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MIMIC-CXR-JPG/2.0.0/files/p17825043/s56042942/7ec595f5-93db2796-2ddb042d-55835f5c-e8691e50.jpg
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the cardiac, mediastinal and hilar contours appear stable allowing for differences in technique. lung volumes are again low. there is no pleural effusion or pneumothorax. vasculature is mildly prominent. the lungs appear otherwise clear. no free air is identified.
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chronic back and acute periumbilical pain.
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cardiomediastinal contours are stable in appearance. there is no radiographic evidence of mediastinal or hilar lymphadenopathy. nonspecific lingular and left basilar opacities appear to correspond to pleural parenchymal scarring on recent abdominal ct of <unk>. lungs are otherwise clear.
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<unk> year old woman with vision loss, inflammation r/o hilar lad, infection // r/o hilar lad, infection
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MIMIC-CXR-JPG/2.0.0/files/p17611423/s58809619/a9539cfe-7aaadaff-a619fe14-39dd41c8-742d099c.jpg
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the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with chest pain // ?pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15805011/s58744635/f3b6f776-bc444a8f-002e5033-4add4073-09f8723e.jpg
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frontal ap and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. bibasilar atelectasis is seen. there is no focal consolidation, pleural effusion or pneumothorax. heart size is within normal limits allowing for low lung volumes and technique. mediastinal silhouette is normal. there is no free air under the diaphragm. no acute osseous abnormality is identified.
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<unk>-year-old man with syncope.
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the head partially obscures the apices. a left pacer has a single lead terminating in the right ventricle. the cardiomediastinal silhouette is grossly unchanged re-demonstrating severe cardiomegaly. a moderate to large left pleural effusion and a moderate right pleural effusion are unchanged. mild to moderate pulmonary edema is similarly unchanged. there is no pneumothorax.
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chf with worsening respiratory status.
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cardiomediastinal contours are normal. faint opacity in the right upper lobe could represent atelectasis or developing pneumonia. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old man with hypoxia // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p13723259/s58557612/3753525d-57b710b0-e6cda421-3d194051-2359945a.jpg
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the heart size remains normal. there has been reaccumulation of small bilateral pleural effusions with associated compressive atelectasis. slight vascular congestion is present. there is no focal consolidation concerning for pneumonia.
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acute kidney injury, on hemodialysis with severe aortic stenosis with increasing dyspnea on exertion.
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MIMIC-CXR-JPG/2.0.0/files/p14147907/s56119335/04410573-06a745cd-4f17fff7-9402ea10-db27c1af.jpg
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cardiac silhouette size is top normal. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unchanged. no pneumomediastinum is present. lungs are hyperinflated with flattening of the diaphragms compatible with underlying copd. no focal consolidation, pleural effusion or pneumothorax is present. no subdiaphragmatic free air is present. bridging anterior osteophytes are re- demonstrated in the thoracic spine compatible with dish.
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<unk> year old m with history of cad, atrial fibrillation on coumadin, lymphoma, bladder cancer, and esophageal cancer with chief complaint of dysphagia, inability to tolerate po or secretions since <unk>. concern for food impaction.
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MIMIC-CXR-JPG/2.0.0/files/p13026285/s54843369/e07524fc-c457bf86-12135d30-ebad019b-cf966f73.jpg
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an ng type tube is present. the tip overlies the lower mediastinum, presumably in relation to the distal neo esophagus, similar to the prior film. again seen is left-sided chest tube, with skin <unk> and subcutaneous emphysema seen along the lower left chest wall. as before, tube lies along the lateral aspect of the chest wall. a tiny residual pneumothorax is likely present. previously seen postoperative pneumoperitoneum is no longer visualized. mild prominence the cardiomediastinal silhouette is unchanged. upper zone redistribution an bibasilar atelectasis upper zone redistribution is similar to the prior film. platelike atelectasis and bibasilar atelectasis is more pronounced. patent ge retrocardiac opacity is slightly more pronounced. no gross effusion. no right-sided pneumothorax. small (<num> mm), nonaggressive rounded lucency in the right proximal humeral diaphysis, with sclerotic rim, is similar to <unk>.
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<unk> year old man s/p esophagectomy with chest tube // assess chest tube placement
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normal cardiomediastinal contour. the heart measures at the upper limits normal. no hilar adenopathy. mild vascular congestion. no overt pulmonary edema. no airspace consolidation. no pleural effusion. no suspicious pulmonary nodules or masses. spondylotic changes of the thoracic spine.
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hx of myeloma. cough. please r/o pna. // hx of myeloma. cough. please r/o pna.
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MIMIC-CXR-JPG/2.0.0/files/p15869202/s58459801/fbf5be7e-05c8c640-700f3434-8212c29a-4296559f.jpg
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tracheostomy tube is in situ. a right-sided picc terminates in the cavoatrial junction. the heart is moderately enlarged. mediastinal silhouette is unchanged. previously seen consolidation in the right upper lung has mostly cleared. the consolidation seen in the right lower lung is also improved. there is no pulmonary edema. small bilateral pleural effusions are likely present.
