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MIMIC-CXR-JPG/2.0.0/files/p17579697/s52440970/e988c05d-701fd120-ee7c731e-066e230c-4ee3be77.jpg
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lung volumes are slightly low, resulting in bronchovascular crowding. heart is not enlarged. there has been interval removal of the tracheobronchial stent. no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with first time seizure // ?cardiopulmonary process
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single portable ap supine radiograph of the chest demonstrates a right picc which terminates in the mid svc. cardiomediastinal and hilar contours are stable relative to prior examination. pulmonary vasculature is prominent. bilateral patchy opacities, right greater than left, may represent infectious process although superimposed edema is not entirely excluded. relative to prior study dated <unk>, this appears minimally improved particularly within the left hemithorax. there is no large pleural effusion. there is no pneumothorax. imaged osseous structures are without an acute abnormality.
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<unk>-year-old female with picc.
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frontal lateral views of the chest. tubing seen along the left anterior chest wall, presumably from a ventriculoperitoneal shunt. relatively low lung volumes are seen. the lungs however are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
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<unk>-year-old female with history of traumatic brain injury, question seizure disorder presents with seizure.
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there is increased volume loss at both bases. an underlying infectious infiltrate can't be excluded. the heart is moderately enlarged, similar to prior. there is mild pulmonary vascular redistribution.
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<unk> year old man with choledocho/cholangitis, now s/p open ccy w/liver bx, requiring non-rebeather. // rule out pna, edema.
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MIMIC-CXR-JPG/2.0.0/files/p16142584/s52399209/1c612fab-eb80dc40-ce5348ba-314a9372-b5fa7fb5.jpg
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frontal and lateral radiographs of the chest show appropriate inspiratory lung volumes. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. scoliosis of the thoracic spine is noted.
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<unk>-year-old female with intermittent nonspecific chest pain, here to evaluate for cardiopulmonary pathology.
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portable supine chest radiograph <unk> at <time> is submitted.
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<unk> year old woman s/p intubation // eval for level of ett eval for level of ett
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MIMIC-CXR-JPG/2.0.0/files/p14759589/s50947923/561e6135-6b8dbf77-c20703a1-cf81df24-46d405e6.jpg
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as compared to prior chest radiograph from the <unk>, there has been complete resolution of free intraperitoneal gas. the heart is normal in size. the hilar and mediastinal contours are normal. the lungs are well expanded and clear. there are no pleural effusions or pneumothorax. the osseous structures are unremarkable.
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<unk>-year-old male patient with chest tightness and discomfort. study requested to rule out infiltrate.
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bilateral linear and patchy opacities have increased in the right upper lobe, right middle lobe, and left lower lobe since <unk>. these findings could represent progression of the previously seen pleuroparenchymal scarring characterized on the ct torso from <unk> or could be due to superimposed infection. normal heart, mediastinal, and pleural surfaces.
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evaluation for interval change in a patient with chronic lymphocytic interstitial lung disease.
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there has been interval placement of an endotracheal tube which terminates above the carina. an enteric tube courses below the hemidiaphragm to enter the stomach, but its tip is not visualized. small bilateral pleural effusions with bibasilar subsegmental atelectasis are unchanged. the heart and mediastinum cannot be accurately assessed on this projection. the patient is status post median sternotomy with valve replacement. there is no pneumothorax.
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<unk>-year-old female with abdominal sepsis; evaluate et tube placement.
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pa and lateral chest radiographs demonstrate retrocardiac opacity which corresponds to opacities projecting over the lower lumbar spine on the lateral view worrisome for airspace disease and infectious process. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pulmonary edema, pleural effusion, or pneumothorax. eventration of the right hemidiaphragm is noted.
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history: <unk>m with cough, congestion, chills, malaise for <num> weeks. crackles left base worse than right // consolidation
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MIMIC-CXR-JPG/2.0.0/files/p17251081/s51537534/6c89dea6-d16626ab-5418915a-5fe43256-3d26fb80.jpg
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the cardiac, mediastinal and hilar contours appear unchanged. density associated with a left breast implant appears unchanged. 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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chest pressure and shortness of breath.
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the lungs are clear. no effusion or pneumothorax is noted. heart and mediastinal contours are within normal limits.
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<unk>-year-old male with two episodes of syncope and sick contacts.
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the right sided chest tube has been removed. there is no right sided pneumothorax or pleural effusion. unchanged left retrocardiac opacities compatible with atelectasis versus consolidation and a small left pleural effusion. mild cardiomegaly. ekg leads overlie the chest wall.
