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MIMIC-CXR-JPG/2.0.0/files/p19291186/s50740463/60af51fa-c1c5d745-cebc1ea4-44fb2d74-5526c9fc.jpg | there is severe cardiomegaly, with widening of the mediastinal contour. additionally, there is a <num>-cm additional rounded contour at the apical lateral aspect of the aortic knob, which appears to be vascular, but is unusual in size and location. the hilar contours show some prominence of central pulmonary vasculature. trace effusions are present with mild vascular congestion. incidental note is made of an azygos fissure. there is no pneumothorax. | <unk>-year-old woman with ventriculoseptal defect and pulmonary arterial hypertension. |
MIMIC-CXR-JPG/2.0.0/files/p15836874/s51418387/b2204756-5ff88d48-be35599e-dabd09da-9393175c.jpg | focal opacity in the right middle lobe is unchanged over multiple priors and is likely due to scarring. the lungs are otherwise clear without focal consolidation. the cardiomediastinal silhouette is within normal limits. surgical clip projects over the left breast. no acute osseous abnormalities identified | <unk>f with dizziness // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p18183841/s52579511/d676dc30-22a1ec6e-184f5d08-23ca2f4b-9ab832fa.jpg | the lungs are well expanded. there is unchanged small right pneumothorax. bilateral chest tubes are in place. bibasilar atelectasis has improved from prior exam. et tube and right picc line appear to be in unchanged locationz, though the picc line is partly obscured by overlying mediastinal interfaces. there are no pleural effusions. cardiomediastinal silhouette is unchanged. | <unk>-year-old male with history of hypopharyngeal squamous cell carcinoma on chemotherapy, now status post pericardial drain with right pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13007657/s58024149/8f3352b5-d1e07e46-8174153d-396bf0f4-b94c9e96.jpg | frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation. | <unk>m with h/o colectomy with ab pain // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p10879112/s51872147/df31b344-920b5183-9e24b3ce-642cdd14-d8358dbf.jpg | cardiomegaly has increased from the prior exam, now appearing moderately enlarged. there is mild upper zone vascular redistribution and prominence of the central mediastinal veins suggestive of mildly elevated central venous pressures. small bilateral pleural effusions, larger on the right, are present along with bibasilar airspace opacities likely reflective of atelectasis. no pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15883826/s59458577/903e2657-a52aff11-ad32a855-60eee68a-812f1693.jpg | the lungs are clear. there is mild pulmonary edema. the cardiomediastinal silhouette is stable. there is no pneumothorax or pleural effusion. a moderate-sized hiatal hernia is re- demonstrated. | <unk> year old woman s/p antibiotic spacer on <unk> now with dislocated hip. // pre-operative evaluation |
MIMIC-CXR-JPG/2.0.0/files/p15878647/s52464330/a4f66933-cc320188-bfa1c8f9-798dd386-8bdebdb4.jpg | the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. | new oxygen requirement. |
MIMIC-CXR-JPG/2.0.0/files/p14961063/s56955555/9036427c-001afd20-7e989d0e-9ca856ea-d00168c2.jpg | cardiomediastinal and hilar contours are normal. the lungs are well inflated and clear. there is no pulmonary edema, pleural effusion, or pneumothorax. | <unk>-year-old with history of positive ppd. |
MIMIC-CXR-JPG/2.0.0/files/p17215355/s52902713/163137f2-96de5066-d3f60959-f22a94fe-1f6290ec.jpg | right-sided picc tip terminates in the low svc. the patient is status post median sternotomy, aortic valve replacement, and cabg. moderate enlargement of the cardiac silhouette is present with moderate pulmonary edema, worse in the interval, and small bilateral pleural effusions, right greater than left. compressive atelectasis in the lung bases is also demonstrated. no pneumothorax is present. there are no acute osseous abnormalities detected. numerous punctate calcifications are seen within the left upper abdomen compatible with chronic pancreatitis. | history: <unk>m with altered mental status, sepsis, picc line. |
MIMIC-CXR-JPG/2.0.0/files/p10304137/s58218794/9ee4dc98-cc52221d-2b731056-cb707666-7a4f3daf.jpg | pa and lateral views of the chest demonstrate persistent elevation of the right hemidiaphragm, unchanged since the prior study. cardiomediastinal sillouette is unchanged and appears enlarged due to prominent mediastinal fat seen on prior ct. median sternotomy wires are again noted, along with prosthetic aortic valve. the lungs are clear, with no evidence of pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. the mediastinal contours are unchanged. | <unk>-year-old female with altered mental status. evaluation for pneumonia or chf. |
MIMIC-CXR-JPG/2.0.0/files/p19463037/s59877629/55a32036-c72aa25f-6c9fe2a0-c03cd18c-3d81b63a.jpg | the lungs are well expanded without focal opacities. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fractures are identified. degenerative changes of both ac joints are present. mild dextroscoliosis centered in the mid thoracic spine is seen. there is a compression deformity in a mid thoracic vertebra, better seen in the lateral view, with an horizontally oriented band of sclerosis which is new compared with <unk>. the vertebra measures <num> mm of height in the mid body compared with <num> mm of height for the two adjacent vertebrae. | <unk>-year-old female status post fall with cough. evaluate for pneumonia or any other acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10897217/s57457954/95ab8c86-6b707a71-c05b3a88-530297bd-33530bf6.jpg | pa and lateral views of the chest. the lungs are clear. there is no consolidation, mass, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. bilateral clavicular heterogeneity concerning for lytic lesions. | hypercalcemia and bone pain, former smoker, question of mass. |
