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MIMIC-CXR-JPG/2.0.0/files/p18466923/s56264555/624a0978-3ede0365-c49c4329-afc90c27-84722a66.jpg
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the lungs are fully expanded and clear. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pleural surfaces are unremarkable.
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<unk>f with blurry vision, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15502465/s50818482/bf1b5fe6-f11c1670-862b084c-eac5955f-a95e4db0.jpg
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frontal upright and lateral chest radiographs are obtained. lungs are well expanded and symmetric bilaterally. heart is normal in size and cardiomediastinal contours are unremarkable. lungs are clear. there is no pleural effusion and no pneumothorax. degenerative changes are noted in the spine.
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chemical exposure, evaluate for pneumonitis.
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lower lung volumes are seen. the lungs are clear of focal consolidation, effusion or overt pulmonary edema. cardiomediastinal silhouette is unchanged especially given patient's rotation. dense atherosclerotic calcifications noted at the aortic arch. median sternotomy wires are noted. no acute osseous abnormalities identified. no definite acute cardiopulmonary process. compression deformity in the upper lumbar spine is unchanged.
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<unk>f with dysphagia, mild tachycardia // evaluate for acute process
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MIMIC-CXR-JPG/2.0.0/files/p12555865/s51203046/2ac8f4d1-6c1345f4-5d68f3c3-5e16691b-23b31346.jpg
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right-sided subclavian central line in situ with the lead tip in the distal svc. persistent opacification involving the left lower lobe. mild elevation of the left hemidiaphragm. there is interval improvement of airspace opacification involving the left midlung zone. the right lung is clear. no significant effusion. no sinister bony lesions.
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<unk> year old woman with <unk> yo f with hx of depression on paxil presents with ha, seizure found to have sah with ive found to have <unk> <unk> aneurysm s/p coiling on <unk> // pna with fever spike
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MIMIC-CXR-JPG/2.0.0/files/p16181369/s52753955/d9ce9458-65a5dfca-5c4539d5-69b07d69-4af406fa.jpg
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lung volumes are low. cardiac silhouette size remains mildly enlarged. the mediastinal contours are unchanged. diffuse hazy ill-defined opacities are noted in the lungs, more extensive than compared to the previous exam. small bilateral pleural effusions persist, not substantially changed in the interval. bibasilar atelectasis remains similar compared to the prior exam. assessment for pneumothorax is limited on this exam due to the patient's chin and neck soft tissues obscuring the lung apices, though no large pneumothorax is detected.
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history: <unk>f in respiratory distress
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MIMIC-CXR-JPG/2.0.0/files/p17637680/s52182289/3fcbed21-ae5572f1-ad89bccf-f6d718cb-bb6411b9.jpg
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the mediastinum appears wide, which is likely rotational. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. vertebral fixation hardware is incompletely imaged. there are overlying surgical <unk>.
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<unk> year old woman with ? transfusion reaction . // interstitial edemna, focal process
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MIMIC-CXR-JPG/2.0.0/files/p16404704/s50209995/69c69f41-838b000c-efabd061-a85b6d36-16867fa9.jpg
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frontal and lateral views of the chest. as on prior, the left hemidiaphragm is relatively elevated. the lungs are clear of consolidation, effusion or vascular congestion. the cardiomediastinal silhouette is stable. old healed right rib fractures are identified. no acute osseous abnormalities.
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<unk>-year-old male with history of left pontine infarction, new right-sided weakness and dysarthria.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
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<unk> year old man with cough for <num> weeks. evaluate for pneumonia.
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lung volumes are low with associated bibasilar atelectasis. there is accentuation of the cardiac silhouette given ap technique and low lung volumes. there is no overt pulmonary edema, focal consolidation, pleural effusion or pneumothorax.
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<unk>-year-old female with chest pain. please evaluate.
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MIMIC-CXR-JPG/2.0.0/files/p15198128/s53382225/9998288a-26cabba9-6574c343-9f747f6d-6f484870.jpg
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the patient is intubated, the endotracheal tube terminates approximately <num> cm above the level the carina. and a nasogastric tube terminates in the stomach. lung volumes are within normal limits. the cardiomediastinal contour is normal. allowing for the projection, the heart does not appear to be enlarged. no pleural effusion or consolidation seen. no pneumothorax seen.
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history: <unk>f with intubated // eval ett
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study is somewhat limited due to patient rotation. the heart size remains moderately enlarged. the mediastinal and hilar contours are grossly unchanged allowing for patient rotation. there appears to be mild pulmonary vascular congestion, slightly improved from prior. patchy opacity in the left lung base could reflect atelectasis. no large pleural effusion or pneumothorax is seen although the left extreme costophrenic angle is excluded from the field of view.
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dementia and fever.
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ap and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. atherosclerotic calcifications noted at the aortic arch. no displaced acute fractures seen on these non dedicated views. severe degenerative changes seen at the shoulders bilaterally.
