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Frontal_Image_Path
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MIMIC-CXR-JPG/2.0.0/files/p13181123/s53224669/badf8493-45a26124-527fa9a8-b09b2238-fa18ff46.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13181123/s53224669/9d972555-d2ef014a-5f7db3a2-3e24b304-79aa8aa9.jpg
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The cardiomediastinal and hilar contours are stable, with left ventriculomegaly. There is no pleural effusion or pneumothorax. There are low lung volumes. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
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chest pain and weakness.
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MIMIC-CXR-JPG/2.0.0/files/p16709771/s53309702/6a66f094-3e659702-c05ab39c-dbed5476-a5f614c3.jpg
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Frontal and lateral views of the chest demonstrate low lung volumes which result in bronchovascular crowding. As before there is an area of increased opacification of the left lung base. This is slightly less conspicuous than on the recent prior chest radiograph, and may represent atelectasis, although superimposed infection cannot be excluded. An area of increased opacification of the right lung base slightly increased from the prior exam, and likely represents atelectasis or aspiration. There is no pneumothorax, pleural effusion or overt pulmonary edema. The cardiomediastinal contours are unchanged. The patient is status post spinal fusion, with fracture of the right-sided fusion rod, unchanged from prior exams.
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cough and fever. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17763551/s56354149/5de83198-af5071c2-aa4a91ac-b35ba937-b310cd81.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17763551/s56354149/2de867f5-4ea0d89d-ed87d266-a68e6ae8-e763ce04.jpg
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Lung volumes are low with bronchovascular crowding. No focal consolidation, edema, effusion, or pneumothorax. The heart remains severely enlarged.
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<unk>-year-old woman with chest pain and shortness of breath. evaluate pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18263872/s53235532/2e306542-f4a54535-3e7ce8bf-2d2baac6-f9357c76.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18263872/s53235532/536fce77-6a564867-9375d346-e57a4907-a37b9e79.jpg
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There is cervical spinal fusion hardware which is partially imaged.
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hyperglycemia without source.
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MIMIC-CXR-JPG/2.0.0/files/p12483979/s51330576/8f3b316f-210e3005-ff2339d6-9b87f43c-d3aa08bd.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12483979/s51330576/4a4eaee0-129a72b0-f155b3a8-b15feb13-93ee8e8e.jpg
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with c/o cough and fever // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p16662316/s58029168/d06f7644-b7844e2d-bdb4e939-c647c30e-f2df6349.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16662316/s58029168/2421df2e-ceea6603-fe381867-bfedca92-30ec067f.jpg
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Slightly rotated positioning. This may account for slight leftward positioning of the cardiac silhouette. The cardiomediastinal silhouette, including its positioning, is unchanged. There is probable background hyperinflation. Again seen is a junction line traversing the midline, unchanged. There is minimal patchy opacity at both lung bases on the frontal view and a band of opacity projecting over the lung on the lateral view. No frank consolidation or effusion is seen. No pneumothorax is detected. Limited assessment of the osseous structures demonstrates an old healed lateral nondisplaced ninth rib fracture.
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copd, intoxication. assess for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13204581/s57116015/05e762be-c0fd9006-f8396259-1955f58d-fbfcce56.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13204581/s57116015/5d4324fd-7b9b0329-f77ea0ef-c7683e28-422ee4f0.jpg
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Decreased atelectasis of the left lung base. Stable appearance of postoperative esophagus in the right paramediastinal region. Cardiomediastinal silhouette is unchanged. No pleural effusion or pneumothorax is seen.
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<unk> year old woman with persistent shortness of breath, <num> weeks after esophagectomy. // evaluate for left pleural effusion surg: <unk> (esophagectomy)
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MIMIC-CXR-JPG/2.0.0/files/p19206777/s53139159/24cc9485-d1b58789-9d3e2988-bdd6b998-b395c638.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19206777/s53139159/9e51843f-cb13ca7b-2e9c2ea8-ba396384-bdf7a21b.jpg
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The lungs are clear without evidence of pulmonary edema or consolidation. There is no pleural effusion or pneumothorax. Moderate cardiomegaly is unchanged from the prior exam. Atherosclerotic calcifications are noted in the aorta. A dual-chamber pacemaker is present with the wires in proper position. Evidence of an abdominal aortic stent is partially visualized on the lateral radiograph.