MIMIC-CXR-JPG/2.0.0/files/p11654293/s50588624/38a0ffaf-b56d9dcf-cd242b1b-3758bfdc-ad0cd4c6.jpg | heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. atherosclerotic calcifications are noted at the aortic knob. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. lung volumes are slightly low with mild patchy opacity noted in the left lung base. no acute osseous abnormalities visualized. | <unk> year old woman with chest pain and recent pneumonia status post treatment |
MIMIC-CXR-JPG/2.0.0/files/p13479817/s58413465/2d5aa523-bbf32081-15a61f0c-8fea7962-ee416251.jpg | patient is status post median sternotomy and cabg. heart size is normal. mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. lungs are clear. there is no pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. lungs remain hyperinflated. no acute osseous abnormalities demonstrated. | history: <unk>f with headache, weakness, fatigue // eval for acute intracranial process, cxr for infection |
MIMIC-CXR-JPG/2.0.0/files/p11356031/s52770129/f0bcc32a-b542a49a-c0305777-11100a43-14ad18ca.jpg | single frontal portable view of the chest was obtained. the patient is status post left lower lobectomy for adenosquamous carcinoma of the lung. moderate-to-large sized left pleural effusion is similar to the prior exam, accounting for differences in technique and inspiratory effort. the pulmonary vascular markings are prominent but no overt pulmonary edema is present. no pneumothorax. the heart size is similar to <unk>. chain sutures overlying the left mid lung and splenic artery embolization coils in the left upper quadrant are in similar position to <unk>. double lumen catheter of a left chest wall port, which has been accessed, terminates in the right atrium. | <unk>-year-old female status post left lower lobectomy with rapid onset of lower extremity edema and increased oxygen requirement. evaluate for chf or pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p18190489/s52542693/a8df06fb-cf46ac68-ae2c57ab-d7d5f332-a9d65d24.jpg | pa and lateral views of the chest were obtained. the lungs are clear bilaterally with no evidence of focal consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there are no bony abnormalities. there is no free air below the right hemidiaphragm. | dyspnea and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11915019/s58617774/7ac5816b-928771bd-8a8853b4-6796a095-178fd35e.jpg | normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. | <unk>f with fevers, ams , cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p15150849/s57140089/0a190f3d-f7e52fcb-e53bb902-86b951c9-90887081.jpg | the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures are normal. | evaluation of the patient with long smoking history and slight change in chronic cough. |
MIMIC-CXR-JPG/2.0.0/files/p15281401/s58623056/735a7165-ee8dba2e-edc15e55-8e69bdca-06d4ea06.jpg | compared with the prior radiograph, mild to moderate cardiomegaly with a calcified aortic knob is stable. the ng tube has been removed. the pulmonary edema has redistributed, with more clear upper lungs but increased edema in the bilateral lower lungs. bibasilar atelectasis is unchanged. findings are consistent with heart failure. no focal consolidation concerning for pneumonia. | <unk> year old woman with increased o<num> requirement, wheeze. evaluate pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p10836444/s57973116/da3c0024-a2bea996-9ff081c8-ae91bba3-8a28a703.jpg | in comparison to radiograph from <unk>, the cardiomediastinal silhouettes are stable. the bilateral hila are within normal limits. diffuse interstitial prominence likely relates to known a influenza. there is no focal lung consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | a <unk>-year-old man with a history of influenza presenting with cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10454455/s59272049/c06aee33-ff318056-8432984a-fbd58d54-b18dffa0.jpg | overall stable prominent subcutaneous emphysema in the right chest wall and the small right apical pneumothorax. no evidence of tension. stable hyperinflation of the lungs is consistent with emphysema. slight increase in the size of the small left pleural effusion. increased bibasilar atelectasis. stable cardiomediastinal silhouette and hila. the right pigtail catheter appears unchanged in position. | <unk>-year-old woman with a pneumothorax, evaluate change. |
MIMIC-CXR-JPG/2.0.0/files/p12691429/s53111772/991f2aa6-7c3edece-f0119c08-d0f1ce32-36d1083d.jpg | two views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart and mediastinal contours are unremarkable. high-riding left humeral head suggest rotator cuff pathology. | weight loss. |
MIMIC-CXR-JPG/2.0.0/files/p17439137/s53829647/5856e43a-a795411c-10cb4930-1e3539a8-5c6044ed.jpg | compared with the prior radiograph, there is a new consolidation, affecting the right lung diffusely, with relative sparing at the right lung apex and base. localization is difficult without a lateral view. moderate cardiomegaly is unchanged. no pneumothorax or large pleural effusions. severe degenerative changes of the left glenohumeral joint, intact median sternotomy wires, and mediastinal clips are unchanged. | <unk>m with hemoptysis. sob/doe. |
