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MIMIC-CXR-JPG/2.0.0/files/p11648387/s56026305/66699917-cb10f39d-c6837ebc-ae3846ad-868b4f6c.jpg
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia. pulmonary vascularity is within normal limits. the upper abdomen is unremarkable. these is no acute osseous abnormality.
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<unk>m with chest pain, cf // pneumonia?
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the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
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history: <unk>f with shortness of breath // acute process?
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the lungs are fully expanded and clear. there is no pleural effusion or pneumothorax. there is no focal consolidation.
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<unk> year old woman with persistent cough despite antibiotics, evaluate for pneumonia.
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lung volumes are low. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality. there is a focal small calcified granuloma laterally near the tip of the left scapula.
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history: <unk>m with hypoxia // pna?
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an endotracheal tube terminates at the level of the clavicles. nasogastric tube enters the stomach, distal tip not visualized. bilateral ij central venous catheters terminate in the low svc. bilateral airspace opacities are not appreciably changed in extent or distribution. small layering pleural effusions are also unchanged. the cardiac silhouette is slightly smaller.
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<unk> year old man with sepsic shock, course c/b stemi and lung hemorrhage, remains intubated // eval for interval changes
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portable semi-upright radiograph of the chest demonstrates a right-sided infusion port, with the tip terminating in the upper right atrium. inspiratory volumes are slightly low. cardio mediastinal silhouette is probably unchanged. suspect mild cardiomegaly, with a calcified tortuous aorta. there is bilateral hilar prominence. possible mild peribronchial cuffing is noted and the minor fissure is slightly thickened. there is mild prominence of interstitial markings at both bases. there is patchy opacity at both lung bases medially. there is no definite pleural effusion. no pneumothorax or obvious subdiaphragmatic air detected. right upper quadrant surgical clips noted. previously described (ct) described small pulmonary nodules that are not well depicted radiographically.
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history: <unk>f with peritonitis // free air? . review of omr indicates history of gallbladder cancer.
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MIMIC-CXR-JPG/2.0.0/files/p16570435/s52474142/fc59174e-c3c5176e-29a42840-0d792767-747eac4b.jpg
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there is mild pulmonary edema. previously noted opacities in the right mid and lower lung are again noted. as compared to the prior exam there is some increased opacity in the right upper lung. no pneumothorax is seen. a small right pleural effusion is unchanged. mild cardiomegaly is unchanged. the right hilum is prominent suggestive of pulmonary hypertension. the patient is status post median sternotomy and cabg. there is tortuosity of the aorta. a previously placed right-sided picc now courses superior to the right internal jugular vein with tip out of view of radiograph and needs repositioning.
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known pneumonia. evaluation for progression or resolution. two views of the chest.
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pa and lateral chest views were obtained with patient in upright position. the heart size is of the upper limit of normal variation. there is relative prominence of the left ventricular contour to the left, a finding which suggests mild enlargement of the left ventricle. there is, however, no conclusive evidence for left atrial enlargement or pulmonary congestion. the thoracic aorta is mildly widened and elongated, but no local contour abnormalities are seen. no evidence of acute pulmonary infiltrates on either side and the lateral and posterior pleural sinuses remain free. surgical clips are identified in the right upper abdominal quadrant indicative of previous cholecystectomy. additional surgical clips overlying left upper abd. area indicative of previous hiatal hernia repair. when comparison is made with the next preceding chest examination of <unk>, two at that time suspected nodular lesions in the left upper lobe area cannot be identified. they were already excluded by a chest ct examination of <unk>. ct examination also shows that the patient was status post left-sided nephrectomy for renal cell carcinoma which explains the described densities in the left upper quadrant area.
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<unk>-year-old female patient with chest pain, cough and sputum, evaluate for pneumonia.
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the cardiomediastinal 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 cough and low-grade fevers.
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MIMIC-CXR-JPG/2.0.0/files/p16924675/s54048690/4667315f-f9916eda-258220ab-979cbb3c-a36d525e.jpg
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the lungs are clear. cardiomediastinal silhouette is top normal but unchanged. there is no pleural effusion or pneumothorax. left chest wall single pacing lead is unchanged in position.
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<unk>-year-old male with chest pain, pleuritic, back pain.
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bilateral apical scarring, right greater than left. lungs otherwise clear. no pulmonary edema. normal cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
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history: <unk>f with cp // ? pna
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pa and lateral chest radiographs demonstrate obscuration of bilateral costophrenic angles by moderate sized pleural effusions. the cardiomediastinal silhouette appears stable when compared to prior radiograph dated <unk>. there are bilateral focal opacifications within the right upper, left upper and left mid lung zones. there is central pulmonary vascular congestion with mild edema. the heart size is top normal, unchanged since the <unk> study. osseous structures are without acute abnormality.
