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single ap portable view of the chest demonstrates slightly increasing bibasilar interstitial opacities, suggestive of worsening atelectasis. no focal consolidations worrisome for pneumonia. cardiac size is stable. the patient is status post thoracotomy. chain sutures are noted in the left suprahilar area compatible with prior lingular resection. known left perihilar mass is not well appreciated on the radiograph. no pleural effusions. no pneumothorax. hyperinflated lungs with emphysematous changes are re-demonstrated.
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<unk>-year-old female with shortness of breath. evaluate for infiltrate.
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there are no lung opacities concerning for pneumonia. both pleural spaces are normal. heart size is normal, mediastinal and hilar contours are unremarkable.
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<unk>-year-old man with fever.
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pa and lateral views of the chest. there is a left-sided pacemaker ends with leads in appropriate position. there is a small right pleural effusion, unchanged. there is also likely a small left pleural effusion. there is pulmonary vascular congestion. moderate cardiomegaly is again seen. no focal consolidation or pneumothorax. again seen is prominence of the right hilum and a dense triangular opacity in the right cardiophrenic region, similar to the <unk> cxr and better delineated on a chest ct from the same date prominence of the right paratracheal soft tissues is noted, but is likely related to rotated positoning.
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productive cough, inspiratory chest pain for weeks. denies fever and chills.
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there is moderate interstitial pulmonary edema. no focal infiltrates to suggest pneumonia. borderline enlargement of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
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history: <unk>m with nstemi from osh with progressive hypoxia // eval ? edema, cardiomegaly
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pa and lateral chest views were obtained with patient in upright position. the heart size is stable and within normal limits. thoracic aorta unremarkable. no mediastinal abnormalities are present. the pulmonary vasculature is not congested. the lungs are free and no evidence of acute infiltrates is present. when comparison is made with the previous two studies, at that time identified left lower lobe changes in the posterior segment consistent with early developing pneumonia cannot be identified anymore and the chest findings are now unremarkable.
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<unk>-year-old female patient with followup examination for infiltrate in left lower lobe diagnosed on two previous chest examinations of <unk> and <unk>.
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as compared to chest radiograph from <num> day prior, worsening atelectasis of the right middle and right lower lobe with partial collapse. retrocardiac and left lower lobe basilar opacities also slightly worsened. no pulmonary edema. no pneumothorax or substantial effusion.
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<unk> year old man with continued oxygen requirement s/p lumbar fusion // eval progression of bibasilar opacities
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single frontal portable view of the chest demonstrates small bilateral pleural effusions. the right pleural effusion has decreased slightly in size and the left remains unchanged. heart size is enlarged. increased perihilar prominence and cephalization of vasculature is compatible with volume overload. a left dialysis catheter terminates in the mid svc. a right-sided pacemaker is seen with wires terminating in the right atrium and right ventricle, as expected. there is no suspicious osseous lesions. no pneumothorax is seen.
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dyspnea, evaluate for pulmonary edema.
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mild pulmonary vascular congestion. moderate cardiomegaly with mild enlargement of the aorta, not fully characterized on chest radiograph. likely small left pleural effusion and adjacent atelectasis. minimal right lower lobe assess. no pneumothorax.
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<unk> year old man with stroke. now with desat to <unk>. // evaluate for pna.
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frontal views of the chest. heart size and mediastinal contours are normal. small left base density may represent soft tissue or consolidation. right base atelectasis is similar to prior. no focal consolidation, pleural effusion, or pneumothorax.
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asthma, tachypnea, and cryptococcal meningitis.
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pa and lateral views of the chest. there is no free air. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. nipple shadows are noted. no evidence of free air is seen beneath the diaphragms.
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abdominal pain, recent colectomy.
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a frontal and lateral view of the chest show an indistinct left cardiac border and increased opacification overlying the heart on lateral view. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are unremarkable. pleural surfaces are normal.
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history of smoking now with cough and fever, rule out pneumonia.
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there has been interval removal of a left chest tube with considerable amount of subcutaneous gas adjacent to the left lung. a new platelike atelectasis has developed in the right and left mid lung field, and there is continued atelectasis of the right middle lobe. linear lucency surrounding the aortic arch and small left apical lucency represent small left pneumothorax.