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<unk>-year-old female with fall and dizziness.
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patient with history of metastatic breast cancer and right malignant pleural effusion. significant increase in the large right multiloculated pleural effusion with an fissural component. increased opacity in the right middle lobe and right lower lobe since <unk> as well as an increased right paratracheal opacity which may be medially loculated pleural fluid or paratracheal adenopathy, difficult to differentiate. the left lung is clear and unchanged. tiny left pleural effusion new since <unk>. the cardiac and mediastinal silhouettes are unremarkable and unchanged. left chest port terminates in the right atrium.
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<unk> year old woman with hx of mpe for f/u. // ?pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p10735932/s50240758/ce4e0104-cdd8e68a-3e334459-9bd1c055-58361ff2.jpg
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pa and lateral views of the chest provided. there has been interval removal of the right ij central venous catheter. the lungs appear clear without focal consolidation, effusion or pneumothorax. no signs of edema or congestion. a small fat pad abuts the left inferior heart border. bony structures appear intact. the cardiomediastinal silhouette is normal.
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<unk>f with hx of kidney transplant <unk> year ago p/w fever, cough, abdominal pain.
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the cardiac silhouette is stably enlarged. a calcified granuloma is noted in the right upper lung field. the pulmonary vasculature is unremarkable. no definite consolidation is identified. there is no pleural effusion or pneumothorax.
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<unk> year old man who p/w shortness of breath, loud upper airway wheeze, now w/ increased sputum production and sob. // please eval for evolving pna or other process
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MIMIC-CXR-JPG/2.0.0/files/p17936886/s55777927/707f1985-dce142c1-a1b25da5-37824375-f986efbb.jpg
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there is an ill-defined opacity in the anterior segment of the right upper lobe, well delineated by the minor fissure, which is new compared with prior exam. there is also an ill defined opacification of the right lower lung field obscuring the right hear border. in the left, there is a moderate pleural effusion with concurrent atelectasis, and a peripheral opacity in the lower lung field that was seen in prior exam and might represent loculated effusion versus scarring. the heart is moderately enlarged. the mediastinal and hilar contours are unremarkable. there is no evidence of pneumothorax. sternotomy wires are intact.
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<unk>-year-old male who is on dialysis, now with hypoxia. evaluate for evidence of volume overload.
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there is no focal consolidation. there is no pleural effusion or pneumothorax. there is minimal bibasilar atelectasis. there is no evidence of pulmonary edema. there is no pleural effusion or pneumothorax.
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copd and shortness of breath, wheezing, assess for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p10254956/s59810958/2e12c142-27285b41-c3879cb7-4210147b-3906aaeb.jpg
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portable semi-erect chest film <unk> at <time> is submitted.
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<unk> year old woman with recent bowel surgery, now requiring reintubation for low mental status/unresponsive. // et tube placement et tube placement
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MIMIC-CXR-JPG/2.0.0/files/p14675924/s57864558/f58a30b2-c5a052ea-ba1d7812-4f6d9a37-07eac42f.jpg
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there is significant opacification of the right hemi thorax, with some residual aerated right upper lobe, better seen on chest ct to be a combination of neoplasm, inflammatory consolidation, atelectasis, and pleural effusion. the left lung is clear. there is no left-sided effusion. no pneumothorax is identified. the left cardiac margin is preserved.
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<unk>-year-old female with shortness of breath and weakness
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hydropneumothorax the base the right lung is overall unchanged. the chest tube projecting over the right lower hemithorax appears intact and unchanged in position. lung volumes remain low. small left pleural effusion is also overall unchanged. moderate atelectasis in the left lung is also unchanged. mediastinal contours and a heart size are overall similar. midline tracheostomy tube is unchanged.
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<unk> year old man with cva now vegetative state whose prolonged hospital course is recently c/b hydropneumothorax now s/p ct guided ct // hydropneumothorax and pneumothorax compared to prior now that ct changed to water seal
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
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<unk>f with cough, dyspnea and cp // r/o acute process
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the cardiomediastinal contours appear mildly enlarged, but are likely reflective of a mildly tortuous acending aorta as seen on prior chest ct. there is no focal consolidation, large pleural effusion or pneumothorax.
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incarcerated hernia. pre-op chest radiograph.
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MIMIC-CXR-JPG/2.0.0/files/p11503628/s52091364/e6597b4a-db84b27e-83c5fcd0-0a7486ca-b8d7f420.jpg
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there is a decreased caliber of the mediastinum compared with the prior study from <unk>. heart is normal size. the hila are unremarkable. linear atelectatic changes in the left lung are again seen, however with improved left lung aeration since the prior exam. there is no focal lung consolidation. there is decreased vascular engorgement compared to the prior study. there is no pulmonary edema. there is no pleural effusion or pneumothorax.
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<unk> year old woman s/p sternotomy, thymectomy <unk> for thymic cyst, evaluate for interval change.