MIMIC-CXR-JPG/2.0.0/files/p15390837/s58999479/68636097-f2ad3388-d68e5789-864aad2d-8ab52ef5.jpg | no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no displaced fracture is seen. there is no overt pulmonary edema. | chest pain |
MIMIC-CXR-JPG/2.0.0/files/p14272800/s56126305/e49e6a23-2e662ad4-3565eb1a-76392b5e-b459f375.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with chest pain // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p17347874/s53279679/e2a01b4e-6580d279-474d1c82-e4f290b7-e9e5beab.jpg | right port-a-cath ends in the low svc. there are small bilateral pleural effusions. no focal consolidation. no pneumothorax. cardiomediastinal and hilar contours are normal. | metastatic breast cancer, leukocytosis, evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p12511675/s52885235/b469a419-1dbf577b-2c69ac87-00de4553-7e0db1b5.jpg | the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. | chest pain with presyncope, here to evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p15100328/s53808344/24012d12-1ad5d60b-0ac5d98d-0e488b73-e83b8751.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. | palpitations. |
MIMIC-CXR-JPG/2.0.0/files/p17463105/s54604919/fb728a21-bcbc7027-2a6c4846-437225f8-5d0095db.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with syncope // ?acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p18992031/s53674343/1902bdb7-b7b6182b-b1c1d4c9-a9c7d088-67a7c887.jpg | lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with cough, congestion, // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p15448132/s58009701/17350e2f-20b1899a-c475a831-39b2d111-a1610d17.jpg | 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. | history: <unk>f with altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p14221997/s50103608/041bd17f-b5b805a5-2b1a362f-cd5bdd25-292eb5e0.jpg | pa and lateral views of the chest. the lungs are clear of confluent consolidation or effusion. the cardiomediastinal silhouette is within normal limits. osseous structures are unremarkable. | <unk>-year-old male with fever to <num>. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11879144/s55052839/0318f017-c2927b83-670b2f55-074bdba8-ac2f0d50.jpg | the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no focal consolidations are seen. no pulmonary edema, pneumothorax, or pleural effusions. | <unk> year old man with chronic cough (<num> months) // r/o cause of chronic cough |
MIMIC-CXR-JPG/2.0.0/files/p12143925/s56461015/089404c1-3c212956-dc363bf7-353b31b6-4060ac68.jpg | portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. small right sided pleural effusion with adjacent atelectasis has increased slightly over the interval, and may be reactive. cardiomediastinal and hilar contours are unremarkable. no pneumothorax. left-sided picc line ends in the distal svc. | <unk>-year-old female with cholangiocarcinoma and cholangitis, now with fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12321516/s59555918/4b920af7-cb84feed-d5bbb2a0-67106bf1-48dda7bd.jpg | frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged. upper abdomen is unremarkable. multiple surgical clips project over right upper abdomen. no definite rib fracture is identified. | patient with recent trauma to left chest. assess for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p13224377/s53990306/4b405e54-81c32b40-8a4a13ea-a5bfda36-ccc88264.jpg | right-sided pic line terminates in the cavoatrial junction. overall, there has been slight interval improvement in the moderate pulmonary edema on a background of diffuse opacities concerning for an infectious process. moderate cardiomegaly is persistent. there may be a small left pleural effusion. there is no evidence of pneumothorax. the visualized osseous structures are unremarkable. | history of aml and respiratory distress. please evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14021196/s59105139/1dde9b92-4b0a1a90-6e67e436-80e8e25d-936c93a7.jpg | there is an opacity at the left costophrenic angle, which may represent atelectasis. however, it is more consolidative in appearance on the lateral view, and suspicious for pneumonia. no pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities identified. | <unk>-year-old female with pleuritic chest pain and abdominal pain that is worse with inspiration. |
MIMIC-CXR-JPG/2.0.0/files/p12582300/s59977659/479c694e-c2baccb7-bf119104-395997c4-be34655a.jpg | the lungs are clear. there is elongation of the descending aorta. the heart size is stable. no pulmonary edema, pneumothorax, or pneumonia. prominence of the right hilum is stable dating back to <unk>, though can be further assessed by nonemergent ct. unchanged appearance of the known left rib fracture and thoracic compression fractures. | <unk>f with weakness and hypoxia // ? pna or chf |
MIMIC-CXR-JPG/2.0.0/files/p11317231/s54908448/3dfe77df-250372e4-2e7b6a61-f5ef8ee6-3b852311.jpg | there is a retrocardiac opacity concerning for pneumonia. the right lung is clear. the cardiomediastinal silhouette and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. | <unk>-year-old man with past medical history of asthma, here with fever and productive cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10176514/s56875184/f5c23048-63de2525-979cfc02-3ca56e04-45fafa2f.jpg | cardiomediastinal contours are normal still mildly deviated to the left. the left lung is clear. there is no pleural effusion. large right pneumothorax is stable. surgical chain in the right apex is again noted. the osseous structures are unremarkable | <unk> year old woman with h/o asthma and recurrentright pneumothorax s/p vats rul wedge and apical pleurectomy <unk>, r talc pleurodesis <unk>, and right vats, intrapleural pneumolysis, wedge, mechanical and chemical pleurodesis <unk> by dr. <unk> <unk> admitted to thoracic surgical service with another ptx from <unk>. // assess for interval change |
