Frontal_Image_Path
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Surgical clips project over right upper abdomen. Partially imaged upper abdomen is unremarkable.
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chest pain.
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<num>. Right mid and upper lung juxtahilar heterogeneous opacities, which appear slightly improved since <unk>, could represent infection in the appropriate clinical setting. <num>. Small left pleural effusion with adjacent atelectasis. <num>. No overt pulmonary edema as queried. <num>. Severe dysmorphic/degenerative changes of the shoulders.
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<unk>-year-old female with aortic stenosis, copd, and diastolic chf, presenting with shortness of breath. evaluate for pulmonary edema.
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There is chronic mild cardiomegaly and mild interstitial pulmonary edema, without focal airspace consolidation, pneumothorax, or pleural effusion.
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<unk>-year-old man with focal segmental glomerulosclerosis, with end-stage renal disease on hemodialysis, presenting with post dialysis palpitations.
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The lungs are clear without focal consolidation. There increased interstitial markings with possible nodular component seen throughout the lungs. Is uncertain if this is due to combination of atelectasis given slightly low lung volumes and contribution from overlying known osseous metastases however possibility of tiny pulmonary nodules is also possible. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Right-sided port-a-cath is present distal tip terminating overlying the right atrium. Known diffuse osseous mets demonstrated as generalized increased sclerosis better seen on prior ct examination.
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<unk>f with ams
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Calcifications projecting over the right mid and upper lung fields are similar compared to the previous exam, reflecting a combination of pleural calcifications and chest wall calcifications. Scarring with bronchiectasis is again noted in the right apex. No new focal consolidation, pleural effusion or pneumothorax is visualized. Multiple clips are again seen in the right axillary region as well as overlying the right hemidiaphragm. No acute osseous abnormality is identified. Remote right proximal humeral fracture is again noted.
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history: <unk>f with fevers/chills
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Since <unk>, a feeding tube has been removed. Lungs are clear with normal volumes. Heart size is normal. No pneumothorax, pleural effusion, pneumonia, or pulmonary edema. A right central line is in unchanged position with tip in the low svc.
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<unk> year old man with multiple abdominal surgeries, ileus, now with new fevers, cough. r/o pneumonia. // ? pneumonia
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A port-a-cath again terminates at the cavoatrial junction. There is marked increased opacity in the right upper lobe suggesting pneumonia superimposed on background abnormalities of the lobe including volume loss and treatment-related changes. Elsewhere the lungs appear clear. There are no pleural effusions or pneumothorax.
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fever. question pneumonia.
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Post-operative changes are seen at the right lung base, including pleural thickening and surgical clips. There is minimal left lower lung atelectasis. Streaky opacities in the lateral right mid lung could be areas of scarring. The heart size is normal. The mediastinal contours are normal. There is no pneumothorax. Multilevel degenerative changes of the thoracolumbar spine are seen.
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chest pain and shortness of breath.
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Relatively low lung volumes are seen with crowding of the bronchovascular markings. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with chest pain, lue pain // presence of infiltrate, ptx
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The lungs are well inflated and clear. There is slight elevation of the left hemidiaphragm with air-filled loops of large bowel underneath the diaphragm. There is no pleural effusion or pneumothorax. Heart size and mediastinal contours are normal. Osseous structures are intact.
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history: <unk>m with altered mental status, recent craniectomy for sah // evaluate for acute process
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There has been slight interval improvement of the right small-to-moderate pleural effusion. There is no pneumothorax. No new focal consolidations are seen. The heart size is top normal. The hilar and mediastinal contours are unremarkable. The patient is status post median sternotomy for cabg. Again seen is a dual ventricular pacemaker with the leads terminating in the expected locations of the right atrium, right ventricle, and epicardium of the left ventricle. The left lung is clear.
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<unk>-year-old man with a loculated right pleural effusion status post thoracentesis with <num> cc removed who presents for evaluation of pneumothorax.
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The lungs are relatively well inflated with no focal pneumonia, pleural effusion, or pneumothorax. Multilevel degenerative changes of the thoracic spine are noted, with no evidence of compression fracture.