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lung volumes are stable. there are bilateral basilar opacities which may correspond to a opacity seen on lateral views anterior to the major fissure and is concerning for pneumonia in <num> or both of these lobes. the cardiomediastinal and hilar contours are normal. the pleural surfaces are normal. stable impression fractures of the mid thoracic spine. stable degenerative changes of thoracic spine.
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<unk> year old woman with cough and malaise.crackles at the left base // ? pneumonia
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. the heart, mediastinal and pleural surface contours are normal.
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transient ischemic attack.
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MIMIC-CXR-JPG/2.0.0/files/p19315692/s53312196/ef37117a-ced7b148-80432efd-3e31319f-e4df4eaa.jpg
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. stable mild cardiomegaly. no free air below the right hemidiaphragm is seen.
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<unk> year old woman with aml s/p allo stem cell trasnplant d+<unk> with increased sob and fatigue. // ? infection
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MIMIC-CXR-JPG/2.0.0/files/p15204251/s56589787/5fc15552-e3311485-95c91a84-7cbe9864-bc8faf27.jpg
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pa and lateral views of the chest provided. increased opacities projecting over the lower lungs, less conspicuous on lateral view, possibly secondary to underpenetration in the setting of dense breast tissue. allowing for this limitation, no definite signs of pneumonia or chf. lungs are somewhat hyperinflated. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal.
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<unk>m w hx asthma p/w <num> day hx of runny nose, sore throat, cough // eval for consolidation
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single frontal view of the chest was obtained. right picc terminates at the superior cavoatrial junction. ng tube terminates below the diaphragm. lung volumes have improved since <unk>, though still low. atelectasis of the left base is small. no substantial pleural effusion or pneumothorax. heart size and cardiomediastinal contours are stable.
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<unk>-year-old male with picc.
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a feeding tube remains in place, the tip is not seen. a left ij central venous catheter remains in place with its tip in the upper svc. a left subclavian approach central venous catheter has been removed in the interim. bilateral pleural effusions are unchanged. there is no pneumothorax. mild pulmonary edema is not significantly changed. the cardiac silhouette and mediastinal contours are unchanged, with cardiomegaly obscured by large effusion.
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<unk>-year-old male with copious secretions and acute renal failure. tracheostomy.
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two views of the chest demonstrate clear lungs, without pleural effusion or pneumothorax. there is mild apical pleural thickening seen bilaterally. there is unfolding of the thoracic aorta. the mediastinal contours are otherwise unremarkable with note made of calcification at the aortic arch. the cardiac silhouette is normal in size. there is mild pulmonary interstitial abnormality. there is mild loss of height of an upper thoracic vertebral body, likely chronic. deformity likely reflecting a healed fracture is noted of the left posterior sixth rib .
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<unk>-year-old female with altered mental status. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18818476/s59578359/ce4f3800-b042cc63-37f859cf-06e82a41-be351c46.jpg
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pa and lateral views of the chest demonstrate the lungs are relatively well expanded, with some atelectasis and either pleural scarring or a prominent epipericardial fat pad on the left. there is no evidence of pleural effusion on the right, and no pneumothorax, pulmonary edema or focal air space consolidation is seen. the cardiomediastinal contours are unremarkable. the heart size is mildly enlarged. there is no specific evidence of mediastinal widening.
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<unk>-year-old male with chest pain and questionably wide mediastinum on outside hospital study. evaluation for mediastinal widening.
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the lungs are well-expanded without focal consolidation. moderate cardiomegaly is stable. the mediastinum is normal. linear opacification overlying the right lung is consistent with scarring. no pleural effusion.
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<unk> year old woman with fatigue, h/o lung cancer with wedge resection // eval for parenchymal changes
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there is minimal opacity in the left lower lung which is stable from multiple prior studies, and likely represents scarring or atelectasis. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old woman with hypoxia. evaluate for pneumonia.
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there is subtle increased opacity at the left lung base obscuring the left heart border also seen on the lateral view. elsewhere, lungs are clear. cardiomediastinal silhouette is otherwise unremarkable. no acute osseous abnormalities.
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<unk>m with w fevers, and persistent diarrhea. any intrathoracic infectious process?
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the heart is normal in size. the mediastinal and hilar contours appear stable. there are no pleural effusions or pneumothorax. there is small-to-moderate hiatal hernia with an air-fluid level which is better depicted on the frontal views. the osseous structures are unremarkable.
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stroke and smoking history.
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cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities detected
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history: <unk>f with chest pain
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the lungs are hyperinflated and emphysematous. there is no focal lung consolidation. there is large pleural effusion. there is no pneumothorax. a well-circumscribed density projecting over the right cardiophrenic angle demonstrates stability since <unk> and is most consistent with a pericardial cyst. there are multiple healed rib fractures on the left.
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<unk> year old man with cough x <num> month
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frontal and lateral chest radiograph demonstrates right lower lobe opacity obscuring the right hemidiaphragm.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
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chest pain, wheezing, fever, hypoxia. assess for pneumonia.
