ChayanM/MIMIC-MultiView-Findings-Query_Optional

Frontal_Image_Path stringlengths 94 94	Lateral_Image_Path stringlengths 94 94 ⌀	Findings stringlengths 76 2.06k	Query stringlengths 1 630
MIMIC-CXR-JPG/2.0.0/files/p16893573/s51011126/62803b3a-b1ab46de-27a9e349-94080538-2186c4fa.jpg	null	As compared to <unk>, mild pulmonary edema has developed. Moderate cardiomegaly. Small bilateral pleural effusions. Cardiomediastinal contours are enlarged and unchanged given for differences in technique. No acute focal consolidation. Widespread pulmonary nodules are not evident on chest radiograph.	<unk> year old woman with hypotension, dyspnea worsening // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19926992/s53302487/c9b79543-1c3c959b-1984d4e3-ddf3ea05-26a37c8c.jpg	MIMIC-CXR-JPG/2.0.0/files/p19926992/s53302487/aa999d64-4e0d8352-0c2b6cc7-5eeb1753-2ce382fd.jpg	Ap upright and lateral views of the chest provided. Retrocardiac opacity with an air-fluid level is compatible with known hiatal hernia. There is a small right pleural effusion. The lungs appear clear without convincing sign of pneumonia or overt edema. Cardiomediastinal silhouette appears within normal limits. No acute osseous abnormality.	<unk>f with afib s/p fall on <unk> on warfarin, son concern for decrease mental status and decrease po intkae // ct head rule out intracranial hemorrhage c-spine rule out fraturecxr eval for worsening pna
MIMIC-CXR-JPG/2.0.0/files/p17006872/s55850329/0c76db15-31603629-ab7feb12-4a3fb9ab-f0fc3113.jpg	null	There is no significant interval change in the chest since prior radiograph from <unk>. Minimal right apical pneumothorax is persisting. Both lungs are well expanded. A single right-sided chest tube is present with its tip terminating near the right lung apex. Left lung is clear. Cardiomediastinal silhouette is normal. Lungs are well expanded.	evaluate for lung expansion.
MIMIC-CXR-JPG/2.0.0/files/p19663837/s53824821/00357aff-2054e789-6d58e4b8-04c5b5d3-d9d79e94.jpg	MIMIC-CXR-JPG/2.0.0/files/p19663837/s53824821/0dbcbdff-181a4163-4aa3bac5-b7f4ef2c-97c76565.jpg	Frontal and lateral radiographs of the chest were acquired. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. Eventration of the right hemidiaphragm. There is minimal bilateral lower lobe atelectasis. No focal consolidation is seen. The heart size is normal. Tortuosity of the ascending thoracic aorta is redemonstrated, not significantly changed. Aortic calcifications are also noted. There is biapical pleural thickening, without evidence of a pleural effusion. No pneumothorax is seen. Degenerative changes of both humeral heads are noted.	lethargy, headache. assess for acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11898636/s56219633/0e4b40fc-ac21d28b-7efcf4f5-11e0d0eb-4ca0d4ea.jpg	null	Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained three hours earlier during the same day. The position of the ett has been adjusted and is seen to terminate now <num> cm above the level of the carina. Previously described right internal jugular sheath remains in unchanged position. No pneumothorax or any other new pulmonary abnormalities are seen. The plate-shaped moderately sized atelectasis in the right lower lung field remains unchanged.	<unk>-year-old male patient status post aaa repair, evaluate for collapse status post bronchoscopy.
MIMIC-CXR-JPG/2.0.0/files/p17206877/s59888050/50825a68-7fe68b41-5cb3622d-311f49fa-c4547219.jpg	null	A portable frontal chest radiograph again demonstrates severe cardiomegaly and increased vascular congestion. Asymmetrically increased opacity of the left mid lung is again noted, and may represent asymmetric pulmonary edema versus a consolidation concerning for pneumonia.	chf exacerbation, previously seen pneumonia. evaluate for pneumonia or chf.
MIMIC-CXR-JPG/2.0.0/files/p17932137/s57030944/703a8cf7-1b2ccb40-c9b66796-0533cf32-91c4de3e.jpg	MIMIC-CXR-JPG/2.0.0/files/p17932137/s57030944/d8dbf60e-ebf34215-f2d87449-d85bc973-900e0311.jpg	The lungs are clear. Cardiomediastinal and hilar contours are unremarkable with unfolding of the thoracic aorta again seen. There is no pleural effusion or pneumothorax.	patient with cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10407582/s53114621/07541a66-701621d4-eb22b19a-10c5fd32-b23fc432.jpg	MIMIC-CXR-JPG/2.0.0/files/p10407582/s53114621/7887c368-c90ee131-f67fa3c4-c074fc56-153d1fa2.jpg	Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. The known small pulmonary nodules are not well evaluated on this study. Clips are seen within the upper abdomen.	hepatocellular carcinoma and altered mental status. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13686283/s51310273/e7643103-708ce227-66788971-f5adef65-f605559f.jpg	null	Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There is minimal atelectasis in the lung bases. No acute osseous abnormalities detected. Cholecystectomy clips are seen in the right upper quadrant of the abdomen.	history: <unk>f with weakness
MIMIC-CXR-JPG/2.0.0/files/p13409093/s52967517/b11e2995-e3904eab-37bb32cb-f3917899-df710d05.jpg	null	Port-a-cath terminates in lower svc unchanged. Cardiomediastinal silhouette is stable. Mild interstitial pulmonary edema has improved. Moderate partially loculated right pleural effusion persist. Heterogeneous right hilar and upper lung opacification consistent with known cancer, slightly increased, likely from increased atelectasis. There is no pneumothorax.	<unk> year old woman with stage iv lung cancer, persistent hypoxia and dyspnea, s/p diuresis. // evaluate for interval change, particularly in degree of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13127894/s59662370/a0e6e2e3-694266e5-4f9c491d-4bfd3c75-5d7b76f5.jpg	null	Single portable view of the chest. There is moderate pulmonary vascular congestion. Blunting of the right costophrenic angle may be due to superimposed soft tissues with component of effusion is also possible. More dense left basilar no prior study is seen which silhouettes the hemidiaphragm, similar to prior compatible with effusion with possible superimposed atelectasis or consolidation.	<unk>-year-old female with altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p17246353/s58585823/38e23ae2-acbf9d7f-9496e186-694a3a6f-78e8e9c7.jpg	MIMIC-CXR-JPG/2.0.0/files/p17246353/s58585823/f9f1831f-a6112d49-62685dda-c11ff2cd-e1d205ae.jpg	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	history: <unk>f with ms, here with whole body pain
MIMIC-CXR-JPG/2.0.0/files/p11787183/s51365859/f4a3066b-84e02c36-c4c3a84b-7fd15085-0f94d570.jpg	MIMIC-CXR-JPG/2.0.0/files/p11787183/s51365859/587fd007-a035f03c-0fb77ec0-0aa04f49-fa265540.jpg	A lingular opacity in left mid lung zone consistent with pneumonia. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.	<unk>-year-old with fever.
MIMIC-CXR-JPG/2.0.0/files/p14784406/s54309184/ef865b3e-909664f1-42d5d770-00ee867d-cb870280.jpg	null	In comparison with the earlier study of this date, right chest tube is in place and the ipsilateral lung has substantially re-expanded with a small residual pneumothorax. Mediastinal contents are now in normal position though there is some continued increased opacification in the left lung. Tip of the endotracheal tube is now properly positioned about <num> cm above the carina.	chest tube placement.
MIMIC-CXR-JPG/2.0.0/files/p16807866/s50990022/e9cf87c8-a195b97b-c89da531-966cc60d-78854353.jpg	null	Heart is upper limits of normal in size but difficult to assess due to low lung volumes. There is no pleural effusion or pneumothorax. The lung volumes are low, but without focal consolidation concerning for pneumonia. A monitor hiatal hernia is noted. The upper abdomen is unremarkable.	<unk>f with syncope, head fracture // evaluate for acute process
MIMIC-CXR-JPG/2.0.0/files/p10697073/s53654042/3d194a4b-a8dd8830-42726e8a-277d338a-12f39858.jpg	MIMIC-CXR-JPG/2.0.0/files/p10697073/s53654042/50b01897-0a2169cd-6a18be1e-e4dc58c7-ccb357ca.jpg	The heart is normal in size. A mildly convex contour to the left mid mediastinum may be perhaps suggest a promient atrial appendage,. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the lower thoracic spine.	epigastric pain.
MIMIC-CXR-JPG/2.0.0/files/p11379723/s50976944/6a3a2d92-13df9d2f-a8f50c01-d9cf1aad-8fee56ea.jpg	MIMIC-CXR-JPG/2.0.0/files/p11379723/s50976944/a3626439-3dd4015b-5acc2018-203d1a36-b5d138bd.jpg	Pa and lateral views of the chest. The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is normal. There is no effusion. No displaced fractures seen on this non-dedicated examination.	<unk>-year-old male hit by car with right thoracic pain.
MIMIC-CXR-JPG/2.0.0/files/p11321986/s59427777/2cd761d9-8e031c89-f2b812b3-e22db377-f0254112.jpg	MIMIC-CXR-JPG/2.0.0/files/p11321986/s59427777/454a72e4-e3c80ea5-4007ce41-c1502562-4523a4ec.jpg	There is diffusely increased interstitial markings bilaterally with peripheral and lower lung predominance, overall slightly improved compared to <num> day prior. Pattern of involvement is similar to prior chest ct, which showed nsip. Cardiac silhouette is mildly enlarged, similar to prior.	<unk> year old man with probable cmml with hypoxia and ct concnerning for acute inflammatory process vs. infection. now on steroids. // eval for interval change.
MIMIC-CXR-JPG/2.0.0/files/p18350596/s53973457/d30147ef-3400832f-f69a379e-fb4f952b-640194d1.jpg	MIMIC-CXR-JPG/2.0.0/files/p18350596/s53973457/592119df-ee5ef033-17ec7d33-760c3e27-05d99c88.jpg	Frontal lateral chest radiographs demonstrate intact sternal wires and a right internal jugular catheter which terminates at the cavoatrial junction, unchanged. The cardiac silhouette remains enlarged, unchanged. Bilateral small to moderate pleural effusions and retrocardiac opacity are unchanged. No new focal consolidation or pneumothorax is identified. The visualized upper abdomen is unremarkable.	evaluate for postoperative changes after mitral valve, tricuspid valve, and left ventricular repair.