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cough and chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p10145540/s53335438/82b5cbcf-5a85cc2d-9b7eb600-9c6b1279-8f639cfc.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10145540/s53335438/ce464e83-8aa0e22f-2baa60fb-1041c94b-4c853cca.jpg
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The lungs are well inflated and clear. The cardiac silhouette appears slightly increased compared to prior study but likely secondary to underinflation. A focal opacity projecting over the left lung base is a soft tissue artifact. No free air seen under the diaphragm. Osseous structures are grossly intact.
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abdominal pain after vomiting, evaluate for free air.
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MIMIC-CXR-JPG/2.0.0/files/p11565346/s52296846/aa06126c-1aa2b32a-f69afe20-102d58cd-404dc770.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11565346/s52296846/a4614566-a5bd2c74-85499c48-4095f67a-dcf81192.jpg
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Ap upright and lateral views of the chest provided. The picc line has been removed in the interval. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Mild degenerative changes in mid to lower thoracic spine noted. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p11299992/s57635294/6475c11a-e2a8deae-bb0c3fb6-e9a96265-020edd8e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11299992/s57635294/d0eecff4-7dff7b8b-c0ae58e5-93182882-c82d2a25.jpg
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Patient is status post left upper lobectomy with left-sided volume loss and chronic changes of the left ribs. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities.
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<unk>m with syncope. r/o infection // ?pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p19088150/s53744266/e36b24bb-de3c0d30-403042f8-c517f882-23182e19.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19088150/s53744266/d3378d80-8a7b4bd5-4474f099-396b7a3f-4189c5b2.jpg
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with no pmh presents after a mvc (bus driver that was hit by a car while bus at rest).
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MIMIC-CXR-JPG/2.0.0/files/p16093181/s50202814/7e0a8e76-7ae0a336-330f1e09-4d82ea05-8b85f37b.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. Slight elevation of the right hemidiaphragm is noted. The bony structures are unremarkable.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p15981676/s57089647/487bf7a0-cfc8c4e4-a9b9393e-e6cfe4cc-49c0b505.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15981676/s57089647/b1bf0f05-3bbd2e7c-4fa95206-3c5275a0-6fbfa456.jpg
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The main reason for the left lower lobe opacity is due to small pleural effusions and atelectasis. Mild cardiac congestion is unchanged. There is no pneumothorax. Left hemodialysis catheter ends in mid svc. Mediastinal and cardiac contours are top normal.
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patient with cough retrocardiac opacity on ap film, rule out consolidation, pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19615440/s55998786/13bd3d7d-46a2cfea-2db00bc5-298a5d35-1892263a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19615440/s55998786/12ec0c90-e4998383-e49e54d4-61aaaad4-b650fe5a.jpg
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The cardiomediastinal silhouette and hilar contours are unchanged with re demonstration of paramediastinal fibrosis from prior radiation therapy. Small bilateral pleural effusions are similar in volume compared to <unk>. Again appreciated is mild central vascular fullness compatible with volume overload. There is no pneumothorax. Median sternotomy wires in are in place. The osseous structures are grossly unremarkable.
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history of pleural effusions presenting with shortness of breath. prior mediastinal radiation.
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MIMIC-CXR-JPG/2.0.0/files/p12823467/s57044385/a8b71d72-ad5db005-5c9ceb65-864f65df-ffaa4054.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12823467/s57044385/63046e5f-9bf8d45f-42f46a15-a50f5a0c-27ff84dd.jpg
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia or other acute lung parenchymal disease. No lung nodules or masses. No pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
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cough for six weeks, left lower lobe rhonchi, evaluation.
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MIMIC-CXR-JPG/2.0.0/files/p12783197/s59482777/f8ecad00-59435496-e04d6d6f-eacf713e-7384faf9.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12783197/s59482777/0bc891d6-22672933-35c1ba8d-3df906c3-1cf0ba05.jpg
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The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. Left port-a-cath tip is at the cavoatrial junction. Bilateral breast expanders are intact.
