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cardiomediastinal contours are unchanged with mild cardiomegaly and tortuous aorta. the lungs are clear. there is no pneumothorax or pleural effusion. there are degenerative changes in the thoracic spine. cervical spinal hardware is partially imaged
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<unk> year old woman with post-op fevers // pneumonia, aspiration
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heart size is minimally enlarged. 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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<unk> year old man with history of hiv/aids, <num> weeks of worsening cough and sputum // please evaluate for a pna.
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the left-sided picc has been removed. the heart size is top normal. the moderate posterior pleural effusion on the right is unchanged. minimal pulmonary vascular congestion is unchanged.
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followup of right pleural effusion.
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the lungs are well expanded without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. right apical thickening is more pronounced compared to the left. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
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palpitations and tachycardia, here to evaluate for acute cardiopulmonary process.
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infusion port catheter is sharply kinked as it crosses under the right clavicle on its way to the low superior vena cava. this could predispose the catheter to occlusion, thrombosis, or fracture. opacity along the lateral periphery of the right hemithorax is due to pleural thickening seen on torso ct <unk>, that may have progressed . the lungs are fully expanded and otherwise clear. the cardiac silhouette is enlarged but there is no pulmonary edema. the mediastinal silhouette is normal.
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status post port-a-cath insertion in the right subclavian after attempted left subclavian placement.
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the cardiac silhouette size is normal. aortic knob is calcified. mediastinal and hilar contours are normal. lungs are clear. no focal consolidation, pulmonary edema, pleural effusion or pneumothorax is present. multilevel degenerative changes are seen within the thoracic spine.
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history: <unk>m with chest pain.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax seen. the cardiac and mediastinal silhouettes are unremarkable. there has been interval placement of a left-sided port-a-cath, which terminates in the low svc/cavoatrial junction. no pulmonary edema is seen.
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chest pain, shortness of breath.
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pa and lateral views of the chest demonstrate well-expanded clear lungs. heart is normal in size and cardiomediastinal contour is stable. there is no pleural effusion or pneumothorax. degenerative changes are again noted in the spine.
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<unk>-year-old gentleman with cough, evaluate for pneumonia.
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an endotracheal tube has been placed. it is somewhat high-lying, lying approximately <num> cm above the carina and perhaps even above the thoracic inlet. the cardiac, mediastinal and hilar contours appear unchanged. there is patchy opacification of the left lower lung with shifting distribution suggesting substantial persistent atelectasis, including infrahilar air bronchograms. the widened appearance of the mediastinum is stable. the only change is new patchy right infrahilar opacity, which may be associated with atelectasis, noting its rapid onset.
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status post intubation.
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compared with prior radiographs on <unk>, there has been interval loosening of one screw in the upper sternum. the sternum has overall improved alignment compared with prior. 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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<unk> year old woman s/p repair of pectus excavatum // check interval change, check placement of screws
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left-sided aicd/pacemaker device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus. heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. minimal degenerate spurring is seen within the imaged thoracic spurring.
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history: <unk>m with increased leg swelling, bibasilar wheezing
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frontal and lateral radiographs of the chest demonstrate well expanded lungs. linear atelectasis is seen in the left base. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with chest pain // ?pna
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the cardiac and mediastinal silhouettes are stable. biapical pleural scarring stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta is calcified diffusely.
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history: <unk>m with cp. history of cad. dyspnea on exertion // pneumonia? dissection?
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cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax.
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type <num> diabetes with leukocytosis and emesis.
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extreme left lung base the left costophrenic angle excluded from the film. again seen is an et tube, with tip approximately <num> cm above the carina. an ng tube is present -- although poorly delineated in the lower mediastinum, it likely extends beneath the diaphragm stop, similar to prior. additional wires and leads overlie the chest. again seen is cardiomegaly. there is upper zone redistribution and diffuse vascular blurring, consistent with chf. there more confluent opacities at left-greater-than-right lung bases, similar to prior. probable left effusion, though this is not well visualized due to positioning of the film edge. extreme right costophrenic angle excluded from the film, but no gross right effusion. no pneumothorax detected.
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<unk> year old man with respiratory failure s/p intubation // evaluate interval change
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the loculated pneumohydrothorax/ pyopneumothorax is unchanged. the right lung has not re-expanded. the left lung is clear. rright bronchus intermedius stent in situ.
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<unk> year old man with pleural effusion s/p chest tube s/p stenting with interventional pulm now with altered mental status and new oxygen requirement. // chest tube in correct position? re-expansion pulmonary edema.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. there is no evidence of hilar lymphadenopathy. heart size is normal. no pulmonary edema.
