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MIMIC-CXR-JPG/2.0.0/files/p19828899/s55699666/17e14e1e-3b482c4c-681d1988-4bc138f5-79847ab9.jpg
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pa and lateral views of the chest provided. lung volumes are low limiting assessment with bronchovascular crowding at the lung bases noted. no convincing signs of pneumonia. no effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact.
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<unk>f with fever // pna?
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the inspiratory lung volumes are slightly decreased. the lungs are symmetrically well aerated without focal consolidation concerning for pneumonia, significant pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged and there is no frank pulmonary edema. the cardiac silhouette is normal in size allowing for low inspiratory lung volumes. mild calcification at the aortic knob is noted and there is mild tortuosity of the thoracic aorta. the mediastinum is within normal limits otherwise. the visualized upper abdomen shows multiple surgical clips in the left upper abdomen, unchanged from the prior study. degenerative changes of the right glenohumeral joint are again noted.
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hypertension and bradycardia, here to evaluate for pneumonia.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. and the lungs are clear. there is no pleural effusion or pneumothorax.
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<unk>f with cp // pneumothorax?
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interval placement of a right ij catheter, which terminates in the mid svc. no evidence of pneumothorax. et tube and pacemaker lead position is unchanged. extensive alveolar pulmonary edema and stable cardiomegaly and small left pleural effusion unchanged.
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history: <unk>m with hypotension s/p r ij cvl placement // cvl placement, ptx?
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MIMIC-CXR-JPG/2.0.0/files/p14744254/s57600202/26dd7e95-cc2d0202-ee3bb3d1-543cfe30-b3b9e678.jpg
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is noted. no rib fractures are identified.
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<unk>-year-old female with left upper quadrant pain. evaluate for evidence of free air under the diaphragm.
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stable well-marginated area of increased opacity overlies the apical region of the left lung, and could potentially continue beyond the confines of the left apex. additionally, a second area of asymmetrical increased opacity is present just below this region at the level of the first anterior rib and medial left clavicle. lungs are otherwise clear. cardiomediastinal contours are normal. there are no pleural effusions or acute skeletal structures.
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<unk> year old woman with persistant cough // r/o infiltrate
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there are parenchymal opacities in the right middle lobe. there are also <unk>-<unk> opacities in the region of the lingula. dual-chamber pacer in the left upper chest terminates in the right atrium and ventricle, stable. mild cardiomegaly and tortuous aorta is unchanged. there is no pleural effusion or pneumothorax. hyperexpansion and flattened hemidiphragms suggest copd.
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cough for two weeks.
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MIMIC-CXR-JPG/2.0.0/files/p18079383/s52729716/0f953238-9baa52ff-08e14d89-12eb2493-32e25ce6.jpg
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tiny right apical pneumothorax is unchanged. right chest tube is in unchanged position, with the orientation of the tube suggestive of a fissural location, which predisposes the chest tube to malfunction. lungs are clear. heart size and mediastinal contour are stable. no pleural effusion.
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<unk> year old man with pneumothorax and chest tube, now to water seal. // evaluate for pneumothorax. interval change v. prior film.please obtain film at <unk> today.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with cough // pna?
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the endotracheal tube tip lies slightly high within the trachea, no less than <num> cm from the level of the carina. the lungs are well expanded though opacities in the apices remain likely represeting aspiration pneumonitis. minimal residual atelectasis in the right base is improved from prior. there is no significant effusion, or pneumothorax. the cardiac silhouette and mediastinal contours remain normal.
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<unk>-year-old male with neck mass status post intubation.
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the heart is top normal in size. the mediastinal and hilar contours are within normal limits. there is a nonspecific area of increased opacity projecting over the cardiac silhouette on the lateral view, which abuts a slightly anteriorly displaced right major fissure. lungs are otherwise clear. there are no pleural effusions or pneumothorax. note is made of a healed right upper rib fracture. there are degenerative changes along the lower thoracic spine.
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<unk>-year-old female patient with hoarseness, cough, weight loss.
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frontal upright and lateral chest radiographs demonstrate low lung volumes. heart is mildly enlarged. mediastinal silhouette is unremarkable. left lung demonstrates confluent opacities within the upper and lower lobes concerning for pneumonia. right lung is clear. no pleural effusion and no pneumothorax.
