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lung volumes are diminished which exaggerates the cardiomediastinal configuration. however, even accounting for this change, there has been a relative dramatic increase in the size of the cardiac silhouette with now somewhat globular morphology. ill-defined opacity is noted in the retrocardiac left lower lobe which is likely atelectasis given the volume loss. there is no focal consolidation. no definite effusion or pneumothorax is seen. the osseous structures are unremarkable. incidental note is made of internal fixation hardware, incompletely evaluated, involving the mid diaphysis of the right clavicle. tubing loops over the epigastric region and with the tip projecting at the dome of the left hemidiaphragm over the cardiac silhouette.
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chest pain with known pericardial effusion.
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the lung volumes are low and obscured by bibasilar opacities which are likely atelectasis. there are probable small bilateral effusions. mild pulmonary vascular redistribution, no overt pulmonary edema. the cardiac silhouette is largely obscured.
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<unk> year old woman with hypoxia // eval for pulm edema, chronic lung disease
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the heart size and cardiomediastinal contours are normal. left base linear atelectasis is present. the lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old female with shortness of breath. evaluate for infiltrate.
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there is new consolidation of the left retrocardiac space and streaky atelectasis at the right lung base. there is no pleural effusion or pneumothorax. cardiac and mediastinal contours are normal. the imaged upper abdomen is unremarkable.
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postoperative fever, rule out pneumonia.
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median sternotomy wires and clips are in place from prior cabg. cardiac silhouette is top normal with mild tortuosity of thoracic aorta. minimal tracheal deviation pattern is slightly increased since <unk> and is suggestive of an enlarged left thyroid lobe. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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palpitations.
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there has been interval removal of right ij catheter. the cardio mediastinal contours are grossly unchanged. there are stable small bilateral pleural effusions, with unchanged appearance of adjacent bibasilar atelectasis. there are no new focal lung consolidations. there is no pneumothorax.
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<unk> year old man s/p asc aortic replacement // predischarge eval
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single frontal view of the chest demonstrates a slightly oblique patient and a limited study due to body habitus. the cardiac contour is prominent. there is dense atelectasis in the left base, accentuated by prominent pericardial <unk>, <unk> standing and less likely infection. the left upper lung remains clear. the right lung demonstrates mildly hazy appearance, similar as compared to <unk>.
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<unk>-year-old male with fever and tachycardia. question pneumonia.
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heart size is top normal with mild tortuosity of the thoracic aorta. a left-sided space dual lead pacer is in place with tips projecting over the right atrium and right ventricle. hilar contours are unremarkable. the pulmonary vasculature is not engorged. lungs are clear except for mild bibasilar atelectasis. there is no interstitial edema. there is no pleural effusion or pneumothorax.
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atrial fibrillation, presenting with tachycardia. evaluate for failure.
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ap and lateral chest radiograph demonstrates a normal sized heart. hilar contours are within normal limits. a small to moderate right pleural effusion appears to have been present on prior examination, not significantly changed, with apparent loculation. no focal opacity convincing for pneumonia is present. there is no pneumothorax or evidence of pulmonary edema. imaged osseous structures and upper abdomen demonstrate no acute abnormality.
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<unk>-year-old male with hiccups and shortness of breath. evaluate for pneumothorax.
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an ng tube is present, tip overlies the gastric body. the sideport also overlies the gastric body, probably just beyond the ge junction. gas is noted in the stomach. allowing for low inspiratory volumes, cardiomediastinal silhouette is not enlarged. no chf, focal infiltrate, or effusion is identified. probable sigmoid scoliosis.
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<unk> year old woman with crohns, abd distension // eval ngt placement
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there is a new right basilar opacity compatible with pneumonia. elsewhere the lungs are clear. the cardiac silhouette is enlarged. atherosclerotic calcifications noted in the thoracic aorta which is tortuous. no acute osseous abnormalities.
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<unk>m with c/o gen weakness // ? pna
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again seen are perihilar regions of consolidation, right greater than left which have slightly progressed since yesterday's exam. cardiomediastinal silhouette is stable noting <unk> lying cardiomegaly. small bilateral pleural effusions are again noted.
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<unk>f with dyspnea // acute process
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the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities. upper lumbar levoscoliosis is noted.
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<unk>f with fever // eval infiltrate
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<num> views of the chest. the study is limited by overlying soft tissues and low lung volumes. cardiac silhouette is normal size and slightly rotated. bronchovascular crowding is likely due to poor inspiratory volume. no focal consolidation is seen. no pleural effusion or pneumothorax identified. spinal stabilization rods across multiple thoracic levels are noted.