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history: <unk>m with possible stroke. assess for pneumonia or effusion.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. There is no displaced rib fracture.
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<unk>m with history of rib fracture and ptx who fell hiking yesterday and now has right anterior chest pain (around rib <unk>), evaluate for rib fracture or pneumothorax.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Trace bilateral pleural effusions, right greater than left are re- demonstrated with mild bibasilar atelectasis. No focal consolidation or pneumothorax is present. Hyperdense material within the right upper quadrant of the abdomen correlates to prior tace procedure within the liver. No acute osseous abnormality is detected.
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history: <unk>m with abdominal pain, fevers
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Punctate calcified granulomas in the right mid lung field and left lung base appear unchanged. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with food impaction sensation
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<num> cm right lower lobe pulmonary nodule was better assessed on recent prior ct. Calcified left lower lobe pulmonary nodule is also re- demonstrated. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.
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history: <unk>m with tachycardia // eval for chf/pneumonia
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
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<unk>-year-old female with chest pain.
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Two views of the chest demonstrate clear lungs without pleural effusion or pneumothorax. The cardiac silhouette is normal in size. The mediastinal contours are normal.
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<unk>-year-old male with weakness.
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As compared to the previous radiograph, there is a newly appeared, massive diffuse bilateral micronodular pattern in both lungs. This pattern is now since the ct examination from <unk>. The changes could represent a combination of carcinomatosis and infection. No pleural effusions. Unchanged postoperative changes at the level of the left hilus.
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non-small cell lung cancer, shortness of breath.
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Pa and lateral views of the chest provided. A faint linear density abuts the right heart border as on prior. Otherwise, lungs are clear. 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 sob and leg edema pls eval for pulm edema
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Interval removal of right-sided picc. Stable, mild cardiomegaly. Normal mediastinal and hilar contours. Interval resolution of mild pulmonary vascular congestion. Stable postsurgical defect in the right posterior third rib. Interval decrease in size of right apical radiodensity suggests a decreasing postsurgical fluid collection. No pneumothorax or pleural effusion. No convincing radiographic evidence of pneumonia.
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<unk>-year-old woman status post tracheobronchoplasty with readmission for pneumonia.
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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. The upper abdomen is unremarkable. Incidental note is made of a fused vertebra in the mid to lower thoracic spine, which may be congenital or secondary to a chronic process.
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<unk>m with pancreatitis, weakness // r/o infiltrate, effusion
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Frontal and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with chest pain.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is top normal and unchanged. Mediastinal contours are within normal limits. Lung volumes are low.
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<unk>-year-old female with lower extremity swelling, recent illness, and shortness of breath.
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The lungs are fully extended and clear. A small calcified granuloma is present in the left lower lobe. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
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patient with history of right-sided renal cell cancer, eval for masses.
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The heart size is within normal limits, and the mediastinum and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. There has been no change from prior exam.
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<unk>-year-old female with two months of chronic cough as well as nausea, loss of appetite, and weight loss.
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Cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. There is mild pulmonary vascular congestion. Left base atelectasis is seen. No definite focal consolidation.
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history: <unk>f with cough and confusion // eval for pna
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The lungs are grossly clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified, although osteopenia limits evaluation. Known upper thoracic compression deformity is not particularly well assessed.
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<unk> y.o. woman with htn, hypothyroidism, gerd, and severe cervical spinal stenosis presenting with syncope // eval for infection
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size appears mildly enlarged. Mediastinal contour is normal. Imaged osseous structures are intact. A mild dextro scoliosis of the t-spine noted. No free air below the right hemidiaphragm is seen.
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history: <unk>m s/p fall, eval for traumatic injury // eval for pna, chf
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Cardiac silhouette size appears borderline enlarged, unchanged. Mediastinal and hilar contours are stable. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Pulmonary vasculature is normal. No acute osseous abnormality is detected.