MIMIC-CXR-JPG/2.0.0/files/p11013775/s51269032/5db9d8df-e7ed05e4-795931be-6d1e1a13-b7ffcd59.jpg	null	The heart is probably at the upper limits of normal size. The aortic arch is calcified. There are heterogeneous but confluent bilateral hazy opacities, somewhat more extensive on the right than left. Blunting of the right costophrenic sulcus suggests there may be a small effusion. There is no pneumothorax.	shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p13299333/s53857262/05b9228b-e22631b7-5f16894d-e5600ac3-150d2ed3.jpg	null	Enteric tube is seen with tip projecting over the region of the stomach. Lower lung volumes seen on the current exam however the lungs are clear. The cardiomediastinal silhouette is stable. Gas-filled distended of loops of bowel seen in the right upper quadrant.	<unk>f with sbo and new ngt // eval ngt placement
MIMIC-CXR-JPG/2.0.0/files/p18056245/s50673727/6198c7b2-5fe4599e-2a6b046d-1e8d1101-65637598.jpg	MIMIC-CXR-JPG/2.0.0/files/p18056245/s50673727/8b887f22-92b7726e-dcdade9b-43bfc0d3-fd686478.jpg	Low lung volumes are present. Mild enlargement of the cardiac silhouette is present. The mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present with mild pulmonary vascular congestion. Patchy opacities are noted in the lung bases, which may reflect atelectasis, but infection or aspiration is not excluded. There is likely a small left pleural effusion. No pneumothorax is detected. Marked degenerative changes of the left glenohumeral joint are present. There are moderate multilevel degenerative changes seen in the thoracic spine.	history: <unk>f with onset of shortness of breath this morning. // pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p10615090/s55064882/6d06b7d4-3c52cb8a-3ce7d3ca-890b7ba5-dc309e37.jpg	MIMIC-CXR-JPG/2.0.0/files/p10615090/s55064882/94d6af32-229e9b07-fc29f609-28068af5-beec5be3.jpg	The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.	<num> weeks and dry hacking cough. history of testicular cancer.
MIMIC-CXR-JPG/2.0.0/files/p19137716/s58371765/0d148d2a-9b909388-074e43b0-207a918a-3a1cf037.jpg	null	Single ap upright portable view of the chest was obtained. There are relatively low lung volumes, which accentuate the bronchovascular markings, particularly at the lung bases. Given this, no focal consolidation is seen. There is no large pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.	shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11205812/s56038197/323fafd0-f02a7dd7-dcca5302-61240415-a640edda.jpg	null	Ap portable semi upright view of the chest. The endotracheal tube is unchanged in position with its tip approximately <num> cm above the carinal. The orogastric tube tip remains in place in the left upper quadrant. Mild bibasilar opacities likely reflect atelectasis though difficult to exclude a component of aspiration. Otherwise unremarkable.	<unk>m suspected overdose, intubated/sedated with dropping sats, + bilateral bs
MIMIC-CXR-JPG/2.0.0/files/p18477696/s54077909/5db8bbbf-631fd315-e6a6b883-d9bbce9d-d96afb07.jpg	MIMIC-CXR-JPG/2.0.0/files/p18477696/s54077909/2c8d08ba-9f722c28-7b23c6a4-10b3fd77-30488cf4.jpg	As compared to the previous radiograph, the known right pneumothorax after biopsy has minimally progressed. The pleural gap at the lung apex is now approximately <num> mm, as compared to <num> mm on the previous image. There is currently no radiographic evidence of tension. No pleural fluid. Normal size of the cardiac silhouette. Normal appearance of the left lung.	pneumothorax after right lung biopsy. evaluation.
MIMIC-CXR-JPG/2.0.0/files/p16398746/s55366199/948c52a6-c543fcb9-ee3ad93d-2b959856-620e1f1b.jpg	null	There is no pleural effusion, pneumothorax or focal airspace consolidation. Linear scarring/atelectasis is again seen at the left lower lung. There is mild prominence of the central vasculature without overt signs of pulmonary edema. The cardiac silhouette is moderately to severely enlarged and unchanged. The mediastinal contours are normal. A calcified hepatic cyst is seen in the right upper quadrant.	immunocompromised with unexplained hypotension. evaluate for an acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11627798/s55320449/22ea84f0-cf10fb39-830bb408-0f2a2205-ee05c2a6.jpg	MIMIC-CXR-JPG/2.0.0/files/p11627798/s55320449/59781ca7-bde51761-1f85b804-5e9b0f83-181da7b1.jpg	Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.	<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14373353/s55536649/dbafbbdd-7783ac7e-eea3b270-818f8c4d-c9ec791b.jpg	null	A portable frontal chest radiograph demonstrates a nasogastric tube with the tip in the stomach, but with the sideport still above the gastroesophageal junction. The remainder of the exam is unchanged.	recent nasogastric tube placement for ileus.
MIMIC-CXR-JPG/2.0.0/files/p14197003/s57672102/bd809a0a-8d32691b-a1aeed73-f6b4f374-bc040d70.jpg	MIMIC-CXR-JPG/2.0.0/files/p14197003/s57672102/318a9ebe-fcf10a5e-6d8be265-d729ba4b-1a12b78e.jpg	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.	<unk>f with r lower rib pain // pneumothorax?
MIMIC-CXR-JPG/2.0.0/files/p10002428/s50027225/e8c44648-ff02beea-3d5ff638-dec79b01-7df71a69.jpg	null	A single portable semi-erect chest radiograph was obtained. Small left and moderate layering right pleural effusions have increased in size since the preceding day's exam. The right middle lobe pnemonia seen on recent ct is not clearly differentiated, but the right heart border is obscured. Left basilar atelectasis is stable. No new focal consolidation or pneumothorax is present. Hila remain indistinct. A left-sided picc line tip remains in the upper svc.	<unk>-year-old woman with c. difficile colitis and increasing oxygen requirement.
MIMIC-CXR-JPG/2.0.0/files/p10464871/s58016703/0ded4c11-a6e7aaae-038c2457-b1add661-f3c300f1.jpg	MIMIC-CXR-JPG/2.0.0/files/p10464871/s58016703/23f34cf4-451aa747-3766dd08-13825cb2-b1c4175f.jpg	The lungs are clear without consolidation, or edema. Blunting of the posterior costophrenic angles may represent trace effusions or atelectasis. The cardiac silhouette is top-normal in size. No acute osseous abnormalities. Surgical clips project over the upper abdomen in the midline.	<unk>f with weakness, cough // please evaluate for acute abnormality
MIMIC-CXR-JPG/2.0.0/files/p13056319/s50296138/428cd835-f19953cb-fd90a197-18cf114c-a57fde82.jpg	null	A picc line terminates in the mid and superior vena cava. The heart is mild to moderately enlarged with a left ventricular configuration. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.	picc line placement.
MIMIC-CXR-JPG/2.0.0/files/p16516267/s55104727/1eea72ef-653f60e1-4c51b271-a03a6bd6-52363e3d.jpg	null	As compared to the previous radiograph, the patient has received a dobbhoff catheter. The tip of the catheter projects over the distal parts of the stomach and is likely in prepyloric position. The course of the line is unremarkable. The other monitoring and support devices, including the ventriculoperitoneal shunt, are in unchanged position. No evidence of complications, notably no pneumothorax.	seizure disorder, dobbhoff placement.
MIMIC-CXR-JPG/2.0.0/files/p11101925/s53005350/6d89c83e-c451a4ea-55a00c77-cef04030-6b19b58a.jpg	null	Portable ap chest radiograph. Right-sided picc tip is in the lower svc. Blunting of the costophrenic sulci represents a combination of scarring and pleural thickening. The lungs are mildly hyperinflated and focality of interstitial edema in the left lower lung probably reflects severe emphysema elsewhere in the lungs. The cardiomediastinal silhouette is stable. Tracheostomy cuff appears hyperinflated and distends the tracheal wall.	sepsis with hypotension. evaluation for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13888709/s53011481/3982c799-e5320ed3-c9d64cfa-d7e2e19b-ad4bb2c0.jpg	MIMIC-CXR-JPG/2.0.0/files/p13888709/s53011481/67ad134e-00cc4e28-1fc188ae-bb6260fb-7d0ead39.jpg	Right basilar atelectasis is minimal. There is no consolidation, edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Mild hyperinflation and flattening of the hemidiaphragms suggest underlying copd.	recurrent esophageal cancer. new confusion and altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p13842877/s54569002/a1ae70aa-cea65f87-4daa8f3b-f565b283-f7a15de4.jpg	MIMIC-CXR-JPG/2.0.0/files/p13842877/s54569002/150c3448-1721df02-394bd15e-32ba6e6d-46d12374.jpg	The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.	history: <unk>m with recurrent pleuritic chest pain and sob. // any evidence of consolidation or cardiac process?
MIMIC-CXR-JPG/2.0.0/files/p19657904/s51105576/76a9859e-ae0ff047-98e72ae4-16d2cb20-fbdcd2ee.jpg	null	Ap portable view of the chest demonstrates low lung volumes. No large pleural effusion, pneumothorax or focal consolidation. The aorta is markedly tortuous without focal aneurysmal changes. Heart is mildly enlarged. Mild perihilar vascular congestion is noted.	respiratory distress.
MIMIC-CXR-JPG/2.0.0/files/p19682482/s57066148/b682f45b-a4e3c292-a2d187b1-85e6f120-545ae847.jpg	null	Enteric tube ends in the stomach. Left picc ends at the origin of the svc. There is stable elevation of the right hemidiaphragm with adjacent atelectasis. Left lower lobe atelectasis is unchanged. There is possibly a small left pleural effusion. No pneumothorax. No focal consolidation.	altered mental status and cough.
MIMIC-CXR-JPG/2.0.0/files/p13909532/s57268268/0678a603-89ee99ac-2c826665-e5d4ab30-800c8645.jpg	null	In comparison with the study of <unk>, the degree of pleural effusion appears somewhat less, though much of this could relate to change in patient position. Pleural drain remains unchanged at the right base laterally. An area of lucency around it could reflect loculated pneumothorax. The left lung is essentially clear. Continued substantial enlargement of the cardiac silhouette.	nsclc with effusion and edema.
MIMIC-CXR-JPG/2.0.0/files/p10344270/s58618955/9bf29824-01bb5e0d-5e9a7024-738f7c79-1d97f7b6.jpg	MIMIC-CXR-JPG/2.0.0/files/p10344270/s58618955/ca2a61c8-ee9c86fb-eaa09bce-216b3223-7c2bb3a9.jpg	A <num> mm new round well-circumscribed density in the right suprahilar region may represent a pulmonary nodule. It also may be an enlarged vessel or superimposed normal structures. Would recommend further evaluation with contrast-enhanced ct of the chest. There is no consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	asthma and mitral regurgitation.
