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MIMIC-CXR-JPG/2.0.0/files/p17167158/s56862922/279ab3d9-bd31e6fa-a6770476-af59aa62-209e022b.jpg | a single portable ap chest radiograph was obtained. the lungs are hyperinflated. interstitial markings are enhanced at both lung bases. there is no focal consolidation, effusion, or pneumothorax. there is linear scarring at the apices. there are no abnormal cardiac and mediastinal contours. a <num> cm dense lesion in the proximal left humeral metaphysis shows a peripheral pattern of ring and arc mineralization. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p19884194/s57912042/a2a80c63-8b9575dc-bc08895e-40392d6a-d7fc17d5.jpg | the cardiomediastinal and hilar contours are within normal limits. there is trace atelectasis at the base of the left lung. the lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. no intraperitoneal free air is seen on this portable radiograph. | <unk>m with nausea and back pain // please assess for intrathoracic process |
MIMIC-CXR-JPG/2.0.0/files/p19676861/s58325048/42e97416-b56bf911-ba9c554a-f613b8f7-778a0a5f.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with cough and subj fevers // r/o acute infectious process |
MIMIC-CXR-JPG/2.0.0/files/p17879667/s55269389/b37b7b8a-d5e4409f-605477b1-77b18825-8742a102.jpg | the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>m with recent sdh // ? sdhcxr- pna |
MIMIC-CXR-JPG/2.0.0/files/p19995179/s54270408/01306696-5204aab3-62041daa-6574c92b-cf4c79f3.jpg | portable ap upright chest film <unk> at <time> is submitted. | <unk> year old woman with suspected aspiration event during ercp requiring transient intubation // please assess for new/worsening infiltrates please assess for new/worsening infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p15543971/s50172567/0a9ed971-f8866e4c-210688d0-7fd0d5f7-3cfb00a5.jpg | ap upright and lateral views of the chest provided. cardiomegaly is mild. mitral annular calcifications again noted. there is a calcified granuloma projecting over the left lower lung. calcified left hilar nodes also noted. additional smaller calcified granulomas are similar to prior. there is mild interstitial pulmonary edema with hilar engorgement. tiny pleural effusions are present. no pneumothorax. mediastinal contour is stable with aortic atherosclerosis. bony structures are intact. | <unk>m with worsening sob over the last couple months. chronic cough. |
MIMIC-CXR-JPG/2.0.0/files/p11888614/s56703975/88e154a1-fd82784b-588fbc5a-0649ad57-b12ed9cb.jpg | ap portable upright view of the chest. interval intubation noted with the endotracheal tube tip residing approximately <num>cm above the carina. the lungs are mostly clear aside from mild lower lung atelectasis. no large effusion or pneumothorax. cardiomediastinal silhouette appear stable. bony structures are intact. | history: <unk>m with ett // eval for ett |
MIMIC-CXR-JPG/2.0.0/files/p18638348/s57914506/ca5a19bf-29201dfc-5d860921-7f05f523-aedd771d.jpg | mild bibasilar opacities are likely atelectasis. there is no pneumothorax or pleural effusion. unusual mediastinal contour suggestive of right sided aortic arch is unchanged. cardiac silhouette is normal size. | history: <unk>f with chest pain // chest pain sob |
MIMIC-CXR-JPG/2.0.0/files/p17078498/s57383842/2a2a7b5c-e9a37134-bba92963-84d0261f-c57f0f7c.jpg | ap and lateral views of the chest are compared to previous exam from <unk> and correlation is made to ct abdomen and pelvis performed <unk>. there are increased hazy opacities at the lung bases bilaterally, which are thought in part due to overlying soft tissues and possible atelectasis, especially given clear lung bases on ct from the same day. superiorly, the lungs are clear. the cardiac silhouette is enlarged but stable in configuration. coronary artery stents are seen. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with malaise and reported fever. |
MIMIC-CXR-JPG/2.0.0/files/p11717152/s52269123/2102b5ed-8e926673-e9b33f87-d8476dee-2e279a21.jpg | there has been interval placement of right-sided port-a-cath terminating in the distal svc/cavoatrial junction. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is heterogeneous sclerosis involving the vertebral bodies at all levels of the visualized spine as well as projecting over multiple ribs, concerning for osseous metastatic disease. no acute fracture is seen. | near syncope, fall history of prostate cancer. |
MIMIC-CXR-JPG/2.0.0/files/p15374164/s51205766/e321a92f-a99610e1-83b51955-37142ad8-a29cee99.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no change from the prior radiograph. | history of atrial fibrillation. now with a new fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17287323/s56023532/378b774c-cce981dc-be7c8288-0cb0f94d-b8d8c3e1.jpg | lungs are fully expanded and clear. patient is status post cabg with median sternotomy wires in situ, unchanged. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. surgical clips are noted within the left upper quadrant. | history: <unk>f with cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15574516/s56619460/5442b483-b234d091-b3878721-b419f04d-2b49c9f7.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk>f w/ chest pain. history of pericarditis. // <unk>f w/ chest pain. history of pericarditis. |