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<unk> year old woman with port difficulty accessing // position of port
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MIMIC-CXR-JPG/2.0.0/files/p17547651/s51882594/910a43d8-d34b493b-4dcfe634-d56da012-affa0046.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17547651/s51882594/e1c06330-b7f9fcd0-08298113-01e91c16-7411b463.jpg
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Cardiac silhouette size is borderline enlarged. Mild atherosclerotic calcifications are demonstrated at the aortic arch. Mediastinal and hilar contours are unremarkable. Minimal linear atelectasis is noted within the right upper lobe. Patchy opacities in both lower lobes are minimal, and likely relate to areas of atelectasis. The right costophrenic angle is excluded from the field of view. There is minimal blunting of the left costophrenic angle which may be due to trace left pleural fluid. No pneumothorax or pulmonary vascular congestion is present. There are no acute osseous abnormalities.
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history: <unk>f with chest pain
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MIMIC-CXR-JPG/2.0.0/files/p14808939/s53067152/f6ba971d-6c5c3f0b-3328b403-970ef098-12d75c31.jpg
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There are low lung volumes. The right lung is clear. There is a retrocardiac opacity obscuring the left hemidiaphragm, likely pneunonia vs atelectasis. There may be a tiny component of pleural effusion. The heart size is top normal. The cardiomediastinal and hilar contours are unremarkable. Sclerotic intramedullary lesion in the right humeral neck is unchanged and likely represents an enchondroma.
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<unk>-year-old female with chest pain. evaluate for evidence of acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p15876666/s57149404/e880f009-368ceb2d-a87430dd-dbc998b6-e972a810.jpg
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Patchy ill-defined opacities are seen within the right lung base as well as within the right upper lobe along with peribronchial cuffing concerning for pneumonia. The left lung is grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with cough and shortness of breath
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MIMIC-CXR-JPG/2.0.0/files/p14288525/s54034705/b6bf763d-eccc5c87-f97a6cfb-d0b8da0f-43ce08ba.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14288525/s54034705/9b4e67e1-eba44c9a-328ab84d-d5e5e85e-d090e332.jpg
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The lungs are hypoinflated, accounting from bronchovascular crowding. Otherwise, there is no focal opacity bilaterally. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Incidental note is again made of an azygos fissure.
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<unk>-year-old female with shortness of breath. evaluate for evidence of acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p16003661/s59344402/642a5ee6-59a3016f-206f8a24-f0c1b470-5ad7aa34.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16003661/s59344402/31bf4934-ae8e00b4-e7a413da-20b0eca6-87b52205.jpg
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Frontal and lateral chest radiograph demonstrates hyperexpanded lungs with a stable relative opacification of the lung bases likely exaggerated by hyperlucencies in the upper lung zones. No focal opacification concerning for pneumonia identified. Mediastinal and hilar contours are unremarkable. Mild enlargement of cardiac silhouette is unchanged. Atherosclerotic changes noted in the aortic arch. No compression fracture identified.
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history of copd and chf with shortness of breath. evaluate for pneumonia.
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There are linear opacities in the right middle and both lower lobes consistent with atelectasis or scarring. The cardiomediastinal silhouette and hilar contours are normal. There is marked calcification of the aorta. The pleural surfaces are normal without effusion or pneumothorax. There is a significant dextroscoliosis and the bones are diffusely dimineralized.
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multiple medical problems. evaluation for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14701402/s55348388/3d0fccc1-b54b88c0-86a69882-1f9b8087-35906dc5.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14701402/s55348388/b041baff-e7e37b5f-3e74ed3c-f32426aa-04e07197.jpg
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The lungs are well inflated and clear. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
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history: <unk>m with coughx<num>d, productive of phlegm in recent days, please evaluate for pna // pt w cough, productive phlegm
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MIMIC-CXR-JPG/2.0.0/files/p13839996/s53106352/594be178-b0f15d30-554e4f88-a3e3def4-7766d197.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13839996/s53106352/fb9c9fc7-76cb8486-02071c29-ce982e61-6cfde11b.jpg
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with chest pain // eval for structural process
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MIMIC-CXR-JPG/2.0.0/files/p10146904/s56250804/82b4705d-68e64c9d-79b95b14-7893ba65-cfded871.jpg
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Frontal and lateral radiographs of the chest show clear lungs without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The mediastinal and hilar contours are within normal limits. The cardiac silhouette is normal in size. The aortic knob is partially calcified, with tortuosity of the descending thoracic aorta. A right humeral head prosthesis is partially imaged and unchanged from the preceding radiograph. Irregularity at the left glenohumeral joint is incompletely assessed on these images, but unchanged from ct of <unk>. The patient is status post coronary artery stenting which is visualized overlying the heart on frontal and lateral radiographs.