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patient with positive ppd.
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the lungs are well expanded and clear. no consolidation, effusion, or pneumothorax is present. the cardiac and mediastinal contours are normal.
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<unk>-year-old woman with shortness of breath for one week, minimal cough, history of breast cancer.
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portable chest radiograph demonstrates unremarkable mediastinal, hilar, and cardiac silhouettes. overall, there is improved aeration with minimal residual atelectasis in bilateral lung bases. there has been interval removal of mediastinal and chest tube drains without development of pneumothorax. sg catheter, nasogastric tube, and endotracheal tube have also been removed. no pleural effusion evident.
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avr, please evaluate for pneumothorax after chest tube removal.
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heart size is top 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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<unk> year old woman with recent influenza // r/o infiltrate
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the lungs are clear. cardiac, mediastinal, and hilar contours are normal. no pleural effusion or pneumothorax.
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cough and shortness of breath.
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the lungs are well-expanded. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. mediastinum is not widened. the hila are unremarkable. no significant interval change from the prior exam.
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<unk> year old man with bronchitic cough // etiology of cough
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portable ap upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man with pneumonia // interval change interval change
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right chest wall port is seen with catheter tip in the lower svc. there is no pneumothorax. left apical scarring is noted. lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with port // port placement
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a single portable frontal supine view of the chest was obtained. the patient is status post endotracheal tube placement with tip approximately <num> cm above the carina. ng tube tip is below the diaphragm but not fully imaged. the cardiac silhouette is likely accentuated by low lung volumes and the ap supine technique. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. linear left basilar opacity likely represents atelectasis. there is no large effusion or pneumothorax.
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<unk>-year-old man with endotracheal tube placement.
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cardiomegaly has not significantly changed. lung volumes remain low with crowding of the bronchovascular markings particularly at the right lung base, not significantly changed from prior radiograph. there is thickening of the right pleural which may represent a small effusion. there is calcifications of the aortic knob. left basilar opacity is present in was also seen on prior radiographs. there is no pneumothorax.
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<unk>-year-old woman with shortness of breath.
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there are no focal pulmonary consolidations, pleural effusions or pneumothoraces. the cardiac and mediastinal silhouette is unchanged from prior exam. scarring is again noted in the right middle lobe, seen on prior exam.
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<unk>f with intermittent cp // eval for pna
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a single portable ap chest radiograph was obtained. bibasilar scarring and atelectasis is similar. trace bilateral pleural effusions are slightly larger. no new consolidation is present. a right pigtail catheter is in unchanged position. there is no pneumothorax. an unused pacing lead extends from the right chest to the right atrium.
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<unk>-year-old man with heavy alcoholic use, status post esophageal perforation and repair with left thoracotomy.
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pa and lateral views of the chest. the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. of note, the lateral view has lower lung volumes with bibasilar opacities that are likely due to atelectasis.
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<unk>-year-old man with cough and chest pain, syncope.
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portable chest radiograph demonstrates increased diffuse bilateral opacifications with perihilar predominance consistent with worsened acute pulmonary edema. no pleural effusions evident. no focal opacifications concerning for pneumonia. cardiomediastinal and hilar contours are unremarkable. interval placement of aortic balloon is expected position.
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patient with stemi, pre-cabg evaluation. please evaluate for infiltrate, effusion.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. streaky bibasilar opacities likely reflect areas of atelectasis, without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with substernal chest pain, pleuritic
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endotracheal tube terminates approximately <num> cm above the level of the carina, slightly high. enteric tube courses below the diaphragm, out of the field of view. there are extensive bilateral airspace opacities with differential diagnosis including severe pulmonary edema/ards, massive aspiration, severe multifocal infection, pulmonary hemorrhage not excluded. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable.
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history: <unk>m withintubation*** warning *** multiple patients with same last name! // intubated
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pa and lateral views of the chest provided. spinal stimulator projects over the thoracic spine. lungs are clear without focal consolidation, large effusion or pneumothorax. the cardiomediastinal silhouette appears normal. the imaged bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with cough and fever // pneumonia
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the two ap upright chest radiographs were obtained with differing degrees of inspiration. apparent interstitial opacity is most attributable to low lung volumes. the heart size is borderline normal. a lower thoracic vertebra plana compression fracture is new since <unk>. mid lumbar compression deformity is similar. several right posterior rib deformities are new since <unk>. degenerative disease of the right shoulder is severe.