MIMIC-CXR-JPG/2.0.0/files/p17302284/s51425209/85b31026-70e5e5ad-d9186a5e-2191e2b0-01d92851.jpg | compared with <unk> at <unk> lines: right-sided picc line tip not well visualized but likely overlies the distal most svc. heart: cardiomediastinal silhouette unchanged. sternotomy wires again noted.left-sided biventricular icd cardiac device again noted, unchanged in configuration minimal vascular plethora and thickening of the minor fissure, but doubt overt chf doubt significant change. bilateral right-greater-than- left effusions are slightly larger, with underlying collapse and/or consolidation. a tiny right apical pneumothorax would be difficult to exclude. | <unk> year old man with severe ischemic cardiomyopathy, hfref, and atrial fibrillation, consolidation on ct and productive cough // consolidation |
MIMIC-CXR-JPG/2.0.0/files/p11372665/s51479675/b7614b0e-07a6f893-94eb5549-a7299c61-0078a15e.jpg | the lungs are hyperinflated but clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with cp, sob // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p15152711/s57642639/99b782d5-a6225a5a-4d310f45-f761bcc8-a4190082.jpg | the cardiomediastinal and hilar contours are stable. there has been interval removal of a right-sided chest tube with subcutaneous gas seen in the right axilla, as before. a small right apical pneumothorax persists and is minimally decreased in size from the prior examination. the left lung is clear. there are no pleural effusions. | <unk> year old woman with r px, s/p ct removal // interval status- post pull film, please obtain at <time> |
MIMIC-CXR-JPG/2.0.0/files/p18225729/s57611217/79674b34-34b29d2f-804d8c07-eaaf1d1e-e9a478f2.jpg | cardiomegaly, more prominent. increased pulmonary vascularity, more prominent. interstitial prominence bilateral lungs, likely edema, more prominent. right ij central line tip in the low svc. | <unk> year old woman with new o<num> requirement // pulmonary edema? |
MIMIC-CXR-JPG/2.0.0/files/p16466613/s56827301/331eab28-2ca63b0f-28d4dd8a-ec68980c-c39245ad.jpg | the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. there is a subtle right lower lobe opacity new since prior exam concerning for developing pneumonia. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | <unk>-year-old man with cough, fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17340686/s50602713/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg | the cardiomediastinal silhouette is prominent but stable. the cardiac silhouette is enlarged with prior coronary stenting noted. calcification at the aortic knob is unchanged. a large bore left-sided central venous catheter is unchanged in position with the tip terminating in the right atrium. the pulmonary vasculature is prominent with mild interstitial pulmonary edema, slightly improved from <unk>. there is increased right perihilar opacification from the most recent prior study also likely due to pulmonary edema. streaky opacities at the bilateral lung bases most likely reflect atelectasis; however, superimposed infection is not excluded in the appropriate clinical context. there is a small right pleural effusion. no pneumothorax detected. radiopaque densities projecting over the left lateral lung base are likely external to the patient. there is no evidence of free air beneath the right hemidiaphragm. | chest pain radiating to the back, here to evaluate for evidence of aortic dissection. |
MIMIC-CXR-JPG/2.0.0/files/p13363938/s52826401/143217b7-caa7cec1-e67ffc3b-ada48a38-01c4d230.jpg | pa and lateral views of the chest were reviewed. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. extensive bilateral pleural plaques are again seen. the lungs are well expanded with no large consolidation. there is no pulmonary edema. | recent esophageal dilation. |
MIMIC-CXR-JPG/2.0.0/files/p16848483/s56633274/1304b04e-1db7df4b-b18d7a4a-8f3f8d08-47433429.jpg | ap upright and lateral views of the chest provided. cardiomegaly is new in the interval, which may in part reflect magnification due to ap portable technique. lungs are clear. no large effusion or pneumothorax. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with ams, r-face numbness, slurred speech |
MIMIC-CXR-JPG/2.0.0/files/p19554360/s50287392/e426d3a7-d5669355-d5fdb0a0-29c2dfc9-05d0ae00.jpg | in comparison with chest radiographs from <unk>, there has been interval removal of a right pigtail catheter. small bilateral pleural effusions are mildly improved, with a possible loculated appearance of the right effusion. bilateral lower lobe opacities are unchanged and likely reflect associated atelectasis, less likely pneumonia. persistent small right apical pneumothorax. there is no new focal consolidation. mild central vascular congestion with increased interstitial markings could reflect mild interstitial pulmonary edema. mediastinal and hilar contours are stable. mild tortuosity and unfolding of the thoracic aorta, as before. heart size is normal. | <unk> year old man with nsclc with right malignant pleural effusion s/p thoracentesis and chest tube (now removed) // eval for pleural effusion reaccumulation |
