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MIMIC-CXR-JPG/2.0.0/files/p11818877/s55635982/86191952-bced25f1-ff8f92ac-fe096e6d-e12fd5cd.jpg
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
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shortness of breath and cough.
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MIMIC-CXR-JPG/2.0.0/files/p16326503/s57972558/38c8cc05-c2fbd0fc-5dc8d1e0-48540fd1-00d92544.jpg
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patient is status post esophagectomy with gastric pull-through. the lungs are grossly clear. heart size is obscured by the neo esophagus but probably not enlarged. hilar contours are stable. there is no pleural effusion or pneumothorax. dense contrast is noted within the bowel. a j-tube is partially visualized. a right chest port-a-cath terminates in the mid svc.
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<unk>m with chest pain, nausea and vomiting. history of gastric esophageal cancer status post egd and j-tube placement. rule out pneumonia or aspiration.
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MIMIC-CXR-JPG/2.0.0/files/p15426827/s50018729/d329b1d9-aa6de532-6bead763-135e0509-832dc449.jpg
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compared with prior exam, there is no significant interval change in opacification of the right lower lung, likely a combination of large pleural effusion, with some fluid tracking into the minor fissure, and consolidation/atelectasis of the rll. the left lung is clear. heart size cannot be assessed due to obscuration of the right heart border. there is no left-sided pleural effusion or pneumothorax.
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<unk>-year-old male with history of liver cirrhosis with chest pain and cough. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18195430/s55185511/3f735bc3-5553499a-0f38df79-3e489380-c2586e03.jpg
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lungs are well expanded and clear. heart size, mediastinal contours, and hila are normal. no pneumothorax or pleural effusion.
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<unk> year old man with hiv on haart, etoh intoxication with rll crackles // rule out pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p18783149/s54841781/c56900c1-7bfc289b-e81a5ead-ecbf62a7-48fefd28.jpg
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there is a moderate right pleural effusion with associated opacification of the right lung base suggesting underlying atelectasis or consolidation. minimal blunting of the left costophrenic angle likely represents trace pleural fluid. there is no pneumothorax. the pulmonary vasculature is essentially within normal limits. the cardiac silhouette is incompletely evaluated due to obscuration of the right heart border by the right basilar process. within this limitation, the heart is likely top normal in size. calcification of the aortic knob is noted. the mediastinal and hilar contours are otherwise within normal limits. no acute osseous abnormality is detected.
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history of atrial fibrillation and hypertension, now with dyspnea, here to evaluate for evidence of heart failure.
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MIMIC-CXR-JPG/2.0.0/files/p16635089/s54991414/91711aa5-3c0f17ab-fb421c5b-31b8ae35-97cba376.jpg
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the right central line is unchanged. the left ij line is been removed. there is a feeding tube with tip in the stomach. there are hazy bilateral infiltrates have slightly improved compared to prior. the heart is mildly enlarged. there is pulmonary vascular redistribution. there is no definite effusion.
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<unk> year old woman with esrd on hd, necrotic buttock ulcer, transferred from osh for sepsis, with bacteremia and gnrs in sputum // evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15877959/s54402986/0a96eb4c-c7d54c29-cc9a3ae0-252fd80e-4c33baeb.jpg
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post-cabg mediastinal silhouette and mild cardiac enlargement is unchanged. hilar contours are normal. right atrial and right ventricular pacer leads are unchanged in position with interval addition of a left ventricular lead appropriately placed. left pectorally implanted pacemaker is in place. lungs are clear. there is no pneumothorax. small bilateral pleural effusions are noted.
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biventricular pacemaker upgrade.
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MIMIC-CXR-JPG/2.0.0/files/p19837108/s55237297/741df62b-11b167ed-b7988ef1-3901b0f4-7c5eb09d.jpg
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the lungs are hyperinflated but clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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history: <unk>f with weakness // ? acute cardiopulm process
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MIMIC-CXR-JPG/2.0.0/files/p11945540/s55121643/26cbabee-163ef10c-304aff64-6226e36f-df9ab576.jpg
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pa and lateral views of the chest. lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormality identified. no free air below the diaphragm. surgical clips and a rounded hyperdense structure project over the anterior portion of the abdomen.
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<unk>-year-old male with fever, nausea and vomiting.
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MIMIC-CXR-JPG/2.0.0/files/p16164779/s55109030/833b1ccd-08444c63-c2960509-6fa56329-e97b3573.jpg
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portable ap upright chest radiograph was provided. lung volumes are low. patient's kyphotic positioning causes the chin to obscure the lung apices. diffuse interstitial opacity with a basilar predominance raises concern for pulmonary fibrosis. heart size is difficult to accurately assess. the mediastinal contour appears unremarkable. no large pneumothorax. bony structures appear intact.