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<unk>-year-old with gait instability, evaluate for pneumonia.
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in comparison to chest radiographs obtained <unk> year prior, no significant changes are appreciated. left mid lung nodule projecting over the posterior sixth rib is unchanged. the lungs are otherwise fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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<unk> year old man on amiodarone // looking for pulmonary toxicity
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there are persistent opacities in the bilateral bases, most likely atelectasis, but aspiration or pneumonia cannot be excluded. there has been interval improvement in the degree of interstitial pulmonary edema, which is now almost completely resolved. moderate cardiomegaly is unchanged. the superior mediastinum remains enlarged, likely secondary to tortuous vessels. tracheostomy tube ends <num> cm from the carina. note is made of multiple very dilated loops of bowel in the upper abdomen.
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<unk>-year-old man status post cabg, here with cellulitis, now with fever and tachycardia. evaluate for pneumonia.
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the lungs are well expanded, increased from <unk>. asymmetric opacification in the left lower lung is more prominent than in <unk> and could represent early pneumonia in the right clinical context or atelectasis. mediastinal contours, cardiac borders, and hila are stable. left port-a-cath terminates in the svc appearing slightly more proximal than on on <unk> although likely accentuated by imaging on full inspiration. no pneumothorax or pleural effusion.
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<unk> year old man with new cough. evaluate for infiltrate.
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lung volumes are low bilaterally. linear opacity in the left lung base, likely represents platelike atelectasis. there is a small left-sided pleural effusion. there are no focal consolidations or pneumothorax. the hila, mediastinum, and heart are within normal limits. also noted is chronic elevation of left hemidiaphragm. no acute osseous abnormalities.
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<unk> year old woman with pleuritic chest pain on immunosuppression // r/o pna
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ap view of the chest provided. again seen is left apical pneumothorax, unchanged since prior study. there is no right pneumothorax. there is mild left base atelectasis. left-sided chest tube is in unchanged position.
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<unk> year old man with left pneumothorax
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the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. there is no pleural effusion or pneumothorax. mild anterior wedging of a mid thoracic vertebral body is better evaluated on concurrent t-spine radiograph.
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status post mvc with t-spine tenderness. evaluate for pneumothorax.
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the lungs remain hyperinflated. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with hiv, hx of pcp pn<unk>. // please evaluate for pna
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the lungs are hyperinflated and clear. the cardiac and mediastinal contours are normal. multiple old rib fractures are noted.
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<unk>-year-old man with a fever of <num>. evaluate for pneumonia.
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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chest pain. evaluate for pneumothorax.
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the lungs are clear. tortuosity and dilation of the aorta is again seen, grossly stable since <unk>. the heart size is normal. no pneumothorax, pleural effusion, or pulmonary edema. no focal consolidations are noted.
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<unk> year old man with new onset sob without change in pe. // ? pulm infiltrate.
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patchy retrocardiac opacification appears similar to the prior examination. mild hazy opacities can be seen in both lungs, but predominantly in the right mid lung, where cuffed airways are visible.
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desaturation and aspiration.
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low lung volumes are seen with a left lower lobe streaky opacity, representing atelectasis or infection. there is no pulmonary edema, pleural effusion or pneumothorax. the heart and mediastinal contours are within normal limits.
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<num> week cough, fevers, pleuritic chest pressure. evaluate for pneumonia or cardiomegaly.
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there is minor left basilar linear atelectasis/scarring. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours. no displaced fracture is seen.
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chest pain.
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the heart size is normal. there is mild bilateral perihilar fullness, otherwise the hilar and mediastinal contours are unremarkable. there is a large consolidation at the right lower lobe as well as diffuse opacities throughout the right upper lung. mild peribronchiolar cuffing with interstitial thickening is seen at the left lung base, consistent with pulmonary edema. there is likely a moderate right pleural effusion. note is made of a subtle increase in lucency at the left lung base. et tube terminates approximately <num> cm above the carina. nasogastric tube extends below the diaphragm with the tip out of view of this film.
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history of past medical history of suicidal ideations who presents with tca ingestion. patient is currently intubated. please evaluate for aspiration.
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compared with the prior radiograph, pulmonary venous engorgement has progressed, as has the degree of pulmonary edema. tracheostomy is unchanged. heart size is unchanged. however, pleural effusions have increased in size. right-sided internal jugular line terminates in the lower svc, unchanged. nasoenteric tube courses below the diaphragm. no change in the appearance of the median sternotomy wires, of which the lower to engage only the right sternal fragment. stable sternal while fragment in the subcutaneous tissues to the left of midline.