MIMIC-CXR-JPG/2.0.0/files/p13887637/s58807264/17c4a167-936c2535-ef1a3557-fb41ffe8-595dd0db.jpg | lung volumes are low with secondary widening of the cardiac silhouette. the bibasilar (left greater than right) opacities, likely representing atelectasis, have progressed. a right port-a-catheter ends at the cavoatrial junction. there is no pneumothorax and no pleural effusion. | <unk>-year-old man with history of burkitt's lymphoma. please assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13885617/s58504519/da287e8b-b5d2f8dc-70275f3e-1949f494-53fefbf9.jpg | sternotomy wires are intact. prosthetic aortic valve appears in unchanged position. no consolidation, pleural effusion, or pneumothorax is identified. previously seen pleural effusions have resolved. cardiomediastinal silhouette is normal size. | history: <unk>f with recent open heart surgery <num> weeks ago for as presenting with "pulling" chest pain. // ?acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p13014572/s54939347/92550a8a-eb58b83d-eec99fa1-27bafa2a-23e3d774.jpg | frontal and lateral views of the chest were performed. the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar and pleural structures are unremarkable. the imaged upper abdomen is normal. | upper abdominal pain, evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p14224836/s51557517/83346dc1-a5e111b8-7623ad55-65a1d00e-f0f425d7.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. | <unk>-year-old male with chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18798373/s54428692/65c7b9ae-7c5f4f08-e9c80769-5f13b380-86884c9d.jpg | lung volumes are low, accentuating the pulmonary vasculature. the presence of interstitial edema, focal consolidation or aspiration is difficult to discern given the low lung volumes and prominent soft tissue. there is at least some atelectasis at the left base. size of the cardiac silhouette is enlarged by low lung volume. | <unk>-year-old woman with unresponsiveness and seizure after fall. |
MIMIC-CXR-JPG/2.0.0/files/p18588825/s57882284/6fdf22b9-58967c26-663429c4-66d31b09-17bc516b.jpg | lung volumes have increased slightly. streaky bibasilar density consistent with subsegmental atelectasis has improved. there is continued evidence of a small left effusion. mediastinal structures are stable. a right internal jugular catheter remains in place. | eval hemothorax/pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p10901772/s53800065/c52a34c3-f2a4c7c2-95d7b976-5966385a-7c3b2515.jpg | endotracheal tube (projects <num>cm from the carina), enteric tube, right ij sheath (thoracic inlet), and right picc line (upper to mid svc) are in satisfactory position. sternal wires are intact and aortic valve replacement is noted. heart size is enlarged, as before. bilateral pleural effusions are small, right greater than left. mild interstitial edema is noted. bibasilar atelectasis is moderate. | <unk> year old woman with s/p aorto-bifem bypass. evaluate pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p17421190/s56211762/35323f7e-a21d9f22-dbc805a5-552e56e1-a1c00beb.jpg | two views were obtained of the chest. the heart is moderately enlarged without increased pulmonary vascular congestion or edema. lungs are clear without pleural effusion or pneumothorax. | shortness of breath, assess for edema. |
MIMIC-CXR-JPG/2.0.0/files/p16254256/s53401963/c5a477fa-4a876fde-7b82a660-c9c062f7-76744fcf.jpg | as compared to prior chest radiograph from an hour earlier, there has been interval placement of an ng tube with its tip projecting over the gastric fundus. lung volumes are increased which contribute to interval improvement of pulmonary congestion. the cardiomediastinal silhouette is unchanged. there are no pleural effusions or pneumothorax. | <unk>-year-old female patient with ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11944377/s59985023/31a102b6-e48bb88c-6f7fa543-a359e525-58a8d187.jpg | in comparison to the chest radiograph obtained <num> day prior, there are increasing bibasilar opacities concerning for either atelectasis or developing pneumonia. small, left pleural effusion is minimally increased. small, right apical pneumothorax is unchanged. no left pneumothorax. right and left-sided chest tubes are unchanged and appropriately positioned. numerous bony fractures are grossly unchanged and better evaluated on ct chest dated <unk>. subcutaneous emphysema appears unchanged to minimally improved. an et tube terminates approximately <num> cm superior to the carina and an enteric tube terminates in the stomach. | <unk> year old man intubated // ? change in cardiopulm status |
MIMIC-CXR-JPG/2.0.0/files/p13875199/s55889466/79d1becc-c509b55f-65e855e2-d9673de6-4231cd41.jpg | <num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. heart size and mediastinal contours are unremarkable. | fever with cellulitis/lymphangitis, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14817196/s50744090/e8c522e0-5f533352-3aff4a34-e487bc53-e3908592.jpg | compared with the prior study, there is little change in the postoperative appearance after right upper lobectomy. prominence of the central pulmonary vessel is compatible with prior known history of pulmonary hypertension. no focal consolidation concerning for pneumonia. | <unk>m with dyspnea. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15188984/s58730616/a9f4b7ec-b2a52ea4-78e553f2-64f03b72-041b7bb7.jpg | ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. tracheobronchial tree calcification noted. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with shortness of breath // ? consolidation |
MIMIC-CXR-JPG/2.0.0/files/p15756685/s58221367/e3cf61c1-fe83ad22-d3720650-0ad1dccf-af3d9249.jpg | ap and lateral views of the chest. left chest wall vagal nerve stimulator is again seen. there is new blunting of the posterior costophrenic angles suggestive of trace bilateral pleural effusions. superiorly the lungs are grossly clear noting crowding of the bronchovascular markings likely secondary to lower lung volumes. no acute osseous abnormality detected. | <unk>-year-old male with history of seizure and weakness. |
