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Cardiomediastinal contours are unchanged. Multifocal opacities in the right lung especially in the upper lobe have increased consistent with worsening of multifocal pneumonia/aspiration. Same process is present in the left lower lobe. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old man with worsening sob and h/o aspiration pna // please evalaute for pna or new cardiothoracic process
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In comparison with the study of <unk>, there is no change in the degree of apical pneumothorax on the right. Otherwise, little change.
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to evaluate for pneumothorax.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion or pneumothorax. Subtle ground-glass opacities seen within the lungs on the frontal projection raising potential concern for mild edema. Thoracic aorta is moderately calcified. Heart size is within normal limits. Mediastinal contours unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with syncope // ?infection
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.
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cough and fever.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>f with chest pain, palpitations, syncope // any evidence of infection, pneumo?
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The lungs are hypoinflated with bibasilar atelectasis. There is elevation of the left hemidiaphragm. Apparent mild cephalization is accentuated by low lung volumes. Trace right pleural effusion is present. No left pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are unremarkable. Limited assessment of the osseous structures are notable for thoracolumbar degenerative changes with anterior osteophytes and endplate sclerosis.
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<unk>m with dyspnea on exertion. assess for pulmonary edema.
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Pa and lateral views of the chest. No prior. The lungs are clear. Costophrenic angles are sharp. Incidental note is made of an azygos fissure. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes seen in the spine. Osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old male with chest pain and shortness of breath.
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Pa and lateral views of the chest provided. Lungs are hyperinflated and somewhat lucent suggesting emphysema. No focal consolidation, large effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. No signs of congestion or edema. Clips are seen projecting over the right breast. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with doe // eval for pna
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The cardiomediastinal and hilar contours are within normal limits. Lungs are essentially clear. There is no focal consolidation, pleural effusion or pneumothorax.
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chest pain for two weeks.
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Patient is status post median sternotomy and cabg. Heart size is mildly enlarged. The aorta is diffusely calcified. Mediastinal and hilar contours are unremarkable. Increased interstitial opacities bilaterally are compatible with mild interstitial pulmonary edema. Small bilateral pleural effusions are present, larger on the left. There is atelectasis in the left lung base. No pneumothorax is present. There are moderate multilevel degenerative changes present in the thoracic spine.
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history: <unk>m with crackles on exam and missed dialysis
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There is retrocardiac opacity concerning for pneumonia, best seen on the lateral view. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with chest pain, hypoxa // pulm edema?
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Compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Vertebral fixation device is stable in position.
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<unk> year old woman with cough, hemoptysis // assess for infiltrate
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is demonstrated. Clips are noted within the right breast about a <num> mm nodular opacity, which appears to correlate with post treatment changes on the prior mammogram. Mild degenerative changes are seen within the thoracic spine.
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history: <unk>f with cough x <num> weeks
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Left-sided pacemaker/ aicd device is noted with leads terminating in the right ventricle and region of the coronary sinus. The patient is status post median sternotomy and cabg. Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are similar with atherosclerotic calcifications noted diffusely within the aorta. Mild pulmonary vascular congestion is present along with a new small right pleural effusion. Patchy right basilar opacity may reflect atelectasis. No left-sided focal consolidation is present. No pneumothorax is visualized. No acute osseous abnormalities are detected.
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history: <unk>f with dyspnea
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Frontal and lateral views of the chest demonstrate an increased left pleural effusion. The right-sided pleural effusion is unchanged. There is ongoing left hilar blurring. Right lower lobe opacity is unchanged. There is no pneumothorax. The heart is grossly normal in size.
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history and hiv and kaposi's sarcoma with pleural effusions, interval evaluation.
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Compared with prior radiographs on <unk>, there is worsening of mild cardiomegaly. There is a small right pleural effusion, similar to prior. There is no overt pulmonary edema. There is no focal consolidation or pneumothorax. Patient's known lung nodules are better evaluated on ct chest on <unk>. The aorta is tortuous, without evidence of focal aneurysm. Multiple left-sided healed rib fractures are seen.