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<unk> year old man s/p left chest tube removal // ? interval change or pnx
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no large pleural effusion, overt pulmonary edema, pneumothorax, or focal airspace opacification.
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history: <unk>f with chest pain, tachycardia, dyspnea // acute cardiopulm disease
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the lung volumes are exceedingly low, resulting in crowding of bronchovascular structures. patchy opacity at the left lung base may reflect atelectasis or pneumonia. there is no pleural effusion or pneumothorax. heart is normal size. mediastinal hilar contours are unremarkable. clips are seen overlying the thyroid bed.
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fevers and cough. rule out pneumonia.
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cardiac silhouette size remains mildly enlarged. the aortic knob is calcified. the mediastinal and hilar contours are unremarkable. increased interstitial markings are again noted diffusely, likely reflective of a chronic interstitial abnormality and appear unchanged there has been interval development of bilateral lung masses and nodules, with the largest lesion in the left upper lobe measuring up to <num> cm and a second lesion in the right upper lobe measuring up to <num> cm. patchy opacities in the lung bases may reflect areas of atelectasis. a small left pleural effusion is likely present. probable mild pulmonary vascular congestion is present. no pneumothorax is demonstrated.
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history: <unk>f with shortness of breath
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assessment is slightly limited by patient rotation. cardiac silhouette size remains mildly enlarged. a moderate size hiatal hernia is again noted. the aorta remains tortuous. hilar contours are grossly unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is detected. the osseous structures are diffusely demineralized with mild loss of height of several mid and lower thoracic vertebral bodies, grossly unchanged from the prior exam.
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history: <unk>f with altered mental status
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single frontal view of the chest demonstrates intact median sternotomy wires and interval removal of an enteric tube and right chest tube and, with minimal subcutaneous emphysema along the right chest wall. there is somewhat similar mild perihilar vascular congestion and stable moderate left pleural effusion and increased small right pleural effusion with associated atelectasis. coarse calcifications along the aortic arch is unchanged. the upper lungs remain relatively well aerated. previously seen tiny right apical pneumothorax is no longer appreciable.
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<unk>-year-old female status post ascending aorta repair for type a dissection here for assessment of pneumothorax status post chest tube removal.
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ap and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old male with tib-fib fracture, undergoing preop screening.
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frontal and lateral views of the chest. on the lateral view there is increased density projecting over the posterior costophrenic angles. superiorly the lungs are clear. there is no pulmonary vascular congestion. cardiac silhouette is enlarged but stable. dual lead pacing device again noted as well as median sternotomy wires. osseous structures are unremarkable.
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<unk>-year-old male with altered mental status.
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shortly after the study, a preliminary interpretation was provided by dr. <unk> <unk> stated "improved aeration of the left lung base, minimal right-sided atelectasis. otherwise, unchanged exam. no acute findings." the cardiac, mediastinal and hilar contours appear stable including tortuosity of a calcified aorta. a central venous catheter terminates in the right atrium, also not significantly changed. left basilar opacity has resolved. however, there is a new streaky right basilar opacity. there is no definite pleural effusion or pneumothorax.
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acute mental status change and tachypnea.
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<num> sequential portable radiographs, separated in time by <unk> min, show a right picc coursing into the right atrium. withdrawal by <num> cm would place the tip in the low svc. there is no pleural effusion, pneumothorax or focal airspace consolidation. there is persistent mild pulmonary edema and heart size remains mildly enlarged.
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bedside repositioning of a right picc.
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar pleural surfaces are normal.
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history: <unk>f with near syncope, tachycardia // eval for acute process
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lordotic positioning. compared with <unk> at <time>, an et tube is now present, tip borderline low, <num> cm above the carina. an ng tube is present, tip extending beneath diaphragm, off film. left ij central line tip again overlies the distal svc. no pneumothorax is detected. cardiomediastinal silhouette is partially obscured, but probably unchanged. again seen is hazy density in the right mid can lower zones, consistent with pleural effusion can underlying collapse and/or consolidation. the degree of vascular plethora in the right upper zone may be slightly increased, but there is also considerable artifact due to overlying materials. on the left, no overt chf. patchy opacity at the retrocardiac region is similar to the prior film. no left effusion. old healed right rib fractures and tapered left clavicle again noted.