MIMIC-CXR-JPG/2.0.0/files/p15851040/s54930509/fb152fae-bb3f96ee-1eb0d3cd-2f8eda61-17874277.jpg | frontal and lateral chest radiographs demonstrate severe cardiac enlargement which may be underestimated due to pa technique when compared to prior ap radiograph (which normally exaggerates cardiac silhouette slightly). mediastinal and hilar contours are unchanged. lung parenchyma demonstrates prominence of the interstitium in conjunction with mild bronchial wall cuffing, likely reflecting chronic underlying disease though element of mild edema is a consideration. an <num> mm nodular opacification in the left upper lung, correlating with fdg-avid lesion, is better assessed on recent chest ct. no pleural effusions or pneumothorax evident. multiple stable mild lower thoracic compression deformities present. sternotomy sutures are midline and intact. | chest pain, shortness of breath, afib, crackles on exam. evaluate for evidence of fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p10142391/s50901503/2c49a92c-7398921e-cc2a6721-4dafa3e6-1e100733.jpg | 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. | cough and fever, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18031120/s54514442/44eb35ff-005963e3-dfb71c8b-a0b97e88-41113675.jpg | lung volumes are low which accentuates bronchovascular markings. a right-sided picc terminates in the mid svc. a left chest wall pacer defibrillator with single lead is in unchanged position. the right internal jugular swan-ganz catheter has been removed. the heart is enlarged which may reflect cardiomegaly, less likely pericardial effusion. the mediastinal and hilar contours are within normal limits. increased opacity at the base of the right lung may reflect subsegmental atelectasis. there is no pneumothorax or pleural effusion. there is mild prominence of the vasculature likely reflective of a fluid replete state. | history: <unk>m with accidental partial picc removal // eval picc line placement |
MIMIC-CXR-JPG/2.0.0/files/p19065993/s56890001/1190b1e7-0f16d35e-4a4d3385-dd632bce-9e1581d0.jpg | the patient remains intubated with the endotracheal tube terminating at the thoracic inlet. an orogastric tube terminates in the lower esophagus. a dual-lead pacemaker/icd device appears unchanged. what is new, however, is a right internal central jugular venous catheter that terminates in the upper superior vena cava. the cardiac, mediastinal and hilar contours appear stable. there is similar opacification of the left lung base obscuring cardiac borders as well as the left hemidiaphragm, suggesting potential combination of consolidation or atelectasis, probably with some degree of pleural effusion. hazy indistinct bronchovascular structures suggest mild fluid overload, but not increased. there is no pneumothorax. | status post firing of aicd and placement of new right-sided central venous line. |
MIMIC-CXR-JPG/2.0.0/files/p17288578/s59848820/d857849c-f893d48c-5d6f1321-66cb5acd-2911ceee.jpg | single frontal view of the chest. endotracheal tube terminates <num> cm above the carina. the nasogastric tube is in stable position with its side hole at the level of the gastroesophageal junction. mild cardiomegaly is stable. retrocardiac consolidation is increased. right base atelectasis is stable. no pneumothorax. | worsening shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11355855/s54978489/952a072e-eba1c5ea-ae9b9542-5267b325-63be91ed.jpg | a right-sided picc is seen coiled and with its tip in the right subclavian vein. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. focal opacity in the left mid lung is noted as well as linear left basilar opacity. no pleural effusion or pneumothorax is seen. peg tube projects over the upper abdomen. | <unk>f with fever // eval for pna and eval picc line |
MIMIC-CXR-JPG/2.0.0/files/p14004436/s54244999/8c1c5012-b84b363a-bf9b5cfe-47d9cca6-f88674ff.jpg | low lung volumes are again noted. the lungs are grossly clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. | <unk>m <num>d s/p cardiac stenting with episodic chest pain // ? cpd |
MIMIC-CXR-JPG/2.0.0/files/p19302720/s55683671/e759f31a-03237e97-e01536bf-025e0463-e1bb8e9b.jpg | a right-sided port-a-cath terminates in the mid svc. 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. | <unk>m with dysphagia // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p18077374/s52739940/e3879b15-e91136f3-c7b3a4ca-aa4aa8af-217df92e.jpg | lung volumes are low leading to crowding of the bronchovascular structures. otherwise, there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | history: <unk>f with cough, fever // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p10482402/s55497114/ef25746b-d98d69c4-2954d821-9b330916-947b6639.jpg | there are relatively low lung volumes. bibasilar atelectasis is seen. there is no definite focal consolidation. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. an external marker overlies the distal left clavicle. no displaced fracture is seen. | fall. |
MIMIC-CXR-JPG/2.0.0/files/p18581957/s53776838/3fd3d88e-da472431-2072aa79-5d82fac9-f1267ab9.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 cardiomediastinal and hilar contours are within normal limits. there is mild tortuosity of the thoracic aorta. no acute osseous abnormality is detected. hypertrophic changes of the spine are noted. | <unk>m with confusion // pna |
MIMIC-CXR-JPG/2.0.0/files/p12618344/s59011334/82c035f5-5a578684-2df7188a-425df796-7e77e428.jpg | a portable supine frontal chest radiograph demonstrates mild cardiomegaly and bronchovascular crowding, which is exaggerated by low lung volumes. the thoracic aorta is generally large and tortuous. left base opacity is likely atelectasis. there is no edema, appreciable effusion, or pneumothorax. | <unk> year old woman with oxigen desaturation, resolved with o<num> // interval changes interval changes evaluate for interval change in a patient with oxygen desaturation. |
