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obscuration of the right heart border is likely caused by mild pectus excavatum deformity. the lungs are clear otherwise. no retrocardiac opacities are present. there is no cardiomegaly. the aortic contour is unremarkable. there is no pleural effusion or pneumothorax. mild mid thoracic dextroscoliosis.
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<unk>-year-old male with intense spasm sensation in the mid left anterior chest.
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pa and lateral chest radiographs were obtained. the lungs are overexpanded. hyperlucency in the lung apices is compatible with emphysema. since <unk>, linear opacities at both lung bases have become more prominent. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
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shortness of breath.
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right lower lobe opacity most likely represents atelectasis. mild cardiomegaly is stable since <unk>. there is no new opacity, pleural effusion or pneumothorax. the mediastinal contours are normal.
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<unk>-year-old man with weakness. evaluate for pneumonia.
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cardiac, mediastinal and hilar contours are within normal limits. heart size is normal. pulmonary vasculature is not engorged. lungs are well inflated without focal consolidation. minimal atelectasis is seen in the lung bases. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>f with <num> week of cough, sore throat, congestion now with chills
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tip of the right picc terminates in the low svc. there are multifocal opacities, which appear minimally improved compared to <unk>, particularly at the right lung base. no new consolidation. cardiomediastinal contours are normal. no acute osseous abnormalities.
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<unk> year old man with sob // ? pneimonia
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. there has been no significant change.
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left-sided weakness.
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a left chest tube is unchanged. since the prior exam, the amount of pleural fluid has significantly decreased. a small left apical pneumothorax is unchanged. moderate subcutaneous emphysema is again noted and unchanged. aeration at the left base has also improved with the reduction in size of the pleural effusion. the rounded opacity in the left upper lung is stable in size with persistent collapse of the left upper lobe around the mass. the right lung is essentially clear. the cardiomediastinal silhouette is normal.
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recent removal of an obstructing left bronchus tumor. assess for change.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. bones are intact.
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history of chest pain and pericarditis, evaluate for pneumonia or effusions.
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frontal and lateral chest radiographs demonstrate mildly hypoinflated lungs, resulting in mild prominence of the cardiac silhouette and bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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cough and fever. evaluate for pneumonia.
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mild-to-moderate pulmonary edema is likely stable, allowing for difference in patient positioning. bilateral pleural effusions, greater on the left than the right, appear slightly smaller, though this may also be due to positioning. there is no focal consolidation or pneumothorax. the mediastinal contours are unchanged. again, the trachea is deviated rightward, due to prominent vessels, as previously identified on the prior ct. the heart size remains moderately enlarged, and unchanged.
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evaluate for pulmonary edema.
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pa and lateral views of the chest. there is mild cardiomegaly. lungs are clear. no evidence of edema. no pleural effusions or pneumothorax. no pulmonary vascular congestion. the mediastinal and hilar contours are normal.
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fever and rhonchi.
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the lungs are clear without focal consolidation. mild biapical scarring is again noted. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>f with dyspnea // acute cardiopulmonary disease
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cough, fever // evaluate for pneumonia
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pa and lateral views of the chest. the lungs are clear. there is no consolidation, pneumothorax, or pleural effusion. the cardiac, mediastinal and hilar contours are normal. there is no pulmonary vascular congestion.
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crohn's disease, ankylosing spondylitis, on immunosuppression, three weeks of cough and sputum and sinus pressure. question pneumonia.
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right internal jugular central venous catheter terminating at the approximate level of the cavoatrial junction. ng tube has been removed. there is apparent increased opacification of the right hemi thorax likely representing increasing layering fluid volume though rotation the patient has changed significantly. small left effusion has decreased compared to prior study. persistent pulmonary edema. no pneumothorax.
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<unk> year old man with dm, osa, diffuse mrsa infection including empyema, s/p chest tube drainage, now with increased wob // eval for reacummulation of pleural effusion vs. pneumothorax
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation. biapical scarring is again noted. there is no pneumothorax. cardiomediastinal silhouette is unchanged. lower cervical fixation hardware again noted. no displaced fracture is seen.
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<unk>-year-old female status post fall with chest pain. rule out sternal fracture.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cp // pna?
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right picc is seen with tip in the lower svc. the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with picc placement confirmation // picc placement. pain
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there has been interval removal of the endotracheal tube, enteric catheter and swan-ganz catheter with remaining right-sided central venous sheath terminating likely at the confluence of the right internal jugular and subclavian veins. left-sided mediastinal and chest tube drains have been removed without development of pneumothorax. there is persistent but notably improved pulmonary edema with residual bibasilar opacifications likely representing atelectasis. no pleural effusions identified.