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<unk>-year-old man with shortness of breath, question pneumonia or fluid overload.
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MIMIC-CXR-JPG/2.0.0/files/p17986383/s52555873/9eaa6f41-7a61db0c-a6fb10e6-97fefb8c-22d0b4be.jpg
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compared to the prior study there is no significant interval change.
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<unk> year old woman with dchf, phtn, recently in ccu with hcap. had been off vanc/cefep, afebrile. now febrile to <num>, resp status stable, on <num>l o<num>, which is baseline. // eval for interval change, new or changing consolidation
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MIMIC-CXR-JPG/2.0.0/files/p17752642/s57469062/56c9b25c-ecd9f550-e7946cd4-e4a9de87-0837b271.jpg
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compared to the prior film, multiple lines and tubes have been removed. the right ij swan-ganz catheter is been converted to right ij sheath, with tip over distal most svc. the two prosthetic valves are noted. the cardiomediastinal silhouette is again noted to be prominent, consistent with recent surgery. although it appears more pronounced than on the prior film, this may relate to technical differences. on today's exam, there is more pronounced vascular plethora, with diffuse vascular blurring, consistent with chf. again seen is patchy retrocardiac opacity. possible small bilateral effusions. no pneumothorax detected.
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<unk> year old man with s/p avr and mvr // s/p ct removal
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MIMIC-CXR-JPG/2.0.0/files/p16884602/s52809083/fdcfd2e1-b03ff030-fd1e3ec0-37175988-e3719ee1.jpg
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the cardiomediastinal and hilar silhouette is unremarkable. lung volumes are relatively low, but otherwise clear without consolidation, pleural effusion or pneumothorax. cholecystectomy clips project over the right upper quadrant. old compression of a mid thoracic vertebral body is stable compared to prior.
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cough and hypoxia.
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MIMIC-CXR-JPG/2.0.0/files/p12165375/s56607424/3075601d-554e38e2-f02c0c4f-5662ac15-81aee4ea.jpg
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portable supine frontal chest radiograph demonstrates et tube terminating <num> cm above the carina. the lung volumes are low bilaterally and there is a moderate pleural effusion on the right with basilar atelectasis. leftward deviation of the trachea and mediastinum are consistent with volume loss from left lower lobe collapse. aortic arch calcifications are visualized, but the remaining portions of the cardiomediastinal silhouette are not well seen.
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evaluation of et tube placement. known pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16560125/s54024037/7b446969-a7424543-86b99da5-31f99337-bbd44669.jpg
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frontal and lateral views of the chest. neoesophageal stent is seen in similar position compared to prior. left picc and right chest tube are no longer seen. there is no visualized pneumothorax. there has been interval improvement of the right basilar parenchymal opacities when compared to prior. there is no significant effusion. the left lung remains clear. cardiomediastinal silhouette is unchanged, notable for prominence of the upper mediastinum on the right likely related to post esophagectomy changes. thoracotomy changes noted on the right. no acute osseous abnormality detected.
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<unk>-year-old male pulled out chest tube today accidentally. question pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p17694075/s58791573/3644fe78-1dbd2d68-b3a0c5cd-a7b78841-3e17249a.jpg
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clips in the right axillary region are compatible with prior dissection. endotracheal tube tip sits between the clavicular heads. two endogastric tubes course inferiorly into the stomach and out of field of view. a right-sided ij swan-ganz catheter tip sits in the main pulmonary artery. left-sided ij central venous catheter sits at the confluence of the left brachiocephalic vein and svc. midline sternotomy wires and prosthetic valve as well as mediastinal clips appear unchanged. the cardiomediastinal contours are large but stable compared to prior study. the lungs demonstrate bibasilar atelectasis as well as increasing pulmonary edema, moderate. small bilateral pleural effusions are also likely present. there is no pneumothorax.
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<unk>-year-old female with low o<num> saturations.
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MIMIC-CXR-JPG/2.0.0/files/p10283092/s51093353/f1e8607f-d264fa96-9bf3e7c1-8cd7c053-61833f78.jpg
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frontal and lateral views of the chest. left chest wall triple lead pacing device is seen with lead tips in the right atrium, right ventricle, and coronary sinus. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with <num> days of shortness of breath and chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p19491508/s52254147/ec3bf00c-3280d1e8-39e47be6-751fbfdb-4918ffe7.jpg
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left chest wall pacing device is noted. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. median sternotomy wires and mediastinal clips are noted. degenerative changes noted at the acromioclavicular joints bilaterally.
