ChayanM/MIMIC-MultiView-Findings-Query_Optional

MIMIC-CXR-JPG/2.0.0/files/p14658826/s56313246/30dc2d20-19390161-61ae7065-856ec4aa-ab3b623e.jpg

MIMIC-CXR-JPG/2.0.0/files/p14658826/s56313246/ff77e425-1fb992b7-b5cba79a-c629bfd7-22ecb39b.jpg

The right chest wall port catheter is unchanged. Bilateral pleural effusions are essentially unchanged in size. No evidence of pneumothorax. Bilateral micronodular appearance of the lung parenchyma is unchanged.

<unk> year old woman s/p thoracentesis. evaluate for pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p14854659/s50072633/7c38ce6a-f47f52f9-2eacac13-bb7ea930-6589be4f.jpg

MIMIC-CXR-JPG/2.0.0/files/p14854659/s50072633/03e11def-ed359700-d85cfe32-ee3a3d7b-bf7accde.jpg

The lungs are well expanded and clear. Pleural surfaces are normal without pleural effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal contour and hila are normal.

dyspnea. assess for pneumonia or pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p13951382/s53639154/dbcaa844-c9dc355a-50dd2c3e-6b272c32-2957524c.jpg

MIMIC-CXR-JPG/2.0.0/files/p13951382/s53639154/08b0c286-f4ba60d5-d935ec9c-6ccb042a-62354f5b.jpg

Frontal and lateral radiographs of the chest demonstrate normal heart size and mediastinal contours. The patient is status post cabg with intact sternal wires. A dual lead pacemaker has leads in the expected location the right atrium and right ventricle. No focal, consolidation, pleural effusion or pneumothorax.

chest pain, evaluate pneumothorax, mediastinum.

MIMIC-CXR-JPG/2.0.0/files/p10146782/s57345772/3f7ff146-b31491c0-fd66fccd-dd6dab33-2ca515ef.jpg

MIMIC-CXR-JPG/2.0.0/files/p10146782/s57345772/d470bed1-423aea75-109ad4ac-daa2152d-acb173f3.jpg

Pa and lateral views of the chest are compared to previous exam from <unk>. On the frontal exam, there is increased patchy opacity at the right lung base obscuring the right heart border which is less conspicuous on the lateral view. Elsewhere, the lungs are clear, costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged. Changes at the right humeral head are less clearly seen on the current exam.

<unk>-year-old male with shortness of breath, multiple intubations related to asthma.

MIMIC-CXR-JPG/2.0.0/files/p14597978/s52635876/d994b6fb-3d0e485b-e86972c3-2cd98c95-659f8219.jpg

null

The picc line tip is at the cavoatrial junction, in improved location compared to the prior study. The appearance of the lungs are unchanged

<unk> year old man with picc // confirm picc

MIMIC-CXR-JPG/2.0.0/files/p19511048/s57749024/4bd51c83-b8de084a-6b96640e-d7f3ee69-973576b8.jpg

MIMIC-CXR-JPG/2.0.0/files/p19511048/s57749024/98c1e4b8-72d2472a-6430e3df-f3a0e30e-94d523c7.jpg

The lungs are clear. There is no focal consolidation or effusion. The cardiac silhouette is enlarged but stable in configuration. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.

<unk>m with afib with rvr // cardiomegaly? effusion?

MIMIC-CXR-JPG/2.0.0/files/p18285768/s55789034/a158a569-825d8c72-c518cc49-17e1e275-2e292350.jpg

null

In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette in a patient with intact midline sternal wires. No definite vascular congestion. There is increased opacification at the right base medially. This could represent merely crowding of vessels combined with atelectasis. However, in the appropriate clinical setting, supervening pneumonia would have to be considered. The left hemidiaphragm is relatively well seen, though there may well be some atelectatic change involving the left lower lobe.

fever and elevated white count, to assess for pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p17252421/s53135746/f39451ef-73e2c2d5-a7716ffb-f477e0b4-a8682d2f.jpg

MIMIC-CXR-JPG/2.0.0/files/p17252421/s53135746/44f5de31-9041731b-08a0efdc-fd51c470-eeeb7c71.jpg

There is right basilar atelectasis with no focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal. There are multilevel degenerative changes of the thoracolumbar spine as manifested by marginal osteophytic formation and loss of intervertebral disc height.

<unk>-year-old male with week of right mid back pain with worsening with deep inspiration. evaluate for lung disease.

MIMIC-CXR-JPG/2.0.0/files/p13746089/s59634236/4104af80-2703f929-5a52a5b3-4b6b5155-2b40f9c3.jpg

MIMIC-CXR-JPG/2.0.0/files/p13746089/s59634236/ca6d62b8-33b0421a-d70a1a1c-5c023ac1-ba50c6cc.jpg

Frontal and lateral views of the chest. Subtle opacity in the left lung base may represent atelectasis; however, a superimposed process such as pneumonia or apsiration is difficult to exclude. Minimal patchy opacity at the right base may represent atelectasis or changes related to early infiltrate or aspiration. No pleural effusion or pneumothorax is seen. There is calcification of the aortic knob. Although the mural calcification appears displaced inward, the appearance is unchanged compared with a chest cta from <unk> which showed adenopathy and meduastinal fat accounting for this appearance. The heart size is borderline. Incidental note made of orthopedic soft tissue anchor at coracoid process.

MIMIC-CXR-JPG/2.0.0/files/p13110574/s57440756/a235ce25-1ea3f40d-2de1294b-bdf062c2-b8a737e1.jpg

MIMIC-CXR-JPG/2.0.0/files/p13110574/s57440756/259c4a8b-5feafd6e-5717f6bd-4068af6f-baef7e0a.jpg

Lung volumes are low. A right pleural effusion is moderate in size, increased from the prior exam. A left pleural effusion is small. There is probably adjacent compressive atelectasis that is worse on the right. The degree of atelectasis at the right base has increased since the prior exam. Pulmonary vascular congestion is mild. No overt edema. Cardiomediastinal silhouette is unchanged. Thoracic aorta is tortuous and calcified throughout. No pneumothorax.

history: <unk>f with hypoxia*** warning *** multiple patients with same last name! // evaluate for pneumonia

MIMIC-CXR-JPG/2.0.0/files/p14334257/s50354473/80e69eff-9bd5ed16-6dc5c8ec-dbeb10d5-62004a9b.jpg

null

Re- demonstrated is a left mid lung zone mass. No pleural effusion or discrete pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.

<unk> year old woman s/p left lung biopsy // pneumothorax

MIMIC-CXR-JPG/2.0.0/files/p19903141/s52905817/4c8284d2-5c1c9cef-a93d328a-23a33a10-8a65ceeb.jpg

MIMIC-CXR-JPG/2.0.0/files/p19903141/s52905817/3ce310f0-2fd02cb0-04b9ff94-7ba3b72b-8a0bb466.jpg

There are low lung volumes, which accentuate the bronchovascular markings. There is mild bibasilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged hardware is seen the lower cervical spine. No displaced fracture is seen.

status post fall complaining of right-sided rib pain x.

