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MIMIC-CXR-JPG/2.0.0/files/p18920727/s59587443/9e207307-80d5abde-de32838d-40918995-98c080c0.jpg
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the similar pa and lateral chest examination of <unk>. comparison of the frontal views indicates a lesser inspirational volume and generally higher positioned diaphragms. the previously described pleural thickening surrounding the left lung remains rather unchanged. the pulmonary vasculature in the right hemithorax does not disclose typical pattern for cardiogenic pulmonary congestion. scattered nodular densities in the right lung highly suggestive of secondary metastases. comparison of the lateral views discloses increase of pleural effusion accumulating in the left lower pleural space.
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<unk>-year-old female patient with non-small cell lung cancer and known pleural effusions. evaluate for worsening tumor progression versus heart failure. dyspnea.
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cardiomediastinal contours are normal. lungs and pleural surfaces are clear. healed right rib fractures are again demonstrated.
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<unk> year old man with cough, chest congestion on chemotherapy // pna
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. despite slightly low lung volumes, the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. mild anterior loss of height in one of the mid thoracic vertebrae appears stable since prior exam.
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<unk>-year-old male with hypertension. question cardiomyopathy or congestive heart failure.
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bronchovascular markings are accentuated by very low lung volumes. bibasilar atelectasis is noted. no pulmonary edema, large pleural effusions or pneumothorax. stable cardiomediastinal silhouette. no acute osseous abnormalities.
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<unk> year old man with hypoxia and chest pain concerning for pe. in anticipation of vq scan. // please eval for abnormalities.
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chest, ap and lateral. there is dense, somewhat linear opacity in the right lower lobe in a pattern similar to, but increased from the prior radiograph. there is minimal left lower lobe atelectasis. the lungs are otherwise clear. mild cardiomegaly is chronic. the mediastinum is unremarkable. there is no pneumothorax or pleural effusion. the pulmonary vascularity is normal.
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<unk>-year-old woman with cough and mild dyspnea.
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there has been interval resolution of bilateral opacities and pulmonary edema. no new focal consolidations. the cardiomediastinal and hilar contours are normal. the pleural surfaces are normal. interval removal of right ij central venous catheter. no pneumothoraces.
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<unk> year old woman needing follow up to x ray <unk> and ct <unk> with mycoplasma pna // resolution? any abnormalities?
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there has been no significant change.
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chest pain and cough.
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the lungs are mildly underinflated but clear. heart size and mediastinal contours are normal. there are surgical clips along the left heart border and intact median sternal wires compatible with prior cardiac surgery. the osseous structures are intact. a marker is placed along the left lateral abdominal wall indicating the site of the patient's pain, at which there is no discrete abnormality appreciated.
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history: <unk>m with cough, fatigue // pna
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cardiomediastinal silhouette is stable. dense atherosclerotic calcifications are again noted in the aortic arch. the appearance of lungs is overall unchanged and there is no evidence of consolidation to suggest aspiration. there is no pleural effusion or pneumothorax.
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history: <unk>f with significant epistaxis on coumadin with supratherapeutic inr. // aspiration of blood?
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there is stable moderate cardiomegaly. there is a right-sided ij which terminates in the mid svc. there is a left-sided pacemaker. again opacification of the right base medially persists with some obscuration of the right hemidiaphragm. this could reflect merely crowding of vessels; however, pneumonia should be considered in the appropriate clinical setting. this, however, appears overall stable compared to the prior exam. again seen is bibasilar atelectasis as well as a small right pleural effusion. there is mild right pulmonary edema. the hilar and mediastinal contours appear stable. there is no pneumothorax. the visualized osseous structures are unremarkable.
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history of end-stage renal disease, afib, here with hypotension. please rule out pneumonia.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation. minimal left basilar scarring versus atelectasis is identified. there is no effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with chest pain.
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the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable.
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history: <unk>m with pain s/p fall // acute process
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extremely low lung volumes. heart size is unchanged. the mediastinal and hilar contours are likely normal, allowing for patient rotation. the patient is status post cardiac valve replacement with median sternotomy wires. there is diffuse lung disease, likely edema. no pleural effusion or pneumothorax is seen. as before, partially visualized vp shunt.
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history: <unk>m with acute hypoxia. evaluate for acute process
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ap portable upright view of the chest. interval placement of a right pigtail chest tube without re-expansion of the right lung suggests malpositioned chest tube. there is a persistent moderate in size right pneumothorax with associated partial collapse of the right lung. mediastinum is not shifted. left lung remains clear.
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<unk> year old man sp rt chest tube // residual ptx?