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recent pneumonia, evaluate for resolution.
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MIMIC-CXR-JPG/2.0.0/files/p11979534/s52869544/bcd5592f-7f891103-507e4808-78526596-1a9610cf.jpg
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upright ap and lateral views of the chest demonstrate low lung volumes, accentuating the heart size, which is moderately enlarged. the mediastinal contours are otherwise stable. a large left goiter deviates the trachea, and is unchanged. there is no overt pulmonary edema, pneumothorax, or large pleural effusion. atelectasis is present at the lung bases, although underlying infection is possible in the appropriate clinical setting.
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<unk>-year-old male with fatigue.
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the lungs appear slightly decreased, accentuating the cardiac silhouette which is otherwise mildly enlarged. there is streaky atelectasis of the lung bases bilaterally. no focal consolidation or pneumothorax identified. no significant pleural effusion identified.
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shortness of breath status post <unk> on <unk>. question hemothorax, intrathoracic process.
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small right apical pneumothorax is unchanged. both chest tubes are stable in position. no change in the size of small right pleural effusion. persistent bibasilar atelectasis. unchanged cardiomediastinal contours. comminuted fracture of the right clavicle and multiple right rib fractures are better seen on ct.
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<unk>-year-old female with multiple trauma after motor vehicle accident, has a right pneumothorax and two chest tubes, persistent pneumothorax after trial of waterseal now back on suction, assess for pneumothorax.
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the cardiomediastinal and hilar contours are normal. lung volumes are somewhat low. there is an opacity in the right lower lobe consistent with pneumonia. there are small bilateral effusions. there is no pneumothorax.
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<unk> year old woman with melanoma not on treatment, about to start xrt, now with new fever. // please evaluate for infection.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no overt pulmonary edema. there is abnormal flattening and cortical deformity of the humeral heads bilaterally, which appears chronic. there are also known compression fractures involving the t<num> and l<num> vertebral bodies.
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<unk>-year-old female presenting for preoperative evaluation prior to spine surgery.
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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 <num> days of fever and cough // ?infiltrate
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patient is status post median sternotomy and cabg. the heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are similar. the pulmonary vasculature is not engorged. minimal atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is demonstrated. remote left-sided rib fractures are again noted.
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history: <unk>m with concern for hyperglycemia, cough
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MIMIC-CXR-JPG/2.0.0/files/p11954282/s54689242/117d725f-0e957dfa-e4b1983a-bfac26e2-178bc810.jpg
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lateral view is somewhat limited by motion artifact. the heart size is top normal. the mediastinal and hilar contours are normal. lung volumes are low, however the lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with new visual hallucinations, pressured speech, on chronic narcotics. eval for acute process.
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patient is status post median sternotomy. cardiac and mediastinal silhouettes are stable with stable enlargement of the cardiac silhouette. mild bibasilar atelectasis is seen. no large pleural effusion or definite focal consolidation. right apical pleural thickening is re- demonstrated. no pulmonary edema is seen.
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history: <unk>m with atrial flutter, palpitations // evaluate for pulmonary edema
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re- demonstrated is extensive subcutaneous emphysema over the left chest wall and neck. the <num> left chest tubes are present and unchanged. there is stable appearance of the small left pneumothorax without evidence of tension. mild left basilar atelectasis. the size and appearance of the cardiomediastinal silhouette is unchanged.
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mr. <unk> is a <unk>-year-old gentleman with a history of alpha-<num> antitrypsin deficiency and severe emphysema (on <num>l home o<num>) who was discharged on <unk> after endobronchial valve placement (<unk> trial) who re-presented with shortness of breath and was found to have a large left pneuothorax. // ?interval
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portable semi-erect chest <unk> at <time> is submitted.
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<unk> year old woman with large r lung cavitary lesion, now desatting and hypotensive // r/o pulm edema, pneumothorax r/o pulm edema, pneumothorax
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portable semi-erect chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with sle, s/p pea arrest secondary to massive hepatic bleed // ? interval change ? interval change
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right internal jugular venous swan-ganz catheter in situ with the tip in the proximal right descending pulmonary artery. left biventricular pacemaker situ with the lead tips in the appropriate position. evidence of previous cabg. cardiomegaly is slightly improved. pulmonary vascular congestion is unchanged. no overt pulmonary edema. no new areas of airspace consolidation. no pleural effusion.