MIMIC-CXR-JPG/2.0.0/files/p16131197/s50284900/bdcb8aba-46a90fa8-1c1f6393-e9a5e2e5-f13834d3.jpg

MIMIC-CXR-JPG/2.0.0/files/p16131197/s50284900/7a9da554-90b1add6-534d0869-a7720800-9eda5c48.jpg

Lung volumes are slightly lower. The lungs remain clear without consolidation, effusion, or edema. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Old healed left posterior rib fractures are noted.

<unk>f w/dyspnea, please eval for pna, ptx, other pathology

MIMIC-CXR-JPG/2.0.0/files/p14873669/s55171417/ffb6a88c-d89b5423-f4249693-bc9f1016-4cb3a3a0.jpg

null

In comparison with study of <unk>, the left ij catheter has been removed. The subclavian catheter tip is in the mid-to-lower portion of the svc. Continued low lung volumes with elevation of the right hemidiaphragmatic contour and minimal atelectatic changes above it. No evidence of acute focal pneumonia.

post-operative fever.

MIMIC-CXR-JPG/2.0.0/files/p19796013/s58009805/d60e8abf-96c8ee5b-3f632d8d-3272cafd-42352a69.jpg

null

Portable semi-upright radiograph of the chest demonstrates interval increase in bilateral parenchymal opacities, right greater than left, with persistent moderate-sized right pleural effusion. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax. The endotracheal tube ends <num> cm from the carina. Right-sided picc line ends at the upper svc. The nasogastric tube courses into the stomach and out of the field of view.

<unk>-year-old man with influenza and pneumonia. evaluate for interval change.

MIMIC-CXR-JPG/2.0.0/files/p16900059/s58755292/3b5ec83d-0d9b6bc2-2fc98eb2-5c26988b-7a963d85.jpg

null

There is a <num> cm subtle rounded opacity overlying the right sixth rib. Continued calcifications in the hila, right greater than left, are similar to <unk>. There is cephalization of the pulmonary vasculature, increased from <unk>, possibly indicating increased pulmonary vascular congestion. There is no focal consolidation, pleural effusion or pneumothorax appreciated. The heart and mediastinal contours are unchanged with continued calcification of the thoracic aorta.

patient with altered mental status, evaluate for pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p12142332/s50658659/d7bab6da-2e71bf84-49650b71-791e5b3e-3f55387c.jpg

null

Single portable ap upright chest radiograph demonstrates mild cardiomegaly. Opacity at the left lung base is present as is streaky opacity at the right lung base. While findings may reflect sequela of atelectasis, infectious process cannot be entirely excluded. There is mild central vascular engorgement without overt pulmonary edema. There is no pneumothorax. There is no large pleural effusion, of the left costophrenic angle partially imaged.

<unk>f with resp distress // please evaluate for acute abnormality

MIMIC-CXR-JPG/2.0.0/files/p10938464/s53620259/da9b5789-40704c0b-58590ebc-cc79a1c9-f79be0da.jpg

null

Patient is rotated significantly to the left. Persist enlargement of the cardiac silhouette is seen. There is increase in right mid to lower lung opacity which may be due to worsening aspiration or pneumonia. Trace right basilar pneumothorax is re- demonstrated, stable to slightly decreased, with chest tube in place. Patchy left base opacity may be due to atelectasis or aspiration.

<unk> year old man with chf and r pleural effusion s/p chest tube // assess for ptx

MIMIC-CXR-JPG/2.0.0/files/p14210798/s51427789/21f3399a-6b68b722-df9e9104-fda7161c-fecce44f.jpg

MIMIC-CXR-JPG/2.0.0/files/p14210798/s51427789/eb7a8799-682578fd-5a9b150a-67220e09-4b0518d8.jpg

The heart size is normal. The hilar and mediastinal contours are normal. There is a retrocardiac opacity, overall similar to the prior exam. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

<unk> year old woman with fever, immunocompromised // eval for pna

MIMIC-CXR-JPG/2.0.0/files/p14330526/s50340462/b28616b3-7b48d19f-e7a6653e-f03bf9aa-cfd3c6d2.jpg

MIMIC-CXR-JPG/2.0.0/files/p14330526/s50340462/5d85079d-3bed148a-dcff7e0b-8cda65ed-758c5075.jpg

The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Anterior cervical spine fusion plate is noted incidentally; bilateral nipple ornamentation is also present.

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

MIMIC-CXR-JPG/2.0.0/files/p19008873/s50068356/5d121264-f31121b6-374538d4-f8995c70-3841ab12.jpg

MIMIC-CXR-JPG/2.0.0/files/p19008873/s50068356/65789fac-8dbb7c66-899658bb-bc0f0aa5-3479a4b2.jpg

The lungs are mildly hyperinflated. There is a rounded opacity measuring <num> x <num> cm projecting over the descending aorta, best seen on the lateral view. There is no pleural abnormality. The heart size is normal. The mediastinal and hilar contours are normal.

<unk> year old man with resp congest, former smoker, rll crep // r/o rll pna

MIMIC-CXR-JPG/2.0.0/files/p19554899/s58222883/ff029b69-0222edd3-01df2aa1-116b1b6a-819c1bd7.jpg

MIMIC-CXR-JPG/2.0.0/files/p19554899/s58222883/7dd03890-64f0d059-9d838557-ed14fbb6-381df614.jpg

Ap upright and lateral chest radiographs were obtained. The lungs are hyperinflated and the diaphragms are flattened. A vague opacity in the mid left lung without definite correlate on the lateral projection and is likely due to soft tissue summation of shadows. There may be mild right basilar atelectasis. There is no effusion or pneumothorax. The top normal heart is unchanged. The central pulmonary vasculature is indistinct.

fever.

MIMIC-CXR-JPG/2.0.0/files/p11512173/s59960293/a27ff437-f03309bb-b57315da-6f3c2b98-295bdc23.jpg

null

No previous images. Low lung volumes, but no evidence of acute pneumonia, vascular congestion, pleural effusion, or pneumothorax. No definite fracture is appreciated on this single frontal view.

intoxication with assault.

MIMIC-CXR-JPG/2.0.0/files/p13441375/s56485111/b8ee8625-8b7641d2-e5dd2e01-1b7ae989-d330a00a.jpg

MIMIC-CXR-JPG/2.0.0/files/p13441375/s56485111/b1a4a1e5-48ab453c-68ee7370-204f7664-c4489f99.jpg

The heart is normal size and cardiomediastinal contours are unremarkable. Lungs are well expanded. Chrnoic right-sided elevation of the diaphragm is consistent with a history of right lower lobectomy. Small-moderate right pleural effusion withthe minor fissure has decreased compared to the prior study. No pneumothorax.