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<unk>-year-old female with history of breast cancer and chronic chest pain, here to evaluate for intrathoracic causes.
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MIMIC-CXR-JPG/2.0.0/files/p17897366/s54600396/4c46aa4f-1383a96b-e3d7bf0e-30b5b029-1f98e5cc.jpg
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The lungs are clear focal consolidation, effusion, or pneumothorax. The cardiac silhouette is top normal in size. No acute osseous abnormalities identified.
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<unk>m with chest pain // cardiopulmonary process?
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MIMIC-CXR-JPG/2.0.0/files/p16728985/s58700948/f1c9e270-2ef9c5e7-7db44ae4-74aee51e-e60cb75c.jpg
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There are relatively low lung volumes, but no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>m with cough recent pna // ? pna
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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. Mild degenerative changes are similar along the thoracic spine.
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new onset of supraventricular tachycardia.
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MIMIC-CXR-JPG/2.0.0/files/p18282310/s55897117/c609c676-163fbf27-921187f0-c1ea0593-a2a3801d.jpg
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Shallow inspiration accentuates heart size. New left basilar opacity, atelectasis versus developing pneumonitis. Minimal right basilar atelectasis is stable. Prominent left cardiophrenic angle fat pad. No pleural effusion. Normal heart size, pulmonary vascularity.
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<unk> year old woman with ovarian cancer, leukocytosis and new hypoxia // r/o pna
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The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p17922452/s56347727/4630f9d8-d1571f20-2a33da22-df09f6f3-0f4c9d2c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17922452/s56347727/3fb4a361-421b939b-ea567681-cdc02239-c34a0fbe.jpg
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
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subarachnoid hemorrhage. evaluate for pneumonia.
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The lungs are well expanded. A previously seen right lower lobe opacity has resolved in the interval. Obscuration of the right hemidiaphragm margin may be secondary to a combination of small pleural effusion with associated right basilar fibrosis/atelectasis. No focal opacities concerning for pneumonia are seen. Moderate cardiomegaly is unchanged. There is no pneumothorax. Sternotomy wires are intact. Prosthetic aortic valve is better seen in the lateral view.
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<unk>-year-old male with fall change in mental status anticoagulated for artificial aortic valve. evaluate for pneumonia.
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The lungs are clear. There is no pneumothorax. There is relative elevation of the left hemidiaphragm. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>f with cough // ? chest pain
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Heart size is normal. The aorta is tortuous, as seen previously. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Patchy opacities are seen in the right lung base, possibly atelectasis. Subsegmental atelectasis is also noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities seen. Mild degenerative changes are noted in the thoracic spine.
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history: <unk>f with hypertension, lower extremity edema, dyspnea on exertion
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There is no consolidation, pleural effusion or pneumothorax. Streaky bibasilar opacities likely represent atelectasis. No evidence of pulmonary edema. Cardiomediastinal contours are unchanged. No acute osseous abnormalities.
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<unk> year old man with chronic morning cough and dyspnea. // r/o pulmonary edema.
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The cardiomediastinal and hilar contours are unchanged. Small bilateral pleural effusions are similar in size to the prior chest radiograph on <unk>. Bibasilar opacities, greater on the left, appear minimally increased which may reflect atelectasis or infection. Of note there is engorgement of the azygos vein, increased from the prior examination. No pneumothorax.