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the heart is at the upper limits of normal size with a left ventricular configuration. there is mild unfolding and calcification along the aortic arch. there is no pleural effusion or pneumothorax. projecting in the right infrahilar region is a nodular opacity measuring about <num> mm in diameter. although it may represent a confluence of vascular shadows or perhaps pneumonia in the appropriate setting, the possibility of a lung nodule should be considered. the opacity is not visualized on the lateral view. otherwise the lungs appear clear. surgical clips project along the right upper quadrant. small osteophytes are noted along the thoracic spine.
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dizziness.
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there are slightly low lung volumes. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal. no bony abnormalities are detected.
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cough, history of smoking.
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the endotracheal tube has been retracted, now with tip projecting in a more optimal position, <num> cm above the carina. pulmonary edema is persistent. no new pneumothorax. cardiac silhouette is unchanged.
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<unk> year old woman with ett re-adjustment. evaluate endotracheal tube placement.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
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<unk>-year-old female with <num> days of constant substernal chest pain. evaluate for cardiomegaly.
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lung volumes are decreased compared to the prior exam. diffuse interstitial abnormality with ill-defined small nodules is most pronounced in the lung bases, findings compatible with bronchiectasis with chronic peribronchial inflammation. worsening bibasilar airspace opacities could reflect superimposed acute infection or exacerbation of underlying airways disease. there is no pneumothorax. blunting of the right costophrenic angle likely reflects chronic pleural thickening. the cardiac silhouette size is normal. mediastinal and hilar contours remain enlarged, as noted on the prior ct, at which time lymphadenopathy was identified in these regions. there is crowding of the bronchovascular structures. no acute osseous abnormality is identified.
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shortness of breath, cough, fever.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
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altered mental status.
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there are low lung volumes with resultant appearance of mild cardiomegaly and increased pulmonary vascular caliber and perfusion. there is a new small left-sided pleural effusion and consolidation at the left base. there is a right picc line with tip terminating in the low svc. the gi tract is distended. there is no subdiaphragmatic free air.
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<unk>-year-old female with subarachnoid hemorrhage, now febrile.
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frontal and lateral views of the chest. mid thoracic dextroscoliosis is seen with posterior fixation hardware traversing the thoracic and upper lumbar spine. the lungs appear clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits within limitation of the significant scoliosis. surgical clips project over the neck on the right. soft tissues are otherwise unremarkable. there is no free air seen below the diaphragm.
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<unk>-year-old female with indigestion and right arm intermittent tingling.
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there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unremarkable. a lap band catheter is partially visualized. surgical clips seen in the right upper quadrant from prior cholecystectomy. osseous structures unremarkable.
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history of shortness of breath and dyspnea x<num> week, evaluate for pneumonia.
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postsurgical changes are noted in the right upper lobe. previously visualized tiny right apical pneumothorax is no longer clearly identified. the right hemidiaphragm remains elevated and there has been minimal increase in right lower lobe opacities likely representing a combination of small pleural effusion with adjacent atelectasis. however, an overlying infection cannot be excluded. cardiac and mediastinal silhouette structures remain stable. the left hemithorax is clear. no acute fractures are identified.
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status post thoracotomy and right upper lobectomy with fever.
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the lungs are well expanded. a small focus of atelectasis is seen on the lateral view the lung bases, but the lungs are otherwise clear. there is no pleural effusion pneumothorax. the cardiomediastinal silhouette is unremarkable.
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<unk> year old man with hiv, hep c, fever to <num> and cough. // ? pna
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minimal atelectasis or fibrosis in the lingula, similar. lungs otherwise clear. shallow inspiration. normal heart size, pulmonary vascularity. no pleural fluid.
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<unk> year old man with ams // ?pna
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the patient is rotated. slight blunting of the right costophrenic angle is unchanged from prior examinations. the lungs are clear without focal consolidation. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk>f with tachypnea and cough // eval for pneumonia
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ap upright and lateral chest radiographs were obtained. the lungs are low in volume but clear aside from minimal basal/retrocardiac atelectasis or scarring. interstitial prominence is likely due to chronic changes related to the congestive heart failure. no overt pulmonary edema or vascular congestion seen currently. the heart remains moderately enlarged with tortuous aortic contour. dual lead pacemaker is noted. no pneumothorax or pleural effusion is seen.
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fever, chills and back pain.
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lung volumes are low accentuating the cardiac silhouette and vasculature. heart size is borderline enlarged. there is re- demonstration of mild vascular congestion and interstitial edema. subtle right base and retrocardiac opacities may represent atelectasis. pleural surfaces are clear without effusion or pneumothorax. sclerotic bone changes consistent with history of sickle cell.
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recent right knee arthroplasty with leukocytosis.
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frontal and lateral views were obtained. low lung volumes result in bronchovascular crowding. the pacemaker leads end in the expected locations of the right atrium and right ventricle. there is no focal consolidation, pleural effusion or pneumothorax. right basilar atelectasis. heart is borderline enlarged. mediastinal silhouette and hilar contours are normal allowing for lung volumes with prosthetic valve and intact median sternotomy wires. multiple wedge compression deformities in the mid thoracic spine are seen.