MIMIC-CXR-JPG/2.0.0/files/p17372011/s57725426/a6397228-dfba58cb-93a2bd31-abe7596d-cbd365dd.jpg	MIMIC-CXR-JPG/2.0.0/files/p17372011/s57725426/b2ffb635-f77e497f-53da8cbc-94923abe-3fabf516.jpg	There is a large hiatal hernia containing a major portion of the stomach. In comparison to the prior study, there is increased distension of the stomach, raising concern for gastric outlet obstruction. The lungs are clear. Bilateral small pleural effusions with bibasal atelectasis is noted. No pneumothorax or pulmonary edema is detected.	<unk>-year-old woman with chest pain, to rule out pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11922572/s57960492/86cb18f8-3fac730c-71e6f414-256c7377-177776fb.jpg	null	In comparison with the study of earlier in this date, there is little change in the diffuse opacification on the right consistent with large pleural effusion and consolidation. Left lung remains clear.	pleural effusion and hypotension.
MIMIC-CXR-JPG/2.0.0/files/p13502902/s57054235/57192fe2-1c3de348-ee6bbfbf-d08a7334-71652e08.jpg	null	Right internal jugular line tip is at the level of lower svc. Ng tube passes below the diaphragm . Interval increase in the interstitial moderate pulmonary edema. Moderate left-sided pleural effusion has not significantly changed. Moderate cardiomegaly. No pneumothorax.	<unk> year old woman with o<num> requirement // assess pulm status
MIMIC-CXR-JPG/2.0.0/files/p14067967/s59368839/7b8f8855-78f2ad30-f4f83297-3ff9b811-99e0a0d9.jpg	null	There is again seen a left-sided device with associated dual leads in unchanged position overlying right atrium and right ventricle. Et tube is again seen terminating <num> cm above the carina. An ng tube is again seen which courses inferiorly, with distal tip not visualized below lower limit of film. The cardiomediastinal silhouette is unchanged in appearance. There has been significant interval improvement in pulmonary edema, with minimal residual central pulmonary vascular congestion. There is mild bibasilar atelectasis. There is no pneumothorax or effusion.	<unk> year old man with vt and acute pulmonary edema. // pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p11401718/s59355613/b9e8657b-7bc5a99d-2a554602-ad5f4bbb-7b55a97e.jpg	MIMIC-CXR-JPG/2.0.0/files/p11401718/s59355613/8c5789ae-ae4c0c9e-bea0b8dd-70eded84-bff4cb47.jpg	Again, the lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal. Some degenerative changes are seen along the spine.	cough for <num> days and hypotension.
MIMIC-CXR-JPG/2.0.0/files/p18553055/s53349623/ffbdaf94-cc64cda7-93693ab7-73243b02-86ab4a90.jpg	null	In comparison with the study of earlier in this date, the tip of the endotracheal tube lies approximately <num> cm above the carina. Nasogastric tube extends well into the stomach. No evidence of acute focal pneumonia or vascular congestion. Dense calcification in the upper abdomen on the right is again consistent with known renal mass.	intubation.
MIMIC-CXR-JPG/2.0.0/files/p17049635/s57942126/611905f5-754e6b4b-c9b25b1b-4e4a85f1-781e4a77.jpg	null	Single view chest radiograph shows interval increase of right lung opacification, for increased consolidation and pleural effusion, consistent with pneumonia. An et tube has been placed with tip ending at <num> cm from carina, it can be withdrawn <num>-<num> cm. Ng tube ends in distal gastric cavity. Left lung is still clear. Unchanged mild cardiomegaly. There is a small right pleural effusion. There is no pneumothorax. Right lower rib fracture is chronic.
MIMIC-CXR-JPG/2.0.0/files/p15277035/s59680953/943644df-11d6d0b9-dbfbaa26-5dce14f7-9bf23bba.jpg	MIMIC-CXR-JPG/2.0.0/files/p15277035/s59680953/9385e11f-18329257-88c5ddf4-4dbd69ee-ef813af7.jpg	Compared with the prior chest radiograph, lung volumes are slightly lower, with unchanged positioning of the right ij central line. Bibasilar atelectasis has progressed, with new small bilateral effusions. Cardiomediastinal silhouette is unchanged. No evidence of pneumothorax. Median sternotomy wires are intact.	<unk> year old woman s/p cabg. eval for pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p12115320/s55109529/8b75ce6f-2b7b0582-945c84a7-076c8681-2a5f7ac8.jpg	MIMIC-CXR-JPG/2.0.0/files/p12115320/s55109529/303d299e-048216fa-ff1450cf-f186025e-5d8860f7.jpg	Cardiac silhouette remains mildly enlarged. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion has improved. There is continued improvement of previously noted patchy ill-defined opacities in both lungs compatible with resolving infection. No new focal consolidation, pleural effusion, or pneumothorax. The right picc tip projects in the mid svc.	<unk>m with odynophagia and dysphagia, please eval for obstructing mass or foreign body.
MIMIC-CXR-JPG/2.0.0/files/p14432490/s58037409/a744db62-f5bd690f-08c3cfbe-60d04495-30d5b785.jpg	null	Moderate enlargement of the cardiac silhouette is not substantially changed from the previous exam. The mediastinal and hilar contours are similar. No pulmonary edema is identified. Ill-defined opacification within the left lung base remains similar to the previous study likely reflecting a combination of small pleural effusion and atelectasis though infection is not excluded. Trace right pleural effusion is also likely present along with probable mild right basilar atelectasis. No pneumothorax is identified. No acute osseous abnormalities seen.	history: <unk>f with nausea, malaise, postop day <num> caesarean section, +rhonchi throughout
MIMIC-CXR-JPG/2.0.0/files/p15589519/s53560353/de458ce4-3386cc41-83a0f57b-70255571-eb9c0368.jpg	MIMIC-CXR-JPG/2.0.0/files/p15589519/s53560353/b0a7fe6c-347ab51c-491ba6b1-883a0e43-591ec132.jpg	Bilateral dependent pleural effusions as well as fluid in the major and minor fissures on the right are likely unchanged with minimal accompanying atelectasis. Post-surgical changes from prior cabg, avr and mvr with intact sternotomy wires are seen. Left picc in appropriate position with tip near the superior cavoatrial junction. Upper quadrant clips are seen. No pneumothorax identified. Heart remains mildly enlarged.	<unk>-year-old woman status post avr and mvr. assess for pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p18872738/s58082117/0bfe0d07-242f60f8-67483e36-c1a7ed7a-4e8f56e6.jpg	MIMIC-CXR-JPG/2.0.0/files/p18872738/s58082117/fa17ecb7-425d6dae-02bdc8ed-ac820cc5-bdae1d80.jpg	Portable upright ap and lateral images are provided. The lung volumes are low with incomplete evaluation of the caridac silhouette. Bibasial atelectasis is seen. A hiatal hernia is noted. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.	worsening chest pain and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11924068/s53280456/1731e2ec-64d00ec3-26118567-671c5cb6-d1902655.jpg	null	Dobbhoff tube ends in distal gastric cavity, correctly positioned. Right picc is unchanged, ending in lower svc. Lung volumes are still low with persistent bibasilar atelectasis. Minimal vascular congestion is also unchanged. There is no pneumothorax. Heart size is stable and mildly enlarged.
MIMIC-CXR-JPG/2.0.0/files/p11375935/s57259040/05654e17-99325a85-79b0aa14-0c499723-7668725f.jpg	MIMIC-CXR-JPG/2.0.0/files/p11375935/s57259040/2038ddf5-e5c1fc27-5ac59937-25e7a121-33d57cc2.jpg	The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. Slightly more apparent than on prior are nodular opacities at the right lateral lung apex, seen on prior chest ct from <unk>; this is likely projectional nature. Otherwise, the lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.	<unk>f with f/c/s, pleuritic cp/cough, rule out infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p12676785/s51812032/c4793cf9-ecc503ce-9297981c-1d9c1e9b-b59c8419.jpg	MIMIC-CXR-JPG/2.0.0/files/p12676785/s51812032/730f1a8e-3f3f03c1-072ff3a2-b387ee34-88e253ea.jpg	Mildly enlarged cardiac silhouette. There is rounded soft tissue density in the aorta pulmonary window and widening of the mediastinum concerning for lymphadenopathy. No focal consolidation, pleural effusion, pulmonary vascular congestion or pneumothorax. Compression deformity of the mid thoracic spine is noted of uncertain chronicity.	history: <unk>f with abnormal ekg, presyncope // r/o pneumonia/chf
MIMIC-CXR-JPG/2.0.0/files/p12382540/s53285096/55a5d816-65a30788-02427231-f673bb63-eeeeb23b.jpg	MIMIC-CXR-JPG/2.0.0/files/p12382540/s53285096/bede9d05-219d3414-a2def3e0-57f259cc-3526c3cd.jpg	A right-sided catheter is present. It probably overlies the mid/ distal svc. No pneumothorax is detected. There is probable background hyperinflation/copd. There is probable mild cardiomegaly. The mediastinum is slightly prominent, with convexity in the ap window, consistent with known mediastinal lymphadenopathy. The hila are not obviously enlarged. There are increased interstitial markings diffusely, with peribronchial cuffing and thickening of the minor fissure. There is only slight upper zone redistribution. A lateral view shows very small posterior pleural effusions. There are patchy bibasilar opacities more pronounced on the left.	<unk> year old man with hyperviscosity syndrome who has increased sob // <unk> year old man with hyperviscosity syndrome who has increased sob