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<unk>-year-old male with history of rectal cancer presents with nonproductive cough and dyspnea on exertion.
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the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. the lungs are clear. there is biapical pleuroparenchymal scarring. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. old left rib fractures are again noted.
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a <unk>-year-old man with dyspnea, hypoxia, recent pneumonia, evaluate for pneumonia.
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there has been interval progression of disease with more dense consolidation identified in both the right middle and lower lobes. somewhat patchy and retrocardiac opacity is new. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips project over the right lower chest wall. peg tube is identified.
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<unk>f with cough, hypoxia // eval for pna, interval change
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opacities at the left lung base are minimally improved. right basilar opacities are unchanged. mild increase in cardiomegaly with new, mild pulmonary vascular congestion and pulmonary edema. no definite pleural effusion.
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<unk> year old man with frequent desats // ?pna, aspiration
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. left upper lobe lesion containing a fiducial marker appears similar to prior. there is slightly increased density of the left lower lobe which may represent aspiration or developing pneumonia. no pleural effusion or pneumothorax.
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lower extremity edema.
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the cardiomediastinal and hilar contours are within normal limits. lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with tachycardia, n/v // eval for infiltrates
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MIMIC-CXR-JPG/2.0.0/files/p14148400/s53755731/b6b6a7ac-9fe82ea9-b224481c-b70771b5-ce829f60.jpg
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with hypertension and chest pain // ?acute cardiopulmonary process
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MIMIC-CXR-JPG/2.0.0/files/p13992004/s57423786/422c101d-7c7be68c-76d692f8-af964702-2ee54191.jpg
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moderate-to-severe cardiomegaly with significant contribution from the left atrium is reidentified. mitral annular calcification is again seen. there are increased diffuse interstitial markings bilaterally with associated bilateral pleural effusions. no pneumothorax is identified. no focal opacity concerning for pneumonia.
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<unk>-year-old female with failure to thrive and elevated white blood cell count.
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patient is status post median sternotomy and cabg. mild enlargement of cardiac silhouette is unchanged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
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history: <unk>m with pleurisy, fever
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there is a new, moderate, right-sided pleural effusion, as well as an increased left-sided pleural effusion. there is associated atelectasis bilaterally. there is no evidence of pulmonary vascular congestion. the mediastinal contour is normal.
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<unk> year old man with cll/sll, aspiration pna, neutropenia, npo with increased rr. // please assess for interval change ?pulmonary edema.
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moderate diffuse perihilar interstitial and alveolar opacities, right greater than left, with air bronchograms. the lungs are mildly hypoinflated. small bilateral pleural effusions. no pneumothorax. mild cardiomegaly is stable. mediastinal contour is unremarkable. left subclavian port tip in the upper svc. mediastinal clips noted.
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<unk>f with sob. assess for pneumonia or congestive heart failure.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is stable. tortuosity of the descending thoracic aorta is again noted. no acute osseous abnormalities. surgical material projecting in the posterior subcutaneous tissues of the back.
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<unk>m with presyncope // eval for signs of pneumonia
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lungs are fully expanded and clear. no pleural abnormalities. heart size is top-normal. cardiomediastinal and hilar silhouettes are normal.
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<unk> year old woman with new diagnosis of adult onset stills disease complicated by macrophage activating syndrome started on prednisone/anakinra with hypotension // eval for pna, consolidation, effusion
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left chest wall dual lead pacemaker is present with the leads projecting over the right atrium and right ventricle. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.
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<unk> year old woman with new onset ? encephalopathy // r/o pneumonia / consolidation
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there has been interval placement of a right internal jugular central venous line which terminates along the distal svc. the cardiac silhouette continues to be enlarged with moderate vascular congestion. no pleural effusion or pneumothorax is noted. no focal consolidation is noted.
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<unk>-year-old male with hepatocellular carcinoma, cirrhosis, hypotension and sepsis. please evaluate central line placement.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. a moderately displaced fracture is noted to the mid shaft of the left clavicle, age indeterminate. similarly, multiple contiguous posterior left-sided rib fractures are chronic appearing, but age indeterminate given the lack of comparison study.
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<unk> year old woman presenting with etoh intoxication and s/p fall onto her chest (has chest wall pain). // ?rib fracture or trauma
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the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. patchy calcification is similar along the aortic arch. there is a vascular stent projecting adjacent to the aortic arch. there is no pleural effusion or pneumothorax. the lungs appear clear. slight degenerative changes are similar along the thoracic spine. there is a prior non-displaced right sixth rib fracture with remodeling.
