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frontal and lateral views of the chest. the heart size and cardiomediastinal contours are normal. the aortic contour is unremarkable. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old male with chest pain.
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there is no focal consolidation, pleural effusion, or pneumothorax. the hemidiaphragms are flattened, a sign of copd. the cardiomediastinal silhouette is normal. there are no acute skeletal abnormalities.
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<unk>-year-old woman with copd, rule out pneumonia.
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again noted is micro-nodularity of the lung parenchyma, stable in comparison to prior study and possibly representing patient's underlying sarcoid. there is now an increased rounded opacity at the right hilum which raises suspicion for increased right hilar adenopathy. otherwise, the lungs are clear and without a focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette appears at the upper limits of normal. no acute fractures are identified.
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cough and body aches.
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pa and lateral views of the chest were reviewed and compared to the most recent preceding study of <unk>. elevation of the left hemidiaphragmatic contour has decreased; however, the contour could represent an elevated hemidiaphragm or a subpulmonic effusion. lung volumes have increased since <unk> and the lungs are clear without evidence of pulmonary edema, vascular congestion, pleural effusion or pneumothorax. mild cardiomegaly and the mediastinal contours are unchanged. compression fractures in the lower thoracic vertebral bodies are unchanged since <unk>.
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shortness of breath in a patient with a recent hospitalization for new congestive heart failure.
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chest, semi-upright ap. there are linear opacities in the left lower lobe with blunting of the costophrenic angles, which is explained by scarring and pleural calcifications seen on the ct. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
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leukocytosis in a patient status post recent nephrectomy.
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the heart remains moderately enlarged but stable. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
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new back pain.
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interval placement of a right picc line, the tip extending to the superior cavoatrial junction. a left apically directed chest tube is present. persisting pneumomediastinum and subcutaneous emphysema over the left chest and over both sides of the neck. a small left pneumothorax is newly noted. unchanged small left pleural effusion and overlying atelectasis.
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<unk> year old woman with pleural effusion s/p cabg // **please check at <num>pm today**eval pleural effusions/?pneumothorax w/chest tube on waterseal
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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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<unk> year old woman with cough x<num> week and left lower lung rales not clearing with coughing // evaluate for pneumonia and/or pna complications
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there is a linear area of atelectasis in the left lung base. there is no focal consolidation, pleural effusion, or pneumothorax. there is mild cardiomegaly. the hilar contours are within normal limits.
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leukocytosis is a likely rheumatologic process. evaluation for possible infiltrates.
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cardiac size is top-normal. the aorta is tortuous. multifocal airspace opacities in the left lung are grossly unchanged consistent with aspiration pneumonia. right lower lobe atelectasis has increased. there is no pneumothorax or pleural effusion. there are degenerative changes in the thoracic spine
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<unk> year old man s/p vomiting after colonoscopy and aspiration // evaluate for aspiration pneumonia vs pneumonitis
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since the prior radiograph on <unk>, bilateral pigtail catheters have been placed resulting in interval resolution of pleural effusions. there is no pneumonia, pulmonary edema or pneumothorax. of note, there are two vertical lines that mimic pneumothorax; however, the presence of lung markings lateral to these lines suggests that they are skin folds. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk> year old man with large bilateral effusions s/p bilateral pigtails // ? ptx
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shallow inspiration accentuates heart size, pulmonary vascularity, which is more prominent compared the prior exam. lungs are clear. no effusions.
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<unk> f with pmhx significant for dm c/b toe amputation, presenting for left foot infection and <unk> with imaging suggestive of necrotizing fasciitis now s/p i d. // pneumonia or edema
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. the bones are intact. the imaged upper abdomen is unremarkable.
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<unk>-year-old man with chest pain. treated for squamous cell carcinoma of the tonsil. question pulmonary disease.
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endotracheal tube terminates <num> cm from the carina. enteric tube terminates beyond the diaphragm, out of the field-of-view. lung volumes are low with heterogeneous bilateral opacities concerning for infection or aspiration. blunting of the lateral costophrenic angle seen on the left. no pneumothorax.
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<unk>m intubated, transfer,
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the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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fevers and chills, rule out pneumonia.