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<unk>m with chest pain and cough // eval pna
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MIMIC-CXR-JPG/2.0.0/files/p17106724/s51482251/61699563-fffa4ea9-28aaae28-e1b5fc6c-fae4de42.jpg
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in comparison to chest radiograph obtained <num> day prior, moderate pulmonary edema has improved, now mild. bilateral, right greater than left pleural effusions with substantial bibasilar atelectasis are unchanged. visualized lung fields are otherwise clear of focal consolidations. severe cardiomegaly and mediastinal widening are unchanged. a right-sided ij central venous catheter terminates in the lower svc. ett tip is <num> cm above the carina. enteric tube seen distended stomach outside the field of view.
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<unk> year old man with necrotizing pancreatitis // interval changes
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MIMIC-CXR-JPG/2.0.0/files/p18719314/s54103095/70d2c015-9a4c7ed5-5885d344-5deffc83-f9fe657b.jpg
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the heart the great vessels are normal the lungs are clear. right picc line in distal svc. no pleural effusion or pneumothorax.
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<unk> year old woman with respiratory distress, hypoxia // evaluate for pulmonary edema, infection
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MIMIC-CXR-JPG/2.0.0/files/p14239401/s56762378/317d4cca-53b587eb-1f6222ff-d37171cc-4b64c9a3.jpg
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the heart size is normal. the mediastinal contours are unchanged with tortuosity of the thoracic aorta again noted. the hilar contours are normal. the pulmonary vascular is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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right-sided numbness, chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p14345122/s57336209/7c8d58c7-477b8a2a-64da62b1-e14f618b-dbd1cd6c.jpg
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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<unk>-year-old woman with altered mental status. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19475604/s50908532/4bab6ca1-19f49343-035af586-aee281a4-d63c1820.jpg
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triple lead left-sided aicd is stable in position. the cardiac and mediastinal silhouettes are stable. there is minimal interstitial edema. no pleural effusion or pneumothorax is seen. there is no lobar consolidation. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with cough // ?pna
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MIMIC-CXR-JPG/2.0.0/files/p19398915/s55235408/3c5ba0d6-9e01b9ad-5db4cd26-b1000706-f1f36c6a.jpg
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frontal and lateral radiographs of the chest demonstrate complete opacification of the right hemithorax consistent with a combination of pleural effusion and collapse of the right lung. there is no shift of the mediastinum. the left lung is clear. there is no pneumothorax.
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<unk>-year-old man with cirrhosis, for pre-liver transplant evaluation.
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MIMIC-CXR-JPG/2.0.0/files/p13210648/s59007362/e024c989-472092c9-e74acc07-ddc5994b-7190b5bb.jpg
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frontal ap and lateral views of the chest were obtained. right basilar opacity is likely due to a combination of pleural effusion and atelectasis as seen on the concurrent ct abdomen. a rounded opacity in the right mid lung is likely loculated fluid in the right major fissure, given the partially loculated pleural effusion. the right upper lung zone and the left lung are clear aside from mild left basilar atelectasis. heart size is top normal. the aorta is tortuous. hilar contours are normal.
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weakness.
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MIMIC-CXR-JPG/2.0.0/files/p17123392/s56704583/5100a1ee-5bb99c04-f183f5aa-0a998dc1-5bb8fa19.jpg
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single portable chest radiograph was provided. there is no focal consolidation, pleural effusion or pneumothorax. mild pulmonary edema has improved. there is mild cardiomegaly, improved since the prior study. prominence of the main pulmonary artery and right hilus is consistent with pulmonary hypertension. the imaged upper abdomen is unremarkable.
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history of shortness of breath, pulmonary hypertension and asthma. evaluate for infiltrate or evidence of chf.
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MIMIC-CXR-JPG/2.0.0/files/p18029820/s58575812/7810683f-7b4e565d-9bec1be2-d21b4d72-624db744.jpg
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. <num> small granulomas in the right lung base are stable from <unk>.
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<unk> year old man with fevers and cough, evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p14590377/s54628512/b57421ee-eb5b1bd6-b1639627-dedcde93-b4526732.jpg
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no focal consolidation is seen. there is slight blunting of the right costophrenic angle and there may be a trace right pleural effusion. evidence of hiatal hernia is again seen. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with chgest pain and shortness of breath // eval for chest pain
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MIMIC-CXR-JPG/2.0.0/files/p14143688/s58478460/0cdbcd8e-ee74bb9d-b114678c-ed48c561-f41edb46.jpg
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lower lung volumes seen on the frontal view on the current exam. the right basilar opacity is noted. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
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<unk>f with uri symptoms and paroxysmal cough with rhonchorous bs bilat // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p15020654/s54698051/b8ce7ad4-0fd47e70-53524f08-586d1f53-09639934.jpg
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there has been interval progression of a moderate to large right-sided pleural effusion. lung volumes remain low, with mild pulmonary vascular congestion. cardiomegaly is unchanged. incidental note of several metallic bbs in the left chest soft tissues.
