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there is been interval removal of the remaining sternotomy wire and placement of placement of <num> chest closure bands corresponding to sternal wound closure. indwelling supportive devices are stable and in appropriate position. no pneumothorax. mediastinal contours and cardiac silhouette are slightly wider than on <unk>. moderate left lower lobe atelectasis and small bilateral pleural effusions are increased from <unk>. oval lucency in the left mid lung is stable corresponding to a pulmonary cyst seen on prior chest ct.
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<unk> year old man with sternal wound- now s/p closure - eval for ptx // post closure of sternal wound - eval for ptx
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right-sided internal jugular catheter is stable in good position. mild interstitial pulmonary edema persists. a new peripheral rounded opacity in the right lower lobe could represent loculated pleural fluid versus a peripheral consolidation that is infection or infarction. left basal opacity and effusion are unchanged.
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<unk> year old man with neutropenia fever, fungal pneumonia now with worsenign tachypnea // ? pulm edema vs worsenign pulm infiltrate/infection
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the lungs are hyperinflated. the cardiomediastinal and hilar contours are within normal limits. biapical scarring is unchanged, otherwise 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 ams // pneumonia?
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left-sided port-a-cath is seen terminating in the low svc without evidence of pneumothorax.the lungs are clear without focal consolidation. no pleural effusion is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with fever imunosupression // ? pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced rib fracture is identified. cervical surgical hardware is noted.
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history: <unk>f with s/p fall // eval for injury
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the endotracheal tube appears lower, due to flexion of the neck in this examination. the other support devices remain in good position. no significant interval change with low lung volumes and atelectasis at the lung bases. moderate cardiomegaly. no pneumothorax.
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<unk> year old woman with alcoholic hepatitis, respiratory failure // interval change, line placement
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frontal and lateral chest radiographs were obtained. exam is limited by severe rotation. lung volumes are chronically low. there is a small right pleural effusion with basilar atelectasis with small amount of fluid in the right major fissure. the left lung is essentially clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. there is no pneumothorax.
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patient with cough, rule out pulmonary pathology.
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biapical scarring, right greater than left, is similar to priors.there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk>f with history of pericarditis/pericardial effusion, sle, who presents with sob, cp // rule out pna/pleural effusion, pulm edema
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cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. the aortic knob is calcified. there is no pulmonary vascular congestion. lungs are hyperinflated with relative paucity of vascular markings in the lung apices compatible with severe emphysema. no focal consolidation, pleural effusion or pneumothorax is present. mild loss of height of a mid thoracic vertebral body as well as a vertebral body at the thoracolumbar junction is unchanged. partially imaged is cervical fusion hardware.
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hypoglycemia, fall.
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bibasilar opacities, linear on the right and nodular on the left, may represent pneumonia in the appropriate clinical setting, or atelectasis. cardiomediastinal silhouette is normal. no pleural abnormality is seen. no large pleural effusions.
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hypoxia. evaluate for pneumonia.
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the lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. there is biapical pleural thickening, possibly slightly more increased as compared the prior study. the trachea remains deviated to the right, stable as compared to <unk> possibly due to underlining goiter. no pleural effusion is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with sob // eval for pna, structural process
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ap portable upright view of the chest. post vats changes are seen throughout the left hemithorax. a left thoracostomy tube is present. there is no pneumothorax. a large left basilar opacity, postsurgical in etiology, is difficult to differentiate between atelectasis, fluid, and consolidation, is unchanged since the <unk> radiograph. the right lung remains well aerated.
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<unk> year old woman with ?ild s/p l vats wedge resection // please assess for change in lung fields
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pa and lateral views of the chest were viewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia. the pulmonary vasculature is within normal limits.
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shortness of breath.
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the lungs are poorly inflated. there is increased interstitial thickening bilaterally with vascular redistribution and bilateral hilar prominence suggesting pulmonary edema. cardiomediastinal and hilar contours are unremarkable with the exception of a tortuous aorta. there is no pleural effusion or pneumothorax. in the left mid lung there is a calcified granuloma that is not significantly changed compared with <unk>.
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<unk>-year-old female with lethargy. evaluate for acute cardiopulmonary process.
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ng tube has been advanced to lie in the expected position the stomach. right-sided picc line and remains unchanged good position. the lung parenchyma is grossly clear.
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<unk> year old woman with with ng tube advanced at bedside, please assess position // please confirm ngt position
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frontal and lateral views of the chest. compared to prior there has been no significant interval change. again seen is a large hiatal hernia. the lungs are clear of new consolidation or effusion. vague opacity projecting over the right lung apex is again noted. trachea is deviated to the left at the thoracic inlet suggestive of right thyroid enlargement. no acute osseous abnormalities detected.