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<unk> year old woman with hypoxia and leukocytosis and metastatic breast ca // ? pneumonia
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Left-sided defibrillator remains in unchanged position. The heart is enlarged. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with history of chf coming in with progressive dyspnea on exertion, now with sob at rest. // any evidence of pulmonary edema? any infiltrates? any evidence of pulmonary edema? any infiltrates?
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Pa and lateral views of the chest. No prior. Lungs are essentially clear, noting mild bibasilar left greater than right subsegmental atelectasis. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine.
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<unk>-year-old male with syncopal episode.
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The lungs are well-expanded, hyperinflated and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. No acute osseous abnormality.
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<unk>-year-old woman with copd presenting with reported low grade fevers. evaluate for infection.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is slightly tortuous. The cardiac silhouette is top-normal. There is no overt pulmonary edema.
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left shoulder pain.
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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. Laparoscopic band is noted in appropriate position in the left upper quadrant.
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<unk>f with lap band // ? fracture band
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Cardiomediastinal silhouette is unchanged. The heart is not enlarged. Chronic elevation of the left hemidiaphragm is again noted. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. Right shoulder arthroplasty is again noted. Severe kyphosis with a chronic compression deformity lower thoracic spine again noted and not significantly changed compared to prior study from <unk>. Postsurgical clips are again noted in the right upper abdomen possibly secondary to cholecystectomy.
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<unk> year old woman with shadow on right lung as seen on xray dated <unk> // evaluate prominent shadow on the right lung along the right heart border as seen on xray from <unk>
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>f with hypotension // ? pna
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Pa and lateral views of the chest provided. Lung volumes are low. There is a patchy opacity with several air bronchograms in the medial left lower lobe concerning for early pneumonia. Streakiness at the right base likely represents subsegmental atelectasis in the right middle lobe. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen.
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<unk>m with headache and fevers and chest pain // eval for pneumonia
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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>m with paroxysmal atrial fibrillation rvr // eval for acute process
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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.
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<unk>m with fever // ?pna
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The cardiomediastinal and hilar contours are stable with moderate cardiomegaly. There is no pleural effusion or pneumothorax. Bibasilar interstitial changes are stable. There is no focal consolidation concerning for pneumonia.
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cough for <num> hours.
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Normal heart size, mediastinal and hilar contours. There is mild peribronchiolar cuffing. No focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with shortness of breath // ?pneumonia
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Heart size is top normal. There is no pleural effusion, evidence to suggest pulmonary edema, or pneumothorax. Visualized osseous structures are unremarkable. No air is identified under the right hemidiaphragm.
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<unk>f with ruq abd pain
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A left picc ends in the mid svc. Aside from minimal right basilar linear atelectasis, the lungs are clear. The mediastinal and cardiac contours are normal. There are no pleural abnormalities.
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open sternal wound and fevers to <num> degrees at outside hospital. evaluate for acute intrathoracic process.
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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear. There is no focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears normal and stable. Bony structures are intact. A ring shaped calcified structure projecting over the left lower chest wall likely represents costochondral calcification.
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<unk>f with chest pain below her left breast and epigastric abdominal pain, non-productive cough // evidence of pulmonary congestion or infiltrates
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Pa and lateral chest radiographs were provided. Tracheostomy tube is appropriately positioned, unchanged. The left chest wall port catheter tip terminates at the cavoatrial junction. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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history of tracheobronchitis with increased sputum production.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. There is no pneumoperitoneum.
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history: <unk>f with acute onset abd pain, distension today // any free air
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The right atrial and right ventricular pacemaker leads are contiguous from the left pectoral pacemaker and positioned appropriately, unchanged from <unk>.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old woman with pacemaker, brain tumor // check placement of pacemaker
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Ap upright and lateral views of the chest provided. A subclavian stent is again seen now with extension into the left axillary vein. Lung volumes are low and the patient's chin obscures the superior mediastinum and lung apices. Allowing for these limitations, there is at least moderate pulmonary edema with bilateral small to moderate pleural effusions. Difficult to exclude a lower lung pneumonia. No large pneumothorax. Bony structures are intact.
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<unk>f with dyspnea, hx of esrd on hd
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Calcified granuloma within the left mid lung field is unchanged. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. Absence of a splenic shadow is compatible with prior splenectomy.