MIMIC-CXR-JPG/2.0.0/files/p15650293/s59896052/46926d1a-fd547bff-30d88a3b-c156233f-d767fded.jpg	MIMIC-CXR-JPG/2.0.0/files/p15650293/s59896052/10d59506-db606aef-20b81239-2cf7f705-2d2b50da.jpg	Ap and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Mild prominence of the pulmonary interstitium is present. The cardiomediastinal silhouette is notable for a tortuous aorta. There is a midthoracic compression fracture with nearly complete loss of height, which is age indeterminate. Patient has had a lower thoracic vertebroplasty. There are no displaced rib fractures.	<unk>-year-old female with mechanical fall, right knee pain, rule out rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p18970053/s51202989/1963bb18-dda56e6e-38c79f99-b5958cfd-b5b1419a.jpg	null	In comparison with study of <unk>, nasogastric tube extends to the distal stomach. Little change in the appearance of the heart and lungs.	ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p14150037/s58609184/e25725be-0881de62-24a6ee80-6ae73b1a-b759c6be.jpg	null	In comparison with chest radiograph from <unk>, there is little overall change. There is no focal consolidation or pneumothorax. Mild to moderate asymmetric pulmonary edema, left greater than right, has continued to improve since <unk>. Minimal pleural effusions, if any, are probably unchanged. Moderate cardiomegaly is stable. Cardiopulmonary support devices are unchanged in standard placements.	<unk> year old man s/p heartware // eval for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p15778138/s53933668/2a5941a1-a1f5b99f-43d6969a-c3f75a64-2338358c.jpg	MIMIC-CXR-JPG/2.0.0/files/p15778138/s53933668/6dbbbd8e-24a4690b-629dc21b-9400d1b1-cf38de86.jpg	Redemonstrated is an unchanged <num> cm left apical pneumothorax. There is no evidence of tension physiology. No focal consolidation, pleural effusion or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.	left pneumothorax, evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p17219726/s58200277/71046850-1274b7c7-65b03710-f7a037df-9262b1f1.jpg	MIMIC-CXR-JPG/2.0.0/files/p17219726/s58200277/514b393c-aa8910c0-29bfb2da-09b04035-05f4e451.jpg	The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.	syncope.
MIMIC-CXR-JPG/2.0.0/files/p19493596/s53600614/9e5e94f3-89b0dc43-f7c8ceb3-f17da4c5-318452b5.jpg	MIMIC-CXR-JPG/2.0.0/files/p19493596/s53600614/935bea86-9eab5770-87f9bb32-49c9ebbb-8a90107f.jpg	Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	<unk>m with fall, injury to chest wall // eval for fx
MIMIC-CXR-JPG/2.0.0/files/p15087486/s53723663/dc9e9de9-fe303ddf-a4e8041b-b9469d9c-d172c05e.jpg	MIMIC-CXR-JPG/2.0.0/files/p15087486/s53723663/c94d1135-3339fece-84a7052b-6d7bdeae-57103758.jpg	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	<unk>f with sob // eval pneumonia
MIMIC-CXR-JPG/2.0.0/files/p12181546/s55591796/400795c6-eeb9a3fb-87c02853-3b41a07b-6823d9a8.jpg	null	In comparison to the previous examination there has been interval placement of an endotracheal tube which ends in the lower thoracic trachea. An enteric tube courses below the level of the diaphragm and off the inferior aspect of the film. Stable appearance of the cardiomediastinal silhouette and lung fields.	history: <unk>m with s/p intubation, resp distress // ett and ngt location
MIMIC-CXR-JPG/2.0.0/files/p11453770/s55341772/6c4254e3-1613494c-c49874db-19941f7c-2fca51e7.jpg	MIMIC-CXR-JPG/2.0.0/files/p11453770/s55341772/122be495-1f202b48-1dad5b81-43ceba9f-26d3884f.jpg	Pa and lateral views of the chest are provided. Suture line in the right upper lung is again noted, compatible with prior lung resection. No focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears within normal limits. Bony structures are intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p15910090/s56901577/162bb757-e03da4ef-3fb2f401-72403498-bb00e04f.jpg	MIMIC-CXR-JPG/2.0.0/files/p15910090/s56901577/fce2f3f8-cfa84aaf-55f5a73c-5442bbdf-7bf7d3a5.jpg	Pa and lateral views of the chest provided. Left pleural catheter has been removed. There is persistently increased opacity in the left mid to low lung, with obscuration of the left hemidiaphragm and left heart border, likely reflecting a combination of pleural effusion and atelectasis related to the known spiculated mass in this region. The spiculated mass that was previously characterized on ct is not well seen in this radiograph study. In the appropriate clinical setting, superimposed pneumonia cannot be excluded. The right lung is clear.	<unk> year old man with lung cancer, worsening cough and pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p17288913/s50308264/9f952c0c-478f2543-b547501a-20dbf538-ddbc7186.jpg	null	As compared to the previous radiograph, there is unchanged evidence of a left-sided picc line. The lung volumes are normal. There is no evidence of pneumonia or other pathological changes in the lung parenchyma. Unchanged size of the cardiac silhouette. No evidence of pleural effusions. Normal aspect of the hilar and mediastinal structures.	evaluation for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11920643/s50133646/708e21db-ef19002f-f53f028e-c73a1208-91c1a54e.jpg	MIMIC-CXR-JPG/2.0.0/files/p11920643/s50133646/07a37ddf-291936f4-05063520-edb03be7-7f03b1b4.jpg	Ap upright and lateral views of the chest provided. Allowing for under penetrated technique, the lungs appear clear. Multiple there is a convex density projecting over the left upper lung, not clearly seen on prior exam which appears to reside anteriorly on the lateral projection for which ct is recommended to further assess. Aside from this, no abnormalities within the lungs. Cardiomediastinal silhouette stable. Left humeral head replacement noted. Chronic appearing left rib deformities are seen. No acute bony abnormalities.	<unk>f with diarrhea // pna?
MIMIC-CXR-JPG/2.0.0/files/p18614670/s51461691/81645d10-220e127d-b81276c0-c5e0a691-abdbcc50.jpg	null	A frontal semi-upright view of the chest was obtained portably. Low lung volumes result in bronchovascular crowding. Slightly increased bibasilar opacities likely represent atelectasis. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified. There is no free air under the diaphragm.	<unk>-year-old male with chest pain, cough and known pulmonary embolism. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12052932/s51375519/ed5a04d3-c6121028-96be0262-2d478342-16d82e8d.jpg	null	No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The cardiomediastinal silhouette is unremarkable.	bradycardia
MIMIC-CXR-JPG/2.0.0/files/p18761260/s51970878/2e9f571b-ec405dff-47863b28-eb7a1225-4929ccca.jpg	null	Since the prior radiograph, there has been improvement in bilateral pulmonary opacities, likely improvement in pulmonary edema. There is no definite focal consolidation. There is mild blunting of the left costophrenic angle, likely a small pleural effusion. Cardiac silhouette is enlarged, but stable. There is no pneumothorax. Tracheostomy tube is in place. Right picc line catheter is unchanged in position.	<unk>-year-old man with fever, assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10412483/s52391855/d718cfae-f39eda20-fce5ed53-086b1798-5d0ae581.jpg	MIMIC-CXR-JPG/2.0.0/files/p10412483/s52391855/239b1d31-601a7405-26e72edb-72907bbf-f204a5dd.jpg	Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal contour is similar. Calcified left hilar nodes suggest prior granulomatous disease. Prominence of the left hilum is similar compared to the previous study there is adjacent left perihilar linear atelectasis. Ill-defined streaky opacities in the left perihilar region and right lung base may reflect areas of infection or atelectasis. Small right pleural effusion is demonstrated. There is no pneumothorax. Moderate multilevel degenerative changes are seen in the thoracic spine.	history: <unk>m with fall out of bed, on blood thinners, with head strike, left shoulder pain
MIMIC-CXR-JPG/2.0.0/files/p13044170/s55832565/165c908c-1daa05d3-e8e89865-944ba6b7-d4a3c253.jpg	MIMIC-CXR-JPG/2.0.0/files/p13044170/s55832565/4466c93d-fc596bc2-c243df27-e85e7677-884f5952.jpg	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are well inflated and clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	history: <unk>f with leukocytosis
MIMIC-CXR-JPG/2.0.0/files/p10302129/s50475876/e709bc04-a5a996f1-4364bef4-9054ed90-d18dd857.jpg	null	A single portable chest radiograph was obtained. A right-sided pneumothorax remains tiny. A right-sided chest tube remains in medial apical position. The lungs are well expanded and clear. There is no focal consolidation, effusion. The cardiac and mediastinal contours are normal.	<unk>-year-old man with right-sided pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16571922/s59141344/9dc01100-c6cc3ad5-f0caf2e9-13b9c291-20a1d1cf.jpg	null	The hemodialysis line is in similar position compared to prior with tip in the right atrium. The left paramedian pericardiocentesis catheter is in similar location compared to prior. There is a large right effusion layering posteriorly. There has been some interval partial expansion of the right lower lobe, but there continues to be a volume loss and infiltrate in the right lower lobe. There is alveolar hazy opacity in the left lung, pulmonary vascular re-distribution and dense retrocardiac opacity. Compared to the prior exam, the right lung is slightly better and appearance in the left lung is slightly worse.	non-functional hemodialysis line.
MIMIC-CXR-JPG/2.0.0/files/p19466928/s54468413/1dbaf5af-eb882ce1-7337cc4b-b64c9c97-4fe67bf3.jpg	MIMIC-CXR-JPG/2.0.0/files/p19466928/s54468413/cb995755-6c40bc71-46962986-211b2b15-f3f025ab.jpg	Pa and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal.	<unk>-year-old female with shortness of breath and cough. question acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15405842/s50047835/cf071c42-4f11f424-7883c9c3-678d388f-8f184d38.jpg	MIMIC-CXR-JPG/2.0.0/files/p15405842/s50047835/874d1213-6f920cad-7a705ff5-60108891-c1321990.jpg	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	<unk> year old woman with cough, fever, egd on <unk>. // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19857331/s51590267/28c9b53f-caeeafbc-28ffda23-3f79ed31-1aac4402.jpg	null	Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained five hours earlier during the same day. Evidence of left-sided pleural effusion obliterating the entire left-sided diaphragm as before. Aeration of left upper lobe area has slightly improved. Right hemithorax unremarkable as before. A dobbhoff line is identified,reaching well below the diaphragm and the tip of the line having a caudal direction before it escapes the lower image border. In comparison with the next preceding study, the position of the dobbhoff line is completely unchanged. Previously described right internal jugular approach central venous line terminates in unchanged position in the lower svc.	<unk>-year-old female patient with right middle cerebral artery stroke, course complicated by cerebral edema. vap, dysphagia, now status post dobbhoff placement. patient with vigorous coughing that caused dobbhoff to change position, evaluate placement.