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<unk> year old man with resting tachycardia, o<num> sat <unk>% at rest, recent hospitalizations in <unk> and again in <unk> for pericarditis with tamponade s/p paracardiocentesis, and bilateral pleural effusion s/p drainage with chest tubes (removed). // please compare with latest cxr from <unk>
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Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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dry cough for <num> weeks.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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history: <unk>f with code stroke. eval for pna.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded without focal consolidation concerning for pneumonia. There is also no pulmonary edema. An azygos fissure is incidentally noted. The upper abdomen is unremarkable.
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<unk>f with recent bactermia
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Patient appears somewhat kyphotic in position. Moderate left pleural effusion is seen. There may be a small right pleural effusion. Bibasilar opacities are slightly increased compared to prior study. Mild to moderate pulmonary edema is seen. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>m with fever, white count, s/p colectomy w/ end colostomy <unk> // any infection
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The tip of the left subclavian picc line is angulated posteriorly consistent with placement in the azygos vein. No pneumothorax is detected. No focal consolidation or effusion is identified. Cardiac and hilar contours are unchanged from previous.
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<unk> year old man with picc placed // picc placement
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. No overt pulmonary edema is seen.
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history: <unk>m with pancreatsitis // r/o effusoin
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Pa and lateral views of the chest. Slightly improved inspiratory effort is seen on the current exam which is still somewhat low. There are hazy bibasilar opacities potentially due to atelectasis. Some vague opacity also seen in the left perihilar regionas well. There is no effusion. The cardiomediastinal silhouette is within normal limits. The no acute osseous abnormality detected.
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<unk>-year-old female with cough.
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There is a faint opacity in the right upper lobe suggestive of an infectious process. There is mild right lower lobe atelectasis. Otherwise, the remainder of the lungs are clear with no evidence of other consolidations, effusions, or pneumothoraces. The cardiomediastinal silhouette is normal. Calcified costochondral junctions are visualized. Otherwise, the remainder of osseous structures are grossly normal.
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evaluation of patient with cough and dyspnea.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Specifically, no skeletal or pulmonary metastases identified.
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kaposi sarcoma, to assess for lung involvement.
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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
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pleuritic chest pain.
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Pa and lateral views of the chest demonstrate relative flattening of the bilateral hemidiaphragms and multiple bullae, consistent with severe emphysema. There is no evidence of pleural effusion, pulmonary edema, or pneumothorax. No focal consolidation is identified. The cardiomediastinal silhouette is stable and the aorta is somewhat tortuous. Left-sided rib deformities are again seen, consistent with healed fractures.
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<unk>-year-old male status-post fall <num> week prior with several rib fractures on the left. evaluation for pneumothorax.
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Frontal and lateral views of the chest. The lungs are hyperinflated. There is anopacity projecting over the left lung base on the frontal and perhaps correlates with a vague opacity overly the spine on the lateral. The lungs are otherwise clear of focal consolidation, noting bi-apical partially calcified scarring. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities are seen.
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<unk>-year-old female with wrist fracture, preop.
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Mild right middle lobe and left lower lobe atelectasis. No pneumonia. No pulmonary edema. The aorta is torturous and once again visualized is a aneurysmal dilation of thoracic aorta measuring <num> cm, previously measuring <num> cm, best seen on lateral view. Patient is status post abdominal aortic stenting. Top-normal size of cardiac silhouette. No pleural effusions. No pneumothorax. Stable chronic compression fractures and multiple chronic rib fractures consistent with history of multiple myeloma.
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<unk> year old man with hx of myeloma. fever <num> with cough. please rule out pna. // <unk> year old man with hx of myeloma. fever <num> with cough. please rule out pna.
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated. On the current exam, they are clear of confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with shortness of breath and hemoptysis. question pneumonia.
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The lungs are well-expanded and clear. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila and pleura unremarkable.
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<unk> year old woman with cough, wheezing, low grade fever, eval for pna.
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The heart size is top normal with mildly tortuous aorta. The mediastinal silhouette and hilar contours are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
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chest pain radiating to the back.
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The heart size, mediastinal, and hilar contours are normal. Except for mild streaky bibasilar atelectasis, lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with chest pain. evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear aside from patchy posterior opacity that appears unchanged, probably due to minor atelectasis.
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cough and hyperglycemia with recent upper respiratory tract infection.