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new onset diabetes and cough. evaluate for pneumonia.
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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chest pain.
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left pigtail chest tube is in place. no recurrence of left apical pneumothorax. small left pleural effusion is unchanged. the remaining pleural surfaces are normal. the lungs are clear. the cardiomediastinal and hilar contours are normal.
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<unk>m with recurrent left apical ptx. tube clamped at <num> am. // interval change. please complete at <num> pm.
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. mild mid-to-lower thoracic dextroscoliosis is noted. surgical clips seen in the right upper quadrant.
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<unk>-year-old female with chest pain and tightness.
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in comparison to the prior study, the left-sided chest tube is removed. ekg leads overlie the chest. the cardiomediastinal silhouette is stable, consistent with mild cardiomegaly and a mildly tortuous and calcified aorta. there is mild central pulmonary venous congestion with mild interstitial edema, improved slightly from prior. left basilar atelectasis is unchanged. there is otherwise no new focal lung consolidation. there is no pneumothorax. there are probably trace bilateral pleural effusions.
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<unk> year old woman with unilateral pleural effusion status post chest tube removal.
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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. mediastinal surgical clips are again seen.
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history: <unk>f with ivc migration, abd pain
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overall, there has been no significant interval change of the diffuse nodular and patchy bilateral airspace opacity compared to the prior exam performed at <time> p.m. on the same day. the mediastinum overall appears widened. there is a right-sided internal jugular line with the tip in the mid svc. the aortic knob again appears to be calcified.
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history of central line placement. please evaluate.
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patient positioning is somewhat suboptimal, this limits assessment of the cardiomediastinal contour. in particular, the position of the tip of the right-sided picc cannot be definitively assessed but appears to be in the right atrium. similar in appearance when compared to the prior study. there is increased prominence of the bilateral hila with perihilar airspace opacity consistent with pulmonary edema, this has increased slightly when compared to the prior study. presumed small left pleural effusion. no right-sided pleural effusion seen. no pneumothorax seen.
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<unk> year old woman with cp and sob // concern for worsening pulmonary edema, pna
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the patient arterial no focal consolidation is seen. no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with delirium // eval ? infiltrate, edema
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the cardiac, mediastinal, and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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general malaise and cough.
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the right costophrenic angle is not completely captured on this exam. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
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<unk>m s/p pedestrian stuck by car yesterday. ambulatory to triage. complaining of right sided neck pain and right arm weakness, numbness and right shoulder pain // r/o ich, cspine fracture, pneumothorax, shoulder fracture, dislocation
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no radiopaque foreign objects are visualized. heart size is normal. the mediastinal and hilar contours are normal. no chf or focal infiltrate detected. no pleural effusion, pneumothorax, or pneumo mediastinum seen. there are no acute osseous abnormalities.
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history: <unk>f swallowed magic marker. // evaluate for foreign body
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right-sided port-a-cath terminates in the low svc/ cavoatrial junction. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with fever, on chemotherapy // please eval for pna
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. lungs are clear. no pleural effusion or pneumothorax evident.
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persistent cough, chills. please evaluate for pneumonia.
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the lungs are clear and the lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart is normal size. there is no evidence for pulmonary edema. the mediastinal and hilar contours are unremarkable.
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lower extremity edema. evaluate for heart failure.
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a portable frontal chest radiograph again demonstrates cardiomegaly, pulmonary edema, and bilateral pleural effusions with likely associated atelectasis. given changes in patient position, it is difficult to assess for interval change. no pacer lead is visualized.
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heart block with temporary pacer. evaluate for interval change and location of pacer leads.
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the patient is status post median sternotomy and cabg. heart remains mildly enlarged. the mediastinal contours are unremarkable. there is mild pulmonary vascular congestion. small bilateral pleural effusions are noted. streaky right basilar opacity likely reflects atelectasis. no focal consolidation or pneumothorax is present. mild multilevel degenerative changes are noted in the thoracic spine.
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history: <unk>m with esrd, difficulty breathing
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subtle airspace opacity in the medial right lung base, best seen on the lateral view may represent early consolidation or aspiration. there are trace bilateral pleural effusions. there is no pulmonary edema or pneumothorax. the cardiomediastinal silhouette is normal. a chronic appearing left distal third clavicular fracture is noted.
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<unk>m with occasitional hypoxia with etoh, evaluate for aspiration.
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. degenerative changes are similar along the lower thoracic spine.
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chest and abdominal pain.