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<unk>m with pmh of ischemic cardiomyopathy with ef of <unk>% s/p bms to lcx, des to lad, mitral valve repair/three vessel cabg, paf, ra thrombus, p/w atrial tachycardia and progressive doe and hypotension, concerning for cardiogenic shock, now dobutamine // interval changes
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MIMIC-CXR-JPG/2.0.0/files/p16717759/s59741828/60d347b8-ae0e7410-dc2b7b22-10c76744-8dc2d59a.jpg
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the cardiomediastinal silhouette is normal. the hila and pleura are unremarkable. no focal consolidations, pleural effusions, or pneumothorax are seen. left humeral head replacement and associated hardware are seen. if the demonstration of trauma to the chest wall is clinically warranted, the location of any referable focal findings should be clearly marked and imaged with either bone detail radiographs or chest ct scanning. given patient's history of shoulder repair all follow-up dedicated shoulder views are recommended.
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<unk> year old man with glioblastoma,radiation therapy, mechanical fall, left rib pain // glioblastoma,radiation therapy, mechanical fall, left rib pain
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the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. there is no visualized rib fracture on this nondedicated exam.
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<unk>f with recent fall // evaluate for scapular fracture, pneumothorax
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.partially imaged lumbar spinal posterior fusion hardware is unchanged.
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<unk>f with chest pain. eval for acute process.
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frontal and lateral views of the chest demonstrate moderate-to-large right pleural effusion, which has increased since prior. small-to-moderate left pleural effusion is also noted, increased since prior study. there is mild pulmonary edema. heart is mildly enlarged. extensive aortic calcifications are noted. bibasilar opacities likely represent atelectasis. there is no pneumothorax.
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shortness of breath.
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frontal and lateral chest radiographs again demonstrate sternal wires, some of which are fractured but unchanged compared to prior chest radiograph. there is a normal cardiomediastinal silhouette. the lungs are fairly well-aerated. again seen is bilateral asymmetric parenchymal abnormality, with a reticular appearance of the right hemi thorax, similar in appearance to multiple prior exams. a recurrent left lower lobe heterogeneous consolidation raises concern for recurrent aspiration pneumonia. there is also a somewhat more nodular focus just below the right clavicle. no pleural effusion or pneumothorax is seen.
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evaluate for pneumonia in a patient with chest pain.
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there is a single-lead pacemaker device terminating in the right ventricle. the heart appears mild to moderately enlarged. the mediastinal and hilar contours appear unchanged including tortuosity and calcification of the aorta. the pulmonary arteries are prominent including upper zone redistribution and an indistinct character which suggests mild pulmonary vascular congestion. streaky left basilar opacities suggest minor atelectasis. there is a non-displaced right posterolateral fractures involving the seventh and eighth ribs of uncertain acuity but not necessarily recent. in fact, the eighth appears to show some remodeling on the prior study.
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shortness of breath.
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right-sided port is again seen although the catheter tip is obscured by the posterior thoracic spinal fixation hardware which has been placed in the interm. the lungs are clear. there is no large effusion, consolidation, or edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch.
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<unk>f with hypoxia, fever // eval for pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with cough x <num> weeks // ? pna
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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. surgical anchors project over the right humeral head.
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history: <unk>m with dyspnea // r/o acute process
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normal cardiomediastinal and hilar contours. normal pleural surfaces. fully expanded, clear lungs.
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<unk>-year-old woman with a positive ppd and quantiferon. evaluate for active tb.
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<num> views were obtained of the chest. the lungs are low in volume with basilar atelectasis. there is no pleural effusion, focal consolidation or pneumothorax. the heart is unchanged in size with normal cardiomediastinal contours.
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left chest wall pain, assess for acute process.
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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 fracture identified. mild degenerative changes noted in the thoracic spine.