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A moderate left and small right pleural effusion are grossly unchanged. Cardiomediastinal silhouette is overall unchanged. There is a background of mild pulmonary edema, similar to prior. There is no pneumothorax.
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<unk>-year-old man with history a copd, with increased sob while walking tonight
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The right pleural effusion has decreased in size since the prior exam and is now small. There is no left pleural effusion. The lungs are clear. There is no pneumothorax. Bones and soft tissues are normal. Contrast from a recently performed ct scan opacifies the partially imaged colon.
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<unk> year old man with recurrent effusion s/p thoracentesis; evaluate for ptx
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
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known metastatic melanoma.
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An approximately <num>-mm opacity in the right apex is new compared to the prior radiograph in <unk>, but appears to correspond to a nodule with solid component on ct in <unk>. Otherwise, the lungs are clear. The heart is normal in size. The mediastinum is not widened. The hila are unremarkable. No pleural effusion or pneumothorax. Bilateral apical pleural thickening is probable. Surgical clips projecting over the region of the hiatus. Calcifications in the uterus number are overall unchanged.
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<unk> year old woman with copd and worsening dyspnea // ?infiltrate
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Ap and lateral views of the chest. On the current exam, the lungs are clear. Cardiomediastinal silhouette is mildly enlarged, similar to prior. No acute osseous abnormality is identified.
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<unk>-year-old male with fever and recent surgery. question pneumonia.
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There are small bilateral pleural effusions. Superiorly, the lungs are clear. There is no focal consolidation or pulmonary edema. Moderate cardiac enlargement is again noted. Median sternotomy wires are intact and mediastinal clips are noted. Degenerative changes are seen at the right shoulder. Prior left picc is no longer visualized.
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<unk>m with lethargy. pmhx of chf // evaluate for pulmonary congestion
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Severe cardiomegaly is unchanged from previous studies. The mediastinal silhouette is normal. Bilateral pleural effusions, small to moderate on the right and moderate on the left. Mild pulmonary edema is unchanged from <unk>. An opacification overlying the lower lung is consistent with previously seen pleural plaque and remains unchanged. Tavr is seen in unchanged in position. There is a interval placement of a transjugular pacemaker with the leads running from left pectoral generator to the right ventricle and coronary sinus.
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<unk> year old man with new crt-p implantation. // assess lead position
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with tachycardia, dizziness.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Minimal subtle cortical abnormality is seen along the inferior aspect of the left posterolateral ninth rib which could reflect a nondisplaced fracture.
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history: <unk>m with rib pain after trauma // lower left rib pain after trauma
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
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history: <unk>f on taxol for l br ca w/ l sided cp, muscle spasms // eval ? edema, cardiomegaly
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Heart size appears mildly enlarged but unchanged. A moderate size hiatal hernia is re- demonstrated. Atherosclerotic calcifications are noted aortic knob. Soft tissue density along the left aortic knob contour is new since the previous ct and may reflect lymphadenopathy. Hilar contours are grossly unchanged from the recent ct. Pulmonary vasculature is not engorged. Lungs are hyperinflated. Patchy bibasilar airspace opacities appear new from the previous ct as are small bilateral pleural effusions. Scarring in the lung apices is re- demonstrated. There are no acute osseous abnormalities.
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history: <unk>f with cough
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The lungs are normally expanded. There is minimal bibasilar atelectasis. Heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The aorta and brachiocephalic vessels are tortuous. There are surgical clips in the right upper quadrant.
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history: <unk>m with <num> weeks cough, sore throat, runny nose, now with l lateral back pain // eval for pna
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusions, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
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patient with acute onset chest pain. assess for pneumothorax.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
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history: <unk>m with chest pain and back pain // eval mediastinum, eval for pneumothorax
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with polyneuropathy // eval for pna, ich
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The lungs are well expanded. There is a consolidative opacity in the right lower lobe, consistent with pneumonia. A patchy opacity is seen in the retrocardiac area which likely represents scarring or atelectasis, but could also represent a second site of pneumonia. Cardiomediastinal silhouette is slightly enlarged. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. Cholecystectomy clips are noted in the right upper abdomen.