<unk>-year-old woman with metastatic non-small cell lung cancer, fever for three days, evaluate for infection.

MIMIC-CXR-JPG/2.0.0/files/p18265527/s52130592/a859bc36-d936cc08-4ace66b4-ab4d8254-bff9b55c.jpg

MIMIC-CXR-JPG/2.0.0/files/p18265527/s52130592/62996fa7-b5e7db8c-c1e2eed4-bcd1f9e4-37779f2b.jpg

Frontal and lateral views of the chest were obtained. Lungs are hyperinflated, with flattening of the diaphragm, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

MIMIC-CXR-JPG/2.0.0/files/p19536356/s59738115/21aae199-a30d7402-eb8f6b2d-8d697e6e-c18727c7.jpg

MIMIC-CXR-JPG/2.0.0/files/p19536356/s59738115/a5daa4ff-b33ab85b-4d039f48-b0630f9c-749b1e99.jpg

The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Hyperdensities seen below the left hemidiaphragm. Surgical clips are noted in the right axilla.

<unk>-year-old female with metastatic breast cancer, now with decreased breath sounds on the right side. evaluate for evidence of effusions.

MIMIC-CXR-JPG/2.0.0/files/p13716409/s56352599/a598fb19-4f60b6a2-73f3c9eb-6d4d6d2a-cfa2cf17.jpg

MIMIC-CXR-JPG/2.0.0/files/p13716409/s56352599/860871e9-e278959c-177c90a9-0bc4b425-14f74fc3.jpg

Lungs are hyperinflated with flattening of the diaphragms. The heart size is normal. Diffuse atherosclerotic calcifications of the thoracic aorta are present. The pulmonary vasculature is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear, without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.

atrial fibrillation.

MIMIC-CXR-JPG/2.0.0/files/p11893554/s57958033/4147b353-7774afaa-a4b21313-831cd94e-260961d4.jpg

MIMIC-CXR-JPG/2.0.0/files/p11893554/s57958033/2f711ba0-7b89c374-2a37f53d-447254c1-31b6c73d.jpg

Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

MIMIC-CXR-JPG/2.0.0/files/p10592426/s58663871/7f4cc680-5141d47a-745f78a6-3a7e1de8-1b69bdcd.jpg

MIMIC-CXR-JPG/2.0.0/files/p10592426/s58663871/ce2c8f6a-9858f502-06c9b0ce-15a1c960-6c364699.jpg

Sternotomy. Very shallow inspiration. Probable tiny left pleural effusion, similar. Bibasilar opacities have improved. Central line has been removed. No pneumothorax. Increased heart size. Normal pulmonary vascularity. New

<unk> year old man s/p cabg // interval chnage

MIMIC-CXR-JPG/2.0.0/files/p18341991/s59174708/9cf36825-71ebc1f2-ab87af02-8e84b47a-4bc8d5e2.jpg

null

The lung volumes are low. The heart is mild-to-moderately enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is mildly prominent, suggesting mild congestion. Patchy left basilar opacification suggests minor atelectasis. There is no definite pleural effusion or pneumothorax.

stroke. question aspiration.

MIMIC-CXR-JPG/2.0.0/files/p17797784/s57165065/46aa8ae8-906ef391-7a0e5fb3-5831109e-4029387e.jpg

MIMIC-CXR-JPG/2.0.0/files/p17797784/s57165065/858f196f-ad43ffd1-f50fa46f-6c86827b-17108228.jpg

Cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette remaining enlarged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The mediastinal contours are stable. Calcifications are seen the aortic knob. Surgical clips are noted overlying the left lower hemi thorax.

history: <unk>f with chest pain // ? acute cardiopulm process

MIMIC-CXR-JPG/2.0.0/files/p12286975/s51127040/a1c094b2-935feb72-42ccdc2d-36d14539-f97990f0.jpg

null

Ap portable image was obtained. The lungs are hyperinflated. Subtle right base opacity is likely atelectasis, but in the appropriate clinical setting, mild infection or aspiration is not excluded. Cardiac silhouette is top normal. Aorta is calcified and tortuous. There is no pneumothorax or pleural effusion.

history of diabetes, now with nausea and vomiting.

MIMIC-CXR-JPG/2.0.0/files/p10955958/s58667060/0dd2a706-01839a66-86a0dcd4-f0d50ff3-59d71375.jpg

MIMIC-CXR-JPG/2.0.0/files/p10955958/s58667060/c86606bf-27e751de-dfaa1712-5ab10787-864aaa94.jpg

The heart is moderately enlarged with biatrial enlargement, right more than left. The aorta is tortuous and demonstrates diffuse calcifications. Hilar contours are stable. Lungs are hyperinflated but no focal consolidation is present. There is no pulmonary vascular congestion. There is minimal blunting of the costophrenic angles posteriorly, which could suggest trace bilateral pleural effusions. No pneumothorax is present. There are mild multilevel degenerative changes in the thoracic spine as well as within the right acromioclavicular joint. No acute osseous abnormality is seen.

weakness and clamminess.

MIMIC-CXR-JPG/2.0.0/files/p13320677/s57892481/bb7c48f0-f18029ce-70410b2c-f3c82317-35a24bd3.jpg

MIMIC-CXR-JPG/2.0.0/files/p13320677/s57892481/a292eca7-427dd580-67bb7e9c-53aa0c76-7cad2eb8.jpg

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The mediastinum is not widened. There is no pulmonary edema.

history: <unk>f with chest pain, severe, pls eval ptx vs edema vs widened mediastin // history: <unk>f with chest pain, severe, pls eval ptx vs edema vs widened mediastin

MIMIC-CXR-JPG/2.0.0/files/p19344311/s54016317/9dcb93d1-3bd55dd1-169e6131-95ac1b08-2b4f0fd4.jpg

null

Et tube has been repositioned with tip ending at <num> cm from carina bifurcation. It can be pulled back by <num>-<num> cm. The ng tube has been pulled back with tip ending at the esophagogastric junction. It can be pushed down by <num>-<num> cm. Right ij catheter is unchanged with tip ending in upper svc. There is minimal interval change of lung opacification with mild increased of right upper lobe atelectasis, and left lung opacification for increased pulmonary edema. Heart size is not fully assessable because it is covered by pulmonary edema and bilateral pleural effusion. There is no pneumothorax.

assessment of et tube.

MIMIC-CXR-JPG/2.0.0/files/p16680020/s57033266/78d46d1e-eab811ea-96b2fc3d-db3ff49b-b6b08f93.jpg

MIMIC-CXR-JPG/2.0.0/files/p16680020/s57033266/4ee075de-202d407e-9cb350c9-9c599e6b-3611b772.jpg

Frontal and lateral views of the chest were obtained. Patient is status post median sternotomy and cabg. There is a small left pleural effusion with overlying atelectasis. Slight blunting of the right costophrenic angle is seen and there may be a trace right pleural effusion. Medial left basilar retrocardiac opacity may be due to combination of pleural effusion and atelectasis; however, consolidation is not excluded. No overt pulmonary edema is seen.