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<unk>-year-old man status post dual-chamber pacemaker. evaluate lead position and rule out pneumothorax.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax on this single ap view. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. the patient is status post median sternotomy and cabg.
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active chest pain, here to evaluate for acute cardiopulmonary process.
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left-sided dual-chamber pacemaker device is noted with leads terminating in right atrium and right ventricle. mild cardiac enlargement is unchanged. the aorta remains tortuous and diffusely calcified. there is mild pulmonary vascular congestion with perihilar haziness, new compared to the prior exam. patchy bibasilar airspace opacities likely reflect atelectasis, however, infection is not completely excluded. no large pleural effusion is identified although a trace left pleural effusion may be present. no pneumothorax is seen.
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hepatocellular carcinoma, subacute dyspnea, pleuritic chest pain.
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heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. there are mild degenerative changes noted in the lower thoracic spine.
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history: <unk>m with shortness of breath, atrial fibrillation
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the heart remains moderately enlarged. there is no pleural effusion or pneumothorax. the lungs are well expanded with interstitial edema, which is new since the prior study.
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shortness of breath with history of chf and ischemic cardiomyopathy.
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compared with <unk>, there is no significant change. postoperative changes on the right are stable. a small left pleural effusion and basilar atelectasis is unchanged. no pneumothorax. mild cardiomegaly is stable. there is no pulmonary edema. the aortic valve replacement is unchanged in position.
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<unk> year old woman with hypoxemia, breast cancer // r/o chf
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. patchy linear opacity at the left base is consistent with atelectasis. the lungs are otherwise clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
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<unk>-year-old female with productive cough for <num> days.
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compared to the prior radiograph on <unk>, the lungs appear better aerated. the tracheostomy tube is unchanged in position. right apical opacification along with a calcified granuloma is unchanged since <unk>, which is the earliest chest imaging available to us. there are also bibasilar opacities which are not significantly changed from the prior exam, and are likely due to a combination of pleural effusion and atelectasis. stable mild cardiomegaly. there is a moderate amount of free air under the right hemidiaphragm which has slightly improved since the prior radiograph. the feeding tube is out of view on this cxr.
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<unk> year old woman with secretions and tachypnea s/p trach // interval change
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new vertical lucencies are seen projecting over the right mediastinum extending upwards into the lateral neck consistent with free air in the soft tissues. heart is top normal size, and cardiomediastinal contours are stable. lungs are clear. no significant pleural effusions and no pneumothorax.
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<unk>-year-old man status post attempt at tee with inability to pass probe and post-procedure bleeding. ? perforation, free air.
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ap upright and lateral views of the chest provided. an ivc filter is again seen at the cavoatrial junction. previously noted picc line has been removed. subtle retrocardiac opacity may represent a very early pneumonia. otherwise the lungs appear clear. coarsened lung markings suggest underlying interstitial lung disease. no large effusion or pneumothorax. heart size is normal. mediastinal contours unremarkable. bony structures are intact.
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<unk>f pmh htn, ckd, dvt p/w <num>d h/o of weakness, audible congestion and rhonchi b/l on exam // eval for pnm, pulmonary edema
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portable chest radiograph demonstrates an endotracheal tube terminating <num> cm above the level of the carina in appropriate position. a feeding tube terminates in a nondistended stomach. re- demonstration of right picc terminating in the right axilla. the left basilar atelectasis and pleural effusion has completely resolved when compared to prior chest radiograph dated <unk>. normal cardiomediastinal and hilar contours. pleural surfaces are unremarkable. there is no pneumothorax.
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<unk>-year-old female with stroke now intubated. evaluate for pneumonia.
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ap portable upright view of the chest. the heart remains moderately enlarged. lung volumes are low. unchanged right mid lung linear density could represent scarring versus fluid in the fissure. other this the lungs appear clear. mediastinal contours stable with the unfolded thoracic aorta again noted. bony structures appear intact. no free air below the right hemidiaphragm is seen.
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<unk> year old woman with ams // assess for possible pneumonia
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there has been no significant interval change. calcified pleural plaque over the left upper hemithorax is again seen. minimal bibasilar atelectasis/scarring is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. evidence of dish is seen along the spine.
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cancer now with intermittent fevers x <num> month.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no effusion. no pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with productive cough and left chest pain. history of sickle cell.
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there is a large area of consolidation in the right upper lung. there are small bilateral pleural effusions and associated atelectasis. there is no pneumothorax. the cardiac silhouette is markedly enlarged, similar to prior. imaged osseous structures are intact. aortic arch calcifications are seen. no free air below the right hemidiaphragm is seen.