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<unk> year old woman with s/p re-intubation <unk> resp failure // eval interval change
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ap single view of the chest has been obtained with patient in sitting semi-upright position. the heart size remains normal and no configurational abnormality is noted. the entire thoracic aorta is generally widened and elongated, and this includes also the ascending portion to the right of the midline. the pulmonary vasculature is not congested and there are no signs of acute pulmonary parenchymal infiltrates. also, the lateral pleural sinuses remain free from fluid accumulation and there is no pneumothorax in the apical area. our records do not include a previous chest examination available for comparison.
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<unk>-year-old male patient with type-b aortic dissection, pre-operative chest examination for surgery scheduled on <unk>. also, ascending aortic repair is planned.
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retrocardiac opacity has improved since the prior, probably related to improved inspiration. linear opacities in the left lower lobe are chronic and likely scarring. the right lung is clear. cardiac size is top-normal. moderate to severe scoliosis convex to the right.
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<unk> year old woman with sinus issues and cough. r/o pna // evaluate for cough
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the cardiac, mediastinal and hilar contours appear stable. the arch is partly calcified. the descending thoracic aorta shows moderate unfolding. there is no pleural effusion or pneumothorax. the lungs appear clear.
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altered mental status.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. there is mild prominence of the main pulmonary artery which may be due to a component of pulmonary hypertension.
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history: <unk>m with chest pain // infiltrate? pneumothorax?
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lung volumes are low with apparent crowding of bronchovascular structures. a left basilar opacity may represent pneumonia in the correct clinical setting. the upper abdomen is unremarkable.
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<unk>m with infection // r/o pna
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with <num> day of sob and chest tightness, no fever
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portable semi-erect chest film <unk> at <time> is submitted.
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<unk> year old woman with sdh, iph s/p dobhoff placement // ? placement of dobhoff ? placement of dobhoff
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. incidental note is made of resection of the anterior right first rib.
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<unk>f with chest pain, dyspnea, evaluate for acute cardiopulm disease.
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pa and lateral images of the chest. the lungs are well expanded. there is a small rounded opacity overlying the mid right lung laterally which was not apparent on prior imaging, and which may represent a small pneumonia in the right clinical setting. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. prominent hilar lymphadenopathy is again seen, suggestive of sarcoidosis and unchanged from prior exam. the cardiomediastinal silhouette is unremarkable.
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cough.
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the patient is status post median sternotomy and cabg. heart size is moderately enlarged and is accentuated due to low lung volumes. the mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures, but no overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. minimal atelectasis is noted in the lung bases. there are no acute osseous abnormalities.
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elevated blood sugar.
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cardiac silhouette size is borderline enlarged. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities seen.
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history: <unk>f with chest pain
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right picc line tip remains in the upper svc. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is unchanged. there is no focal consolidation concerning for pneumonia. lungs remain hyperinflated. at the bilateral lung apices there is stable pleural parenchymal scarring. there is a small left pleural effusion, unchanged.
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<unk>f with recent pneumonia, fever, hypotension, question pneumonia.
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there is again seen a left-sided port-a-cath with distal tip projecting over the upper right atrium, in stable position. the cardiomediastinal silhouettes are unchanged in appearance. the bilateral hila are stable. there has been interval increase in right basilar linear opacities, most notably a more prominent area of consolidation in the right lower lung zone which is now confluent in comparison to prior study. this may represent atelectasis or developing pneumonia depending upon clinical context. there are again seen areas of atelectasis in the left lower lung, obscuring the left hemidiaphragm. the previously described small right pleural effusion is not currently seen. there is no pulmonary vascular congestion. there are no pneumothoraces.
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<unk> year old m s/p exlap for pancreatic biopsies, now with new o<num> desaturation this morning. // please evaluate for possible cause of o<num> desaturation.