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<unk>f with fall, pain on ap compression
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there are no pleural effusions or pneumothorax. the lateral view depicts vague posterior basilar opacity projecting over the lower thoracic spine, not well depicted on the ap view.
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chest pain.
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frontal and lateral views of the chest were compared to previous exam from <unk>. the lungs are clear of focal consolidation. biapical pleural scarring is again seen. there is no pleural effusion. cardiac silhouette is enlarged but stable. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with shortness of breath and dyspnea on exertion.
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ap portable upright view of the chest. a right thoracostomy tube is again seen. a tiny right pneumothorax is new since the <time> am study. a left subclavian central venous catheter terminates at the upper svc. the heart size remains normal. the hilar and mediastinal contours are within normal limits. there is no focal consolidation or pleural effusion. there is no left pneumothorax.
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<unk> year old man s/p liver transplant c/b right diaphragmatic injury now w r ptx, chest tube placed to suction, eval for interval change. // eval r ptx
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portable semi-erect chest radiograph <unk> at <time> is submitted.
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<unk> year old man with desaturation // ? lobe collapse, ptx ? lobe collapse, ptx
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frontal and lateral views of the chest. there is new patchy consolidation identified at the right lung base. linear opacities in the left lung base are also noted, as on prior, potentially atelectasis. cardiomediastinal silhouette is unchanged. moderate hiatal hernia is again noted. no acute osseous abnormality is detected.
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<unk>-year-old female with fever and confusion.
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compared to the most recent prior radiographs, the left pleural effusion with adjacent atelectasis has improved; however, the right pleural effusion is now larger with associated atelectasis. moderate to severe cardiomegaly is stable. pacer leads are in standard position. there is no evidence of pulmonary vascular congestion. the aorta is stably torturous and sternal wires are in unchanged position. no pneumothorax.
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recent cardiothoracic surgery question.
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a single frontal image of the chest demonstrates clearing of the previously seen mild pulmonary edema. now seen is a left pleural effusion, unchanged in size from previous imaging. a small right pleural effusion is also seen. calcifications at the lung bases are again seen which are consistent with asbestos exposure. the cardiac silhouette is very large. the left-sided predominance of the patient's pleural effusion could unusual, left dominant pleural effusion due to heart failure (usually right-sided predominance), but could also be due to pleural pathology or pleuro-pericarditis. given the findings of asbestos exposure, this raises concern for mesothelioma.
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<unk>-year-old male with shortness of breath.
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the lungs are relatively well expanded, with mild atelectasis in the left lung base. the heart and descending thoracic aorta are mildly, unchanged compared to the prior study. a right picc terminates in the low svc, unchanged from the prior exam. there is no pneumothorax, pleural effusion, pulmonary edema, or focal consolidation.
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history: <unk>f with rle pain, rlq tenderness, known mesentic clot, recent sigmoidoscopy // ?clot extension, ?perf
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with chest pain. evaluate for pneumothorax.
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feeding tube is seen coiled in the stomach. cardiomediastinal silhouette is unchanged and unremarkable. biapical pleural thickening is seen unchanged since <unk>. no pleural effusion or pneumothorax is seen. the lungs are clear bilaterally.
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<unk> year old woman with ng tube in, unable to verify placement by auscultation // verify ng tube placement verify ng tube placement
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patient is in a slightly lordotic position. the cardiac silhouette size is normal. the aorta remains mildly tortuous. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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<unk> year old man with leukocytosis, recent surgery
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. chronic hyperinflation of the lungs is unchanged. old right healed rib fractures are again seen.
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<unk> year old man with chronic eosinophilic anemia just started dasatinib with pleuritic chest pain x<num> day // evidence of effusion of other cause of sob and cp
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in comparison to the chest radiograph obtained <num> day prior, the moderate right pleural effusion has decreased in size, now small with less associated right basilar atelectasis. a right-sided pigtail drainage catheter is unchanged in position. no pneumothorax. lungs are otherwise clear without focal consolidations. heart size is normal. cardiomediastinal hilar silhouettes are unchanged.