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heart size is moderately enlarged. there appears to be a large hiatal hernia. mediastinal and hilar contours are grossly unremarkable. mild upper zone vascular redistribution is seen. patchy atelectasis is seen in the lung bases. no pleural effusion or pneumothorax identified. no acute osseous abnormality is detected
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history: <unk>f with fall
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heart size is normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. there is eventration of the left hemidiaphragm. the osseous structures are grossly unremarkable.
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dizziness.
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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 dyspnea // pna?
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the heart is of normal size with normal cardiomediastinal contours. increased retrocardiac opacity is most compatible with atelectasis. no diffuse pulmonary abnormality. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign body.
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shortness of breath.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no pulmonary edema is seen.
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fever, neutropenia.
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in comparison to the chest radiograph obtained <num> day prior, mild pulmonary edema has decreased. small, bilateral pleural effusions have minimally increased in size. mild cardiomegaly is unchanged with mild persistent pulmonary vascular congestion. moderate calcification of the aortic knob is unchanged. median sternotomy wires are well aligned and intact.
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<unk> year old man with cad, severe as presenting with sob. // please assess for pulmonary edema
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the endotracheal tube is <num> cm above the carina. right chest tube is at the right apex. multiple right-sided rib fractures are again visualized. there is a right subclavian line with tip at the cavoatrial junction. opacity at both apices suggests effusions versus hemothorax. there is volume loss at both bases . ng tube is in the proximal stomach with the proximal port just above the ge junction the t<num> fracture cannot be assessed on these images
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<unk> year old man with right ptx s/p mvc and t<num> fracture. // any evidence of worsened consolidation
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the et tube ends <num> cm above the carina. the left-sided ij and right-sided pic line terminates in the low svc. there has been interval placement of an enteric tube, which extends below the diaphragm with the tip extending beyond the view of the film. there appears to be interval improvement of the diffuse pulmonary edema in the bilateral lungs. no pleural effusions, pneumothorax or focal consolidations are identified. the heart size is unchanged.
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<unk>-year-old female with a history of cryptogenic cirrhosis status post et tube adjustment and og tube placement who presents for evaluation.
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diffuse interstitial thickening with bronchial wall thickening and bronchiectasis most prominent at the bases bilaterally, better demonstrated on the chest ct from outside hospital dated <unk>. the previously visualized right lower lung opacity persists, and may reflect asymmetric bronchiectasis, however an underlying atypical pneumonia cannot be excluded. no new focal consolidations. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. dextro convex scoliosis of the lower thoracic spine is re- demonstrated. there is a moderate hiatal hernia containing an air-fluid level.
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<unk>f with bronchiectasis, recent admission for pneumonia, now with new hypoxia
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mild cardiomegaly has been stable compared to prior exams dated back to <unk>. mild pulmonary vascular congestion is persistent however no definite evidence of overt pulmonary edema. calcifications are seen within the aortic knob. note is made of mild bibasilar atelectasis. there is no large pleural effusion or evidence of a pneumothorax.
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history of dyspnea on exertion. please evaluate for heart failure.
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streaky bibasilar opacities most likely represent atelectasis. there is otherwise no focal consolidation, pleural effusion or pneumothorax. heart size is mildly enlarged. thoracic aorta is partially calcified. median sternotomy wires are intact. icd biventricular pacing device is in standard position. .
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<unk>-year-old male with chest pain. evaluate for acute process.
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lung volumes are low. there is central prominence of the perihilar markings with peribronchial cuffing likely reflective of airways inflammation. there is no focal consolidation or pleural effusion. no pneumothorax. cardiac and mediastinal contours are normal. osseous structures are intact.
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<unk>m with productive cough for months // pneumonia?
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slight rotation of the patient limits assessment, with obscuration of the right heart border due to superimposition with the spine. the lungs are hyperinflated, with flattening of the diaphragm and attenuation of the peripheral vessels compatible with emphysema. there are no focal opacities concerning for pneumonia. linear opacities in the left lung base were present on <unk> and likely represent scarring. mild cardiomegaly is redemonstrated with significant contribution from the left atrium. there is no pleural effusion or pneumothorax. a bicameral pacemaker is redemonstrated with the leads ending in appropriate position.
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<unk>-year-old female with history of copd with cough and weakness for <num> week and right upper lobe rhonchi.
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frontal view of the chest was obtained. a new left pleural tube has an expected course. single-lead wire of a left chest wall pacer terminates in stable position. the patient is status post pericardial window with decreased size of the cardiac silhouette, which is now of top normal size. asymmetric opacity in the left upper lung could represent aspiration and is similar to prior. right lower lung opacity is improved and was likely edema. no pneumothorax.