MIMIC-CXR-JPG/2.0.0/files/p10455855/s53703162/28a11899-47192567-b86b0476-ef64756f-5cabc67c.jpg

MIMIC-CXR-JPG/2.0.0/files/p10455855/s53703162/461f6ec9-50ec9928-2b07ab03-d5fd97c8-3bb35b05.jpg

Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle. There are small bilateral pleural effusions. There is moderate to severe pulmonary edema. For cough and right greater than left basilar opacities may be due to combination of pleural effusion, atelectasis, and pulmonary edema, however underlying consolidation is not excluded. The cardiac silhouette severely enlarged. The aorta is calcified.

weakness and fatigue.

MIMIC-CXR-JPG/2.0.0/files/p12139734/s53008251/fc15b0c4-b5fab655-4ec3a295-9ae9b84d-7d7b50e7.jpg

null

A portable view of the chest shows a right ij catheter with the tip in the right atrium, just above the entry of the ivc. There has been interval removal of endotracheal tube. The feeding tube is within the stomach. There is stable fluid and atelectasis at the lung bases, less pronounced on the left. There is no pneumothorax.

right ij placement, assess for position.

MIMIC-CXR-JPG/2.0.0/files/p14021217/s52293271/4d92f418-64135e80-6a5a839a-cbe5f592-ec4cd377.jpg

MIMIC-CXR-JPG/2.0.0/files/p14021217/s52293271/232ad43a-23ee828d-10ce50e6-600f496b-92fe1728.jpg

Lung volumes are low with minimal left basal atelectatic band. There is no pleural effusion, no pneumothorax. Mediastinal and cardiac contours are normal.

cirrhosis, new transplant evaluation. rule out effusion.

MIMIC-CXR-JPG/2.0.0/files/p10123997/s53047791/47e9a622-f9f555f6-c64f69f5-e86d9451-4eafddba.jpg

null

A portable frontal chest radiograph redemonstrates irregular aeration of the left lung, particularly the lingula and lower lobe, which is no worse than on prior radiograph. The right lung and cardiomediastinal silhouette are unchanged. There is a residual small left pleural effusion. There is no pneumothorax.

status post balloon dilation. evaluate for pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p11843205/s54945892/228806ba-0c4910f6-79923c4a-cd14e0e1-520d4d30.jpg

null

Comparison is made to previous study from <unk>. The endotracheal tube, right-sided central line and feeding tube are unchanged in position and appropriately sited. There are again seen large bilateral pleural effusions and left retrocardiac opacity. This appears stable from the prior study. There is likely an element of pulmonary edema. No pneumothoraces are seen.

MIMIC-CXR-JPG/2.0.0/files/p12741969/s58012114/d3f777d7-5b5802b4-5007d971-3d0e7c30-8fd6ba45.jpg

MIMIC-CXR-JPG/2.0.0/files/p12741969/s58012114/5348be21-d24efd19-f713da36-b5c9346e-5c1becc3.jpg

The lungs are clear. The cardiac silhouette is mildly enlarged, similar to prior. No focal osseous abnormalities identified.

<unk>f with palpitations // infiltrate?

MIMIC-CXR-JPG/2.0.0/files/p11966980/s58824221/32430ffd-f7f38d15-26b33a1e-6461f076-72d7e397.jpg

null

Single frontal view of the chest shows an et tube whose tip terminates <num> cm at the carina. A feeding tube and abdominal drain are satisfactory in position. A right ij catheter tip terminates in the mid svc. Again seen are bilateral small pleural effusions with resultant atelectasis. The cardiomediastinal, pleural and pulmonary structures are unremarkable. There is no evidence of a new consolidation.

status post abdominal closure, evaluate for interval change.

MIMIC-CXR-JPG/2.0.0/files/p11717909/s51595982/d7a84073-0d23e88e-5dbd44fd-4d8bee1f-5f53df8b.jpg

MIMIC-CXR-JPG/2.0.0/files/p11717909/s51595982/60067fbf-8ef267f1-ac1186d9-a3798e30-1932da74.jpg

Since the prior examination of <unk>, the lung volumes have improved. Heart is mildly enlarged. Heterogeneous linear opacities at the right base superimposed on the right hemidiaphragm probably represent residual atelectasis. There is no focal consolidation or pleural effusion. No pneumothorax.

<unk> year old man with heart transplantation on immunosuppression presenting s/p seizure with opacity found on cxr. any interval change? // assess for interval change?

MIMIC-CXR-JPG/2.0.0/files/p10671303/s54824084/02225efc-f8ee89e0-cb6bb81c-589b2231-74def86b.jpg

MIMIC-CXR-JPG/2.0.0/files/p10671303/s54824084/d2b121d0-7d137ab5-1ef600e5-849f4979-a2cd0de1.jpg

Sternotomy, mvr. Right ij central line tip in the mid svc. There is difference in patient positioning between the <num> exams. There is mild left pleural effusion, similar or mildly decreased. There is small right pleural effusion, worsened or more apparent. Bibasilar opacities, stable on the right, improved on the left, likely represent atelectasis. No pneumothorax. Small volume retrosternal air, in keeping with recent sternotomy. Heart is enlarged. Pulmonary vascularity at the upper limits are normal.

<unk> year old woman s/p mvr / maze // eval for effusion

MIMIC-CXR-JPG/2.0.0/files/p12279260/s58069510/3099a297-685c9790-89524a78-62524abd-45b6fd56.jpg

null

Heart size is enlarged, unchanged. Mediastinum is stable. Pleural calcifications, a left upper lobe calcified granulomas and mild vascular congestion is are unchanged

<unk> year old man with hypoxic respiratory failure // evaluate for interval change

MIMIC-CXR-JPG/2.0.0/files/p18282291/s59401379/abdacfd3-03e6b57e-e5ab4ba5-f9b6de88-d3207bfc.jpg

MIMIC-CXR-JPG/2.0.0/files/p18282291/s59401379/3a5bd241-11539797-859e6141-e9d32933-2f63c8e2.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.

history: <unk>f with chest pain near syncope // acute cardiopulm disease

MIMIC-CXR-JPG/2.0.0/files/p14310147/s50094259/cc7ca554-1a0b412d-239cc8fa-1051f008-ef8f8064.jpg

MIMIC-CXR-JPG/2.0.0/files/p14310147/s50094259/02e4a7f5-c9848941-8931a3a1-2a93cd52-df890767.jpg

The heart size is within normal limits. Mediastinal and hilar contours are unremarkable. The lungs are hyperinflated. There is no definite evidence of pneumonia or chf. There is a focal opacity along the left heart border on the frontal view, likely a prominent fat pad. There is no pleural effusion or pneumothorax.