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possible seizure. question infectious etiology.
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portable upright chest film <unk> at <time> is submitted.
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<unk> year old man s/p r ak pop-dp spiked a temp overnight // please assess for pna please assess for pna
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heterogeneous opacity with air bronchograms in the left lower lobe. cortical irregularity of lateral left sixth and seventh ribs may represent rib fractures. no pneumothorax or pleural effusion and right lung is clear.
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male status post fall with left-sided rib pain. assess for pneumothorax.
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a small pleural effusion is present at the left base with some associated left basilar linear atelectasis. it is likely similar is size accounting for differences between the pa and ap images. the lungs are otherwise clear without consolidation or edema. there is no pneumothorax. the cardiomediastinal silhouette is unchanged. the aortic arch appears more prominent, likely due to rotation.
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pancreatitis and left pleural effusion. please evaluate effusion.
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single supine portable view of the chest. no prior. lung volumes are low though lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female, pedestrian versus car. trauma.
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endotracheal tube tip <num> cm above carina. mild pleural effusions, new or worsened. left basilar consolidation, worsened, likely atelectasis. patchy lower lung opacities are worsened, atelectasis versus pneumonitis. heart size is increased. pulmonary vascularity within normal limits. surgical clips low left neck. trachea is now midline. no pneumothorax.
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<unk> year old woman with acute resp failure s/p thyroidectomy still intubated // interval changes post op
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. mild left lower lobe linear opacity may represent subsegmental atelectasis or scarring, unchanged. tortuosity of aorta is unchanged.
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<unk>m with asthma, aflutter awaiting cardioversion, with subacute progressive sob with acute exacerbation day prior to presentation. wheezy on exam. afebrile. evaluate for etiology of shortness of breath
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enteric tube is seen terminating over the left upper quadrant in the expected location of the gastric body. there are no abnormally dilated loops of large or small bowel. there is no free intraperitoneal air. osseous structures are unremarkable. there are no unexplained soft tissue calcifications or radiopaque foreign bodies.
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<unk> year old man with aphasia, dysphagia s/p cav mal resection. // placement of dobhoff tube. please assess for placement.
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a new moderate to large right pleural effusion is demonstrated with associated right basilar opacification. patchy left basilar opacity is also demonstrated. peripheral increased interstitial markings likely reflect underlying chronic interstitial lung disease, as assessed on the previous ct. there is no pneumothorax or pulmonary vascular congestion. heart size is difficult to determine given the presence of the left pleural effusion. mediastinal contours are unremarkable with calcification of the aortic knob. right hilar enlargement is suggestive of underlying lymphadenopathy. there are multilevel degenerative changes in the thoracic spine.
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shortness of breath and lethargy.
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frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax identified.
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cough, evaluate heart and lung fields.
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with productive cough // pneumonia?
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MIMIC-CXR-JPG/2.0.0/files/p10045574/s52738750/2984f94f-3b671ad6-c1449e76-03657dc0-66241afb.jpg
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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fever.
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is a right triple-lumen central line catheter with the tip in the lower svc. there are no acute skeletal abnormalities.
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<unk>-year-old woman with aml and worsening sharp chest pain. question acute process.
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pa and lateral views of the chest provided. lateral view is limited due to patient arm position over the chest. lung volumes are low though allowing for this the lungs appear clear. no definite pleural effusion or pneumothorax is seen. heart size is difficult to assess due appears grossly stable. mediastinal prominence likely due to unfolded thoracic aorta, intervally progressed. no acute bony abnormalities.
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<unk>m with h/o left shoulder pain, s/p left rotator cuff surgery // pre-op, eval acute process
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. persistent atelectasis in the left lower lobe is seen, slightly improved from the prior exam. the right lung is clear. cardiomediastinal silhouette is unchanged. bony structures are intact.
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<unk>m with chest pain // eval for acute process
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a bedside ap radiograph of the chest demonstrates that the right-sided pneumothorax is now much smaller, seen as a pleural line only in the apex. the right-sided chest tube is unchanged in position. small right pleural effusion is unchanged in size; however, it no longer presents as a distinct air-fluid level, also supporting the interval decrease in amount of the pleural air. the lungs are otherwise clear. the hilar and cardiomediastinal contours are unchanged. pulmonary vascularity is normal.
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evaluate for interval change in patient with spontaneous pneumothorax, exacerbated by placing the chest tube on waterseal, now back on suction.
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pa and lateral views of the chest provided. lungs are clear with upper lobe lucency compatible with known emphysema. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with borderline cardiomegaly. imaged osseous structures are intact. no displaced rib fractures. no free air below the right hemidiaphragm is seen.
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<unk>f with left sided chest pain // ?ptx.