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status post cabg, evaluate for pneumothorax.
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interval removal of the right chest tube with associated atelectasis in the region surrounding the prior chest tube site in the right upper thorax. no pneumothorax. slight interval improvement in the left and right lower lobe atelectasis. no pleural effusion. stable mediastinal contours. stable elevation of the left hemidiaphragm. no free sub-diaphragmatic intra-abdominal free air. stable, small amount of subcutaneous emphysema at the prior chest tube insertion site in the right lower lateral chest wall.
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<unk>-year-old man with interstitial lung disease, status-post right vats wedge biopsies, and now chest tube removal.
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a left port-a-cath is stable in position, terminating in the svc. the cardiac silhouette is stable in size. there are coarse bronchovascular markings without focal consolidation, pleural effusion or pneumothorax. no overt pulmonary edema is seen. chronic bilateral rib deformities are noted, and degenerative changes of the thoracic spine are seen.
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<unk>-year-old male with fall, loss of conscious, right shoulder and rib pain. evaluate for injury.
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frontal and lateral views of the chest were obtained. heart size is slightly enlarged since the prior exam and pulmonary vascular markings are increased, consistent with early cardiac decompensation. faint opacity in the right lower lobe could represent edema or pneumonia. a vague nodular opacity in the right upper lung measures approxiamtely <num> cm. rounded density at the left lung base is similar to <unk> and likely corresponds to a nipple shadow. no pleural effusion or pneumothorax. sternotomy wires are intact.
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<unk>-year-old female with acute kidney injury and weakness. evaluate for acute process.
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ap and lateral chest radiographs. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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anemia, confusion, lethargy, and left lower lobe crackles.
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. hypertrophic changes noted in the spine.
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<unk>m with cough // acute process?
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the heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. apart from minimal atelectasis within the left lung base, lungs are clear. no focal consolidation, pleural effusion or pneumothorax is identified. there are minimal degenerative changes in the thoracic spine. multiple clips are seen in the right upper quadrant of the abdomen.
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dyspnea.
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a left-sided port-a-cath terminates over the cavoatrial junction. the cardiomediastinal silhouette and hilar contours are stable. postsurgical changes are seen in the right hemi thorax, similar in appearance to the prior chest radiograph. few, bilateral pulmonary lesions are seen and are better characterized on recent chest ct from <unk>. on the current film, note is again made of a previously seen nodular opacities at the right base medially, as well as a possible focal nodular opacity in the right upper zone, overlying the right fifth rib laterally at the medial border of the scapula. there is likely a small right-sided pleural effusion as well as pleural thickening along the inferior right chest wall and right lung base. this is probably associated with an area of focal irregularity of the lateral right eighth rib, that is consistent with metastatic disease as characterized on recent ct. there is no evidence of chf, focal consolidation or pneumothorax. aside from minimal tenting of the left hemidiaphragm and possible minimal blunting of the left costophrenic angle, no significant left effusion is noted.
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history: <unk>m with metastatic rectal ca with l facial drrop, weakness x several days // ? cva vs bleed vs mass
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cardiomegaly and tortuous aorta are stable. lung nodules are better seen in prior ct. there is no evidence of pneumonia or pulmonary edema. . there is no pneumothorax or pleural effusion. rib fractures are again noted
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<unk> year old man with hf and copd with worsening respiratory status // evaluate for interval change
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two views were obtained of the chest. the examination is limited by poor penetration likely secondary to the patient's body habitus. within this limitation, the lungs appear well expanded without focal consolidation to suggest infectious process. no pleural effusion or pneumothorax is seen. the heart and mediastinal contours are unchanged.
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fever, assess for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
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<unk>-year-old after recent liver biopsy with abdominal pain.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. no acute osseous abnormality is detected.
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<unk>-year-old female with chest pain.
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left chest tube has been withdrawn and now projects over the sixth posterior rib at the mid clavicular level and is in correct position. et tube is <num> cm above the level of the carina and in correct position. right subclavian tip is in low svc. left subclavian arterial tip is in the aortic arch. right pigtail appears in correct position and end of ng tube extends off film. the right lung appears unchanged. again seen is the anterior left pneumothorax with subcutaneous emphysema. given supine position, it is difficult to assess size. the opacity in the left mid chest is unchanged. heart size and mediastinal contour appear normal.
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male with polytrauma, status post motorcycle accident, trauma line was placed over wire. please assess line placement.