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pa and lateral images of the chest. the lungs are well expanded. a new opacity is seen in the right lower lung, concerning for pneumonia or aspiration in the right clinical setting. opacity at the left lung base is seen, which may reflect an additional site of pneumonia. chronic volume loss is seen in the right upper lobe. there are bilateral pleural effusions. no pneumothorax is seen. cardiomediastinal silhouette is stable from prior exam.
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sudden onset of shortness of breath, pedal edema.
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
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<unk>m with fever, syncope, evaluate for pneumonia.
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right-sided picc terminates in the low svc. heart is mildly enlarged, unchanged compared to prior study. mediastinal silhouette is unchanged. mild pulmonary vascular congestion has improved. there is no pulmonary edema or focal consolidation. no pneumothorax. previously seen small left pleural effusion is appears to have improved however this may be positional. mild rightward shift of the trachea is likely secondary to enlarged thyroid better evaluated on chest ct from <unk>.
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<unk> year old woman with sob // eval for change in pleural effusion
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cardiac silhouette size is difficult to assess given the presence of a moderate-sized right pleural effusion, not substantially changed since the previous study. there is continued right basilar compressive atelectasis. the left lung is clear. no pulmonary vascular congestion or pneumothorax is present. the mediastinal and hilar contours are grossly unchanged. there are no acute osseous abnormalities.
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history: <unk>f with cirrhosis and hydrothorax
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frontal and lateral views of the chest. no prior. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with hiv and cough. hiccups. question pneumonia.
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endotracheal and enteric tubes are stable in position. there has been interval placement of right internal jugular central venous catheter, terminating in the mid svc without evidence of pneumothorax. again, there is mild elevation of the left hemidiaphragm with likely overlying atelectasis. cardiac, mediastinal, and hilar contours are stable.
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history: <unk>f with right ij new // ? ptx
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frontal and lateral chest radiograph demonstrates well expanded lungs. there is no focal consolidation with in the left lower lung. prior seen left upper lobe two tubular opacities persist, largely unchanged since prior examination in <unk>. in the setting of largely unchanged appearance, question bronchiectasis and impaction. the right lung is grossly clear. the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or pulmonary edema. eventration of the right hemidiaphragm is incidentally noted.
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<unk>-year-old male with dullness on physical exam in left upper lobe and decreased breath sounds.
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the cardiomediastinal contours are normal. again seen is focal linear scarring or atelectasis in the right middle lobe and both lower lobes. the previously described lingular pneumonia is not present, and atelectatic changes of the left lower lobe are favored.
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<unk> year old man with h/o lingular pna. eval for resolution.
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portable ap chest radiograph demonstrates severe cardiomegaly and diffuse pulmonary edema. there is a small pleural effusion on the right. there is no pneumothorax.
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shortness of breath and hypoxia.
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there is been interval removal of the right internal jugular approach central venous catheter. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. previously seen bilateral pleural effusions and atelectasis are resolved. enteric contrast is again seen within the partially imaged colon. median sternotomy wires are present.
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<unk>f with dka, s/p nissen fundoplication recently d/c // evaluate for pneumonia =
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mild interstitial abnormality in the setting of upper lobe vascular engorgement and top-normal heart size is most commonly due to mild pulmonary edema, but prior radiographs should be obtained to see if this is chronic lung disease instead. no pneumothorax or pleural effusion. thoracic aorta is tortuous but not focally dilated. vascular clips denote left axillary surgery, most commonly seen within the lymph node dissection for breast carcinoma, but conceivably some other diagnosis such as a vascular repair.
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<unk>-year-old female admitted for profound anemia, found to be short of breath
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portable semi-upright radiograph of the chest demonstrates stable right lower lobe opacity consistent with small pleural effusion or pleural thickening and adjacent atelectasis. the left lung is clear. the cardiomediastinal and hilar contours are unchanged. a chest tube projects over the right hemi thorax. there is no pneumothorax.
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<unk> year old woman s/p pleurodesis // effusion f/uplease perform at <num>am
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portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no free air is seen beneath the right hemidiaphragm on this portable, semi-upright radiograph.
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history: <unk>f with epigastric pain // free air?
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a left port-a-cath is unchanged in position with the tip terminating at the level of the cavoatrial junction. the lungs are well aerated without focal consolidation, pleural effusion or pneumothorax. the cardiac silhouette is normal in size. bulky, abnormal mediastinal contours are unchanged bilaterally, compatible with mediastinal and hilar adenopathy related to the patient's known lymphoma.