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<unk> year old woman with prior tobacco use, now emphysema (requiring <unk>l o<num>), dm, cad s/p cabg <unk>, w/ prolonged respiratory failure leading to tracheostomy with ongoing secretions. evaluate for opacities/pneumonia/volume overload.
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moderate pulmonary edema is increased compared to <unk>. cardiac silhouette is larger. there is no pneumothorax. left lower lobe collapse is persistent. small left pleural effusion is stable. right internal jugular venous approach temporary pacer terminates in right ventricle. sternotomy wires are intact. tavr device is in expected position.
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<unk> year old man s/p tavr with hypoxia // please evaluate for pulmonary edema, pna
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the trachea is slightly deviated to the left suggesting an enlarged right lobe of the thyroid. the cardiomediastinal silhouette is normal. note that the posterior spine is not included on the lateral image. the bones are intact.
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history of hiv, off meds one month ago, evaluate for acute process.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. lung volumes are slightly low. the cardiomediastinal silhouette is normal. again seen is wedging of midthoracic vertebral bodies, chronic in nature and unchanged since the prior exam.
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<unk>-year-old male with question smoke inhalation.
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heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. streaky bibasilar airspace opacities are compatible with areas of atelectasis. there are trace bilateral pleural effusions noted posteriorly on the lateral view. no pneumothorax is identified. the patient is status post t<num> through l<num> posterior fusion with intervertebral fusion devices at t<num>/<unk> and t<num>/l<num>. radiopaque embolization material is also demonstrated about the t<num> vertebral body.
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history: <unk>f with cough, dyspnea
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MIMIC-CXR-JPG/2.0.0/files/p11489146/s54580741/bcc71fbb-334544b2-290eff07-f13a00bc-48f469a2.jpg
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single portable view of the chest demonstrates a new right pigtail catheter at the right base. a residual apical pneumothorax, small in size, remains. the majority of the lung has re-expanded. mediastinum has shifted back towards the right. no pleural effusion, pulmonary edema or focal consolidations concerning for pneumonia.
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<unk>-year-old male with right-sided pneumothorax, status post pigtail placement.
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MIMIC-CXR-JPG/2.0.0/files/p16383947/s59061481/db13ebbd-0bd2bd5d-76a7c0a8-ce592497-991b058e.jpg
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interval decrease in the small left pleural effusion and resolution of the trace right pleural effusion. otherwise, no significant interval change. stable appearance of the cardiomediastinal silhouette with moderate cardiomegaly. no pneumothorax. the left-sided dual lead pacer cardiac device is intact and unchanged in position, with <num> tip in the right atrium and the other in the right ventricle. stable, mild multilevel degenerative changes including anterior osteophytes in the visualized thoracic spine.
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<unk>-year-old man complaining of dyspnea; evaluate for pneumonia or effusions.
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MIMIC-CXR-JPG/2.0.0/files/p16159717/s54914145/d6c29ebb-22632395-c89f57d4-23f6d6df-c65bf415.jpg
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the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are unremarkable and upper abdomen is within normal limits.
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<unk>-year-old female with shortness of breath. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19493805/s51890492/d74c5c8c-b8d0667a-1bfa7c0c-c2b6b2c4-874b9fee.jpg
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pa and lateral views of the chest provided. no focal consolidation is seen concerning for pneumonia. no large effusion or pneumothorax. coarsened lung markings noted diffusely raising concern for underlying fibrosis. cardiomediastinal silhouette is stable and normal. bony structures are intact.
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<unk>m with hypoxia, shortness of breath
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MIMIC-CXR-JPG/2.0.0/files/p18512995/s51680219/54a71acb-431f2120-fbff46db-22a38c3b-22ee21a6.jpg
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. surgical clips overlie the left breast.
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history: <unk>f with <unk> esoinophillic pna increasing sob // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p11901665/s51791879/c05c7776-5d47756f-381d416b-7983e76e-2ce61786.jpg
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previously seen left upper lobe pneumonia has cleared. there are relatively low lung volumes. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with pleuritic cp. // pna?
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multiple pleural plaques and calcified left hemidiaphragm are unchanged and consistent with known history of asbestos exposure. there is no focal consolidation, pleural effusion or pneumothorax. the mediastinal silhouette is unchanged, notable for a tortuous aorta. median sternotomy wires are intact.