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the lung volumes are somewhat low. diffuse opacity is seen in the bilateral lungs, predominantly in the bases, with a predominantly alveolar configuration. this pattern is most consistent with aspiration. small bilateral pleural effusions may be present. there is no pneumothorax. the cardiomediastinal silhouette is unremarkable.
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history: <unk>f with dyspnea, hypoxia // acute cardiopulm disease
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frontal and lateral views of the chest were obtained. moderate cardiomegaly is similar to prior. pulmonary vascular markings are indistinct, compatible with mild pulmonary edema, improved since <unk>. small blunting of the right costophrenic angle and minimal blunting of the left costophrenic angle are similar to prior. no focal consolidation or pneumothorax. no displaced rib fracture is visualized. single wire of a left chest wall pacer terminates over the right ventricle.
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<unk>-year-old female with left lower extremity trauma and chest pain. evaluate for fracture.
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decreased bilateral pleural effusions. decreased pulmonary vascularity. decreased bibasilar infiltrates or atelectasis. mildly worsened left perihilar opacity. right upper quadrant stent.
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<unk> year old woman with pna // worsening infiltrates, overnight o<num> rec
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patchy left lower lobe opacity is worrisome for pneumonia. there is additional smaller patchy right base opacity which may be due to second site of infection versus atelectasis. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
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history: <unk>f with chest pain and subj fevers // r/o acute infectious process
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there is a rounded region of consolidation in the left upper lobe which has been has progressed since prior examination. elsewhere, the lungs are clear. the cardiomediastinal and hilar contours are within normal limits.
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fever, mild cough. question worsening pneumonia.
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cardiomegaly. ecmo device again noted unchanged in position. bilateral pleural effusions seen and increased retrocardiac density, likely from left lower lobe atelectasis.
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<unk> year old man with lvad and new chest discomfort // interval change
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increased prominence of diffuse fluffy infiltrates and pulmonary vasculature since prior examination. no large pleural effusion, possible trace right pleural effusion. no definite lung opacification is seen. no pneumothorax. low lung volumes, unchanged. cardiomegaly, stable given differences in technique. tracheostomy appears unchanged. tubing overlies the left hemithorax.
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<unk>m with chf, exertional dyspnea, near-syncope // eval for acute process
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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productive cough.
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the lung volumes are normal. there is a retrocardiac opacity best seen on frontal views as slightly obscures the medial last hemidiaphragm which may represent atelectasis however more likely pneumonia in the appropriate clinical setting. the cardiomediastinal hilar contours are normal. the pleural surfaces are normal.
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<unk> year old woman with h/o severe pneumonia + boop requiring prolonged intubation (<unk>). now with <unk> week h/o fever, sob, and cough with blood-tinged sputum // r/o pneumonia **** please call wet read to <unk> ****
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frontal and lateral views of the chest were obtained. since <unk>, pulmonary edema has resolved. the heart size has decreased and now is normal. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. mediastinal silhouette and hilar contours are normal. bilateral nodules projecting over the lower lungs are nipple shadows and should not be mistaken for lung nodules.
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cardiomyopathy and weakness.
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cardiomediastinal contours are normal. there are low lung volumes. the lungs are clear. there is no pneumothorax or pleural effusion. .
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<unk> year old man with esrd for pre kidney transplant eval // r/o cardiopulmonary abnormalities
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the heart size remains mildly enlarged. right paratracheal mediastinal widening is compatible with known underlying lymphadenopathy. hilar contours are unchanged and there is no pulmonary vascular congestion. emphysematous changes are again noted. a right lower lobe lesion posteriorly abutting the pleura appears unchanged compared to the recent chest ct. ill-defined spiculated area within the left mid lung field appears unchanged compared to the prior chest radiograph, and does not appear to have a correlate on the ct. there is no pneumothorax or pleural effusion. innumerable sclerotic metastases are better observed on the prior ct.
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history of lung cancer with hypotension, nausea, vomiting.
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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.
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cough.
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the lungs are hyperinflated with flattening of the diaphragms increased ap diameter, suggesting chronic obstructive pulmonary disease. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. right peritracheal calcified lymph node is re- demonstrated. hila are relatively stable in appearance.
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history: <unk>f with sob // please eval for infectious process
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MIMIC-CXR-JPG/2.0.0/files/p12119380/s55097008/ae6cde62-befbbeba-a9af366b-3bb5561c-a070045c.jpg
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the configuration of the trachea suggests chronic lung disease the cardiomediastinal silhouette is within normal limits. posterior left rib fractures noted, likely chronic in nature. diffuse osteopenia is noted, making it difficult to evaluate the thoracic vertebral bodies.
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history: <unk>m with known sdh now altered and n/v, pls eval for interval change also eval cxr for pna // history: <unk>m with known sdh now altered and n/v, pls eval for interval change also eval cxr for pna
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal consolidation convincing for pneumonia is identified. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. osseous structures are without an acute abnormality.