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history of hodgkin's lymphoma, now with fever, here to evaluate for pneumonia.
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the patient remains intubated. there is a three-lead pacemaker/icd device in place. the patient is status post sternotomy and coronary artery bypass graft surgery. there is again a stent in the bronchus intermedius and confluent opacification in the right lower lung, probably involving the right middle lobe. elsewhere heterogeneous opacities have improved substantially. there is a small pleural effusion on the right; there is no definite persistent pleural effusion on the left.
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hemoptysis.
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the lungs are clear without focal consolidation or edema. there is a small left pleural effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with worsening liver // pna?
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lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pneumothorax, edema, or focal consolidation.
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history: <unk>f with left scapular pain. reproducible. // r/o chf/pneumonia
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cardiomediastinal contours are normal. biapical pleural-parenchymal a scarring is unchanged. there is no pneumothorax or pleural effusion. which shaped deformities in thoracic vertebral body is unchanged
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<unk> year old woman with progressive dementia // ?old granulomatous disease
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worsened bilateral perihilar, basilar opacities, likely pulmonary edema ; can't exclude pneumonitis. small pleural effusions. cardiac pacemaker. shallow inspiration accentuates heart size.
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<unk> year old man with left intraventricular hemorrhage desaturating, elevated heart rate, febrile // evaluate for pneumonia, infectious foci
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compared to <unk>, there is increased perihilar opacities, localized to the upper lobes, which may be due to pulmonary edema or possibly pneumonia. the heart and mediastinum are unchanged from prior. right-sided central line terminates in the upper svc. et tube is in standard position. the ng tube is in the stomach and out of view. no pneumothorax is seen.
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<unk> year old man with s/p aorta fem thrombectomy.
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pa and lateral chest radiographs were provided. multiple dense opacities throughout the lungs correspond to known pleural plaques. however compared to prior studies there appear to be more discrete opacities, particularly in the right lung. this may represent worsening of metastatic disease or infection. the bones are sclerotic compatible with known metastases. sclerosis in the right humerus is again noted. the cardiomediastinal silhouette is normal. wedging of multiple thoracic vertebral bodies may have progressed from the prior exam, although visualization is obscured by overlying opacities. there is no pneumothorax or pleural effusion.
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history of metastatic prostate cancer with generalized weakness. question pneumonia.
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lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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chest pain and cough.
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the lung volumes are low, but there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is no pulmonary vascular congestion. hyperdensities in the bowel overlying the abdomen are likely due to barium from prior ct.
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history of metastatic adenocarcinoma with new fever. concern for pneumonia.
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bibasilar haze likely reflects known pleural effusion; underlying bibasilar densities are non-specific and may represent atelectasis, but infection cannot be excluded. lung volumes are low. there is mild interstitial edema. lobular mediastinal densities likely correspond to lymphadenopathy seen on prior ct and appears progressed. heart size is top normal. no pneumothorax is detected on this view. large left upper lobe nodular opacity is again noted and likely corresponds to known metastatic mass. right-sided hemodialysis catheter is seen with tip possibly terminating within the right atrium, although not well evaluated on this study.
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<unk>-year-old male with hypoxia and altered mental status.
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distal tip of the dobhoff tube is in proximal stomach. no pneumothorax or tube-related complications. bilateral diffuse opacities with blunting of costophrenic angles bilaterally. heart size and mediastinal contours are normal. there is degenerative change at the left shoulder which is unchanged from <unk>.
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female with dobhoff tube placement. nursing concern dobhoff pulled further out of nose. assess tip placement.
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a left-sided single lead pacer/icd is in unchanged, appropriate position. the heart is normal in size. again seen is a moderate, partially loculated pleural effusion on the right as well as known right pleural thickening with multiple loculated right hydro pneumothoraces. there is persistent right lateral chest wall subcutaneous emphysema, which is decreased. the left lung is clear. a small hiatal hernia is unchanged. .