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history: <unk>f with crescendo left chest pain
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An indwelling left-sided catheter terminates in the mid svc. Heart size remains slightly enlarged. No focal infiltrate or consolidation is identified to suggest pneumonia. There is no pleural effusion or pneumothorax. There is mild upper zone redistribution, unchanged, without other evidence of chf. Elevated right hemidiaphragm is unchanged.
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right shoulder pain and cough.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely top normal. Mediastinal and hilar contours are likely within normal limits. There is crowding of the bronchovascular structures, but no pulmonary edema is present. Streaky bibasilar airspace opacities may reflect atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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cough, asthma exacerbation.
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Lung volumes are low and there is mild bibasilar atelectasis. There is no definite pneumonia, pneumothorax or large pleural effusion. The cardiomediastinal and hilar contours are stable.
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chest fluttering, rule out pneumonia.
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The picc has been removed. Patient is known to have severe emphysema. There is persistent consolidation in the left mid and lower lung which is concerning for pneumonia. There is also a small left pleural effusion, similar in extent to recent prior cxr. There is linear opacity in the right mid to upper lung, question atelectasis, new from prior exam. Biapical pleural parenchymal scarring is noted. The cardiac and mediastinal contours are not significantly changed. There is no free air beneath the right hemidiaphragm.
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<unk>f with pneumonia // evidence of infection
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Cardiac size is top-normal. Multifocal atelectasis are present in the lower lobes right greater than left and right perihilar regions. There is no evidence of pneumonia. There is no pneumothorax or pleural effusion. There are mild to moderate degenerative changes in the thoracic spine.
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<unk> year old man with pancreatitis, new fever // assess for pneumonia/infiltrate
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Pa and lateral views of the chest provided. Low lung volumes significantly limit the evaluation. However, allowing for this no convincing evidence for pneumonia or edema. No large effusion or pneumothorax. The heart is moderately enlarged with lv configuration. The mediastinal contour is normal. No acute bony abnormalities.
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<unk>m with acute onset cough
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There is a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable. There is perihilar opacification and an indistinct appearance of pulmonary vessels with generalized prominence of the interstitium consistent with pulmonary edema. There is mild-to-moderate reverse s-shaped curvature to the visualized thoracolumbar spine. Surgical clips project over the upper abdomen.
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nausea, vomiting and fever.
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Probable mild background hyperinflation. Heart size is mildly enlarged. There is no evidence of pneumonia. There is no pleural effusion, pneumothorax or pulmonary edema.
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hyperglycemia, rule out pneumonia.
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Pa and lateral views of the chest were obtained. Heart is normal size and cardiomediastinal silhouette is stable. Lungs are well expanded and clear. Pulmonary vasculature is normal. There is no pleural effusion or pneumothorax.
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<unk>-year-old woman with chest pain, dyspnea, evaluate for pneumonia.
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Since recent exam, there has been significant interval enlargement of the large left pleural effusion. Minimal aerated lung seen superiorly. There is no mediastinal shift indicating some degree of left lung atelectasis. Small right pleural effusion is noted. Cardiac silhouette cannot be assessed. Median sternotomy wires are identified.
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<unk>m with recent cabg and sob // concern for pleural effusion
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In the interval, the patient has been extubated and the nasogastric tube has been removed. Lung volumes have returned to normal. However, in the right lung base, triangular opacity with subtle air bronchograms is visualized. In the appropriate clinical setting, this area could represent pneumonia. No pleural effusions. No pulmonary edema. Normal hilar and mediastinal contours. Normal size and shape of the cardiac silhouette. At the time of image acquisition, a wet read was delivered.
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new onset of fever, questionable pneumonia.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. The aorta has a tortuous contour. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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pain under left arm.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no focal consolidation, pleural effusion or pneumothorax. Convex lateral contour to the right suprcardiac mediastium, stable since <unk>, is most likely due to an ascending aorta that is chronically tortuous and/or dilated. Heart size is mildly enlarged, but also stable. The imaged upper abdomen is unremarkable.
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burning chest pain.