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<unk> year old woman with ? new aspiration pna pm <unk>, eval interval change, on trach // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p10933807/s50490323/b4828ee6-916594b5-2dac6d90-f2b37d39-6a9f928b.jpg
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the new enteric tube courses below the diaphragm and terminates within the stomach. the pre-existing feeding tube is unchanged terminating in the third portion of the duodenum. embolization coils and a stent projecting over the right upper quadrant are unchanged. lumbar spinal fusion hardware projects in unchanged position. low lung volumes cause bronchovascular crowding and bibasilar platelike atelectasis. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. the cardiomediastinal silhouette is unchanged.
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<unk> year old man now s/p ngt placed, evaluate ng tube placement.
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the lungs are hyperinflated. there is a right apical bulla with associated pleural thickening. there is also slight asymmetry in the right infrahilar region with a confluent opacity which may be due to confluence of vessels. the cardiac silhouette is normal. there is no pleural effusion or pneumothorax.
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<unk> year old man with active smoker presents with anorexia and dizziness, evaluate for mass.
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MIMIC-CXR-JPG/2.0.0/files/p11790669/s50943412/53cad120-6462cce1-03eeec20-6499c85e-3dea3f93.jpg
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compared to yesterday's examination, there has been interval removal of a left-sided chest tube with unchanged residual millimetric left apical pneumothorax without evidence of tension. there is otherwise no significant change. cardiomediastinal silhouette and hilar contours are unchanged, and the lungs remain clear.
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status post vats left lower lobe wedge resection. chest tube removal. evaluate for pneumothorax.
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frontal and lateral views of the chest. the lungs are clear without focal opacity, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
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acute respiratory distress syndrome and bilateral pneumonia in <unk>. interval evaluation.
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MIMIC-CXR-JPG/2.0.0/files/p15871186/s59410550/4ad60f20-5c349132-158ca61c-b8f41b74-0615cae3.jpg
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pa and lateral radiographs of the chest were acquired. a tiny calcified granuloma is seen at the left lung apex, unchanged. the lungs are otherwise clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
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cough for the past three weeks. evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p18866898/s59736043/5c484b59-63beb4bf-1469c364-6d4a370b-13be5a46.jpg
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two views of the chest were obtained. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is moderately enlarged and increased in size since <unk> of uncertain chronicity. pulmonary vascularity is normal suggesting against acute decompensation. hilar and mediastinal contours are normal.
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reproducible chest pain, assess for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p11722594/s53101623/7d437d80-a8abafb8-bf2c47e1-6af5c831-576dc1c2.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are hyperinflated to a moderate degree. there is no pleural effusion or pneumothorax, although it is noted that the extreme posterior costophrenic foci are excluded on the lateral view. the lungs appear clear.
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wheezing.
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there has been placement of a left-sided <num> lead pacemaker with lead tips in the right atrium and right ventricle. the heart size is upper limits of normal. lungs are clear. there are no pneumothoraces.
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<unk> year old man s/p dual chamber ppm. // rule out ptx and check leads
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MIMIC-CXR-JPG/2.0.0/files/p15523346/s51241188/23fc1900-bb40a480-2ca33a71-f1f1657d-4d961c15.jpg
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bilateral low lung volumes. convexity of the upper right mediastinal contour suggest dilatation or tortuosity of the ascending aorta. 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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<unk> year old man with dry cough. // any pulmonary cause of dry cough.
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portable semi-upright view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. there is no pleural effusion, focal consolidation or pneumothorax. perihilar vascular congestion is noted. there is no pulmonary edema. heart size is normal. there is interval removal of endotracheal tube. multiple surgical clips and tips shunt catheter project over right upper abdomen.
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patient with fever. assess for pneumonia.
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. surgical clips at the hiatus are unchanged.
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<unk>-year-old male with syncope.
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MIMIC-CXR-JPG/2.0.0/files/p15278572/s57700958/f98289af-082c75fe-17c17dc4-c3881d44-56966359.jpg
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<num> views were obtained of the chest. the lungs are hyperexpanded with right basilar opacities decreased but nonetheless concerning for pneumonia. fiducial markers and post treatment changes in the left mid lung are unchanged. there is no pleural effusion or pneumothorax. the heart and mediastinal contours are unremarkable.
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severe copd with fevers and chills.
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MIMIC-CXR-JPG/2.0.0/files/p11021643/s53243699/39ce659b-e06f54aa-15061926-54b9246d-906fe183.jpg
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patient is status post median sternotomy. the cardiac and mediastinal silhouettes are stable. there is no pulmonary edema. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. degenerative changes are seen along the spine.
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history: <unk>f with dyspnea // pulmonary edema?
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MIMIC-CXR-JPG/2.0.0/files/p19878468/s55340633/a3ebce76-5b311efa-f636cd20-73d08f4d-e3e6081b.jpg
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focal opacity in the left lower lobe obscuring the left hemidiaphragm consistent with pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old woman with cough // r/o pneumonia
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frontal and lateral views of the chest. the lungs are clear of consolidation or effusion. there is no frank pulmonary edema. cardiac silhouette is slightly enlarged. prosthetic aortic valve is noted. descending aorta is tortuous. median sternotomy wires and mediastinal clips are noted. degenerative changes seen at the shoulders bilaterally. no acute osseous abnormality seen. hypertrophic changes seen throughout the spine.