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this year old female with fevers and <unk>.
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the lungs are somewhat low in volume but clear. there is no pleural effusion or pneumothorax. the heart is top-normal in size with normal mediastinal and hilar contours. note is made of age-indeterminate, incompletely evaluated, left proximal humeral fracture.
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left arm and back pain, assess for aortic aneurysm.
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MIMIC-CXR-JPG/2.0.0/files/p19859745/s50477497/fdc76c21-3f10ddad-c030b154-7893a0ed-e47509de.jpg
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the heart is mildly prominent. mediastinal and hilar contours are within normal limits. there is no evidence for pulmonary edema, pulmonary consolidation, or pleural effusion. visualized bones are grossly unremarkable.
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cough and congestion. evaluate for pneumonia.
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gastric conduit is identified projecting over the right upper lung with barium related to esophagram performed the same day noted in the dependent aspects as well as within bowel loops. mediastinum has expected postoperative appearance. cardiac size is unremarkable. postoperative changes related to right upper and middle lobectomy identified on the right. no focal pulmonary opacifications evident. interval removal of right-sided chest tube. no pneumothorax identified. residual subcutaneous gas again noted.
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status post minimally invasive esophagectomy and right upper and middle lobectomies.
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there is severe cardiomegaly. aortic knob calcifications are noted. there is no pneumothorax. small bilateral pleural effusions are likely. severe pulmonary edema is present. underlying pneumonia cannot be excluded. the upper abdomen is unremarkable.
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history: <unk>m with rales, tachycardia.
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MIMIC-CXR-JPG/2.0.0/files/p11017127/s57851505/0cb60c4d-09820b4c-da30df6a-6cd385b1-f92a6fa1.jpg
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pa and lateral views of the chest provided. left chest wall pacer again noted with leads extending to the region the right atrium and right ventricle. lung volumes are low with mildly elevated left hemidiaphragm again noted. hila appear mildly congested and there is mild interstitial pulmonary edema. no convincing evidence for pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>m with cough
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increase of bilateral, now severe, pulmonary edema is seen with left lower lobe volume loss and a left small pleural effusion. the cardiomediastinal silhouette appears stable. there is no pneumothorax.
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<unk> year old man with recent hypoxic event ?pna and/or pulm edema, now with slowly increasing o<num> requirements // persistent hypoxia, ?pulm edema vs pna
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left chest wall port is seen with catheter tip at the ra svc junction. the lungs are slightly hyperinflated but clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with <unk>, <unk> pain // eval for pna
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in comparison with radiograph from <unk>, moderate cardiomegaly is unchanged. there is moderate central vascular congestion with mild interstitial pulmonary edema, similar compared to most recent prior. bilateral moderate layering effusions, right greater than left, are also similar. bilateral airspace opacities, predominantly in the lower lobes, likely reflect atelectasis. no new focal consolidation. no pneumothorax.
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<unk>f with tachycardia, afib, chest pain // ?cpd
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mild to moderate interstitial pulmonary edema is new from the prior study. there is probably a small left pleural effusion. there is no significant right-sided pleural effusion. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is unchanged. patient is status post cabg. sternotomy hardware is in unchanged position
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<unk>f with gallstone pancreatitis now w/ new o<num> requirement, evaluate for interval pleural effusion or edema.
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pa and lateral views of the chest provided. overlying ekg leads are present. clips in the right upper quadrant noted. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with chest pressure and shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p16578063/s53921182/a4a9d58e-be6ba373-194fa334-794399d8-e1fce52d.jpg
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. moderate rightward convex curvature is centered along the lower thoracic spine.
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palpitations.
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MIMIC-CXR-JPG/2.0.0/files/p10407730/s57148256/4da0de2b-35db6e68-282511ba-01bc5d06-8939199d.jpg
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dual lead right chest wall pacemaker is in stable position. median sternotomy wires appear intact. surgical clips project over the mediastinum. right internal jugular hemodialysis catheter terminates in the right atrium. mild cardiomegaly is unchanged. the mediastinal and hilar contours are normal. small bilateral pleural effusions are redistributed with the patient upright and likely not significantly changed since the prior study. there is no evidence of pneumonia. there is no pneumothorax.
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<unk> year old woman with cough // r/o acute process
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as compared to prior chest radiograph from earlier today, there has been interval placement of a right-sided ij central venous catheter and its tip terminates in the right atrium. there is no pneumothorax. the mediastinum appears less prominent on this examination. the cardiac silhouette is mildly enlarged. there is no focal consolidation or definite pleural effusion.
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recent placement of central venous line. evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p13119719/s56128652/3d45023c-333472d9-37cf4879-19880066-ba7fa0ad.jpg
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the cardiac silhouette is unremarkable. there is vascular engorgement. the right hilum is more prominent than prior. there is a right lower lobe nodule, at not seen on prior examination.there is no pleural effusion or pneumothorax.
