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MIMIC-CXR-JPG/2.0.0/files/p15964158/s59177200/1c0afb41-3ef280dd-1c4abaa2-23bcae6b-7af59416.jpg
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ap frontal view of the chest demonstrates hyperinflated lungs. there is no consolidation, pleural effusion, or pneumothorax. the cardiomediastinal contours are normal. right ribcage deformity noted.
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altered mental status.
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small right pneumothorax is a stable. cardiac size is top-normal. the aorta is tortuous. dobhoff tube tip is post pyloric. there is no pleural effusion. there is mild vascular congestion
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<unk> year old woman w/ r ptx. chest tube removed // perform at <num>pm. r/o ptx
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MIMIC-CXR-JPG/2.0.0/files/p17734189/s57158270/7d64c465-30c6769f-e2ebe49d-2d8967fb-561c2371.jpg
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ap upright and lateral views of the chest were obtained. the heart is top normal size and mediastinal contour is notable for tortuosity of the thoracic aorta. there is diffuse pulmonary interstitial prominence and areas of architectural distortion, likely chronic. surgical chain sutures are present in the left mid lung. increased opacification in the retrocardiac left lower lobe is not well evaluated and may represent atelectasis, consolidation or potentially a mass. there is no pleural effusion or pneumothorax.
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<unk>-year-old man with weight loss, cough.
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cardiac size is moderately enlarged as before. the lungs are clear. there is no pneumothorax or pleural effusion. cervical spinal hardware is partially imaged
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<unk> year old man with systolic chf, with new shortness of breath // evaluate for pneumonia or other cause of shortness of breath
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MIMIC-CXR-JPG/2.0.0/files/p19482711/s52911582/70d26d83-dc3b2069-e240a9f5-fb6726bf-8439c668.jpg
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a right chest port terminates in the mid svc. the cardiomediastinal contours are remarkable for unchanged prominence of the right mediastinal contour corresponding to a known anterior mediastinal soft tissue abnormality on prior pet-ct of <unk>. the lungs are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
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history: <unk>f with fever // r/o infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p10176494/s53395640/04569728-ba7e3bbb-3aabf540-aca1ce28-090a445b.jpg
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the endotracheal tube has been retracted, now terminating approximately <num> cm from the carina. the enteric tube terminates in the left upper quadrant with the proximal side port at the gastroesophageal junction to. heart size and mediastinal contours are normal. lungs are clear aside from basilar atelectasis. no pneumothorax.
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<unk>m with r mainstem intubation, interval repositioning.
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MIMIC-CXR-JPG/2.0.0/files/p16105600/s50419802/ecd89d9d-ee24e1bf-9d6c8495-523e386a-7d5247e8.jpg
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there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm is seen.
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history: <unk>f with cough, dyspnea // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p19874857/s55907684/62a45f27-e3c4fec4-4adaacf2-0b88127f-8dd99619.jpg
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cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
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chest pain.
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the lungs are well expanded. small opacity at the left lung base likely represents atelectasis. lungs otherwise clear. there is small left pleural effusion and a probable trace right pleural effusion. no pneumothorax. the cardiomediastinal silhouette is unremarkable. gaseous distention of the colon is noted.
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history: <unk>f with hx endometrial ca s/p hysterectomy, chemo, chronic constipation <num> wks since bm, occasional flatus, distention, tolerates liquids, nontoxic appearing // ? incomplete obstruction in elderly pt with <num>wks constipation, no bm, occasional flatus
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MIMIC-CXR-JPG/2.0.0/files/p16019243/s58250286/b87f67e1-fa59247e-e0f61c91-44fd8e98-a7815b59.jpg
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there is no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. the mediastinal and hilar structures are unchanged. perihilar prominence is unchanged.
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uri symptoms for <num> days with a productive cough.
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there are low lung volumes which limits the assessment of the lung bases. there is likely mild bibasilar atelectasis. heart size is difficult to assess, but likely within normal limits. the mediastinal and hilar contours are unchanged. there is crowding of the bronchovascular structures but no overt pulmonary edema is present. no pleural effusion or pneumothorax is visualized. no acute osseous abnormality is seen.
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fever and hypoxia after hemodialysis.
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extensive right lower lobe opacification, less so in the left lower lobe, corresponds with findings on the recent ct. left lower lobe opacification appears increased since the prior chest ct. no evidence of pneumothorax or hemothorax. the heart borders are obscured by the opacifications.
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<unk> year old man with rcc with mets, s/p transbronchial biopsy,. evaluate for pneumothorax.
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frontal and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is stable. no acute osseous abnormality is identified.
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<unk>-year-old female with dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p16701608/s50900363/95fd493f-b371c5ab-5d0918e9-5caf4614-ce8cb1eb.jpg
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the lungs are hyperinflated, with flattening of the diaphragms. blunting of the right costophrenic angle suggests a small pleural effusion. chronic deformity of multiple right-sided ribs from prior fractures noted, with overall volume loss of the right lung as compared to the left. the cardiac silhouette is enlarged. there is subtle splaying of the carina which can be seen with left atrial enlargement. the aorta is calcified and tortuous. evidence of a large hiatal hernia is seen.