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history: <unk>f with hypoxia // pna?
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax.
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<unk>-year-old with upper respiratory infection. please assess for pneumonia.
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upright ap and lateral views of the chest provided. single lead pacemaker are again seen projecting with its tip in the region of the right ventricle. mildly elevated left hemidiaphragm again seen. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable. imaged osseous structures are demineralized though appear grossly intact. no free air below the right hemidiaphragm is seen.
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history: <unk>m with vomiting ? esophageal impaction, coughing clear fluid // pna
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cardiac silhouette size is mildly enlarged. the aorta is tortuous. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. streaky left lower lobe opacity likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. hypertrophic changes are seen within the thoracic spine.
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history: <unk>m with chest pain
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are low. this result in crowding of bronchovascular structures at the lung bases. no areas of consolidation are identified. linear atelectasis is demonstrated at the left lung base. . no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old man with cirrhosis, confusion // eval for pna
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since the prior chest radiograph performed earlier on the same date, bilateral pleural effusions has substantially decreased in size, status post thoracentesis. streaky bibasilar opacities likely represent atelectasis. no focal consolidation. no pneumothorax. cardiomediastinal silhouette is unchanged.
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<unk> year old woman with b/l <unk> // ? ptx
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streaky bibasilar opacities are likely due to atelectasis and are unchanged. the lungs are otherwise clear without consolidation worrisome for pneumonia, edema, or effusion. cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
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<unk>f with dizziness // evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p18112176/s52972580/42600cd8-ec460ad4-07d7c2c2-7b2f68b3-6440d6dc.jpg
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supine frontal radiograph of the chest demonstrates stable positioning of the et tube, ng tube and left subclavian central venous catheters. lung volumes are lower with persistent pleural effusions and bibasilar opacities. moderate pulmonary edema is unchanged.
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desaturation.
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MIMIC-CXR-JPG/2.0.0/files/p12903955/s55734920/679b8dae-d42b12e4-d2face5a-fb195d07-1b858351.jpg
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appearance of the left hemi thorax is similar compared to the prior study. left pleural effusion is re- demonstrated. since the prior study, <num> days prior, there has been development of several patchy opacities over the right mid to lower lung, worrisome for pneumonia and/or pulmonary hemorrhage ; underlying malignancy is felt less likely due to short-term interval development. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with hemopytsis // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p10698312/s58594049/1c2b51c5-90812060-4a23b122-8ddef31d-9da1f350.jpg
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heart size is mildly enlarged, and the aorta is tortuous. chain sutures are noted within the right lower lung field, compatible with prior resection, with evidence of slight volume loss in the right lung as denoted by mild rightward shift of mediastinal structures. linear opacities in the lung bases likely reflect atelectasis, without focal consolidation demonstrated. the pulmonary vasculature is not engorged, and there is no pneumothorax or pleural effusion. multilevel degenerative changes are present within the thoracic spine.
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shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p17629431/s55266831/7b498013-d9eacc86-eef70121-2f62ba0e-2f916a64.jpg
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left-sided port-a-cath tip terminates within the low svc. heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. small left pleural effusion is noted, with streaky bibasilar airspace opacities which appear slightly progressed compared to the prior exam. no pneumothorax is identified. multilevel degenerative changes are noted in the thoracic spine. clips are seen within the midline upper abdomen.
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fever for <num> days, pancreatic cancer.
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MIMIC-CXR-JPG/2.0.0/files/p10549587/s54271463/2bd81342-f3121914-6e7e691c-76fc0580-4c31b7e7.jpg
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pa and lateral views of the chest. no prior. the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
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<unk>-year-old male with bleeding from penis, recent congestion. question infection.
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MIMIC-CXR-JPG/2.0.0/files/p11686207/s54673619/a8533919-65ca2062-6abef4f8-63fa076f-475432a3.jpg
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pa and lateral chest views have been obtained with patient in upright position. there is moderate cardiac enlargement and the thoracic aorta is generally widened and elongated. calcium deposits are seen in the wall, mostly at the level of the arch. the pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no sign of an advanced interstitial or alveolar edema. no evidence of acute infiltrates and the lateral pleural sinuses are free. in the apical area, thickened pleural structures are noted bilaterally and combined with old scar formations and irregular densities in the peripheral portions of the parenchyma in this territory. when comparison is made with the next previous examination of <unk>, these changes have not undergone any difference in appearance anf represent old inactive specific scars. comparison demonstrates on the other hand that the cardiac size has increased mildly and so has the upper zone redistribution pattern. acute infiltrates are not present.
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<unk>-year-old female patient with cough, bronchitic sounding, desaturation of oxygen while walking, evaluate for possible pneumonia prior to inhaled steroid use.