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<unk>-year-old male with asbestosis, cough, wheezing, concerning for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13294218/s56971152/ae6fecc1-06f4fd68-0819a0fe-a9d54890-c0d2f293.jpg
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. small anterior osteophytes are present along the lower thoracic spine. there has been no significant change.
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syncope.
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MIMIC-CXR-JPG/2.0.0/files/p10190130/s57216690/fe122f8c-b8c60875-9deee492-3218a674-139d6e11.jpg
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a right internal jugular central venous catheter has been removed. there is deviation of the trachea to the left towards the aortic knob, which suggests left upper lobe volume loss. small bilateral pleural effusions are greater on the right than the left, as before. prominent irregular opacification along the right lateral chest wall demonstrates multiple healed rib fractures. the opacification pattern in the left hemithorax is relatively stable on the frontal view and thought to represent persistent left upper lobe collapse. increased lower lobe opacification on the lateral view from <unk> is of uncertain etiology. no definite pneumothorax is detected. no loculated mediastinal air is seen on the lateral view. the cardiac silhouette is indistinct but likely within normal limits. no pulmonary vascular congestion or pulmonary edema is present. exaggerated thoracic kyphosis is noted with generalized loss of height of multiple vertebral bodies and mild degenerative changes in the thoracic spine.
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status post tracheobronchoplasty, here to evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p16078289/s54380602/0841d005-2367179c-3c0518a3-c13820d7-a1f964f0.jpg
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patient is status post median sternotomy and aortic valve replacement. heart size is normal. the aorta is diffusely calcified. hilar contours are unchanged, and there is mild pulmonary vascular congestion without frank pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. multiple clips are seen overlying the right upper chest. moderate degenerative spurring is seen in the thoracic spine.
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<unk>f chest pain, eval for interval change
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MIMIC-CXR-JPG/2.0.0/files/p18402151/s59251308/03790126-e85a376c-e0c8ba81-04d2d085-8fda729a.jpg
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there is a moderate right pneumothorax has slightly increased in size compared to prior. otherwise no change in the right-sided chest tube, right rib fractures, pacemaker, left pleural effusion, and volume loss in the right midlung
|
<unk> year old man s/p mvc with r <unk>th rib fx, pulm contusions, r hemothorax s/p r ct placement now to ws w/new bubbles in output. // rule out new ptx, htx
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MIMIC-CXR-JPG/2.0.0/files/p19109135/s57563883/83dd9edd-80c04183-0af2e87e-2ce059ea-1fe0f5e8.jpg
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the lungs are clear. there is no consolidation, effusion or edema. cardiac silhouette is within normal limits. there is somewhat increased density of the aortic arch which may be technical however repeat with pa technique is suggested to further evaluate. no acute osseous abnormalities.
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<unk>m with new likely brain tumor diagnosis // ?mass
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MIMIC-CXR-JPG/2.0.0/files/p14774414/s53233529/5fd91670-977e734b-58389e06-23dfdbc9-c47ef269.jpg
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ap and lateral chest radiographs. the lungs are well expanded and clear. there is no focal consolidation, effusion, pneumothorax. severe cardiomegaly is unchanged. coarse calcifications at the cardiac apex correspond with known lv aneurysm. dual chamber pacing leads sternotomy wires and post bypass changes are stable.
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hypoxic
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MIMIC-CXR-JPG/2.0.0/files/p11303674/s54885439/ec04385a-7cf5350e-ba82479e-904fb580-810f77da.jpg
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ap and lateral chest radiographs. the lungs are clear. mildly increased interstitial markings are chronic and may represent bronchiolar thickening/inflammation. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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altered mental status. evaluation for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17968028/s51038154/314e84cd-f4aca674-ac514e90-d7471964-6cdfdc75.jpg
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lung volumes are low. moderate enlargement of the cardiac silhouette is again noted. atherosclerotic calcifications are seen within the aorta. mild to moderate pulmonary edema is demonstrated with perihilar haziness and vascular indistinctness, similar to the previous examination. no pleural effusion or pneumothorax is clearly identified. multilevel degenerative changes are seen throughout the thoracic spine.
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history: <unk>f with congestive heart failure, chronic kidney disease, today increased bun // please evaluate for pneumonia, fluid overload
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MIMIC-CXR-JPG/2.0.0/files/p17835008/s50969479/0fb99a4b-5b8a87bc-bec9628f-d30cd860-c4229b1e.jpg
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. lungs are clear without focal consolidation. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. there are mild degenerative changes seen in the thoracic spine.