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history: <unk>f with tachycardia dementia // eval for pna
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single portable ap upright chest radiograph demonstrates hyperinflated lungs and flattening of the diaphragms. prominent interstitial markings are noted at bilateral lung bases which when compared to prior study dated <unk> is largely unchanged. no focal consolidation convincing for pneumonia is seen. heart is within upper limits of normal in size. there is no evidence of pulmonary edema. there is no pneumothorax or large pleural effusion.
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<unk> year old male with shortness of breath.
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a right internal jugular approach central venous catheter terminates in the low svc. median sternotomy wires are unchanged. lung volumes are markedly low. the mediastinum shows an expected post operative appearance. there is bibasilar atelectasis as well as mild pulmonary vascular congestion and mild interstitial edema, minimally improved from yesterday. no pneumothorax. no large pleural effusions.
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<unk> year old man with s/p avr // eval for ptx,post pull
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MIMIC-CXR-JPG/2.0.0/files/p15040842/s53219196/4f566f7f-eda454b2-80df92a1-b01ab8bd-0d87b77e.jpg
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again seen is widespread, multifocal areas of parenchymal opacity, not appreciably changed in comparison to prior radiographs, most recently <unk>. no new lobar consolidation is present. the cardiomediastinal silhouettes are stable. the bilateral hila are obscured, and not well evaluated. there is no definite evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
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history: <unk>f with sapho syndrome and ?tb or pjp, now with leukocytosis // acute process
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MIMIC-CXR-JPG/2.0.0/files/p14240547/s53832652/d78cdd22-fa610d78-3e658af8-fcb72195-ffd913df.jpg
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there is no focal consolidation, pleural effusion, or pneumothorax. a streaky retrocardiac opacity may represent developing infectious process. the mildly enlarged cardiac silhouette, pulmonary vascular engorgement and tortuous aorta are unchanged. osseous structures are intact.
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history of rigors, question infection.
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MIMIC-CXR-JPG/2.0.0/files/p14236874/s52525921/f17f80b0-46f51375-ab90ced5-105d70d4-1a17b515.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with nausea, vomiting, diarrhea now sudden onset shortness of breath
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MIMIC-CXR-JPG/2.0.0/files/p19914314/s58760180/accd8d41-5375417b-662dba0c-c942f712-f7072c93.jpg
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heart size is mildly enlarged with of left ventricular predominance. the aorta remains tortuous with mild atherosclerotic calcifications. the mediastinal and hilar contours are unchanged. mild pulmonary vascular congestion is re- demonstrated. lungs are hyperinflated with streaky opacity at the left lung base, likely atelectasis. minimal blunting of the costophrenic angles suggests trace bilateral pleural effusions. no pneumothorax is detected.
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history: <unk>f with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p16290929/s57077895/75e5ade0-96eeaddb-6c21c3fc-b80e9c5f-8eeb33c7.jpg
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ap chest radiograph demonstrates a right tunneled central catheter terminating in low svc. cervical and upper thoracic fusion hardware is again noted. lung volumes are low. nodular opacity in the right upper lobe is new from the prior study. a well defined nodular density overlying the left mid lung field corresponds to a rib callous seen on most recent ct of <unk>. interstital opacities in the right upper lobe and left lung base are unchanged. the cardiomediastinal silhouette is normal. there is no pneumothorax or pulmonary vascular congestion.
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shortness of breath. history of graft-versus-host disease with pulmonary involvement after stem cell transplant. recent pneumonia.
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there are low lung volumes and persistent elevation of the right hemidiaphragm. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with hyperglycemia // evidence of infection
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MIMIC-CXR-JPG/2.0.0/files/p16186978/s57540556/bb0535eb-677969c9-78285d15-76ca44b6-b28b806f.jpg
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new opacities in the lung bases, right greater than left, may be concerning for aspiration or infection. the tip of the endotracheal tube is seen <num> cm above the carina. hyperinflation of the lungs is compatible with patient history of copd. the heart size is normal. no pneumothorax.
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<unk> year old man with hypoxemic respiratory failure // <unk> year old man with hypoxemic respiratory failure
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MIMIC-CXR-JPG/2.0.0/files/p13259093/s59198312/1ab46d70-0ce8f0ab-fbbf9b94-be8c7b16-c3674548.jpg
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heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. minimal atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is visualized. no acute osseous abnormality is demonstrated
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history: <unk>m with history of tia presents with blurry vision, right hand clumsiness
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frontal and lateral radiographs of the chest demonstrate low lung volumes. stalbe top normal heart size. the mediastinal and hilar contours are normal. clear lungs. no pleural effusion or pneumothorax. no displaced rib fracture identified.
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epigastric pain. evaluate for acute process
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MIMIC-CXR-JPG/2.0.0/files/p18032039/s53199227/5744eb1c-c85ea553-1650fd20-bf9a0856-21a15080.jpg
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the cardiac, mediastinal and hilar contours appear very similar with cardiac enlargement as well as enlargement of central pulmonary arteries bilaterally. there is a similar mild interstitial abnormality suggesting pulmonary congestion, but the main change is a vague new retrocardiac opacity. there is a small pleural effusion on the right but probably unchanged.