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<unk> year old woman s/p r ct removal // please evaluate for interval change ct pulled at <time>am, please time study for approximately <num>pm
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there are increased bibasilar opacities, left greater than right. there is blunting of the right posterior costophrenic angle, likely related to pleural fluid. evaluation of the cardiac silhouette is limited by overlying opacities. upper lungs are well aerated. there is no pneumothorax.
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infiltrate seen on x-ray earlier this month with some chest congestion. rule out infiltrate.
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increased interstitial markings bilaterally suggests mild interstitial edema. rounded opacity at the right lung base may represent vascular structure as no clear correlate is seen on preceding abdominal pelvic ct which includes the lung bases. no large pleural effusion or pneumothorax is seen. the cardiac silhouette remains mild to moderately enlarged.
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history: <unk>f with increase sob // eval for pna
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endotracheal tube ends approximately <num> cm above the carina. ngt tip projects over the stomach. there is no pneumothorax or pleural effusion. cardiomediastinal hilar contours are normal. there are vague opacities in the lungs bilaterally. no fractures are identified.
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<unk>m s/p blow to posterior head from falling wood plank, r/o acute injuries .
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pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old female with chest pain.
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ap portable upright view of the chest. no free air below the right hemidiaphragm is seen. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
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<unk>f with hx gastric bypass with severe epigastric pain.
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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>m with sob // eval for pna or chf
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MIMIC-CXR-JPG/2.0.0/files/p17400716/s58016553/30ef7ac5-1791a342-6a01d10a-bd778190-8bed2558.jpg
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compared to the prior film, the swan-ganz catheter is been removed. no pneumothorax is detected. again seen is hyperinflation suggestive of background copd. also again seen is cardiomegaly, with prominence of the mediastinal silhouette and slight enlargement of the azygous vein. the aorta is calcified and unfolded. the lateral view demonstrates extensive coronary artery calcification. mild prominence of the hila is similar to the prior study. there is upper zone redistribution, the increased interstitial markings, peribronchial thickening and diffuse vascular blurring, consistent with chf. the appearance is similar, perhaps slightly more pronounced, than on the prior film. small bilateral effusions are present. there is increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation, though the hemidiaphragm remains faintly visible, as before. there is minimal atelectasis at the right lung base, new compared with the prior study. incidental note is made of marked narrowing of the right shoulder acromial humeral distance, consistent with a chronic rotator cuff tear.
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<unk> year old woman on esrd on hd with bacteremia, fevers // r/o consolidation
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as compared to previous exam chest tubes are unchanged in position. a small right basilar pneumothoraxi has slightly increased in size. a right apical opacity appears unchanged. the controlateral lung seems hyperinflated, with flattening of the left hemidiaphragm.
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<unk> years old with empyema, reevluation after tpa administration.
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increased interstitial markings are seen throughout the lungs slightly more prominent compared to prior. there is no focal consolidation or effusion. cardiac silhouette is moderately enlarged as on prior. no acute osseous abnormalities identified. old right-sided rib fractures are noted.
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<unk>f with dyspnea // pna?
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MIMIC-CXR-JPG/2.0.0/files/p12317110/s58041398/48a09f4d-1d0c2b79-8d6c06e0-8895cb15-1ac9ea5a.jpg
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the patient is rotated. the endotracheal tube terminates at the level of the clavicles. a right ij central venous catheter likely enters the right atrium. a nasogastric tube courses below the hemidiaphragm into the stomach, distal tip not visualized. there is no pneumothorax. retrocardiac airspace opacity corresponding to either atelectasis or aspiration is unchanged. the right lung remains clear.
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<unk> year old woman with seizure s/p cardiac arrest with diffuse hypoxic injury on brain mri and consistent fevers // evaluate for interval changes
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the cardiac silhouette is mildly enlarged. the aorta is calcified. there is mild pulmonary edema. blunting of the costophrenic angles suggests trace pleural effusions. medial right base opacity likely represents combination of fluid overload, pleural effusion and atelectasis, underlying consolidation is felt less likely.
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history: <unk>m with elevated troponin, hypoxemia // ?cardiopulmonary process
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the left pleural catheter has been adjusted, and the tip now terminates in a more lateral position. there has been continued resolution of left apical pneumothorax, now measuring <num> mm. there has been improvement in the left basilar atelectasis and resolution of bilateral pleural effusions.
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left pigtail readjusted.
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right internal jugular central line terminates at the mid svc. endotracheal tube is in appropriate position in the mid trachea. a gastrostomy tube is present within the stomach. there is new opacification of the right lower lobe with obscuration of the right hemidiaphragm which may represent atelectasis or aspiration. there is no pneumothorax. a right pleural effusion cannot be excluded. cardiomediastinal silhouette is otherwise unremarkable.