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history: <unk>f with left leg pain and sob // ?acute cardio/pulmonary process?
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MIMIC-CXR-JPG/2.0.0/files/p12420352/s50505020/a185acae-f3edec6b-43026d94-c243c0e8-2334c3c7.jpg
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with <num> mo hx of intractible ruq pain. // r/o lung pathology
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MIMIC-CXR-JPG/2.0.0/files/p18696483/s56191185/382afa79-08487b79-23280f4d-3b1b2246-22b99ed6.jpg
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a pigtail catheter projects over the left hemithorax. the left chest wall dual lead aicd is present. a right chest wall port-a-cath extends to the right atrium. unchanged bilateral pleural effusions with overlying atelectasis. no discernible pneumothorax identified, however attention on follow-up imaging is recommended. the size and appearance of the cardiomediastinal silhouette is unchanged.
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<unk> year old woman with left sided pneumothorax s/p ir/ct-guided chest tube placement // assess chest tube placement?
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single portable view of the chest is compared to previous exam from <unk>. dual-lead pacing device again seen with leads in stable position. as on prior, there is engorgement of the pulmonary vasculature, potentially slightly improved since prior. there is no confluent consolidation. cardiac silhouette is enlarged but stable. median sternotomy wires and mediastinal clips are again noted. osseous and soft tissue structures are grossly unremarkable.
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<unk>-year-old female with anasarca. question pulmonary edema or pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p18388060/s56767100/b5de9694-36c30b9e-51b42747-6763d984-9194e522.jpg
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cardiac silhouette size is normal. mediastinal contours are unchanged with widening of the right paratracheal stripe compatible with lymphadenopathy. hilar enlargement bilaterally is also due to the presence of lymphadenopathy. ill-defined opacity in the right upper lobe is unchanged from the prior radiograph, and may reflect a combination of post biopsy hemorrhage and malignancy. there is mild pulmonary edema with small to moderate bilateral pleural effusions. bibasilar atelectasis is likely present. no pneumothorax is identified.
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history: <unk>m with weakness
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MIMIC-CXR-JPG/2.0.0/files/p17886891/s57889843/d0335a1d-639f7eff-171c06f8-2ce66091-f55a221b.jpg
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the lungs are clear without focal consolidation, effusion, or pneumothorax. cardiac silhouette is mildly enlarged, similar compared to prior. no acute osseous abnormalities.
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<unk>f with fall, lower t-spine tenderness // eval for evidence of trauma
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MIMIC-CXR-JPG/2.0.0/files/p16383540/s58772678/1a3554ac-b70f0f6b-0df0e9ed-779bb7db-e4ccb7dc.jpg
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large right pneumothorax is re- demonstrated, with some atelectasis in the right lung. a chest tube overlies the lateral right lower chest, low in position and appears to terminate lateral to the right chest wall. minimal to no change in the size of the right pneumothorax is seen. there may be very subtle leftward shift of the mediastinum which may be secondary to subtle tension. the left lung is clear. no pleural effusion is seen. cardiac silhouette is not enlarged. mediastinal contours unremarkable.
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history: <unk>m with right pneumothorax treated with chest tube. // ?chest tube placement and pneumothorax changes
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MIMIC-CXR-JPG/2.0.0/files/p13950979/s51087244/24b50337-98b520b8-0ddebe42-194fdb8b-4d377770.jpg
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right pectoral pacemaker and its leads are in unchanged positions. sternotomy wires are intact. moderate left pleural effusion is slightly increased compared to <unk>. left lower lobe is collapsed. right pleural effusion is small. prosthetic aortic valve is noted.
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history: <unk>m with shortness of breath // ?pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12743572/s52929291/fc0b061c-86a7d162-ce1c4cf1-9f6dee9c-7fb23710.jpg
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as compared to the prior examination dated <unk>, there has been no significant interval change. slightly decreased lung volumes accounts for the increased bronchovascular markings. linear left lower lobe atelectasis is noted. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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history: <unk>f with chest pressure // ?cause of chest pressure
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MIMIC-CXR-JPG/2.0.0/files/p15500551/s52550708/f50f8296-f1e87226-4d4d08a3-7b3754e2-365cbaad.jpg
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no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with shortness of breath, chest pain // please eval for cardiomegaly, pna
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MIMIC-CXR-JPG/2.0.0/files/p19005671/s51462192/2d883cdd-adb989af-d7ae96e2-57658169-04d7d749.jpg
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right-sided picc terminates in the low svc. bilateral chest tubes are unchanged in position. there has been interval decrease in cardiomegaly. mediastinal congestion has improved. focal consolidation at the right lung base obscuring the right heart border reflects atelectasis versus pneumonia, better evaluated on most recent chest ct. a small right pleural effusion persists. partial collapse of the left lower lobe and moderate left pleural effusion better evaluated on most recent chest ct. there is no pneumothorax.