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a moderate sized right pleural effusion appears relatively unchanged compared to the prior exam. right basilar opacity may reflect atelectasis though infection cannot be excluded. left lung base is not imaged in its entirety, but where seen, there is likely a retrocardiac opacity which may reflect atelectasis or infection. the pulmonary vascularity is not engorged. tortuosity of the thoracic aorta is again demonstrated with associated calcifications. no pneumothorax is identified, and no large left pleural effusion is present.
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altered mental status.
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pa and lateral views of the chest. again seen is the biapical calcified scarring compatible with prior granulomatous disease and emphysematous changes involving mainly the apices. mild chronic interstitial changes are seen in the lower lobes bilaterally, better assessed on the prior ct. there is an opacity in the left lower lobe which may represent a superimposed pneumonia. no pleural effusion or pneumothorax is seen. the cardiomediastinal silhouette is normal. the median sternotomy wires and mediastinal clips are stable. clips are seen in the right upper quadrant. there is no free air. the osseous structures appear unremarkable.
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<unk>-year-old female with fever, question pneumonia.
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single portable view of the chest. there is slightly increased interstitial marking seen throughout the lungs, the chronicity of which is uncertain given lack of prior. there is a more focal region of opacity projecting over the left mid lung. its etiology is uncertain and it could be due to confluence of shadows including the scapula. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications seen in the aorta.
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<unk>-year-old female with new onset of shivering and shaking with fever. recent pneumonia, on levofloxacin and recent pelvic fracture. question pneumonia.
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portable ap upright chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with chf and new fever // new infiltrate c/w pneumonia/aspiration? new infiltrate c/w pneumonia/aspiration?
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the cardiac silhouette is mildly enlarged, unchanged. dual left-sided aicd is in standard position and its leads terminate in the right atrium and right ventricle, expected locations. the hilar and mediastinal contours are within normal limits. lung volumes are decreased, accentuating the bronchovascular structures. bibasilar opacities likely reflect atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. there is mild pulmonary vascular congestion.
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history of asthma, chf presenting with shortness of breath for <num> weeks, wheezing. evaluate for pneumonia, pleural effusion, chf.
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compared to chest radiographs from <unk>, large right pleural effusion is unchanged. no appreciable effusion on the left. lung volumes remain low. right internal jugular central venous catheter has been removed. right basilar atelectasis has improved, as well as mild left basilar atelectasis. no new focal consolidation. heart size is normal. no central vascular congestion or overt pulmonary edema. right pic line tip terminates close to the cavoatrial junction.
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<unk> year old woman with right pleural effusion. // compare to prior study. ? change in fluid collection. routine <unk> am rounds.
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MIMIC-CXR-JPG/2.0.0/files/p10505380/s55170607/8e47c49c-577d5fd1-f37bc527-6c63c0e8-cbb667e4.jpg
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the heart appears at the upper limits of normal size, perhaps with a prominent left atrial appendage, but unchanged. there is mild unfolding of the thoracic aorta. the mediastinal and hilar contours appear stable. the chest is hyperinflated. new blunting of the right costophrenic sulcus may suggest a very small pleural effusion, or alternatively, mild atelectasis with volume loss. elsewhere, the lungs appear clear.
|
upper abdominal pain.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. mild enlargement of the cardiomediastinal silhouette is stable. no pulmonary edema is seen.
|
history: <unk>f with chest pain, palpitations // evaluate for acs
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a single portable semi-erect chest radiograph was obtained. lung volumes are mildly decreased. an opacity projecting over the right base has a sharp lateral border consistent with atelectasis. no additional focal consolidation, effusion, or pneumothorax is present. cardiac and mediastinal contours are normal. incidental note is made of the splenic flexure appearing immediately under the left hemidiaphragm.
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<unk>-year-old man with increased secretions and hypoxia after anesthesia.
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there are bilateral parenchymal opacities and small left greater than right pleural effusions. cardiac silhouette is enlarged but stable in configuration. median sternotomy wires and mediastinal clips are noted. left chest wall single-lead pacing device seen with lead tip in the right ventricular apex.
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<unk>-year-old male with crackles and shortness of breath. question pneumonia or pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p18650767/s51869603/4816184b-5ddec1ce-fec70f3a-9f11a681-3beb5228.jpg
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pa and lateral views of the chest provided. cardiomegaly and mild-to-moderate pulmonary edema noted. no large effusions or pneumothorax. mediastinal contour appears grossly unchanged. bony structures are intact. striated sclerotic appearance of the vertebrae likely reflects renal osteodystrophy as clearly seen on the prior ct chest.
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<unk>m with dyspnea, esrd // pna?