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The lungs are moderately well expanded with bibasilar discoid atelectasis. No additional focal opacity. No right pleural effusion. Blunting of the left costophrenic angle is unchanged since <unk> and most consistent with scarring. No pneumothorax. Heart is top normal. Mediastinal contour and hila are unremarkable.
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<unk>f with cp. assess for pneumothorax.
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Pa and lateral views of the chest demonstrate symmetric well-expanded, clear lungs. There is no focal consolidation, pleural effusion or pneumothorax. Heart is normal in size and cardiomediastinal contour is unremarkable.
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<unk>-year-old male with chest pain, evaluate for pneumothorax.
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There is mild enlargement of cardiac silhouette. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.
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hypertension, chronic kidney disease with hyperkalemia.
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There is a left-sided hemodialysis catheter which appears unchanged. The patient is status post coronary artery bypass graft surgery. The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. The aorta is diffusely calcified. Mild hyperinflation is present. There is no definite pleural effusion or pneumothorax. The lungs appear clear. The bones are probably demineralized to some degree with similar mild degenerative changes along the mid thoracic spine.
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fever and hemodialysis.
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Clips in the right axilla are unchanged in position. There is mild demineralization of the thoracic spine, but no vertebral compression fractures. There are no visualized rib fractures. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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history of left breast cancer with pain in the left upper back. evaluate for rib fracture, bone lesions.
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Pa and <num> lateral chest radiographs were obtained. A gradient of opacity from right to left is most likely due to asymmetric soft tissue attenuation. There may be a component of right pleural effusion. There is no focal consolidation or pneumothorax. Cardiomegaly is unchanged.
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shortness of breath.
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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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history: <unk>m with epigastric/lower chest pain x <num> hours, recent cocaine use
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No consolidation, pleural effusion, or pneumothorax is identified. Cardiomediastinal and hilar silhouettes are normal size.
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<unk>m with fever, cough // eval for pneumonia
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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Specifically, there is no lung lesion. Mediastinal and hilar contours are normal. Heart size is normal. Multiple breast clips are consistent with breast reconstructive surgery.
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<unk> year old woman with sob // r/o lung lesion
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There is no evidence of a focal consolidation. Small, bilateral pleural effusions are new from the prior examination. No pneumothorax or pulmonary edema is identified. The cardiomediastinal silhouette is unremarkable in appearance. No bony abnormality is detected.
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history of ovarian cancer, cough and vomiting overnight, now febrile. evaluate for aspiration pneumonia.
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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. No free air below the right hemidiaphragm is seen.
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<unk>f with fall, chest pain // eval for ptx, hemothorax
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are unremarkable.
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<unk>f w/weakness and malaise, assess for pneumonia.
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The lungs are clear of focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits besides a moderate hiatal hernia. Colonic interposition seen below the right hemidiaphragm. No acute osseous abnormalities identified. Healed right clavicular fracture again seen.
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<unk>f with cxr // acute process?
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of fevers, mssa osteomyelitis. please evaluate for consolidations.
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There is mild cardiomegaly. Diffuse opacities in the lungs bilaterally, as well as interstitial thickening is suggestive of mild pulmonary edema. Moderate bilateral pleural effusions are new, with adjacent compressive atelectasis displacing the adjacent aerated lungs. There is no pneumothorax. The visualized osseous structures are unremarkable.
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history: <unk>f with sob pls eval edema // edema vs pna
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. In comparison to <unk> there is new mild anterior wedging of <unk> mid thoracic vertebral bodies, likely t<num> and t<num>. Stable compression deformity of t<num> is unchanged.
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asthma. presents with shortness of breath. assess for acute process.
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Pa and lateral views of chest. The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, pneumonia or pulmonary edema.
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weakness
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The cardiomediastinal silhouette is normal. Eventration of the right hemidiaphragm is again demonstrated as are subtle pleural calcifications on the right. There is no focal lung consolidation. There is no pleural effusion or pneumothorax.
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<unk>m with syncopal episode, leukocytosis, evaluate for pneumonia.