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<unk>-year-old male with chf presents with cough and scattered wheezes.
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MIMIC-CXR-JPG/2.0.0/files/p17707269/s55196483/6ac9d755-39cfc410-57a38a5e-54101032-e0caa757.jpg
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there is worsening of severe chronic bronchiectasis with increased infiltrates in the peribronchial interstitium. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is unchanged and within normal limits. osseous structures and pleural surfaces are unremarkable.
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<unk>-year-old female with severe bronchiectasis, presents with cough.
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MIMIC-CXR-JPG/2.0.0/files/p16023485/s57093660/8d8d166c-ef87de06-df695bb0-cb22317b-ebd9f3bc.jpg
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low lung volumes bilaterally. patient status post left vats wedge resection. small left apical pneumothorax is decreased. moderate bibasilar atelectasis. no appreciable pleural effusion is seen. the cardiac and mediastinal silhouettes are unchanged.
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<unk> year old woman s/p vats lll wedge // check left ap ptx
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MIMIC-CXR-JPG/2.0.0/files/p18001271/s51121974/db7233c5-96de287a-99227d62-9a2604e3-0cedfb6b.jpg
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cardiac, mediastinal and hilar contours are unremarkable with the heart size within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is visualized. there are degenerative changes noted with thoracic spine with anterior osteophyte formation.
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elevated blood pressure.
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low lung volumes bilaterally with mild improvement in pulmonary edema. no pneumothorax, pleural effusion or new focal opacity. heart size is mildly enlarged with normal mediastinal contour and hila. aortic arch calcifications and a tortuous nondilated aorta noted. no bony abnormality.
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female with abdominal pain and shortness of breath. assess for pulmonary edema, pneumonia or effusion.
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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 demonstrated.
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chest tightness, cough.
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MIMIC-CXR-JPG/2.0.0/files/p19150203/s55434108/791b3388-aa404237-18daa431-4807e426-ee731cd3.jpg
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lordotic positioning. a right-sided internal jugular catheter is seen, terminating in the mid svc. left-sided pacemaker is identified. probable background hyperinflation. the cardiac silhouette is probably slightly enlarged. the pulmonary vasculature is somewhat centrally congested. hazy bilateral opacities are noted. lung bases are not entirely imaged. allowing for this, no frank consolidation is detected. no gross effusions are seen. no obvious pneumothorax is identified.
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history: <unk>m with r ij central line // confirm central line placement
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rotated supine positioning. rotation limits direct comparison to the prior film, peptic could for assessment of the cardiomediastinal silhouette. allowing for this, the enlarged cardiomediastinal silhouette is probably similar to the prior film. the enlarged there is upper zone redistribution and diffuse vascular plethora. allowing for technical differences, this may be slightly worse than on the prior film. although there is suggestion of vascular blurring as can be seen with interstitial edema, this could be accentuated by under penetrated technique and overlying soft tissues. again seen is deformity and pleural thickening along the right chest wall of indeterminate acuity. the right costophrenic angle is excluded from the film. left the extreme left costophrenic is obscured by overlying soft tissues.
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<unk> year old man with cirrhosis and hcc s/p bleed this admission from tips complication vs new hepatic mass; now more sob w o<num> requirement, concern for effusion vs pulm edema // evidence of significant pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p10359112/s59932117/b2093cce-fa93ac3b-378f0659-4627ba49-776781d8.jpg
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the patient is status post median sternotomy and cabg. the heart size is top normal. the mediastinal and hilar contours are unremarkable. bilateral calcified pleural plaques are seen diffusely which limits assessment of the underlying pulmonary parenchyma. no focal consolidation, pleural effusion or pneumothorax is clearly demonstrated. there are no acute osseous abnormalities.
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history: <unk>m with headache, cough
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MIMIC-CXR-JPG/2.0.0/files/p16508811/s57988903/febf4065-2f4fb271-950add11-ee1ea7b0-f4c14c02.jpg
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right ij access dialysis catheter again noted with its tip in the region of the right atrium. increased retrocardiac opacity raises concern for pneumonia. findings appear progressed from prior exam. the heart size is stable. no pneumothorax or pleural effusion. mediastinal contour unchanged. hilar congestion again noted.
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<unk>m with dyspnea // eval fro acute process
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the patient is rotated to the right. the lungs are hyperinflated. there is right costophrenic angle opacity which may be due to atelectasis, pleural effusion, pulmonary contusion not excluded given overlying rib fractures. there are multiple right-sided rib fractures including the right lateral fourth through of seventh and possibly eighth rib. possible nondisplaced left-sided rib fractures involving the anterolateral left fourth and sixth ribs and possibly the fifth rib. no definite pneumothorax identified. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
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history: <unk>f with fall, bil chest pain // eval for ptx
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MIMIC-CXR-JPG/2.0.0/files/p13016194/s59919946/19298753-21ee78aa-81f87f03-b3e318ea-8109798b.jpg
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the lungs are well expanded and clear. no pleural abnormality is seen. the heart is normal in size. the hilar and mediastinal silhouette is normal.