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<unk> year old man with respiratory distress poor urine output. evaluate for pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p11717514/s57212943/ddf217ed-a1299c91-c8ed1d20-b4370639-e2949193.jpg
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with cough, congestion sat<num>% // ? infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p13085899/s59424091/cea6e0dc-8c998e98-72deb66b-f9436904-f21b12d8.jpg
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the lungs are clear and hyperinflated. there is flattening of the bilateral hemidiaphragms. there is no pneumothorax or pleural effusion. the hilar and cardiomediastinal silhouettes are normal. pulmonary vascularity is normal. there is mild biapical pleural thickening. pectus excavatum of the anterior chest wall is noted.
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the productive cough.
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MIMIC-CXR-JPG/2.0.0/files/p18038802/s54265103/2cfc2f5f-835e087d-0380d911-86005a05-fd2fcba9.jpg
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old woman at <unk> gestation with fever of unknown origin // eval for pulmonary etiology of fever
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MIMIC-CXR-JPG/2.0.0/files/p15270439/s53645823/6b0a402e-8723b48a-a0f2c3d7-7296d6b0-a27e264c.jpg
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the lungs are clear. cardiac silhouette is normal in size. aorta is slightly tortuous. there is no evidence of pneumonia, pulmonary edema or pleural effusion. hilar contours are normal.
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chest pain and dizziness.
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MIMIC-CXR-JPG/2.0.0/files/p10234713/s54924262/61d85e06-25da908d-7c446b2e-dbde4999-f1a1de44.jpg
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. clips in the right upper quadrant of the abdomen are likely reflect prior cholecystectomy. there are no acute osseous abnormalities.
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chest pain radiating to the right scapula.
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MIMIC-CXR-JPG/2.0.0/files/p14915616/s50171157/61c602c4-acaa5b0d-104344ac-0e96dee6-7c3f1dcf.jpg
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progressive advanced of the dobbhoff tube is noted in subsequent images with tip positioned in the stomach in series <unk>, image <num>. endotracheal tube, right picc line, nasogastric tube are unchanged in position. again seen is bilateral low lung volumes. no significant interval change since chest radiograph performed earlier on the same day on <unk> at <time>. cardiomegaly again noted.
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<unk> year old man with dobhoff placement // dobhoff placement
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MIMIC-CXR-JPG/2.0.0/files/p13282744/s51081018/86730f46-c5bee1de-8a248cb2-a046c757-eec30646.jpg
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there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with r sided cp // eval for ptx
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MIMIC-CXR-JPG/2.0.0/files/p18555812/s56482929/47f0d20b-4d3be999-47398115-7d51539a-24bab947.jpg
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relatively low lung volumes are noted however the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m with fever, tachycardia, tachypnea, ?acs // ?pulmonary infiltrates, edema
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MIMIC-CXR-JPG/2.0.0/files/p10761087/s55717831/5dc01b4b-b2060b4a-3ae3c5b4-4001d44d-3aaba0b8.jpg
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the cardiac and mediastinal contours appear unchanged. left perihilar mass is difficult to directly compare with prior imaging but persists as a retrocardiac finding and seems to have decreased with appearance of cavitation. streaky basilar opacities suggest minor atelectasis. the chest is hyperinflated. trace pleural effusions cannot be excluded.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p10428071/s53049065/39daf255-23f3f864-824b7862-43c061a9-e155164d.jpg
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the lungs are clear. there is no focal consolidation or effusion. cardiac silhouette is top-normal. no acute osseous abnormalities.
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<unk>m with cough and fever // pna
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MIMIC-CXR-JPG/2.0.0/files/p18768053/s51591149/26a97fa4-b8c8a422-50167b55-567078bb-d348e0c6.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with chest pain and cough
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MIMIC-CXR-JPG/2.0.0/files/p19488478/s55108820/d6d27a98-f4c0bb60-262b70f5-e41804ff-40fa63b3.jpg
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frontal and lateral radiographs of the chest were acquired. the patient is status post midline sternotomy and cabg. the lungs are clear. the heart size is at the upper limits of normal, unchanged. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. multilevel degenerative changes of the thoracolumbar spine are noted.