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the patient is status post median sternotomy and cabg. heart size is normal. the aortic knob is calcified. the mediastinal and hilar contours are unchanged and within normal limits. low lung volumes are present. the pulmonary vascularity is not engorged. cluster of nodular opacities in the right upper lobe are unchanged. no focal consolidation, pleural effusion or pneumothorax is present. a nasogastric tube is noted with tip in the stomach. tips catheter is seen within the right upper quadrant the abdomen.
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lethargy.
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lungs are clear without focal consolidation. there is mild central vascular congestion without overt edema, with enlargement of the pulmonary arteries. there is no pleural effusion or pneumothorax. eventration of the right anterior diaphragm is noted. the cardiac silhouette is top normal. no pneumothorax is present. patient is status post bilateral rotator cuff repair.
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<unk>-year-old man with worsening dyspnea on exertion, evaluate for heart failure.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. again noted are hyperinflated lungs and atherosclerotic calcifications of the aortic knob. no focal consolidation, pleural effusion, or pneumothorax is noted. a tiny nodular opacity in the left upper lung likely is reflective of subpleural changes seen on prior ct. it is stable since <unk>.
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<unk> year old woman with wbc incr <unk>.<num>, nausea // r/o intrapulm process
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the cardiomediastinal silhouette is stable allowing for improved lung volumes on the current study compared with prior, within normal limits. the hila are unremarkable. new since the prior exam has a left mid lung hazy opacity which is concerning for developing infection. equivocal linear opacity in the right mid lung may reflect platelike atelectasis. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax. there is a left pleural effusion. suggestion of right mid and lower lung lateral pleural thickening was not clearly seen on the prior, however this may be due to inter-examination differences in technique, possibly focal pleural thickening or trace pleural fluid.
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<unk>-year-old man with cough, evaluate for pneumonia.
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a single frontal radiograph of the chest was acquired. there is persistent hyperinflation of both lungs, consistent with emphysema. minimal bilateral lower lobe atelectasis is noted. the lungs are otherwise clear. a small left pleural effusion is increased compared to the prior study from <unk>. there is no definite right pleural effusion. no pneumothorax is seen. previously identified nodular opacities in the right upper lung on the prior study from <unk> are not appreciated on today's radiograph. the heart size is normal. marked aortic calcifications are seen.
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shortness of breath for the past week with a history of aortic stenosis. evaluate for pneumonia or pulmonary edema.
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the patient is status post partial left first rib resection. a left chest tube is in unchanged position. there is no pneumothorax. there is probably a trace left pleural effusion. there is no focal consolidation or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with first rib rsx // interval change
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there is a focal opacity at the left mid lung peripherally which corresponds to area of infarction previously seen on study from <unk>. no other focal consolidation is identified. there is a small left pleural effusion. cardiomediastinal silhouette and hilar contours are within normal limits. there is no pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
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history: <unk>f with hemoptysis status post pulmonary infarction.she is pregnant. evaluate for interval change.
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single portable upright chest radiograph. there is a small right partially loculated pleural effusion with extension into the fissure. no pneumothorax identified. unchanged small left pleural effusion identified. there is unchanged large right upper lobe opacification. cardiomediastinal and hilar contours are unchanged.
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right upper lobe lung mass, now status post bronchoscopy with biopsy. assess for pneumothorax.
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there is tortuosity of the descending thoracic aorta. the cardiomediastinal and hilar contours are otherwise within normal limits. lungs are well expanded. focus of linear atelectasis noted at the right lung base. there is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with upper back pain, hypertensive // rule out mediastinal dilation or changes rule out mediastinal dilation or changes
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is detected. no acute osseous abnormalities are seen.
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history: <unk>f with cough
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a right-sided double barrel port-a-cath catheter terminates in the cavoatrial junction. as compared to prior chest radiograph from <unk>, there is increased moderate to large left-sided pleural effusion. right basal opacities have worsened and likely reflect a combination of pleural effusion and consolidation. increased ill-defined opacity in the right lower lung could reflect worsened metastatic disease. rounded opacity in the right perihilar region is compatible with known loculated fissural fluid, as seen on prior chest ct. there is no pneumothorax. evaluation of the cardiac silhouette is somewhat limited, however the cardiomediastinal contour appears grossly stable when compared to prior examination.
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dyspnea, recent pneumonia. evaluate for pneumonia, chf.
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there is no pneumothorax. a right-sided pacemaker remains in place. bilateral upper lobe fiducial markers associated with irregularly shaped opacities correspond to treated lesions. no new opacities or consolidations are identified. moderate cardiomegaly is unchanged. there is a small right pleural effusion. generalized osteopenia and multilevel thoracic spine compression deformities are unchanged.