MIMIC-CXR-JPG/2.0.0/files/p18024814/s56964013/7e8f9c50-c14e9105-d088f845-367e0337-b0510806.jpg	MIMIC-CXR-JPG/2.0.0/files/p18024814/s56964013/494ba9f8-c4cb3b05-61cb8232-62c24c33-3e228a85.jpg	Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. The hilar contours are within normal limits. No displaced fracture is seen.
MIMIC-CXR-JPG/2.0.0/files/p15513316/s55228015/82981bdc-7787c051-2d437daa-5720a7d4-8fa67994.jpg	MIMIC-CXR-JPG/2.0.0/files/p15513316/s55228015/d12a74fe-8594dbcb-c43901de-3f21ed2f-539ea78f.jpg	The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Opacity in the lingula suggests pneumonia. Elsewhere the lungs appear clear.	fever and malaise.
MIMIC-CXR-JPG/2.0.0/files/p16803514/s57957175/a5d41a3a-163fe4fa-5bfd9a55-b8364cd8-45458f35.jpg	null	The lung volumes are low. There are multifocal opacities in the perihilar as well as bilateral lower lobes compatible with multifocal pneumonia versus atelectasis. Aspiration pneumonitis is also a consideration. Small left pleural effusion. Right-sided central venous catheter terminates at the cavoatrial junction with ekg leads overlying the upper abdomen. Diffuse demineralization is present.	<unk> year old man with sbp and alcoholic cirrhosis now with worsening sob. // please assess for pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p13329600/s55278364/3ea0ce39-6e483c14-cb861fa1-71ff5c5c-0ff95283.jpg	MIMIC-CXR-JPG/2.0.0/files/p13329600/s55278364/dd74aa33-fd2ea2d5-8cefcbd8-faa28e06-42ac768c.jpg	The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.	<unk>f with sob and ili symptoms, // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p14182605/s57443649/1dbb1963-373170fb-01b8bef7-e4eefec6-225205f5.jpg	null	As compared to <unk>, moderate left-sided effusion has not substantially changed. Small right-sided effusion slight increase and adjacent opacification. Pulmonary vascular congestion has also slightly increased. Moderate cardiomegaly. No pneumothorax.	<unk> year old man perisistent cough and rising wbc count, poss pna on prior cxr // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p12274608/s53796285/d2fd1468-b5e93936-c492b2bc-46695376-abe339c0.jpg	MIMIC-CXR-JPG/2.0.0/files/p12274608/s53796285/aa95c36c-1b285579-88150b51-42fab808-f0bf8211.jpg	Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The lateral aspect of the right lower lung is partially excluded from view on the pa view. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p10094121/s55725406/02967cde-efccb109-2740ae49-f34b84ee-3b828358.jpg	MIMIC-CXR-JPG/2.0.0/files/p10094121/s55725406/40263c2b-a719df96-6cb57552-e7a1d26e-0d7a6c3f.jpg	The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.	<unk>m with trauma to r chest from cart // please assess for pneumothorax, as well as displaced rib fractures if possible
MIMIC-CXR-JPG/2.0.0/files/p13670952/s59822333/88491397-3c14f4f4-04943ea3-8a88776b-c440254a.jpg	MIMIC-CXR-JPG/2.0.0/files/p13670952/s59822333/d8eba9bb-679a33b9-1191068f-f8a349b1-2ccfaf66.jpg	The lungs are clear without consolidation or edema. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. The lung volumes are somewhat low. The osseous structures are unremarkable.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p17664313/s57863603/c00f1099-b2ab48e3-8c6b5572-af79a5ab-fabd8958.jpg	null	Single portable view of the chest. The patient is rotated to the left. The lungs remain clear. Et tube, enteric tube and right picc are no longer visualized. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities detected.	<unk>-year-old female with recent basal ganglia hemorrhage with increasing left-sided weakness for <num> day.
MIMIC-CXR-JPG/2.0.0/files/p12249989/s53549404/d296a85a-d1923dce-df563d85-c8ddcbe1-c48de10a.jpg	null	There has been interval placement of a nasogastric tube, which enters the duodenum, distal tip not visualized. The right-sided picc line is unchanged in position. Moderate layering bilateral pleural effusions have increased. The presence of pleural effusions makes it difficult to assess for underlying pneumonia or pulmonary edema. Retrocardiac opacification, possibly due to atelectasis, is unchanged. The cardiomediastinal silhouette is stable.	<unk> year old man with diffuse large b cell lymphoma now with rigors and tachycardia // please eval for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13097115/s55693339/b1e1bef1-401f6954-59382524-0e1f0e74-ddfcfe50.jpg	MIMIC-CXR-JPG/2.0.0/files/p13097115/s55693339/38c0e5c3-d336e950-126b5c60-a8f3a822-1c03f014.jpg	Pa and lateral views of the chest were provided. There are multiple mildly displaced right-sided rib fractures appearing acute. These appear to involve the right fourth, fifth, sixth and eighth posterior rib arches. Additionally, old left rib deformities are again noted. The lungs are clear without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears stable with a dual-lead pacer again noted, appearing in stable position.
MIMIC-CXR-JPG/2.0.0/files/p13476745/s52902009/4cb8537a-b93cdfd8-bba3feeb-ec059963-253fd446.jpg	MIMIC-CXR-JPG/2.0.0/files/p13476745/s52902009/7aa1f605-59c32f48-953331ad-8cb20b06-4c0323e3.jpg	The known right upper lobe nodule with surrounding postprocedural changes is re demonstrated. A new opacity that projects over the right heart border on the frontal radiograph, and spine on the lateral radiograph is likely due to right lower lobe subsegmental atelectasis. New minimal left basilar subsegmental atelectasis is present. The moderate right pneumothorax is slightly decreased. The heart and mediastinum are within normal limits.	<unk> year old woman with ptx // ?enlarging
MIMIC-CXR-JPG/2.0.0/files/p16052230/s50032681/2c0fded7-b765607d-e7016f45-a4fc044f-21de19d6.jpg	null	In comparison to the chest radiograph obtained <num> days prior, there has been interval advancement of the dobhoff tube into the small bowel and outside the field of view. A moderate, right pleural effusion has increased with substantial, adjacent, right middle and lower lobe compressive atelectasis. Previously noted right upper lobe consolidation has completely resolved. Left pleural effusion small, if any. Lungs otherwise well expanded and clear without focal consolidation.	<unk> year old man with new encephalopathy and leukocytosis. // evaluate for consolidation concerning for aspiration or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16254450/s52500806/d35cf2b0-cccc8cac-6a6f5c65-4eeb6628-c2900054.jpg	null	There is moderate cardiomegaly. Widened right sided mediastinum, prominence of the aortic arch and irregularity along the wall of the descending aorta is secondary to known aortic dissection. Lungs are essentially clear. There is mild atelectasis at the lung bases bilaterally. There is no focal consolidation, large pleural effusion or pneumothorax.	type a and b aortic dissection.
MIMIC-CXR-JPG/2.0.0/files/p15782217/s54170665/2a9e5048-2c0819f5-e2d8c925-5fe778ce-0690db52.jpg	MIMIC-CXR-JPG/2.0.0/files/p15782217/s54170665/c3552c14-610f9d03-12fd19c1-d9309782-af870f1f.jpg	In comparison with the study of <unk>, the patchy opacification at the right base has effectively cleared. Continued enlargement of the cardiac silhouette with tortuosity of the aorta. No pleural effusion or vascular congestion.	prior pneumonia, to assess for resolution.
MIMIC-CXR-JPG/2.0.0/files/p18252484/s57408287/60db506f-ccd042f2-64197b93-fca6ef16-d95107f5.jpg	null	Mild enlargement of cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Apart from minimal retrocardiac atelectasis, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected.	history: <unk>f with history of dm type <num>, presents with hyperglycemia, two days of being bed bound
MIMIC-CXR-JPG/2.0.0/files/p15301388/s52003146/5300ff73-3f31ad72-379e2325-ffe8ebb9-7c7f1460.jpg	MIMIC-CXR-JPG/2.0.0/files/p15301388/s52003146/cac36c9a-47127e60-f00a7d7c-bff64111-69f71044.jpg	In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. Continued opacification at the left base is consistent with volume loss in the lower lobe and pleural effusion. Minimal thickening of the minor fissure suggests some pleural fluid on the right as well. No evidence of vascular congestion.	ascending aorta repair, to assess for pulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p19475604/s51710653/3a243b3b-7e77cddb-57915b1d-d8c5f0e3-b49870d7.jpg	MIMIC-CXR-JPG/2.0.0/files/p19475604/s51710653/a0a2150d-bf7764ef-b8b699c7-c11d15a9-ec00d29c.jpg	There are mildly improved interstitial markings in the right lower lung. Diffuse interstitial changes corresponding to prior ct, are unchanged. Pulmonary vascular prominence and top normal heart size are unchanged from <unk>. The aicd is in stable position.	history of presumed amiodarone pneumonitis, improved after discontinuation of the drug. recent history of weight gain with productive cough and rhonchi as well as rales. concern for chf.
MIMIC-CXR-JPG/2.0.0/files/p17943089/s58591349/c8a793ca-e58ccd81-8158226e-f5b94d95-2fce514c.jpg	MIMIC-CXR-JPG/2.0.0/files/p17943089/s58591349/4d977ae5-70f16c43-aead9b19-6da9b324-f14ae08e.jpg	Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear with complete resolution of previously identified left lower lobe consolidation. There is no pleural effusion or pneumothorax.	left lower lobe pneumonia in <unk>. followup imaging to ensure resolution.
MIMIC-CXR-JPG/2.0.0/files/p12675886/s52882381/16828a2d-e08f546c-9d75fdf1-8516ee81-67805b39.jpg	null	Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Lung volumes are slightly low. Crowding of the bronchovascular structures is present without overt pulmonary edema. Patchy ill-defined opacities are noted within both lung bases and upper lobes, more pronounced within the right upper lobe and left lung base, concerning for diffuse infection or aspiration. No pleural effusion or pneumothorax is visualized.	history: <unk>m with altered mental status, question of opiate use
MIMIC-CXR-JPG/2.0.0/files/p17100368/s57592120/800f9f4e-478d77a1-87f0cee6-cdb8a3f4-14e8c33b.jpg	MIMIC-CXR-JPG/2.0.0/files/p17100368/s57592120/c2b04cab-65429999-a94e334b-86abf2dc-ef5596ff.jpg	Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Bilateral nipple rings are noted.	history: <unk>f with sob, cp. // pneumothorax?