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<unk> year old woman with l breast cancer s/p mastectomy with r pleural effusion // interval change s/p thoracentesis with chest tube placed on <unk>.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with sob // infiltrate infiltrate
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pa and lateral views of the chest provided. lungs appear hyperinflated with coarsened lung markings compatible with known emphysema. a nodular opacity projecting over the left lower lung may represent a nipple shadow. the aorta appears unfolded. no large effusion, pneumothorax, signs of pneumonia or edema. heart size is normal. bony structures are intact.
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history: <unk>f with c/o cough // ? pna
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there is a very mild interstitial abnormality including peribronchial cuffing, an appearance which may be associated with mild congestion among other causes. otherwise, the lungs appear clear. the heart is mildly enlarged. the patient is status post aortic valve replacement with sternotomy. there is no pleural effusion or pneumothorax. bony structures are unremarkable.
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chest pain.
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cardiomediastinal silhouette is similar to prior, possibly minimally larger. . presumed aortic balloon pump. this probably lies slightly higher than on the prior study, nowat the level of the inferior aortic knob lumen. again seen is upper zone redistribution and diffuse vascular blurring, compatible with chf, slightly more pronounced, with atelectasis in the right cardiophrenic and retrocardiac regions. findings in the right cardiophrenic region are more pronounced. no gross effusion. no pneumothorax detected.
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<unk> m w/ hx of htn, recent stemi s/p des to rca with concern for <unk>-<unk> pericarditis p/w sudden onset doe, found to have a pericardial effusion with tamponade physiology and possible hcap. // pulmonary edema
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the heart size is within normal limits. the mediastinal contours demonstrate a mildly tortuous aorta. the lung volumes are low, exaggerating parenchymal markings. additionally, an ill-defined rounded right base opacity is present, and on lateral view likely localizes to the right lower lobe. there is no large pleural effusion or pneumothorax.
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<unk>-year-old female with fever and cough.
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severe emphysema with a large left upper lobe bullae are again noted. pneumonia in the left upper lobe is unchanged. pulmonary edema has resolved. the heart border is obscured, however, there is no lingula abnormality as confirmed by the ct performed on <unk> with the same radiographic finding. there is no pleural effusion or pneumothorax.
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<unk> year old man with severe copd, coughing, resultant sinus tachycardia. evaluate for pneumothorax or pneumonia.
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the heart is mildly enlarged. the mediastinal and hilar contours are within normal limits. there is an area of increased density projecting over the right lung base which is consistent with known thoracic aortic aneurysm. the lungs are otherwise clear. there is no focal consolidation, pleural effusion or pneumothorax.
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<unk>-year-old man with nonfluent aphasia, history of unknown manufacturer aortic graft. per radiology, recommendation to evaluate aortic graft for mri.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax the osseous structures are unremarkable there i there is also visualized on the lateral exam. this may represent an area of volume loss or early infiltrate. s a small area of increased opacity at the left cp angle. this is more prominent than on the prior study
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asthma and pna diagnosed on the outside in <unk>, now with persistent cough // rule out persistent infiltrates
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected. numerous clips are seen within the anterior chest wall bilaterally.
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history: <unk>f with hip fracture// pre op
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apparent enlargement of the cardiac silhouette is likely related to lower lung volumes and technique. mediastinal silhouette is otherwise unremarkable. lungs are clear. pulmonary vasculature is within normal limits. there is no large effusion. no discrete pneumothorax is appreciated. right chest tube is no longer seen.
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for am of <unk> year old man with right chest tube removed <unk> // eval status of pleural effusion and right apical pneumothorax
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patient is status post median sternotomy and cabg. heart size is borderline enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
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history: <unk>m with hypertension and shortness of breath
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rotated positioning. a left-sided pacemaker present, with lead tips over right atrium right ventricle. an ng tube is present, tip extending beneath diaphragm, off film. surgical <unk> are noted over the upper abdomen in the midline. linear density overlying the left lung could represent an epidural catheter, best correlated clinically. the patient is status post sternotomy. note is made that the lower most sternotomy wire is fractured. there is probable mild cardiomegaly. there is increased retrocardiac density with a probable small left effusion and partial obscuration the left hemidiaphragm. there is minimal atelectasis in the right cardiophrenic region. no pneumothorax is detected. there is pleural parenchymal thickening/scarring at the left lung apex. the right first rib may be truncated, but is unchanged. aside from right base atelectasis, the right lung is grossly clear. no gross right effusion, though minimal pleural fluid could be present on the right. suspect background hyperinflation/copd. note made of old rib fractures seen in lower right chest, similar to <unk>. compared to <unk> the heart size is larger. left effusion and left lower lobe collapse and/or consolidation is new and right cardiophrenic atelectasis is more pronounced.