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ap and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with left great toe and middle toe infections. pre-op.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with chest pain
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the arms are down and accordingly the lateral view is underpenetrated and markedly limited. dense mitral calcifications are present. the cardiac, mediastinal, and hilar contours appear unchanged. a diffuse interstitial abnormality has considerably improved. a streaky left basilar opacities in the left lower lobe is associated with clustered small dilated airways. small pleural effusions are suspected. with resolution of more widespread opacification, mild peripheral interstitial changes are more apparent in relative terms and unchanged from earlier. degenerative changes of the spine appear similar. moderate-to-severe degenerative changes involve each shoulder as before. the bones are probably demineralized.
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follow-up of pneumonia.
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frontal and lateral views of the chest. the lungs are clear of focal consolidation or large effusion. there is no pulmonary vascular congestion. there is an abnormal contour of the cardiac silhouette which appears enlarged on the right. this could be due to more rounded pericardial fat pad, although underlying pericardial cyst or other abnormality is possible. tortuous descending thoracic aorta is identified. mild mid thoracic vertebral body height loss is seen, age indeterminate.
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<unk>-year-old female with chest pain.
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pa and lateral views of the chest provided. right chest wall port-a-cath is new in the interval with catheter tip extending into the low svc likely in the right atrium. clips in the right cardiophrenic recess noted. lungs are clear. 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 rectal cancer on folfox p/w <num> days of fever
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. there is mild elevation of the right hemidiaphragm.
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<unk> year old woman with cough, wheezing, and pain with deep breathing // r/o acute process
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ap upright and lateral views of the chest provided. midline sternotomy wires, mediastinal and upper abdominal clips are again noted. small bilateral pleural effusions are again noted. the heart is top-normal in size. mediastinal contour is normal. mild atelectasis at the bases better assessed on same-day ct. scattered areas of atelectasis likely account for reticular opacities within the lungs. a more nodular opacity projects over the left upper lung. no free air below the right hemidiaphragm.
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<unk>f with pancreatitis // eval for effusions
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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.
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chest pain.
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the left lower lobe consolidation is improved but still present. no pleural effusion or pneumothorax is seen. heart and mediastinal contours are within normal limits. hardware is again noted to be overlying the left lower chest laterally with leads coursing to the neck.
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<unk>-year-old male with increasing seizure frequency.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the heart appears top-normal in size. mediastinal contour is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with abnormal stress echo // r/o chf
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left-sided pacer device is grossly stable in appearance. no significant change since the prior study. the cardiac and mediastinal silhouettes are stable. no new focal consolidation is seen. possible left base atelectasis. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.
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history: <unk>m with hx of chronic pancreatitis and chf p/w epigastric pain. // eval for chf, pleural effusion
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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. no displaced fracture is seen. there is no pulmonary edema.
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history: <unk>f with chest pain // acute cardiopulm disease
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, contusion, or pleural effusion. an azygos fissure is noted, normal anatomic variant.
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<unk>-year-old male status post fall with tachycardia.
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frontal and lateral chest radiograph demonstrates well expanded lungs wihtout focal consolidations. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are unremarkable.
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<unk>-year-old male with persistent bronchitis.
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lungs are well-expanded and clear. the cardiac silhouette is not enlarged. aorta is mildly tortuous. no pleural effusion, consolidation, or pneumothorax.
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history: <unk>f with fever on chemo // pna?
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. osseous structures are intact. there may be mild anterior wedging of a midthoracic vertebral body.
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breast cancer, nausea, question acute cardiopulmonary process.
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there is no focal consolidation, pleural effusion or pneumothorax. a nodular focus projecting over the left upper lung measures abotu <num> mm. the cardiomediastinal and hilar contours are normal.
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history: <unk>m with right sided abdominal pain, max in ruq // eval for acute process
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the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is no pneumomediastinum. no acute osseous abnormalities. there is no free intraperitoneal air.
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<unk>f with cp after vomiting // ? pna
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. blunting of lateral costophrenic angles is thought to be due to overlying soft tissues. posterior costophrenic angles are sharp without evidence of effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unchanged, noting degenerative changes at the glenohumeral joints bilaterally.
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<unk>-year-old female with dizziness.
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the distal tip of of the port-a-cath is in the distal svc. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. calcified nodules in the right infrahilar region remain unchanged. there is continued elevation of the right hemidiaphragmatic contour. diffuse metastatic disease throughout the thoracic spine and ribs is better seen on ct from <unk>.