MIMIC-CXR-JPG/2.0.0/files/p13487147/s51276146/d3d08cf4-4d8bb1a9-9eabfd04-048cc83c-5e5b7b74.jpg | ap portable upright and lateral view of the chest. midline sternotomy wires and mediastinal clips are noted. retrocardiac opacity is noted concerning for a large hiatal hernia. right lung is clear. left lower lung atelectasis is noted. no pneumothorax. no congestion or edema. mediastinal contour is normal. cardiac silhouette appears grossly within normal limits. there is subtle cortical irregularity involving the left tenth post for lateral rib arch. no free air below the right hemidiaphragm. | <unk>f with fall, rib fx pls eval hemo/ptx |
MIMIC-CXR-JPG/2.0.0/files/p14626239/s51579711/dcf70137-3513f7af-df8f63f5-54528919-75bb8fd6.jpg | there is a <num> mm nodular opacity in the right lower lung, likely a vessel seen on-end. otherwise the lungs are clear. the heart size is within normal limits. the mediastinal and hilar contours are unremarkable. there is no evidence for pleural effusion, focal consolidation, pulmonary edema or pneumothorax. | <unk> year old woman with shortness of breath. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12921496/s56572629/dd82f22a-760562a8-f051fef9-d393f07e-a87387dc.jpg | frontal and lateral views of the chest were performed. a right internal jugular catheter has been removed in the interim. no pleural effusion, pneumothorax or focal airspace consolidation. no evidence for aspiration. heart size is normal. the mediastinum and hilar structures are unremarkable. | breakthrough seizures, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16988043/s50725351/aae604a0-bcf4bd66-17fa8286-6cb16023-6fef8768.jpg | a portable upright radiograph the chest demonstrates clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vasculature is normal. there is no pneumoperitoneum. a left chest wall port catheter terminates at the cavoatrial junction. | sudden onset severe abdominal pain. evaluate for free air in the abdomen. |
MIMIC-CXR-JPG/2.0.0/files/p11423426/s58684396/5ff37bd7-42d7862b-564df8db-edbac0da-79993522.jpg | the heart size is normal. the mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax. no acute osseous abnormalities are seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10014309/s50151008/45ae57ed-aa0617a2-3fc76859-f24c0972-97fbe4f9.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is demonstrated. clips are noted within the right breast about a <num> mm nodular opacity, which appears to correlate with post treatment changes on the prior mammogram. mild degenerative changes are seen within the thoracic spine. | history: <unk>f with cough x <num> weeks |
MIMIC-CXR-JPG/2.0.0/files/p17593949/s59378698/327b121c-b4501280-c671e724-dc6a75e5-6648fbeb.jpg | frontal and lateral chest radiographs demonstrate stable mild cardiomegaly. the aorta is tortuous. hila are unremarkable. minimal bibasilar atelectasis noted. no focal opacification concerning for pneumonia present. | cough, low-grade fevers. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p12909079/s56687251/2f2fb58b-78cff85a-e3bd26ad-6f9de269-bd4857b1.jpg | lines and tubes: et tube, enteric tube are in unchanged position. there is another tube overlying the upper abdomen and projecting over the left lower hemi thorax, of unclear location. lungs: persistent irregular opacities diffusely in both lungs with marked prominence of interstitial markings and left upper lobe haziness. surgical sutures project over the left mid zone as before. pleura: bilateral pleural effusions remain unchanged. mediastinum: no change in cardiomediastinal silhouette. bony thorax: no change | <unk> year old woman with lung cancer and pneumonia // pt intubated with pneumonia and lung ca, assess for worsening dz intubated |
MIMIC-CXR-JPG/2.0.0/files/p13697952/s51243245/0c7f47da-9672599e-08edd0a5-382ebfb9-ec33b354.jpg | there is trace linear atelectasis at the base of the left lung. there is no focal consolidation, pleural effusion or pneumothorax. mild pectus deformity is noted. the cardiomediastinal and hilar contours are within normal limits. surgical clips are demonstrated in the right upper quadrant. | <unk>f with fever // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13530145/s55260859/069a01ad-bdb5615d-ca9f3142-a0ef363d-0a8861e6.jpg | the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old female with flu-like symptoms including sore throat, body aches, fever and chills. |
MIMIC-CXR-JPG/2.0.0/files/p15640404/s57788683/1f1979bc-5d564b3c-c0bf55fd-82ddbfd1-c6558939.jpg | there is obscuration of the left heart border. with increased opacity projecting over the heart on the lateral view. this most compatible with a lingular infiltrate. there is also small area of opacity in the right lower lobe medially skin <unk> are seen around the left neck the upper lobes are clear | <unk> year old woman pod#<unk> s/p left neck dissection with persistent o<num> requirement. // r/o acute cardiopulmonary process causing persistent post op hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p10532853/s59216710/2723e28f-88893975-b02869f3-48c4ec67-624238d1.jpg | portable semi-erect chest radiograph <unk> at <time> is submitted. | <unk> year old man with worsening anemia and chest tube with bloody pleural fluid. // evaluate for worsening effusion, consolidation evaluate for worsening effusion, consolidation |