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<unk> year old man s/p right decortication // check interval change
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there is persistent elevation of the left hemidiaphragm, unchanged. the right lung is hyperinflated, and there is chronic blunting of the right costophrenic angle. chain suture material seen in the lungs bilaterally, consistent with prior wedge resections. severe changes from panlobular and centrilobular emphysema is again seen. cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m hx of copd wheezing shortness of breath fever <num> // r.o pna
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the lungs are clear without focal consolidation, effusion or pneumothorax. there is however linear lucency adjacent to the trachea, particularly on the lateral view and overlying the left hilar region, raising the possibility of pneumomediastinum. there is no subcutaneous gas in the neck or elsewhere. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with cough, new asthma exacerbation // pna?
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left anterior chest wall icd leads are unchanged. multifocal, indistinct opacities correspond to diffuse tree in <unk> nodularity and foci of dense consolidation, particularly in the right lung base, worse compared to the outside prior radiograph. no other relevant change compared to the outside hospital study from <num> hr prior.
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hypoxia. history of lymphoma.
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pulmonary hyperinflation. the heart size normal. mild unfolding of the aorta. mild prominence of the main pulmonary artery and right interlobar artery which suggest pulmonary hypertension. no airspace consolidation. no suspicious pulmonary nodules or masses. spondylotic changes of the thoracic spine.
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<unk> year old man with gnr bacteremia, dyspnea. // ?pna
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. there is no focal consolidation, pleural effusion or pneumothorax present. subsegmental atelectasis in the lingula is detected. there are mild to moderate degenerative changes noted in the thoracic spine.
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cough, fever.
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again seen is a right hilar mass, grossly unchanged prior exam on <unk>. there is mild increased atelectasis seen adjacent to this mass. there is no new focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is stable.
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history: <unk>f with sob. lung mass // pneumonia? bronchial plugging?
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. some degenerative changes are seen along the spine.
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history: <unk>f with left chest pain // left chest pain
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right upper lobe atelectasis is of unknown chronicity without older radiographs for comparison. if it is acute, it could be due to a mucus plug in the bronchus; however, an obstructing mass is also possible, especially considering slight rounded contour and increased density of the right hilum. minimal interstitial lung markings at lung bases, also of unknown chronicity, could reflect atelectasis or focal scarring/fibrosis. there is no pleural effusion or pneumothorax. mediastinal and cardiac contours are unremarkable.
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<unk>-year-old with elevated troponin, evaluation for pneumonia.
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the lungs are hyperexpanded, but clear. there is no pleural abnormality. the cardiac and mediastinal silhouettes are unremarkable. multiple rib deformities with callus formation is again seen.
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history: <unk>m with cough and elevated wbc // ? pna
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. the bony structures are unremarkable.
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shortness of breath and cough. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14838267/s51608724/3725fe44-a9fefbef-68549d7d-b9adf091-eba1220a.jpg
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a single portable ap chest radiograph was obtained. the endotracheal tube terminates <num> cm above the carina. an enteric catheter loops in the fundus of the stomach. cardiomegaly is severe. additional widening of the upper mediastinum is attributable to fat. small pleural effusions and subsegmental atelectasis are better seen on the subsequently acquired ct. the aortic arch is extensively calcified. median sternotomy wires and mediastinal vascular clips are in expected positions.
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fall.
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right internal jugular central venous catheter tip terminates in the proximal right atrium. no pneumothorax is present. heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. mild pulmonary vascular congestion is present, unchanged. there is no frank pulmonary edema, pleural effusion or pneumothorax. minimal atelectasis is noted in the lung bases.
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history: <unk>f with diabetic ketoacidosis, rij central line placement
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cardiomediastinal silhouette is normal. there is linear atelectasis at the right lung base. there is no focal lung consolidation. there is no pleural effusion or pneumothorax.
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<unk>m with myalgias, fever, tachycardia, cough.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified.
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left posterior pleuritic chest pain. evaluate for pneumothorax.
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two pa and <num> lateral chest radiograph were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion or pneumothorax. median sternotomy wires and aortic valve replacement are intact. mild cardiomegaly is stable.
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right pleural effusion
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a dual lead pacer device is noted. there is an opacity at the left lung base, which most likely represents atelectasis. no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. no free air under the right hemidiaphragm.
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<unk>m with cough, smoker, c<num> radiculopathy // eval for pancoast tumor
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frontal and lateral views of the chest. slightly lower lung volumes seen on the current exam. the lungs however are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures demonstrate no acute abnormality.
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<unk>-year-old male with cough for <num> weeks.