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<unk> year old man with posop w/ fever // eval pna vs atelectasis
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for infection. no pleural effusions or pneumothoraces are identified. the visualized osseous structures are unremarkable.
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history of pain in the upper right chest, few centimeters below the mid clavicle. please evaluate.
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endotracheal tube terminates <num> cm above the carina, and advancement is recommended. tip of the enteric tube extends to the proximal fundus of the body, but the sidehole is at the ge junction, and advancement is also recommended. lungs are hyperinflated, with moderate to severe emphysema. no focal consolidation to suggest pneumonia. ill-defined opacities are noted in the right upper lobe and left lower lobe, which are of unclear clinical significance. no pleural effusion or pneumothorax. heart size is normal. there are multiple old bilateral rib fractures.
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<unk>-year-old male intubated, evaluate endotracheal tube placement.
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calcified pleural plaques seen on prior chest ct mimic underlying parenchymal opacities. there is no definite new consolidation or effusion. surgical chain sutures project over the right lower lobe. the cardiomediastinal silhouette is stable. there is sternotomy wires are intact. no acute osseous abnormalities. no free air seen below the diaphragm.
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<unk>f with chest pain and vomiting x<num> today. // <unk>f with chest pain and vomiting x<num> today.
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compared to the prior study there is increased volume loss/ infiltrate in the right. lung volumes continue to be low and there is pulmonary vascular redistribution.
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<unk> year old man with s/p trauma w/ new onset fever // eval for acute pulmonary process
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portable semi-erect chest film <unk> <time> is submitted.
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<unk> year old man, intubated // cardiopulmomary process cardiopulmomary process
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the heart size remains mildly enlarged with a left ventricular predominance. mediastinal and hilar contours are unchanged. there are low lung volumes which causes crowding of the bronchovascular structures. hazy and streaky left lower lobe opacity could reflect atelectasis though infection cannot be completely excluded. no pleural effusion or pneumothorax is present. minimal loss of height anteriorly of a lower thoracic/upper lumbar vertebral body is unchanged. remote left posterior rib fracture is again seen.
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weakness and fatigue.
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again seen is a right apical calcified nodule measuring approximately <num> x<num> cm. calcified nodes are seen in the right paratracheal and right hilar regions suggesting sequela of prior granulomatous disease. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. partially imaged is left humerus prosthesis.
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history: <unk>f with cough // pna?
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there is a left-sided cardiac pacer with its two leads in stable position. lungs are well-expanded without focal consolidation, pleural effusion or pneumothorax. the cardiac and mediastinal contours are within normal limits.
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<unk> year old man with pacemaker and left temporal anaplastic astrocytoma
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the heart is mildly enlarged but appears smaller since the study of <unk>. there is no pulmonary edema. mild bibasal atelectasis is improved. no pneumothorax or significant effusion.
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<unk> year old woman with ckd, breast ca s/p lumpectomy now w/ severe pulm htn requiring o<num> // pulm edema/effusion/atelectasis
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there is a right-sided port-a-cath catheter. the tip is not well visualized, but may overlie the lower right atrium as on the prior film. there are low inspiratory volumes, with patchy increased densities in both lungs. the patient has known pulmonary carcinomatosis, though superimposed processes would be difficult to exclude on this radiograph. there are pigtail catheters at both lung bases. on the left, there is a pneumothorax at the left lung base. on the right, no definite pneumothorax is detected, though a small right pleural effusion is present. the cardiac cardiomediastinal silhouette is not well delineated, but is probably unchanged. a stent overlies the mid abdomen and may represent a cbd stent.
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<unk> year old man with bilateral chest tubes // interval chnage?
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ap portable view of the chest. the patient is rotated. there are no focal consolidations, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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altered mental status.