MIMIC-CXR-JPG/2.0.0/files/p15775412/s52345531/5de9e759-b581623a-f00bcb37-94635de3-1560e7e8.jpg | single portable semi upright frontal chest radiograph demonstrates persistently hypoinflated lungs with vascular crowding and right lower lobe atelectasis. no pneumothorax. no right pleural effusion. interval increase in small to moderate left pleural effusion with retrocardiac opacity. new heterogeneous opacity projecting over the left mid hemi thorax. persistent mild cardiomegaly which is partially obscured by left pleural effusion. aortic arch calcifications noted. mediastinal contour and hila are otherwise unremarkable. chronic deformity of the left clavicle again noted. | <unk>m with altered mental status and hypotension. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17088480/s50237511/9b4c49ef-54f682d0-6f367acc-41495583-37baa252.jpg | the cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. previously noted widespread patchy opacities have markedly improved and are nearly resolved. no new focal consolidation, pleural effusion or pneumothorax is seen. there are mild multilevel degenerative changes in the thoracic spine. | delirium. |
MIMIC-CXR-JPG/2.0.0/files/p16171347/s54120790/100fc284-b85a1659-22e2460e-469858d0-ee98e762.jpg | frontal and lateral chest radiographs demonstrate low lung volumes which result in vascular crowding, but there is no focal consolidation. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. | fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p11397046/s56430867/cc9d03a7-e61fc40b-447022fb-d24471bf-72a7da4d.jpg | lower lung volumes seen on the current exam. the lungs are clear of confluent consolidation or effusion. the cardiac silhouette is top normal and unchanged. high density material seen within the colon likely from recent ct scan. no acute osseous abnormalities identified. mid thoracic dextroscoliosis again noted. | <unk> year old woman with high grade fever, hypotension // evaluate for pna |
MIMIC-CXR-JPG/2.0.0/files/p17424221/s58976578/70b988db-06276e80-99023679-90776de1-280b520a.jpg | since the chest radiograph obtained <num> days prior, lung volumes are improved, pulmonary edema has resolved, small right pleural effusion has resolved, and left pleural based malignant disease +/- loculated effusions have decreased in size. there is no evidence of focal consolidation. healed posterior right eighth and ninth rib fractures are unchanged. | <unk> year old woman with progressive multiple myeloma. new cough. neutropenic // cough, neutropenic, lll diminished breath sounds. ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11824773/s58967476/e2b2b8a3-bf2e8cae-4be49a9b-27b011df-aafb92e7.jpg | there are very low lung volumes, likely accentuating the size of the cardiomediastinal silhouette. hila are not well assessed, likely within normal limits. new since prior exam is a left lower lung opacity with air bronchograms, concerning for pneumonia. patchy right mid lung opacities likely reflect atelectasis. there is no pneumothorax. there is probably a small left pleural effusion. there is no right pleural effusion. surgical clips are seen scattered over the left hemiabdomen. | <unk>-year-old woman with hypoxia, hypotension, evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p12177591/s52118119/67abdf31-a2777770-6d040844-791964c2-128e9f7d.jpg | no localizing information is provided with regards to the patient's pain. right greater than left upper lung opacification is compatible with known post-radiation related change. otherwise, the lungs are clear without pleural effusion or pneumothorax. increase in ap diameter is likely predominantly due to kyphosis, though some contribution of emphysema cannot be excluded. no displaced rib fractures are identified. irregularities to the left lateral seventh and eighth ribs reflect old rib fractures. heart size is top normal with mild s-shaped scoliosis of the thoracic spine. | mvc and persistent rib pain with new cough. |
MIMIC-CXR-JPG/2.0.0/files/p10186925/s57454605/70289e8d-e8a47883-5e8c6157-8d165fac-8aa747cf.jpg | pa and lateral views of the chest the heart is moderately enlarged, and intact median sternotomy wires and mediastinal vascular clips are again noted. epicardial pacing leads also noted. there is mild vascular engorgement, possible mild vascular blurring, and trace thickening of the minor fissure, suggesting mild vascular plethora. a small amount of pleural fluid or thickening is seen posteriorly. there is no large pleural effusion or pneumothorax. no focal airspace opacity is seen. minimal atelectasis left base. | <unk>-year-old female with history of copd, presents with intermittent shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16276011/s54645045/55b7237a-9559c823-4cee3bab-4820b017-9d6a9166.jpg | there is a larger consolidation involving the right upper lobe. underlying right apical fluid is not excluded. no evidence of pleural effusion elsewhere. no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with ibs, psoriasis here for ams x <num> week. // ams, r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p18192923/s50065976/7f8b6862-96d5940b-c6401ebe-217a9dab-0334bc7b.jpg | although there is apparent mild opacity left lung base, on the chest ct performed approximately the same time, there is no infiltrate to explain this, therefore this likely represents a summation of shadows. the cardio-mediastinal silhouette is unremarkable. no significant pleural effusion or pneumothorax. | history: <unk>m with rle pain similar to prior dvt, l cp and sob, high risk pe // dvt, pe, ha ?ich |