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<unk>-year-old female status post pericardial window and chest tube placement.
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the ett is unchanged and terminates <num> cm above the carina with neck flexion. there is a left subclavian, which has changed in orientation and now is at the level of the brachiocephalic confluence. there is an ng tube seen curling in the left upper quadrant, however the tip is not visualized on this image. the perihilar opacities have resolved. there is left basilar atelectasis. the lungs are otherwise clear. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old woman with large right iph with ivh and hydrocephalus; increased wbc cell count and worsening abgs // assess for focal consolidation
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moderate right pleural effusion with associated atelectasis, again seen, similar in size compared to the most recent prior study. severe cardiomegaly is unchanged. there is no pneumothorax. left lung is grossly clear. no overt pulmonary edema.
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<unk>m with chf, sob, evaluate for pulmonary edema.
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ap and lateral views of the chest. the lungs are clear of focal consolidation. linear opacity in the retrosternal space most likely atelectasis. there is no large effusion. enteric tube passes below the diaphragm with tip in the gastric body, in appropriate position. cardiac silhouette is upper limits of normal. descending thoracic aorta is tortuous. no acute osseous abnormalities detected.
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<unk>-year-old male with <unk>'s with weakness
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the heart, mediastinum, hila, and pleural surfaces are normal. the lungs are clear without effusions or focal consolidation concerning for pneumonia.
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<unk> year old man with cad, h/o + ppd with blood tinged sputum x <num> days. also had <unk> lb weigh tloss on diet, nonsmoker. eval for pna, tb, malignancy.
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frontal and lateral views of the chest demonstrate low lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unchanged. descending aorta appears tortuous with aortic arch calcifications. heart size is top normal. there is no pulmonary edema. aortic valvular calcifications are again noted. calcifications of the intraabdominal descending aorta are also seen. otherwise, partially imaged upper abdomen appears unremarkable.
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altered mental status.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. left chest wall dual lead pacing device is seen with lead tips in the right atrium and right ventricle. no acute osseous abnormalities.
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<unk>f with cp, cough green sput // r/o pna
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the heart is again mild to moderately enlarged. a large hiatal hernia is again present with a relative elevation of the left hemidiaphragm and streaky adjacent lung opacities, suggesting associated atelectasis that is unchanged. a small eventration is noted along the right hemidiaphragm. there is no definite pleural effusion or pneumothorax. mild degenerative changes are similar along the thoracic spine.
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syncope and chest pain.
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the lungs are moderately well inflated and clear. <num> cm calcified granuloma in the left lower lung. no pleural effusion or pneumothorax. moderate cardiomegaly is stable. mediastinal contour and hila are unremarkable.
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<unk>m with hx of chf afib rvr, s/p bmt, worsening dyspnea on exertion. assess volume overload, infiltrate, acute process
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MIMIC-CXR-JPG/2.0.0/files/p16086478/s55041093/82b9523f-438d4b17-9183e250-46816f78-c728c531.jpg
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frontal and lateral radiographs of the chest demonstrate interval resolution of right lower lobe opacities. the lung volumes are slightly decreased compared to the prior study, accentuating the cardiac contour and pulmonary vasculature. otherwise, the cardiac and mediastinal contours are unchanged. no pleural effusion or pneumothorax is appreciated. no rib fracture is seen.
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left rib pain. evaluate for rib fracture.
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chest, pa and lateral. the lungs are clear. aside from minimal cardiomegaly, the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old man with cardiomyopathy and palpitations. evaluate for pneumothorax or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16587377/s55380643/b49ae6eb-21595c37-73686098-f6648fbf-1d9d54c2.jpg
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pa and lateral views of the chest demonstrate post-surgical changes related to prior left thoracotomy and left upper lobectomy. there is elevation of the left hemidiaphragm, as before. a new retrocardiac opacity in the posterior left lower lobe may be related to prior surgery, although infection cannot be excluded. the right lung is grossly clear, with persistent hyperinflation and slight leftward shift of the mediastinal structures. the heart is normal in size. an air-filled cavity within the left apex contains some fluid, similar in appearance to the prior study from <unk>. scarring in the right lung apex is unchanged.
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<unk>-year-old man with hematemesis and prior lung resection. evaluation for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17483332/s51405858/e4ee56d1-2e72802e-9d951c66-df8ee32a-b7c8f178.jpg
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pa and lateral views of the chest. the lungs are hyperinflated. biapical scarring is again noted. there is no new consolidation. blunting of the right costophrenic angle raises possibility of a trace effusion, similar to <unk>. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
|
<unk>-year-old female with dizziness and orthostatic hypotension.