MIMIC-CXR-JPG/2.0.0/files/p14785541/s57042084/1ef65c13-ee0d0d50-b1dac2ec-be93d737-ca208e00.jpg | the lungs are hyperinflated with attenuation of vascular markings towards the apices compatible with known emphysema. lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. | history: <unk>f with shortness of breath, dyspnea on exertion |
MIMIC-CXR-JPG/2.0.0/files/p18705566/s50449230/a06620d4-605e0cd7-34ad4c27-0a3b3419-f1aa0a83.jpg | subtle <unk> mm opacity projects over the lateral right upper hemi thorax above the level of the posterior lateral right sixth rib of unclear etiology; finding may be external to the patient. recommend shallow oblique radiographs for further assessment. the left lung is clear. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with hx of kidney transplant, left flank pain and fever // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13764741/s56860695/04266f23-6fe2c2df-6e495e18-71b4d8b4-8f732dca.jpg | heart size is mildly enlarged, unchanged. mediastinal and hilar contours are stable, with a small hiatal hernia again seen. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. multiple clips are seen within the neck compatible with prior thyroidectomy. partially imaged is lumbar spinal fusion hardware. | fevers and chills. |
MIMIC-CXR-JPG/2.0.0/files/p13698008/s51062417/ddade466-b8b23763-966f8a68-dad003e8-cb11539f.jpg | there is no clear consolidation. there is pulmonary venous congestion. mild-to-moderate cardiomegaly is unchanged. the mediastinum is normal. no pleural abnormalities. no pneumothorax. no fractures. | <unk> year old man with stemi s/p pci <unk> // infection work-up |
MIMIC-CXR-JPG/2.0.0/files/p15472904/s55150622/72051f14-a001114b-1f311541-838636f6-5bb82426.jpg | lung volumes are decreased and increased opacity at the left lung base likely represents volume loss. moderate pulmonary edema is unchanged. patchy opacities in the left mid lung are unchanged. no pneumothorax. | <unk>f w/worsening sob // interval changes |
MIMIC-CXR-JPG/2.0.0/files/p17037764/s58119352/0458c78f-1f9c3d35-5d2fde46-e6d91043-3dafeb68.jpg | portable chest radiograph demonstrates interval placement of a nasogastric tube, although the tip is not well seen. the side port appears to be located approximately <num> cm below the carina and with tip likely at the ge junction. mediastinal contour is unremarkable. bilateral hila are engorged. heart size is top normal. faint right lower lung opacification is relatively unchanged compared to <unk>, and likely reflects atelectasis, exaggerated by bilateral low lung volumes. no focal opacifications evident. no overt pulmonary edema. | chest pain status post ercp for pancreatitis and ileus, shortness of breath, please evaluate for etiology of chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18258934/s51844405/0bad49dd-eaceb1b5-e1584228-40676c21-27e41466.jpg | lung volumes are low. the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. atelectatic changes are seen in the lung bases. no focal consolidation or pneumothorax is seen. minimal blunting of the costophrenic angles posteriorly indications trace pleural effusions, better seen on the prior ct. | <unk> year old man with confusion, // assess for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19624947/s53225801/2dbdd951-87d91174-c7d7ac07-1e8e25aa-36e97f7b.jpg | status post median sternotomy with unchanged appearance of sternotomy wires and aortic valve replacement. in comparison most recent prior radiograph there is increased opacity at the left base, likely representing atelectasis and effusion. mild cardiomegaly is unchanged. subtle interstitial opacities are consistent with mild pulmonary edema. no focal consolidation or pneumothorax is present. | recurrent cough after pneumonia with decreased appetite. rule out infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p12893459/s50923406/32fda092-ded86dbe-742f9aaf-126d3553-c13d183c.jpg | frontal and lateral radiographs of the chest demonstrate essentially clear lungs. the cardiac and mediastinal contours are normal. no pleural abnormality is detected. when compared to the prior study, there is little change and no acute focal pneumonia. | cough with history of myeloma. |
MIMIC-CXR-JPG/2.0.0/files/p12333937/s50595623/119edd7b-8a748d1c-94d11735-0a018649-0897f698.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with liver transplant, n/v/d // |
MIMIC-CXR-JPG/2.0.0/files/p19281042/s59543570/c4cca04a-ad2974b0-0563a86e-5cd27575-9d3700e3.jpg | increased interstitial opacity and upper zone redistribution compatible with pulmonary edema. no large pleural effusion or focal consolidation. heart size is mildly enlarged, as before. no pneumothorax. osseous structures are unremarkable. | history: <unk>m with shortness of breath. evaluate for pneumonia or heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p17534365/s53804852/3c450ec5-a562dca9-e20739b0-0307fcaf-c0a1c9a4.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. low lung volumes. bibasilar atelectasis. known pulmonary nodule in the left upper lobe is better seen on prior ct from <unk>. no pleural effusion or pneumothorax is seen. there is a partially visualized biliary stent. | history: <unk>m with fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18866634/s55292355/daedee47-7e652235-a235fd22-3557d956-dfadceb2.jpg | pa and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm. | <unk>f with cp |