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history of mild chronic seizures, intubated and sedated in a medication-induced coma with acute desaturation event, currently mechanically ventilated.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. the thoracic score spine curves very mildly toward the left.
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chest pain.
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chronic rib deformities at the left upper hemi thorax are re- demonstrated. lungs remain hyperinflated. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta remains somewhat tortuous. the cardiac silhouette is top-normal.
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history: <unk>f with cough // r/o infection
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the inspiratory lung volumes are appropriate. there is no large pleural effusion or pneumothorax. streaky opacities in the retrocardiac left lung base most likely reflect atelectasis. no focal consolidations concerning for aspiration or pneumonia are seen. the cardiomediastinal contours are within normal limits.
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nstemi, requiring intubation at the time of catheterization for agitation and vomiting, here to evaluate for evidence of aspiration.
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lung volume is low. streak of atelectasis is noted in right mid lung. otherwise lungs are clear. there is no pneumothorax or large pleural effusion. cardiomediastinal silhouette is normal size. no fracture is identified.
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<unk>m w/crash of his wheelchair into wall <unk>m w/crash of his wheelchair into wall // <unk>m w/crash of his wheelchair into wall
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the lungs are mildly hyperinflated, and streaky right basilar atelectasis is noted. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is grossly within normal limits. multiple healed right sided rib fractures are noted.
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history: <unk>f with weakness // please eval for pneumonia
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frontal and lateral radiographs of the chest show stable eventration of the right anterior hemidiaphragm. the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no focal opacities are present, and the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged from <unk>.
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<unk>-year-old female with history of wegener's granulomatosis, on chronic immunosuppressive therapy, now with two-day history of productive cough, here to evaluate for pneumonia.
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bronchial wall thickening at the right lung base. there are no focal consolidations, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
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<unk>-year-old female with chest pain, shortness of breath
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the heart is at the upper limits of normal size. there is a confluent opacity in the medial right middle lobe, consistent with pneumonia, as well as suspected additional opacities in the lower lobes. upper lung fields appear clear. trace pleural effusions are difficult to exclude. there is no pneumothorax. bony structures are unremarkable.
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cough and hypoxia.
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pa and lateral chest views were obtained with the patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. previously described right subclavian approach port-a-cath system remains in unchanged position. the heart size and mediastinal structures are also unaltered and grossly within normal limits. the pulmonary vasculature is not congested. the previously described local pleural densities have further regressed, in particular a rather bulging prominence and thickening of the pleural space in the mid portion of the right lateral chest wall has regressed. basal right-sided pleural effusion blunting the lateral pleural sinus and extending into the posterior pleural sinus and corresponding posterior pleural space remain unchanged. no new abnormalities are identified. as before, general impression of copd persists.
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a <unk>-year-old male patient status post esophagectomy, history of pulmonary embolism, atrial fibrillation, also has bilateral pleural effusions, on tube-feed. evaluate interval changes.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no displaced fractures identified.
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chest pain after fall.
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MIMIC-CXR-JPG/2.0.0/files/p16007214/s53064831/c636b34e-7d71ae78-607915a1-6cacf53d-6218328a.jpg
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pa and lateral views of the chest demonstrate relatively low lung volumes, with mild bibasilar atelectasis. low lung volumes accentuate the heart size, which is mildly enlarged, but stable compared to prior studies. there is no pneumothorax or pleural effusion. mild pulmonary edema is present. a left chest wall dual-lead pacemaker/defibrillator is unchanged in position, with leads terminating in the right atrium and right ventricle. mediastinal clips and intact median sternotomy wires are again noted.
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<unk>-year-old man with chest pain.
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compared to the prior study, there is now near complete opacification of the left chest, with multiple small lucent foci in the upper half of the lung which likely represent small areas of aerated long versus focal air within fluid. new compared to the prior study, sternotomy wires and midline mediastinal skin <unk> are now visualized, compatible with interval surgery. there has been leftward shift of the mediastinum, likely contributing to the left chest opacity. the left chest tube, mediastinal drains, and <num> swan-ganz catheter have all shifted leftward. the plane of imaging of the prosthetic valve is also slightly different. the right chest tube remains in place, canal lying slightly lower over the lower right lung. the carina is not well delineated, but i suspect the et tube tip lies approximately <num> cm above the carina. an ng tube is present, tip and side-port overlying the upper stomach. aside from mild plethora of upper zone vessels in the right lung, the right lung is grossly clear. large rounded calcification, likely a large gallstone, again noted in the right upper abdomen
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<unk> year old man s/p emergent cabg // eval for ett position s/p chest closure
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left-sided chest tube is in satisfactory position. there is a small left apical pneumothorax. the lung volume is small, exaggerating pulmonary vascular markings. moderate left-sided pleural effusion has decreased significantly. mild right pleural effusion is unchanged. bibasilar atelectasis are stable. the cardiomediastinal silhouette is unchanged.