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<unk> year old man with dlbcl // concern for fvo, please evaluate
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redemonstrated is a <num> mm lingular nodule, which was better assessed on the prior ct. it is unchanged. the lungs are otherwise clear. there is no consolidation, edema, pleural effusion, or pneumothorax. chronic blunting of the left costophrenic angle is also unchanged. the cardiomediastinal silhouette is normal.
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dyspnea and fever. evaluate for pneumonia.
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a predominantly upper lobe interstitial abnormality has been more severe recently, probably due to concurrent edema at the time. moderate to severe was shown on recent chest ct. there is no pleural abnormality or lung consolidation. the cardiomediastinal silhouette and hila are normal. a right vp shunt seen.
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<unk>-year-old man with fever and mental status change.
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the lungs are well expanded and clear. the mediastinal contours, hila, and cardiac borders are normal. there is no pleural effusion. a right-sided porta catheter is unchanged and terminates less than <num> cm below the expected location of the superior cavoatrial junction.
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<unk> year old man with cll with recent fevers // assess for abnormalities.
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compared with the earlier film and allowing for technical differences, no significant change is detected. again seen is chf, with vascular plethora and interstitial edema. also again seen are left greater than right pleural effusions, with underlying collapse and/or consolidation. as before, the left heart border and left hemidiaphragm are obscured.
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chest pain question chf.
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compared with the prior study, patient positioning is more oblique, and lung volumes on the lateral radiographs are decreased. allowing for this, there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. there is mild unchanged cardiomegaly.
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<unk>f with focal neuro deficit and altered mental status, evaluate for acute process.
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single portable upright ap view of the chest. the lungs are clear bilaterally with no evidence of focal consolidation or congestive heart failure. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there are no bony abnormalities. there is no free air under the right hemidiaphragm.
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evaluation for infiltrates, pneumothorax and pneumomediastinum in a <unk>-year-old man with left-sided chest pain and shortness of breath.
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ap portable upright view of the chest. a right thoracostomy tube is present. no pneumothorax is detected. there is complete opacification of the left hemi thorax with a leftward tracheal shift, reflecting left pneumonectomy. an svc stent remains unchanged in position. there is a small right pleural effusion.
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<unk> year old woman with pleural effusion s/p cp, now w/ continuous air leak // eval for ptx, other acute process
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MIMIC-CXR-JPG/2.0.0/files/p10880723/s59746192/423a9b76-ec7f9031-027fdd5f-abb9ee20-15ab7229.jpg
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. clips are noted overlying the left chest wall.
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history: <unk>f with pmh of breast ca with mets to brain with new intermittent confusion. // infection
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there is no focal consolidation to suggest pneumonia. a <num> x <num> cm left lower lobe calcified granuloma is unchanged from <unk>. no pleural effusion or pneumothorax. heart size is top-normal. thoracic aorta is tortuous. atherosclerotic calcifications in the aortic arch have developed in the interim. wedge compression deformity involving a lower thoracic vertebral body is also unchanged.
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history: <unk>f with cough // cough
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with palpitations
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a left pectoral pacemaker re-demonstrates leads terminating in the right atrium and right ventricle with a modified course of the right ventricular lead consistent with recent intervention. the left lead courses through a persistent left svc through the coronary sinus into the right atrium. there is no definitive evidence of pneumothorax. however, there is a small left pleural effusion, which is new from the prior study with a left lower lobe consolidation. there is no right pleural effusion. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits with mild tortuosity of the thoracic aorta.
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right ventricle lead extraction via left subclavian and reimplantation of right via the right axillary vein, here to evaluate lead position and evaluate for pneumothorax.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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history of chest pain. please evaluate for pneumothorax.
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there has been no significant change compared to prior study with pleural thickening along the lateral aspect of the left lung as well as the left lung base. no focal consolidation is seen. the cardiac silhouette is unchanged. there is no pleural effusion or pneumothorax.
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<unk>-year-old man with shortness of breath for weeks worse this morning, evaluate acute cardiopulmonary process.