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<unk> year old woman with positive ppd // r/o infiltrates
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MIMIC-CXR-JPG/2.0.0/files/p19052147/s54282772/e1e5c8b5-bcd6def8-fc449fcb-5ba45a24-5331ce57.jpg
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frontal and lateral chest radiographs demonstrate interval repositioning of a right picc, which now terminates in the mid svc. the remainder of the exam is largely unchanged, with sternal wires and mediastinal clips again seen. the cardiomediastinal silhouette is normal in size with a tortuous aorta. the lungs are clear, without pleural effusion, pneumothorax, or focal consolidation. the visualized upper abdomen is unremarkable.
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status post picc repositioning.
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a gastrostomy tube is noted over the left upper quadrant. the left picc terminates in the left brachiocephalic vein. there is no pneumothorax. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
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recent peg placement and new picc.
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MIMIC-CXR-JPG/2.0.0/files/p14371035/s52740317/18f255d5-6404ee26-b6343bda-10515925-e901eada.jpg
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left and right internal jugular central venous catheters seen to terminate in the lower and mid svc, respectively. endotracheal tube terminates <num> cm above the carina. nasogastric tube ends in the stomach. nephrostomy tube is again seen over the right upper abdomen. bilateral perihilar opacities are unchanged, with still persistent mild left greater than right opacification. right mid lung consolidation also appears unchanged. small to moderate bilateral effusions are again seen. cardiomediastinal silhouette and heart size are unchanged. no pneumothorax is seen though supine positioning limits sensitivity for detection of anteriorly collected pleural air.
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intubated with ards and urosepsis, assess for progression of infiltrates.
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since the prior cxr, there has been interval placement of an enteric tube that terminates in the stomach, but the sidehole is at the ge junction. endotracheal tube terminates <num> cm above the carina. the right sided picc line has been advanced and now terminates in the mid right atrium. there has been interval worsening of the right layering pleural effusion and adjacent atelectasis. no left pleural effusion. no pneumothorax. heart size is top normal. mediastinum appears widened, likely due to patient rotation. cervical fusion device is unchanged in location.
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<unk> year old man with cerebellar hemorrhage // ett and ogt placement
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. rounded retrocardiac density likely represents a large hiatal hernia. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous. no pulmonary edema is seen. there is no evidence of free air beneath the diaphragms. partially imaged spinal rods are noted. surgical clips are seen in the upper abdomen.
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history: <unk>f with abd pain // free air
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the heart is mild to moderately enlarged. there is mild unfolding of the thoracic aorta. there is perihilar fullness bilaterally with indistinct central pulmonary vascularity suggesting pulmonary vascular congestion or fluid overload. in addition, within the right lower lung, there is a potential focal developing opacity, so coinciding pneumonia could be considered. there is no definite pleural effusion or pneumothorax.
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tachycardia and cough.
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portable semi upright radiograph of the chest demonstrates hyperexpanded lungs with increased interstitial markings, not significantly changed from the prior study earlier on the same date. the cardiomediastinal contours are unchanged. the heart appears mildly enlarged. there is no pneumothorax, consolidation, or pleural effusion. the nasogastric tube appears ultimately terminate in the stomach with the last side port below the ge junction.
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<unk> year old woman with new stroke, ng tube placed // ?tube placement
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the lungs are clear. there is no focal consolidation, effusion, or edema. median sternotomy wires and prosthetic valves are again noted. no acute osseous abnormalities.
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<unk>m with fever, c/f non-native valve infective endocarditis // eval for pna, pulm edema
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moderate cardiomegaly is unchanged. the aorta remains mildly tortuous. mediastinal contour is similar. enlargement of the right hilum is unchanged, compatible with underlying dilatation of the right pulmonary artery. pulmonary vasculature is not engorged. blunting of the left costophrenic angle is compatible with chronic pleural thickening. no focal consolidation, pleural effusion, or pneumothorax is seen. there are moderate multilevel degenerative changes noted in the thoracic spine.
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history: <unk>f with gradual onset dyspnea, history of congestive heart failure, weight gain
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in comparison with the study of <unk>, there is little change. no evidence of acute focal pneumonia or vascular congestion. axillary clips and central catheter remain. of incidental note is an azygos fissure.
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relapsed lymphoma after transplant, now with fever.
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no significant overall change in the overall appearance of the lungs and heart since <unk>. several bilateral lung nodules are overall unchanged since <unk>, although less prominent since <unk>. the moderate right pleural effusion with adjacent compressive atelectasis is unchanged, despite the presence of a right-sided drainage catheter. no pneumothorax. stable appearance of the right paramediastinal mass that is better evaluated on prior ct.
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<unk> year old man with drug induced pneumonitis; evaluate for interval change.
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the cardiomediastinal and hilar contours are stable. there is no pneumothorax or pleural effusions. a lateral pleural based opacity at the right lung base corresponds to increase in the subpleural fat as seen on prior ct. there is no new focal consolidation concerning for pneumonia. right basilar atelectasis is also again seen. the upper abdomen is unremarkable.