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As compared to <unk>, mild pulmonary edema has developed. Moderate cardiomegaly. Small bilateral pleural effusions. Cardiomediastinal contours are enlarged and unchanged given for differences in technique. No acute focal consolidation. Widespread pulmonary nodules are not evident on chest radiograph.

<unk> year old woman with hypotension, dyspnea worsening // ? pneumonia

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Ap upright and lateral views of the chest provided. Retrocardiac opacity with an air-fluid level is compatible with known hiatal hernia. There is a small right pleural effusion. The lungs appear clear without convincing sign of pneumonia or overt edema. Cardiomediastinal silhouette appears within normal limits. No acute osseous abnormality.

<unk>f with afib s/p fall on <unk> on warfarin, son concern for decrease mental status and decrease po intkae // ct head rule out intracranial hemorrhage c-spine rule out fraturecxr eval for worsening pna

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There is no significant interval change in the chest since prior radiograph from <unk>. Minimal right apical pneumothorax is persisting. Both lungs are well expanded. A single right-sided chest tube is present with its tip terminating near the right lung apex. Left lung is clear. Cardiomediastinal silhouette is normal. Lungs are well expanded.

evaluate for lung expansion.

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Frontal and lateral radiographs of the chest were acquired. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. Eventration of the right hemidiaphragm. There is minimal bilateral lower lobe atelectasis. No focal consolidation is seen. The heart size is normal. Tortuosity of the ascending thoracic aorta is redemonstrated, not significantly changed. Aortic calcifications are also noted. There is biapical pleural thickening, without evidence of a pleural effusion. No pneumothorax is seen. Degenerative changes of both humeral heads are noted.

lethargy, headache. assess for acute cardiac or pulmonary process.

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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained three hours earlier during the same day. The position of the ett has been adjusted and is seen to terminate now <num> cm above the level of the carina. Previously described right internal jugular sheath remains in unchanged position. No pneumothorax or any other new pulmonary abnormalities are seen. The plate-shaped moderately sized atelectasis in the right lower lung field remains unchanged.

<unk>-year-old male patient status post aaa repair, evaluate for collapse status post bronchoscopy.

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A portable frontal chest radiograph again demonstrates severe cardiomegaly and increased vascular congestion. Asymmetrically increased opacity of the left mid lung is again noted, and may represent asymmetric pulmonary edema versus a consolidation concerning for pneumonia.

chf exacerbation, previously seen pneumonia. evaluate for pneumonia or chf.

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The lungs are clear. Cardiomediastinal and hilar contours are unremarkable with unfolding of the thoracic aorta again seen. There is no pleural effusion or pneumothorax.

patient with cough. evaluate for pneumonia.

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Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. The known small pulmonary nodules are not well evaluated on this study. Clips are seen within the upper abdomen.

hepatocellular carcinoma and altered mental status. evaluate for pneumonia.

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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There is minimal atelectasis in the lung bases. No acute osseous abnormalities detected. Cholecystectomy clips are seen in the right upper quadrant of the abdomen.

history: <unk>f with weakness

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Port-a-cath terminates in lower svc unchanged. Cardiomediastinal silhouette is stable. Mild interstitial pulmonary edema has improved. Moderate partially loculated right pleural effusion persist. Heterogeneous right hilar and upper lung opacification consistent with known cancer, slightly increased, likely from increased atelectasis. There is no pneumothorax.

<unk> year old woman with stage iv lung cancer, persistent hypoxia and dyspnea, s/p diuresis. // evaluate for interval change, particularly in degree of pulmonary edema.

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Single portable view of the chest. There is moderate pulmonary vascular congestion. Blunting of the right costophrenic angle may be due to superimposed soft tissues with component of effusion is also possible. More dense left basilar no prior study is seen which silhouettes the hemidiaphragm, similar to prior compatible with effusion with possible superimposed atelectasis or consolidation.

<unk>-year-old female with altered mental status.

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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.

history: <unk>f with ms, here with whole body pain

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A lingular opacity in left mid lung zone consistent with pneumonia. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.

<unk>-year-old with fever.

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In comparison with the earlier study of this date, right chest tube is in place and the ipsilateral lung has substantially re-expanded with a small residual pneumothorax. Mediastinal contents are now in normal position though there is some continued increased opacification in the left lung. Tip of the endotracheal tube is now properly positioned about <num> cm above the carina.

chest tube placement.

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Heart is upper limits of normal in size but difficult to assess due to low lung volumes. There is no pleural effusion or pneumothorax. The lung volumes are low, but without focal consolidation concerning for pneumonia. A monitor hiatal hernia is noted. The upper abdomen is unremarkable.

<unk>f with syncope, head fracture // evaluate for acute process

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The heart is normal in size. A mildly convex contour to the left mid mediastinum may be perhaps suggest a promient atrial appendage,. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the lower thoracic spine.

epigastric pain.

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Pa and lateral views of the chest. The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is normal. There is no effusion. No displaced fractures seen on this non-dedicated examination.

<unk>-year-old male hit by car with right thoracic pain.

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There is diffusely increased interstitial markings bilaterally with peripheral and lower lung predominance, overall slightly improved compared to <num> day prior. Pattern of involvement is similar to prior chest ct, which showed nsip. Cardiac silhouette is mildly enlarged, similar to prior.

<unk> year old man with probable cmml with hypoxia and ct concnerning for acute inflammatory process vs. infection. now on steroids. // eval for interval change.

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Frontal lateral chest radiographs demonstrate intact sternal wires and a right internal jugular catheter which terminates at the cavoatrial junction, unchanged. The cardiac silhouette remains enlarged, unchanged. Bilateral small to moderate pleural effusions and retrocardiac opacity are unchanged. No new focal consolidation or pneumothorax is identified. The visualized upper abdomen is unremarkable.

evaluate for postoperative changes after mitral valve, tricuspid valve, and left ventricular repair.

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The heart is probably at the upper limits of normal size. The aortic arch is calcified. There are heterogeneous but confluent bilateral hazy opacities, somewhat more extensive on the right than left. Blunting of the right costophrenic sulcus suggests there may be a small effusion. There is no pneumothorax.

shortness of breath.

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Enteric tube is seen with tip projecting over the region of the stomach. Lower lung volumes seen on the current exam however the lungs are clear. The cardiomediastinal silhouette is stable. Gas-filled distended of loops of bowel seen in the right upper quadrant.

<unk>f with sbo and new ngt // eval ngt placement

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Low lung volumes are present. Mild enlargement of the cardiac silhouette is present. The mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present with mild pulmonary vascular congestion. Patchy opacities are noted in the lung bases, which may reflect atelectasis, but infection or aspiration is not excluded. There is likely a small left pleural effusion. No pneumothorax is detected. Marked degenerative changes of the left glenohumeral joint are present. There are moderate multilevel degenerative changes seen in the thoracic spine.

history: <unk>f with onset of shortness of breath this morning. // pneumonia?

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

<num> weeks and dry hacking cough. history of testicular cancer.

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Single ap upright portable view of the chest was obtained. There are relatively low lung volumes, which accentuate the bronchovascular markings, particularly at the lung bases. Given this, no focal consolidation is seen. There is no large pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.

shortness of breath.

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Ap portable semi upright view of the chest. The endotracheal tube is unchanged in position with its tip approximately <num> cm above the carinal. The orogastric tube tip remains in place in the left upper quadrant. Mild bibasilar opacities likely reflect atelectasis though difficult to exclude a component of aspiration. Otherwise unremarkable.

<unk>m suspected overdose, intubated/sedated with dropping sats, + bilateral bs

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As compared to the previous radiograph, the known right pneumothorax after biopsy has minimally progressed. The pleural gap at the lung apex is now approximately <num> mm, as compared to <num> mm on the previous image. There is currently no radiographic evidence of tension. No pleural fluid. Normal size of the cardiac silhouette. Normal appearance of the left lung.

pneumothorax after right lung biopsy. evaluation.

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There is no pleural effusion, pneumothorax or focal airspace consolidation. Linear scarring/atelectasis is again seen at the left lower lung. There is mild prominence of the central vasculature without overt signs of pulmonary edema. The cardiac silhouette is moderately to severely enlarged and unchanged. The mediastinal contours are normal. A calcified hepatic cyst is seen in the right upper quadrant.

immunocompromised with unexplained hypotension. evaluate for an acute cardiopulmonary process.

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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.

<unk>-year-old male with chest pain.

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A portable frontal chest radiograph demonstrates a nasogastric tube with the tip in the stomach, but with the sideport still above the gastroesophageal junction. The remainder of the exam is unchanged.

recent nasogastric tube placement for ileus.

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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.

<unk>f with r lower rib pain // pneumothorax?