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history: <unk>m with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p12657264/s52041417/305a72eb-9c1e7a38-870302e3-dc64290e-6157f693.jpg
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a right-sided port catheter is seen with its tip terminating at the cavoatrial junction. the heart is normal in size. the cardiomediastinal and hilar contours are within normal limits. the lungs are clear with no evidence of focal consolidation, pleural effusion or pneumothorax. note is made of the left breast implant.
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<unk>f with fatigue, metastatic breast ca // acute cardiopulmonary process
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MIMIC-CXR-JPG/2.0.0/files/p11375230/s55425312/5531c5af-9e09811b-d1bb6d5e-059a9aa3-1cf40631.jpg
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the lungs are hyperinflated, with flattening of the hemidiaphragms and attenuation of the peripheral vessels compatible with emphysema. there is no opacity concerning for pneumonia. and unchanged opacity in the left lower lobe is likely to scarring. there is no pleural effusion or pneumothorax. the heart is not enlarged. a moderate hiatal hernia is redemonstrated. moderate dextroscoliosis centered in the mid thoracic spine is redemonstrated.
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<unk>-year-old male with weakness. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13452052/s57856224/cc1b920a-a67e727e-c11791ef-120e6e17-cd29064e.jpg
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lung volumes are low as they had been on prior, however there is a new left basilar opacity. elsewhere, lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with weakness and backpain // r/o infectious process
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MIMIC-CXR-JPG/2.0.0/files/p12138569/s57176672/e398eb4f-660b75b9-355b8c8e-395f47ee-8600d001.jpg
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portable semi-upright radiograph of the chest demonstrates interval increase in pulmonary edema, worse on the right. probable small left-sided pleural effusion. engorged mediastinal veins and azygus vein, increased from prior, resulting in widening of the superior mediastinum. there is no pneumothorax.
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<unk>-year-old female with cirrhosis and hypoxia. evaluate for pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p10596044/s52772019/1cdc2e17-ff221874-0855e460-39f9479c-738b9878.jpg
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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sore throat, persistent cough, myalgias/ arthralgia, and recently treated pneumonia in a patient with a history of asthma.
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MIMIC-CXR-JPG/2.0.0/files/p13666616/s58666639/0ad0bced-5c277be5-7ef1437c-67c394c6-18befc0f.jpg
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patient is rotated to the left.patchy right base opacity raises concern for pneumonia or aspiration. left base atelectasis is seen. no large pleural effusion is seen. mid lung linear atelectasis/ scarring is again seen on the lateral view. no evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with confusion // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p18715578/s52988709/fc7d9e48-483b50a7-ca6c15b3-d6333cc2-6d935b4c.jpg
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linear opacities in the bilateral lung bases likely represent scarring, as they are similar in appearance since at least <unk>. the lungs are otherwise well aerated without evidence of focal consolidation, pleural effusion, or pneumothorax. cardiac and mediastinal silhouettes are unremarkable.
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<unk>f with fatigue, lethargy. evaluate for acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p14910256/s54483827/14a71e79-f0a288ef-ef819d8b-fb20e7a9-df72f6c6.jpg
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single frontal view of the chest demonstrates et tube and enteric tube to be in standard position. a left transthoracic chest tube is similar in configuration as compared to prior exam, with maried angulation superiorly, and possible obstruction as correlated with prior ct dated <unk>. the cardiomediastinal silhouette is within normal limits. there may be trace lucency along the left heart boarder, which could represent air related to a small anterior pneumothorax or small pneumopericardium, not significantly changed since prior exam. the lungs are low in volume but clear. there is no pneumothorax, pleural effusion, or confluent consolidation. a nondisplaced left lower rib fracture is better delineated on prior ct dated <unk>.
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<unk>-year-old male with left-sided chest tube in place, status post diaphragmatic rupture repair. question interval change in fluid status.
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MIMIC-CXR-JPG/2.0.0/files/p15201268/s51480590/1a2df313-8353ae13-5c3f2655-be353e01-0a81a96a.jpg
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ap and lateral views of the chest. patient is rotated to the right. the lungs are grossly clear. cardiomediastinal silhouette has not definitely changed. no acute osseous abnormalities detected.
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<unk>-year-old male with altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p12203013/s54298796/9f2ffe56-51cb91db-f7d611a6-b7fdff74-62c16d3b.jpg
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ap and lateral views of the chest. right-sided picc is again seen with tip in the upper svc. the lungs remain clear of focal consolidation. blunting of the left lateral costophrenic angle may be due to scarring or atelectasis. posterior costophrenic angles are minimally blunted which may be due to trace effusions. cardiomediastinal silhouette is unchanged. no acute osseous abnormality is detected. previously administered oral contrast seen within the colon.