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<unk> year old woman with pleural effusion, s/p medical thoracoscopy and pleural biopsy and tpc placement // r/o pneumothorax
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a rounded density projecting over the ivc is unchanged from <unk>. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
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history: <unk>m with cough // pna?
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the heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. consolidative opacity within the left lung base is compatible with pneumonia. right lung is clear. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
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cough and fever.
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interval placement of a right transjugular swan-ganz catheter, the tip extending over the right interlobar pulmonary artery. a left chest wall biventricular aicd is present. there is no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is enlarged but unchanged.
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<unk>m with pmh of ischemic cardiomyopathy with ef of <unk>% s/p bms to lcx, des to lad, mitral valve repair/three vessel cabg, paf, ra thrombus, p/w atrial tachycardia and progressive doe and hypotension, concerning for cardiogenic shock, now on levophed. // post-cath
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please note that due to an error in pacs, this study is being interpreted on <unk>. the heart size is mildly enlarged but unchanged. left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. mediastinal and hilar contours are normal. pulmonary vascularity is normal. minimal atelectasis is noted in the left lung base and there is mild elevation of left hemidiaphragm. right lung is clear. there is no focal consolidation, pleural effusion or pneumothorax.
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icd firing with palpitations.
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cardiac silhouette size is normal. the mediastinal hilar contours are unchanged. there are increased interstitial opacities bilaterally with <unk> b-lines compatible with mild interstitial pulmonary edema. there is likely a tiny right pleural effusion. minimal atelectasis in the lung bases is also likely present. no pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>m with shortness of breath
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the cardiac, mediastinal and hilar contours appears stable. the heart is normal in size. there is no pleural effusion or pneumothorax. irregular pulmonary architecture suggests obstructive lung disease. there is no focal opacification.
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dyspnea. history of copd and coronary disease.
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the patient is status post median sternotomy and cabg. the heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. there is minimal atelectasis within the right lung base. no focal consolidation, pleural effusion or pneumothorax is seen. mild pleural parenchymal scarring is noted at the apices. there are no acute osseous abnormalities. partially imaged is cervical spinal fusion hardware.
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chest pain, history of cabg
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there are small bilateral pleural effusions, best appreciated on the lateral view. these are new compared with <unk>. the possibility of underlying collapse and/or consolidation cannot be entirely excluded, but the effusions are relatively small. there are low inspiratory volumes. heart size is prominent but not frankly enlarged. there is possible minimal upper zone redistribution, without other evidence of chf. there is patchy opacity in the right infrahilar region, slightly more pronounced than on <unk>. hiatal hernia is seen on <unk> ct scan is not well appreciated radiographically. incidental note is made of surgical anchors over the right shoulder.
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<unk> year old man with fever // pna?
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compared to the prior study from <unk>, the heart size is essentially unchanged allowing for differences in technique. mediastinal surgical clips and median sternotomy wires are stable. left chest wall pacemaker generator and right atrial and ventricular leads appear appropriately positioned.
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<unk> year old man with chest pain after pacer placement. evaluate for enlarged heart or effusion.
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the lungs are hyperinflated and there is bilateral hemidiaphragm flattening, suggesting chronic pulmonary disease. no focal consolidations, pleural effusions or pneumothorax. no new pulmonary nodules or masses. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk> year old woman s/p open partial right nephrectomy for papillary renal cell carcinoma// please evaluate for any abnormalities, r/o mets
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cardiac size is normal. lung nodules seen on prior ct are below the resolution of this radiograph. there is no consolidation, pneumothorax or pleural effusion.
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<unk> year old man with lung ca with multiple mets // ? pulmonary process
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lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>-year-old male with altered mental status, fever and recent fall. evaluate for pneumonia.
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frontal and lateral chest radiographs demonstrate an unremarkable cardiomediastinal and hilar contours. there are minimal atelectatic changes noted in the left lower lung without focal opacification concerning for pneumonia. no pleural effusion or pneumothorax evident. no osseous abnormality is identified.
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mid thoracic back pain, please evaluate for pneumonia.
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et tube terminates <num> cm from the carina. enteric tube courses below the left hemidiaphragm with side port likely in the stomach and tip beyond the field of view. there is large left retrocardiac opacity with obscuration of the left hemidiaphragm likely reflecting some combination of pleural effusion, atelectasis and possible pneumonia. there is no large pneumothorax. the right lung is essentially clear. there is mild-to-moderate cardiomegaly. the mediastinal and hilar contours are normal.