MIMIC-CXR-JPG/2.0.0/files/p18737673/s58288108/5b55d35b-23e83861-af831fff-4ebe7f1d-28e895a7.jpg | portable upright chest radiograph <unk> at <time> is submitted. | <unk> year old woman with polysubstance ingestion now with fever s/p extubation // r/o pna, vap r/o pna, vap |
MIMIC-CXR-JPG/2.0.0/files/p18614974/s50073018/44bb722a-d473f053-c0d3e1ea-8bfe367a-8fe7d8ec.jpg | cardiac, mediastinal and hilar contours are normal. lungs are hyperinflated but clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. | history: <unk>f with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p14360114/s54889908/e14654e2-736b5021-7c42cfe0-3e78bc00-5e81f801.jpg | heart size remains mildly enlarged. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | lower extremity swelling, dyspnea on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p17719203/s52567430/8def7fa9-76e71a00-2c225380-92acc89d-5e028af6.jpg | pa and lateral views of the chest provided. there is a small left apical pneumothorax, similar in overall size with prior exam findings. no significant atelectasis or signs of tension. no evidence of pneumonia, edema, or effusion. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with posterior shoulder pain sob similar to prev pneumo |
MIMIC-CXR-JPG/2.0.0/files/p18245901/s57281362/fdaf7df4-f995a77a-f5b62ea7-9e29bfbb-4481db7b.jpg | cardiac silhouette size is mildly enlarged. the aorta is tortuous. mediastinal hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. linear and patchy opacities the lung bases most likely reflect areas of atelectasis. no pleural effusion, focal consolidation or pneumothorax is present. there are no acute osseous abnormalities identified. | history: <unk>f with epigastric pain, worse with exertion |
MIMIC-CXR-JPG/2.0.0/files/p14289751/s52354934/6ee7cd8f-0eb406b2-96bb2565-aae1f548-ad2496f4.jpg | support devices: a vp shunt is again seen. there are two right chest tubes which are unchanged. the small loculated appearing right pleural effusion is unchanged. heterogeneous airspace opacity in the right lung is unchanged. there is stable bibasilar atelectasis. | <unk> year old woman with effusion. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p18031120/s54678887/53ad9d1d-f23dcd9d-e19bab33-161a6acb-ccf3f6ea.jpg | right-sided picc is seen terminating in the mid to low svc without evidence of pneumothorax. single lead left-sided aicd is stable in position, the inferior most aspect not well seen due to underpenetration. no pleural effusion is seen. there is no definite focal consolidation. enlargement of the cardiac silhouette persists. mediastinal contours are grossly stable. | history: <unk>m with chest pain and cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p18079777/s57604135/6338a32a-18fcd9da-a07e684f-96c90bca-35b94c2d.jpg | there is new opacity in the lingula of left lung obscuring the left heart border, concerning for pneumonia. lungs are hyperinflated. focal scarring is noted in the right mid lung. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar silhouette are normal size. multiple old healed rib fractures are again noted. | r/o lung / pleural disease <unk> year old man with <num> days left scapular pain and left side shoulder / neck pain worse with deep inspiration, no cough, spuyum, or fever. patient has cll, in clinical trial using ibrutanib. never a smoker. // r/o lung / pleural disease |
MIMIC-CXR-JPG/2.0.0/files/p13925079/s54765161/06e78903-13b6dbb3-d1799991-8c3e3f43-39c623c6.jpg | portable semi-upright radiograph of the chest demonstrates persistent opacity in the right infrahilar region silhouetting the right hilus and right heart border, unchanged from the prior study. this is better assessed on ct of the torso performed after the study, and is consistent with a large right hilar mass. streaky opacities at the right lung base appears slightly improved on this study, and again may represent atelectasis. there is mild pulmonary vascular congestion and interstitial edema. mediastinal contours remain prominent. the cardiac silhouette is incompletely evaluated. no pneumothorax or pleural effusion. left internal jugular central venous line ends at the confluence of the left brachiocephalic vein and svc. endotracheal tube ends <num> cm from the carina. | history: <unk>f with hypotension s/p cvl // eval lij line placement |
MIMIC-CXR-JPG/2.0.0/files/p14952873/s50625757/6f19758d-d89e8c38-40a91f85-fd2e07ea-e1c9ea81.jpg | right-sided port-a-cath is seen terminating in the low svc. no pneumothorax is seen. there is a small left pleural effusion with overlying atelectasis. no definite focal consolidation is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. | history: <unk>m with pancreatic ca, hyponatremia // ?volume overload |
MIMIC-CXR-JPG/2.0.0/files/p14491264/s53760736/1a87669e-d90870d6-f3199bb4-af70ced8-c68369d4.jpg | heart size is exaggerated by low lung volumes, though is mildly enlarged and stable since at least <unk>. no focal consolidation or pleural effusions. borderline cardiac decompensation. in our review of previous studies, there is significant bullous emphysema and moderate pulmonary fibrosis. | <unk> year old man with generalized weakness // pneumonia, heart size |
MIMIC-CXR-JPG/2.0.0/files/p19035320/s53134843/23480abb-aadcc18c-3d48d7d4-f8174df9-cedc1089.jpg | the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with chest pain // presence of infiltrate, ptx |