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the lungs are hyperinflated. minimal biapical pleural thickening is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
|
history: <unk>f with chest pain since <num> am. // infiltrates, cardiomegaly, pneumothorax?
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moderate cardiomegaly is again seen. the lungs are clear without focal consolidation or large pleural effusion. h-shaped vertebra and sclerosis the humeral heads suggesting avascular necrosis are compatible with patient's history of sickle cell disease.
|
<unk>m with c/o cp with hx scc // ? pna
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
|
<unk>m with pleuritic chest pain // eval for ptx
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MIMIC-CXR-JPG/2.0.0/files/p12043836/s51494881/ca28d130-875a05ae-7d95fab2-b757a05a-bb4068da.jpg
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there is significant enlargement of the cardiac silhouette, similar to prior study. mild pulmonary vascular congestion is seen. there is a streaky opacity in the right mid lung. no evidence of pneumothorax or pleural effusion.
|
<unk>-year-old male with cough and shortness of breath, question pneumonia.
|
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right chest wall port-a-cath tip ends in the mid svc, and is unchanged in position from prior. there is no evidence of pneumothorax. lungs are fully expanded and clear. cardiomediastinal and hilar contours are normal. no rib fractures are identified.
|
<unk>f with chest pain and a headache for one week. evaluate for rib fractures specifically around the sternum on the left or other evidence of intrathoracic process which could cause chest pain..
|
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endotracheal tube terminates <num> cm above the carina. increased density at the right hila could be secondary to low lung volumes and vascular crowding. otherwise, no focal consolidation, large pleural effusion or pneumothorax is seen.
|
intubation. evaluate et tube.
|
MIMIC-CXR-JPG/2.0.0/files/p13114981/s58316567/7ea76f8c-1464f087-a88c3a43-f9138825-0adf79fe.jpg
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portable semi-upright radiograph of the chest demonstrates an enlarged cardiac silhouette. mild bibasilar opacities are noted, most likely consistent with atelectasis. no definite large pleural effusion or pneumothorax is identified. the pulmonary vasculature is mildly indistinct with scattered regions of peribronchial cuffing, in the appropriate clinical context, could represent mild edema. no definite septal lines are identified.
|
<unk>f with dementia. // pulm edema, pneumonia?
|
MIMIC-CXR-JPG/2.0.0/files/p16560125/s59273852/77c2562c-e53f39f6-b17921bb-b0408b33-346da1af.jpg
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since the prior exam, the left pleural catheter has been removed. the remainder of the support devices are unchanged. wwo right-sided chest tubes are in place. an enteric drain is noted with the tip just beyond the hemidiaphragms. a right subclavian central venous catheter ends in the mid svc. a left picc terminated in the mid svc. the mild pulmonary edema has improved. mild edema persists. there is no new consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.
|
status post esophagogastrectomy complicated by leak. evaluate for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p12965943/s54346689/ec070fd5-1982352f-b18de1a5-c88346d1-941e97ad.jpg
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the right lower lobe consolidation has improved significantly since the prior chest radiograph. minimal opacity on today's cxr may be due to residual consolidation or fibrotic changes from prior infection. there are no new areas of consolidation. no pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
|
<unk> year old man with rll pneumonia a few weeks ago, now rlq/back abdominal pain when lying flat // ?pneumonia / ?effusion
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MIMIC-CXR-JPG/2.0.0/files/p14428323/s59997244/cfca6d8f-7162d242-deb65067-6b19934d-972ba323.jpg
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portable supine chest radiograph was obtained. endotracheal tube terminates approximately <num> cm above the carina. orogastric tube appears coiled within the hypopharynx/cervical esophagus prior to coursing through the esophagus with side hole at the level of the ge junction. left lower lobe atelectasis is seen along with low lung volumes. there is no pleural effusion or pneumothorax. right internal jugular catheter terminates in the distal svc. the heart is normal to top-normal in size.
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cardiac arrest. intubated.