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MIMIC-CXR-JPG/2.0.0/files/p13800231/s53757674/77a32ba9-6612e4df-c42db349-00750212-b008fbdb.jpg
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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cough.
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MIMIC-CXR-JPG/2.0.0/files/p16076182/s57285793/9f7288f5-ad970acd-de286556-9488499e-ab8c4297.jpg
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the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures. hypertrophic changes seen throughout the spine.
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<unk>-year-old female with hypoxia. question pneumonia or pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p12439188/s51891642/090320f0-13bd544e-78162c7b-d19ecb37-c9b35644.jpg
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pa and lateral views of the chest provided. midline sternotomy wires are again noted as well as mediastinal clips. abnormal mediastinal contour reflects known mediastinal mass which per report likely represents thyroid goiter though clinical correlation is advised. the heart appears top-normal in size. there is mild hilar congestion without frank pulmonary edema. no large pleural effusion or pneumothorax. bony structures are intact.
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<unk> chf, ckd, now symptomatic anemia // pulmonary edema? worsening chf?
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MIMIC-CXR-JPG/2.0.0/files/p19400999/s51030009/ef9fcb39-8420c295-b2367b9f-4260b974-d0bad5e7.jpg
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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<unk>m with <num> wk l sided pleuritic cp after <num> wk of allergy vs cold symptoms. evaluate for pneumothorax, effusion, or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11880464/s51069527/1d7b9e80-060d072c-e68870ca-c5833a03-ad70f53e.jpg
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no focal consolidation, pleural effusion or evidence pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there may be a very minimal pulmonary vascular congestion.
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history: <unk>m with <unk> edema // eval for pulm edema
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MIMIC-CXR-JPG/2.0.0/files/p12466232/s58978580/545d0260-f1ce4886-aaf73c7e-64637422-486c79fa.jpg
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lungs are clear of focal consolidation, effusion, or overt pulmonary edema. the cardiac silhouette is enlarged but likely accentuated by ap projection. accentuated thoracic kyphosis is again noted. surgical clips seen in the right upper quadrant.
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<unk>f with cough, chest pain // any pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p18792281/s55372351/da74bd67-7738835a-e75c92de-8c49c9f7-40635729.jpg
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frontal and lateral views of the chest. the lungs are clear of focal consolidation. eventration of the right hemidiaphragm is noted. cardiomediastinal silhouette is within normal limits. aorta is tortuous. no acute osseous abnormality detected.
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<unk>-year-old male with cough.
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MIMIC-CXR-JPG/2.0.0/files/p19593791/s59147681/f338bcd1-d75b35c1-ec280b1b-dd9cb70b-f3831927.jpg
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portable upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man with ms, nephrolithiasis s/p pcnl c/b sepsis with desats to <unk>'s and new o<num> requirement. // rule out pneumonia rule out pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p17236883/s53972294/31680b64-3e1364d4-75a30c0b-eda01acb-f491e9f3.jpg
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the lungs are clear. the cardiomediastinal silhouette and hilar contours are within normal limits. the pleural surfaces are clear without effusion or pneumothorax.
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new wheezing.
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MIMIC-CXR-JPG/2.0.0/files/p16361542/s55706189/b544bd3b-bb60620b-699937e2-edeeff4a-8a3d069a.jpg
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single frontal view of the chest. the catheter of a right chest wall port terminates in the lower svc. the heart size and cardiomediastinal contours are stable. lung volumes are low, exaggerating bronchovascular markings and hilar crowding. no specific evidence of pulmonary edema. right base linear opacity is consistent with atelectasis. no lobar consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old female requiring aggressive iv fluid. evaluate for pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p11437366/s58058925/ac72625b-a786cb13-9452dff6-38978944-c58b6e43.jpg
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there is a persistent, large left pleural effusion, not significantly changed in size since the most recent examination. there is moderate pulmonary edema, slightly improved since the most recent exam, but comparable to the examination dated <unk>. both lung bases are difficult to evaluate and either old both could <unk> pneumonia. the cardiac silhouette is stably enlarged. no pneumothorax is identified. again noted is a right-sided picc line, which terminates in the upper svc. a tracheostomy tube is in standard position.
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<unk> year old man with mrsa/pseudomonas pna on trach // eval effusion progression
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MIMIC-CXR-JPG/2.0.0/files/p12102463/s50514996/f799ff17-e9d62c2d-ccb106e5-1eef3176-abf0d44c.jpg
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multifocal predominantly perihilar and basilar bilateral patchy opacities may represent multifocal pneumonia, given the clinical history. a small left pleural effusion is probable. moderate bibasilar and retrocardiac atelectasis is mildly worse since <unk>. lung volumes remain low. the heart size is unchanged. a left internal jugular venous central line is slightly moved in position with the tip in the azygos or internal mammary vein. the right tunneled hd catheter is seen in the right atrium. no pneumothorax.