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The patient is status post sternotomy and presumably coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. The heart is mildly enlarged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear unchanged with mildly exaggerated kyphotic curvature and small-to-moderate anterior osteophytes. There has been no significant change.
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cough, chest pain, and shortness of breath.
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Lung volumes are low with mild bibasilar atelectasis. Mild cardiomegaly is worse since <unk>. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There could be mild early pulmonary edema.
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chest pain. evaluate for cardiopulmonary process.
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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>m with cough with following asthma exacerbation // pna?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for unchanged biapical scarring. No pleural effusion or pneumothorax is seen. A new compression deformity is present in the mid thoracic spine at approximately the t<num> vertebral body level.
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<unk> year old man with history of melanoma // please evaluate disease status
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Both lungs are well inflated. The blunt left costophrenic angle previously described in prior study is again seen and unchanged. This likely reflects left lower lung subpleural parenchymal scarring seen on <unk> chest ct. There is no effusion seen on lateral view. There are no consolidation, masses, nor pneumothorax. The cardiomediastinal silhouette and hilar silhouettes are normal.. There is no acute bony abnormality nor evidence of acute fracture.
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<unk> year old woman who underwent routine cxr for work tb screening, had a positive ppd, and a cxr which noted "mild left cp angle blunting which may be chronic" // confirm findings, and next steps
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. The pulmonary vascularity is normal.
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right-sided pleuritic chest pain.
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The moderate right pleural effusion tracking superiorly with overlying atelectasis is unchanged. There has been no increase in size of a small right apical pneumothorax. The left lung is essentially clear. Mild enlargement of the heart is unchanged. The mediastinum and hilar structures are unremarkable. Sutures are seen in the right hemithorax from recent wedge resection.
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status post fall wedge resection.
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Pa and lateral views of the chest are obtained. The lungs are well expanded and clear. No evidence of pulmonary nodules are seen. There is no pneumothorax, pleural effusion or pulmonary edema. The cardiomediastinal silhouette is unremarkable.
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<unk>-year-old female with one month of productive cough with history of abnormal chest radiograph.
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There has been interval removal of a right central venous catheter. There has been mild increase in small bilateral pleural effusions, left greater than right, with adjacent compressive atelectasis noted. The patient is status post median sternotomy and multiple mediastinal surgical clips reflective of recent cabg.
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<unk> year old man status post cabg. evaluate for effusion.
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The lung volumes are low compared to prior. Mild increased right infrahilar opacity is likely due to crowding of the vessels. No pleural abnormality is seen. The cardiomediastinal silhouette is unchanged and normal.
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<unk> year old woman with night sweats and palpable spleen // lymphadenopathy
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The lungs are hyperinflated, consistent suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. Mild biapical pleural thickening is noted. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. No pulmonary edema is seen.
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history: <unk>m with urinary frequency, fever, post op day <unk> from r hip replacement. // ? pneumonia
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In comparison with study of <unk>, the patient has taken a better inspiration. No evidence of acute pneumonia, vascular congestion, or pleural effusion.
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post-operative pericardial cyst removal.
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Lung volumes are low. Allowing for that, the cardiac, mediastinal and hilar contours are probably unchanged and increased densities at lung bases can probably be attributed to crowding of bronchovascular structures. The lungs appear otherwise clear. There is no pleural effusions or pneumothorax.
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fever. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13994738/s57614650/1ae59191-be2dd9ce-1f946d75-958a3f7a-490a1b86.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13994738/s57614650/f13a91b3-58601c24-aa6f23b5-58db1660-88ff761a.jpg
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As compared to the previous radiograph, the pre-existing subtle opacity in the right lung has decreased in extent and severity, it is barely visible on today's image. Also resolved is a pre-existing plate-like atelectasis on the left. The lung parenchyma is otherwise normal. Normal appearance of the hilar structures. No evidence of sarcoid. Unchanged size of the heart. No pleural effusions. No pneumothorax.
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pleuritic chest pain, evaluation for sarcoidosis.