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<unk>m with positive blood cultures // r/o pneumonia
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no acute pulmonary process including focal consolidation, pulmonary edema, or pneumothorax is seen. the cardiac silhouette is at the upper limits of normal. no signs of mediastinal widening, and no acute bony abnormalities are seen on the pa and lateral radiographs.
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<unk>-year-old female with pleuritic back pain, evaluate for infiltrate.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. no definite focal consolidation to suggest pneumonia. there is no pleural effusion or pneumothorax.
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history: <unk>m with flu-like symptoms, productive cough, fever // evidence of pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p11141118/s53676124/9bf9e696-96167168-66071377-4048ee91-ec70a5b0.jpg
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the heart is mildly enlarged. there small bilateral pleural effusions and volume loss at both bases. there is pulmonary vascular redistribution. the vertebral bodies are osteopenic with vertebral body height loss most marked in the mid thoracic vertebral bodies which has increased slightly compared to the study from last <unk>
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history: <unk>f with exertional dyspnea // ? pna, chf
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MIMIC-CXR-JPG/2.0.0/files/p19175595/s52873579/6f50e12e-0dcd33c3-ae2d6fa8-24696640-f1e54f40.jpg
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there is no longer an apical component to the previously described left pneumothorax. a small-to-moderate left pleural effusion persists on the left with few areas of streaky associated atelectasis. an air-fluid level best seen on the lateral view indicated some degree of hydropneumothorax. there is no evidence of diaphragmatic flattening or mediastinal shift. right mid rib fractures are nondisplaced, not well appreciated on the current exam.
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<unk>-year-old male with stable left pneumothorax, in need of interval change assessment.
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lung volumes are significantly lower than on the earlier exam which contribute to bibasilar vascular crowding and atelectasis. no focal consolidations concerning for pneumonia. cardiac size is normal. hilar contours are unremarkable. no pleural effusion or pneumothorax.
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chest pain.
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right picc line tip low svc. endotracheal tube tip in good position. endotracheal tube tip not included on this radiograph. mild improvement in bibasilar opacities. electronic device projects over the right shoulder. remainder normal
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<unk> year old man with severe epistaxis and intubation to protect airway. now with acute change in mental status // evaluate for interval change
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MIMIC-CXR-JPG/2.0.0/files/p14194421/s53734907/b4eb4ce1-f8ea5d66-4d6efa2c-08fbf0a6-7c11c181.jpg
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frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
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<unk>-year-old man with persistent dry cough. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18760108/s51572322/b2cb9718-48f6a519-82119ef4-852a9f17-db63beb5.jpg
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in the right upper lung zone, there is a <num> rounded opacity which corresponds to the known pulmonary mass. additionally, in the left mid lung zone, there is a <num>-mm well-circumscribed pulmonary nodule, which correlates to the known pleural-based nodule. no new discrete masses or nodules are identified. there is no consolidation, edema, pleural effusion, or pneumothorax. the aorta is stably tortuous and enlarged. the cardiomediastinal silhouette is otherwise normal.
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history of lung cancer with high fevers. evaluate for pneumonia.
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left-sided pacer device is stable in position. the cardiac and mediastinal silhouettes are stable. slight increase in opacity projecting over the right mid lung is grossly stable compared to multiple priors and may be due to overlap of structures. calcification along the right diaphragm is again seen. no pleural effusion or pneumothorax.
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history: <unk>m w/ recently placed pacemaker presents s/p fall. // ct head: ? bleed
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with chest pain // chest pain
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MIMIC-CXR-JPG/2.0.0/files/p19345192/s58352993/9e76d118-5c714b25-d3215932-201cf84d-27a83d7d.jpg
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moderate enlargement of the cardiac silhouette is unchanged. the mediastinal contour similar. mild pulmonary edema is worse in the interval. hilar contours are unchanged with prominence of the pulmonary artery suggestive of pulmonary arterial hypertension, as seen previously. small bilateral pleural effusions are present. atelectasis is seen in the lung bases without focal consolidation. no pneumothorax is present. osseous structures are diffusely demineralized.
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history: <unk>f with new dyspnea and rapid atrial flutter
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lung volumes are low. again seen are nodular opacities throughout the lungs, midly improved in the left lower lobe, otherwise unchanged compared to the prior chest radiograph and most recent chest ct. there is no new focal consolidation, pleural effusion or pneumothorax. a metallic fragment in the right lower lobe is stable. cardiomediastinal silhouette is stable. the imaged upper abdomen is gasless.
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<unk>-year-old man with pneumonia still spiking fevers.
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a central venous catheter terminates in the right atrium. the patient is status post sternotomy and probably coronary bypass surgery. surgical clips also project over the epigastric region. the heart is enlarged. the aorta is calcified. the mediastinal and hilar contours appear unchanged. a mild interstitial abnormality appears unchanged with areas of suspected subpleural scarring along the right lower hemithorax. there is no pneumothorax. trace pleural effusions are suspected.
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worsening shortness of breath. history of congestive heart failure.