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MIMIC-CXR-JPG/2.0.0/files/p13358134/s59177319/6955e738-812bd850-2da3d117-cc1d2fe7-ff80d278.jpg
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the patient is status post median sternotomy and cabg. the lung volumes are low which accentuates the size of the cardiac silhouette which appears mild to moderately enlarged. mediastinal and hilar contours appear unremarkable. innumerable nodules are demonstrated throughout the lungs bilaterally compatible with known carcinoid metastases, better assessed on the recent chest ct. no pleural effusion or pneumothorax is demonstrated. there is crowding of the bronchovascular markings but this is felt to be due to low lung volumes. no definite pulmonary edema is demonstrated.
|
congestive heart failure, coronary artery disease with likely new atrial fibrillation and shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p18787474/s57764279/2784ecb4-95d6dda6-4122af5e-e539aad8-cd493e5e.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
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chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p11941410/s52165307/687f01e8-466e185c-106a7192-42200da0-30e24f5b.jpg
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new multifocal opacities, some of which are indistinct, are present in the mid right lung, lower right lung, and lower left lung. a small left pleural effusion is new. top normal heart size is unchanged. dual-chamber pacemaker leads are unchanged in position, likely the right atrium and right ventricle. no pulmonary edema.
|
<unk> year old woman with myeloma // increased shortness of breath. prior effusions. assess for changes.
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MIMIC-CXR-JPG/2.0.0/files/p15936063/s52341752/2bde8c55-74e07d7a-ce003944-3a2f46ff-5b6f1934.jpg
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there is increasing density in left base with silhouetting of left hemidiaphragm. the left costophrenic sulcus is blunted. other parenchymal densities bilaterally have not changed significantly. there is probably a small right pleural effusion. the heart is enlarged peer. the osseous structures are normal for age.
|
<unk> year old man with vegetative state, trached and vented. // tachypnea in vented patient
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MIMIC-CXR-JPG/2.0.0/files/p10790860/s54184070/605bfa01-fef079d9-c8b2c4b2-8024a96d-343d567e.jpg
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there is stable position of left chest pacer device with associated dual leads projecting over the right atrium and right ventricle. there is sepsis stable position of right-sided picc line with distal tip again not well visualized, projecting over the approximate mid to lower svc. the cardiomediastinal silhouette is unchanged in appearance. the bilateral hila are not well visualized. there are worsening right greater than left alveolar consolidations, likely signifying worsening asymmetric pulmonary edema ; in particular, the left lung field appears improved with evidence of decreasing pulmonary edema, while the right airspace opacities are worsened in comparison multiple prior radiographs. given this appearance and asymmetric nature of progression with continued improvement of the left lung and continued worsening of the right, there is also concern for superimposed multifocal pneumonia. there are probably unchanged small bilateral pleural effusions. there is no pneumothorax.
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<unk> year old man with hypoxia and concern for pna vs. pulmonary edema secondary to acute diastolic heart failure // rule out pna vs. pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p17898988/s52087857/d41a0ae1-76813883-1e810dde-c6f19a76-78727e89.jpg
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pa and lateral views of the chest. mild bibasilar atelectasis is unchanged. again seen is a large hiatal hernia with air-fluid levels. no focal consolidation. no pleural effusion. the cardiomediastinal and hilar contours are stable. biapical pleural thickening is unchanged.
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cough and dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p19723018/s55637688/7cc80e97-2df580eb-2d27fb2e-efd448cf-1fbe7aab.jpg
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the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. there is mild height loss and a mid thoracic vertebral body level, age indeterminate. chronic left lateral rib fractures are noted.
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<unk>f with s/p fall // s/p fall
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MIMIC-CXR-JPG/2.0.0/files/p17379952/s58593107/d115cf9f-9813d1bd-dd90a305-c2e241ac-79278a54.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. bilateral nipple shadows are visible. there is mild subpleural thickening that appears unchanged at each lung apex. the lungs appear otherwise clear. there is no pleural effusion or pneumothorax. the chest appears somewhat hyperinflated.
|
left anterior chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p11733600/s59356243/1d10e1f8-a98345da-195cddee-2fe3970b-3333b9d2.jpg
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the right-sided pigtail catheter is again visualized. the right effusion is slightly decreased. there is a dense alveolar infiltrate central greater than peripheral. the left upper lung shows some patchy areas of infiltrate. there is left lower lobe volume loss/ infiltrate that is increased compared to prior
|
<unk> year old woman with <unk>'s disease presenting with loculated pleural effusion s/p chest tube // please eval fluid collection change, chest tube placement
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MIMIC-CXR-JPG/2.0.0/files/p18186265/s55219796/29ce476c-6da98841-6c1db114-13fad758-a85debd0.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. s-shaped scoliosis of the thoracolumbar spine is present.