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<unk>-year-old female with fever.
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MIMIC-CXR-JPG/2.0.0/files/p13452656/s51554068/60ff14d8-5c1d0a94-b4836092-5524418b-bfd6b756.jpg
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. prominent anterior osteophytes along the lower thoracic spine are similar to prior.
|
<unk>m with cough // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p14874258/s59163243/6dd85160-5e3d76ad-c3b665d9-d28cc492-5347ffb6.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear.
|
left chest pain for two days.
|
MIMIC-CXR-JPG/2.0.0/files/p17946867/s51606047/7a1f6dac-3ca3c693-7810a75f-d8a8695b-53fc16a3.jpg
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the heart size is normal and the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
|
<unk>-year-old male with atypical chest pain and a family history of blood clots.
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MIMIC-CXR-JPG/2.0.0/files/p10934092/s54533278/2a214943-3c50d759-eb4f8da5-78cd6e21-3c397969.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. chronic appearing deformity at the left distal clavicle.
|
history: <unk>m with pancreatitis // eval for effusion
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MIMIC-CXR-JPG/2.0.0/files/p11390660/s55984937/deb5eb13-bb57fc5b-a4196429-837ba4c5-1cedd757.jpg
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there is an opacity in the left lower lobe and likely a small left pleural effusion. normal heart size, mediastinal and hilar contours. no pneumothorax or pulmonary edema.
|
<unk>m with sob, cough
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MIMIC-CXR-JPG/2.0.0/files/p18991142/s55254139/477892ce-13975458-ee67c728-f31d70f3-896d4f42.jpg
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pa and lateral chest radiograph demonstrate clear lungs. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are unremarkable.
|
<unk>-year-old female preoperative examination.
|
MIMIC-CXR-JPG/2.0.0/files/p17936913/s51080900/c4eef6a7-1f57ffec-ec68b241-3f1dfb6c-7214e95b.jpg
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portable semi-erect chest on <unk> at <time> is submitted.
|
<unk>m pod<unk> s/p avr, rising lactate // eval interval change eval interval change
|
MIMIC-CXR-JPG/2.0.0/files/p13324344/s57197875/f3604f04-b3ceaf4b-ea1cdb0e-ba0c2f2c-ab91b3cf.jpg
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single portable chest radiograph provided. lung volumes are slightly low. there is no focal consolidation, pleural effusion or pneumothorax. pathcy opacities are present bilaterally which may represent atelectasis or early infection. the cardiomediastinal silhouette is within normal limits, except for minimal unfolding of the aorta. incidental note is made of bilateral carotid artery calcifications and what appears to be an old fracture of the right proximal humerus, incompletely evaluated on these views.
|
cough, evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p11122975/s52250179/6536cc4c-8fbe8058-6f44bb2d-d052ceb8-d59188a3.jpg
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there has been interval dramatic improvement in the left pleural effusion and associated atelectasis. the right pleural effusion and atelectasis are stable. there is no pneumothorax. there is mild cardiomegaly. the mediastinal and hilar contours are stable.
|
<unk>-year-old status post left thoracentesis.
|
MIMIC-CXR-JPG/2.0.0/files/p16901713/s50082503/6c123311-0d718541-35eade1f-99f8db59-7a106320.jpg
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the heart is mildly enlarged. mediastinal contours normal. there is increased opacification of the lower lungs bilaterally with pulmonary vascular engorgement. there is no pleural effusion or pneumothorax.
|
<unk>f with worsening shortness of breath, evaluate for pneumonia..
|
MIMIC-CXR-JPG/2.0.0/files/p17370015/s57040185/370f2fbd-20e513d5-8687094d-7dcb05d5-7dd2852e.jpg
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the cardiomediastinal and hilar contours are within normal limits. minimal platelike atelectasis or scarring involving the left mid lung is unchanged. there is no focal consolidation, pleural effusion or pneumothorax.
|
history: <unk>f with cp, dyspnea*** warning *** multiple patients with same last name! // evidence of pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p13293922/s59794501/d59070a5-5b8cfaa7-5c03e8cc-03744188-e2c54312.jpg
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lung volumes are low. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected on these views. heart size is normal. the aorta is tortuous. enlargement of the right lobe of the thyroid is likely present, better seen on concomitant ct.