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shortness of breath. history of coronary disease and congestive heart failure.
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MIMIC-CXR-JPG/2.0.0/files/p11048324/s57661229/5ccb99c5-cacd3146-ff969ddd-c530a7b5-d4cbc02d.jpg
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the lungs are essentially clear. there is no effusion or edema. tortuosity of the descending thoracic aorta is noted, particularly on the lateral view. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. median sternotomy wires are intact.
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<unk>f with cough, abdominal pain in llq // eval for pna, diverticulitis
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MIMIC-CXR-JPG/2.0.0/files/p12302874/s59662998/8230f1f9-729c3df5-75dbc5c4-e1c593f0-61593403.jpg
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left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. mild cardiomegaly is re- demonstrated. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. apart from minimal atelectasis in the lung bases, the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
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history: <unk>m with pre-op cxr
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portable ap upright chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with nf and seizure with concern for pneumonia. // please evaluate for pneumonia/consolidation or acute process. please evaluate for pneumonia/consolidation or acute process.
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the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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cough. rule out pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p18547656/s53136339/4c102636-cafcc0bd-dc7cd220-fdd7b42f-216a7889.jpg
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<num> views of the chest. the lungs are low in volume with eventration of the right hemidiaphragm. right midlung opacity on the frontal view projects to the right middle lobe on the lateral view, concerning for pneumonia. linear left basal atelectasis is noted. there is no pleural effusion or pneumothorax. heart and mediastinal contours are unchanged with top normal heart size. notice made of unchanged right posterolateral right <num>th rib deformity, likely posttraumatic.
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sore throat, dyspnea and abdominal pain, assess for pneumonia.
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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. no displaced rib fracture is visualized. the visualized upper abdomen is unremarkable.
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status post trauma. evaluate for rib fracture or pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p13117076/s56837456/11945896-b638d978-b100245d-0caa488d-4567a2d9.jpg
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lung volumes are low. heart size is normal. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal. a peripheral wedge-shaped opacity is seen within the lingula. the right lung is clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with chest pain // evaluate for infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p18410222/s55165573/acc960d1-27a02b44-a94e62a4-9cbf773f-3d996c05.jpg
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endotracheal tube terminates <num> cm above the carina. an ng tube courses below the diaphragm and out of view. no change in the left picc line, which terminates at the mid svc. the right lower lobe consolidation is unchanged, with new left lower lobe retrocardiac atelectasis. pleural effusions are presumed, but not large. mild to moderate cardiomegaly is stable. no pneumothorax.
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<unk> year old woman with respiratory failure. plan for <num> lung ventilation in or <unk>, need to ensure appropriate burden of extravascular lung water. eval for pulm edema/effusion.
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MIMIC-CXR-JPG/2.0.0/files/p15904912/s51189168/41759d9f-1caab61d-aeb18f9f-b9940938-840c60cf.jpg
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with cough, fevers
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endotracheal tube is in stable position. enteric tube seen with tip in the gastric fundus. there is relative elevation of left hemidiaphragm as on prior. bilateral chest tubes are identified. right-sided pneumothorax is only faintly visualized laterally and perhaps inferiorly with increased lucency at the right lung base. dense consolidation seen throughout the left lung with decrease volume of the left hemi thorax and leftward mediastinal shift. no definite left-sided pneumothorax seen on this supine film. radiopaque foreign body again projects over the right mid lung.
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change of status in ed bay, poor lung movement // change of status in ed bay, poor lung movement
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MIMIC-CXR-JPG/2.0.0/files/p16291864/s53862989/b437b100-d6a6736c-0ef5324a-3b8cc8cc-eeed6474.jpg
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an enteric tube traverses the stomach. two-lead pacemaker appears in place. previously noted bilateral increased pulmonary interstitial markings have improved, particularly on the left, suggesting improved pulmonary edema. however, there are now increased bibasilar opacities suggesting either redistribution of dependent-edema or increased atelectasis or aspiration at the lung bases. bilateral small effusions have increased.
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flu with respiratory failure and copd, evaluation for interval change.
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right chest wall port is seen in stable position. low lung volumes are noted with crowding of the bronchovascular structures. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. known tips is only faintly visualized.
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<unk>f with liver disease here w/ asterixis // ? infectious process
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ap and lateral chest radiographs were reviewed. again seen is mild cardiomegaly with mitral annular calcifications. the mediastinal and hilar contours are stable. low lung volumes result in bronchovascular crowding. chronic parenchymal changes are seen. bibasilar opacities may reflect atelectasis. there is very mild congestion. degenerative changes are seen in the spine.
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shortness of breath.
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ap upright and lateral views of the chest provided. cardiomegaly is mild. hila appear slightly congested. copd is suspected. interstitial opacities likely reflect mild interstitial pulmonary edema. no large effusions or pneumothorax. mediastinal contours unremarkable. bony structures are intact.
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<unk>m with ams, s/p fall, hypoxia
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the tracheostomy tube is approximately <num> cm from the carina, and unchanged in position. a right picc ends at the superior atriocaval junction. mild vascular congestion is unchanged from the prior radiograph. there is stable enlargement of the cardiomediastinal silhouette. there is no pleural effusion or pneumothorax. there is no new consolidation. a feeding tube is seen in the stomach with the tip out of the field of view.