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<unk> year old woman with severe sepsis // eval for infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p13383248/s54235786/14ae3265-c00d4d9f-ff52eb2d-ada27830-b451137c.jpg
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. small left pleural effusion is re- demonstrated along with left basilar opacity, likely atelectasis. a trace right pleural effusion is also demonstrated, new in the interval. remainder of the lungs are clear without focal consolidation. no pneumothorax is identified. moderate multilevel degenerative changes are seen in the thoracic spine.
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history: <unk>m with fever and cough
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MIMIC-CXR-JPG/2.0.0/files/p16771388/s50050321/6c810e73-35c714e3-32798a35-92520ad0-bf155538.jpg
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worsening left retrocardiac and basal opacity could be atelectasis/consolidation. large hiatal hernia with air-fluid level is seen. the cardial mediastinal silhouette is compared well. no displaced rib fractures.
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<unk> year old man with sah s/p fall // concern for rib fracture s/p mechanical fall
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MIMIC-CXR-JPG/2.0.0/files/p13539462/s54596198/4e92ab74-9446dfe3-d3a0c5bd-0387379f-9524c664.jpg
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frontal and lateral views of the chest were obtained. lungs are relatively hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. there is minimal loss of height of the mid thoracic vertebral body superior endplate, which is likely stable since the prior study.
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<unk>-year-old male with chest pain, dyspnea, history of hiv, question pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p10867055/s55987733/1640ebec-9961ae42-24cd679b-f74c68f3-d5f60342.jpg
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left picc tip is in low svc and right ij tip is in upper-to-mid svc. right chest tube is in the lateral mid right chest. interval resolution of right pleural effusion. mild interval increase in bibasilar atelectasis left greater than right with unchanged low lung volumes. mild vascular engorgement without pulmonary edema. no pneumothorax or new focal opacity. heart size is top normal with normal mediastinal contour and hila. no bony abnormality.
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male with sepsis and right chest tube with fairly congested. assess for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p15491552/s59107015/998290b5-2cac746d-704e707e-35a99570-72e81473.jpg
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lung volumes are normal. lungs are clear.no pleural effusion. no pneumothorax. pulmonary vasculature is normal. heart size is normal and unchanged. mediastinal and hilar contours are normal. unchanged widening of the intercostal space between left ribs <num> and <num>.
|
history: <unk>f with cough, shortness of breath, sore throat // please evaluate for pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p18727840/s59854579/5e88a97c-8f9273c8-ea1e9272-5eb88e97-c01b746f.jpg
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since the prior radiograph on <unk>, the right pigtail catheter has been removed. there has been interval expansion of the right basilar pneumothorax. there is also a mild/moderate right pleural effusion, which appears more prominent compared to the prior cxr but this may be partially due to patient positioning. the loculated pleural fluid in the right apex is no longer visualized. left lung is essentially clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
|
<unk> year old man with copd // eval
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MIMIC-CXR-JPG/2.0.0/files/p10851976/s59686545/88bb4ba1-e734fabc-a5b81129-c4389e0a-aee694c6.jpg
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lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is moderate rotary dextroscoliosis of the mid thoracic spine, unchanged since prior study. included upper abdomen is unremarkable.
|
syncopal event with loss of consciousness,, evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p17619932/s55622364/8a058204-f7d3f50c-5a6158ff-de211d86-241535ae.jpg
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pa and lateral chest radiograph demonstrates a subtle opacity involving the left lower lobe. remaining lungs are clear. cardiomediastinal and hilar contours are within normal limits. imaged osseous structures and upper abdomen are without an acute abnormality.
|
<unk>-year-old male with a cough and productive sputum.
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MIMIC-CXR-JPG/2.0.0/files/p13674258/s50360853/7baf61a2-f4492bd2-1ca1ff9b-ac1c4de9-40f7e9c2.jpg
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orogastric tube ends into the stomach. right picc line tip is at mid svc. there are no interval changes in the lungs. bibasilar atelectasis is similar. there is no evidence of pneumoperitoneum. no discrete lung opacities concerning for pneumonia. pleural effusion if any is small on the right side and presumed. no pulmonary edema or pneumoperitoneum.
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status post ex lap, to look for pneumoperitoneum.
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MIMIC-CXR-JPG/2.0.0/files/p13017215/s56939685/9c48a0da-0abf7a11-52ea0fb5-c72cd49c-cdfb336e.jpg
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the study is limited due to rotation of the patient. allowing for this limitation, there is no focal parenchymal opacity. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a catheter running parallel to the spine along the left hemithorax likely represents vp shunt, both ends are out of view. another catheter underneath the left hemidiaphragm is incompletely imaged.