|
<unk>-year-old female with altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p19346228/s55808767/995c9956-c6741eb4-a316a5ee-a7058aec-5de9fcc4.jpg
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the left costophrenic angle is excluded on this study. the tip of a new ng tube is not definitively visualized but appears to terminate below the diaphragm with its side hole likely above the level of the diaphragm, possibly within a hiatal hernia seen as a retrocardiac opacity. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
|
history: <unk>f with asthma exacerbation. now hematemesis // gi tube in right place
|
MIMIC-CXR-JPG/2.0.0/files/p13306576/s53701617/505ff97a-11feeeee-86585d86-af04d704-982722bb.jpg
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no focal consolidation to suggest pneumonia is seen. no pleural effusion, pneumothorax, or pulmonary edema is present. there is likely some atelectasis at the left base. the cardiomediastinal silhouette is within normal limits.
|
fever.
|
MIMIC-CXR-JPG/2.0.0/files/p19227457/s51570273/21b4a03a-7b28c1ca-5ac074e4-41dba958-058e97c0.jpg
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left internal jugular line is present with tip in the upper svc. an enteric tube can be followed to the level of the distal esophagus, but the tube cannot be followed beyond that point. there is a small left pleural effusion. there is no pneumothorax or right pleural effusion. there are low lung volumes. left retrocardiac opacity is present, likely reflecting atelectasis. pulmonary vasculature is within normal limits. the patient is status post right rotator cuff repair.
|
status post whipple, evaluate for pulmonary edema.
|
MIMIC-CXR-JPG/2.0.0/files/p12595991/s58585557/036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a.jpg
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. bibasilar consolidations may represent atelectasis or pneumonia in the appropriate clinical setting. the cardiomediastinal and hilar contours are unchanged. there is a new lucency beneath the right hemidiaphragm concerning for intra-abdominal free air. right-sided picc line and to the mid svc. unchanged position of the aicd. no pneumothorax.
|
<unk> year old woman with hypotension and dyspnea // infiltrate, edema
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MIMIC-CXR-JPG/2.0.0/files/p18881137/s50706034/5eb6e418-4dde49b0-b6cefb33-8fdedc68-fc21b5c0.jpg
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compared to earlier the same day, i doubt significant interval change. again seen are low inspiratory volumes and increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation. also again seen is some increased density in the right cardiophrenic region, unchanged. there is mild vascular plethora and faint hazy density, also similar to the prior study.
|
<unk> year old man with tachypnea // pna?
|
MIMIC-CXR-JPG/2.0.0/files/p12525991/s53388402/74fd7d84-6f4d80d0-b0c4f214-1ce1e117-60926e51.jpg
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a left anterior chest pacemaker defibrillator is again seen with tips terminating in the right atrium and right ventricle in unchanged positions. again seen is a right picc line with tip terminating in the upper to mid svc and a left ventricular assist device in stable position. the cardiomediastinal and hilar contours are stable with moderate cardiomegaly involving the right atrium, the left atrium, and the left ventricle. a left base consolidation, likely representing a combination of atelectasis and partly loculated pleural effusion, is essentially stable compared to the most recent prior study. there is no right pleural effusion. there is no pneumothorax. there is no new focal consolidation concerning for pneumonia.
|
shortness of breath. evaluate for increasing left effusion and atelectasis.
|
MIMIC-CXR-JPG/2.0.0/files/p10890696/s54273305/28c6ee4e-07c89df3-e38dae32-98d34ef8-faff3131.jpg
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single portable supine chest radiograph is provided. the endotracheal tube is in the mid trachea, <num> cm above the carina. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. there is streaky atelectasis at the left lower lobe. cardiomediastinal silhouette is normal. the bones are intact.
|
intubated. question et tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p18040308/s55150295/f6577832-1c8db7b0-8075f9b2-46dc610d-3383a174.jpg
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cardiac silhouette size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. no focal consolidation is identified. increased interstitial markings are noted at the lung bases, similar to that seen on the previous exam. no pleural effusion or pneumothorax is identified. mild degenerative changes are seen in the thoracic spine as well as within the ac joints bilaterally.
|
frequent pneumonias, cough, vomiting
|
MIMIC-CXR-JPG/2.0.0/files/p13738693/s52360433/a59858df-de554454-cb81ae77-002cfe9e-35a82033.jpg
|
cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected. curvilinear lucency within the left subdiaphragmatic region could potentially reflect a tiny amount of pneumoperitoneum.
|
chest pain after vomiting.
|
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