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history of copd, right chf, ckd, and recent respiratory failure with new left arm pain and abnormal vbg.
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the lungs are well expanded without focal consolidation. lateral left upper lobe scarring/chronic osseous change is stable since <unk>. cardiomediastinal and hilar contours are unremarkable. the aorta appears tortuous. apparent prominence of the ascending aorta compared with the recent chest radiograph is likely due to a slight difference in position, and is unchanged from scout views obtained during chest cta performed in <unk>. no cardiomegaly is present. there is no pleural effusion or pneumothorax. no rib fractures are identified.
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patient with left lower lateral chest pain. evaluate for rib fracture versus left lung infiltrate.
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lung volumes are low. no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or gross signs of pneumothorax are seen on this supine radiograph. the cardiomediastinal silhouette is within normal limits for positioning. an orogastric tube is in standard position approximately <num> cm above the carina. an esophageal catheter is in place with tip and side port within the stomach.
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intubation
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the left costophrenic angle and left chest wall are incompletely imaged. an enteric catheter courses into the left upper quadrant and crosses the midline with tip projecting over the medial right upper quadrant, likely within the distal stomach or proximal duodenum. the left subclavian catheter tip appears similarly positioned in the superior vena cava. there is slightly improved retrocardiac aeration.
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<unk>-year-old male with subarachnoid hemorrhage status post dobbhoff placement.
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portable upright ap chest radiograph shows left internal jugular tunneled hemodialysis catheter with the tip at the level of the right atrium. no new lung parenchymal consolidation or mediastinal change is seen. small right pleural effusion may be present but the blunted lateral cp angle there is not different compared to <unk>. old healed proximal right humeral fracture.
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<unk> year old man with esrd now s/p tunneled hd cath placement <unk> c/o reproducible chest pain // ptx? cardiopulmonary process?
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heart size is normal. the aorta is diffusely calcified and tortuous, as seen previously. mediastinal and hilar contours are unchanged. coarse interstitial opacities are noted bilaterally, most pronounced along the periphery and lung bases, not substantially changed from prior in compatible with a chronic interstitial lung disease. pulmonary vasculature does not appear engorged. no pleural effusion, focal consolidation or pneumothorax is identified. compression deformities involving a lower thoracic vertebral body in a vertebral body at the thoracolumbar junction appear chronic.
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history: <unk>f with syncope, loss of consciousness with left inspiratory crackles on exam // eval for pulmonary edema, pneumonia
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single ap chest radiograph demonstrates interval placement of an enteric tube, which appears to traverse the thorax along the expected course of the esophagus. its terminal tip appears to project within the stomach in appropriate position. an endotracheal tube is identified, in appropriate position <num> cm from the carina. there has been little interval change when compared to prior examination obtained <num> hr previously. cardiomediastinal and hilar contours are stable. several left-sided rib fractures are noted with no pneumothorax identified. no focal consolidation convincing for pneumonia is identified. elevation of the right minor fissure reflect right upper lobe atelectasis. a right paratracheal hilar calcification is thought to possibly reflect a calcified node.
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<unk>-year-old female status post intubation and orogastric tube placement.
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pa and lateral views of the chest. previously seen right middle lobe opacity is no longer apparent. there is a new right lower lung opacity which most likely represents pneumonia. cardiomediastinal and hilar contours are normal. tiny bilateral pleural effusions.
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alcohol intoxication, question pneumonia in the right middle lobe.
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pa and lateral chest radiograph demonstrate moderately enlarged heart. there is no overt pulmonary edema. lungs are hyperinflated with flattening of the diaphragms bilaterally, consistent with emphysema. no focal opacity convincing for pneumonia is identified. no pleural effusion or pneumothorax is present. calcifications through the aortic arch are noted. osseous structures demonstrates no acute abnormality.
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<unk>-year-old female with shortness of breath and chest pain.
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in comparison with chest radiograph from <unk>, there has been interval placement of a left pleural drainage catheter at the left lung base. no pneumothorax. left pleural effusion has moderately decreased in size. right pleural effusion is minimally improved. there is no new focal consolidation, pulmonary vascular congestion or pulmonary edema. mediastinal and cardiac contours are stable.
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<unk> year old woman with pleural effusion, s/p chest tube and thoracentesis // r/o pneumothorax
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with chest pain.
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a portable frontal chest radiograph demonstrates moderately aerated lungs with increased prominence of the cardiac silhouette and bronchovascular crowding. this may be in part due to technique as well as low lung volumes. there is no definite focal consolidation, pleural effusion, or pneumothorax. density overlying the right upper zone laterally may be accounted for by confluence of the scapula and ribs. numerous right-sided healed rib fractures are noted.