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since chest radiograph obtained <num> day prior, the left lung base is less well aerated. there is persistent mild pulmonary edema and pulmonary vascular congestion with a small right pleural effusion and a new, small left pleural effusion +/- adjacent atelectasis. heart size is top-normal.
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<unk> year old man with o<num> desat, tachypnea w/underlying c/f hcap vs pneumonitis // eval for interval change
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pa and lateral views of the chest were obtained. the heart is normal in size and cardiomediastinal contour is unremarkable. lungs are well expanded. no chf, focal infiltrate, pleural effusion or pneumothorax detected. bones are within normal limits.
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<unk>-year-old woman status post motor vehicle collision.
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there is a vague <unk>-mm nodular opacity demonstrated within the right lung apex. in addition, there is bibasilar atelectasis with the lungs otherwise being clear with no focal consolidation concerning for pneumonia. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours demonstrate a tortuous ectatic thoracic aorta. pulmonary vascularity is not increased. heart size is within upper limits of normal.
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<unk>-year-old female, status post fall with head strike. evaluate for acute cardiopulmonary process or rib fracture.
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there are small bilateral pleural effusions, larger on the left than on the right. there is adjacent atelectasis. superiorly, the lungs are clear. there is no pulmonary edema. there is mild cardiomegaly. median sternotomy wires are intact. no acute osseous abnormalities.
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<unk>m with fever, syncope, recent ascending aa repair // eval for acute process
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extensive subcutaneous air involving the left chest wall which shows interval progression with air also seen in the right supraclavicular area. left-sided pigtail drain in situ. large residual pneumothorax again visualized appearing similar in size compared to imaging done at <time> today. no mediastinal shift to suggest tension effect. emphysematous changes seen in the right lower lung zone in keeping with history of alpha <num> antitrypsin deficiency.
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<unk> year old man with ptx s/p chest tube // eval ptx, subq emphysema
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MIMIC-CXR-JPG/2.0.0/files/p17331657/s56739680/7b863e31-d7937172-4c7d873b-e33a53cd-e67231ef.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. cervicothoracic vertebral fusion hardware is partially visualized. left transvenous pacer defibrillator leads terminates in the right atrium and right ventricle and is contiguous with the left pectoral generator.
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<unk> year old woman with pacemaker awaiting mri. // <unk> patient with pacemaker. please evaluate for mri.
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MIMIC-CXR-JPG/2.0.0/files/p16051431/s50529088/c4ba7d57-75df50c7-0c5c7f10-8eceac1f-f4a2ac5a.jpg
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the lungs are fully expanded. <num> circular lesions with central lucency are once again visualized in the left upper lobe consistent with a cavitary lesions identified on prior ct. there is an interval development of bilateral lower lung opacities. the cardiomediastinal and hilar contours are stable. the pleural surfaces are normal. the og tube terminates in the stomach.
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<unk> year old woman with hx of anorexia, non-tb mycobacteria, who had a fever this morning of <num>. // ? infiltrate/consolidation
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a patchy opacity in the left lower lobe is concerning for pneumonia. cardiac size is normal. the right lung is clear except for a small impacted bronchus versus vessel on end in the right lower lobe. no pneumothorax or pulmonary edema.
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history: <unk>m with cough // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p10049902/s50339410/232bcc7f-82a2e28d-e6fcb4b2-c6df2736-ecc560b9.jpg
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pa and lateral views of the radiographs of the chest demonstrate improvement of focal opacification of the right middle lobe compared to <unk>. there is a new area of haziness in the left lower lobe with an a linear opacity superior to the left lung base. this may represent atelectasis or a new area of infection. the cardiomediastinal silhouette is normal. the pulmonary vascularity is normal. no pneumothorax or pleural effusion.
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three weeks of cough with pneumonia seen on chest x-ray on <unk>.
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single portable view of the chest. when compared to prior, there has been no significant interval change. the lungs are clear. there is no pulmonary vascular congestion or consolidation. the cardiomediastinal silhouette is unchanged given differences in technique. no acute osseous abnormalities identified.
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<unk>-year-old female with hypotension and bradycardia.
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there is new increased retrocardiac atelectasis and a developing pneumonia cannot be excluded. otherwise, large hiatal hernia remains stable. the right hemithorax is clear. recently noted nodular opacities in the left upper lobe are better visualized on dedicated chest ct from <unk>. no acute fractures are identified.