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<unk> year old woman with non-small cell lung cancer and r effusion // s/p right <unk> r/o ptx
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there is worsening of the left pleural effusion since prior exam. there is no right pleural effusion. there is a persistent small apical right pneumothorax. the lungs are otherwise clear, though there are low lung volumes. cardiomediastinal silhouette is unremarkable.
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<unk>-year-old male status post tvr, asd closure, liver diaphragm laceration status post gunshot.
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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 productive cough and fever, generalized weakness
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portable chest film <unk> at <time> is submitted.
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<unk> year old woman s/p r bka with new leukocytosis // assess for infection assess for infection
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the thoracic inlet is partially obscured by the patient's chin, similar to the prior study. heart size is within normal limits. aortic calcifications are again seen. mediastinal and hilar contours are stable. linear opacities at bilateral lung bases are similar to prior, compatible with atelectasis or scarring. no pulmonary consolidation is seen. there is no evidence for pulmonary edema or pleural effusion. dextroconvex thoracic scoliosis and thoracic endplate degenerative changes are again seen.
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shortness of breath, history of asthma.
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pa and lateral views of the chest. correlation is made to ct torso from <unk>. when correlated to ct scan, there has been no significant interval change. there are bilateral somewhat nodular regions of consolidation in the lungs bilaterally. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. the osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with cough.
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the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with chronic cough and reproducible chest wall pain // any pna
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frontal and lateral chest radiographs were obtained. no focal consolidation, pleural effusion, or pneumothorax is seen. the heart is moderately enlarged but stable. hilar contours are enlarged, possibly secondary to underlying pulmonary hypertension, but there is no pulmonary edema. a left chest pacemaker has leads in the appropriate positions in the right atrium and right ventricle.
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patient with heart failure and rhonchi, evaluate for consolidation, effusion, or pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p17466330/s59610200/d189e0be-c42d6206-bdbe953e-98bcdde5-12484f7c.jpg
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. azygos fissure is incidentally noted.
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abdominal and chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p11256340/s53074386/bf2b393c-3f84b27f-b67e0f43-1aa22c65-45e3506c.jpg
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pa and lateral views of the chest provided. multiple tiny surgical clips are seen projecting over the chest wall. 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 chest pain // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p16544497/s59000693/7f5fa84e-472e1bfc-12160c1e-672b75d0-7f386cad.jpg
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
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<unk>-year-old male with cough.
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MIMIC-CXR-JPG/2.0.0/files/p16080701/s57438896/bed8d350-eb95fb43-5b3f0423-c6bfa3e3-1a225c7c.jpg
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pa and lateral views of the chest were obtained. there is no consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal. there is no free air beneath the diaphragm. no bony abnormality is identified.
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chest pain, evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p14827673/s58867136/ceb3f158-33453d95-91f1424a-150afbc6-13b9c4b9.jpg
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p16139978/s59279149/975b04a5-3ec66dc8-d74b5e00-3ccf360d-3875a3e9.jpg
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both lungs are well expanded and clear. there are no opacities concerning for pneumonia. heart size, mediastinal and hilar contours are normal. there is no pleural abnormality.
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to rule out pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14020056/s51968899/33b812b5-ee975b67-64ae94ad-5904d55b-037a6f23.jpg
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. no radiopaque foreign body. osseous structures are unremarkable.
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fever, shortness of breath, and cough. evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p19723221/s59906735/433abc4f-f4bd8a45-ff41c8e8-4b0ec27b-d428944a.jpg
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. surgical clips noted in the upper abdomen.
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<unk>f with left sided, thoracic back pain // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p11541295/s57132292/450d2f7d-3b6a1ab4-8dccd808-7693499b-cdcc9dd2.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.
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history: <unk>f with pots, mvp, p/w weakness/malaise, cough // eval for weakness/malaise, cough
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MIMIC-CXR-JPG/2.0.0/files/p16592013/s54102731/fae17081-e4ae296c-5e30d409-7a354b62-2ae29dd7.jpg
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the heart size is mildly enlarged but unchanged. mediastinal and hilar contours are stable, with diffuse atherosclerotic calcification of the thoracic aorta again noted. there is mild tortuosity of the thoracic aorta. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected. several clips are noted within the upper abdomen.
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productive cough, on antibiotics without relief.
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MIMIC-CXR-JPG/2.0.0/files/p10758777/s50233726/d8a4b8ea-14d299c1-ae8a260c-48fa5bcc-94deae9b.jpg
|
frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. the pulmonary vasculature is unremarkable. no pleural effusion or pneumothorax is present. metallic clips overlie the right upper quadrant. osseous structures are unremarkable.