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left lower abdominal and chest pain, with radiation to the back. assess for evidence of dissection.
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MIMIC-CXR-JPG/2.0.0/files/p18057037/s59332345/a250f743-48863d40-60cab50b-3c50f654-52796233.jpg
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diffuse interstitial prominence with moderate cardiomegaly is consistent with moderate pulmonary edema. more linear area of focal consolidation within the right lower lobe is unchanged and is thought to reflect scarring/atelectasis. there is chronic elevation of the right hemidiaphragm. there is no pleural effusion or pneumothorax. while the patient has known mediastinal lymphadenopathy, this and mediastinal lipomatosis, are better appreciated on the prior ct. clips within the left upper abdomen are unchanged.
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dyspnea and hypoxia. delayed for fluid or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18266336/s54187814/9dcd967e-edcb61ed-3c578fa0-287faddd-52f6fe34.jpg
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a frontal upright view of the chest was obtained portably. an opacity in the left lower lobe with central air is compatible with the lung abscess and surrounding consolidation noted on the prior ct. the air-fluid level is not seen on this study. the appearance is unchanged from <unk>. no other opacity is seen. a left pleural effusion is comparable to the prior ct and larger than the prior radiograph. there is no pneumothorax. heart size is normal. mediastinal silhouette is normal.
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lung abscess and pneumothorax. evaluate for worsening pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p17217487/s51919328/5f2fc307-08317061-cee7bb05-372a015f-da75d6d3.jpg
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ap portable supine view of the chest. lungs appear clear without focal consolidation, or supine evidence for an effusion or pneumothorax. there is opacity at the left costophrenic angle which could represent atelectasis. please refer to ct torso performed subsequently. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
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<unk>f with <num> foot fall. c/o neck pain, ttp anterior chest, upper thoracic vert, epigastrum.
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the heart is normal in size. the hilar and mediastinal contours are normal. the lungs are well expanded and clear. there are no pleural effusions or pneumothorax. the osseous structures are unremarkable.
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<unk>-year-old female patient with cough for a month.
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MIMIC-CXR-JPG/2.0.0/files/p15567127/s55424107/abc03d60-58d118ed-71272c56-76cb6e97-3ed03b0f.jpg
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as compared to chest radiograph from <num> days prior, the dobhoff has been advanced in the tip is curled in the fundus of the stomach. the previously seen proximal curl of the top of is not seen however not included in the field of view. there is persistent basilar atelectasis, right greater than left. no other relevant change.
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<unk> year old man with dob hoff placed, unsuccessful fluoro advancement on <unk> // please reassess location of dob hoff tip
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MIMIC-CXR-JPG/2.0.0/files/p13383991/s54927856/9986a770-29ffdda1-27f65179-2dd848f9-12b06e98.jpg
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with weakness, elevated lactate
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MIMIC-CXR-JPG/2.0.0/files/p14702963/s59260085/176e32e4-ce957812-f37bf329-c3e29bbc-09a73c01.jpg
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frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. there is a hiatal hernia. the cardiomediastinal contours are normal. the hilar structures are unremarkable.
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cough, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13005295/s55449116/1b959014-89a9b4f7-638b4609-8c678f01-142eaa94.jpg
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the small right apical pneumothorax noted on yesterday's chest x-ray has decreased in size. there is a new right lung base opacity which is likely due to atelectasis. additionally, the small to moderate left pleural effusion has increased in size. stable cardiomegaly. post-operative pneumopericardium has resolved. median sternotomy wires and prosthetic aortic valve are unchanged in appearance.
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<unk> year old man with s/p avr // eval rt ptx
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MIMIC-CXR-JPG/2.0.0/files/p10030487/s57391561/8e7dbd7f-c1a8fddb-25f0865d-b998abf5-7c496c7c.jpg
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assessment is slightly limited by patient rotation. left-sided port-a-cath tip terminates in the right atrium. heart size is moderately enlarged. the aorta is diffusely calcified and tortuous. mediastinal and hilar contours are otherwise grossly unremarkable. no pulmonary edema is seen. patchy retrocardiac opacity likely reflects atelectasis. lungs appear hyperinflated. small left pleural effusion may be present. no pneumothorax is identified. multilevel degenerative changes are noted in the thoracic spine.
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history: <unk>f with unresponsiveness
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the lungs are clear without focal opacity, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. air beneath the right hemidiaphragm represents colonic interposition better seen on the prior ct chest. no acute osseous abnormality.
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<unk>m with cp. evaluate for cardiomegaly.
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there are subtle ground-glass opacities seen in the mid to lower lung fields, which may be artifactual due to the patient's kyphotic position. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
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chest pain and cough.