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A single portable semi-erect chest radiograph was obtained. Small left and moderate layering right pleural effusions have increased in size since the preceding day's exam. The right middle lobe pnemonia seen on recent ct is not clearly differentiated, but the right heart border is obscured. Left basilar atelectasis is stable. No new focal consolidation or pneumothorax is present. Hila remain indistinct. A left-sided picc line tip remains in the upper svc.

<unk>-year-old woman with c. difficile colitis and increasing oxygen requirement.

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The lungs are clear without consolidation, or edema. Blunting of the posterior costophrenic angles may represent trace effusions or atelectasis. The cardiac silhouette is top-normal in size. No acute osseous abnormalities. Surgical clips project over the upper abdomen in the midline.

<unk>f with weakness, cough // please evaluate for acute abnormality

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A picc line terminates in the mid and superior vena cava. The heart is mild to moderately enlarged with a left ventricular configuration. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.

picc line placement.

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As compared to the previous radiograph, the patient has received a dobbhoff catheter. The tip of the catheter projects over the distal parts of the stomach and is likely in prepyloric position. The course of the line is unremarkable. The other monitoring and support devices, including the ventriculoperitoneal shunt, are in unchanged position. No evidence of complications, notably no pneumothorax.

seizure disorder, dobbhoff placement.

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Portable ap chest radiograph. Right-sided picc tip is in the lower svc. Blunting of the costophrenic sulci represents a combination of scarring and pleural thickening. The lungs are mildly hyperinflated and focality of interstitial edema in the left lower lung probably reflects severe emphysema elsewhere in the lungs. The cardiomediastinal silhouette is stable. Tracheostomy cuff appears hyperinflated and distends the tracheal wall.

sepsis with hypotension. evaluation for pneumothorax.

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Right basilar atelectasis is minimal. There is no consolidation, edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Mild hyperinflation and flattening of the hemidiaphragms suggest underlying copd.

recurrent esophageal cancer. new confusion and altered mental status.

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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.

history: <unk>m with recurrent pleuritic chest pain and sob. // any evidence of consolidation or cardiac process?

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Ap portable view of the chest demonstrates low lung volumes. No large pleural effusion, pneumothorax or focal consolidation. The aorta is markedly tortuous without focal aneurysmal changes. Heart is mildly enlarged. Mild perihilar vascular congestion is noted.

respiratory distress.

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Enteric tube ends in the stomach. Left picc ends at the origin of the svc. There is stable elevation of the right hemidiaphragm with adjacent atelectasis. Left lower lobe atelectasis is unchanged. There is possibly a small left pleural effusion. No pneumothorax. No focal consolidation.

altered mental status and cough.

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In comparison with the study of <unk>, the degree of pleural effusion appears somewhat less, though much of this could relate to change in patient position. Pleural drain remains unchanged at the right base laterally. An area of lucency around it could reflect loculated pneumothorax. The left lung is essentially clear. Continued substantial enlargement of the cardiac silhouette.

nsclc with effusion and edema.

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A <num> mm new round well-circumscribed density in the right suprahilar region may represent a pulmonary nodule. It also may be an enlarged vessel or superimposed normal structures. Would recommend further evaluation with contrast-enhanced ct of the chest. There is no consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

asthma and mitral regurgitation.

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There is a large hiatal hernia containing a major portion of the stomach. In comparison to the prior study, there is increased distension of the stomach, raising concern for gastric outlet obstruction. The lungs are clear. Bilateral small pleural effusions with bibasal atelectasis is noted. No pneumothorax or pulmonary edema is detected.

<unk>-year-old woman with chest pain, to rule out pulmonary edema.

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In comparison with the study of earlier in this date, there is little change in the diffuse opacification on the right consistent with large pleural effusion and consolidation. Left lung remains clear.

pleural effusion and hypotension.

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Right internal jugular line tip is at the level of lower svc. Ng tube passes below the diaphragm . Interval increase in the interstitial moderate pulmonary edema. Moderate left-sided pleural effusion has not significantly changed. Moderate cardiomegaly. No pneumothorax.

<unk> year old woman with o<num> requirement // assess pulm status

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There is again seen a left-sided device with associated dual leads in unchanged position overlying right atrium and right ventricle. Et tube is again seen terminating <num> cm above the carina. An ng tube is again seen which courses inferiorly, with distal tip not visualized below lower limit of film. The cardiomediastinal silhouette is unchanged in appearance. There has been significant interval improvement in pulmonary edema, with minimal residual central pulmonary vascular congestion. There is mild bibasilar atelectasis. There is no pneumothorax or effusion.

<unk> year old man with vt and acute pulmonary edema. // pulmonary edema

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Again, the lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal. Some degenerative changes are seen along the spine.

cough for <num> days and hypotension.

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In comparison with the study of earlier in this date, the tip of the endotracheal tube lies approximately <num> cm above the carina. Nasogastric tube extends well into the stomach. No evidence of acute focal pneumonia or vascular congestion. Dense calcification in the upper abdomen on the right is again consistent with known renal mass.

intubation.

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Single view chest radiograph shows interval increase of right lung opacification, for increased consolidation and pleural effusion, consistent with pneumonia. An et tube has been placed with tip ending at <num> cm from carina, it can be withdrawn <num>-<num> cm. Ng tube ends in distal gastric cavity. Left lung is still clear. Unchanged mild cardiomegaly. There is a small right pleural effusion. There is no pneumothorax. Right lower rib fracture is chronic.

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Compared with the prior chest radiograph, lung volumes are slightly lower, with unchanged positioning of the right ij central line. Bibasilar atelectasis has progressed, with new small bilateral effusions. Cardiomediastinal silhouette is unchanged. No evidence of pneumothorax. Median sternotomy wires are intact.

<unk> year old woman s/p cabg. eval for pleural effusions.

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Cardiac silhouette remains mildly enlarged. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion has improved. There is continued improvement of previously noted patchy ill-defined opacities in both lungs compatible with resolving infection. No new focal consolidation, pleural effusion, or pneumothorax. The right picc tip projects in the mid svc.

<unk>m with odynophagia and dysphagia, please eval for obstructing mass or foreign body.

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Moderate enlargement of the cardiac silhouette is not substantially changed from the previous exam. The mediastinal and hilar contours are similar. No pulmonary edema is identified. Ill-defined opacification within the left lung base remains similar to the previous study likely reflecting a combination of small pleural effusion and atelectasis though infection is not excluded. Trace right pleural effusion is also likely present along with probable mild right basilar atelectasis. No pneumothorax is identified. No acute osseous abnormalities seen.

history: <unk>f with nausea, malaise, postop day <num> caesarean section, +rhonchi throughout

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Bilateral dependent pleural effusions as well as fluid in the major and minor fissures on the right are likely unchanged with minimal accompanying atelectasis. Post-surgical changes from prior cabg, avr and mvr with intact sternotomy wires are seen. Left picc in appropriate position with tip near the superior cavoatrial junction. Upper quadrant clips are seen. No pneumothorax identified. Heart remains mildly enlarged.

<unk>-year-old woman status post avr and mvr. assess for pleural effusions.

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Portable upright ap and lateral images are provided. The lung volumes are low with incomplete evaluation of the caridac silhouette. Bibasial atelectasis is seen. A hiatal hernia is noted. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.

worsening chest pain and shortness of breath.

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Dobbhoff tube ends in distal gastric cavity, correctly positioned. Right picc is unchanged, ending in lower svc. Lung volumes are still low with persistent bibasilar atelectasis. Minimal vascular congestion is also unchanged. There is no pneumothorax. Heart size is stable and mildly enlarged.

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The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. Slightly more apparent than on prior are nodular opacities at the right lateral lung apex, seen on prior chest ct from <unk>; this is likely projectional nature. Otherwise, the lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.

<unk>f with f/c/s, pleuritic cp/cough, rule out infiltrate.

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Mildly enlarged cardiac silhouette. There is rounded soft tissue density in the aorta pulmonary window and widening of the mediastinum concerning for lymphadenopathy. No focal consolidation, pleural effusion, pulmonary vascular congestion or pneumothorax. Compression deformity of the mid thoracic spine is noted of uncertain chronicity.

history: <unk>f with abnormal ekg, presyncope // r/o pneumonia/chf

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A right-sided catheter is present. It probably overlies the mid/ distal svc. No pneumothorax is detected. There is probable background hyperinflation/copd. There is probable mild cardiomegaly. The mediastinum is slightly prominent, with convexity in the ap window, consistent with known mediastinal lymphadenopathy. The hila are not obviously enlarged. There are increased interstitial markings diffusely, with peribronchial cuffing and thickening of the minor fissure. There is only slight upper zone redistribution. A lateral view shows very small posterior pleural effusions. There are patchy bibasilar opacities more pronounced on the left.

<unk> year old man with hyperviscosity syndrome who has increased sob // <unk> year old man with hyperviscosity syndrome who has increased sob

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Ap and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Mild prominence of the pulmonary interstitium is present. The cardiomediastinal silhouette is notable for a tortuous aorta. There is a midthoracic compression fracture with nearly complete loss of height, which is age indeterminate. Patient has had a lower thoracic vertebroplasty. There are no displaced rib fractures.

<unk>-year-old female with mechanical fall, right knee pain, rule out rib fracture.

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In comparison with study of <unk>, nasogastric tube extends to the distal stomach. Little change in the appearance of the heart and lungs.

ng tube placement.

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In comparison with chest radiograph from <unk>, there is little overall change. There is no focal consolidation or pneumothorax. Mild to moderate asymmetric pulmonary edema, left greater than right, has continued to improve since <unk>. Minimal pleural effusions, if any, are probably unchanged. Moderate cardiomegaly is stable. Cardiopulmonary support devices are unchanged in standard placements.

<unk> year old man s/p heartware // eval for infiltrate

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Redemonstrated is an unchanged <num> cm left apical pneumothorax. There is no evidence of tension physiology. No focal consolidation, pleural effusion or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.

left pneumothorax, evaluate for interval change.

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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

syncope.

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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.