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<unk>-year-old female with recent presyncopal episode.
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lungs are hyperinflated. focal retrocardiac opacity is noted on the frontal view, not definitively localized on the lateral view. lungs are otherwise clear. borderline cardiomegaly with tortuosity of the thoracic aorta. no pulmonary edema. no pleural effusion. no pneumothorax.
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<unk>m with fever, cough // eval for pneumonia, mass
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there is no focal consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal contours are normal.
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<unk>-year-old female with fever and nonproductive cough and pain radiating to left scapula, evaluate for infectious process.
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two right-sided chest tubes enter the thoracic cage laterally and adjacent towards the head of the clavicle, terminating at the level of the aortic arch. anterior-posterior location cannot be assessed by frontal radiography. left-sided picc terminates near the mid svc. notable improvement in opacification of the right hemithorax in the short interval since the prior radiograph, most consistent with resolving pulmonary edema. mild background pulmonary edema on the left is stable. other than minimal atelectasis at the right lung base, there is no focal consolidation. small amount of fluid in the right minor fissure has increased. stable mild cardiomegaly. no pneumothorax.
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<unk> year old woman with r empyema s/p vats decortication and chest tube placement // eval chest tube placement, effusion
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a frontal and lateral chest radiographs demonstrate retrocardiac opacifications, unchanged compared to <unk>, likely representing combination of atelectasis and stable small left-sided pleural effusion. streaky opacifications in the right lung base likely represent minimal atelectasis. small stable right pleural effusion. there is stable enlargement of the ascending thoracic aorta, with no radiographic perceptible increase in diameter. interval removal of right central venous sheath catheter.
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status post aortic arch replacement. evaluate for effusion.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with congested cough
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lungs are clear of consolidation. chronic blunting of the right lateral costophrenic angle could be due to pleural thickening. there is also subtle increased interstitial markings projecting over the left lung laterally which are unchanged dating back to <unk>. cardiac silhouette is enlarged, similar compared to prior. atherosclerotic calcifications are noted in the thoracic aorta which is slightly tortuous. no acute osseous abnormalities.
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<unk>m with sob, hypoxia // pleural effusions
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moderate cardiomegaly is unchanged. the aorta remains tortuous and diffusely calcified. mild pulmonary edema is relatively unchanged compared to the prior study. unchanged enlargement of the hila bilaterally is suggestive of pulmonary artery hypertension. bilateral pleural effusions are small to moderate in degree, and may be slightly increased on the right compared to the prior study. the left pleural effusion appears relatively unchanged. bibasilar airspace opacities likely reflect compressive atelectasis. old bilateral rib fractures are noted. there is no pneumothorax.
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dyspnea.
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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.
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history: <unk>f with anxiety and chest pain // infection
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there has been interval removal of a right chest tube. again seen is decreased volume of the right lung. also seen is a small right apical pneumothorax, which is unchanged in size. there is significant atelectasis of the base of the right lung and gas in the soft tissues of the right chest. the left lung is normal appearing the heart is mildly enlarged.
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status post vats and right lower lobe lobectomy. evaluate for interval change.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a patient with chest pain.
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the heart size is within normal limits, though slightly increased in size compared to the prior study. the mediastinal and hilar contours are unchanged, and within normal limits. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities identified.
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fever, hiv with cd<num> count of <num>.
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ap upright and lateral chest radiograph demonstrates right upper lobe airspace opacities suggestive of pneumonia. cardiomediastinal and hilar contours are stable in appearance and within normal limits. obscuration of the left heart border is less conspicuous. there is no pleural effusion or pneumothorax. no acute osseous abnormalities detected.
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<unk>f with sob
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a <unk>-year-old woman with a history of cancer and biopsy, presenting with left breast pain.
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a new right-sided picc line terminates in the mid superior vena cava. a ventriculoperitoneal shunt catheter courses along the right hemithorax. the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax.
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altered mental status.
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small nodular opacities in the right apex, new since <unk> have progressed since <unk>. moderate cardiomegaly and upper lobe vascular engorgement are stable since <unk>, both worsened since <unk>. mediastinal and hilar adenopathy documentated as recently as chest ct <unk> has not progressed. there is no pleural effusion.
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<unk>-year-old male with chf and dyspnea, question effusion.