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left basilar opacity may reflect atelectasis, and the lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. there is no overt pulmonary edema. the heart is normal in size. the mediastinal contours are normal. presumed right lower cervical hardware is visualized.
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<unk>-year-old male with leukocytosis and pain. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18696543/s54698498/d1c8f45f-3c6a8c91-0295be23-3c052566-f4d1b1cc.jpg
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there are relatively low lung volumes. the cardiac silhouette is top-normal. patchy left basilar opacity is seen, increased from prior. as well, there is a relative linear area of opacity at the more lateral left lung bases may be due to increased atelectasis. . the patchy opacities could be due to infection, aspiration, or atelectasis. there is subtle blunting of the left costophrenic angle, similar to prior, suggesting a small left pleural effusion. no pneumothorax.
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history: <unk>f with tachypnea, left pleural effusion // eval for infiltrate, worsening effusion
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. there is mild prominence of pulmonary vasculature. cardiomediastinal silhouette is at the upper limits of normal. no acute fractures are identified.
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chest pain.
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the lungs well expanded. there is opacity at the medial right lung base which is compatible with a prominent fat pad as seen on prior ct scan. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. mediastinal clips are noted.
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<unk>f with chills // eval for pneumonia
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the cardiac silhouette continues to be moderately enlarged. low lung volumes accentuate the pulmonary vasculature. there are no overt signs of pulmonary edema or pleural effusion. there are no focal opacities or pneumothorax. the mediastinal contours are normal.
|
weakness status post dialysis. evaluate for infection.
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MIMIC-CXR-JPG/2.0.0/files/p14885862/s57739906/7b107a90-d120ca8a-5c33e2d0-90122e7b-e3f82771.jpg
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frontal and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. the aorta is slightly tortuous. no acute osseous abnormality detected.
|
<unk>-year-old male with chest pain, syncope.
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MIMIC-CXR-JPG/2.0.0/files/p18678399/s54891719/71510351-23d070a8-5c74414a-60b12b41-4defc973.jpg
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since prior, there has been no significant interval change. the right pigtail pleural catheter is unchanged in position. right pleural effusion is similar in size. known left pleural effusion and bibasilar atelectasis is also stable. there is no pneumothorax.
|
<unk> year old woman with effusion, interval evaluation.
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MIMIC-CXR-JPG/2.0.0/files/p19862541/s56212475/28eceac7-5c7fc116-869622e2-2bdc597d-b3bbfa9e.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are clear. there are no pleural effusions or pneumothorax. the bony structures are unremarkable. there has been no significant change.
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cough and subjective fever.
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there is mild pulmonary vascular congestion. no focal consolidation is seen. there is mild cardiomegaly. there is no pleural effusion or pneumothorax. degenerative changes are seen at the bilateral acromioclavicular joints. mild height loss of the lower thoracic vertebral bodies are unchanged.
|
<unk>-year-old woman with dizziness, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p10770896/s59679312/65b08576-b7bd88d2-79de869b-7489c3e0-a49203ac.jpg
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no displaced rib fracture is seen.
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evaluate for rib fracture and a patient struck during boxing <num> days ago..
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MIMIC-CXR-JPG/2.0.0/files/p12158177/s53243837/ae27bbe2-a0e409a3-32215a66-11bd64a4-23521422.jpg
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pa and lateral views of the chest. the lungs are clear. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette was normal. no acute osseous abnormalities detected.
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<unk>-year-old female with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p18583455/s50596404/3a8e1853-b9feec0e-cb08d135-25fcd690-41747ff7.jpg
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this exam is somewhat limited due to patient body habitus. a right ij central line terminates in the lower svc. a presumed pacer projects over the left heart border. lung volumes are somewhat low, somewhat limiting evaluation. there is hilar congestion, unchanged from prior exam. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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<unk>f with s/p cvl // placement?
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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. degenerative change noted along the thoracic spine.
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history: <unk>m with weakness, difficulty ambulating // eval for pna, chf
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MIMIC-CXR-JPG/2.0.0/files/p16528352/s51091019/28ea37ef-2b5d6c50-c01a1095-6cd4a4ba-8fefafe7.jpg
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frontal and lateral views of the chest demonstrated a persistent small right pleural effusion. there is no left pleural effusion. mild interstitial pulmonary edema has progressed since prior exam. heart is mildly enlarged. ascending aorta is mildly tortuous. sternotomy wires are intact. multiple surgical clips project over cardiac silhouette. no pneumothorax. a round density projecting over right lower lung likely represents a bone island of the scapula.
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patient status post fall.