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<unk> year old man with pneumo post r pleurex placement // evaluate pneumo
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the lungs are well-expanded and clear. the hilar pleural surfaces are unremarkable. the cardiomediastinal silhouette is normal in appearance.
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history: <unk>m with tachycardia, cough // presence of infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p15170707/s58638961/86de9a08-51b80fa4-b5c476d1-604a6251-53eaf3bf.jpg
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right lower lobe consolidation is worrisome for pneumonia. the left lung is clear. no definite pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are normal.
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cough and fever.
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MIMIC-CXR-JPG/2.0.0/files/p17429794/s51106560/185968c2-df6cc593-217fbc64-d0238622-b13699ea.jpg
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portable ap upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man with increased sob // pulm edema/ effusion pulm edema/ effusion
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MIMIC-CXR-JPG/2.0.0/files/p18465754/s54145050/cc045d5e-e16c524a-da20ebc2-c8eeea4d-9044a4ec.jpg
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mild cardiomegaly is unchanged from prior study. the cardiomediastinal silhouette and hilar contours are unchanged. as seen on prior examination, there is a suggestion of increased density in the right lower lung without a lateral correlate and this likely represents a summation effect from overlying soft tissues. the lungs are clear. there is no pleural effusion or pneumothorax.
|
copd and cough, shortness of breath; evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p16663984/s55925475/fc906371-053c65e2-1db152f6-adcce9c6-937d20a9.jpg
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pa and lateral views of the chest are compared to previous exam from <unk>. patchy lingular opacity is seen which could be due to atelectasis or infection. the right lung is clear. costophrenic angles are sharp. no evidence of pneumothorax is seen. cardiomediastinal silhouette is stable. multiple old healed right lateral rib fracture is again seen. surgical clips in the upper abdomen.
|
<unk>-year-old female with dyspnea and hypoxia after bronchoscopy.
|
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the intra-aortic balloon pump tip is less than <num> cm from the apex of the aortic knob. the right <unk> catheter projects over the descending right pulmonary artery and should not be advanced further. mild cardiomegaly is stable, with improvement in the right lower lobe edema. no new focal consolidation concerning for pneumonia or pneumothorax. intact median sternotomy wires and mediastinal clips are unchanged. left pacemaker continuous leads terminate in the right ventricle and right atrium, unchanged.
|
<unk> year old man with schf exacerbation, iabp in place. iabp position, interval change.
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MIMIC-CXR-JPG/2.0.0/files/p18414987/s58201882/bf953095-07359d91-b0af706c-d61018b5-5f2e62a7.jpg
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the right picc line terminates in the upper svc, unchanged. the tracheostomy tube is unchanged. the patient is status post right upper lobectomy with unchanged tenting of the right hemidiaphragm and healed fracture of the right fifth posterior rib. bibasilar opacifications are worsened since <unk> and may be due to developing pneumonia. the cardiac silhouette is slightly larger, and small bilateral effusions are unchanged. no pneumothorax.
|
<unk> year old woman with pna, difficulty weaning, now s/p trach. interval change?
|
MIMIC-CXR-JPG/2.0.0/files/p17963990/s50534993/69176650-99dcc1c6-92357faf-c7007e18-2bca3f9d.jpg
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cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. elevation of the right hemidiaphragm is chronic. lungs are clear. no pleural effusion or pneumothorax is seen. remote right-sided rib fractures are re- demonstrated.
|
fever, productive cough.
|
MIMIC-CXR-JPG/2.0.0/files/p17878731/s51453480/82606295-631ce9ea-5f5e11b9-6e57fbb9-a1d818b7.jpg
|
pa and lateral views of the chest provided. right port-a-cath extends to at least the mid svc. lungs are grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
|
<unk> year old man with cough // acute process?
|
MIMIC-CXR-JPG/2.0.0/files/p11819384/s56267771/808ea542-a9533a39-0643b4e7-7adaa5a1-05f9bb7e.jpg
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pa and lateral views of the chest provided. previously noted right chest tube is been removed. cardiomegaly is again seen. a small right pleural effusion persists. left effusion has diminished. mediastinal contour is stable. no pneumothorax. mild interstitial edema is present. bony structures are intact.
|
<unk>f with increased leg swelling // eval for pulm edema
|
MIMIC-CXR-JPG/2.0.0/files/p16839169/s56739471/c4e29e66-dd6df251-ceb6585c-08b23272-dd5f2059.jpg
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left sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
|
recent pacemaker placement.
|
MIMIC-CXR-JPG/2.0.0/files/p16295064/s58464281/85d6efbe-74ac634d-5dd3f37e-5cebb7d2-abfc591c.jpg
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the heart is normal in size. the aortic arch appears calcified. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
|
chest pain and crackles at the right lung base.
|
MIMIC-CXR-JPG/2.0.0/files/p12510330/s53704992/697faadd-5f5d1062-d6d0d674-5494b3a1-d9db86b5.jpg
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swan-ganz catheter placed from a femoral approach is slightly less deep into the left main pulmonary artery with other supporting catheters in unchanged positions. there is some improvement in the aeration in the upper zones with less prominent air bronchograms and increase lucency.