<unk>-year-old male with right upper extremity weakness.

MIMIC-CXR-JPG/2.0.0/files/p10046503/s50134126/590235ce-2f791f01-47832bb0-fa99cb4b-ec8a3110.jpg

MIMIC-CXR-JPG/2.0.0/files/p10046503/s50134126/2bc7f1c8-2d57c229-20da96d2-71cafd54-97ff897d.jpg

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

<unk>f w/sob, please eval for pna // <unk>f w/sob, please eval for pna

MIMIC-CXR-JPG/2.0.0/files/p14067009/s50402664/c4a825ee-97d56c67-e12d9341-9068e027-f555edc0.jpg

null

Compared with <unk>, there is no significant change. Left upper extremity picc line is again noted. Left humeral hardware partially imaged. Lung volumes are low. Small pleural effusions are suspected. Bibasilar atelectasis is noted, difficult to exclude a component of pneumonia/ aspiration. Hilar congestion and diffuse reticular and ground-glass opacities appear similar to prior concerning for edema and/or ards. Cardiomediastinal silhouette is unchanged.

<unk> year old woman with pna c/b ards, now w/increasing oxygen requirement

MIMIC-CXR-JPG/2.0.0/files/p13632873/s59629807/f7390af9-c2f6fe0f-97307291-8f4ae6ae-950cd2ec.jpg

MIMIC-CXR-JPG/2.0.0/files/p13632873/s59629807/d8a2915a-379c1dda-479a7ceb-f4f34634-f5fa6862.jpg

Cardiomediastinal contours are stable. Pericardial effusion and right posterior mediastinal lesion originating at t<num> are better seen on prior ct. Mediastinal, hilar lymphadenopathy right greater than left, right lower lobe mass and lymphangitic spread in the right lower lobe are also better seen on prior ct. There is no pneumothorax. Left lower lobe opacities have improved. Bilateral effusions are small. Multiple lytic osseous lesions are better seen on prior ct.

<unk> year old man with new fevers and elevated wbc // evaluate for pneumonia

MIMIC-CXR-JPG/2.0.0/files/p15273049/s57538075/fe99195c-f5e33e07-afa85c6b-f73daf63-fcb38220.jpg

MIMIC-CXR-JPG/2.0.0/files/p15273049/s57538075/90f9b183-95a3c288-100a3dc9-98b83214-eca69598.jpg

The cardiomediastinal silhouette is stable. There is minimal bibasilar atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Subtle right paratracheal opacity is likely due to overlapping structures and is stable since at least <unk>.

productive cough.

MIMIC-CXR-JPG/2.0.0/files/p15958024/s50485665/6522e4f3-395f69b0-fd1ef89a-94900626-34eb8b4a.jpg

null

Compared to the prior study there is mild increase in the left effusion. Otherwise the appearance of the lungs are unchanged. Pacemaker large bore catheter

<unk> year old man with shortness of breath // ?worsening pulmonary edema

MIMIC-CXR-JPG/2.0.0/files/p15876666/s57025119/1ef7d332-77401f5b-e8770031-a2a6fab7-f33f3242.jpg

MIMIC-CXR-JPG/2.0.0/files/p15876666/s57025119/2bf6d388-7ca19f03-f9f4a0bf-da563f53-af3c8dda.jpg

The endotracheal tube and nasogastric tube have been removed. The left-sided picc is at the cavoatrial junction. Improved aeration of the left lower lobe and right lower lobe. Linear subsegmental along the right minor fissure is unchanged. No interstitial edema. No pneumothorax or significant pleural effusions.

<unk> year old woman with recent micu course complcioated by laryngel edema // e/o pulm edema

MIMIC-CXR-JPG/2.0.0/files/p13921670/s54339561/45fda3af-d75563a6-6d72ef81-c0237c8a-813d9443.jpg

MIMIC-CXR-JPG/2.0.0/files/p13921670/s54339561/5590c72d-36919395-b4da8b1a-0cc2d5c1-df971f18.jpg

Ap and lateral chest radiographs were obtained. Groundglass opacities are seen diffusely through the entire right lower lobe. The left lung is clear. Cardiomegaly is mild. There is no effusion or pneumothorax.

shortness of breath.

MIMIC-CXR-JPG/2.0.0/files/p12352080/s53817631/e3d3e306-9f07cb36-9e247c64-9bb62050-3b442c29.jpg

MIMIC-CXR-JPG/2.0.0/files/p12352080/s53817631/d66c0413-2505fdce-3b259389-d13ca2e9-aaae54e3.jpg

The heart is normal in size. There is a small to moderate hiatal hernia. The mediastinal and hilar contours are otherwise unremarkable. The lungs appear clear. There is no pleural effusion or pneumothorax. Mild loss in height of two mid thoracic vertebral bodies appears unchanged.

low-grade fever, malaise, and shortness of breath.

MIMIC-CXR-JPG/2.0.0/files/p10627650/s51109572/b29075d4-fd3ac67a-d6c9c3b9-1b792505-a385e688.jpg

MIMIC-CXR-JPG/2.0.0/files/p10627650/s51109572/38e8bed8-9b48bd4c-4a46ce84-f4dace69-828bbf33.jpg

Frontal and lateral views of the chest were obtained. There has been interval increase in left-sided pleural effusion which is now moderate with overlying atelectasis, underlying left basilar consolidation is not excluded. There is also a patchy right basilar opacity and blunting of the right costophrenic angle which may be due to a small right pleural effusion with overlying atelectasis, consolidation is not excluded. The cardiac silhouette is top normal to mildly enlarged. Mediastinal contours are unremarkable. No pneumothorax is seen.

MIMIC-CXR-JPG/2.0.0/files/p11774059/s52797328/74633bc9-49e5e53b-0f9c6af8-89245c54-1631b51c.jpg

MIMIC-CXR-JPG/2.0.0/files/p11774059/s52797328/c7acb464-36bca806-dc77f323-d7fb9b60-1e49277a.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. No pulmonary edema is seen. Four radiopaque structures project over the neck on the frontal view, not seen on the lateral view, may represent external artifact.

MIMIC-CXR-JPG/2.0.0/files/p16233866/s52417572/7acc2ca9-2f16b830-26e7c251-a2b01cc2-fd481b65.jpg

MIMIC-CXR-JPG/2.0.0/files/p16233866/s52417572/1d517cff-d9f761c3-47759f7f-214f665e-0a36146d.jpg

Frontal and lateral views of the chest were obtained. There is minimal left mid-to-lower lung linear atelectasis/scarring. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Partially imaged is an aortic stent graft.