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evaluate for an acute process in a patient with dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p13830137/s55136930/3aa4d112-578027f9-fb5ace19-3d978fab-5eb874bc.jpg
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a left internal jugular catheter terminates in the distal svc. a nasogastric tube terminates in the stomach. there has been an interval increase in the right pleural effusion, now moderate. there is associated increased opacification of the right lung base likely reflecting atelectasis but superimposed infection cannot be excluded. the left lung appears grossly clear. borderline cardiomegaly with prominence of the pulmonary vasculature consistent with mild pulmonary vascular congestion.
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<unk> year old f cirrotic, s/p sbr, altered mental status, extubated // assess for interval change
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MIMIC-CXR-JPG/2.0.0/files/p19308042/s50567678/cfb0dd1e-a76af7e4-0c830639-1c1d64cb-3261f659.jpg
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chronic interstitial reticular opacities are similar to multiple prior studies with new superimposed airspace opacities likely representing pneumonia in bilateral lung bases, particularly in the retrocardiac area. there is likely a left pleural effusion as well. there is no pneumothorax or definite pulmonary edema or right pleural effusion. a left pectoral pacemaker projects in unchanged location with interval addition of a second coronary sinus lead. the cardiomediastinal silhouette is otherwise unchanged, partially silhouetted by diffuse parenchymal abnormalities.
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<unk>m with hypoxia, evaluate for pneumonia.
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there is a small pneumothorax at the left apex. it measures <num> mm at its widest margin. the lungs are well expanded. the heart appears normal in size and configuration. cardiomediastinal contours are unremarkable. the lungs are clear with no evidence of focal infiltrates. no pleural effusions. bony structures are intact.
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history of recurrent spontaneous pneumothorax, status post left apical wedge resection and pleurectomy, now presenting with left-sided chest pain, rule out pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p19231877/s50367381/9a888281-a08c66f7-c3d3e497-12476ee0-15ff7f18.jpg
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nerve stimulator device pack projects over the left lower chest with single lead projecting cephalad into the left neck. heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with seizures
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MIMIC-CXR-JPG/2.0.0/files/p19010181/s57470763/d0012d76-c0813960-3e6ae310-4a462fa3-e2971b9b.jpg
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there is mild enlargement of the hila. a left lower lobe consolidation is concerning for pneumonia. there is a peculiar constellation of linear structures in the right lung extending from the right hilus, where it is thicker, to the periphery. these structures are of unclear etiology. there is no pleural effusion or pneumothorax.
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cough, fever, shortness of breath. evaluate for pneumonia.
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frontal and lateral views of the chest demonstrate ill defined opacities in the left mid to lower lung on frontal view, which may correspond to superior segment of the left lower lobe, suggestive of pneumonia. cardiomediastinal contours are normal. right convex thoracic scoliosis is noted with apex at what appears to be t<num>-<unk>.
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<unk>-year-old female with cough. question pneumonia.
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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>-year-old man with shortness of breath. evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p14302116/s58203603/1cbe45ee-1cd3adc5-b86b2e68-a4732ce1-83d90582.jpg
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moderate enlargement of the cardiac silhouette is likely aches accentuated due to the presence of lower lung volumes compared to the prior chest radiograph. the aorta remains tortuous. hilar contours are normal. pulmonary vasculature is not engorged. linear opacities in the lingula and left lower lobe likely reflect areas of scarring. calcified granuloma within the right middle lobe appears unchanged. no pleural effusion, focal consolidation or pneumothorax is seen. there are mild degenerative changes noted in the thoracic spine. no subdiaphragmatic free air is identified.
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history: <unk>m with epigastric and chest pain, vomiting
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MIMIC-CXR-JPG/2.0.0/files/p18930355/s55008524/3da0737b-c27ed6ba-f01733ca-c9092990-266c52b3.jpg
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moderate cardiomegaly and a tortuous thoracic aorta are unchanged. atherosclerotic aortic calcifications are seen. a moderate-large right pleural effusion and associated compressive basilar atelectasis have improved since the prior study. no pulmonary edema, consolidation or pneumothorax is seen.
|
<unk>-year-old man with pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p18834094/s57909676/f166f75a-ef882f4a-56bfd257-724edd58-419148c2.jpg
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compared with outside chest radiograph on <unk>, there is no significant change. patient is status post right upper lobe resection with volume loss in the right lobe and right basilar scarring. the lungs are clear without focal consolidation. there small bilateral pleural effusions. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged.
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<unk> year old woman with copd, l <unk>/<num>th rib fracture s/p fall with worsening cough // question of consolidation vs atelectasis
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MIMIC-CXR-JPG/2.0.0/files/p18877812/s51625619/45c33c24-fc6d2363-74604ff7-349d24c2-b406fc0a.jpg
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<num> sequential radiographs demonstrate an enteric tube at the lower hemithorax and partially coiling in the mid stomach with the stylet pulled back <num> cm from the armored tip. mild pulmonary edema is improving. there is mild improvement of the right mid lung, though persistent in the left upper lobe, right upper and lower lobes, concerning for multifocal pneumonia. no appreciable pleural effusion or pneumothorax is seen. heart size is stable.