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the heart size is significantly enlarged with severe right atrial dilatation confirmed on same-day ct. mild interstitial pulmonary edema is unchanged; however, with increase in bilateral layering moderate-sized pleural effusions. two roughly <num> cm masses in the left apex are better evaluated on the same-day chest ct and correspond to a solid and another lesion with central fluid density. there is no pneumothorax.
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acute shortness of breath.
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ap upright portable view of the chest demonstrates low lung volumes. left pleural effusion is noted. retrocardiac opacity likely represents atelectasis. the right lung is clear without pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema.
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patient with newly diagnosed peritoneal cancer, now with shortness of breath on exertion. assess for effusion.
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small bilateral pleural effusions and bibasilar consolidations likely due to aspiration versus infectious process better visualized on most recent ct. the cardiomediastinal silhouette is unchanged from prior chest radiograph. no evidence of pneumothorax. atherosclerotic calcifications of the aortic arch with noted. the bones are diffusely demineralized.
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<unk>f with hypotension. evaluate for an acute process.
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
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weight loss, night sweats, productive cough.
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the heart is enlarged, even given the ap view. cephalization of the vessels and engorgement without frank pulmonary edema. bibasilar atelectasis versus aspiration. no large pleural effusion.
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history: <unk>f with gi bleed // fluid overload
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
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history: <unk>f with cp // ?chf
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spinal hardware is seen involving the lower cervical spine. et tube and left subclavian line are unchanged. the lungs are clear without infiltrate or effusion. the heart is normal in size.
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<unk> year old man with c<num> spinal cord transection // eval acute cardiopulmonary process
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portable ap chest radiograph. the right apical pneumothorax is slightly larger done on examination from <num> hours prior. diffuse interstitial opacities have and moderate left pleural effusion has increased. tracheostomy tube and left-sided picc are in stable position. the cardiomediastinal silhouette is stable. several left lateral rib fractures are still visible.
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pedestrian struck by mvc on <unk>. multiple rib fractures and right chest tube removed on <unk>. reevaluation of right apical pneumothorax.
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single frontal image of the chest demonstrates low lung volumes which are likely secondary to poor inspiration. there has been interval increase in the left lower lobe opacity. the increase in opacity of the right perihilar region likely represents vascular crowding secondary to low lung volumes. cardiomediastinal silhouette is slightly more obscured by the increasing left opacity but appears to be unchanged from prior exam. the right central line, defibrillator devices, and ng tube appear to be in unchanged positions.
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<unk>-year-old male with fever, tachycardia, and concern for pneumonia.
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pa and lateral views of the chest provided. lungs are hyperinflated with upper lobe lucency compatible with known severe emphysema. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no signs of edema or congestion. 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 shortness of breath // r/o pneumonia
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again noted is the spinal fixation hardware and midline <unk>. the cardiac and mediastinal silhouettes are normal. there is no focal infiltrate. there is blunting of the cp angles and a may be tiny bilateral pleural effusions
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<unk> year old man with fever, s/p aspiration on video swallow // pneumonia
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the lungs are clear. no effusion, pneumothorax, or consolidation is present. heart and mediastinal contours are normal. a <num>-cm left apical lung nodule is stable compared with chest <unk> <unk>.
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<unk>-year-old woman with chest pain, question pneumonia or pneumothorax.
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pa and lateral chest radiographs. left-sided dual-chamber pacer leads are in stable position. the lungs are chronically hyperexpanded. trace right pleural effusion is new, but there is no focal consolidation, pneumothorax, or evidence of pulmonary edema. moderate cardiomegaly is stable from multiple priors. diffuse vascular calcifications are unchanged.
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crackles at both bases.
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initial radiograph at <time> hrs demonstrates the a ng tube with its tip in the esophagus beyond the tracheal bifurcation. on the second image obtained at <time>, the tip projecting over the stomach. the tip of the left picc line projects over the superior cavoatrial junction. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is unchanged.
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<unk> year old man with new ngt placement // please confirm <num> of <num> step process
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pa and lateral views of chest. hazy lingular opacity persists from the prior study. there is no pleural effusion or pneumothorax. the right lung is clear. cardiac silhouette is top-normal in size. the aorta is tortuous.
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leukocytosis
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the lungs are well expanded. the mass is again noted in the right upper lung laterally. there is no pleural effusion. the previously seen right apical pneumothorax has resolved. the cardiomediastinal silhouette is unremarkable.
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<unk> year old woman with tiny right apical pneumothorax. evaluate for stability. please perform at <num>pm on <unk>. thank you. // ? stable right pneumothorax.