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et tube terminates <num> cm above the carina. unchanged mild prominence of interstitial markings and vasculature with no lobar consolidation. no pleural effusion or pneumothorax. unchanged biapical pleural thickening. stable cardiomediastinal silhouette and bony thorax.
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<unk> year old woman with gi bleed post intubation // ett
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the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk> year old man with respiratory distress, previously taken diuretics // fluid in lungs.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with weakness // acute process
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redemonstrated is a left-sided port-a-cath with the tip seen terminating within the lower svc. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. there is an <num> mm rounded structure projecting over the right upper lung with sharp margins, and may be external to the patient. the heart size is normal. mediastinal contours are normal.
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history of breast cancer, now with fever and cough.
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a single portable ap upright view of the chest was obtained. patient appears rotated. pacemaker over the left chest, leads unchanged in positions. cardiomediastinal silhouette is stable. there is no focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old man with confusion, evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are well expanded and clear of focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. surgical clips project over the left axilla. no acute osseous abnormality is identified.
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<unk>-year-old female with chest pain.
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the heart is borderline in size. the aorta is mildly tortuous. there is a patchy retrocardiac opacity obscuring the left hemidiaphragm, visible posteriorly on the lateral view. aside from vague asymmetric hazy opacity that may refer to the lingula, otherwise, the lungs appear clear. there is no definite pleural effusion or pneumothorax. bony structures are unremarkable.
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lightheadedness and hypotension.
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as compared to <unk>, mild pulmonary edema has developed. moderate cardiomegaly. small bilateral pleural effusions. cardiomediastinal contours are enlarged and unchanged given for differences in technique. no acute focal consolidation. widespread pulmonary nodules are not evident on chest radiograph.
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<unk> year old woman with hypotension, dyspnea worsening // ? pneumonia
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evaluation is limited due to significant patient rotation at the neck. within this limitation, an endotracheal tube is in place with the tip terminating <num> cm above the carina. a right port-a-cath is in place with the tip in the proximal right atrium. the inspiratory lung volumes are low with resultant bronchovascular crowding and exaggeration of the cardiomediastinal silhouette. no sizable pleural effusion or pneumothorax is seen on this supine ap view. the left lung base is opacified, which likely reflects atelectasis in the setting of low lung volumes. there is pulmonary vascular congestion and kerley b line suggesting mild pulmonary interstitial edema. no acute osseous abnormality is detected.
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clinical deterioration, requiring intubation, here to evaluate et tube position.
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pa and lateral chest radiograph demonstrate a left chest dual lead pacer, its leads which appear intact and in unchanged position relative to prior study. lungs are clear without focal opacity convincing for pneumonia. patchy opacity in the left costophrenic angle is likely related to pleural thickening or post inflammatory changes. the heart is enlarged though stable relative to study dated <unk>. there is no evidence of pulmonary edema. there is no pleural effusion or pneumothorax.
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history: <unk>m with cp // eval for pna
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. minimal subsegmental atelectasis is noted in the lung bases. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is present. minimal scarring is seen in the lung apices. there are no acute osseous abnormalities.
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history: <unk>f with chest pain
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>m with fever, tachy // eval for pna
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heart size remains moderately enlarged with marked mitral annular calcification. the aorta demonstrates diffuse atherosclerotic calcifications. mild pulmonary edema is new in the interval. no pleural effusion or pneumothorax is seen. more focal opacity in the right lung base may reflect an area of atelectasis. previously demonstrated right fat containing diaphragmatic hernia is not well assessed on the current radiograph. no acute osseous abnormality is seen. the osseous structures are diffusely demineralized with moderate multilevel degenerative changes seen throughout the thoracic spine.
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history: <unk>f with shortness of breath
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pa and lateral views of the chest demonstrate well-expanded and clear lungs. cardiomediastinal silhouette including moderate cardiomegaly is unchanged. there is mild pulmonary edema and small bilateral pleural effusions as before. there is no pneumothorax.
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<unk>-year-old man with elevated bnp, evaluate for effusion.
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there is a large left pleural effusion which may be at least partially loculated, with likely underlying atelectasis. underlying consolidation for pulmonary mass not excluded. no right pleural effusion. subtle sub cm nodular opacities projecting over the right upper to mid lung could represent vessels on-end but small pulmonary nodules are not excluded. no priors for comparison. suggest non urgent chest ct for further evaluation. the cardiac and mediastinal silhouettes are grossly unremarkable.