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<unk> year old man with dysphagia/aspiration requiring ng tube // dobhoff placement
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MIMIC-CXR-JPG/2.0.0/files/p16569715/s53854687/9f7c1cdc-cc6bcbb6-0edc43f9-e74efa05-a3ddf811.jpg
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there is no focal consolidation. mild cardiomegaly stable. mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
|
chest tenderness and right axillary node, evaluate for acute cardiopulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p19921471/s58089019/6ca4f8fc-67e87571-60cf87cf-5dfaa6dd-9f08c2b1.jpg
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increased interstitial markings again seen throughout the lungs with increased lucency at the right lung base with flattening of the diaphragm, similar in configuration compared to prior exams. surgical chain sutures seen at the right lung apex. there is no definite superimposed acute process are new consolidation. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. old left-sided rib fractures are again noted.
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<unk>m with shortness of breath // role out pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15231942/s53501187/3355406a-74cdb9e6-b72cf6cd-c006b631-891da038.jpg
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the cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are unchanged, with similar mild rightward deviation of the trachea. mild calcification at the aortic knob is again noted. the pulmonary vasculature is not engorged. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. multilevel degenerative changes are noted in the thoracic spine with anterior osteophyte formation.
|
left chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p14067967/s59228916/2247af36-b0437c50-785ef369-e76dbd06-a002e4fd.jpg
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compared to the prior study there is no significant interval change.
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<unk> year old man with hypoxia // effusions?
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MIMIC-CXR-JPG/2.0.0/files/p14559206/s50515992/db413299-e4ede05f-b9fd985d-0f4e2712-5ef66d5c.jpg
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a right-sided port-a-cath is unchanged in position with the tip terminating in the proximal right atrium. bilateral small pleural effusions, greater on the right than the left are unchanged from the prior study. no pneumothorax or new focal consolidation is seen. a diffuse opacity extending along the right paramediastinum adjacent to the neoesophagus is likely post-operative and unchanged. the pulmonary vasculature is not engorged. the cardiac and mediastinal silhouettes are stable.
|
<unk>-year-old male status post esophagectomy, here to re-assess for interval changes.
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MIMIC-CXR-JPG/2.0.0/files/p10639500/s56122484/40a161c4-8f945da9-86e66ab0-174c7fc0-33b4191a.jpg
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right sided picc has migrated and now terminates at the right chest wall the level of the lateral right fifth rib. single lead left-sided aicd is stable in position. the cardiac silhouette remains severely enlarged which may be due to cardiomyopathy and/ or pericardial effusion. no pleural effusion or pneumothorax is seen. no focal consolidation is seen. stable slight prominence of the central pulmonary vasculature without overt pulmonary edema.
|
history: <unk>m with ? movement of picc line // r/o picc line placement
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MIMIC-CXR-JPG/2.0.0/files/p16863449/s55928046/6bbf6873-87c16183-dc3c6113-6bd004d6-20f0eba9.jpg
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the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
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<unk>f epigastric pain. assess for cardiopulmonary change.
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MIMIC-CXR-JPG/2.0.0/files/p14168528/s50303580/c4e2cc87-364dcc3d-faf13134-a724a435-0dd92727.jpg
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since <unk>, substantial pulmonary edema is improved, small bilateral pleural effusions are presumed, mild bibasilar atelectasis and severe cardiomegaly is unchanged. lung volumes remain low. no pneumothorax.
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<unk> year old man with chf // interval changes
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MIMIC-CXR-JPG/2.0.0/files/p10613328/s53032371/75062e1f-2279d517-da4db0c5-bb49c631-e772a220.jpg
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there is moderate right-sided pleural effusion has increased compared to the study from <num> days prior. there is associated volume loss and infiltrate in the right lower lobe. there is mild pulmonary vascular redistribution. the left lung is relatively clear.
|
right pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p17907922/s51154631/380019cc-30938d70-a88d1aca-66d812ed-3b6ff63b.jpg
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the lungs are hyperinflated. right lower lobe bronchiectasis persists. known spiculated nodule in the superior segment of the left lower lobe is better assessed on the recent ct from <unk>. there is no pleural effusion, pneumothorax, or pulmonary edema. no consolidation worrisome for pneumonia is identified.
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history: <unk>m with recent brain tumor excision presenting with cough and fever // eval for pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p13418609/s57869971/9a579739-454b9c26-a06f2d73-c4c983b5-a9356cfe.jpg
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the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
|
chest pain and fever.
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MIMIC-CXR-JPG/2.0.0/files/p16585326/s58090294/242d1fc8-786b6559-7b193a4f-404e2a41-f963e6c3.jpg
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<num> mm right upper lobe lung nodule, level of the <unk> anterior interspace is confirmed. it was not present <unk> years ago on <unk>. lungs are otherwise clear. there is no pleural abnormality or evidence of central lymph node enlargement. heart size is normal.
|
<unk>-year-old man with nodular opacity on portable chest radiograph.
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MIMIC-CXR-JPG/2.0.0/files/p13641222/s54743398/4cdadb84-26e71e24-38e32c6f-c378c79d-af140db1.jpg
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.