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evaluation of patient with chest pain.
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right chest wall pacer lead projects over the left ventricle. again seen, is moderate bilateral interstitial and airspace opacities most pronounced at the lung bases. a right upper lobe opacity is also present and likely represents a combination of atelectasis and pleural fluid. there is no pneumothorax. there are bibasilar pleural effusions. enlarged cardiac silhouette is unchanged. dense retrocardiac atelectasis is also present.
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<unk> year old man with pulmonary edema now with elevated lactate, interval change.
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pa and lateral views of the chest provided. lungs are grossly clear. no pleural effusion or pneumothorax. hilar contours are normal. mild cardiomegaly is stable.
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history: <unk>m with fever // pna?
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upright pa and lateral radiograph of the chest. the lungs show mild bibasilar atalectasis but are otherwise clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is dextroconvex curvature centered over the lower thoracic spine. there is no pleural effusion or pneumothorax.
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distal tibia-fibula fracture, preop films.
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the lung volumes are low. a focal opacity in the right lower lung zone may represent atelectasis, though pneumonia cannot be excluded. there is mild vascular congestion, though no frank pulmonary edema. a nodule in the right upper lung zone appears grossly similar to the prior radiograph, and is better characterized on the ct. there is a moderate-sized right pleural effusion and a small left pleural effusion. both have increased from the prior exam. there is no pneumothorax. the aorta is tortuous. the cardiomediastinal silhouette is otherwise normal. degenerative changes are noted in the spine with mild loss of height in multiple vertebral bodies, similar to the prior exams. the known severe compression fracture in l<num> is not well visualized due to the overlying soft tissues.
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history of multiple cancers. presenting with evidence of fluid overload. assess for chf or cardiomegaly.
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MIMIC-CXR-JPG/2.0.0/files/p13072178/s55263600/3cb976d2-6048539d-fd291cd4-89562f0a-9fbaa05a.jpg
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the heart size is mildly enlarged. aorta is unfolded. mediastinal and hilar contours are otherwise unremarkable. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. remote right-sided rib fractures are demonstrated. partially imaged is fusion hardware within the cervical spine.
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history: <unk>f with cough // ?pna
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frontal and lateral views of the chest demonstrate no focal areas of consolidation. scarring at the left lung apex is unchanged. a double contour on chest x-ray in the left lower lung represents mediastinal fat. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.
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history breast cancer currently undergoing chemotherapy with persistent cough, evaluate for pneumonia.
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ett is now <num> cm from the carina. right internal jugular line remains in the right atrium. nasogastric tube remains in similar position. slight increase in opacification of the lungs bilaterally which is widespread. no pneumothorax.
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<unk> year old woman with lymphoma infiltrating lungs // interval change
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MIMIC-CXR-JPG/2.0.0/files/p14557977/s52884759/26ad7af0-6cd77763-c0985347-88ac01f3-714ca85e.jpg
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a picc line terminates in the upper superior vena cava, as before. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
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new murmur and shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p13598803/s50368839/58427709-8219aa81-7386b234-69d2e1fe-b988a0b5.jpg
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on a background of severe emphysema as well as biapical bulla and fibrotic changes including bronchiectasis, the latter suggestive of sarcoid, there is new left lower and mid lung ground-glass reticular opacification concerning for infection. reticular pattern likely reflects underlying lung abnormality. there is associated left hemidiaphragm elevation, probably largely due to a significantly distended stomach, though may be in small part explained by an element of inherent collapse within the left lung opacification. the appearance of luncency projecting over the proximal esophagus is likely due to apical bullae in a rotated patient, though esophageal dilatation is another consideration.
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shortness of breath, assess for acute infectious process.
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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 <unk> <unk>. again, borderline heart size is noted without typical configurational abnormality. unremarkable appearance of thoracic aorta. the pulmonary vasculature demonstrates a mild upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema. no evidence of acute pulmonary parenchymal infiltrates is present, and the lateral and posterior pleural sinuses are free from any fluid accumulation. no pneumothorax in the apical area. skeletal structures of the thorax are unchanged and grossly unremarkable.
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<unk>-year-old male patient with cough.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac postop or. the mediastinum is not widened. no pulmonary edema is seen. no displaced fracture seen.