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the lungs are moderately well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. there is a right ij cvl tip in the lower svc. limited evaluation of the osseous structures are unremarkable. spinal stimulator is noted overlying t<num> -t<num>. clips are seen in the right upper quadrant.
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<unk>f with s/p rij placement. assess line placemeent
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the lungs are clear. there is no effusion, consolidation, or edema. there is moderate cardiomegaly, similar to prior. no acute osseous abnormalities.
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<unk>f with sob on exertion, crackles on exam. // chf, pneumonia?
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<num> views of the chest. evaluation is limited due to patient rotation. within these limitations, again noted is low lung volumes in the right lung with calcification of the right-sided pleura consistent with known fibrothorax, unchanged. the left lung is lower in volume and shows a left upper lobe opacity. the cardiomediastinal silhouette and hilar contours are normal. no pleural effusion or pneumothorax is present. the right healed clavicular fracture is unchanged.
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cough and fever.
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mild cardiomegaly is noted with hilar congestion and mild interstitial edema. no large effusion or pneumothorax. no acute osseous abnormalities are identified.
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<unk>-year-old male with liver disease, now presenting with increased confusion and tachypnea.
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the endotracheal tube ends <num> cm above the level of the carina, not significantly changed. an enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. there is minimal bilateral lower lung atelectasis, not significantly changed. there is no focal consolidation. the heart size is normal. enlargement of the hila, right greater than left, is not significantly changed. there are no pleural effusions. no pneumothorax is seen.
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altered mental status, intubated. assess for interval change.
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a port-a-cath terminates in the lower superior vena cava. the cardiac, mediastinal, and hilar contours appear stable. the lung volumes are low. there is similar elevation of the left hemidiaphragm. a mild interstitial process suggests pulmonary vascular congestion. scoliosis is again noted with attendant distortion of the thoracic anatomy.
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increased work of breathing. history of aspiration pneumonia.
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heart size is normal. mediastinal and hilar contours are unremarkable. minimal atherosclerotic calcifications are noted within the aortic knob. the pulmonary vasculature is not engorged. lungs are hyperinflated with emphysematous changes noted in the upper lobes. mild blunting of the costophrenic angles posteriorly may reflect chronic pleural thickening. patchy opacities in lung bases likely reflect areas of atelectasis. no pneumothorax is seen. no acute osseous abnormality is seen.
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<unk> year old man with etoh abuse, copd, aspiration pneumonia in <unk>. presents with etoh use, chest pain, abdominal pain.
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pa and lateral views of the chest provided. evaluation is somewhat limited due to under penetrated technique. no focal consolidation, large effusion or pneumothorax. no overt edema. mild congestion difficult to exclude given underpenetration. cardiomediastinal silhouette appears normal. bony structures are intact. mild hilar congestion is likely present.
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<unk>f with shortness of breath and back pain.
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pa and lateral images of the chest demonstrate a pacer in the left anterior axillary position with intact leads to the right atrium and right ventricle. the course of the lead to the right ventricle follows a slightly atypical path. the lungs are clear bilaterally. there is no pleural effusion or pneumothorax. mild cardiomegaly is again seen.
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<unk>-year-old male with a new pacemaker, now requiring assessment of lead placement.
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there are low lung volumes. moderate to severe cardiomegaly is stable. dual-channel pacer device in place. the aorta is tortuous. no definite vascular congestion or acute pneumonia. pleural thickening is again seen along the right lateral chest wall. there is no pleural effusion.degenerative changes in the thoracic spine
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<unk> year old man with worsening dyspnea over last <num> months. // ? edema or other abnormality
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the lungs are clear and the heart mediastinal contours are within normal limits in size and shape. no pneumothorax or pleural effusion is seen. no fracture is visible, however if there is concern for nondisplaced vertebral body or rib fracture, specific bone films should be obtained.
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history: <unk>f with six days ago // ? fracture,? pneumothorax
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the lungs are clear without focal consolidation, effusion, or edema. calcifications along the diaphragms bilaterally suggestive of calcified pleural plaques. cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is noted. no acute osseous abnormalities.
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<unk>m with concern for possible stroke // please assess for effusion, heart failure
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portable ap upright view of the chest demonstrates 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. no free intraperitoneal air is seen.
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abdominal pain. assess for free air.
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there is a right sided basilar chest tube which appears coiled upon itself. a small pneumothorax is noted within the right lung medially new compared to the prior study. the degree of pleural fluid has decreased. there is a small effusion with associated atelectasis. the left hemithorax is clear.
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status post thoracentesis with right-sided chest tube
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
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history: <unk>f with vomiting blood, concern for esophageal tear // infiltrate? pneumomediastinum?