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head bleed, intubated in room <num>b. evaluate for tube placement.
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interval intubation has occurred with tip of the endotracheal tube low lying, terminating approximately <num> cm from the carina. an enteric tube courses into the stomach, with tip off the inferior borders of the film. left-sided aicd device is again noted with leads in unchanged positions. severe cardiomegaly is again noted. lung volumes remain low with mild pulmonary vascular congestion re- demonstrated. more focal retrocardiac and right perihilar opacities could reflect atelectasis. no large pleural effusion or pneumothorax is seen.
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history: <unk>f intubated // tube position
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size has increased mildly. there is no typical configurational abnormality. thoracic aorta appearance is stable and a mild general widening and elongation is noted as before, but no local aneurysmatic bulges can be identified. the pulmonary vasculature demonstrates now an upper zone re-distribution pattern and there is some perivascular haze on the lung bases. the latter finding coincides with mild blunting of the lateral and posterior pleural sinuses. these findings are subtle but are confirmed when comparison is made with the previous chest examination of <unk>. there is no evidence of new acute parenchymal infiltrates of pneumonic appearance. no pneumothorax is seen in the apical area.
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<unk>-year-old female patient with productive cough and fever, evaluate for pneumonia.
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single frontal view of the chest demonstrates a left pectoral pacer/aicd with leads terminating in the right atrium, right ventricle, and coronary sinus. there has been interval removal of a right picc. prominent cardiac silhouette is unchanged. the mediastinal and hilar contours are unremarkable. aortic arch calcifications are redemonstrated. the lungs are clear.
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<unk>-year-old female with aicd firing twice. question acute process.
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the lungs appear hyperinflated, likely reflecting copd. a focal area of scarring in the right upper lobe is unchanged dating back to <unk> with associated volume loss evidenced by upward retraction of the minor fissure and hila. there is no new airspace opacity concerning for pneumonia. no pleural effusion or pneumothorax is detected. the cardiomediastinal contours are within normal limits.
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tachycardia, here to evaluate for pulmonary edema or pneumonia.
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chest pa and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. bibasilar atelectasis is identified. retrocardiac opacity likely represents atelectasis exaggerated by low lung volumes, though cannot exclude developing infectious process. no pleural effusion or pneumothorax evident.
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new onset productive cough, please evaluate for pneumonia.
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cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. consolidative opacities are noted in both lung bases, more so on the right. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
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history: <unk>m with altered mental status// eval for acute process
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patient is status post right upper lobe resection with stable post-surgical opacification at the right apex. there is some scarring in the right lower lobe without focal consolidation. the left lung is hyperinflated but clear. the cardiac silhouette is normal. there is no pleural effusion or pneumothorax. included upper abdomen is unremarkable. degenerative changes are seen in the thoracic spine. multiple surgical clips and chain sutures project over the right hemi thorax.
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<unk>m with hiv, lung cancer now presents with nausea vomiting and chest pain. evaluate for pneumonia.
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pa and lateral views of the chest demonstrate hyperexpansion of the lungs and relative flattening of the hemidiaphragms, consistent with emphysema. there is persistent eventration of the right hemidiaphram or diaphragmatic hernia, unchanged since the prior study. there is no evidence of pleural effusion, pulmonary edema or focal opacity. the cardiomediastinal silhouette is stable in appearance.
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shortness of breath.
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the lungs are clear. there is no pleural effusion, pneumothorax or focal air space consolidation. the heart size is top normal and the right pulmonary artery appears prominent, although these findings are stable. there are mild degenerative changes of the thoracic spine.
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fever, evaluate for pneumonia.
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the right lower lobe nodule is indistinct on today's study. the lungs are otherwise clear. an azygos lobe and fissure are incidentally noted. mild cardiomegaly is stable. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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back pain and shortness breath.
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ap upright and lateral views the chest were provided. lungs are hyperinflated which could reflect underlying emphysema. there is biapical pleural parenchymal scarring. there is a severe levoscoliosis of the lumbar spine again noted. nipple shadows project over the lower lungs. there is a calcified granuloma again seen projecting over the right upper lung. new from prior, is a band like opacity in the left perihilar region with a central lucent ovoid focus. findings are indeterminate, possibly representing scarring though given that this is a new finding, a nonemergent ct is recommended to further assess. the heart size is normal. tiny coronary stents project over the left heart border. the aorta is moderately calcified. no pleural effusion or pneumothorax. bony structures appear grossly intact.