MIMIC-CXR-JPG/2.0.0/files/p14046930/s58697364/9136a8f2-a70feea5-00bb672c-26c4612e-7e6fb73d.jpg | pa and lateral chest radiograph demonstrates a new retrocardiac opacity with obscuration of the left hemidiaphragm. while this may reflect a component of atelectasis, an infection cannot be excluded. there is likely a small left pleural effusion. the right lung remains clear with linear platelike atelectasis within the right lower lobe. allowing for the decreased lung volumes when compared to prior radiograph dated <unk>, the cardiomediastinal and hilar contours appear stable. | <unk>f with shortness of breath, orthopnea, fever, chills |
MIMIC-CXR-JPG/2.0.0/files/p10135557/s51440829/e7e76a1e-34396b60-07031c2e-e7e0e0a5-d4681162.jpg | distal aspect of the endotracheal tube is distal occult to assess, but likely terminates approximately <num> cm above the carina. enteric tube courses into the lower chest, but is not well seen distally. suggest repeat with the image centered along the lower chest tp better assess position of enteric tube. patient is status post median sternotomy and cabg. cardiac silhouette is mildly enlarged. mediastinum is slightly prominent which may relate to pulmonary hypertension. there is moderate pulmonary edema. no large pleural effusion is seen. there is no evidence of pneumothorax. | history: <unk>m with resp failure // eval for tube placement |
MIMIC-CXR-JPG/2.0.0/files/p15050329/s51612006/0f074b90-657a7571-37b111e4-d1e11a42-ee082b64.jpg | the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with chest pain // chest pain, r/o pneumo |
MIMIC-CXR-JPG/2.0.0/files/p18726783/s55239487/010be740-69e8ee45-48f96394-fc59ceb3-caffa275.jpg | the heart remains moderately enlarged. the aorta is tortuous and calcified. mediastinal and hilar contours are otherwise unchanged. no pulmonary edema is identified. small bilateral pleural effusions, left greater than right are re- demonstrated. bibasilar airspace opacities likely reflect compressive atelectasis though infection cannot be completely excluded. there is no pneumothorax. no acute osseous abnormalities are identified. multiple clips are again seen within the left hemiabdomen. | recent pneumonia and myocardial infarction. |
MIMIC-CXR-JPG/2.0.0/files/p10909653/s52618968/79f252c7-b57e0831-460955fd-7e189651-0ab60d96.jpg | ap upright and lateral views of the chest were obtained. cardiomediastinal silhouette is stable. there is no focal consolidation, pleural effusion, or pneumothorax. | <unk>-year-old woman with cp, evaluate for consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p14944659/s50078874/cba95627-9479ada3-51856129-b423642e-3bc9edef.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. note is made of a healed left lateral sixth rib fracture. | history: <unk>f with right sided back and chest pain // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17684786/s59972901/dc0d8863-0b02863c-a17c793f-62b98ccf-1bb607c2.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>m with right upper quadrant pain |
MIMIC-CXR-JPG/2.0.0/files/p11366981/s50629158/57a4f836-ca9e38e5-9647c513-1899046a-7b039d72.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>m right sided rib pain, sob after motorcycle accident <time>am today |
MIMIC-CXR-JPG/2.0.0/files/p18751964/s52535011/62d0689d-487f5cc7-d0e6cea4-55a11de6-5a7639f1.jpg | no evidence free air. lung volumes are low and there is atelectasis at the lung bases bilaterally. there is no pneumothorax. lung fields are clear. | history: <unk>f with upper abd pain. // pna? free air under diaphragm? |
MIMIC-CXR-JPG/2.0.0/files/p19495630/s50448310/8f222515-df0e8326-20a20876-7448267f-0066c8c3.jpg | left-sided pacemaker device with leads terminating in the right atrium and right ventricle is again noted. heart size is normal. aortic knob is mildly calcified. mediastinal and hilar contours are unchanged. upper lobe predominant emphysema is again noted. streaky bibasilar airspace opacities likely reflect atelectasis. no pleural effusion, pulmonary vascular congestion, or pneumothorax is identified. there are mild degenerative changes in the thoracic spine. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p15007487/s57478149/8b15f214-dd5a4bf3-0abd5e54-ba533747-c017a29b.jpg | left pleural drain has been pulled in slightly higher position. the lung volume is still low. the right lung base opacification is slightly improved. the left lung is still opacified at the base, might be atelectasis but pneumonia cannot be excluded. severe subcutaneous emphysema is stable. pneumomediastinum is slightly increased, especially alongside the left upper lobe, where minimal increase of pneumothorax cannot be excluded. heart size is top normal. aorta is mildly elongated with calcification in the aortic arch as for aortosclerosis. | evaluation for placement and interval change in pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11441946/s50663576/e3216232-9162c064-373c0405-95b59edd-04f8aae1.jpg | patchy opacity is noted in the left lung base, which may reflect either early developing pneumonia or aspiration. mild bibasilar atelectasis is noted. the heart size is normal. mild blunting of the left costophrenic angle may reflect a small pleural effusion or mild pleural thickening. a midline tracheostomy is noted. median sternotomy wires are intact and aligned. no pulmonary edema or pneumothorax. | history: <unk>m with resp failure // acute process |