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history: <unk>f with pain with inspiration
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
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<unk>f with chronic fatigue, rash, evaluate for cardiopulmonary disease.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Lungs are hyperinflated. Focal lingular bronchiectasis is re- demonstrated with increased patchy lingular opacity which may reflect airways disease/ infection. Right lung is clear. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is present. Mild to moderate degenerative changes are again seen in the imaged thoracolumbar spine with similar loss of height of an upper lumbar vertebral body.
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history: <unk>f with cough
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Linear bibasilar opacities are likely atelectasis given lower lung volumes. Superiorly, the lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>f with chest pain // eval for pna, chf
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A port-a-cath terminates in the lower superior vena cava. A staple line is visible in the right upper lung. The left lung again shows mild volume loss, parenchymal opacity suggesting atelecatsis, and moderate pleural thickening or effusion loculation, but without significant change.
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fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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productive cough.
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Pa and lateral views of the chest. The lungs are clear. The cardiac, mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
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<unk>-year-old male cough on immunosuppression, evaluate for pneumonia.
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In comparison with the study of <unk>, there is little change and no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. Apical pleural thickening or fibrosis is seen especially on the left.
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worsening cough after uri.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cp // pna?
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The lungs are well expanded and clear. The hila and pulmonary vasculature are normal. No pleural abnormalities or pneumothorax. The cardiomediastinal silhouette is normal. No fractures.
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<unk> year old woman with sob, cough // pneumonia
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The lungs are clear without focal consolidation. Mild elevation of the right hemidiaphragm is again seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>m with nash, ascites, cough*** warning *** multiple patients with same last name! // ? pneumonia, effusion
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Heart is persistently mildly enlarged, with left ventricular configuration, and the aorta is tortuous. Lungs are clear. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old woman with cough, chest pain, ?pneumonia // ?pneumonia
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Inspiratory volumes are slightly low. Allowing for this, the heart is borderline, with a left ventricular configuration. Mediastinal and hilar contours are within normal limits. No chf, focal infiltrate or effusion is detected. No mediastinal air is identified. Increased density along the inner surface of the right chest wall is consistent with mild pleural thickening or prominent subpleural fat, in keeping with findings on a <unk> ct scan. . The diaphragms are slightly flattened. Mild elevation of the right hemidiaphragm, similar in appearance to the prior radiographs. No obvious vertebral body compression is detected.
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<unk>f with lupus, chest pain, vomiting // evaluate for acute process
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A moderate size left pleural effusion has increased since the previous radiograph. Left basilar opacity likely reflects compressive atelectasis. Heart size is difficult to ascertain given the presence of the left pleural effusion. The mediastinal contours are similar with diffuse atherosclerotic calcification of the aorta again noted. Pulmonary vasculature is normal. No pneumothorax is detected. A trace right pleural effusion is similar compared to the prior study. There is minimal atelectasis in the right lung base. Mild degenerative changes are seen in the thoracic spine.
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history: <unk>m with fever
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The patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no evidence of free air beneath the diaphragms. Patient has a known hiatal hernia.
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weakness, fatigue.
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Frontal and lateral chest radiograph demonstrate well expanded lungs. There is a subtle area of consolidation within the anterior right lower lobe which obscures the right hemidiaphram. The left lung is clear as is the right upper lobe. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unremarkable.
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<unk>-year-old female with asthma, fevers, and dyspnea on exertion. evaluate for pneumonia.
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Left anterior chest wall dual lead pacer is unchanged. Median sternotomy wires are intact. Moderate cardiomegaly is unchanged with unfolding of the thoracic aortic arch. Aortic knob calcifications are unchanged. There is mild pulmonary vascular congestion. There are moderate bilateral pleural effusions with bibasilar atelectasis. There is no pneumothorax.
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hypoxia
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There is elevation of the right hemidiaphragm with adjacent streaky right basilar opacity which is most likely atelectasis. The lungs are otherwise clear. Cardiac silhouette may be slightly enlarged but accentuated by a relatively low lung volumes. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities.
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<unk>f with dyspnea // please evaluate for acute cp process
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The lungs are hyperinflated. They are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified.
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chest pain. evaluate for pneumothorax.