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history: <unk>f with chest pain // eval for acute process
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a left chest wall pacemaker is present with leads in the right atrium and right ventricle. the lungs are well expanded. there has been improvement in the previously noted pulmonary edema. there is scarring at the lung apices bilaterally. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette is mildly enlarged as seen previously. the bones are intact.
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<unk>-year-old female with fall, on coumadin. question fracture, intracranial hemorrhage or pneumonia.
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heart size is top normal. the mediastinal and hilar contours are unremarkable. no pulmonary vascular engorgement is present. no focal consolidation, pleural effusion or pneumothorax is present. clips are again demonstrated within the paratracheal region. lungs are hyperinflated with flattening of the diaphragms. no acute osseous abnormalities seen.
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new onset nausea and vomiting, epigastric pain.
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portable ap chest radiograph. lung volumes are low with bibasilar atelectasis. ng tube tip is in the stomach and the side hole is at the level of the ge junction. enlarged right lobe of the thyroid shifts the upper trachea to the left. there is no pleural effusion or pneumothorax. the heart size is normal.
|
small-bowel obstruction. evaluation of ng tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p15968526/s57107848/b41bab38-da55d89e-088a5a26-41e14721-80e9dca8.jpg
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
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aphasia for the past <unk> weeks. assess for infection.
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MIMIC-CXR-JPG/2.0.0/files/p17459404/s59440723/c312938e-850b0883-dc6c6e75-9517358a-79ee759f.jpg
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ap portable upright view of the chest. intervally, there has been placement of a pigtail left chest tube with decreasing size of left hydro pneumothorax. right lung remains clear. a stent within the left mainstem bronchus is noted.
|
<unk>m with nsclc, with recurrent effusions. effusion on l-side today
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MIMIC-CXR-JPG/2.0.0/files/p11777028/s58996100/3f9babd5-41df8881-e088e95a-9835e09f-42f28fc4.jpg
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right picc tip terminates in the low svc. heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. patchy opacities are noted in the periphery of the left mid lung field and right lung base. small bilateral pleural effusions are noted. no pneumothorax is identified. no acute osseous abnormality is present. surgical anchors are seen within the left humeral head.
|
history: <unk>m with picc and pulmonary nodules
|
MIMIC-CXR-JPG/2.0.0/files/p12315713/s58743353/327e8190-a1fe024a-40e58caa-477cdf58-2fa90f3a.jpg
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widespread ill-defined nodular opacities and bronchial wall thickening are again seen throughout both lungs, with more focal areas of opacification in the lung bases, compatible with worsening small airways infection. no sizeable pleural effusion or pneumothorax is present. the heart is of normal size. osseous structures are unremarkable. no radiopaque foreign body.
|
<unk>-year-old male with shortness of breath. evaluate for edema.
|
MIMIC-CXR-JPG/2.0.0/files/p10307096/s58691794/dee71bd3-8d928e6b-a880651a-1a6c31f6-68c8d95d.jpg
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frontal and lateral radiographs of the chest demonstrate a tiny persistent right-sided pleural effusion with adjacent atelectasis and small persistent left-sided pleural effusion with adjacent atelectasis. there is stable moderate cardiomegaly. there is no pneumothorax or consolidation.
|
<unk>-year-old man with shortness of breath status post mitral valve repair, now status post right thoracentesis. evaluate for residual right pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p10872575/s57242146/e4f4f8af-b5533b80-a321c303-9398c798-4ef50189.jpg
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the cardiomediastinal and hilar contours are stable. again seen are coarse reticular opacities involving the majority of the right lung, which appear increased from the prior examination and are concerning for worsening lymphangitic spread of malignancy. an opacity at the base of the right lung also appears increased from the prior study which may worsening consolidation, mass or atelectasis. also seen is a subtle increase in the reticular opacities throughout the mid and lower zones of the left lung. there is no evidence of pneumothorax. the right-sided effusion has slightly increased since prior. there is no left pleural effusion.
|
<unk>f with cp, sob // eval for pna, chf, effusion
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MIMIC-CXR-JPG/2.0.0/files/p12692453/s52030187/3b727dc6-8bdc403a-00f3cac4-6cc63c11-132eed92.jpg
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pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip extending into the svc. innumerable tiny nodular opacities within both lungs seen concerning for metastasis. no definite signs of a superimposed pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact.