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history: <unk>m with cough
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MIMIC-CXR-JPG/2.0.0/files/p14517807/s50689063/5461e10f-62db869f-7cb5ca36-4a09ae97-1a5a45a6.jpg
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frontal and lateral chest radiographs demonstrate increased size of a large right pleural effusion producing leftward mediastinal shift any near collapse of the otherwise severely congested right lung. peribronchial opacities in the left lung are essentially unchanged since <unk>. heart size is normal.
|
evaluate for effusion in a patient with dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p12368169/s56956162/16acab49-5c51597c-b50c915c-06ee4730-f4e3fba6.jpg
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since chest radiographs dated <unk>, there has been interval resolution of the left lower lobe pneumonia. there is new left pleural scarring +/- associated pleural fluid. the lateral left hemidiaphragm is probably elevated as a result of the pleural scarring. lungs are otherwise fully expanded and clear. heart size is normal. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
|
<unk> year old man with left lower lobe pneumonia complicated by empyema and chest tube placement <num> weeks ago - treated at an outside hospital // please evaluate for residual left lower lobe pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p10233650/s57018667/c0d21035-0105cbbb-db3367dc-7212e906-5c74e585.jpg
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. there is no free intraperitoneal air.
|
<unk>m with jaundice and concerning ruq mass // preop
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MIMIC-CXR-JPG/2.0.0/files/p19091199/s57075557/01cd0c5b-3a545f47-26ec8c87-150b901e-5e616c34.jpg
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the distal left clavicle is attenuated, possibly post-traumatic with widening of the acromioclavicular interval, but unchanged.
|
altered mental status.
|
MIMIC-CXR-JPG/2.0.0/files/p16157787/s59888968/e1c7040a-1d0e05dc-40e82e5f-607c0143-57a00a54.jpg
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the lungs are well expanded and clear. the cardiomediastinal contours are unremarkable. there is no pneumothorax or pleural effusion.
|
<unk>f w/asthma exacerbation, please r/o pna.
|
MIMIC-CXR-JPG/2.0.0/files/p11954232/s50876770/a685fd5b-c1cb62f9-e0b731b5-0378c057-f1c97f4b.jpg
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there has been no significant interval change in the appearance of the chest. a density is again seen projecting to the left of the left heart border, stable in appearance. no large pleural effusion is seen. there is no definite focal consolidation. there may be minimal vascular congestion. cardiac and mediastinal silhouettes are stable.
|
history: <unk>f with wheezing and tachycardia // eval for chf
|
MIMIC-CXR-JPG/2.0.0/files/p18387698/s54871837/af9c417d-3dcf1474-cd2acc43-e626a563-17e2d847.jpg
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portable ap upright chest film <unk> at <time> is submitted.
|
<unk> year old man with chest tube // eval chest tube, please perform by <num>am. thanks! eval chest tube, please perform by <num>am. thanks!
|
MIMIC-CXR-JPG/2.0.0/files/p17535826/s52101661/3de9c9d4-6db4ce39-7c990a7c-49cad94f-9e603152.jpg
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there is no definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
|
hemoptysis,recent travel from <unk>.
|
MIMIC-CXR-JPG/2.0.0/files/p13722065/s53869647/4fe6f366-77a82f3d-8e116a65-8d5e5836-340c4ac5.jpg
|
pa and lateral chest radiographs were obtained. a large amount of pneumoperitoneum is also demonstrated on the concurrently acquired abdominal radiograph. right and left layering effusions are increased in size. aerated lung projects at the right lower lung. a left-sided picc line terminates in the upper right atrium. there are no new abnormal cardiac or mediastinal contours.
|
<unk>-year-old man with tachypnea. history of recent sigmoid resection complicated by delayed wound healing and bleeding at the anastomosis site.
|
MIMIC-CXR-JPG/2.0.0/files/p10925345/s50292286/f15a7c0a-0f79a935-c6c13dce-5314e04e-52d31b85.jpg
|
lungs are hyperinflated with emphysematous changes again noted, most pronounced in the upper lobes. infrahilar clips on the right are re- demonstrated. heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. linear atelectasis is seen within the left lower lobe. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is identified. remote fracture of the right fifth posterior rib is again noted.
|
history: <unk>f with subjective increase in work of breathing
|
MIMIC-CXR-JPG/2.0.0/files/p17081794/s54168786/4a7b48c2-bf058254-0ca82a07-06c14010-6fe57279.jpg
|
lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. a nasogastric tube is coiled in the stomach. there is no free air beneath the right hemidiaphragm.