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Frontal and lateral chest radiographs were obtained. The lungs are hyperinflated with flattening of both hemidiaphragms. The previous bibasilar opacities have essentially cleared. The upper lung zones are hyperlucent with attenuation of pulmonary vessels and destruction of parenchyma, consistent with severe emphysema. No new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Bilateral hilar enlargement is suggestive of underlying pulmonary hypertension. The heart size is normal.
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patient with recent pneumonia, assess for resolution.
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Pa and lateral views of the chest provided. Right lower lobe consolidation is new since prior study and is concerning for pneumonia. Cardiomediastinal silhouette is normal. There is no pleural effusion.
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<unk> year old woman with abnormal lung exam cough x <num> week, evaluate for pna
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Lung volumes remain low, particularly in the left lung, where the lower lobe is collapsed. A small left pleural effusion is present. The heart border is obscured by parenchymal abnormalities. Hilar contours are stable. There is no pneumothorax.
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patient with rcc metastases to lung and supine, now with fatigue and hypotension, rule out pneumonia.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Low lung volumes exaggerate heart size. The aorta is tortuous; mediastinal contours are otherwise within normal limits.
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<unk>-year-old female with possible stroke.
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A large left pleural effusion is again seen obscuring the lung from the level of the third intercostal space to the diaphragm, some of which is free pleural fluid seen shifting into the left apex on the lateral decubitus view. However, the pleural effusion has an unusual configuration with preservation of the left heart border which raises the possibility of a partially loculated effusion. The left lung apex is well aerated. The right lung is clear. No pneumothorax is present. The cardiac and mediastinal silhouettes are unchanged. Degenerative changes are again noted in the thoracic spine. Underlying left lower lobe consolidation cannot be excluded.
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<unk>-year-old male with recurrent left pleural effusion and concern for pneumonia, here to evaluate for underlying consolidation with lateral decubitus view.
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Pa and lateral views of the chest are obtained. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable.
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<unk>-year-old female with cough and back pain. evaluation for pneumonia.
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Heart size is minimally enlarged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. There may be a trace left pleural effusion. No pneumothorax is seen.
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<unk> year old woman with probable trace pleural effusion seen on mri done at <unk> in <unk>. // r/o pleural effusion
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In comparison with the study of <unk>, the right basilar region is essentially clear at this time. This could reflect clearing of either atelectasis or pneumonia. Cardiac silhouette is within upper limits of normal in size and there is still tortuosity of the aorta. No vascular congestion or pleural effusion.
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abnormality in examination in <unk>, to check for resolution.
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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.
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<unk>-year-old female with chest pain. evaluate for acute process.
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Normal heart size, mediastinal and hilar contours. Previously seen opacity on the right is no longer visualized. The ring opacity previously seen now more convincingly appears to be normal vessels. The lungs remain hyperexpanded but clear. No pleural effusion or pneumothorax.
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<unk> year old woman for <num> week repeat cxr to reassess lungs // reassess lungs
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Again, there is mild blunting of the left costophrenic angle, but no evidence of vascular congestion or acute focal pneumonia. No hilar or mediastinal adenopathy.
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cervical lymphadenopathy.
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The lung fields are clear without focal consolidation. There small bilateral pleural effusions. There is no pneumothorax. The cardiac silhouette appears stably enlarged.
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<unk>f with shortness of breath. evaluate for pneumonia or pleural effusions.
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Frontal and lateral radiographs of the chest show no focal parenchymal opacity to suggest pneumonia. No pleural effusion, pulmonary edema or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is mildly enlarged, but stable. The mediastinal contours are prominent but unchanged, with unfolding of the thoracic aorta. The hilar contours are within normal limits. Mild separation of the uppermost three sternal wire sutures is unchanged and alignment is intact. Epicardial wires are still in place extending superficially and out of view on the lateral radiograph. No retrosternal collection or fragmentation of sternal wires is seen to suggest active infection.
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<unk>-year-old female with two-week history of cough, here to evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. The cardiomediastinal, pleural and pulmonary structures are unremarkable. There is no pleural effusion or pneumothorax. The heart size is normal. There are no areas of consolidation concerning for pneumonia. There are no suspicious osseous lesions seen.
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chest pain, evaluate for infiltrate.