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<unk>f with fatigue, history of colon cancer, metastatic to the lungs // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p17018559/s59087304/fed3bea2-f53f16a5-2c0f346e-802814f5-0d99dc30.jpg
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the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
|
<unk>-year-old female with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p14189782/s53282065/0f09d5af-36a6b936-7459a757-03a46a36-dc22e8ea.jpg
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moderate cardiomegaly is stable. widening mediastinum is unchanged, a combination of mediastinal fat and probably still present small lymph nodes better seen in prior ct. bibasilar bronchiectasis are better seen in prior ct. there is no evidence of pneumothorax or pleural effusion. sternal wires are aligned. there are mild degenerative changes in the thoracic spine. the aorta is tortuous.
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<unk> year old man with h/o pneumonia, hemoptysis on warfarin // hemoptysisi
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MIMIC-CXR-JPG/2.0.0/files/p10761861/s58559277/fcf5bf2a-6f10c413-2d13ab7b-316642e9-dde36508.jpg
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as compared to <unk>, a single lead icd remains in place, with tip terminating in the right ventricle. small amount of subcutaneous emphysema overlies the left axilla, likely related to recent placement of this device. there is no visible pneumothorax. heart is upper limits of normal in size, aorta is mildly tortuous, and lungs are clear. mild elevation of left hemidiaphragm is again demonstrated.
|
<unk> year old man with chf s/p icd via l axillary vein. // lead position, pneumothorax
|
MIMIC-CXR-JPG/2.0.0/files/p13900415/s59696250/d3a4b37c-4db2b54c-98cbda34-105aba7e-fc74b452.jpg
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no focal consolidation is seen. there may be subtle perihilar peribronchial thickening which is less conspicuous as compared to the prior study. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
|
history: <unk>m with wheezing and cough. // pna?
|
MIMIC-CXR-JPG/2.0.0/files/p14782811/s54639131/246fc577-62fe198a-19a681bd-b888bce4-ba93433f.jpg
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portable upright chest radiograph <unk> at <time> is submitted.
|
<unk> year old man with new o<num> requirement // evaluate for pulmonary edema evaluate for pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p18543185/s58596344/99167303-94d4566c-1bae9369-0239984c-2a4c73fc.jpg
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the heart is enlarged but unchanged. the mediastinal contour is consistent with vessel tortuosity and enlargement of the main pulmonary arteries as seen on chest ct from <unk> and is stable. the lungs are clear. there is no evidence of pleural effusion or pneumothorax.
|
<unk> year old man with ? abnormal cxr outside ordered before starting physical therapy // infiltrate or adenopathy?
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MIMIC-CXR-JPG/2.0.0/files/p13156293/s58184696/86a7b2a4-42fcdb2d-d4ce9f84-c2c1d3f1-c7d76a62.jpg
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhoette. mild rightward tracheal indentation is due to a known goiter, as seen on prior ultrasound studies. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
|
<unk>-year-old female with syncope. question acute process.
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MIMIC-CXR-JPG/2.0.0/files/p19596528/s57167138/77a29d1b-fc4ce4be-7ef7dfb9-488a8d8d-008b6ad7.jpg
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patient is status post coronary artery bypass graft surgery. there is patchy opacity at the left lung base with new elevation of the left hemidiaphragm, moderate in degree, suggesting coinciding volume loss. otherwise, the lungs appear clear. there is no definite pleural effusion although it would be difficult to detect a subpulmonic pleural effusion on the left.
|
aphasia, shortness of breath and productive cough.
|
MIMIC-CXR-JPG/2.0.0/files/p17940376/s55847993/ec3d4654-e03f9ac9-4c458263-c15e3b5e-d416c1e4.jpg
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. previously noted consolidation in the left lower lobe has resolved. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. partially imaged is cervical spine fusion hardware.
|
cough, fever.
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MIMIC-CXR-JPG/2.0.0/files/p10489424/s52542769/1fcbbe4f-2b8eb5f4-ddddce06-c83ae8d1-61c2743f.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. there is right infrahilar opacity, probably for the most part in the right lower lobe which could be seen with bronchopneumonia in the appropriate clinical setting.
|
shortness of breath.
|
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