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history: <unk>m with htn, dm, hld, with l finger parathesias // ? cardiomegaly, pulm edema
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MIMIC-CXR-JPG/2.0.0/files/p10698312/s52779666/db90bb0d-488f911f-1ea29142-21a99002-23da00df.jpg
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ap upright and lateral views of the chest provided. suture material of the right lower lung is better visualized on same-day ct abdomen pelvis. lungs appear grossly clear without definite signs of pneumonia, edema, effusion or pneumothorax. the heart size is mildly enlarged. the aorta appears unfolded. bony structures appear intact though degenerative changes are notable at the right shoulder.
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<unk>f with shorntess of breath // acute process?
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MIMIC-CXR-JPG/2.0.0/files/p17530252/s56213565/0e172cf0-2628bd32-1adb3796-46392372-711a54ef.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.
|
chest pain. evaluate for widened mediastinum.
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MIMIC-CXR-JPG/2.0.0/files/p14041505/s54964297/26490f33-d8474136-4e1ad158-f1b5caec-2617c96a.jpg
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single ap view of the chest was reviewed. the heart size is top normal. there is no concerning mediastinal widening. the hila are unremarkable. obscuration of the left hemidiaphragm is likely due to a small effusion with atelectasis. there are displaced fractures of right middle ribs laterally with local pleural or extrapleural bleeding, and fractures of indeterminate chronicity of left third posteriorly, and seventh and eighth ribs posterolaterally, also with local bleeding or pleural thickening. there is no pneumothorax or layering hemothorax. there is no focal consolidation in the right lung; consolidation, left lower lobe, probably atelectasis, chronicity indeterminate, is partially obscured by the heart. median sternotomy wires and aortic valve replacement are present. there is no free air under the diaphragm. spine is scoliotic, but not evaluated by this study.
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fall downstairs.
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pa and lateral views of the chest. right port ends in the low svc. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
|
restaging prior to transplant. history of lymphoma.
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MIMIC-CXR-JPG/2.0.0/files/p19933276/s56003331/46f4fbbf-4adca410-791c03c6-4d89c6eb-c20b29fd.jpg
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is stable. electronic device overlies the left chest wall. old right lateral rib fractures are identified as well as possibly remote prior traumatic changes at the right acromioclavicular joint.
|
<unk>m with congested cough x <num> days // ? pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p18203021/s53826851/a5940aa6-a103b26c-99266860-3784e89d-eb3c80f0.jpg
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right-sided port-a-cath is again seen with catheter terminating at the cavoatrial junction/lower svc. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable. surgical clips are seen.
|
fever, on chemo.
|
MIMIC-CXR-JPG/2.0.0/files/p17170018/s57652242/7daae8f6-88c28963-b26b44eb-c8bb265a-a74d125a.jpg
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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.
|
history: <unk>f with sz // ?pna
|
MIMIC-CXR-JPG/2.0.0/files/p11756467/s51981191/9b0a9a3b-85c6a8a2-d70c8ab8-d2143351-c416d930.jpg
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the lungs are mildly hypoinflated with focal linear left lower lobe opacity. mild vascular congestion is present. no focal opacity. no pleural effusion or pneumothorax. mild cardiomegaly with coronary stents is stable. a tortuous aorta is present. mediastinal contour and hila are unremarkable. visualized osseous structures are notable for multilevel degenerative changes of the thoracic spine with endplate sclerosis and disc space loss.
|
<unk>f with sob. assess for shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p15989123/s55482625/cdbf5a13-cede41de-5aef6e4c-53925627-6be289e4.jpg
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extensive subcutaneous emphysema throughout the thorax and lower neck is unchanged and limits evaluation of the underlying lung. within this limitation, a small right apical pneumothorax remains visible. the patient's known pneumomediastinum is not significantly changed from prior studies. opacification of the right middle lobe is unchanged, reflecting a component of collapse. no large pleural effusion is seen. the cardiomediastinal and hilar contours appear within normal limits.
|
known pneumomediastinum, here to evaluate for interval changes.
|
MIMIC-CXR-JPG/2.0.0/files/p13339830/s50988638/5ae5d213-d12d0a9c-428cd7a2-35d290c0-46d0f8a5.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
|
history: <unk>m with seizure // eval for acute process
|
MIMIC-CXR-JPG/2.0.0/files/p19473527/s53564527/32b06a16-e579dc98-92a98123-053a84df-37e83cbd.jpg
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left picc tip terminates in the lower svc. lung volumes are low. cardiac and mediastinal contours are unchanged, and there are continued multifocal opacities within the left upper and lower lung fields as well as within the right upper lung field, findings concerning for pneumonia. additionally, bilateral pleural effusions, small to moderate in size appear unchanged. crowding of the bronchovascular structures persists. underlying emphysematous changes are most pronounced within the lung apices. diffuse gaseous distention of abdominal bowel loops are seen within the upper abdomen. diffuse demineralization of the osseous structures is present with unchanged compression deformities within the lower thoracic spine. remote left sided rib fractures are again seen.
|
unresponsive.
|
MIMIC-CXR-JPG/2.0.0/files/p16950088/s51969532/b09cbd8b-82ccdbcc-49531eaa-a7b0aeb4-bbca5a5c.jpg
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single portable radiograph of the chest demonstrates a right picc line projecting over the upper portion of the svc. compared to the prior radiograph, there is interval decrease in lung volumes and no other relevant change.