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history: <unk>f with recurrent metastatic breast cancer p/w worsening doe, known l pleural effusion // eval effusion, pulm edema
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single portable chest radiograph was provided. a right picc terminates in the mid svc. there is no focal consolidation or pneumothorax. opacity at the left base likely represents a combination of atelectasis and effusion. the cardiomediastinal silhouette is unchanged. left humerus prosthesis and old left rib fractures.
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history of picc line. check picc line placement.
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there are relatively low lung volumes. there is persistent blunting of the costophrenic angle suggesting trace pleural effusions. minimal bibasilar atelectasis is seen. there is no focal consolidation or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.
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tachycardia.
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the lungs remain hyperinflated, with flattening of the diaphragms. biapical pleural thickening/scarring is grossly stable. no focal consolidation is seen. stable left base scarring is noted. no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.
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history: <unk>f s/p <unk> cycles chemotherapy, p/w nausea since <unk>, peripheral neuropathy, edema // evaluate for intrathoracic processes, infectious process
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the lungs are somewhat low in volume but clear. there is no pleural effusion or pneumothorax identified, though the inferior aspect of right pleural sulcus is excluded on the lateral view and the extreme left pleural sulcus is excluded on the frontal view. the heart is likely normal in size allowing for ap technique. a stable convex bulge of the right mediastinum likely reflect a stable mildly dilated or tortuous ascending aorta. surgical clips are seen in the right upper quadrant.
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<unk>-year-old man with history of alcoholism with cough and sputum, assess for pneumonia.
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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 dated <unk>. the overall heart size is within normal limits. no configurational abnormality is present. the thoracic aorta is generally moderately widened and elongated, but there are no local contour abnormalities and the findings are stable in comparison with the previous examination of <unk>. 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 from any fluid accumulation. no pneumothorax is seen in the apical area on the frontal view. in comparison with the previous study, no evidence of new pulmonary abnormalities and specifically no suspicious lesions for pulmonary metastases. the on previous examination identified small bilateral pleural effusions blunting the lateral and posterior pleural sinuses have normalized.
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<unk>-year-old male patient with prostate carcinoma. evaluate for any abnormalities such as metastasis.
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a portable supine frontal chest radiograph again demonstrates an endotracheal tube terminating in the mid thoracic trachea, enteric tube descending below the diaphragm in off the inferior edge of the image, right picc terminating in the low svc, and a right pigtail catheter overlying the right base. lung volumes are slightly lower compared to prior chest radiograph, with increased prominence of the cardiac silhouette and bronchovascular crowding. a loculated right pleural collection is similar to the prior chest radiograph. no new focal consolidation or pneumothorax is identified. the visualized upper abdomen is unremarkable.
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evaluate for interval change in a pleural effusion, in a patient with influenza and mrsa pneumonia, and an empyema status post chest tube placement.
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lungs are hyperinflated. moderate to large right and small to moderate left pleural effusions are noted. there is right basilar opacity which is likely at least in part due to atelectasis given adjacent effusion. there is additional opacity projecting over the right upper lung, on the lateral view localized posteriorly. there is moderate enlargement of the cardiac silhouette. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities.
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<unk>m with chest pain // eval for pna, cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p13770151/s57557925/6e75237e-7898e282-c9d97311-98678703-7c69d104.jpg
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the cardiomediastinal and hilar contours are within normal limits. the aorta is tortuous. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. minimal gas is seen within the stomach. there is moderate to severe degenerative change throughout the thoracic spine. mid left clavicular fracture is as seen on dedicated shoulder films.
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<unk>f with c/o left shoulder/thoracic pain s/p fall // ? fx
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MIMIC-CXR-JPG/2.0.0/files/p15714226/s58458282/4c5b2978-11d87541-69de083c-e5d18744-c98dd745.jpg
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
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<unk>m with vomiting // eval for free air
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MIMIC-CXR-JPG/2.0.0/files/p12972508/s51523389/36998280-4f1a3cbe-b08ffe8f-596f925d-b3f21c2c.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. the bony thorax is grossly unremarkable.
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syncope with exercise. evaluate heart size. also with lower rib pain.
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MIMIC-CXR-JPG/2.0.0/files/p18991040/s54378190/2969b183-a70aec1e-489d06c3-9f709ae8-3a1ff0b5.jpg
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. there is no evidence for pneumothorax, pneumomediastinum, or pleural effusion. streaky basilar opacities are more conspicuous in the right lower lung (probably within the right lower lobe) compared to the lingular region; these are non-specific. bony structures are unremarkable.