MIMIC-CXR-JPG/2.0.0/files/p19054598/s59320434/180f177e-22cd8232-c40884e1-4e604d82-4bff54b3.jpg

MIMIC-CXR-JPG/2.0.0/files/p19054598/s59320434/39a56e9c-a5438a6c-39590c16-fb32da06-65078bc6.jpg

The cardiomediastinal and hilar contours are within normal limits. Mild atelectasis at the lung bases. The lungs are otherwise clear. There is no pneumothorax, fracture or dislocation.

history: <unk>m with cough and hx of pneumonia // r/o pneumonia

MIMIC-CXR-JPG/2.0.0/files/p13581631/s52530831/48734019-c4cc89fa-b3994751-d7858230-ab1fa681.jpg

null

There is moderate cardiomegaly and tortuosity of the aorta which remains relatively unchanged from previous studies. Patient is status post right lower lobectomy with stable changes noted to the mediastinum in right lower lobe. There is pulmonary vascular prominence and thickening of the minor fissure suggestive of volume overload. No focal consolidations, pleural effusions, or pulmonary edema are seen.

<unk> year old man with hd placement // eval hd placement

MIMIC-CXR-JPG/2.0.0/files/p19938391/s59552963/ed624c35-61c341b5-52860de8-9555d1a6-25146c14.jpg

null

In comparison with the study of <unk>, there are continued areas of opacification at the right base and in the retrocardiac region. Although this could represent atelectasis and effusion, the possibility of supervening pneumonia, especially at the right base, should be seriously considered in the appropriate clinical setting.

respiratory failure.

MIMIC-CXR-JPG/2.0.0/files/p19199259/s52550955/1d664159-d01ba5e1-1f40bb11-0061248c-441bcd18.jpg

MIMIC-CXR-JPG/2.0.0/files/p19199259/s52550955/f8960f88-4d11601d-e52485c1-80273ab4-3b83734a.jpg

Faint ground-glass opacities are seen adjacent to right heart border, but there is no correspondence on the lateral view. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion.

patient with one-week history of dyspnea, fatigue, weight loss since two months, home pigeons, high risk sexual activity, rule out pneumonia, evidence of pcp, <unk>.

MIMIC-CXR-JPG/2.0.0/files/p16247720/s58604874/b448ea33-62384c27-0130f63f-874e40df-c3d26039.jpg

null

As compared to the previous radiograph, there is substantial increase in size of the cardiac silhouette. Simultaneously, there is an increase in diameter of the pulmonary vessels. Finally, lateral areas of basal parenchymal opacities are seen. The combination of findings suggests the presence of a combination of pneumonia and mild pulmonary edema. There is no evidence of pleural effusions. At the time of observation and dictation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification but could not be reached. Therefore, a wet read was added to the system and an email was sent.

coarse breath sounds, evaluation for pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p12018901/s55407841/f63e748f-3cf07f61-7f68f35b-53c8e04a-f28863c2.jpg

null

An ap upright chest radiograph shows lower position of endotracheal tube on the current study with the tip just over <num> cm above the carina. This is low in location, but at the time of dictation, a followup film has been obtained which shows better positioning. Nasogastric tube is seen with the tip and side hole both off the view of the film. Left-sided ij central venous catheter tip is at the level of the proximal superior vena cava and the tip may abut the right lateral wall of the svc. Marked cardiomegaly is again noted. Lung parenchyma remains diffusely hazy without focal consolidation or volume loss.

<unk>-year-old woman with respiratory failure requiring intubation, check for endotracheal tube placement.

MIMIC-CXR-JPG/2.0.0/files/p18341991/s59046933/8d331a31-5ef21e6c-c1a3eeb0-43f0cb1e-ee0aa969.jpg

null

In comparison with study of <unk>, there is little overall change. Some enlargement of the cardiac silhouette with pulmonary vascular congestion persists. Central catheter remains in place.

malpositioned g-tube, pre-operative for replacement.

MIMIC-CXR-JPG/2.0.0/files/p14877326/s58348441/08d51202-fac82df2-13567888-4688040e-478880a6.jpg

null

A frontal view of the chest was obtained portably. The nasogastric tube follows the expected course, extending below the diaphragm, although the tip is not visualized. Lung volumes are slightly low, resulting in bronchovascular crowding. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. Heart size and mediastinal silhouettes are within normal limits allowing for lung volumes. There is mild redistribution of blood flow into the upper pulmonary vasculature, suggesting pulmonary vascular congestion, without overt pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p15721149/s55530189/be78dcbe-6a8572bd-125978f8-06291a7e-dfe35aad.jpg

null

The entire course of the dobhoff tube is not included in the field of view. However, the tip is well below the diaphragm to the right of midline likely in the distal stomach or proximal duodenum. Remaining parenchymal findings are unchanged.

<unk> year old woman with reposition of dobhoff. evaluate for location of the top off tip.

MIMIC-CXR-JPG/2.0.0/files/p17380809/s59034057/efa0a831-b4910939-40f56aa0-03aad56d-125d6227.jpg

null

An et tube, enteric tube, right subclavian central venous catheter, and right pigtail pleural catheter are all stable and appropriate in location. The cardiomediastinal silhouette is within normal limits. A small right apical pneumothorax is present. Remainder of the lungs are clear. There is minimal if any perihilar vascular congestion.

<unk>-year-old male status post trauma.

MIMIC-CXR-JPG/2.0.0/files/p10414036/s54847229/143036df-fba08e7a-b1dfb5a3-e7d8d827-83d34e84.jpg

null

No large amount of free air <unk> <unk>'s sign in this supine film. Low lung volumes bilaterally. Progression of left and right lower lobe plate-like atelectasis with elevation of right hemidiaphragm. No pleural effusion, pneumothorax, <unk> pulmonary edema. Heart and mediastinal contours are unchanged. No bony abnormality is detected.

female with complicated diverticulitis status post ir drainage of pelvic and hepatic abscess in <unk>. now returns with fever, pain, tenderness, and increased pelvic abscess. assess for free air.