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MIMIC-CXR-JPG/2.0.0/files/p14725771/s58151120/77916e76-945c81aa-5226f75a-3f35d6e9-cc9f68d8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14725771/s58151120/35f77535-e8dea6bd-b54709fb-309d3e90-9bcbd690.jpg
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Lung volumes are low. Enlarged chest ap diameter is similar to <unk>, consistent with underlying copd. Heterogeneous airspace opacities are prominent in both lung bases and the left upper lobe, overlying the spine on lateral view. Reticular interstitial abnormality is more severe than in <unk>. Redistribution of the pulmonary vasculature to the upper lobes and a small left pleural effusion are new since <unk>. The heavily calcified tortuous aorta, vertebral body wedge deformities, and single lead left chest pacemaker defibrillator are unchanged from <unk>.
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<unk> year old man with copd and hf. new hypoxia to <num>l // evaluate for edema, pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12602369/s56950598/6f864e3a-a52bc4ea-f817f50e-17ffb4cc-f561d253.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12602369/s56950598/d81e5c57-c9e299b8-f7d318f1-c8d2337e-8c508647.jpg
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No previous images. There are extensive calcific changes in the left apex, suggesting old granulomatous disease. Some retraction of the upper thoracic trachea to this side is consistent with underlying fibrosis. Less prominent changes are seen in the right apex. The cardiac silhouette is within normal limits and there is no evidence of acute focal pneumonia.
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pneumonia follow up.
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MIMIC-CXR-JPG/2.0.0/files/p19926252/s53409592/45e1d2a8-2fe2b88a-0b7cf860-cf82e61c-46e65459.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19926252/s53409592/630df872-3068e54c-9c78a651-35a26cbc-1ca6f662.jpg
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No previous images. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion. No evidence of rib abnormality or pneumothorax.
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lower posterior chest pain on the right.
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MIMIC-CXR-JPG/2.0.0/files/p14004436/s51568849/c0b882a3-09a434a8-ee9c1cfa-4a5d2458-b9e82cc1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14004436/s51568849/02c94228-52890930-0b2e43b0-f718ff75-c68646fd.jpg
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with hiv gait abnormalities // eval fo pnanchct eval for mass lesion
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MIMIC-CXR-JPG/2.0.0/files/p17763712/s52201869/d0e67b22-cff49a66-670120a5-e0da687f-ab95345e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17763712/s52201869/04276945-27d78342-c6724b39-87e59506-cf8e07f8.jpg
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Compared with the prior study, a new right-sided port-a-cath tip projects at the cavoatrial junction. Prominent pericardial fat pads are unchanged. Bibasilar atelectasis is new. Faint opacity overlying the left upper lobe is new since <unk>. No evidence of pneumothorax. Nodular opacity projecting over the right posterior fifth rib may represent summation of shadows, as there is no correlate on the recent chest ct of <unk>.
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history: <unk>f with fever on chemo. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18001923/s56793536/6e45d434-8ca577d6-f9c2aee0-ebe74721-6f73e2f6.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18001923/s56793536/768d7a1d-fe12e274-d151e415-94a534ff-c15379e7.jpg
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The lungs are clear. Cardiac silhouette is normal. Hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The apparent increasing scoliosis centered in the thoracolumbar junction is most likely positional.
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hep c cirrhosis, now with chest pain. radiating down the left flank.
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MIMIC-CXR-JPG/2.0.0/files/p12478892/s51753639/92d093b1-f2ed734a-ad85923c-3c537f6e-37310f40.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12478892/s51753639/76a85675-d23c4fb4-5807b2c8-ecd70e56-dedac89d.jpg
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Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. Streaky atelectasis is seen at the bases. There is no pulmonary edema. The cardiomediastinal and hilar contours are normal. The imaged upper abdomen is unremarkable. There are no acute osseous abnormalities seen.
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crackles in the right base status post renal transplant. rule out heart failure or an occult infection.