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patient with subarachnoid hemorrhage with a g-tube placement on chronic aspiration, presenting with fever and coffee-ground emesis. evaluate.
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MIMIC-CXR-JPG/2.0.0/files/p17219911/s50503315/c6346fda-98336c8d-f587265a-4c0bde76-617b2cc3.jpg
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cardiomegaly is re- demonstrated. there is central pulmonary vascular engorgement with mild interstitial edema. no pneumothorax. small bilateral pleural effusions.
|
history: <unk>m with sob // ? infectious process, effusion
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MIMIC-CXR-JPG/2.0.0/files/p11129726/s57484627/5ad8f595-3979116a-e0bcdc05-634bc090-903d41c4.jpg
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the cardiac silhouette is enlarged, there is a new moderate right and small left pleural effusion as well as mild pulmonary edema, worsened since <unk>. no pneumothorax. there is a left retrocardiac opacity which likely represents atelectasis.
|
<unk>-year-old woman with heart failure and pulmonary edema.
|
MIMIC-CXR-JPG/2.0.0/files/p17009398/s56892676/0463b74f-d4a40e90-53be0efb-3f4b437d-fa66657f.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
|
severe epigastric abdominal pain radiating to the back.
|
MIMIC-CXR-JPG/2.0.0/files/p19231238/s56334671/728971aa-b854370d-c810146e-133eedb3-ee9bb7f9.jpg
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cardiac enlargement. pulmonary vascularity has mildly improved. interstitial edema has improved. mild left pleural effusion is more prominent. very shallow inspiration on the lateral radiograph. bibasilar opacities have improved. metallic density projected over upper abdomen.
|
<unk> year old woman with borderline cxr for pna presents with agitation, now on abx with elevating leukocytosis. would like to know certainty of pulmonary source of infection after pt has been hydrated // please re-evaluate for pna
|
MIMIC-CXR-JPG/2.0.0/files/p11720780/s56271117/9293f649-267589ed-21194541-6f9ab291-64448feb.jpg
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a single ap radiograph of the chest was acquired. a right picc ends in the low svc, not significantly changed compared to the prior radiograph from <unk>, although this picc has apparently been exchanged in the interim. there is minimal bilateral lower lung atelectasis/scarring. there is no focal consolidation. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
|
existing left picc. about to use line for chemotherapy. assess for positioning.
|
MIMIC-CXR-JPG/2.0.0/files/p19920914/s54991320/0de01688-d3b5bab8-bdae08d0-e6b14200-f4845f5c.jpg
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ap portable upright view of the chest. an svc stent is unchanged in position. the patient is post left pneumonectomy, with fluid throughout the left hemithorax. there is expected leftward shift of the mediastinum. a small right pleural effusion is unchanged. there is no pneumothorax. a right thoracostomy pigtail catheter is no longer visualized.
|
<unk> year old woman s/p left pneumonectomy with r pneumo // ? ptx
|
MIMIC-CXR-JPG/2.0.0/files/p14338016/s51672479/43c29fc3-1eddfc7b-49c9d4a6-9a5cd3ce-ea85cc3d.jpg
|
the cardiac silhouette is normal. the right hila is normal. there is increase in size, convexity, and density in the left hilum with kerley b line in the left lower lobe, consistent with lymphadenopathy due to lymphangitis carcinomatosis previously seen on ct. no pneumothorax. no fracture.
|
<unk>-year-old male with history of metastatic rcc on therapy. evaluate for pneumonitis, chf, or pleural effusion.
|
MIMIC-CXR-JPG/2.0.0/files/p18054216/s53720072/6019385a-3c248195-0b4e8a97-8a1bd761-73652c9d.jpg
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. the aorta has a tortuous contour. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
|
pain under left arm.
|
MIMIC-CXR-JPG/2.0.0/files/p19106115/s54412545/ccab0676-0dc88c38-c51239b1-1560ae02-345cd4a5.jpg
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pa and lateral images of the chest. the lungs are well expanded. there is a focal patchy opacity in the right infrahilar area, which could represent atelectasis, aspiration, or early pneumonia. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
|
new facial droop starting yesterday.
|
MIMIC-CXR-JPG/2.0.0/files/p18829282/s50874983/768ae62a-9d1b2da1-23738cb3-67ed2d41-a4e1b92f.jpg
|
cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
|
<unk> year old man with mild discomfort left anterior chest wall // r/o abnormality
|
MIMIC-CXR-JPG/2.0.0/files/p18708770/s58418050/c9c9618d-ac1ecd14-61147482-d58b40b5-4c225ecd.jpg
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endotracheal tube tip terminates in the mid clavicular head right ij catheter remains in the superior svc. an enteric catheter extends inferiorly out of the field of view. moderate cardiomegaly and mild fluid overload are unchanged. left basilar atelectasis is unchanged. no new focal consolidation or pneumothorax is present.