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MIMIC-CXR-JPG/2.0.0/files/p16199860/s50643444/37a5e775-334b3797-47fa9e69-12c91d9a-5033f3ec.jpg
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the patient is status post median sternotomy and cabg. the upper <num> sternotomy wires appear intact and appropriately aligned. the lower <num> sternotomy wires appear angulated and laterally displaced on the frontal view. they appear anteriorly displaced on the lateral view. stable enlargement of the cardiac silhouette. 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 s/p cabg // please eval sternal bone
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MIMIC-CXR-JPG/2.0.0/files/p17347874/s59266643/c994b5fd-bb266f24-482d35db-1cc58f32-47e520db.jpg
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no focal lung parenchymal consolidation suggestive of pneumonia is seen. there is convexity to the main pulmonary artery contour compared to its concave appearance on the prior exam. right-sided port-a-cath and tubing are intact and in unchanged position.
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<unk> year old woman with metastatic breast cancer with new fever, lle cellulitis and gnr bacteremia. would like to assess for any pna. // ?pna
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MIMIC-CXR-JPG/2.0.0/files/p11913856/s53132590/5a12cdf3-ac19f3cf-3b4fca38-2afcb7ee-ce82760f.jpg
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focal deformities are identified posterior right ninth and tenth ribs likely reflecting old healing fractures. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
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history: <unk>m with right back pain // possible pna?
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MIMIC-CXR-JPG/2.0.0/files/p12619139/s54506998/744f7487-39c665e1-3d3d298a-63b16db4-d4fbfa2b.jpg
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. cervical fusion hardware is partially imaged and unchanged from the prior exam.
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history: <unk>f with shortness of breath. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14795382/s58663446/6c888f26-949ba59a-a0938782-36954000-0bd77b80.jpg
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left-sided dual-chamber pacemaker device is noted with leads in the right atrium and right ventricle, unchanged. heart size is normal. the aorta is tortuous with atherosclerotic calcifications noted at the aortic knob. mediastinal and hilar contours are otherwise unremarkable. there is chronic elevation of the right hemidiaphragm. bibasilar patchy opacities likely reflect areas of atelectasis. no pleural effusion or pneumothorax is present. multilevel degenerative changes are 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/p10820519/s51276792/5ce26a18-83521ca3-ae3813f6-6d09fc03-226774ee.jpg
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. normal cardiac and mediastinal contours.
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<unk>f with dyspnea // r/o infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p10349799/s53915053/4e723976-51d20f79-a0035e70-9a22e641-3c86da73.jpg
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pa and lateral views of the chest provided. lungs are well expanded and clear. there is no focal consolidation concerning for pneumonia. old tuberculosis changes are again seen in the right lung apex. cardiomediastinal and hilar contours are normal. there may be a small left pleural effusion.
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<unk> year old woman with severe cough, low grade fever, body aches x <num> days, lung wheezy, worse on right.
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MIMIC-CXR-JPG/2.0.0/files/p13742877/s50130618/a8496b37-d0aec7be-ecab7115-8f4bf006-72e0d11e.jpg
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pa and lateral views of the chest demonstrate bibasilar atelectasis and small bilateral pleural effusions, slightly improved since the prior study. the lungs are hyperexpanded, consistent with copd. no pneumothorax is present. subtle lateral right base opacity may be due to atelectasis. the cardiomediastinal silhouette is stable.
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history of chf, cad and mi with chest pain, shortness of breath and orthopnea.
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MIMIC-CXR-JPG/2.0.0/files/p14822444/s59362935/4a5f7bcc-bc736038-082280a8-f652277d-7da10184.jpg
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the heart, mediastinum, hila, pleural surfaces, lungs are normal. there is no pneumomediastinum.
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epigastric pain.
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MIMIC-CXR-JPG/2.0.0/files/p16666367/s57198309/4e247f6c-9d0b3628-a8f380ef-6656232c-15d30263.jpg
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single frontal view of the chest was obtained. heart size and cardiomediastinal contours are stable. right upper lobe mass containing a radiopaque fiducial marker is unchanged. the lungs are otherwise clear. no pneumothorax, or substantial pleural effusion.
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<unk>-year-old female status post endobronchial ultrasound. evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p18442520/s59287358/1feb524f-7d760f10-1d0a5d98-18c16e0f-e9af9904.jpg
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there is a calcified granuloma in the right mid-lung region that was previously characterized on the ct scan dated <unk>. there is also plate-like atelectasis at the right lung base. lungs are hyperinflated, consistent with emphysema. the left lung is essentially clear. there are no suspicious focal consolidations, pleural effusions or pneumothorax. cardiomediastinal silhouette is normal. no acute osseous abnormalities
|
<unk> year old man with hiv on haart; copd; 'acute on chronic' exacerbation of pain r posterior rib margin // please assess cardiopulmonary/chest wall architecture
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MIMIC-CXR-JPG/2.0.0/files/p15911529/s55387962/c8a6f765-ffcff546-a4d433d1-fe00ebbf-978fb111.jpg
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there is a left pectoral pacemaker with <num> leads, unchanged in position. a moderate right pleural effusion has reaccumulated since the most recent prior study, which is similar in appearance to <unk>. there is mild pulmonary vascular congestion/ interstitial edema. no left pleural effusion or pneumothorax is seen. the cardiac silhouette remains enlarged. there is mild calcification of the aortic knob.