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status post recent upper endoscopy with hematemesis and altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p11346699/s55490903/c9f340cc-ecddfc69-43f64a7b-25893d28-e535fa51.jpg
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a right internal jugular swan-ganz catheter, endotracheal tube, and nasogastric tube are unchanged in position. there are bibasilar consolidations of the lungs concerning for aspiration pneumonia with interval increase lateral left mid lung opacities concerning for progression of multifocal infection. small-to-moderate bilateral pleural effusions are also stable. no pneumothorax is seen. the mild enlargement of the cardiac silhouette is stable. mediastinal and hilar contours are within normal limits and unchanged.
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v-fib arrest, here to evaluate for pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for effusion, infiltrate, or edema in a <unk>-year-old woman with chest pain x <num> hours.
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MIMIC-CXR-JPG/2.0.0/files/p11022826/s50348423/56efa564-baa30127-d0eb95e8-68c50711-b00910e2.jpg
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the chest is hyperinflated. there is a new opacity projecting over the mid spine on the lateral view, somewhat oval and mass-like, and it may correlate with very vague superior opacity in the right suprahilar region. there is slight rightward convex curvature centered along the lower thoracic spine.
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fever. question infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p14714491/s58414415/f4f3b602-0f3b4e6c-3c2e39bf-ac2f8cc6-71e6bb24.jpg
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cardiac, mediastinal and left hilar contours are within normal limits. the patient is status post right upper and partial right middle lobectomies with suture material noted in the right hilum and redemonstration of volume loss in the right lung with elevation of the right hemidiaphragm. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. there is no pulmonary vascular engorgement.no acute osseous abnormalities detected.
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history: <unk>f with chest pain, recent radiation to chest
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MIMIC-CXR-JPG/2.0.0/files/p19016834/s53015743/2e15d44b-391ff16c-0474e263-a0536b97-de75b719.jpg
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a right-sided port-a-cath tip sits in the lower portion of the svc. the heart and mediastinal contours are within normal limits. the lungs are largely clear with only minimal atelectasis in the right base in accordance with a small right pleural effusion. there is no pneumothorax.
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<unk>-year-old male with a history of esophageal cancer, status post esophagectomy via a right thoracotomy, now with cough after left-sided thoracentesis.
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MIMIC-CXR-JPG/2.0.0/files/p11599357/s53658848/cd4fe66b-29ebcdf4-b597d78d-5ff6a24b-1214601e.jpg
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moderate cardiomegaly is stable. small bilateral pleural effusions are stable. ng tube tip is in the stomach. there is no evident pneumothorax. lung nodules are better seen in prior ct. left lower lobe opacities have minimally improved.
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<unk>f with a history colon cancer (s/p colectomy <unk>, now with metastatic disease to liver and possibly lung) presenting after syncopal event with headstrike. // evaluate for ngt placement and concern for aspiration
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MIMIC-CXR-JPG/2.0.0/files/p19271229/s57041261/f460907c-4faef2ff-0ba2d8b7-dcb7f3ce-0be087fd.jpg
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left chest wall port is again noted. the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips project over the mid upper abdomen
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<unk>m with vomiting, hx pancratitic ca // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p10712190/s54273520/a8093e25-95ef765a-e5cbb72a-bdd7299f-b04b3683.jpg
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heart size is severely enlarged. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise unremarkable. there is minimal pulmonary vascular congestion. lungs are grossly clear without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities demonstrated.
|
history: <unk>m with pedal edema // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p12430445/s54095599/235936db-c43985d6-14490fca-7aa7eb91-3c70e998.jpg
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stable linear scar in the right upper lobe. the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
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<unk> year old man with cml with new sob // ? infection
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MIMIC-CXR-JPG/2.0.0/files/p14582648/s56537030/7453fc97-24d241b3-3f37262f-4a818a12-1400ab6f.jpg
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left chest wall aicd packing is present with leads appearing unchanged in position extending to the region of the right atrium and right ventricle. the heart remains within normal limits of size. there is no evidence of pulmonary edema, pneumonia, effusion or pneumothorax. mediastinal contour is stable and normal. bony structures are intact.
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<unk>m with aicd firing
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MIMIC-CXR-JPG/2.0.0/files/p12574098/s55131569/597f7e97-0e817bd7-dbca4a18-17bdc650-75da19c5.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are hyperinflated but clear. no pleural effusion or pneumothorax is seen.