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there has been interval increase in right-sided consolidation, predominantly involving the right middle lobe, but also with possible involvement of the inferior right upper lobe and right lower lobe. difficult to exclude subtle left base consolidation. the cardiac, mediastinal, and hilar contours are stable. no pleural effusion or pneumothorax is seen.
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cough.
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pa and lateral views of the chest provided. cardiomegaly is again noted, mild. no signs of congestion or edema. there is no focal consolidation concerning for pneumonia. mild blunting of the left cp angle likely reflects the presence of a tiny effusion. no right-sided effusion. mediastinal contour is unchanged with mildly unfolded thoracic aorta. bony structures are intact. no displaced rib fracture is identified.
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<unk> year old woman with dry cough, left chest wall discomfort
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a right-sided catheter overlies the expected course of the subclavian vein, loops in the superior neck and extends into the inferior chest, consistent with recent tracheoesophageal puncture. the cardiomediastinal and hilar contours are normal. the lungs are clear. no focal consolidation, pleural effusion or pneumothorax identified.
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chest pain, fever. question acute cardiopulmonary disease.
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heart size and cardiomediastinal contours are normal. lung volumes are slightly diminished but no focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>m with chest pain, dyspnea // eval for ptx
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pa and lateral chest radiographs were provided. there is a hazy opacity located peripherally within the right upper lobe, consistent with pneumonia. subtle opacity near the right lower lobe may represent infection as well. there is no pleural effusion or pneumothorax. there is no evidence of pulmonary edema. a prosthetic valve is unchanged in position. cardiomediastinal silhouette is stable. median sternotomy wires are intact.
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history of productive cough. rule out pneumonia.
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the heart is of normal size with normal cardiomediastinal contours. lung volumes are low. lungs are otherwise clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. pulmonary vasculature is unremarkable. osseous structures are unremarkable. no radiopaque foreign bodies.
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<unk>-year-old man with decreased o<num> saturation on room air and somnolence.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
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<unk>-year-old female with hyponatremia and fever. evaluate for evidence of acute cardiopulmonary process.
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pa and lateral views of the chest provided. there is no convincing evidence for pneumonia. no pleural effusion or pneumothorax. relative hilar prominence is stable from <unk>. 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 sob // pna
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left perihilar subtle opacity seen on the pa, which projects posteriorly on the lateral, is likely infectious in etiology. there is no pleural effusion or or pneumothorax. the cardiomediastinal silhouette is unremarkable. there are no acute skeletal abnormalities.
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<unk>-year-old woman with fever, cough, and rales at left base; rule out pneumonia.
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there is no focal consolidation, pleural effusion, pneumothorax, or mass. cardiomediastinal silhouette is normal. osseous structures are intact.
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<unk>-year-old male with left sternal chest pressure, question pneumonia or mass.
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a single lead left chest pacer, median sternotomy wires and mediastinal clips remain in unchanged position. the heart is enlarged, unchanged. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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<num> day post cath stent. rule out pneumonia, atelectasis
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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.
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<unk>-year-old female with chest pain.
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pa and lateral views of the chest were provided. the heart is top-normal in size. the lungs appear clear. no pleural effusion or pneumothorax. mediastinal contour is normal. bony structures are intact. there is no free air below the right hemidiaphragm.
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<unk>-year-old female, immunosuppressed, near syncopal episode with left lung crackles.
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the continues to be a large right pneumothorax with considerable collapse of the right lung, similar to the previous film. density along the right heart border may represent atelectasis and crowding of the right hilum in the setting of a collapsed lung. there is mild associated shift of the mediastinum to the left. the right hemidiaphragm is eventrated. the heart does not appear enlarged. on the left, no chf, focal infiltrate or effusion. a <num> mm rounded opacity lies against the lies adjacent to the left mid chest wall, overlying the left fourth anterior rib. the patient has other known lung nodules that are not well depicted on this film.
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<unk>-year-old female with large pneumothorax and dyspnea. please evaluate for change in pneumothorax.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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<unk>m with hand injury, preop film // preop
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portable semi-upright radiograph of the chest demonstrate low lung volumes results in bronchovascular crowding. the cardiomediastinal contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation. a right subclavian central venous line terminates in the cavoatrial junction. nasogastric tube courses into the stomach and out of the field of view.