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Again, low lung volumes are seen with crowding of the bronchovascular markings. The lungs are clear, there is no pulmonary edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
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<unk>f with hx asthma, <num> weeks of cough // consolidation v pleural edema
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Linear opacities at bilateral lung bases are consistent with platelike atelectasis. There is mild pulmonary vascular congestion and mild associated interstitial pulmonary edema. There is no pleural effusion or, pneumothorax, or focal consolidation. The cardiomediastinal silhouette, including mild cardiomegaly and a tortuous descending aorta, is unchanged.
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<unk>m with shortness of breath, evaluate for pulmonary edema.
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The heart is normal in size. There is a small to moderate hiatal hernia. The mediastinal and hilar contours are otherwise unremarkable. The lungs appear clear. There is no pleural effusion or pneumothorax. Mild loss in height of two mid thoracic vertebral bodies appears unchanged.
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low-grade fever, malaise, and shortness of breath.
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The lungs are clear without infiltrate. There is some crowding at the bases, but no definite consolidation. There is no effusion. Cardiac and mediastinal silhouettes are normal.
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possible aspiration during seizure.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
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pre syncope, dizziness and visual changes.
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A right chest port-a-cath tip projects over the expected region of the svc-ra junction, new from <unk>. Lung volumes are low. Bibasilar streaky opacities are most likely atelectasis. Increased opacity in the right lower lobe is concerning for pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is similar in appearance to prior exam. The descending thoracic aorta is tortuous, similar the prior exam. Appearance of the trachea is similar the prior exam and ct from <unk>.
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<unk>-year-old man with fever. evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p19723160/s59239641/c249f874-0236e26d-3cd77f7e-6407c96a-f26519dc.jpg
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Since prior, there is no relevant interval change. Allowing for image under penetration the lungs appear clear. Lung volumes are low. Cardiomegaly is unchanged. Mediastinal contour is stable. There is no large pleural effusion or pneumothorax.
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<unk>-year-old with worsening shortness of breath
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Previous identified right perihilar opacities have resolved. Lungs are fully expanded and clear, excepting mild biapical scarring. No pleural abnormality. Heart size is normal. Cardiomediastinal hilar silhouettes are unremarkable. Dense mitral annulus calcifications are noted.
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<unk> year old woman with recent pneumonia. // confirm resolution of findings on cxr (and ct scan)
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MIMIC-CXR-JPG/2.0.0/files/p16231443/s58299585/859e5139-58679725-98f2d130-19b5d62c-89e5af38.jpg
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
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history: <unk>f with tachycardia // eval cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p12483151/s57623827/3861e97e-08583ffe-d5d12422-2efad649-17672e61.jpg
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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fever. evaluation for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14517129/s57584967/bc0f6c7b-7e1b4227-4ee19b2d-edfaf3fc-d20e0c0d.jpg
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The pigtail catheter has been removed since the prior exam, and in the interim, a moderate left pleural effusion has not appreciably changed in size. The patient is status post median sternotomy with valve replacement. The right lung is clear. There is no pneumothorax.
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<unk>-year-old male with pleural effusion.
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Lungs are hyperinflated. There is no pleural effusion. There is multilevel mild loss of vertebral body height. The cardiomediastinal silhouette is unremarkable. Consolidations note the left lung apex, and possibly the right.
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history: <unk>f with cough, fever // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p10955242/s59011117/8a434cdb-6cf45f08-2a5eb0fe-c7b101ea-2daf97b0.jpg
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for pneumonia or abnormal cardiac silhouette in a patient with chest pain radiating to the back.
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MIMIC-CXR-JPG/2.0.0/files/p12896020/s58438080/e7815aac-1d7345dd-bd823207-45b7a084-12d7074e.jpg
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The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no effusion or pneumothorax.
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<unk>-year-old male with wheezing and cough since getting a piece of rice stuck in his throat several weeks ago. evaluate for evidence of acute cardiothoracic process.