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MIMIC-CXR-JPG/2.0.0/files/p16672810/s50285759/22cd71a1-e3c0d5d2-2985f171-a90c19fc-cf8fe00e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16672810/s50285759/754ce348-7bc17e8e-16233398-89178884-a562b66e.jpg
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Heart size is top normal. The aorta remains tortuous and diffusely calcified. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Large amount of free air is noted under the diaphragms. No acute osseous abnormalities demonstrated.
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abdominal distention, peritoneal dialysis at home.
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MIMIC-CXR-JPG/2.0.0/files/p11323092/s54588844/1a233426-95e00db4-fdf0d15e-5e038925-dd2ecd47.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11323092/s54588844/a6458b26-162c130a-49d6d322-999c31bb-3268070e.jpg
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is likely eventration of the anterior right hemidiaphragm. Vascular crowding is seen in the right infrahilar region. No definite consolidation.
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history: <unk>f with fever, cough // r/o infectious process
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MIMIC-CXR-JPG/2.0.0/files/p12794402/s56667004/37cde13f-71a6e3df-fded6a7a-3f3432cf-c93b07ec.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12794402/s56667004/193e311e-dc4d2221-59ae0cf6-bb3afecc-f551a10e.jpg
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax with linear left lower lung atelectasis noted. The heart is top normal in size with normal cardiomediastinal contours. No displaced rib fractures are identified.
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pain after fall down stairs on <unk>.
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MIMIC-CXR-JPG/2.0.0/files/p16370208/s50349743/f80d218f-5dd26cf2-7c294de8-fcb24afe-7240ff13.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16370208/s50349743/272d6901-082043f3-3ecb610a-f0290eab-91175e5a.jpg
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart is not enlarged. A right upper paratracheal mass is better evaluated on most recent chest ct from <unk>.
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<unk> year old man with bladder cancer in the mediastinum // question of drug induced pneumonitis
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MIMIC-CXR-JPG/2.0.0/files/p16521833/s58508752/0b78d19b-0ea217d7-8545e48f-4677288a-b968492a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16521833/s58508752/faa60a62-b4299e44-856ac560-3042c654-b78931c1.jpg
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Extensive bilateral pulmonary infiltrates, consolidations, stable, suggest pneumonia or ards. Normal heart size. No pleural effusion.
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<unk> year old woman with recent ards and multifocal pna // interval change
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MIMIC-CXR-JPG/2.0.0/files/p15021838/s52915707/7f6ef96d-c3ff46fb-20afef82-872077bd-a2aca503.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15021838/s52915707/3209a18a-3b09eddd-fb9459ec-f8b29640-25ca7546.jpg
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Mild basilar atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Mild central pulmonary vascular congestion is seen.
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history: <unk>f with sob cough new onset fever // sob, cough,
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MIMIC-CXR-JPG/2.0.0/files/p18503732/s57319776/93014811-75cb13e8-1da3cce7-86a375c5-a993197c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18503732/s57319776/60c61b70-9b564fb8-458bfa3b-7e4119fd-1d08a4f7.jpg
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There is a small left-sided pleural effusion. The lungs are otherwise clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. There is no free intraperitoneal air.
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<unk>m with abd pain, known gastric ca // eval for free air under diaphragm; air-fluid levels, stool burden
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MIMIC-CXR-JPG/2.0.0/files/p14602471/s52911061/9b63e273-033aa666-51c7db74-537db703-ff695dcf.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14602471/s52911061/77801f29-c50be0a8-f869cb8d-edbd7b53-62e69abd.jpg
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Interval insertion of right chest tube with tip directives towards the right apex. No pneumothorax seen. Remaining structures unchanged.
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<unk>m with right hemothorax // chest tube position
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MIMIC-CXR-JPG/2.0.0/files/p10401209/s54731303/aa3fae11-3953cd85-55e3f01f-d0a182da-2ecc97cd.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10401209/s54731303/a569ee46-9e32af67-55a66826-586321fa-c77ad09c.jpg
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.