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portable ap chest radiograph demonstrates a widened vascular pedicle, different in contour than initial radiograph. subcutaneous emphysema involving both hemithoraces is again seen. the bilateral chest tubes are in place, but tiny left pneumothorax is appreciated and the left tube still impinges on the mediastinum. no pneumothorax is seen on the right. mild cardiomegaly is stable. there is no focal consolidation or pleural effusion.
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stab wound. evaluate for interval change in pneumothoraces.
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there is increased alveolar infiltrate in the upper lobes right greater than left that are increased compared to the study from the prior dayl there is also volume loss/infiltrate both lower lungs which is also increased .et tube and ng tube are unchanged.
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multi focal pneumonia, intubated increased white count.
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MIMIC-CXR-JPG/2.0.0/files/p13097289/s58426890/51faf2b2-22c001a3-b66fb447-04330d2a-28ea35ca.jpg
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the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
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history: <unk>f with chest pain // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p17417316/s53327454/d1b43ca2-0face844-64e4bf70-d1aa0fe0-d403c2fd.jpg
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lung volumes are lower compared with the prior radiograph. the heart size is top normal. mediastinal and hilar contours are unchanged and unremarkable. the lungs demonstrate very mild increased interstitial pulmonary lung markings, suggesting possible underlying central pulmonary vascular congestion. no pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with cough. acute process?
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
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chest pain and shortness of breath.
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lung fields are well inflated, and clear. right ij catheter is unchnged ending in atriocaval junction there is no pleural fluid cardiac silhouette is normal. aorta is mildly elongated.
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<unk> year old man with aml, presented with seizure at home. fever this morning, otherwise asymptomati
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bibasilar opacities likely reflect bilateral well pleural effusions, but cannot exclude a component of atelectasis or a superimposed focus of infection or mass. there is pulmonary vascular congestion, reticular opacities, and cardiomegaly, consistent with mild pulmonary edema. there is no pneumothorax. sternotomy wires are noted. clips are seen in the right upper quadrant.
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history: <unk>m with sob, <unk> swelling // pulm edema
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pulmonary edema, pleural effusion, or pneumothorax. no focal consolidation is identified.
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history: <unk>m with chest pain // acute process
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MIMIC-CXR-JPG/2.0.0/files/p15996479/s51675811/25190e97-cc121977-b62da9fe-a4daa678-84ea4e21.jpg
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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<unk> year old woman with history of asthma, ms with sob, cough. // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p17371272/s52552342/1cded454-9bfd176f-74be425a-d5d6a1ae-d66e9217.jpg
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frontal and lateral chest radiograph demonstrate a moderately enlarged heart with a tortuous thoracic aorta, unchanged in appearance when compared to radiograph dated <unk>. the lungs are clear bilaterally without focal consolidation, pleural effusion, or pneumothorax. there is no overt pulmonary edema. incidental note of surgical clips within the neck most likely thyroid related.
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<unk>-year-old female with cough, wheezing, and shortness-of-breath on lying flat. evaluate for heart failure.
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et tube is <num> cm from the carina. enteric tube tip is at the gastric fundus with side-port past the ge junction. relatively low lung volumes are noted. vague opacity seen throughout the lungs bilaterally potentially in part due to atelectasis though. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m transferred from osh, intubated // eval ett placement
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the cardiomediastinal and hilar contours are normal. there is stable eventration of the right hemidiaphragm. bilateral small effusions show little change since the prior study. mild bronchial wall thickening, more pronounced in the lower lobes is unchanged. no consolidation, pulmonary edema or pneumothorax is seen.
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<unk>-year-old woman with pneumonia and known effusions, to assess interval change.
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the patient is status post sternotomy, with apparent prosthetic valve. a left ij central line tip overlies the distal svc. no pneumothorax is detected. there is cardiomegaly, similar to the prior film. there is upper zone redistribution and diffuse vascular plethora, slightly more pronounced than on the prior film. there is increased retrocardiac density, consistent with left lower lat left lower lobe collapse and/or consolidation, similar to the prior film. as before, the possibility of a left-sided effusion cannot be excluded. on the right, there is opacity at the right lung base, suggestive of a right pleural effusion with underlying collapse and/or consolidation, also overall similar to the prior film. a pigtail catheter overlies the right mid abdomen.