MIMIC-CXR-JPG/2.0.0/files/p18499939/s50870953/270e37ae-26e85a44-a764bd46-f01d5797-c14c66a8.jpg | a left-sided icd with lead in the right ventricle is in unchanged position. the heart is substantially enlarged, although stable. lungs are essentially clear. there is no focal consolidation, pleural effusion or pneumothorax. | chest pain. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15291218/s56047539/45138e25-f9e983a8-b7745aa5-e5f71944-4002deb4.jpg | there is minimal left lower lung atelectasis. the lungs are otherwise clear. mild cardiomegaly is not significantly changed. there are no pleural effusions. no pneumothorax is seen. the descending thoracic aorta is mildly tortuous, not significantly changed. | fever and malaise. |
MIMIC-CXR-JPG/2.0.0/files/p14635737/s55854976/01771ce6-095859ac-6f1605fd-8dacb13b-fdf52a25.jpg | the lungs are hypoinflated. a granuloma is again noted in the left lower lobe, but no new focal opacities are seen. the patient is status post kyphoplasty of a lower thoracic vertebra. there is mild cardiomegaly, but the cardiomediastinal and hilar contours are unremarkable otherwise. there is no pleural effusion or pneumothorax. | <unk>-year-old female with left-sided chest pain. please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12954019/s57361986/88f1da71-3e10544f-b27a285a-5d4a2a47-d466d2bf.jpg | 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. | history: <unk>f with <num> week intermittent chest pain with radiation to back |
MIMIC-CXR-JPG/2.0.0/files/p15195289/s58574233/63cbc1ba-9c1c2426-1afe0a5d-efc95e28-826f383a.jpg | heart size is at upper limits of normal or slightly enlarged, similar to <unk>. aorta is minimally unfolded. possible minimal upper zone redistribution, but no overt chf. no focal infiltrate or effusion. no pneumothorax detected. mild eventration of the right hemidiaphragm is unchanged. borderline low inspiratory lung volumes. in the extreme upper aged these films, the lower portion of his cervical spine fixation hardware is noted. | history: <unk>m with chest pain // eval for cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p13628037/s56449388/8ae04793-64d7e622-7636a0b7-8fa4f5ea-58c4943c.jpg | pa and lateral views of the chest provided. a right ij central venous catheter is seen with its tip in the expected location of the low svc. mild interstitial pulmonary edema with hilar congestion is noted. no large effusion. heart size is top-normal. no pneumothorax. mediastinal contour normal. bony structures appear intact. no free air below the right hemidiaphragm. | <unk>m with fever // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11648387/s51986560/f029bce3-6686ea23-e3e74ba6-abcd1277-53393b75.jpg | normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. biapical pleural thickening is unchanged. multiple nodules are seen predominantly in the right lung which were better evaluated on recent chest ct. | <unk> year old man with recent fall // evaluate for cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p13171237/s52361751/22e927ce-c08a77b5-2b1a1b61-513447a5-8c22208f.jpg | no focal consolidation, pleural effusion, or pneumothorax is seen. heart size is normal. left mediastinal bulge probably represents a tortuous aorta. | <unk>-year-old female with abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p18346402/s52980756/8857ccae-ea3be2f1-dbff0f03-7828c00a-18b90fbc.jpg | no change in the positioning of the right-sided chest tube. right basilar atelectasis is persistent, with improved left lower lobe aeration. the heart is persistently moderately enlarged, without evidence of pneumothorax or pulmonary edema. a small to moderate right pleural effusion persists. no pneumothorax. | <unk> year old woman with chest tube in place on r for pleural effusion. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p17132597/s55006497/0afcad69-3b7d18d7-edf589ee-79eebb70-8e633950.jpg | the lung volumes are quite low, accentuating the heart and mediastinal size, and causing crowding of the pulmonary vasculature. the lungs are grossly clear, with no pneumothorax, pleural effusion, overt pulmonary edema, or focal consolidation. no acute osseous abnormalities are detected. | history: <unk>f with copd // acute process |
MIMIC-CXR-JPG/2.0.0/files/p18845673/s52815048/2c2f2aa8-54e59b04-6e6f04d8-4ffaf30e-2285e6a6.jpg | frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. compression deformity in the lower thoracic spine is unchanged. no acute osseous abnormality is identified. | <unk>-year-old male with liver disease and infection. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19611909/s58599765/f3fca3b5-9d245a0c-7a98089b-0bd7fb2d-641e0a53.jpg | frontal radiographs of the chest demonstrate normal heart size. the et tube terminates <num> cm above the carina. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. | et tube, confirm placement |
MIMIC-CXR-JPG/2.0.0/files/p16437545/s53815266/c6204aaf-9fb56a93-293e895e-29e3aa66-4bc5cc8d.jpg | ap upright and lateral views of the chest provided. lungs are clear. no signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged with severe cardiomegaly again noted. bony structures are intact. | <unk>f with weakness // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p12649554/s55491784/c4e16c43-f87bf524-5418cc6d-ef46c133-6f146a6a.jpg | frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>f with fever cough yellow sputum // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p17419105/s58002198/84727cd4-9362d08d-07e275bd-8bc1d59e-e9739907.jpg | the heart is normal size. there is no pleural effusion, pneumothorax or focal consolidation. there is mild rightward convex curvature of the thoracolumbar spine. | <unk>f with dementia s/p unwittnessed fall with right wrist swelling and right hip tenderness // assess for bleeding, fracture |