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<unk>-year-old female with generalized weakness, history of mds, and low-grade fever two days ago. evaluate for infectious process.
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MIMIC-CXR-JPG/2.0.0/files/p10127469/s53511806/54da3bf9-0ee7f502-c2f42479-804f659e-4898ad9d.jpg
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lung volumes are low. progressive, gradual increase in bilateral parenchymal opacities with air bronchograms, which may reflect edema, although concurrent pneumonia cannot be excluded. retrocardiac opacity likely reflects combination of small persistent left pleural effusion and atelectasis, which is overall unchanged. no pneumothorax. the cardiomediastinal silhouette is unchanged. left port-a-cath tip is unchanged. enteric tube coiled enters into the left upper abdomen its tip is not seen.
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<unk> year old woman with pneumonia and effusions previously resolving // recurrence of pna or effusion
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MIMIC-CXR-JPG/2.0.0/files/p15459380/s51207886/274af807-76c9f4e7-994ace0f-8c5e1504-47b86b38.jpg
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there are no focal opacities to suggest pneumonia. mild bibasilar atelectasis, left greater than right is noted. mild cardiomegaly is present. the mediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
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right-sided stroke, patient has unexplained lethargy and asterixis on exam. evaluate for etiology of infection.
|
MIMIC-CXR-JPG/2.0.0/files/p16786624/s54612223/42f1d0d0-9830f40f-3ef16a78-7ae25746-369b07b8.jpg
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. the lungs are clear. no pleural effusion or pneumothorax evident. no displaced fracture is seen.
|
right upper quadrant pain, please evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16040005/s55142303/27d8a171-5bf4c71d-f039063d-564fcf02-ff8aa72d.jpg
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the chest is hyperinflated.
|
shortness of breath. history of copd and pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p18679547/s52385138/b11a807c-3f91d478-47c90180-014ea6be-dfad9de4.jpg
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there has been interval placement of a left pectoral pacemaker with dual leads terminating in the right atrium and right ventricle. the course of the leads is unremarkable and there is no pneumothorax. the inspiratory lung volumes are appropriate. the hazy left basilar opacity corresponds to a large fat containing diaphragmatic hernia. there is no focal consolidation or pleural effusion. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
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<unk> year old man with sss s/p dual chamber pm. // rule out pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p19120523/s59191098/fa13077b-0df32b0c-0cbeaea4-10a7b9b8-8cd467f8.jpg
|
frontal and lateral views of the chest. no prior. the lungs are hyperinflated but clear of confluent consolidation or pulmonary vascular congestion. the cardiac silhouette is enlarged. multiple old left-sided rib fractures are identified. osseous structures are otherwise notable for osteopenia.
|
<unk>-year-old female with <num> hours of left-sided weakness and dizziness.
|
MIMIC-CXR-JPG/2.0.0/files/p17405329/s51825249/54b84c6c-efef3827-4e221e62-0390b01e-a8e9036f.jpg
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a left picc ends in the low svc, as before. there is redemonstration of midline sternotomy wires. there is evidence of a "deep sulcus sign" on the right with hyperlucency outlining the lateral aspect of the right hemidiaphragm, new compared to the prior study from <unk>, concerning for a right pneumothorax. there has been a marked improvement in the degree of pulmonary edema seen on the prior study from <unk>, now with only residual vascular congestion. mild enlargement of the cardiac silhouette is not significantly changed. a small left pleural effusion is not excluded.
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pleural effusion, status post thoracentesis on the right. assess for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p10979480/s50314409/3fae0e4c-d05fe281-ee09e71e-4d6a228b-208e2d4c.jpg
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frontal upright and lateral chest radiographs demonstrate low lung volumes. right-sided port-a-cath terminates at the cavoatrial junction, unchanged. thoracic spine fusion hardware is relatively unchanged in position. cardiomediastinal contours are unremarkable. basilar opacities likely reflect atelectasis. there is no pleural effusion. there is no pneumothorax.
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episode of aspiration last night, now with cough and fever, evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p17865089/s52774167/c7806cc6-19296a7f-574203b2-80c758c9-7bb885ef.jpg
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there are atelectatic changes extending from the right hilum into the right lower lung field. there is a small right pleural effusion. the cardiomediastinal silhouette and hila are normal. there is no pneumothorax and no suspicious lung consolidation. dish is seen in the thoracic spine. there is no free air.
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<unk>-year-old with question pneumonia or free air.