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chest pain and dyspnea.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with cough // eval for pna
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Assessment slightly limited by patient positioning and rotation. Patient is status post median sternotomy and aortic valve replacement. Right-sided lumen central venous catheter tip terminates in the proximal right atrium. Lung volumes are low. Mild cardiomegaly with left ventricular configuration is again seen, not substantially changed in the interval. Tortuosity of the thoracic aorta is present. There is mild pulmonary edema, worse in the interval, with small bilateral pleural effusions. Patchy atelectasis is noted in the lung bases without focal consolidation. No pneumothorax is present. The osseous structures are diffusely demineralized.
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history: <unk>f with cough, on hemodialysis
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Patchy opacity is demonstrated in the left lower lobe which may reflect an area of developing infection. No focal consolidation, pleural effusion or pneumothorax is present. A bb marker overlies the right eleventh rib. No acute osseous abnormalities are seen in the vicinity of this marker. No rib fracture is detected.
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<unk> year old woman with right lower rib pain after playing rugby. also with persistent productive cough (two separate process).
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As compared to the previous radiograph, the diameter of the pulmonary vessels has minimally increased, likely reflecting mild fluid overload. The lateral radiograph manifests the presence of bilateral small pleural effusions. Moderate cardiomegaly with normal hilar and mediastinal contours. No evidence of pneumonia or pneumothorax.
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dialysis.
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The chest tube has been removed, and there are linear opacities along the prior chest tube course, which represents pleural fluid. There is small amount of subcutaneous air, but no pneumothorax. The biapical scarring and bibasilar predominant fibrosis is unchanged in comparison to the prior radiograph. The lungs are otherwise clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion is seen. There are no acute osseous abnormalities.
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<unk> year old woman with right spontaneous ptx, ct placed and now d/c'd // check interval change post pull film
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding ap single view chest examination of <unk>. The heart size is unchanged, and the appearance of the thoracic aorta is unaltered. The pulmonary vasculature is not congested. No new acute pulmonary infiltrates can be identified. There remains a mild blunting of the right lateral pleural sinus extending into the posterior area. The left hemithorax is free and no pleural effusion is found on this side. The portable single view chest examination of <unk> did not demonstrate any remaining blunting of the right lateral pleural sinus. When comparing the present study with that similar pa and lateral chest examination of <unk>, however, the amount of pleural effusion is unchanged and rather small.
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<unk>-year-old female patient with pleural effusion, evaluate.
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Heart size is normal with a mildly tortuous thoracic aorta. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
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worsening seizures.
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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are clear without evidence of focal consolidation, pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of weakness. please evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. The right upper paratracheal stripe is widened, but the appearance is stable over time and in comparison to the ct torso. The appearance is probably due to tortuosity of the great vessels and prominent mediastinal fat. Patchy left basilar opacity is not specific but could be seen with minor atelectasis. There is no pleural effusion or pneumothorax. Mild degenerative changes are noted along the thoracic spine. No free air is seen.
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gastrointestinal bleeding.
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Low lung volumes with persistent bilateral pleural effusions, new compared to the prior radiograph. Persistent cardiomegaly and mild pulmonary edema. . Right picc terminates at the cavoatrial junction. Sternal sutures, prosthetic cardiac valve, bony thorax remain unchanged. No pneumothorax.
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<unk> year old man with s/p avr // f/u effusions, atx
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with l eye visual changes code stroke // eval ? acute process
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Interval increase in right infrahilar opacity as well as retrocardiac opacity may reflect right lower lobe bronchopneumonia. Bilateral lower lobe atelectasis is moderate. No pleural effusion. The heart is moderately enlarged, unchanged. There is central pulmonary vascular congestion. Surgical clips project over the anterior abdomen on the lateral view.
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history: <unk>m with pain, increased confusion. evaluate for pneumonia.
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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.
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<unk> year old woman with recent diagnosis of walking pneumonia now s/p abx course. please evaluate for residual pneumonia // eval for pneumonia
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Pa and lateral views of chest. The lungs remain clear. There is no effusion, consolidation or pulmonary vascular congestion. Cardiomediastinal silhouette is stable. Multiple old healed left rib fractures are again noted but there is no acute osseous abnormality detected.