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cad s/p cabg and mvr on <unk>, schf (ef <unk>%) who presented <unk> with n/v/headache/dizziness, found to be in shock. suspected septic initially, s/p percutaneous cholecystostomy with concern for possible gallbladder source and also concern due to left saphenous vein also with superficial infection. icu course complicated by pea arrest x<num> min on <unk> without clear precipitant. patient extubated and stable in micu and called out to the floor on <unk> now with hypotension // concern hcap, fluid status change
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as compared to prior chest radiograph from <unk>, right apical pneumothorax remains essentially unchanged. air is now also seen in the right lower pleural space. the extent of ground-glass opacity in the right lower lung has not significantly changed, likely representative of hemorrhage. there is no mediastinal shift to suggest tension. cardiomediastinal silhouette is unchanged. a fiducial marker is again seen in the right lower lung.
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<unk>-year-old female patient status post rfa of right lower lung nodule and fiducial placement. study requested for reevaluation of pneumothorax.
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ap and lateral chest radiograph demonstrates clear lungs bilaterally. nodularity within the right upper lobe appears to been present on prior study dated <unk>, unchanged, shown on ct to represent summation of shadows or artifact. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrates no acute abnormality. no air under the right hemidiaphragm is seen.
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<unk>-year-old female with preoperative evaluation.
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the left hemidiaphragm is elevated with associated mild atelectasis in the left lung base, similar to prior exams. otherwise, the lungs are well expanded and clear. the cardiomediastinal silhouette is stable from multiple prior exams. there is no pleural effusion or pneumothorax.
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<unk>f with ams // eval for pna, eval for bleed
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MIMIC-CXR-JPG/2.0.0/files/p17948192/s50247360/a99bab49-a188fa9e-c1da5e72-dfaf685a-434758c4.jpg
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there is a dense, rounded, <num> x <num> cm opacity seen adjacent to the right first rib. this focus may represent calcification of the costochondral junction, or potentially a pulmonary nodule. the remainder of the lungs are essentially clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the lungs are noted to be hyperinflated. the heart size is normal. mediastinal and hilar contours are normal.
|
right cerebellar lesion, preoperative exam prior to craniectomy.
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MIMIC-CXR-JPG/2.0.0/files/p12663214/s59293197/4a9def92-151d3eb1-e89f9fa1-18c946bb-8b6ffbcc.jpg
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there is increased hazy opacity projecting over the right lung, particularly at the base raising the possibility of the layering effusion. the lungs are otherwise clear. there is moderate enlargement of the cardiac silhouette. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities.
|
<unk>m with altered mental status, hypoxia // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p18890273/s55798144/a2d6da43-7617d4df-ed3ba1e1-3a2d993d-2cf62c79.jpg
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a portable frontal chest radiograph demonstrates a severely widened mediastinum, correlating to the ascending and descending aortic aneurysm and type b dissection. the aortic knob is not well visualized, and there is rightward deviation of the trachea. there is moderate to severe cardiomegaly. a left perihilar opacity corresponds to the mass seen on recent ct. a left pleural cap and left base opacity represent pleural effusion. there is no pneumothorax.
|
preop evaluation for an ascending aorta replacement, now with hypoxia.
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MIMIC-CXR-JPG/2.0.0/files/p13323674/s58847055/85a31322-5507af7c-4643ec6f-d9f665da-5fe171ff.jpg
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
|
<unk> year old man with sob and hypoxemia to high <num>s. // please evaluate for volume overload vs. consolidation. thnx.