MIMIC-CXR-JPG/2.0.0/files/p10824274/s56187033/c7c66e7a-947b5021-420cb4c5-dffc47d9-8a731bc0.jpg

MIMIC-CXR-JPG/2.0.0/files/p10824274/s56187033/a6b12161-6cf19406-7b389b29-8c557d18-d3f8c783.jpg

Heart size is normal. The aorta is likely tortuous. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine.

history: <unk>m with chest pain

MIMIC-CXR-JPG/2.0.0/files/p14531257/s50162749/3fa906d2-594ddeb6-6ba4ee75-e408d5c0-20d5c2d1.jpg

null

As compared to the previous radiograph, there is improved ventilation of the right lung bases with decrease of the pre-existing opacity. On the left, the accompanying pleural effusion as well as the calcified granuloma are unchanged. Unchanged moderate cardiomegaly with tortuosity of the thoracic aorta. No pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p13141357/s52388520/036f506a-521e0ccc-69c3cc05-e128caed-46a6d108.jpg

MIMIC-CXR-JPG/2.0.0/files/p13141357/s52388520/61adb93b-ae54859e-88d1fcf4-43ad7442-83e216b3.jpg

The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Subtle anterior wedging of a lower thoracic vertebral body is grossly stable as compared to <unk>.

history: <unk>m with cirrhosis with confusion // eval pna

MIMIC-CXR-JPG/2.0.0/files/p16181355/s50331762/437da664-97b91584-e37cd858-95049d00-44bb7f20.jpg

MIMIC-CXR-JPG/2.0.0/files/p16181355/s50331762/074deda5-ce2c9801-0cd09b82-1ef0aed1-807f0fca.jpg

There is a three-lead pacemaker/icd device in place. A coronary stent projects along the right side of the heart. The heart appears mildly enlarged. There is no pleural effusion or pneumothorax. The interstitium is mildly prominent which suggests mild vascular congestion. No focal opacification is observed, however.

dizziness, weakness, and shortness of breath.

MIMIC-CXR-JPG/2.0.0/files/p15434830/s52850953/3e98835c-68274ad1-03290eca-a109004d-fa0a95f9.jpg

null

As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. No other acute lung disease. Normal size of the cardiac silhouette. No pleural effusions or pneumothorax. The <unk> stabilization devices are in unchanged position.

paraplegic, chills, evaluation for pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p15472904/s55150622/72051f14-a001114b-1f311541-838636f6-5bb82426.jpg

null

Lung volumes are decreased and increased opacity at the left lung base likely represents volume loss. Moderate pulmonary edema is unchanged. Patchy opacities in the left mid lung are unchanged. No pneumothorax.

<unk>f w/worsening sob // interval changes

MIMIC-CXR-JPG/2.0.0/files/p18371155/s59331332/57d50671-f471e67f-1fd8e7c5-c5d7eddc-9790602d.jpg

MIMIC-CXR-JPG/2.0.0/files/p18371155/s59331332/a7a0ca63-c0f3c3cb-64dac880-129e1921-9dc18727.jpg

Multiple clips are noted within the left mediastinum. Cardiac, mediastinal and hilar contours are within normal limits. Coronary artery stents are again noted. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Clips in the right upper quadrant of the abdomen indicate prior cholecystectomy.

history: <unk>f with chest pain, left lower extremity pain

MIMIC-CXR-JPG/2.0.0/files/p17915051/s50018617/f7512f72-864060d0-1ed1922e-c3b0ce02-3fd279b7.jpg

MIMIC-CXR-JPG/2.0.0/files/p17915051/s50018617/7df3fb57-4620cc24-fc92724c-00d2e9b6-9f8cac7b.jpg

Pa and lateral views of the chest are provided. There is persistent blunting of the right cp angle, which could indicate effusion/atelectasis. Overall, findings appear unchanged. Otherwise, the lungs are clear. No pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.

MIMIC-CXR-JPG/2.0.0/files/p15245907/s57003860/0475d1c6-5c6bd662-109957c5-b581e303-a38f9f36.jpg

null

In comparison with the study of <unk>, there may be slight improvement in the degree of pulmonary vascular congestion. Otherwise, little change. Continued elevation of the left hemidiaphragmatic contour and central catheter remains in place.

pneumonia with possible pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p14289800/s50173867/a57e70d7-8f566f04-77c4b72a-82149ca4-4ad3dfcd.jpg

MIMIC-CXR-JPG/2.0.0/files/p14289800/s50173867/54176576-784dac21-10bcb051-1a378be2-f0340fa2.jpg

Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and while. Lungs without pulmonary edema, focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for pulmonary edema or pneumonia in a patient with svt and dyspnea on exertion.

MIMIC-CXR-JPG/2.0.0/files/p18170491/s55193639/a124e17a-8a1be869-d6242686-a125c225-08158416.jpg

null

The endotracheal tube ends approximately <num> cm above the carina at the level of the clavicles. Consider advancing the endotracheal tube by <num>-<num> cm for a better seating. Orogastric tube courses below the diaphragm into the stomach. Right subclavian line ends at lower svc. Mild interstitial edema seen on prior radiographs from <unk> and <unk> has improved. There is no pleural effusion or pneumothorax. Heart size, mediastinal and hilar contours are normal.

MIMIC-CXR-JPG/2.0.0/files/p19022842/s50845649/e2a716e7-26d6c238-21ccd1a9-69d782fd-58262a8d.jpg

MIMIC-CXR-JPG/2.0.0/files/p19022842/s50845649/238ed20f-57179960-2ddacdd9-473f4f6f-7eb93bf4.jpg

Pa and lateral views of the chest are provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.

MIMIC-CXR-JPG/2.0.0/files/p19653727/s55468921/2506660c-96c8d318-48440e3d-664d3bbc-38db080e.jpg

MIMIC-CXR-JPG/2.0.0/files/p19653727/s55468921/41d26ef7-833a6b21-21b9c7f6-0b3dd2be-33ab9ae7.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 wheezing // eval infiltrate

MIMIC-CXR-JPG/2.0.0/files/p11939591/s50699382/a197bf12-d57e774d-67d63380-5a281408-b76a01f8.jpg

MIMIC-CXR-JPG/2.0.0/files/p11939591/s50699382/5fc8cf3e-67507851-4998b36d-15cd7e49-7379bcf6.jpg

The patient is status post median sternotomy and cabg. Left-sided aicd device is noted with leads terminating in the right atrium and right ventricle. Heart size is mildly enlarged. The mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. There is atherosclerotic calcifications of the aortic knob. Patchy opacity within the right lung base is nonspecific but could reflect an area of atelectasis or infection. Minimal atelectasis is also noted within the left lower lobe. There is a trace right pleural effusion. No pulmonary edema or pneumothorax is present. There are mild degenerative changes in the thoracic spine.

chest pain.