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<unk>-year-old woman with history of congestive heart failure now with crackles on exam, here to evaluate for pulmonary edema or pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p13517478/s58480227/1cdcae32-9a28d63c-5e95e890-c149f4da-6c8a78ee.jpg
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there is prominence of interstitial lung markings consistent with emphysema. left pleural thickening is again noted with small left pleural effusion, new from prior. an irregular opacity in the left midlung is unchanged from <unk>. fiducial markers are also noted along the right margin of the mediastinum as on prior. no new consolidation to suggest a superimposed pneumonia. a rounded density in the left humeral head is consistent with bone island seen on ct <unk>. a tortuous aorta is unchanged.
|
<unk> year old woman with fever, decreased breath sounds and abd pain
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MIMIC-CXR-JPG/2.0.0/files/p18165618/s56068578/7f524728-57f53235-21dda485-b392a850-83f9e0ad.jpg
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as compared to prior, the appearance of the increased interstitial markings has become more conspicuous, with a basilar predominance. there is also apparent focal thickening along the fissures which is also more conspicuous when compared to prior. there is no effusion. lung volumes are appropriate. cardiac silhouette is top-normal. atherosclerotic calcifications are noted at the arch. no acute osseous abnormalities.
|
<unk>f in recent fire, singed nostrils and lower lip. <unk>% o<num> on ra // acute cardiopulmonary process
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MIMIC-CXR-JPG/2.0.0/files/p14267880/s58596847/0ae68b86-53c3d240-4582e804-d8ec1ea5-ab5f308c.jpg
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the lungs are clear of focal consolidation, large effusion for overt pulmonary edema. cardiac silhouette appears prominent in size likely accentuated by portable technique. coronary artery stents are visualized. atherosclerotic calcifications are noted at the aortic arch. apparent indentation on the right lateral aspect of the trachea just inferior thoracic inlet is suggested.
|
<unk>m with cp, pci x<num>, recent stemi // evaluate for acute changes
|
MIMIC-CXR-JPG/2.0.0/files/p17451560/s53865532/23e2ac22-0d23c818-a2d00c20-2f82ea17-ec502180.jpg
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frontal and lateral views of the chest were obtained. the lungs are well expanded without focal consolidation, pleural effusion, or pneumothorax. pulmonary vasculature is normal without pulmonary edema. heart size is normal. mediastinal silhouette and hilar contours are normal aside from unchanged mild aortic tortuosity. a healed left rib fracture is seen. there is no free air under the diaphragm. degenerative changes are seen in the thoracic spine.
|
dyspnea and bilateral leg edema. evaluate for fluid overload. comparison cxr <unk>, <unk>, ct <unk>.
|
MIMIC-CXR-JPG/2.0.0/files/p17751514/s59617688/c2c1ed98-0af36f07-e5eb51e9-24d52d8c-5a23f167.jpg
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frontal and lateral radiographs of the chest were acquired. lung volumes are slightly low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. there is minimal bilateral lower lung atelectasis. no focal consolidation is seen. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. a round calcific density adjacent to the superior aspect of the right humeral head could represent calcific tendinitis.
|
productive cough for the past week. evaluate for acute cardiac or pulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p19379892/s52631418/3e474007-9c09dad7-abac89fd-c26c90d2-06ee1ba5.jpg
|
mild elevation of the right hemidiaphragm is unchanged from the prior study and causes mild bronchovascular crowding of the right hilum. allowing for differences in technique, appearance is similar to <unk>.
|
<unk>f with cough evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p13934827/s59264247/c96ea3db-7922ba3f-ec20f18e-7b7cc7f0-a533b215.jpg
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extensive left pneumothorax causes rightward mediastinal shift. right lung appears fully expanded with fibrotic changes stable prior studies.
|
<unk>m with sob // eval for ptx/pna/pulm edema
|
MIMIC-CXR-JPG/2.0.0/files/p10218923/s51001281/da4abfb6-6a191b2a-c1eda9df-f503da59-4fe13591.jpg
|
frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema.