|
picc line from outside hospital. evaluate picc placement.
|
MIMIC-CXR-JPG/2.0.0/files/p15255487/s54774319/1511e0f7-7585b324-625e6b87-e2fce8a8-67b25bf4.jpg
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pa and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are within normal limits. no air under the right hemidiaphragm.
|
history: <unk>f with chronic pancreatitis, fatigue // r/o pna
|
MIMIC-CXR-JPG/2.0.0/files/p13278122/s52671961/7fae58dd-acb9a16b-e38586fa-5eeefa2e-d94d224a.jpg
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no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac mediastinal silhouettes are stable. multiple old left-sided rib deformities are re- demonstrated.
|
history: <unk>m with ftt, high wbc // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p13479275/s50981323/1a6257c2-da7c17e8-efcd5d63-3350a1ff-e35b0825.jpg
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
|
history: <unk>f with fevers, chills, productive cough // ? pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p13905725/s50203509/3003f9c8-a3815f83-258ad30f-cc7f06de-44e082d6.jpg
|
the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
|
<unk>m w/ l-sided chest pain. // <unk>m w/ l-sided chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p13590165/s50207522/0c2ded59-ca75d47b-a0d9754c-d1a71f47-20892356.jpg
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cardiomediastinal silhouette is unchanged. the thoracic aorta is tortuous. linear bibasilar opacities are most consistent with atelectasis. there is no pleural effusion or pneumothorax. a right chest wall port-a-cath ends in the right atrium. multilevel compression deformities in the thoracic spine have not changed compared to prior radiographs.
|
<unk>m with sore throat in weakness evaluate for pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p16059144/s56297411/074870d8-8a3a4884-be29da67-d7cedb74-5757cb20.jpg
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since prior, there has been interval progression of disease. there is a approximately <num> cm ap by <num> cm cc rounded density within the right lower lobe. there is also likely some superimposed component of atelectasis given subtle right-sided volume loss. on prior exam from <unk> there had been a <num> cm nodule in this region in addition to a sub- carinal density which on the current exam cannot be differentiated. on today's exam, there is also a new right apical pulmonary nodule projecting over the posterior right fourth rib. cardiac silhouette is enlarged but stable. atherosclerotic calcifications noted at the aortic arch.
|
<unk>f with dyspnea // r/o infectious process
|
MIMIC-CXR-JPG/2.0.0/files/p16646670/s50408804/6ae79e16-ec4b2284-45258d13-ce9ddb70-7d74ff9c.jpg
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lung volumes are low leading to crowding of the bronchovascular structures. mild bibasilar atelectasis is noted. the heart is top-normal in size. mild central vascular congestion is seen. there is no large pleural effusion, pneumothorax, or leak lobar consolidation. partially imaged vertebral fusion hardware is noted.
|
history: <unk>m with concern for pathologic fx of left distal femur. // fractures?
|
MIMIC-CXR-JPG/2.0.0/files/p12793572/s58794854/f8902cf4-94b993fe-a1694618-0969df66-3fd9b6d7.jpg
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the patient is status post coronary artery bypass graft surgery. the heart is at the upper limits of normal size. the mediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are noted along the mid through lower thoracic spine. the bones appear probably demineralized.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p14088217/s57900524/eba9d4af-9e529281-a8d0cfef-8aad709b-6b9dafed.jpg
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the cardiomediastinal silhouettes are stable, reflective of a tortuous thoracic aorta. the bilateral hila are within normal limits. there are low lung volumes and crowding of bronchovascular structures. there is bibasilar atelectasis. there is no evidence of focal consolidation. there is no evidence of pulmonary edema. there is no pneumothorax. no evidence of pleural effusion.
|
<unk>f with a past medical history of pneumonia complicated by abscess, presenting with acute onset dyspnea and pleuritic right-sided chest pain, evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p11109610/s51030092/81f54393-6918490f-b041801f-7aaf386f-f9543c4d.jpg
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shallow inspiration. linear perihilar, bibasilar opacities, largely appearance of atelectasis. more prominent opacity left lower lobe medially behind the heart, atelectasis versus pneumonitis. findings are new since prior exam. tiny right pleural effusion or thickening. no pneumothorax.
|
<unk> year old woman pod<num> from robotic myomectomy/cyst removal with shortness of breath, tachycardia, pleuritic chest pain. // rule out pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p10300464/s52363513/c56c4568-93236f8f-a9939ff2-650a9596-97f81b43.jpg
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. the heart size is normal. no displaced fracture is identified. no free air is seen beneath the diaphragm.
|
recent fall. chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p16285428/s57959535/1d5e14ff-9b291348-47c31e2f-26769cfa-2093cead.jpg
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evaluation of the chest is limited due to patient rotation. the inspiratory lung volumes are decreased with resultant bronchovascular crowding and accentuation of the cardiomediastinal silhouette. an airspace opacity in the right lung base is new from the prior study and may represent a focus of infection. no large pleural effusion or pneumothorax is detected. there is moderate levoconvex curvature of the thoracolumbar spine.
|
history: <unk>f with ams // evidence of pneumonia evidence of pneumonia
|
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