<unk>m with fall, injury to chest wall // eval for fx

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with sob // eval pneumonia

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In comparison to the previous examination there has been interval placement of an endotracheal tube which ends in the lower thoracic trachea. An enteric tube courses below the level of the diaphragm and off the inferior aspect of the film. Stable appearance of the cardiomediastinal silhouette and lung fields.

history: <unk>m with s/p intubation, resp distress // ett and ngt location

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Pa and lateral views of the chest are provided. Suture line in the right upper lung is again noted, compatible with prior lung resection. No focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears within normal limits. Bony structures are intact. No free air below the right hemidiaphragm.

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Pa and lateral views of the chest provided. Left pleural catheter has been removed. There is persistently increased opacity in the left mid to low lung, with obscuration of the left hemidiaphragm and left heart border, likely reflecting a combination of pleural effusion and atelectasis related to the known spiculated mass in this region. The spiculated mass that was previously characterized on ct is not well seen in this radiograph study. In the appropriate clinical setting, superimposed pneumonia cannot be excluded. The right lung is clear.

<unk> year old man with lung cancer, worsening cough and pleural effusion

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As compared to the previous radiograph, there is unchanged evidence of a left-sided picc line. The lung volumes are normal. There is no evidence of pneumonia or other pathological changes in the lung parenchyma. Unchanged size of the cardiac silhouette. No evidence of pleural effusions. Normal aspect of the hilar and mediastinal structures.

evaluation for pneumonia.

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Ap upright and lateral views of the chest provided. Allowing for under penetrated technique, the lungs appear clear. Multiple there is a convex density projecting over the left upper lung, not clearly seen on prior exam which appears to reside anteriorly on the lateral projection for which ct is recommended to further assess. Aside from this, no abnormalities within the lungs. Cardiomediastinal silhouette stable. Left humeral head replacement noted. Chronic appearing left rib deformities are seen. No acute bony abnormalities.

<unk>f with diarrhea // pna?

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A frontal semi-upright view of the chest was obtained portably. Low lung volumes result in bronchovascular crowding. Slightly increased bibasilar opacities likely represent atelectasis. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified. There is no free air under the diaphragm.

<unk>-year-old male with chest pain, cough and known pulmonary embolism. evaluate for pneumonia.

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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The cardiomediastinal silhouette is unremarkable.

bradycardia

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Since the prior radiograph, there has been improvement in bilateral pulmonary opacities, likely improvement in pulmonary edema. There is no definite focal consolidation. There is mild blunting of the left costophrenic angle, likely a small pleural effusion. Cardiac silhouette is enlarged, but stable. There is no pneumothorax. Tracheostomy tube is in place. Right picc line catheter is unchanged in position.

<unk>-year-old man with fever, assess for pneumonia.

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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal contour is similar. Calcified left hilar nodes suggest prior granulomatous disease. Prominence of the left hilum is similar compared to the previous study there is adjacent left perihilar linear atelectasis. Ill-defined streaky opacities in the left perihilar region and right lung base may reflect areas of infection or atelectasis. Small right pleural effusion is demonstrated. There is no pneumothorax. Moderate multilevel degenerative changes are seen in the thoracic spine.

history: <unk>m with fall out of bed, on blood thinners, with head strike, left shoulder pain

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are well inflated and clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>f with leukocytosis

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A single portable chest radiograph was obtained. A right-sided pneumothorax remains tiny. A right-sided chest tube remains in medial apical position. The lungs are well expanded and clear. There is no focal consolidation, effusion. The cardiac and mediastinal contours are normal.

<unk>-year-old man with right-sided pneumothorax.

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The hemodialysis line is in similar position compared to prior with tip in the right atrium. The left paramedian pericardiocentesis catheter is in similar location compared to prior. There is a large right effusion layering posteriorly. There has been some interval partial expansion of the right lower lobe, but there continues to be a volume loss and infiltrate in the right lower lobe. There is alveolar hazy opacity in the left lung, pulmonary vascular re-distribution and dense retrocardiac opacity. Compared to the prior exam, the right lung is slightly better and appearance in the left lung is slightly worse.

non-functional hemodialysis line.

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Pa and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal.

<unk>-year-old female with shortness of breath and cough. question acute cardiopulmonary 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. There are no acute osseous abnormalities.

<unk> year old woman with cough, fever, egd on <unk>. // eval for pneumonia

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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained five hours earlier during the same day. Evidence of left-sided pleural effusion obliterating the entire left-sided diaphragm as before. Aeration of left upper lobe area has slightly improved. Right hemithorax unremarkable as before. A dobbhoff line is identified,reaching well below the diaphragm and the tip of the line having a caudal direction before it escapes the lower image border. In comparison with the next preceding study, the position of the dobbhoff line is completely unchanged. Previously described right internal jugular approach central venous line terminates in unchanged position in the lower svc.

<unk>-year-old female patient with right middle cerebral artery stroke, course complicated by cerebral edema. vap, dysphagia, now status post dobbhoff placement. patient with vigorous coughing that caused dobbhoff to change position, evaluate placement.

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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. The hilar contours are within normal limits. No displaced fracture is seen.

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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Opacity in the lingula suggests pneumonia. Elsewhere the lungs appear clear.

fever and malaise.

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The lung volumes are low. There are multifocal opacities in the perihilar as well as bilateral lower lobes compatible with multifocal pneumonia versus atelectasis. Aspiration pneumonitis is also a consideration. Small left pleural effusion. Right-sided central venous catheter terminates at the cavoatrial junction with ekg leads overlying the upper abdomen. Diffuse demineralization is present.

<unk> year old man with sbp and alcoholic cirrhosis now with worsening sob. // please assess for pulmonary edema

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

<unk>f with sob and ili symptoms, // r/o acute process

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As compared to <unk>, moderate left-sided effusion has not substantially changed. Small right-sided effusion slight increase and adjacent opacification. Pulmonary vascular congestion has also slightly increased. Moderate cardiomegaly. No pneumothorax.

<unk> year old man perisistent cough and rising wbc count, poss pna on prior cxr // eval for pna

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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The lateral aspect of the right lower lung is partially excluded from view on the pa view. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.

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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.

<unk>m with trauma to r chest from cart // please assess for pneumothorax, as well as displaced rib fractures if possible

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The lungs are clear without consolidation or edema. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. The lung volumes are somewhat low. The osseous structures are unremarkable.

chest pain.

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Single portable view of the chest. The patient is rotated to the left. The lungs remain clear. Et tube, enteric tube and right picc are no longer visualized. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities detected.

<unk>-year-old female with recent basal ganglia hemorrhage with increasing left-sided weakness for <num> day.

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There has been interval placement of a nasogastric tube, which enters the duodenum, distal tip not visualized. The right-sided picc line is unchanged in position. Moderate layering bilateral pleural effusions have increased. The presence of pleural effusions makes it difficult to assess for underlying pneumonia or pulmonary edema. Retrocardiac opacification, possibly due to atelectasis, is unchanged. The cardiomediastinal silhouette is stable.

<unk> year old man with diffuse large b cell lymphoma now with rigors and tachycardia // please eval for pneumonia.

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Pa and lateral views of the chest were provided. There are multiple mildly displaced right-sided rib fractures appearing acute. These appear to involve the right fourth, fifth, sixth and eighth posterior rib arches. Additionally, old left rib deformities are again noted. The lungs are clear without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears stable with a dual-lead pacer again noted, appearing in stable position.

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The known right upper lobe nodule with surrounding postprocedural changes is re demonstrated. A new opacity that projects over the right heart border on the frontal radiograph, and spine on the lateral radiograph is likely due to right lower lobe subsegmental atelectasis. New minimal left basilar subsegmental atelectasis is present. The moderate right pneumothorax is slightly decreased. The heart and mediastinum are within normal limits.

<unk> year old woman with ptx // ?enlarging

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In comparison to the chest radiograph obtained <num> days prior, there has been interval advancement of the dobhoff tube into the small bowel and outside the field of view. A moderate, right pleural effusion has increased with substantial, adjacent, right middle and lower lobe compressive atelectasis. Previously noted right upper lobe consolidation has completely resolved. Left pleural effusion small, if any. Lungs otherwise well expanded and clear without focal consolidation.

<unk> year old man with new encephalopathy and leukocytosis. // evaluate for consolidation concerning for aspiration or pneumonia.

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There is moderate cardiomegaly. Widened right sided mediastinum, prominence of the aortic arch and irregularity along the wall of the descending aorta is secondary to known aortic dissection. Lungs are essentially clear. There is mild atelectasis at the lung bases bilaterally. There is no focal consolidation, large pleural effusion or pneumothorax.

type a and b aortic dissection.

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In comparison with the study of <unk>, the patchy opacification at the right base has effectively cleared. Continued enlargement of the cardiac silhouette with tortuosity of the aorta. No pleural effusion or vascular congestion.

prior pneumonia, to assess for resolution.

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Mild enlargement of cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Apart from minimal retrocardiac atelectasis, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected.

history: <unk>f with history of dm type <num>, presents with hyperglycemia, two days of being bed bound

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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. Continued opacification at the left base is consistent with volume loss in the lower lobe and pleural effusion. Minimal thickening of the minor fissure suggests some pleural fluid on the right as well. No evidence of vascular congestion.

ascending aorta repair, to assess for pulmonary disease.

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There are mildly improved interstitial markings in the right lower lung. Diffuse interstitial changes corresponding to prior ct, are unchanged. Pulmonary vascular prominence and top normal heart size are unchanged from <unk>. The aicd is in stable position.

history of presumed amiodarone pneumonitis, improved after discontinuation of the drug. recent history of weight gain with productive cough and rhonchi as well as rales. concern for chf.

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Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear with complete resolution of previously identified left lower lobe consolidation. There is no pleural effusion or pneumothorax.

left lower lobe pneumonia in <unk>. followup imaging to ensure resolution.

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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Lung volumes are slightly low. Crowding of the bronchovascular structures is present without overt pulmonary edema. Patchy ill-defined opacities are noted within both lung bases and upper lobes, more pronounced within the right upper lobe and left lung base, concerning for diffuse infection or aspiration. No pleural effusion or pneumothorax is visualized.

history: <unk>m with altered mental status, question of opiate use

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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. Bilateral nipple rings are noted.

history: <unk>f with sob, cp. // pneumothorax?