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<unk>f with sob, wheezing // eval for pna, effusion
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MIMIC-CXR-JPG/2.0.0/files/p16009434/s57617357/4c187845-04e6c21c-35d38450-dbbb4153-9a1d3f8d.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with sudden onset, left sided pleuritic chest pain
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MIMIC-CXR-JPG/2.0.0/files/p10643643/s53051158/d1528c18-0ee7271a-9a6f8d65-83e75c0f-e346fac6.jpg
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the inspiratory lung volumes remain low. there is horizontal streaky opacification of the bilateral lung bases and right middle lobe, most compatible with atelectasis. there is no focal consolidation. a tiny calcified granuloma projecting over the right mid lung is unchanged. there is no significant pleural effusion or pneumothorax. the cardiac silhouette remains mildly enlarged but stable. the thoracic aorta is tortuous. the mediastinal and hilar contours are otherwise stable. biapical scarring on the right greater than the left is again noted.
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fever, here to evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12181636/s53936197/df088dbf-de7177b6-982d98cf-a0ccba1f-fc371fad.jpg
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minimal lateral right base atelectasis is seen. there is no focal consolidation. no evidence of pneumothorax is seen. there is no pleural effusion. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
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chest pain
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MIMIC-CXR-JPG/2.0.0/files/p19693912/s58816977/72d662eb-f4c41b71-5137e094-aac9c66c-30f1fdc3.jpg
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ap and lateral views of the chest. linear opacity in the right upper lung is again seen, potentially scarring or atelectasis. the lungs are otherwise clear. cardiomediastinal silhouette is stable. previously seen left picc is no longer visualized. degenerative changes are seen at the shoulders bilaterally.
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<unk>-year-old female with fall and altered mental status and hypotension.
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MIMIC-CXR-JPG/2.0.0/files/p19007931/s51155740/71924c95-a7042c53-10843bb7-3febb74d-b597c5f2.jpg
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frontal and lateral chest radiographs demonstrate elevation of the left hemidiaphragm. this obscures the left heart border, but allowing for this the heart is likely normal in size. there is no focal consolidation. at the left lung base is atelectasis, likely a small amount of pleural fluid. no pneumothorax is seen.
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history: <unk>m with sob during rifaximin infusion, chest pain // pulm edema
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MIMIC-CXR-JPG/2.0.0/files/p14795241/s51735069/4a88af4c-72fac00c-58343875-b13bd191-0cc77d0f.jpg
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
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<unk>m with cough and fever // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p12426368/s54654577/6fb73060-b4537c55-8061b84a-6f3c099f-0b6eb877.jpg
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stents along the right subclavian and brachiocephalic veins are noted. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. streaky left basilar opacity is unchanged and consistent with minor atelectasis. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax. soft tissue calcifications are noted lateral to the chest on the right, not fully imaged, but probably unchanged and likely relating to the presence of an arteriovenous fistula.
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headache and left shoulder pain after fall.
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MIMIC-CXR-JPG/2.0.0/files/p19113841/s59220224/67027176-8e3e63b7-315abef5-ccc12d87-cecf3a0a.jpg
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the cardiomediastinal silhouette is normal. the lungs are clear without focal consolidations. the pleura and hila are normal. previously seen left lower lobe atelectasis no longer visualized with pulmonary vasculature now within normal limits.
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<unk> year old woman with h/o l base atelectasis // l base atelectasis
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MIMIC-CXR-JPG/2.0.0/files/p16448613/s55071725/8a85a5e7-e8186850-8ad8b5a0-c9d90d2f-d02445f8.jpg
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frontal radiographs of the chest demonstrate top normal heart size. the mediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax.
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cerebral aneurysms with dyspnea on exertion with minimal distance. evaluate pneumonia, cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p18289964/s52684039/7487d377-97addf8c-3654abae-d44f213b-b481ecee.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is mild relative elevation of the right hemidiaphragm, similar to the prior study. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
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pleuritic chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p14851848/s57171818/1cef1bf0-5417a930-8ed07da6-f29e7e1b-18d5a455.jpg
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left picc tip terminates in the mid svc. heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
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history: <unk>f with picc placed at osh // assess central line
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MIMIC-CXR-JPG/2.0.0/files/p16239546/s54112699/176b3a92-5254fc34-c9b536b4-6e83c6b0-9c0f2cf9.jpg
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. endotracheal tube is in place and its positioning is low located <num> cm from the carina. a right subclavian central venous catheter is unchanged in position with its tip terminating at the cavoatrial junction.
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status post intubation, question infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p11508964/s50245550/0c985062-3d276bb9-1a9ced19-32fa5fe2-4d33e76f.jpg
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the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormalities.