|
<unk>-year-old man with stroke.
|
MIMIC-CXR-JPG/2.0.0/files/p17225920/s56342554/37083116-24fa548a-d7b9b377-83043fe9-6a30bc02.jpg
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as compared to the prior examination performed <num> day earlier, there has been no relevant interval change. mild bronchial cuffing is noted, predominantly on the lateral film. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits.
|
history: <unk>m with fever of unknown origin // evidence of pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p14987072/s59431035/7a98e569-f713f0c8-f908d36a-05c3510f-98ce92d6.jpg
|
the patient is rotated. an opacity projects over the lower right mediastinum and may reflect normal hilar structures. minimal left basilar atelectasis. no pleural effusion or pneumothorax identified.
|
<unk> year old woman pod<num> l crani for tumor resection with fever // evaluate for pna
|
MIMIC-CXR-JPG/2.0.0/files/p13729281/s53749146/65e28792-8fcfeca3-58678db3-a57ddcd9-c69d6d4e.jpg
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. no radiodense material suspicious for chipped tooth is identified.
|
history: <unk>f with chipped teeth in accident // aspirated tooth?
|
MIMIC-CXR-JPG/2.0.0/files/p16891942/s58098625/f280bb1f-3fcf3b54-a92d541f-51713011-57beaf7e.jpg
|
ap portable upright view of the chest. evaluation limited due to low lung volumes. there is mild pulmonary edema. cardiomegaly is again seen. no large effusion or pneumothorax. prosthesis of the right humeral head noted.
|
<unk>f with stemi // please eval for any acute process in chest
|
MIMIC-CXR-JPG/2.0.0/files/p17457987/s57177782/436b7a5c-0bedd1ba-33c44264-23354807-2911315b.jpg
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the cardiac silhouette size is normal. the aorta is mildly tortuous. hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. no free air is seen under the diaphragms.
|
abdominal pain.
|
MIMIC-CXR-JPG/2.0.0/files/p15794853/s52771730/c7bb7a27-6bddbaf9-04f09419-b9b656c0-02c3e504.jpg
|
pa and lateral views of the chest were obtained. lungs are symmetrically expanded. there is no focal consolidation. heart is normal in size, and cardiomediastinal contour is unremarkable. there is no pleural effusion and no pneumothorax. moderate mid thoracic spine compression fracture is age-indeterminate.
|
<unk>-year-old woman with tia, please evaluate for infection.
|
MIMIC-CXR-JPG/2.0.0/files/p10617964/s58615303/bd74859b-047f4f88-f64fbcc3-260940ed-61a74f88.jpg
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single view of the chest provided. a port-a-cath is seen overlying the right chest and terminates cavoatrial junction. numerous pulmonary nodules are noted throughout the right and left lungs, which are better characterized on ct <unk>. a moderate left pleural effusion is unchanged in comparison to the prior ct. a small, right pleural effusion is new. imaged osseous structures are intact.
|
<unk> year old woman with non working poc. // please evaluate for etiology port malfunction.
|
MIMIC-CXR-JPG/2.0.0/files/p10863164/s56370049/ee6058d4-f7b6c246-c5c70bdc-d41d7f11-8624a0c2.jpg
|
the heart appears mildly enlarged. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax.
|
nausea and vomiting; question aspiration.
|
MIMIC-CXR-JPG/2.0.0/files/p15945590/s50481961/37b89dca-b7e0160d-5cbb99cd-9487b003-f2cefe65.jpg
|
single ap view of the chest was reviewed. since the most recent prior study, there has been placement of a right internal jugular line with tip terminating in the mid svc. there is no pneumothorax. additionally there is an placement of an enteric tube with tip in the stomach but sideholes near the ge junction. the heart is moderately enlarged. interstitial edema is mild. focal opacities at the lung bases, left greater than right, is likely combination of edema, small pleural effusion and atelectasis, but opacities in the left midlung zone and increasing in the right apex over the past two hours could be due to recent aspiration, pneumonia, or pulmonary hemorrhage.
|
central line placement.
|
MIMIC-CXR-JPG/2.0.0/files/p10405772/s54810445/f39460cd-03163d2c-be412e51-2231ded4-4a3b8254.jpg
|
the lungs are clear without focal consolidation, effusion, or edema. moderate to severe cardiomegaly is again noted. no acute osseous abnormalities.
|
<unk>f with left-sided chest pain // pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p16761273/s55676763/de5cb10d-1970a39c-dadbacb1-4e3cc8d5-668396ba.jpg
|
the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no free intraperitoneal air.
|
<unk>f with lightheadedness, dizziness, epigastric pain // r/o intrapulm process
|
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