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<unk>-year-old woman with chest pain, evaluate for structural process.
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pa and lateral views of the chest provided. lungs appear hyperinflated with upper lobe lucency suggesting underlying emphysema. cardiomediastinal silhouette is stable. there is subtle opacity in the lateral right lung base which in the correct clinical setting may represent a very early/mild pneumonia. no large effusion or pneumothorax seen.
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<unk>f with cough // ? pna
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ap and lateral views of the chest. the lungs remain clear. cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
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<unk>-year-old male with chest pain.
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previous vascular congestion has improved. multiple opacities in the mid to lower lung bilaterally, consistent with pneumonia. no pleural effusions or pneumothorax are seen. the cardiac and mediastinal contours are normal. right-sided picc line ends at the lower svc and is in stable position. previous dobbhoff tube ends outside of the view of radiograph.
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<unk>-year-old man with porto-pulmonary hypertension and new elevation in troponin. please evaluate for pulmonary edema, pneumonia.
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a tracheostomy and left-sided picc are stable in position. widespread alveolar opacities have increased from <unk> are less significant in extent compared to <unk>. this likely reflects a combination of increasing edema and persistent multifocal infection. no pleural effusion or pneumothorax is identified. the cardiomediastinal and hilar contours are within normal limits.
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<unk> year old man with hiv, group c strep bacteremia, vap on last day of abx, now with fever. // evaluate infiltrates, volume status
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with jaw, arm pain, orthostatic sxs. // eval ? pneumothorax, effusion eval ? pneumothorax, effusion
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frontal and lateral views of the chest demonstrate normal lung volumes. small pleural effusions are evident on the lateral view. no focal consolidation or pneumothorax. mild pulmonary edema is present. hilar and mediastinal silhouettes are unchanged. heart is mildly enlarged.
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chest pain and shortness of breath.
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in comparison to prior radiograph from <unk>, the cardiomediastinal silhouettes are stable. central bronchovascular and diffuse interstitial prominence likely reflects pulmonary vascular congestion and mild pulmonary edema. there is no focal lung consolidation. there is no pneumothorax or pleural effusion.
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a <unk>-year-old man with shortness of breath, evaluate for cardiopulmonary process.
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
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chills, on immunosuppression.
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right-sided port-a-cath tip terminates in the right atrium, as seen previously. heart size is normal. the aorta is diffusely calcified and tortuous. mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. lungs are hyperinflated with severe emphysema again noted, but without focal consolidation. multiple previously demonstrated pulmonary nodules on ct are not as well assessed on the current radiograph. no pleural effusion or pneumothorax is detected. partially imaged within the upper abdomen is a stent within the common bile duct. sclerotic serpiginous lesion in the proximal left humerus is incompletely imaged, potentially an enchondroma or bone infarct.
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history: <unk>f with shortness of breath
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the lungs remain clear. there is no pneumothorax. the cardiac silhouette and mediastinal contours are within normal limits for technique. there are no concerning bone findings. a right subclavian catheter is in place, as before, terminating at the level of the superior vena cava.
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evaluate for infiltrate
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when compared to prior, there has been no significant interval change. streaky opacities seen throughout the right lung and at the left lung base are similar compared to prior. there is no pleural effusion. cardiomediastinal silhouette is stable.
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<unk>m with chest pain // eval for fluid overload, ptx
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pa and lateral views of the chest provided. patient is known to have chronic collapse of the left lower lobe which accounts for the opacity in the retrocardiac region and volume loss in the left lung. aside from this, the lungs appear clear without new consolidation, effusion or pneumothorax. cardiomediastinal silhouette appears stable. no acute bony abnormalities are seen though degenerative changes are partially imaged at the right shoulder.
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<unk>f with shortness of breath, cough // please eval for edema, pna
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compared with prior radiographs on <unk>, there has been interval placement of an ng tube. the side port of the ng tube lies above the diaphragm, in the esophagus, and should be advanced. previously seen crescentic opacity in the right lung with a is decreased, and likely represented fissural fluid. there is left basilar atelectasis and/or scarring, similar to prior. there is no focal consolidation. no pneumothorax. cardiomediastinal silhouette is unremarkable.
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<unk> year old man with sbo, ngt placed for suction // evaluate ngt placement
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ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm is seen. there is a deformity of the left fourth rib which appears chronic. no acute fracture is identified.
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<unk>m s/p mvc with sternal pain on exam, l parasternal as well (airbag did not deploy) // ?pulmonary contusion, sternal fracture,
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. relatively high positioned diaphragms indicate poor inspirational effort. the heart size is normal. no configurational abnormality is seen. thoracic aorta unremarkable. no mediastinal abnormalities. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in apical area on frontal view. skeletal structures of the thorax grossly within normal limits. comparison is made to the next preceding examination of <unk>. no significant interval change could be identified.