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MIMIC-CXR-JPG/2.0.0/files/p16603653/s56068902/ab7ad774-c4a83181-57d3ca36-490a56d4-1a9b3fbb.jpg
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since the prior cxr, there has been interval development of a new moderate layering right pleural effusion, and likely a small left effusion. there is also bibasilar atelectasis. no evidence of pneumonia or pneumothorax. the cardiac silhouette is distorted by the known large hiatal hernia. the ct abdomen from <unk> shows a normal size heart. no acute osseous abnormalities.
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<unk> year old woman with recent upper gi bleed, new crackles at left lung base. // ? pna, aspiration? vs. atalectasis
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MIMIC-CXR-JPG/2.0.0/files/p17629565/s58203065/c2f01fcf-1dd53eda-d5597915-1643c9f3-5ecf4400.jpg
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax.
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stroke.
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MIMIC-CXR-JPG/2.0.0/files/p17913090/s52123544/25e7ac60-494df4f9-4e68ef0d-e6f682b3-062e8a5f.jpg
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subtle right base opacity may be due to confluence of vascular structures, however, subtle consolidation is not excluded in the appropriate clinical setting. there is mild elevation the right hemidiaphragm and right base opacity could relate to atelectasis. no pleural effusion or pneumothorax is seen. cardiac silhouette is mildly enlarged.
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history: <unk>f with cough // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p13258975/s56326715/11cf2cd7-7fb23da7-96d40644-2863e350-6591b967.jpg
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there is no focal consolidation, pleural effusion or pneumothorax. the heart size is normal. hilar contours are normal. linear lucencies adjacent to the trachea in the upper mediastinum may represent pneumomediastinum. there is free air seen under the diaphragms bilaterally, which is expected status post laparoscopic surgery done on <unk>. the rounded opacity overlying the lower lungs bilaterally are similar to prior study and represent nipple shadows.
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status post ovarian cyst removal on <unk>, upper abdominal pain in the right and pleuritic, evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p10653798/s51930081/fc0a4708-db3660f6-94d30900-7ea5fe8e-d5d6306d.jpg
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a port-a-cath terminates in the lower superior vena cava. the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. thin anterior flowing osteophytes are noted along the thoracic spine. surgical clips project along the epigastrium in the midline.
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fever and chemotherapy.
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MIMIC-CXR-JPG/2.0.0/files/p16513291/s50451532/411177f0-10697b4e-0718e61c-b4daa33a-fb9cebd8.jpg
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portable ap upright view the chest provided. there is a right upper extremity access picc line with its tip located in the lower svc in appropriate position. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette appears normal. bony structures are intact.
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<unk>m with pmh of r ankle surgical site infection, here for r ankle pain and pressure
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MIMIC-CXR-JPG/2.0.0/files/p12116463/s56223982/45d176a4-91838a7a-f6caa7ef-49e33d39-44962e1f.jpg
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lung volumes are low. this accentuates the size of the cardiac silhouette which is likely top normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected.
|
cough, chills for <num> week.
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MIMIC-CXR-JPG/2.0.0/files/p12708619/s54622457/e9f41912-6d52fe56-54a9862c-34fa01ae-6c380445.jpg
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ett tip projects approximately <num> cm from the carina. right picc line tip is obscured by the superimposed pacer leads, but appears overall in similar position. dual lead pacemaker leads are unchanged. right lower lobe opacities consistent with pneumonia. elevation right hemidiaphragm is increased, suggesting atelectasis. small right pleural effusion. left pleural effusion, if present, is small. cardiomediastinal silhouette is unchanged.
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<unk> year old man with pseudomonas pna // eval interval change
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MIMIC-CXR-JPG/2.0.0/files/p13483003/s59273468/a9118803-aa5d20ba-8230fea9-d5f2d974-ac89b64e.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. there is no pulmonary edema.
|
history: <unk>f with fevers // acute process
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MIMIC-CXR-JPG/2.0.0/files/p14315489/s56731376/5e15f2eb-b6f66626-f331c59b-3b44e0d1-55c7aa0f.jpg
|
a moderate-to-large left pleural effusion with lower lobe consolidation, which may represent atelectasis or pneumonia, is seen. the left heart border is obscured by this process. a small right pleural effusion is also seen. indistinctness of the hilar markings is indicative of pulmonary edema. the upper mediastinal contour appears within normal range for size. there is no pneumothorax.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p15777665/s50711683/b061166d-2779b5b7-e51b5714-fb50455a-9cdb4cfd.jpg
|
no focal consolidation, edema, effusion, or pneumothorax. the heart is moderately enlarged, unchanged. retrocardiac opacity with air-fluid level projecting just to the left of midline is consistent with a moderate hiatal hernia, unchanged. mild left lower lobe opacity is likely atelectasis. the mediastinum is not widened. aortic knob calcifications are minimal.
|
<unk>-year-old man with bradycardia and dyspnea. evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p11094621/s54065839/6e61c151-12024b17-381622ea-8c11ddfd-7e904c7c.jpg
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lung volumes are relatively low. left basilar opacity is presumably secondary to atelectasis. lungs are otherwise clear. there is no large effusion common pneumothorax or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
|
<unk>m with cp // pna?