|
<unk> year old man on ecmo // interval change
|
MIMIC-CXR-JPG/2.0.0/files/p15866889/s57502473/dd455da2-60831057-49800951-97805f35-93716e76.jpg
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an endotracheal tube ends approximately <num> cm from the carina. a right internal jugular central line ends in the distal internal jugular vein. a swan-ganz catheter from the femoral position ends in the proximal portion of right pulmonary artery. an aortic balloon pump sits approximately <num> cm from the roof of the aortic arch and could be withdrawn slightly. sternal wires are intact. small new bilateral pleural effusions are present. moderate pulmonary edema is unchanged, and is more prominent on the right than the left, which is likely due to the patient's papillary muscle dysfunction. moderate enlargement of the cardiac silhouette is stable.
|
cardiac shock.
|
MIMIC-CXR-JPG/2.0.0/files/p11648387/s50812691/00a30b0a-63604611-b2c5036b-e282b3ad-6cc96130.jpg
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the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable. osseous structures are grossly intact.
|
history: <unk>m s/p svt ablation <num> days ago p/w chest pain, evaluate for chf versus pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p11533366/s51443775/997d2455-27b239b4-46e2b8ca-87f2cbdd-07f7d08d.jpg
|
elevation of the right hemidiaphragm with tenting and changes compatible with right thoracic volume loss are again noted. biapical pleural thickening is again noted on the right greater than the left. bibasilar small foci of peribronchial opacification are stable on the right and slightly increased on the left from the most recent prior study and new from prior studies of <unk>. no large pleural effusion or pneumothorax is detected. the cardiomediastinal silhouette appears stable. the trachea is midline. bilateral shoulder replacements are again noted.
|
history of copd and bronchitis, admitted with influenza, now with concern for secondary pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p14153511/s57087890/9ef5ad61-f709400c-7745247f-c14cc1ea-4c34c6a9.jpg
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no visualized displaced fractures.
|
<unk>m with bike accident ttp over lafter chest wall ribs <num> // eval for fracture
|
MIMIC-CXR-JPG/2.0.0/files/p18798373/s57271092/8c0dd02b-7723cbc0-5940d699-1795864a-e871a020.jpg
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mild intestinal has improved. no pleural effusion or pneumothorax is seen. enlarged cardiomediastinal contour is stable since <unk>.
|
history: <unk>f with dyspnea. evaluate for acute cardiopulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p16500918/s58308280/af1181a2-b79449f3-d5ef7b98-3d47a848-ba0e2b5e.jpg
|
the right chest wall pacemaker and leads are unchanged. median sternotomy wires are intact. there has been interval thoracentesis on the right with no residual pleural fluid. the lungs are clear, and there is no pneumothorax. residual atelectasis is seen at the right base. the cardiac size is top normal, although likely due to ap technique.
|
status post thoracentesis.
|
MIMIC-CXR-JPG/2.0.0/files/p19076862/s57002694/447a5015-87be7965-7452bf9e-73bcae85-3302b74e.jpg
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compared to exam on <unk>, there is no significant change. lung volumes are low, with persistent pleural effusions and bibasilar atelectasis, though left lower lobe atelectasis appears improved. upper lungs are clear. heart size is top normal. mild mediastinal venous engorgement is again seen. there is no pneumothorax. enteric tube is seen traversing the mid thorax, below the diaphragm in terminating in the stomach, unchanged from prior.
|
<unk>f h/o sbr with primary anastomosis <unk> yrs ago in fl, p/w complete sbo, transition point at prior anastomosis s/p ex lap sbr of previous strictured anastamosis.
|
MIMIC-CXR-JPG/2.0.0/files/p19242334/s53578600/5cb53c33-412adeab-9af6be5c-742e703a-c7880a1b.jpg
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a portable frontal chest radiograph demonstrates a right internal jugular approach catheter terminating in the mid svc. the cardiomediastinal silhouette is normal and the lungs well-aerated without pleural effusion, or pneumothorax. subtle opacity in the right cardiophrenic angle could represent an early pneumonia. the visualized abdomen is unremarkable.
|
evaluate right internal jugular catheter placement, in a patient in uroseptic shock.
|
MIMIC-CXR-JPG/2.0.0/files/p12668281/s52190344/f4ee7660-ea77de13-01ecd500-ccb29b88-1cfd9abd.jpg
|
frontal and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion, or pneumothorax. pulmonary vasculature is normal without evidence of pulmonary edema. heart size is normal. mediastinal silhouette and hilar contours are normal. a <num>cm rounded density in the posterior right upper abdomen is a kidney stone seen on ct <unk>, and is probably larger than on <unk>, but similar to <unk>.
|
<unk>-year-old woman with dyspnea and lower extremity edema. evaluate for vascular congestion.
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