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<unk> year old woman with three week history of productive chest cough; decreased breath sounds at r base // rule out pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p13446617/s56160090/6744d591-10b9877c-5dbf8952-720e1df8-dcad02ed.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13446617/s56160090/5efbf7d0-a83bb760-1885826e-f7a789bf-da338f37.jpg
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The heart is normal in size. The contour corresponding to left atrial appendage appears mildly prominent. The mediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. The visualized thoracolumbar spine demonstrates mild s-shaped curvature.
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recurrent right vertebral artery dissection.
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MIMIC-CXR-JPG/2.0.0/files/p12699370/s52999063/4331ab4d-e9bcc7f6-f6f32be8-82f2d624-35ff68a0.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12699370/s52999063/f39a6dff-13d50505-d6e16149-83b7b5eb-f38ceaa7.jpg
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Cardiomediastinal silhouette is within normal limits. A linear opacity at the right base likely represents atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>f with low grade fever // ? acute cardipulm process
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MIMIC-CXR-JPG/2.0.0/files/p13091743/s53279329/db36d6e2-0c4780b5-0da5a6d5-b0fa80bc-26640d1d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13091743/s53279329/aa9eed01-7993c340-aee79749-b34bd2ab-270446ec.jpg
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Low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. There is mild cardiomegaly and the aorta appears enlarged. Degenerative changes of the thoracic spine are again seen with bridging anterior osteophytes.
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history: <unk>m with fever // eval for infectious process
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MIMIC-CXR-JPG/2.0.0/files/p15634321/s58212216/7ae5672f-3f2aab83-a7c0cd0b-fb17c4ef-e60088f3.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15634321/s58212216/e25e790c-4029e2bd-c5e4352c-6f7a02c3-335c260b.jpg
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.
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new elevated bp to <unk> b/laterallly also has upper back pain intermittently // eval for widen mediastinum
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MIMIC-CXR-JPG/2.0.0/files/p19390157/s54530041/afc73a46-2b114fcf-6b03069a-eedee6df-5762adfa.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19390157/s54530041/416dce36-c64db3b6-51382e28-6fc4060a-b2296bf2.jpg
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There is mild basilar atelectasis. Subtle reticular nodular opacities at the lateral bilateral lung bases may be due to chronic change without underlying infectious process is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is top-normal. Anchor screw is noted projecting over the right humeral head.
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syncope.
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MIMIC-CXR-JPG/2.0.0/files/p15910884/s59422872/1506ef3c-6deb0994-fa58c72f-c9cab04a-cb945868.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15910884/s59422872/bb913b94-a1a299ce-1019cf1e-1f7e62e0-acb56a06.jpg
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. Calcified mediastinal lymph nodes are unchanged since <unk>. There is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia.
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<unk>-year-old female with weakness, fevers and cough. evaluation for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12864997/s55546125/101d05f0-593739b8-9a75a0e3-9f33b210-e077bba9.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12864997/s55546125/4b1928a3-1df3447e-84280523-6a464426-f44b3595.jpg
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The lungs are clear given low lung volumes. No focal consolidations worrisome for pneumonia. Cardiac size is again enlarged but stable. Left-sided battery pack with leads with icd wires which terminate in unchanged position within the right ventricle. No pleural effusion or pneumothorax. Ovoid device over the patient's chest is noted.
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<unk>-year-old female with aicd that fired today. evaluate for pacer wire placement.
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MIMIC-CXR-JPG/2.0.0/files/p17002760/s58414548/f2788a2b-fb32877b-39273ddf-16c228f3-4a844084.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17002760/s58414548/845d9758-21f6eccb-9e77ec8c-e71770d0-f015dd1d.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>m with cp w deep inspir pls eval for pna and edema
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MIMIC-CXR-JPG/2.0.0/files/p17930987/s57781394/226a51b8-2a76c3fd-8e6ee4a1-5fcb5f0b-66d4bcb8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17930987/s57781394/32a45454-fbd0b94d-1a6e9faa-d01ed2ad-919155a0.jpg
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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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fever and cough. history of intravenous drug abuse.
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