MIMIC-CXR-JPG/2.0.0/files/p17396346/s51283380/9f3bd291-a528528c-488d48c8-f293ea94-0e8e5c65.jpg | since the prior exam, there is increased vascular congestion with mild pulmonary edema. linear opacities at the right base are likely atelectasis. there is no definite pleural effusion or pneumothorax. the mediastinal contours are unchanged. the heart is severely enlarged, and stable. surgical clips are noted in the left breast. | acute shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15514318/s54056101/4f845223-3aa33865-20b2eed2-9c474ec7-2ec314d2.jpg | pa and lateral chest radiographs were obtained. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there are no displaced fractures. | <unk>-year-old man with mid back pain, question widened mediastinum. |
MIMIC-CXR-JPG/2.0.0/files/p11337457/s53277514/0013ea88-79a25fd6-fb56b969-9a224975-85d836d2.jpg | ap and lateral radiographs of the chest demonstrate intact median sternotomy wires and left-sided clips. the lungs are clear, and the cardiac and mediastinal contours are normal. no pleural effusion or pneumothorax is seen. the osseous structures are unremarkable. | fatigue and leukocytosis. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10996161/s55352369/2514234e-52716921-e8bc226f-dd04180b-36017b0a.jpg | frontal and lateral views of the chest demonstrate clear well-expanded lungs, without pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal. right axillary surgical clips are noted, as well as decreased volume of the right breast consistent with prior lumpectomy. there is mild scoliosis, which is little changed. | <unk>-year-old female with history of asthma who presents with cough and chills, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10859759/s59090277/1a8d7460-2be7c377-ca2de2e6-7f012a85-dd2c8089.jpg | low lung volumes are noted, but no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouette is unremarkable. | weakness, diaphoresis, evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p19881159/s52303260/315dd4f9-82b9848f-454c73bb-c5790227-d07af34c.jpg | there is a moderate to large left pleural effusion with overlying atelectasis. the right lung is clear. the size of the cardiomediastinal silhouette is enlarged but unchanged. multiple compression deformities of the thoracic spine, age indeterminate. chronic appearing right posterior rib fractures. | <unk> yo female with history of afib on eliquis, osteoporosis s/p r hip replacement and repair, c/b pseudotumor and hematoma s/p recent revision and evacuation who presents with back and leg pain, found to have spinal compression fractures. ? moderate effusion on cxr // ? eval effusion, atelectasis |
MIMIC-CXR-JPG/2.0.0/files/p19524417/s50851450/baa54a13-4827f25c-c1777feb-83265ca9-bb870985.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are mildly hyperexpanded, but clear without pleural effusion, focal consolidation, or pneumothorax.the aorta is tortuous. | <unk>m with productive cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16432736/s53577142/8e3454dd-cb6a945f-362f384b-d8cb71cb-c0188884.jpg | heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p17466778/s55127854/c21fa8a0-c425c581-4c73c12c-95657a8e-79661826.jpg | cardiomediastinal silhouette is within normal limits. low volume lungs are clear. there is no pleural effusion or pneumothorax. retrocardiac opacity is likely related to atelectasis from low lung volumes. lungs and the upper abdomen are grossly unremarkable. | <unk>m with htn, hld presenting after <num> days of international travel with weakness, fatigue found to have rll brackles // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p13743156/s53838613/239cc891-c9f21381-a39b8571-a2038def-2b3df1ec.jpg | the lungs are clear. there is no consolidation or pneumothorax. blunting of the left posterior costophrenic angle is noted, potentially due to trace pleural effusion cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk> ns, mgn, now worsening of symptoms // pleural effusion? consolidation? edema? |
MIMIC-CXR-JPG/2.0.0/files/p12109282/s50527106/09b3422d-1e2f3373-36c028b1-ad5d35f3-a2863719.jpg | cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. slight irregular contour to the right eighth and ninth ribs may represent nondisplaced fractures. | history: <unk>m with pain // ? traumatic injury, infectious process |
MIMIC-CXR-JPG/2.0.0/files/p17369071/s52995453/c5712b70-4a713398-b2fd97c8-c3c25fd7-fcf7068c.jpg | pa and lateral views of the chest provided. there has been interval placement of port-a-cath with resides over the right chest wall with catheter tip extending to the mid svc region. tiny clips are seen in the region of the left breast. asymmetric breast tissue likely reflect prior partial resection. lungs are clear. no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. no bony abnormalities. no free air below the right hemidiaphragm. | <unk>f with chest pain // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p11312381/s53093122/a77b45cf-fd4c8bca-22dd11b6-85c71805-57d865ce.jpg | the heart is normal in size. the lung volumes are low. there is a patchy left basilar opacity that appears unchanged and is likely due to minor atelectasis or scarring, probably within the lingula. the lungs appear otherwise clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. there has been no significant change aside from removal of a venous catheter. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19530208/s53655861/42d89468-cdb57c60-9a998b45-6b619e91-dbe5a4e7.jpg | ap view of the chest. the enteric tube ends off the inferior portion of the image. the endotracheal tube is in appropriate position, <num> cm from the carina. right brachiocephalic/svc stent is unchanged in position. bilateral parenchymal opacities are again seen, slighly decreased on the left. possibly trace pleural effusions. no pneumothorax. cardiomediastinal and hilar contours are normal. | assess dobbhoff tube position. status post tracheostomy and laryngectomy. |