|
patient with asthma. assess for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p16622443/s51270524/c1e41145-2707fa1b-6cfa9f60-da48d11a-a3a65d4c.jpg
|
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.
|
<unk>f with sob // eval pneumonia vs pneumothorax
|
MIMIC-CXR-JPG/2.0.0/files/p18686472/s57429629/c2c22c04-ec7ce58d-a455f44e-a16bfa5c-35c8791c.jpg
|
the endotracheal tube tip projects <num> cm above the carina. no change in the right ij central line, projecting in the mid to lower svc. the ng tube has been advanced, now projecting in the region of the stomach. cardiomediastinal silhouette is stable. consolidations of the right middle and upper lobes are persistent. left perihilar opacity is slightly improved. no new pneumothorax.
|
<unk> year old man with emergent re-intubation. evaluate for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p16464652/s58005234/399fe427-fc4709c8-03faafd9-11ff7182-de10cb9d.jpg
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when compared to previous exam, there has been no significant interval change. right-sided port-a-cath is seen with tip in the right atrium. relatively low lung volumes are again noted. bilateral interstitial opacities with more focal regions of consolidation in the right upper lobe, bilateral perihilar and basilar distribution are again noted. least small bilateral pleural effusions are noted with blunting of the costophrenic angles bilaterally.
|
<unk>m with acute sob, on cpap // r/o acute process
|
MIMIC-CXR-JPG/2.0.0/files/p15044192/s59005688/fbf1f8e9-3fc89dfc-9501feb2-631f6786-31c42cbe.jpg
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the heart is mildly enlarged. there is a dexropositioning of the heart and mediastinal structures. the heart is moderately tortuous. calcifications are noted in the arch. there is marked dilatation of the esophagus with air-fluid levels that are prominent along the right upper lateral margin of the mediastinum as well as a large gas bubble protruding into the base of the neck. aside from a patchy associated right mid lung opacification suggesting minor atelectasis or scarring, the lungs appear otherwise clear. there is no definite pleural effusion or pneumothorax. mild hyperinflation is present. the bones appear demineralized. there is minimal loss in vertebral body height along the mid thoracic spine.
|
fever.
|
MIMIC-CXR-JPG/2.0.0/files/p18637449/s57509159/fb573725-a9839a6f-b2cbd021-a3bb476d-119aca5e.jpg
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
|
<unk>-year-old female with cough and fever. question pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p10293407/s51691993/6f8d9ec1-e45db300-0f318e23-88140a9e-ec0dfc60.jpg
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there is no pneumothorax after transbronchial biopsy. there has been no change in the bilateral loculated pleural effusion from <unk>. opacity at the right lung base is thought to reflect a combination of the known infrahilar mass and atelectasis. heart is mildly enlarged but unchanged.
|
status post right lower lobe transbronchial biopsy. evaluate for pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p14067967/s51610383/0a35fcdf-5f81115e-82273f62-974ee7f1-2914e38f.jpg
|
there has been no significant interval change in the right ij central line, right subclavian venous catheter and enteric tubes, although the distal aspect of the enteric tube is not well visualized. there are low lung volumes and new right lower lobe linear atelectasis . left-sided cardiac aicd obscures the left lung base. there is no pneumothorax.
|
<unk>-year-old male with pneumonia? pleural effusion.
|
MIMIC-CXR-JPG/2.0.0/files/p12287089/s58882115/35d933ae-49f5a63e-1fc65b69-c1e30f9d-44f0f823.jpg
|
single supine view of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormality is detected.
|
<unk>-year-old male with altered mental status.
|
MIMIC-CXR-JPG/2.0.0/files/p12978079/s52070223/50836fa7-34fca944-22e67639-85cf4cc1-18932cc2.jpg
|
the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged and normal. the aorta remains mildly tortuous. the patient is status post median sternotomy. the sternal wires are intact. clips are noted in the right axilla. dextroscoliosis is noted centered at the mid thoracic spine and unchanged. a right cervical rib is incidentally noted.
|
cough for three weeks. rhonchi at the bases.
|
MIMIC-CXR-JPG/2.0.0/files/p19623132/s54724435/73477857-a6f50c37-0244bf62-32098ef3-c401ca5c.jpg
|
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. a nipple shadow projects over the left mid lung field. otherwise, the lung fields appear clear. there is no pleural effusion or pneumothorax. the bony structures are unremarkable.
|
fever.
|
MIMIC-CXR-JPG/2.0.0/files/p14619465/s52683545/24b5848a-bf9a2949-f72fed8b-078e7eab-d712d4ee.jpg
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bibasilar atelectasis. otherwise, the lungs are without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures.
|
evaluation of patient with altered mental status and vomiting.
|
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