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MIMIC-CXR-JPG/2.0.0/files/p13950298/s52301273/c4862fc9-2737f6df-7a763fad-0e6badc5-1a9a5601.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 cp/epigastric pain // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p17874983/s58006599/2405b089-4f53ce44-07d94ffc-aa20a907-87dcd37d.jpg
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There are mild atherosclerotic calcifications across the aortic arch. The lungs are hyperinflated, with flattened diaphragms, reflecting chronic obstructive disease. There is no pneumothorax, focal consolidation, or pleural effusion. A right biceps anchor is present.
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concern for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19299811/s59073199/cacf1e56-0e9e18b5-84b11a25-9d09d725-d84b94f1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19299811/s59073199/19b60884-b47158c7-bb8533e5-67cda6c7-d2bcdf25.jpg
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Large-bore right-sided central venous catheter terminates in the right atrium. There has been interval removal of a left-sided central venous catheter.new bilateral perihilar opacities suggests moderate pulmonary edema although underlying infection is not excluded. There are small bilateral pleural effusions. No pneumothorax is seen. Cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable.
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<unk> year old man w new confusion // pneumonia?
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Frontal and lateral views of the chest demonstrate normal heart size. Mildly tortuous appearance of the thoracic aorta is unchanged. Post-surgical changes of bullectomy with suture material projecting over the right upper lung as well as surgical clips projecting over the t<num> vertebral body for presumed clipping of aneurysm are unchanged. The lungs are well aerated with the exception of trace linear atelectasis in the right base. There is no pneumothorax, vascular congestion, or pleural effusion.
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<unk>-year-old female status post vats and right bullectomy as well as mechanical pleurodesis and clipping of mediastinal vessel aneurysm. question interval change.
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MIMIC-CXR-JPG/2.0.0/files/p10175645/s56577992/61cba9ea-d79adb42-9c9e25c7-8f9f4d71-e4bcc17d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10175645/s56577992/81e7c3b8-ef713e04-e483d86c-1d07f62e-8365fcda.jpg
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Pa and lateral views of the chest provided. Lungs are hyperinflated. 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>m with fevers of unknown etiology
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MIMIC-CXR-JPG/2.0.0/files/p10583763/s52566654/3276150f-e9ae0511-012c00cc-5f45712b-688827b6.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10583763/s52566654/a174a201-40e801ea-3cb54aa1-603656a8-f409c84f.jpg
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Patient is status post median sternotomy and prior aortic root dissection repair. Aneurysmal dilatation of the ascending and descending thoracic aorta is unchanged compared to the previous radiograph. Moderate cardiomegaly is again demonstrated with left ventricular predominance. Lungs are hyperinflated with mild pulmonary vascular engorgement again demonstrated. Small right pleural effusion with bibasilar patchy opacities are new. No pneumothorax is present. Multiple clips project over the right superior chest.
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history: <unk>f with shortness of breath
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MIMIC-CXR-JPG/2.0.0/files/p14306557/s57098484/5f6aee34-9539b3b6-3c6bf4fa-865ef410-7266b7cb.jpg
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As compared to the previous radiograph, there is no relevant change. The lung volumes have increased. The monitoring and support devices are all unchanged. Unchanged scarring at the left and right lung bases but no newly appeared parenchymal opacity. Unchanged size of the cardiac silhouette.
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immunocompromised woman, shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p14767213/s57095320/5b742337-4c13e56b-7dc60080-3171cc40-14068bf9.jpg
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Pa and lateral radiographs of the chest were reviewed, and compared to the prior study. The patient is status post cabg and aortic valve replacement. Median sternotomy wires, clips along the left mediastinum, abandomned epicardial pacer leads and a prosthetic aortic valve are new compared to the prior study. There is a moderate-sized left pleural effusion and left lower lung atelectasis. No vascular congestion or pneumothorax. Unchanged cardiomegaly.
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decreased breath sounds over the left lung base.
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MIMIC-CXR-JPG/2.0.0/files/p11035562/s59084314/3158dd89-90571552-bb9a96f4-d5d2ca15-5f41fd2d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11035562/s59084314/8e9525b1-9a3ffe40-afdc511f-326b833f-1aa0d49a.jpg
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. There is no pneumothorax, vascular congestion, or pleural effusion. There is no mediastinal or subdiaphragmatic free air.
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<unk>-year-old female with epigastric pain. question fluid or free air.