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MIMIC-CXR-JPG/2.0.0/files/p12222382/s53268568/0394392b-68ae7a7d-2f9c9acf-6e8c6a73-a918326a.jpg
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compared to the prior study there is no significant interval change.
|
mr. <unk> is a <unk> year old gentleman with history of cad s/p multiple mis, kidney donation surgery, gerd and esophageal stricture s/p recent dilation, as well as splenectomy, presenting with hypoglycemia, hypothermia, altered mental status, coffee ground emesis now with rising white count in the setting of ?aspiration // interval change
|
MIMIC-CXR-JPG/2.0.0/files/p14480391/s51743332/767ca756-7d50dd37-baeb90f2-0acfbb7b-4118e23c.jpg
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as compared to the previous radiograph, there is no relevant change. extensive right lower lobe opacity, associated with a small-to-moderate pleural effusion, likely caused by an infection. on today's radiograph, the left upper lung region has also become slightly denser than on the previous image, but without definite signs of infection. no left pleural effusion. normal appearance of the right lung apex.
|
fevers, evaluation for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p19621207/s59885145/8c77f2e0-6e781164-4a6a57aa-b24a6460-15b9146b.jpg
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the right lung is clear. the left lung demonstrates basilar atelectasis versus scarring. no pleural effusion or pneumothorax is present. no evidence of pneumonia. the aorta is unfolded. hilar contours and mediastinal silhouette is unremarkable. there is no cardiomegaly. there is loss of several vertebral bodies in the thoracic spine, particularly in the upper-to-mid thoracic spine. the patient has already been ordered for a ct of the t-spine and better evaluation will be provided on this exam. right shoulder
|
<unk>-year-old female with fall and pain. question rib fracture or t-spine fracture.
|
MIMIC-CXR-JPG/2.0.0/files/p19894323/s53486560/d33a5f3f-0427738d-828ce070-224a4637-30fa3a19.jpg
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right pectoral infusion port terminates in mid svc. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
|
history: <unk>f with hx of asthma now with cough sob // r/o infiltrate
|
MIMIC-CXR-JPG/2.0.0/files/p17140033/s54642104/ea2f9d24-e00c1cd1-83130880-2ec63101-4fd1706c.jpg
|
the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. slight tortuosity of the descending thoracic aorta is noted no acute osseous abnormalities.
|
<unk>m with left cp // eval pneumonia vs chf
|
MIMIC-CXR-JPG/2.0.0/files/p16690867/s50816680/da586ece-b9955e35-b99ed757-694226de-34cb4e6f.jpg
|
moderate enlargement of the cardiac silhouette is unchanged. a left-sided aicd/pacemaker device is again noted with leads in unchanged position. mediastinal and hilar contours are similar. there is mild pulmonary vascular congestion, unchanged. no focal consolidation or pneumothorax is present. minimal blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions. compression deformity of a low thoracic vertebral body is similar.
|
history: <unk>f with chest pain
|
MIMIC-CXR-JPG/2.0.0/files/p14744450/s52419134/ba694e3b-893ed886-a8ad7674-f8d994a2-671f6d8e.jpg
|
the lungs are clear. there is a small calcified granuloma in the right lower lung, unchanged from prior studies. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
|
evaluate for acute process in a <unk>-year-old man with tachypnea.
|
MIMIC-CXR-JPG/2.0.0/files/p13063001/s57677709/daf34437-9effcedb-870899b7-703e8722-8dd818ef.jpg
|
frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion or pneumothorax. the cardiac silhouette remains enlarged and is unchanged in comparison with prior. the mediastinal contours are normal. the pulmonary vasculature is normal.
|
<unk>-year-old male with chest pain, question chf.
|
MIMIC-CXR-JPG/2.0.0/files/p17591410/s54874874/68cb9ff0-f8e2cab5-64296800-0f601f1f-6e9c81e6.jpg
|
the large left pleural effusion and compensatory atelectasis are not significantly changed from previous examination. the right lung, heart border, and hemidiaphragm are clear. mediastinal contours are stable. a left single lead pacemaker is unchanged in appearance.