|
history: <unk>m with concern for obstruction // free air
|
MIMIC-CXR-JPG/2.0.0/files/p19026714/s53037140/14b4502b-a5d0c840-e132f61b-75ad4f9d-8b468048.jpg
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the heart size is mildly enlarged. there are bilateral pleural effusions left greater than right. there is bilateral lower lobe volume loss. there is vascular redistribution and patchy areas of increased alveolar infiltrate.
|
status post right thoracotomy and diaphragm plication with new desaturation.
|
MIMIC-CXR-JPG/2.0.0/files/p18977683/s54406792/e56e6548-d8423bd2-f653581d-8d102d29-d26eecc7.jpg
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the heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vascularity is not engorged. there is no focal consolidation. chronic interstitial abnormality is noted predominantly in both lung bases and along the periphery. no pleural effusion or pneumothorax is identified. old displaced fracture involving the left proximal clavicle is again noted. <unk> fiducial markers are seen within the liver dome.
|
chest pain for a few seconds with shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p17165725/s56898245/4888b3f5-94e72696-3f6e2244-38990c47-da106b53.jpg
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right perihilar opacity is unchanged. the position of the monitoring devices is unchanged. pleural effusion seems to decrease bilaterally, but in particular in the left lower lung field. the heart size is still enlarged
|
<unk> year old man with esrd, pna, mssa sepsis, intubated. o<num> sats dropping. please assess for interval change
|
MIMIC-CXR-JPG/2.0.0/files/p17626974/s53351620/381cad2f-b615522f-376ff072-121941ee-8b520eb2.jpg
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pa and lateral views of the chest. again, low lung volumes are seen with linear bibasilar opacities more on the left suggestive of atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
|
<unk>-year-old male with cough and fever.
|
MIMIC-CXR-JPG/2.0.0/files/p15134888/s57105774/b2fcbb56-8a92e1c3-e757769d-1e798489-f2cee1e4.jpg
|
the lungs are well inflated. . there is slight increased density in the left base but this is likely due to overlying soft tissue. the patient has had a right mastectomy and axillary node dissection. since the previous examination a venous access device is present in satisfactory position. the heart is not enlarged. the osseous structures are normal for age.
|
<unk> year old woman with neutorpenic fever // assess for acute intrapulmonary process
|
MIMIC-CXR-JPG/2.0.0/files/p16619623/s54189198/df7f8244-1d11f8d5-c7b4b5d7-6d235367-a83c7717.jpg
|
left subclavian central venous catheter terminates in known left superior vena cava, as documented on prior chest ct from <unk>. remaining lines and monitoring devices are in unchanged position. lung findings remain essentially unchanged from prior examination performed two hours earlier, with increased pulmonary congestion. there is no definite pneumothorax.
|
<unk>-year-old man status post retroperitoneal aaa repair, removal of right tlc and replacement with new left subclavian line. study requested to confirm placement of a left subclavian line and to rule out pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p19526288/s57200247/585fbd0d-80b23380-b6b310c4-c54320cf-71902ad8.jpg
|
the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
|
<unk>-year-old female with cough and chest discomfort; intubated three days ago.
|
MIMIC-CXR-JPG/2.0.0/files/p12114953/s56150140/dbfae5a7-9c0f6c19-44c4fa11-5df39b79-dc9fe622.jpg
|
portable frontal radiograph of the chest demonstrates interval removed of the left chest tube. the left apical pneumothorax is unchanged, as is a moderate left pleural effusion with associated retrocardiac consolidation. the right lung remains clear.
|
chest tube placement for pleural effusion. followup pneumothorax status post chest tube removal.
|
MIMIC-CXR-JPG/2.0.0/files/p19406374/s55295622/810a8e3b-2cf85e71-7ed0b3d3-531b6b68-24a5ca89.jpg
|
the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
|
myopericarditis history with chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p17976112/s50509238/d9dee730-e8bb4e7e-2e5ee01d-75fe2b0b-30498ef6.jpg
|
pa and lateral views of the chest provided. previously noted picc line has been removed. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
|
<unk>f with dyspnea on exertion // acute process
|
MIMIC-CXR-JPG/2.0.0/files/p12183753/s56345482/c732c42c-fc8ed1ae-f07dacb9-e8bb5a60-24f3f8b2.jpg
|
lungs are clear. partial right hemidiaphragm eventration is stable. the hearts ize is normal. no pneumothorax, pleural effusion, pulmonary edema, or pneumonia. a calcified structure is seen projecting over the left t<num> posterior rib, possibly an old rib fracture.
|
<unk> year old man with dyspnea on exertion, hypoxia // please evaluate for volume overload, pneumonia
|
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