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MIMIC-CXR-JPG/2.0.0/files/p10916587/s57266726/319c3b33-efb17315-499ab319-2127696c-0e44775f.jpg
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heart size is mildly enlarged. aortic knob is calcified. fullness of the right paratracheal stripe is noted. hilar contours are unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>f with cough and positive ppd
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MIMIC-CXR-JPG/2.0.0/files/p11320106/s51598070/8147c381-535854a0-e4fb19d5-e4f8b0d0-fbc567a6.jpg
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an et tube is present. the carina is not well delineated, but the et tube probably lies approximately <num> cm above the carina. an ng tube is present, tip beneath diaphragm, overlying gastric fundus. there are low inspiratory volumes. heart size is borderline enlarged. there is upper zone redistribution, but doubt overt chf. compared with the prior film, however, there is new increased retrocardiac density and new blunting of the left costophrenic angle, consistent with left lower lobe collapse and/or consolidation. some patchy opacity in the right infrahilar region is similar to the prior film.
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<unk> year old man with cardiac arrest intubated // interval change
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MIMIC-CXR-JPG/2.0.0/files/p11957269/s55797906/a26126ed-eeab6b28-504dc15e-7dfde1da-943bc80a.jpg
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eventration of the right hemidiaphragm is unchanged. chronic changes centered at the lung bases are as previously noted compatible fibrosis. there is no new consolidation. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
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<unk>m with bilateral crackles. no history of chf. recent dx of pneumonia // r/o pneumonia, chf
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MIMIC-CXR-JPG/2.0.0/files/p14256394/s55355362/c20b5ee2-c36b3ad9-d323da18-341faa58-cbfb3144.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. left-sided pacemaker with leads terminating in the right atrium and right ventricle. mild scoliosis.
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<unk> year old woman s/p additional ra lead into dual chamber ppm // assess leads placement and r/o ptx.
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MIMIC-CXR-JPG/2.0.0/files/p15317224/s58182846/29cad060-07e83bbf-9cb4e714-68426fe0-5dfde33c.jpg
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is no free air beneath the right hemidiaphragm.
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history: <unk>f with cough and dyspnea // r/o infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg
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frontal and lateral views of the chest are compared to previous exam from <unk>. when compared to prior, there has been interval improvement in the appearance of the pulmonary edema. indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions. cardiac silhouette is enlarged but stable in configuration. osseous and soft tissue structures are unchanged.
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<unk>-year-old female with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p19059343/s52051180/6fd1175f-fa17d93f-7223a304-be4eb58b-d1119a42.jpg
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as on the prior outside study there is near complete opacification of the left hemi thorax with mediastinal shift to the left did trachea is deviated to the left and the endotracheal tube tip is seen at the thoracic inlet with the carina not adequately visualized and ng tube tip is off the film, at least in the stomach. right-sided picc line tip is in the expected location of the cavoatrial junction the right lung has a hazy appearance with ill-defined vasculature. some of this could be due to overlying soft tissues but pulmonary edema is likely also present. there is probably right pleural effusion.
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<unk> year old woman with et tube placement // placement of et tube
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MIMIC-CXR-JPG/2.0.0/files/p19641862/s51181525/5d2a3a9a-3ae5c133-aa427be4-99085c10-f6d1cd56.jpg
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified.
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cough.
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MIMIC-CXR-JPG/2.0.0/files/p14751263/s59063839/a1cd3f37-9591eea1-c12a746d-8347d113-915d953a.jpg
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. small osteophytes are present along the mid thoracic spine.
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epigastric discomfort.
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MIMIC-CXR-JPG/2.0.0/files/p12884309/s56276776/a36eaab0-d01cfbe0-395cc44f-79d6ff55-c6b2b040.jpg
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pa and lateral views of the chest provided. compared to yesterday's exam, there is increased opacity in the left lower lung which could represent atelectasis versus pneumonia. the right lung is clear. cardiomediastinal silhouette is stable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with influenza like symptoms, ongoing cough
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MIMIC-CXR-JPG/2.0.0/files/p14796094/s54695903/ae50d6c0-b7e45f34-a41e8477-70042803-179673e3.jpg
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there is no change in the moderate left pneumothorax with small basilar hydro-pneumothorax component posteriorly. cardiomediastinal contour is normal.
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history: <unk>m with pneumothorax. evaluate for change in pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p16123839/s59303920/03465457-82e52925-58dacf6e-2effd3d8-9086fad7.jpg
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there are increasing, tiny nodular opacities at the lung bases, greater on the right there is no pneumothorax. the cardiac silhouette and mediastinal contours are within normal limits for technique. there are no concerning bone findings.
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r/o pneumothorax, pna, or anything else causing sob
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MIMIC-CXR-JPG/2.0.0/files/p18759876/s51808395/7ac69d55-02900d43-d04c877c-8fd45ac4-d987280f.jpg
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there is mild pulmonary vascular congestion. the cardiomediastinal silhouette is unremarkable. no focal consolidation, pleural effusion, or pneumothorax.
|
<unk> yom with hiv, dmii, htn, presenting with complaints of episodes of sob, and chest pressure. evaluate for acute intrathoracic process.
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MIMIC-CXR-JPG/2.0.0/files/p19361508/s51707219/82af738d-1e6165d0-947527ef-d2a225af-cfcd9c1e.jpg
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there is a pacemaker overlying the left chest with a single lead in the right ventricle. there are surgical clips seen overlying the left hilum. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old man with chest congestion // question early chf
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with hyperglycemia // pna?