MIMIC-CXR-JPG/2.0.0/files/p11947568/s50927772/b9c0b20a-735e428d-6208da74-8223acdb-788068e9.jpg | there is a left-sided picc which terminates in the low svc. the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. | <unk>-year-old male with a left-sided picc, who presents for evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p13043397/s50953647/bc644ef4-d9b50756-090510c1-b8655b19-d035acd8.jpg | there is persistent enlargement of the cardiac silhouette. mediastinal contours are stable. there is blunting of the posterior left costophrenic angle suggesting trace pleural effusion, similar to prior, concerning for trace pleural effusion. no focal consolidation is seen. there is no evidence of pneumothorax. no overt pulmonary edema is seen. | history: <unk>m with progressive shortness of breath. // cardiomegaly, heart failure, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15801496/s56754136/a0beb639-e0cf52b7-87901609-85fd286b-281b1e18.jpg | pa and lateral views of the chest provided. there is improvement in left basal opacity though mild residual consolidation persists which likely reflects mild residual pneumonia. a small left pleural effusion appears improved from prior. right lung remains clear. heart size cannot be readily assessed due to effacement of the left heart border. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm. | <unk>f with hx pna presenting with worsening symptoms. |
MIMIC-CXR-JPG/2.0.0/files/p15849843/s51031292/c15171ca-afc71b1c-7edcaaa8-76d59943-a6948257.jpg | pa and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is normal. no free air is seen below the diaphragm. | <unk>-year-old male with epigastric pain. |
MIMIC-CXR-JPG/2.0.0/files/p12547577/s53332099/294e56ac-d109592b-8e80b80a-ea3cabc6-d42b6102.jpg | the cardiac, mediastinal and hilar contours appear within normal limits. there is mild elevation of the left hemidiaphragm and patchy opacification at the left base, but decreased, whereas other portions of the lungs appear clear. however, the left diaphragm is somewhat elevated which may indicate some atelectasis or mild gastric distension, noting new gastric air-fluid levels. there is probably a small pleural effusion on the left, noting posterior costophrenic blunting. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p14110132/s59557148/427d1275-8eb8400f-979c33c5-bacd8fb6-fce46517.jpg | the lungs are well inflated bilaterally with persistent unchanged scarring in the right lung apex most likely related to prior radiation therapy. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette, hilar, and mediastinal contours are stable and within normal limits, with slight tortuosity of the aorta noted. the pleural surfaces are unremarkable. incidentally noted is the appearance of new vascular clips within the right breast. | <unk>-year-old female with leukemia presents with cough, congestion. |
MIMIC-CXR-JPG/2.0.0/files/p17393578/s50994568/ae14629b-2efa4839-42829332-162ae972-2da28b82.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there are tiny bilateral pleural effusions. no pneumothorax is seen. | <unk>-year-old woman with chest pain. evaluate for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p18011616/s57021204/d2774b4b-fbca9c8e-1d7a9726-0438f08a-f2c228c5.jpg | heart size is normal. the aorta is mildly tortuous but unchanged. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. minimal atelectasis is noted in the left lung base. right lung is clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen. | history: <unk>m with seizure. no seizures last <unk> years |
MIMIC-CXR-JPG/2.0.0/files/p18822588/s59595507/3f6fa592-9499b863-251788bd-90d6761c-710ab7ee.jpg | the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. | <unk>m with chest pain // ptx? |
MIMIC-CXR-JPG/2.0.0/files/p13422599/s57922856/36ee2c47-d2f779a1-b456821e-921ef202-7e2d8f41.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. no radiodense is foreign body is visualized. | swallowed plastic bag. |
MIMIC-CXR-JPG/2.0.0/files/p18621753/s52485302/790e7c57-5ae4bf2d-67902894-436c5bac-9b2d937f.jpg | cardiac, mediastinal and hilar contours are normal. ill-defined patchy opacity is noted within the right upper lobe concerning for pneumonia. streaky opacity in the left lung base likely reflects atelectasis. no pleural effusion or pneumothorax is present. the pulmonary vasculature is normal. bilateral <unk> rods are present with s-shaped scoliosis of the thoracolumbar spine demonstrated. no displaced fracture is identified. | <unk> year old woman with recently diagnosed pyelonephritis presents with cough and persistent back pain |
MIMIC-CXR-JPG/2.0.0/files/p13984946/s51243341/46423ed4-0569d208-7f1975d8-3b985878-bc72ccde.jpg | the cardiomediastinal contours within normal limits. stable elevation of the right hemidiaphragm again noted. there is no free air or pneumothorax. mild right basal atelectasis, otherwise clear lungs. there is no free air below the right hemidiaphragm. there is no fracture or dislocation. | <unk>m with chest pain and epigastric pain // r/o free air or pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p13004369/s50624532/1affb729-5b84b7a1-e3b8ef29-042cf18f-a9b595ea.jpg | the lungs are well-expanded and clear, left apical pleural-parenchymal thickening is most likely related to prior tuberculosis. no pleural effusion or pneumothorax. the heart is mildly enlarged. mediastinal contour and hila are unremarkable. no free intraperitoneal air. | <unk>m with chest/epigastric pain. assess for acute cardiopulmonary process. |
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