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MIMIC-CXR-JPG/2.0.0/files/p13804738/s57998866/04a33d6c-a3629820-0c93615f-f259e879-bd12ced8.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.
|
<unk>m with allergice reaction, hypertension and now shortness of breath
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MIMIC-CXR-JPG/2.0.0/files/p19821816/s58305387/099e386f-c397c05b-55b57454-1c707aa2-68b181fa.jpg
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pa and lateral views of the chest provided. central perihilar ground-glass opacity is similar to prior and may reflect changes related to known hypersensitivity pneumonitis. no significant change from prior. no large effusion or pneumothorax. overall cardiomediastinal silhouette is grossly stable. no acute bony abnormalities.
|
<unk>m with hx of hypersensitivity pneumonitis here for slowly progressive dyspnea // pna
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MIMIC-CXR-JPG/2.0.0/files/p10481162/s56477602/e539942c-2ea137c7-fd96c9da-b94277c5-a831430f.jpg
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two views were obtained of the chest. the lungs are somewhat low lung volume with left pleural effusion and basal atelectasis noted. best seen on the lateral view is an extrapleural based opacity emerging from the chest wall, likely at the <num>nd rib articulation with the sternum which is consistent with progression of the known chest wall metastatic lesion. multiple bilateral pulmonary nodular opacities compatible with metastases are better seen on prior pet/ct. there is no pneumothorax. the heart is top normal size, with otherwise normal cardiac and mediastinal contours.
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left chest mass
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MIMIC-CXR-JPG/2.0.0/files/p15039521/s58424181/ef09af12-a98a7586-b5eae18d-7dafba01-cb2ac6ef.jpg
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mild enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are similar. mild pulmonary vascular congestion is present. no focal consolidation, pleural effusion or pneumothorax is seen. there are mild multilevel degenerative changes in the thoracic spine with mild loss of height of a couple vertebral bodies at the thoracolumbar junction, unchanged.
|
history: <unk>f with hypoxia
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MIMIC-CXR-JPG/2.0.0/files/p12079095/s56880245/95f00d1e-befb24be-d6503a71-dddc87f2-16457e33.jpg
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there is no radiopaque foreign body. the lungs are clear. there is no pneumothorax or pleural effusion. mild cardiomegaly is stable. the thoracic aorta is tortuous as in the past.
|
<unk> year old man may have swallowed dental bridge // r/o foreign body
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MIMIC-CXR-JPG/2.0.0/files/p15107347/s58630910/79cf36c1-8813f2d9-c5f8a735-81c43943-5e0dcfc4.jpg
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there is no focal consolidation, pleural effusion or pneumothorax. the previously noted opacities in the right lung have resolved. a nasogastric tube courses below the diaphragm into the stomach. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
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history: <unk>f with chest pain // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p13196233/s54033037/3f39f467-1e06beb5-280f6efa-0abf893c-70176e64.jpg
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pa and lateral views of the chest provided. lung volumes are low. lungs are grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
|
<unk> year old man with new diagnosis leukemia, neutropenic fevers // eval for infiltrates
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MIMIC-CXR-JPG/2.0.0/files/p13764015/s59959671/0a154ae3-a2d511bb-28361afa-6ca36121-a6325279.jpg
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lung volumes are low. bibasilar airspace opacities are likely due to aspiration or infection. there is no pneumothorax or pleural effusion.
|
<unk> year old woman with recent aspiration pna, worsened mental status // eval for new infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p12483723/s54257819/2b38aad6-c9b64a4e-e7fadb4e-1e3962de-eb6d51a4.jpg
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is no displaced rib fracture or sternal fracture.
|
<unk>m with chest pain, s/p fall, abrasion to anterior chest, evaluate for rib fracture or pna
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MIMIC-CXR-JPG/2.0.0/files/p13005295/s57420765/3ead1149-7aa92d09-32989180-022396a2-f9a48f2c.jpg
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the previously visualized left upper lobe opacity has now resolved. the lung is free of consolidations, pleural effusions or pneumothorax. no pulmonary edema. stable cardiomegaly. mediastinum and hilar within normal limits. no acute osseous abnormalities.
|
<unk> year old man with sever ai // opacity in the left upper lobe
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MIMIC-CXR-JPG/2.0.0/files/p19227457/s57849161/6b7952e1-59904af6-199d3470-34874172-1db25a90.jpg
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a left subclavian central venous catheter is present with the tip in the upper svc. the enteric tube has been removed. since the prior exam, the lung volumes have improved. there is stable mild bibasilar atelectasis. there is no pleural effusion, pulmonary edema, or pneumothorax. the mediastinal contours are normal. the heart size is mildly enlarged.
|
rapid atrial fibrillation and shortness of breath. evaluate for edema.
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