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MIMIC-CXR-JPG/2.0.0/files/p18942307/s52315134/1c3b5060-dcf42cc8-bc2924d9-ec05916d-f3630dd6.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 stable.
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history: <unk>f with hemoptysis // evidence of pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p14228460/s58899073/56ae263c-30ef15ed-1329f3ff-4d00a343-c528dae4.jpg
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mild indistinctness of the left heart border on the frontal view and the left hemidiaphragm on the lateral view could represent an early consolidation at the left lung base.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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<unk> year old man with luq/chest pain. evaluate for acute pathology
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MIMIC-CXR-JPG/2.0.0/files/p10289279/s58004318/32933d24-0f2f6536-d531439f-bcfd601b-189118cd.jpg
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frontal and lateral chest radiographs demonstrate slightly lower lung volumes compared to prior exam, with exaggeration of the cardiac silhouette and bronchovascular crowding. allowing for this, cardiac size is normal. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p15084163/s54382454/4288be3d-ae1b69d3-0be85637-a5236d5b-be4ac4af.jpg
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portable upright view of the chest demonstrates low lung volumes. the study is somewhat limited due to patient's body habitus. hilar and mediastinal silhouettes are unchanged. intrathoracic aorta is tortuous. heart is mildly enlarged, unchanged. linear opacity in the left lung base is longstanding and likely represents an area of scarring. there is mild pulmonary edema. bibasilar opacities are noted, which may reflect atelectasis. a fixation hardware overlying of the right humerus is noted.
|
fever. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19663837/s53640994/8a06578c-c79efcc6-3523efd5-ee4ed8c8-b8fec3c3.jpg
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single upright view of the chest demonstrates low lung volumes without pleural effusion or focal consolidation. no pneumothorax or pneumomediastinum. the ascending aorta is prominent, consistent with patient's known ascending aortic aneurysm, better seen on ct exam of the same date. aortic arch calcifications are noted. heart size is top normal. no pulmonary edema. there is no free air under the diaphragms. partially imaged upper abdomen is unremarkable.
|
abdominal pain. assess for free air.
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MIMIC-CXR-JPG/2.0.0/files/p17949145/s58932933/d8b6f649-a8804de0-242a5707-25743d8a-6a68119c.jpg
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
|
<unk>m with chest pain and sob beginning at <unk> // eval for pna, chest pain
|
MIMIC-CXR-JPG/2.0.0/files/p19223560/s51408474/ead2cff7-c2bb4436-885a58b8-2ab4ede4-5917e428.jpg
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there is moderate cardiomegaly, which has improved since <unk>. lungs are clear. hila, mediastinum and pleural surfaces are normal.
|
<unk>-year-old female patient with new anemia, shortness of breath. study requested for evaluation of pulmonary cause.
|
MIMIC-CXR-JPG/2.0.0/files/p19133405/s57725002/06350181-a27ea248-e9694d46-60535cfe-3c3f247b.jpg
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mild pulmonary vascular congestion is stable to possibly minimally increased. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. left port-a-cath is again seen, terminating at the cavoatrial junction.
|
history: <unk>f with h/o asthma, trach, green/bloody sputum, cough. // r/o infiltrate
|
MIMIC-CXR-JPG/2.0.0/files/p14652931/s56177352/8d55dba9-9add364f-d61ee0af-2d4f4786-27b50994.jpg
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portable ap chest radiograph. right-sided ij catheter tip is in the mid svc. mild bilateral pleural effusions, bibasilar atelectasis, and interstitial edema are all stable. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is normal.
|
complicated uti and osteomyelitis, now with leukocytosis. evaluation for aspiration pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p18724720/s51147993/eb5d7a31-c99dcfd5-cc2078db-5d059df0-e9d6cc22.jpg
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portable semi-upright radiograph of the chest demonstrates moderate to severe cardiomegaly. diffusely increased interstitial markings may represent pulmonary edema or interstitial lung disease. there is moderate to severe cardiomegaly. the aorta is tortuous. no pleural effusion, consolidation or pneumothorax.
|
<unk> year old woman with left elbow dislocation // preop eval surg: <unk> (orif left elbow)
|
MIMIC-CXR-JPG/2.0.0/files/p16086687/s56955317/2395a5ad-e4199457-0e57dce5-e572f49b-32fcf8de.jpg
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the lungs are hyperinflated but clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p11152196/s58087893/0390d115-02cedf2c-c97996e6-7640903c-28a155b6.jpg
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
|
anterior chest pain, non-exertional.
|
MIMIC-CXR-JPG/2.0.0/files/p18220139/s51648803/c2b6782d-adef9975-ec5c7901-a841e09a-c0d57c47.jpg
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right-sided port-a-cath terminates in the low svc. pigtail catheters are noted at the lung bases bilaterally. right-sided pneumothorax has slightly increased compared to the recent study performed earlier on the same date. this is most notable along the right lateral chest wall. no evidence of pneumothorax in the left. no appreciable pleural effusion. diffuse bilateral interstitial thickening, likely representing pulmonary edema. no overt alveolar edema. no new consolidation. cardiomediastinal silhouette unchanged.