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MIMIC-CXR-JPG/2.0.0/files/p14546527/s55096689/1089ca50-3f02aed6-2ce1e378-3b70d504-988275ae.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14546527/s55096689/c1c67d4c-b87bea22-635e53c7-cdb351a2-1f2a51c4.jpg
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Patient is status post median sternotomy and cabg. Mediastinal contours are stable. The cardiac silhouette is stable. There may be minimal left base atelectasis. No focal consolidation is seen. On the lateral view projecting over the lower hemithorax, there is a <num> x <num> cm rounded opacity, not well appreciated on the frontal view and appears new since <unk> there is no large pleural effusion or pneumothorax. No pulmonary edema is seen.
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history: <unk>m with ddrt w/fevers to <num>. //
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MIMIC-CXR-JPG/2.0.0/files/p13573314/s52289379/619a0b74-2e866622-48f97a64-29348240-150a4c71.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13573314/s52289379/fd143ed1-977e6aa1-d4708508-ce94675d-dab8d57d.jpg
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Patient is rotated to the left.lung volumes are low. There are bibasilar opacities which could be secondary to atelectasis in this setting. Cardiomediastinal silhouette is grossly unchanged. S-shaped thoracolumbar scoliosis is again noted.
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<unk>f with epigastric pain // eval for chf/pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p14423812/s54292162/15ff148f-118c3924-22437d3c-b83358fa-0d0fd663.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14423812/s54292162/7f5e1404-2ebb0d02-f1fe43b8-015867b2-9c2a659d.jpg
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Frontal and lateral chest radiographs demonstrate mildly hypoinflated lungs, with mild prominence of the cardiac silhouette and bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. Lucency under the hemidiaphragms bilaterally is likely contained within bowel, but if there is clinical concern for intraperitoneal free air, a left lateral decubitus abdominal films can be obtained, as clinically indicated.
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altered mental status in a patient with liver cancer. evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p16137455/s54106251/3acb3931-b89a5ff7-f1e71397-eda43ade-b31d3798.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16137455/s54106251/5e85b3db-48c2e515-eb8cd213-2945e547-7bcc4be4.jpg
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Pa and lateral views of the chest demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal in size. There is a linear density at the left lung base that may represent an area of plate-like atelectasis.
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evaluation for infiltrate or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13681703/s50458532/5f0acdb2-2ada56fc-66ff543a-d4172b44-1176fc97.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13681703/s50458532/91e869e6-68668ba0-6544af7f-58bc7b79-75b39c5a.jpg
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. Cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. Osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old female with shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p12135967/s52254734/99c8c800-a3028719-7e4376cb-0854ae41-a2a8b6f8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12135967/s52254734/727172fa-995f42dc-6da4b83d-9efd84a9-b12520e4.jpg
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There are possibly trace pleural effusions. The chest is hyperinflated. The lungs appear clear.
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new onset seizure versus syncope.
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MIMIC-CXR-JPG/2.0.0/files/p16078289/s59126961/1d6de9fd-39f74daf-ecd77a2d-0dc706b8-0afa23d1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16078289/s59126961/1b222db3-eb306d3b-83b337b3-9baf66e7-7a670cd1.jpg
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Patient is status post median sternotomy and cardiac valve replacement. Cardiac and mediastinal silhouettes are stable. Mild pulmonary vascular congestion persists. No new focal consolidation or pleural effusion is seen. Surgical clips are again seen overlying the right upper hemithorax.
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history: <unk>f with dyspnea and cp // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p15808118/s55438329/c9a548ac-a86eeb01-826bd8a5-996eb633-3f9da6e1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15808118/s55438329/76c25c15-da4fdcde-5ce9f47a-badc3150-4a6503cf.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. <unk> rods are again noted in the thoracic spine with a new component involving the upper t-spine. No free air below the right hemidiaphragm is seen.
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history: <unk>m with need for psychiatric*** warning *** multiple patients with same last name! // ?pna
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MIMIC-CXR-JPG/2.0.0/files/p13069581/s53245300/4a61ddfc-422ab823-00097602-75fef3dc-0897c291.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13069581/s53245300/5d35e254-ea84cc97-4d6a6d70-f6dd9a0e-0dafca18.jpg
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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cough and wheezing
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