MIMIC-CXR-JPG/2.0.0/files/p18686201/s55803141/a5d55736-b41b063e-827e7e3f-f3f7ac8d-a2db37d4.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal hilar contours are normal. there is slight increase in interstitial markings which may represent chronic interstitial lung disease. there is deviation of the trachea at the thoracic inlet to the right likely from an enlarged left thyroid lobe. | status post fall unclear etiology, assess for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p15371486/s56631382/f37d6951-82d0eaa2-79c7cf2c-88b49781-8bf73e8e.jpg | single lead cardiac pacemaker with tip in the right ventricle. there is no pneumothorax. lungs are clear. no pleural effusions. normal heart size, pulmonary vascularity. | <unk> year old woman s/p temporary screw-in lead in the rv with external pm // check for pnx and lead location |
MIMIC-CXR-JPG/2.0.0/files/p18751337/s58763930/46b067ce-a0f47bb6-f0dcd26c-0b4c3426-7e9a5362.jpg | the lungs are clear without evidence of consolidations or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. mild dextroscoliosis and degenerative changes of the thoracic spine are stable. | acute chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16574669/s57182715/5956cfc5-1b380c3c-a16b0da2-c1182809-fffc3216.jpg | pa and lateral views of the chest were compared to previous exam from <unk>. low inspiratory volumes seen on the frontal exam. that being said, there is no large confluent consolidation identified nor pleural effusion. cardiomediastinal silhouette is within normal limits as are the osseous and soft tissue structures. surgical clips in the right upper quadrant suggest prior cholecystectomy | <unk>-year-old woman with cough, wheeze. question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p13655596/s59925962/a4fd674c-743270c9-931f7d9a-1a879305-e615231b.jpg | lungs are fully expanded. subtle left lower lung opacity. no pleural abnormality. heart size is normal. cardiomediastinal and hilar silhouettes are unremarkable. incidental note made of radiodense device and wires projecting over the upper abdomen. | <unk>m with pancreas transplant (<unk> on tacro/mmf), h/o t<num>dm (previously on insulin pump until transplant) complicated by neuropathy, nephropathy, retinopathy, chronic pancreatitis, and gastroparesis (s/p j tube placement) who presents as tx from <unk> after presenting there for <num>week of watery bowel movements leading to severe malaise and also complicated by <unk> on labs. // assess for pna/chf |
MIMIC-CXR-JPG/2.0.0/files/p17097837/s55748455/4cdaea0e-b785feb6-676a280b-56b1457a-16456588.jpg | the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. surgical clips are noted in the upper abdomen. a hiatal hernia with air-fluid level, is incidentally noted. | <unk>-year-old male with shortness breath and ekg changes. please evaluate for cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p14580631/s54400115/bca0c694-7d9be9e7-8547d886-6761eb4c-56b7ead6.jpg | the lungs are clear. the heart size is normal. the mediastinum is not widened. no pneumothorax or evidence of pneumomediastinum. no acute osseous abnormality in the thorax on this nondedicated exam. the stomach is distended with gas and ingested contents. | <unk>-year-old man presenting with fall, head injury, c<num> tenderness. eval for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15997196/s58186406/c96e4e78-3f0dcc7b-c4e916c3-bc99a62f-44231474.jpg | there is an increase in interstitial markings in a predominantly peripheral and basilar distribution consistent with known chronic interstitial lung disease which was previously presumed to reflect nonspecific interstitial pneumonia. increased opacities at the lung bases likely reflect this progressive fibrosis. the cardiomediastinal silhouette and hilar contours are stable without cardiomegaly. there is no pleural effusion or pneumothorax. | dyspnea on exertion. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11380379/s56985496/f8f663aa-c04cf76b-2f6aaa94-be8578e0-030bc83c.jpg | lung volumes are slightly low. the heart is mildly enlarged, unchanged. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. median sternotomy wires appear intact. | history: <unk>f with pain, sob // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p10076526/s54021960/a97150c5-f408fb98-e082a3ac-dc327aac-7b5a9230.jpg | the right internal jugular central venous catheter still ends in mid svc. endotracheal tube tip <num>cm above the carina is in standard position. an upper enteric tube passes into the stomach and out of view. perihilar opacification, right greater than left is unchanged as is mild edema. there is no large pleural effusion or pneumothorax. | ards, check endotracheal tube position. |
MIMIC-CXR-JPG/2.0.0/files/p13831349/s55351888/0ef7c4ac-9464de48-6831a448-d135e467-ff1c6aa0.jpg | pa and lateral views of the chest provided. an et tube ends <num> cm above the carina. left pacemaker and leads are stable in position. a right central venous catheter ends in the mid svc. a nasogastric tube courses below the level of the diaphragm, the distal tip is not seen. multi focal opacities in both lungs are unchanged. there is prominence of the pulmonary vasculature. small bilateral pleural effusions are unchanged. no pneumothorax. mild levoscoliosis is stable. | <unk> year old woman with hypoxic respiratory failure. h/o copd and chf // ?pna vs. chf |
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