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cardiac, mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. elevation of the right hemidiaphragm is unchanged and attributable to a large hypodense lesion within the right lobe of the liver as seen on recent ct. patchy opacities in the lung bases, more so on the right, are compatible with areas of atelectasis, and appear similar compared to the prior ct. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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right upper quadrant pain, hypoxia, dyspnea.
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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 chest tightness // acute process?
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the lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance.
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history: <unk>f with chest pain // eval for infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p15434659/s55892328/11815f8b-4b5eaa8d-a3bd291b-975b85ed-224eab75.jpg
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the heart is moderate to severely enlarged there is pulmonary vascular redistribution and hazy bilateral infiltrates there are moderate bilateral pleural effusions. the right ij line tip is in the mid svc. there is dense retrocardiac opacity. compared to the prior study fluid status is worse.
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cirrhosis and copd with productive cough.
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as compared to prior chest radiograph from <unk>, there has been interval increase of moderate left pleural effusion and increased atelectasis at the left lower lung. there is a small right pleural effusion. minimal amount of apical left pneumothorax persists. a right port-a-cath catheter tip terminates at the cavoatrial junction.
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<unk>-year-old female patient with adenocarcinoma, status post left pleural effusion drain on <unk>. study requested for evaluation of new pleural effusion.
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the patient is status post median sternotomy with wires intact. the cardiomediastinal silhouette is unremarkable. lung fields are clear, but hyperinflated. osseous structures are unremarkable.
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history: <unk>m with palpitations // pneumonia, chf
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ap portable upright view of the chest. a right thoracostomy tube is present. an orogastric tube terminates just above the diaphragm. there is no pneumothorax. bibasilar linear opacities are most compatible with atelectasis in the setting of low lung volumes. a left retrocardiac opacity remains unchanged. the findings are minimally changed since the prior examination.
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<unk> year old man with esophageal cancer sp mie // ptx
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. no overt traumatic findings.
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assault to the face with bottle.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
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fever for <num> week, mild cough.
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cardiomegaly is again seen. mediastinal and hilar contours are unremarkable. mild elevation of the right anterior hemidiaphragm persists. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. visualized bones are essentially unremarkable.
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shortness of breath. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14244279/s53257644/59fe86fe-c34e1c1b-7f2228fb-6f8bb6e8-d3f72b01.jpg
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moderate cardiomegaly is unchanged. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. patchy opacity in the right lower lobe is without substantial interval change from the previous examination. a trace right pleural effusion appears minimally increased from the prior study. left lung is clear. no pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>m with recurrent abdominal pain, today with distension, chest pain and shortness of breath
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the aorta is ectatic and/or tortuous. heart size is within normal limits. the lung fields are clear. soft tissues are unremarkable.
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<unk> year old woman with seizure and afib on coumadin // ?infection
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the lungs are clear with the exception of bibasilar left greater than right atelectasis and small left effusion. there is no pneumothorax. the pulmonary vasculature is normal. the cardiac silhouette is normal in size, the mediastinal contours are normal. the patient is intubated, the tip of the endotracheal tube is positioned no less than <num> cm from the level of the carina. an ng tube is in place with its side hole in the distal esophagus and its tip barely protruding into the expected location of the gastric fundus.
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<unk>-year-old male in status epilepticus, evaluate for pneumonia and endotracheal tube placement.
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the patient has a history of chronic interstitial lung disease with waxing and waning pulmonary edema and infection. today it is largely unchanged with diffuse infiltrative and interstitial opacities stable since <unk>. bilateral pleural effusion is essentially the same. cardiomediastinal silhouette is stable and demonstrates mild cardiomegaly. there is no pneumothorax. enteric tube is seen once again, entering the stomach and then out of field of view. right-sided picc terminates within the mid svc. an endotracheal tube terminates no less than <num> cm from the carina.
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<unk>-year-old male with history of chronic interstitial lung disease, now intubated.
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MIMIC-CXR-JPG/2.0.0/files/p15761769/s59345924/45dcef9c-83434e3f-07043a7f-097d60f8-5bcd7a0e.jpg
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. severe degenerative changes are noted at the left glenohumeral joint.
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history: <unk>f with cough, tachy // eval for pna eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p19687174/s52828786/6509e346-be860c2a-1d9e9ae2-83200d4f-30172632.jpg
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lung volumes are decreased, with resultant crowding of bronchovascular structures at the lung bases. bibasilar patchy opacities are present in appears somewhat more confluent in the right lower lobe on the lateral view. the cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax.
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history: <unk>f with ams // presence of infiltrate presence of infiltrate
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