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diarrhea, abdominal pain. evaluate nasogastric tube placement.
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lung volumes are decreased. the heart size is top normal. the mediastinal and hilar contours are normal. the pulmonary vascularity is normal and the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is detected. there are no acute osseous abnormalities.
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history of cerebral vascular accident with worsening weakness and difficulty swallowing.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the hilar contours are stable.
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trauma and cough/fever.
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pa and lateral views of the chest provided. mild right basal platelike atelectasis noted. otherwise lungs are clear. no signs of pneumonia or edema. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with cp // chest pain
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though the lungs appear clear on the frontal radiograph, on the lateral view there is an ill-defined opacity in the posterior and lower lung overlying the lower spine and is concerning for an early focus of infection, most likely in the left lower lobe. cardiomediastinal silhouette is normal. no pleural abnormality.
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evaluate for presence of lung infection. patient has fever and cough.
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an endotracheal tube is present with the tip <num> cm from the carina. the lung volumes are low. the left costophrenic angle is not included in the field of view. a large dense retrocardiac opacity is most likely atelectasis. the lungs are otherwise clear. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the apparent widening of the mediastinum is due to prominent mediastinal fat.
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new intracranial hemorrhage, status post intubation. evaluate endotracheal tube.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no retrocardiac opacity suggestive of a hiatal hernia and the gastric air bubble is seen below the diaphragm. there is no pleural effusion or pneumothorax.
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worsening reflux, evaluated for diaphragmatic hernia.
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there has been interval placement of a right ij central venous catheter which ends in the proximal right atrium, it would need to be withdrawn <unk>-<num>mm to end in the low svc. a lucency at the right lung apex, likely represents a skin fold with a tiny apical pneumothorax also possible, attention on followup imaging. an endotracheal tube has been retracted and is in appropriate position. lung volumes are improved. there remain bibasilar opacities. there is no large pleural effusion.
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<unk>f with pna, right ij central line placement.
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compared with prior radiographs on <unk>, there is increased bibasilar atelectasis, right greater than left, and increased small bilateral pleural effusions, right greater than left. there is no vascular congestion or edema. no new focal consolidation or pneumothorax. there has been interval removal of a esophageal drainage tube. the right pleural drain is stable in position. cardiomediastinal silhouette is unchanged.
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<unk> year old man s/p <unk> esophagectomy // check interval change
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frontal and lateral chest radiographs demonstrate low lung volumes. port-a-cath remains in unchanged position. cardiomediastinal contour is unchanged and again demonstrates minimal cardiomegaly. calcifications along the tracheobronchial tree and the aortic arch are also noted. linear opacities at the bases most likely reflect atelectasis. cephalization of the vessels suggests mild pulmonary vascular engorgement, new from the prior exam. small bilateral pleural effusions are stable. there is no pneumothorax.
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<unk>-year-old with chf and chest pain, evaluate for acute cardiac versus pneumonia versus pe.
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lung volumes remain low. even allowing for the projection, the heart is mildly enlarged. there is prominence and haziness of pulmonary vasculature bilaterally consistent with congestive heart failure and mild pulmonary edema. the extent is similar when compared to the prior study. left lower lobe atelectasis. no definite pleural effusion seen. no pneumothorax seen. support and monitoring equipment is unchanged in position.
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<unk> year old man with anoxic brain injury with ards who had increased icp and desat episode to <num>s. // interval change (desat issues)
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MIMIC-CXR-JPG/2.0.0/files/p14497209/s52921648/22d9a437-ce343fe4-ab42711e-75d1c56d-9e4859a0.jpg
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patient status post median sternotomy and cabg. heart size remains mild to moderately enlarged. mediastinal and hilar contours are relatively unchanged. there is no pulmonary edema. streaky opacities in the lung bases are compatible with areas of atelectasis. trace bilateral pleural effusions, right greater than left, are minimally increased on the right. no pneumothorax is identified. there are no acute osseous abnormalities.
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history: <unk>m status post recent cabg <unk> now with persistent cough and incisional drainage
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