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<unk>-year-old female with weakness and hyperglycemia.
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Frontal and lateral views of the chest demonstrate resolution of a right pleural effusion. There is no pneumothorax. A linear opacity in the right mid lung field may represent atelectasis or a tiny amount of fluid within the minor fissure. The lungs are otherwise clear. The cardiomediastinal and hilar contours are stable.
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status post right thoracentesis, assess for postprocedure pneumothorax.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
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<unk>m with weakness // infiltrate?
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Enteric tube is seen to pass below the inferior field of view. Low lung volumes are seen with secondary crowding of the bronchovascular structures. There are small bilateral pleural effusions and indistinctness of the pulmonary vasculature suggesting superimposed vascular congestion, though improved when compared to recent prior. Linear left basilar atelectasis is noted. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with end stage liver disease, productive cough, fevers // ? pleural effusion, consolidation
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A <num> mm calcified granuloma is again noted in the right upper lobe. Linear bilateral lower lobe opacities are re-identified and likely representative of scarring. Otherwise, the lungs are clear with no evidence of consolidation. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No fractures are identified.
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patient with fever and history of cancer with chemo. evaluate for pneumonia or any other acute process.
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Compared to prior, there has been no significant interval change. There is no focal consolidation, effusion, or pulmonary edema. Linear left mid lung scarring is again noted. Right-sided fat containing bochdalek's hernia was noted on the lateral view. Degree of cardiomegaly is stable. Atherosclerotic calcifications are noted at the arch. No acute osseous abnormalities identified.
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<unk>f with <num> days of sob, low hct // eval for pna
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The lungs are hyperinflated in keeping with known history of emphysematous disease. There are no focal opacities concerning for pneumonia. Biapical pleuro-parenchymal scarring is present. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with cough and history of copd. evaluate for pneumonia.
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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>f with chest pain x <num> hours // eval pneumonia, other acute process
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f w/sob
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Enlargement of the cardiomediastinal silhouette is stable. Slight blunting of the costophrenic angles may be due to trace pleural effusions versus atelectasis, less likely pneumonia. No overt pulmonary edema is seen. .
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history: <unk>f with dchf, afib on coumadin, copd, p/w <num> wk ams, now w/ slurred speech and also cough, malaise // any acute intracranial process? any evidence of pna?
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The mediastinum is somewhat widened, and there is a vague opacity noted to be overlying the anterior mediastinum, consistent with the inflammatory phlegmon which was sampled on <unk>. There is a small left sided pleural effusion with minimal adjacent atelectasis noted. No pneumothorax, or pulmonary edema is identified. The heart size is normal. No bony abnormalities are detected.
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status post ct guided sampling of an anterior mediastinal phlegmon.
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Frontal radiograph is limited by underpenetrated technique, reducing sensitivity for detecting subtle lung abnormalities. The cardiomediastinal and hilar contours are stable. Mild vascular congestion is present. No pleural effusion or pneumothorax.
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<unk>f with chf and orthopnea // pulmonary edema
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Median sternotomy wires are intact. Mild to moderate cardiomegaly is unchanged. There is no overt pulmonary edema. Mild pulmonary vascular congestion has improved from <unk>. There are small bilateral pleural effusions, larger on the left, not changed from prior exam. There is no pneumothorax. There is platelike left basilar atelectasis.
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<unk>-year-old woman with a history of congestive heart failure, evaluate for volume overload.
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The heart is again mildly enlarged. The aorta is similarly tortuous. There is perhaps slight slight increased widening of the vascular pedicle which could be seen with fluid overload. There is also a slight indistinct prominence of pulmonary vascularity suggesting slight vascular venous hypertension or perhaps congestion. Patchy left basilar opacities are not specific, but suggest atelectasis. There are no pleural effusions or pneumothorax.
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chest pain.
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Ap upright 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. Bilateral humeral head replacements noted. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain // eval for pna
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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac and mediastinal silhouettes are unchanged. Pulmonary vasculature is within normal limits. The left pacemaker leads are in stable position. Prosthetic aortic valve is again seen. Median sternotomy wires are intact.
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increasing dyspnea.
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