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<unk>-year-old male patient with cough and right-sided chest pain, assess for pneumonia.
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frontal and lateral views of the chest demonstrate slightly low lung volumes, accentuating bronchovascular crowding. allowing for such, the cardiomediastinal silhouette is within normal limits. the thoracic aorta is moderately tortuous, with a dense calcifications involving the arch and descending portion. there is no confluent consolidation. there is no pneumothorax, vascular congestion, or pleural effusion. there may be chronic lingular scarring. several clips are seen in the left upper quadrant. osseous structures are diffusely demineralized.
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<unk>-year-old female with altered mental status. question pneumonia.
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pa and lateral views of the chest were compared to previous exam from <unk>. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with history of spontaneous pneumothorax and decreased breath sounds on the right.
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the small to moderate left apical pneumothorax has increased in size compared to the prior examination. no appreciable atelectasis is identified. the left hemidiaphragm contour is unchanged. the mediastinum remains midline. the heart is not enlarged. cardiomediastinal silhouette and hilar contours are unchanged. no chf, focal infiltrate or pleural effusion. minimal right and likely also left apical pleural thickening is unchanged.
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chest pain
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the chronic opacification at the right lung base is essentially unchanged. there is no new consolidation concerning for pneumonia. no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal.
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<unk>f with chest pain since <unk>. // eval chest pain
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new, moderate right apical lateral pneumothorax since yesterday. new substantial asymmetric opacities, involving the entire left lung and the right middle and lower lung since <unk>, most concerning for infection and less likely asymmetric pulmonary edema. overall stable small to moderate right-sided pleural effusion with adjacent compressive atelectasis. stable small left pleural effusion. unchanged retrocardiac opacity, which could represent consolidation or atelectasis. heart size appears normal in unchanged. mediastinum also appears unchanged. interval removal of the enteric tube. the right picc line appears intact and now ends in the lower svc.
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ms <unk> is a <unk>f with pmh of c. diff colitis s/p colectomy, recurrent c.diff, intermittent sbo due to abdominal hernia, cad, right bka due to mrsa infection, bipolar/anxiety/fibromyalgia, presented from <unk> with gib, c. diff ileitis, rll pna, anasarca now with worsening sob.
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a right picc line is present, tip over mid svc. no pneumothorax detected. heart size is at the upper limits of normal. the aorta is calcified and tortuous. no chf, frank consolidation, or gross effusion is identified. there is minimal blunting of both costophrenic angles. there is minimal subsegmental atelectasis at the left lung base and possible minimal subsegmental atelectasis at the right base. a pigtail type drain projects over the right upper quadrant of the abdomen, similar to the prior radiograph. the peripheral pulmonary nodule in the lower portion of the right upper lobe, immediately above the minor fissure, is again seen, and is in keeping with findings on the <unk> ct scan. this nodule was described is stable compared with a outside reference ct from <unk>, but long-term stability remains to be established. mild anterior wedging of the t<num> and t<num> bodies is unchanged compared with a <unk> ct scan. mild multilevel degenerative changes are noted in the visualized portion of the spine.
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<unk> year old man with productive cough, invasive klebsiella bacteremia, evaluate for infiltrate. // ? pneumonia
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there is no consolidation, pleural effusion, or pneumothorax. reticular interstitial pattern in bilateral lung bases similar to before. cardiomediastinal and hilar silhouettes are normal size.
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history: <unk>m with hypertension, lightheadedness // eval ? effusion, edema
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compared to the radiograph taken <num> hr earlier, there has been no significant change. the right jugular sheath terminates at the thoracic inlet gamma unchanged. left jugular line ends in upper svc, unchanged. et tube is in standard position with secretion pooling above the cuff, unchanged. the transesophageal drainage tube is seen in the nondistended upper stomach, unchanged from prior. right upper lobe bronchiectasis and scarring, mild emphysema are unchanged. bilateral basal opacities likely reflect atelectasis. small bilateral pleural effusions are unchanged. moderate cardiomegaly without pulmonary edema is again seen. mediastinal veins are not engorged. no pneumothorax.
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<unk> -year-old male with respiratory failure with recently placed ng tube. confirm ng tube.
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pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. osseous structures are unremarkable.
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<unk>-year-old male with chest discomfort. question pneumothorax.
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there are relatively low lung volumes and likely bibasilar atelectasis. no definite focal consolidation is seen. there is no large pleural effusion or evidence of pneumothorax. the cardiac silhouette is top-normal. the aorta is slightly tortuous. there is gaseous distention of the partially imaged bowel, presumed related to recent colonoscopy.
