumothorax. mediastinal borders are normal.
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<unk> year old woman with pulmonary hypertension, acute decompensated hf // pulm edema
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MIMIC-CXR-JPG/2.0.0/files/p12175804/s50589426/7f50fd55-885c689d-2cf818bd-09ec991b-7184bf34.jpg
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ap upright and lateral chest radiographs provided. underpenetration limits assessment. there is hilar congestion with mild interstitial pulmonary edema. no convincing evidence for pneumonia. the heart is mildly enlarged. mediastinal contour is stable with calcified aorta. no large effusion or pneumothorax.
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<unk>f with sob, fever // ? infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p11600211/s58454076/a661175d-7ceecd03-3228bec7-3abc7461-820d993d.jpg
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pa and lateral images of the chest demonstrate well-expanded lungs which are clear. there is bilateral pleural calcification along pleural surfaces at the lung bases and along the mediastinum suggestive of asbestos-related disease. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable. aortic knob is seen to be calcified.
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<unk>-year-old male with dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p19936269/s52466407/0dbe8a54-19a4d070-12221e07-e75ff210-4730378b.jpg
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
|
shortness of breath. evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p13383991/s57944554/cec9cdc2-b961e718-a1591167-2222edc4-70a7a6ac.jpg
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pa and lateral chest radiographs were obtained. low lung volumes accentuate the interstitial markings. on the lateral view projecting over the lowest visible level of the thoracic spine there may be a <num>mm wide irregularly shaped lung lesion, with central lucency or air bronchograms. as expected, even if real--<unk> it could well be an artifact--<unk> would not be visible on a frontal chest radiograph. it was not present on a chest cta in <unk>, and is presumably infection or infarction. it should be investigated with an upright view factored for the upper abdomen and/or routine oblique cxr at deep inspiration. there is no effusion or pneumothorax. cardiac and mediastinal contours are normal.
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weakness.
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MIMIC-CXR-JPG/2.0.0/files/p12679321/s56687462/0eab46f6-6c242b4c-e70d5a91-fcebd124-4f5d80d5.jpg
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portable upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man with pancreatitis w/ pseudocyst, needs nj tube for feeds, newly placed, need for eval for position // is ng tube in the proper position? is ng tube in the proper position?
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MIMIC-CXR-JPG/2.0.0/files/p16924675/s54000427/1c693997-36b19930-e3a2d9a5-87bbc181-3559b649.jpg
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a left pectoral pacer device with single lead terminating in the right ventricle is unchanged. the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are stable with mild to moderate cardiomegaly. no acute osseous abnormality is detected.
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history: <unk>m with chest pain // eval for structural process
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MIMIC-CXR-JPG/2.0.0/files/p18571488/s55456515/3f4618dd-51f65434-f10ed21d-e15f770b-caa5f4a6.jpg
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pa lateral and chest radiographs demonstrate improved aeration of the left mid and lower lungs when compared to chest radiograph dated <unk>. multiple bilateral lung nodules are better seen on most recent ct dated <unk>. no focal consolidation concerning for pneumonia is identified. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are unchanged in appearance within normal limits. no overt pulmonary edema is seen. osseous structures are without acute abnormality.
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history: <unk>m with fever on chemotherapy // eval for infiltrate
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