|
<unk> year old man with pleural effusion // eval
|
MIMIC-CXR-JPG/2.0.0/files/p11598746/s52086413/a019452f-073717b5-22472395-f96835b9-094d5da7.jpg
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again fibrotic changes are visualized at the lung apices, consistent with patient's history of radiation therapy. previously visualized left upper lobe nodule is not clearly visualized on today's study and better evaluated on dedicated torso ct from <unk>. post-surgical changes are visualized in the left hemithorax. otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. known right clavicular fracture is again noted. otherwise, no acute fractures are identified. post-surgical changes are visualized in the left upper abdomen.
|
evaluation of patient with chest pain with history of pericardial effusion.
|
MIMIC-CXR-JPG/2.0.0/files/p11131026/s59203388/5280adc4-1012f221-39ab6396-973c799c-a410b6b9.jpg
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cardiac silhouette size is mildly enlarged with prominent epicardial fat pads. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. assessment of the lung apices is somewhat obscured by the patient's chin and soft tissues projecting over these regions. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. moderate multilevel degenerative changes are seen within the thoracic spine.
|
history: <unk>m with dyspnea on exertion x <num> weeks, difficulty with gait x several weeks, status post multiple falls with headstrike // evidence of volume overload, infiltrate, or effusion, evidence of intracranial hermorrhage or acute abnormality, hydrocephalus
|
MIMIC-CXR-JPG/2.0.0/files/p10972707/s53362586/4cee23a3-9a838075-97192d17-d8df7e81-2c1b7d45.jpg
|
pa and lateral radiographs of the chest were acquired. compared to the prior radiographs from <unk>, there is new mild right cardiac enlargement as well as engorgement of the superior mediastinal vasculature, without evidence of interstitial pulmonary edema. no focal consolidations are seen. there are no pleural effusions. no pneumothorax is seen.
|
left jaw tingling as well as mid substernal chest heaviness. evaluate for acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p18996191/s57277418/d48e878f-769b5400-f60fa503-b5ba067e-0cf821f9.jpg
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moderate right lower lobe atelectasis. two stable rounded homogeneous opacities project over the anterior fifth rib are likely pleural in etiology. left lung is clear. no pneumothorax or pleural effusion. heart size, mediastinal contour, and hila are normal. no bony abnormality.
|
male status post right lower lobe lobectomy. assess for interval change, atelectasis, or pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p11192169/s54598037/3a06bdcb-c8632c1e-a7bc9d9a-a67abfc9-b79d6dbd.jpg
|
pa and lateral views of the chest provided. lung volumes are low which limits assessment. there are scattered bilateral pulmonary nodules which may be slightly progressed from the prior exam. there is also hilar congestion and at least mild pulmonary edema. small pleural effusions are likely present though the lateral view is limited due to obliquity. cardiomediastinal silhouette is unchanged. the imaged bony structures are intact.
|
<unk>m with weakness, known lung mets
|
MIMIC-CXR-JPG/2.0.0/files/p11616741/s51854691/9d24f803-e26d72b2-6401773f-ba0c1c58-4cf0d5af.jpg
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streak eat medial right lower hemithorax opacity is seen on prior studies, most likely representing overlap of vascular structures no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
|
<unk>m w/cough, copd, please eval for pna // <unk>m w/cough, copd, please eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p11788497/s59983554/f07ed1b0-1c4e0bab-40eaaf47-806dd1d7-bed940b6.jpg
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the patient is intubated with the ett in good position. the tip of the endotracheal tube is not visualized. mild interstitial edema with moderate bilateral pleural effusions, left greater than right. the cardiomediastinal silhouette is unremarkable. no pneumothorax.
|
<unk> year old woman with brain death // organ donation
|
MIMIC-CXR-JPG/2.0.0/files/p15493308/s57023290/e8aaebed-bf191f96-6c487c56-2356eaf6-235320b2.jpg
|
the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
|
<unk>-year-old with history of myeloma presenting with cough.
|
MIMIC-CXR-JPG/2.0.0/files/p10998537/s54991781/91f16166-0e246b8d-2a27cc1d-1f855333-934b8938.jpg
|
frontal view of the chest was obtained. lung volumes are low. the pulmonary vasculature is prominent and indistinct, compatible with congestion and early edema. the left costophrenic angle appears blunted, compatible with a small effusion. no pulmonary consolidation or pneumothorax. the heart is of normal size with normal cardiomediastinal contours. there is calcification of the aortic knob. no radiopaque foreign body. osseous structures are unremarkable.
|
<unk>-year-old female with chest pain and shortness of breath.
|
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