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abdominal pain status post colonoscopy, question free air.
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patient is status post left lung surgery, with stable mediastinal shift to the left. there is severe emphysema in the right lung. there is no focal consolidation. no pleural effusion or pneumothorax. right apical thoracostomy tube in standard placement. no pneumothorax or pleural effusion. small volume of subcutaneous emphysema in the right chest wall is new.
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history: <unk>m with resp distress // resp distress
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interval removal of a swan-ganz catheter and right ij cvl. a right picc line terminates within the lower svc. small bilateral pleural effusions with adjacent atelectasis are again noted, left greater than right. there is increasing central pulmonary vascular congestion, with now mild-moderate interstitial pulmonary edema. the patient is status post cabg with numerous intact and well aligned median sternotomy wires. moderate cardiomegaly is essentially unchanged. no pneumothorax.
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history: <unk>f with shortness of breath // eval volume status
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an apically directed left chest tube is present. there is a new retrocardiac opacity likely reflective of atelectasis and pleural fluid. no focal consolidation in the right lung. no pneumothorax identified. the size of the cardiomediastinal silhouette is enlarged.
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<unk>f h/o afib not on ac, pleuropericarditis c/b pericardial tamponade c/s for pericardial biopsy with pending workup of suspected viral pericarditis s/p pericardial and pleural biopsy // ptx, hemothorax
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there has been interval removal of an et tube and placement of an esophageal stent. cardiomediastinal and hilar silhouettes remain stable. there are new opacities in the left mid lung zone and right lower lung zone and a new left pleural effusion. there is no pulmonary edema or pneumothorax.
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<unk>-year-old man with shortness of breath, chest pain, and right-sided crackles.
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube tip is within the stomach. cardiac, mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. minimal patchy retrocardiac opacity likely reflects atelectasis. no focal consolidation, large pleural effusion or pneumothorax is identified on this supine exam. there are no displaced fractures visualized.
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history: <unk>f with endotracheal tube placement
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MIMIC-CXR-JPG/2.0.0/files/p14188597/s54140747/3e426776-c673cf50-daa6c027-10fb0718-374a293d.jpg
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left chest subcutaneous port central venous line tip is in the mid to low svc. irregular opacity projecting over the right midlung appears similar to prior. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. bilateral pleural effusions are tiny. no pneumothorax. the aortic knob calcifications appear similar to prior.
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<unk> year old woman with nsclc w/ brain mets found to have rml opacity. // please assess for interval change/pna.
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MIMIC-CXR-JPG/2.0.0/files/p19599279/s59031102/18ad125c-77a459dd-17382f81-8ef24ee3-ec13f4a5.jpg
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the left internal jugular venous catheter line has been removed in the interim. a left subclavian approach picc tip has been retracted in the interim and now projects over expected region of the cavoatrial junction. lung volumes are low with bronchovascular crowding. linear bandlike opacity projecting over the left mid lung is probably platelike atelectasis and/or scarring, seen on the prior exam and unchanged. no pleural effusion, pneumothorax, or frank pulmonary edema. no definite focal consolidation.
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<unk>-year-old man with tachypnea and hypoxia. evaluate for pneumonia and chf.
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MIMIC-CXR-JPG/2.0.0/files/p13233264/s57842342/c7774bcc-66c59d3f-31c38bb7-2a4fb959-21fc3a20.jpg
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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<unk> year old man with increasing wbc. evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12060193/s58325337/b78f2d56-111eac45-206c2632-d7e0fd7f-005564a8.jpg
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
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asymptomatic leukocytosis, suicidal ideation.
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MIMIC-CXR-JPG/2.0.0/files/p12792960/s54430049/197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093.jpg
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the heart is mildly enlarged. there is mild unfolding of the thoracic aorta. these features can be seen with a history of hypertension. there is no pleural effusion or pneumothorax. the lungs appear clear. the osseous structures are unremarkable.
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headache; history of hypertension.
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MIMIC-CXR-JPG/2.0.0/files/p10221021/s57839487/d834cee4-94f06ec6-d6022c0a-2a9f969a-d90c79ef.jpg
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the cardiomediastinal silhouette is stable with mild cardiomegaly. abnormality of the right hilar contour is grossly unchanged when compared to <unk> study. the mediastinal and left hilar contours are unremarkable. no focal consolidations, pleural effusions, or pneumothorax are seen.
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<unk> year old woman with recent chest cold, x-ray <unk> with lobular right hilar contour // evaluate for right hilar abnormality,? resolved
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