|
<unk> year old man with gastric cancer bilateral chest tubes // interval change in ptx
|
MIMIC-CXR-JPG/2.0.0/files/p18273682/s58406479/3ded2d22-d61933ab-29e2a939-4054fa61-ca19f903.jpg
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compared with most recent prior radiographs there has been slight increase in a small left apical pneumothorax with no evidence of tension. right internal jugular central venous line with tip at the cavoatrial junction and are chest drains are unchanged. the cardiomediastinal silhouette is unchanged. there is no focal consolidation.
|
evaluate for pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p16780307/s57919040/ef64c901-505d9459-56b9b754-17e885c8-157794bd.jpg
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right ij port-a-cath tip is in the upper svc. mild interval improvement in pulmonary edema with stable right pleural effusion. mild increase in left lower lobe atelectasis with mildly elevated left hemidiaphragm. no pneumothorax. heart size is top normal and mediastinal contour is normal.
|
male with stage iii hodgkin's, admitted with pneumonia, altered mental status, pulmonary edema and fever. increasing shortness of breath and chest pain. assess for cause of shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p19963038/s57782199/449add42-35957ac9-9012813f-4e569475-b57541e9.jpg
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sternotomy wires are intact. right pectoral infusion port terminates at the cavoatrial junction. prosthetic aortic valve and tavr is in unchanged position. lung volume is low. chronic interstitial fibrosis is similar to before. focal areas of increased opacity in the periphery of the right mid and left lower lungs appear more conspicuous than on the prior radiograph, but lower lung volumes limit comparison. there is no pleural effusion or pneumothorax. cardiac silhouette is normal size.
|
history: <unk>f with headache, neck pain, cough, diffuse lue pain and r knee pain s/p fall // fracture or bleed
|
MIMIC-CXR-JPG/2.0.0/files/p16898052/s54026371/e76846ad-1b87b8b6-73d0ef37-a8fa7138-b3c18b78.jpg
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there has been interval placement of right-sided chest tube with pigtail projecting over the right apical region. previously noted moderate to large right pneumothorax has essentially resolved, and there has been re-expansion of the right lung. minimal residual opacity within the right lung base may reflect atelectasis. no large pleural effusion is demonstrated. minimal streaky atelectasis also seen in the left lung base. the cardiac and mediastinal contours are within normal limits, and the pulmonary vascularity is normal.
|
history: <unk>m with post pigtail placement, please evaluate for improved pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p10920734/s56355809/c6eca5d8-288e8efd-68aa3dc6-c4f09a8e-281929bc.jpg
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes. single lead defibrillator with the tip in the right ventricle.
|
<unk> year old man sp icd // assess lead placement.
|
MIMIC-CXR-JPG/2.0.0/files/p11175117/s56521597/2b70fb9d-1711eb23-561500e3-a963dd77-cc28fd40.jpg
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. aortic knob calcification is noted. no overt pulmonary edema is seen.
|
history: <unk>m with ams, fever, on coumadin // acute process?
|
MIMIC-CXR-JPG/2.0.0/files/p16658805/s59984745/ea0e8ec6-33a2828d-b703d950-240ff005-732bb32e.jpg
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frontal view of the chest was obtained. the heart is of normal size with stable cardiomediastinal contours. lungs are clear. no substantial pleural effusion or pneumothorax. dobbhoff is coiled in the stomach. median sternotomy wires are intact. metallic clips overlie the left hemidiaphragm.
|
<unk>-year-old male with tachycardia. evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p13383991/s51976186/e608e75a-0857e18b-ea06dd90-5099d0ed-b1b5a522.jpg
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as compared to prior chest radiograph from <unk>, lung volumes are slightly decreased. no new focal consolidation, pleural effusion or pneumothorax is identified. the cardiomediastinal and hilar contours are within normal limits.
|
tachypnea, hyperglycemia. evaluate for an acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p15114531/s55940912/77627414-f5a7090e-25aa3533-2b99b3af-0c5abf63.jpg
|
pa and lateral chest views were obtained with patient in upright position. comparison is made with next preceding two-view chest examination obtained six hours earlier during the same day. heart size remains normal. no configurational abnormalities identified. unchanged appearance of thoracic aorta. no pulmonary vascular congestion is present. no new pulmonary parenchymal infiltrates are identified and the lateral and posterior pleural sinuses are free. there is evidence of a metallic fixation plate in the lower portion of the cervical spine and in the upper left abdominal quadrant surgical clips are noted; cause of operation not identified. similar as on the preceding portable chest examination, a right-sided picc line is identified, seen to terminate in the svc at a level <num> cm below the carina.
|
<unk>-year-old female patient with new productive cough, evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p13164721/s59449306/259e4b8d-dab93e05-455d9cda-40f6198b-6256f2ae.jpg
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bilateral diffuse interstitial thickenings are identified, with a more prominent perihilar distribution. there is obscuration of the margin of both hemidiaphragms suggesting bibasilar atelectasis. there might be a small left-sided pleural effusion. no cardiomegaly. no pneumothorax.
|
the patient with dyspnea. evaluate for infectious process.
|
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