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<unk>f with influenza-like illness // pneumonia?
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MIMIC-CXR-JPG/2.0.0/files/p13174181/s56693722/112a2089-5579024b-a1844e1a-3dadd3e2-acfb1518.jpg
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. mild dextrocurvature of the thoracolumbar spine is noted.
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history: <unk>m with smoke inhalation. // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p13855022/s52584372/a2210992-b0add91a-1b2ce343-83eeb8c5-56130e4b.jpg
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the lungs are clear without focal consolidation, effusion, or edema. elevated right hemidiaphragm is noted, unchanged. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, upper to mid thoracic vertebral body height loss was better seen on prior exam.
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<unk>f with weakness, sob ruq pain // infectious, pe or other acute process
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MIMIC-CXR-JPG/2.0.0/files/p11466091/s58762447/0b71c18e-d3df04d3-e64395d6-43ebd33f-2ff764a9.jpg
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pa and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is normal. there is an acute comminuted fracture identified through the mid portion of the left clavicle, better seen on dedicated exam performed the same day. no other displaced fracture is identified.
|
<unk>-year-old male status post bike accident.
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MIMIC-CXR-JPG/2.0.0/files/p19038462/s52526219/de5194a8-68e45438-3f11c60c-8e111bd1-841931a8.jpg
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endotracheal tube tip terminates approximately <num> cm from the carina. heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. streaky and linear opacities in the lung bases are compatible with areas of atelectasis. no large pleural effusion or pneumothorax is seen. a <num> mm nodular opacity projecting over the left mid lung field may reflect a calcified granuloma. there is no focal consolidation. there is gaseous distention of the stomach. widening of the right acromioclavicular joint suggests prior type ii ac joint separation.
|
history: <unk>m with intubation
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MIMIC-CXR-JPG/2.0.0/files/p12431768/s55944001/b4475b26-28cbacc1-ea0cc4a1-417e537f-25fdc5f7.jpg
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frontal and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality detected.
|
<unk>-year-old female with copd and abnormal lung sounds, cough.
|
MIMIC-CXR-JPG/2.0.0/files/p12929406/s58077962/ca7ea123-ffa5bd22-b99829bd-5e73973f-81ab1b14.jpg
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as compared to the preceding radiograph, there is interval repositioning of the right-sided picc line. the course of the line is unremarkable with the tip of the line now projecting over the mid svc. there is no evidence of complication, specifically no pneumothorax. otherwise, the appearance of the heart and lungs is unchanged from the prior radiograph.
|
<unk>-year-old female with malpositioned right picc line on the first attempt, here to reassess placement after repositioning.
|
MIMIC-CXR-JPG/2.0.0/files/p14948531/s50918719/94c827e4-6584ca8a-5ca89cf2-ee28eb44-bbf88243.jpg
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no focal consolidation is seen. mild bilateral perihilar peribronchial wall thickening can be seen in small airways disease. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. surgical hardware is seen at the thoracolumbar junction and into the upper the lumbar spine, although not well assessed on this study.
|
history: <unk>f with wheezing respiratory infection x <num> wk, sxs persisting, hx asthma // eval ? infiltrate
|
MIMIC-CXR-JPG/2.0.0/files/p10279030/s57130476/c09969ea-fa76b30b-afe5524d-c528d310-c58b0a4c.jpg
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cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected. no free air is seen in the upper abdomen.
|
abdominal pain after colonoscopy.
|
MIMIC-CXR-JPG/2.0.0/files/p17417527/s54855470/74e5e5f7-5272c6ea-20be50d1-ae0efa89-f988676a.jpg
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cardiac size is top normal. right lower lobe opacities are increasing. pacer leads are in standard position. there is no pneumothorax or pleural effusion.
|
<unk> year old man with fever // eval for infiltrates, effusions, atelectasis
|
MIMIC-CXR-JPG/2.0.0/files/p19259478/s50670850/b9d3184f-efd9200d-347aebf8-f1a8cf59-dca55cab.jpg
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there has been interval placement of a right pleurx catheter with substantial improvement of the right effusion, now with small remnant fluid. there is a likely small left pleural effusion. there is mild pulmonary edema and vascular congestion relatively unchanged from prior exam. enlarged cardiac silhouette and hilar contours are stable. a left pectoral pacer is unchanged in position. there is no pneumothorax.
|
status post pleurx catheter placement. evaluate right pleural effusion.
|
MIMIC-CXR-JPG/2.0.0/files/p16026540/s57639212/f1344484-af4457a3-469479d0-57aa2003-256fdd30.jpg
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ap portable upright view of the chest. vagal stimulator projects over left chest wall with catheter extending into the left neck. overlying ekg leads are present. lungs are clear and hyperinflated. multiple external wires project over the lateral aspect of the right hemi thorax. the lungs appear clear without focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact. no displaced fractures identified. no free air below the right hemidiaphragm.
|
<unk> year old woman with seizures. // ?pna
|
MIMIC-CXR-JPG/2.0.0/files/p10790860/s59686768/73c4d724-c31d4944-ab89bed0-afe5f9a2-4a9993ca.jpg
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since <unk>, and progressive increased opacification of the left the lung as well as the right middle lung, concerning for pneumonia and less likely pulmonary edema. stable small bilateral low lung volumes. stable small bilateral pleural effusions. stable cardiomediastinal silhouette. no pneumothorax. ett tube in standard placement. right picc line is unchanged in position. dual-lead pacemaker appears intact, also unchanged in position.
|
<unk> year old man with resp failure // eval for interval change
|
MIMIC-CXR-JPG/2.0.0/files/p12506591/s51726401/f598cf3c-41ff5c7a-12800857-5f2ba992-33a3dccd.jpg
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cardiac silhouette size is normal and unchanged. the mediastinal contours are similar. superior retraction of the hila with architectural distortion, volume loss and coarse interstitial opacities with bronchiectasis and scarring in the upper lobes appear grossly unchanged. additional coarse interstitial opacities are noted within both mid and lower lung fields with ring shadows, likely reflective of airway wall thickening, bronchiectasis and small airways disease. blunting of the costophrenic angles bilaterally is compatible with small pleural effusions. there is likely mild pulmonary vascular congestion. no pneumothorax is present. there are no acute osseous abnormalities.
|
history: <unk>f with history of bronchiectasis and atrial flutter presents with shortness of breath and atrial flutter
|
MIMIC-CXR-JPG/2.0.0/files/p18913382/s55730150/a08a6642-4c928c27-1d9b77c2-d2582368-72f2d862.jpg
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moderate cardiomegaly has increased compared to the previous exam. the mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta again demonstrated. atherosclerotic calcifications are again throughout the aorta. the pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is visualized. unchanged compression deformities of several lower thoracic vertebral bodies are again demonstrated with diffuse demineralization of the osseous structures.
|
chest pain and arm pain
|
MIMIC-CXR-JPG/2.0.0/files/p18829312/s57240949/fdf4c906-fbede8d6-fa2dc7f1-48adba30-b20bd9c6.jpg
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lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
|
<unk>-year-old man with leukemia and increasing cough. assess for abnormality.
|
MIMIC-CXR-JPG/2.0.0/files/p19840732/s56939115/2e3d699b-2a59536f-73b2099c-eaad98e7-97895be1.jpg
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bilateral airspace opacities are similar in extent when compared to the prior study. left lower lobe atelectasis. a right internal jugular catheter terminates in the mid to low svc. median sternotomy wires are unchanged in appearance. probable bilateral pleural effusions.
|
<unk> year old woman with worsening tachypnea and work of breathing // ? interval worsening of pulm
|
MIMIC-CXR-JPG/2.0.0/files/p11299326/s52690623/dd3cc9f4-16c46d9d-ef378eb8-62890dd6-eb894f57.jpg
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frontal and lateral chest radiographs again demonstrate multiple clips projecting over the left hemithorax. the cardiomediastinal silhouette is normal and the lungs are well-aerated, without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
|
evaluate for acute intrathoracic process in a patient with pain on deep inspiration.
|
MIMIC-CXR-JPG/2.0.0/files/p14973136/s59044804/dc1c5955-a51826b8-1d031907-6fd102e3-3de58164.jpg
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heart size is mildly enlarged, unchanged. the aorta demonstrates diffuse atherosclerotic calcifications and mild tortuosity. hilar and mediastinal contours are similar compared to the previous exam. there is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormality is demonstrated. exuberant osteophyte formation is noted involving the glenohumeral joints, more so on the left.
|
history: <unk>f with dizziness, hypertension
|
MIMIC-CXR-JPG/2.0.0/files/p11208075/s50596937/6651bdcd-e7519138-d880648a-4cab0526-2a000181.jpg
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ap and lateral views of the chest. biapical left greater than right scarring is identified. the lungs are clear of consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcification is seen at the aortic arch. no acute osseous abnormality is identified.
|
<unk>-year-old female with fall and weakness.
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