MIMIC-CXR-JPG/2.0.0/files/p10693028/s56128035/84ffc895-ed3b460b-e7b50768-28e240ce-9d73f9ce.jpg

MIMIC-CXR-JPG/2.0.0/files/p10693028/s56128035/d2f87453-093121ab-588d22a5-92a023d4-aa27c364.jpg

The lungs are clear without focal consolidation. The posterior right costophrenic angle not fully included on the lateral view, however, no large pleural effusion is seen. There is no evidence of pneumothorax. Aortic calcification is noted. The cardiac silhouette is not enlarged. Multiple old appearing right-sided rib fractures are seen with evidence of some overlying lateral right pleural thickening. The posterior right eighth fracture appears somewhat displaced but likely old.

history: <unk>m with concern for tia/stroke // evidence of infection

MIMIC-CXR-JPG/2.0.0/files/p14786549/s56129229/fd2e9775-b68da7e8-5716d84b-be0ad367-e02322c2.jpg

null

Ett tube, ng tube, and right and left ij lines are similar to the prior study. Again seen is the left chest tube. The sideport now lies slightly more proximal/ lateral, partially overlying the left chest wall, suggesting slight interval retraction. Allowing for this, the appearance of left lung is grossly unchanged, with increased retrocardiac density, hazy density along the left chest wall, and fluid tracking along the left lung apex. Suspect left pleural effusion. No left-sided pneumothorax or subcutaneous emphysema along the left chest wall. The appearance of the right lung is also similar, with evidence for interstitial edema, hazy opacity at the right base, and probable small effusion. Lucency previously seen along the right chest wall raising the possibility of a skin fold versus pneumothorax is no longer visualized. No evidence of right-sided pneumothorax is detected on the current study. Cardiomegaly, prosthetic valve, and sternotomy wires, are similar to prior. There is chf, with interstitial and probable alveolar edema, which may be very slightly improved compared <num> day previous. Again seen is an iatrogenic linear density, with tip overlying the lateral border of the scapula. The appearance is suggestive of a picc line, though note is made that is not that it does not extend into the chest itself. The appearance is unchanged compared with <unk> at <num> <num>.

<unk> year old man s/p cabg/avr // eval for pleural effusions

MIMIC-CXR-JPG/2.0.0/files/p14196702/s59390495/292f0063-94676155-e4eb4ac3-ae416434-d73b5b36.jpg

MIMIC-CXR-JPG/2.0.0/files/p14196702/s59390495/e48c920a-a61d2a87-4c24df03-06c658c1-7f4e5673.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 hiv, cd<num> <unk> p/w malaise and subjective fever

MIMIC-CXR-JPG/2.0.0/files/p11490478/s50358187/9629940b-25fc9cb1-14cc83f6-cb6bd88d-31449270.jpg

MIMIC-CXR-JPG/2.0.0/files/p11490478/s50358187/121124d1-5abfb753-481e48f4-b2912425-96bc3d4f.jpg

Lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. An old healed rib fracture is again seen on the left. No pneumothorax, pulmonary edema, or pleural effusion. No focal consolidations are seen.

history: <unk>f with right hand pain, elbow pain and rib pain // r/o acute injury s/p fall

MIMIC-CXR-JPG/2.0.0/files/p11208426/s51085944/4a16c272-5438bc6c-e4fa8d65-b31fef44-1081035a.jpg

MIMIC-CXR-JPG/2.0.0/files/p11208426/s51085944/9113b01e-0cfa40a0-6d361c2f-423d192b-3e08058b.jpg

Two views were obtained of the chest. The lungs are hyperexpanded with bilateral interstitial abnormality compatible with known severe emphysema, which contributes to right upper lung confluent peripheral reticular changes. Left mid lung opacities are chronic and likely result from a combination of the known destructive chest wall mass, post-treatment changes and severe emphysema. Small bilateral pleural effusions are unchanged on the right and slightly increased on the left. The heart and mediastinal contours are unchanged.

neutropenia and fatigue.

MIMIC-CXR-JPG/2.0.0/files/p17438170/s58880884/3e0d48e5-01b3b9ee-a2e95038-6b3090bc-be5fb6f0.jpg

null

Moderate enlargement of the cardiac silhouette is demonstrated. The mediastinal and hilar contours are unremarkable. No pulmonary edema is present. No focal consolidation or pneumothorax is present. Minimal blunting of the costophrenic sulci suggest trace bilateral pleural effusions. There are no acute osseous abnormalities.

history: <unk>m with fever // eval for infiltrate

MIMIC-CXR-JPG/2.0.0/files/p11888387/s59913210/1b02b20d-edf26e94-8b26e4fc-c79037f8-4222f48f.jpg

MIMIC-CXR-JPG/2.0.0/files/p11888387/s59913210/3d3a2ea2-85529eb1-a2b7e9b3-1132fb53-3bf12f9d.jpg

Frontal and lateral views of the chest were obtained. There are low lung volumes, which accentuate the bronchovascular markings. Given this, there are bilateral perihilar opacities, which may be due to edema, although infectious process is not excluded. No large pleural effusion is seen. The cardiac silhouette is top normal. A dual-lead left-sided pacemaker is seen with the leads extending to the expected positions of the right atrium and right ventricle.

MIMIC-CXR-JPG/2.0.0/files/p14649094/s55045524/0e0d7344-d3257246-6cd80cb2-0532ade7-8695c372.jpg

MIMIC-CXR-JPG/2.0.0/files/p14649094/s55045524/e202f041-4f1dbec7-fec0430b-0c60e1ef-8d0a0112.jpg

The patient is rotated. There is a vague, increased opacity of the right lower lobe. There is no pleural effusion or pneumothorax. The pulmonary vasculature is normal. The cardiac silhouette is normal in size. The mediastinal and hilar structures are unremarkable.

shortness of breath and dyspnea on exertion. evaluate for pneumonia or an acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p18797768/s52230979/097a7dbe-e556ecf7-d5a59907-c3440eb2-2815775f.jpg

MIMIC-CXR-JPG/2.0.0/files/p18797768/s52230979/13fa984d-fe9e0aa8-0dbe61e3-99ff754a-31c287f5.jpg

Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Aortic knob calcification is seen. There are some mild degenerative changes along the spine.

MIMIC-CXR-JPG/2.0.0/files/p19923191/s54354438/90a61055-7623c399-4dde7464-62596f3e-04cd6bb5.jpg

MIMIC-CXR-JPG/2.0.0/files/p19923191/s54354438/aed1fae2-f86eba9d-e7abab89-f70c1d97-7edff5f3.jpg

Pa and lateral views of the chest provided. Lung volumes are somewhat low which limits evaluation. 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>f with dizziness // eval for pna

MIMIC-CXR-JPG/2.0.0/files/p18467232/s50807723/909af85c-24c42691-ee387e98-e759efd1-d98a7fba.jpg

MIMIC-CXR-JPG/2.0.0/files/p18467232/s50807723/27f835f6-d744fb18-31cbcbfe-db3921e7-7b6a591a.jpg

Left-sided dual-chamber pacemaker device is noted with leads terminating in right atrium and right ventricle. The heart is moderate to severely enlarged with a left ventricular predominance. The aorta is diffusely tortuous and calcified. There is mild pulmonary edema and small bilateral pleural effusions. More focal patchy opacities in the lung bases could reflect atelectasis though infection or aspiration cannot be excluded. Left apical pulmonary parenchymal scarring appears similar compared to the prior exam. Compression deformities of multiple vertebral bodies at the thoracolumbar junction are noted, some of which appear to have been present on the ct of the lumbar spine from <unk>.

gradual worsening shortness of breath.

MIMIC-CXR-JPG/2.0.0/files/p15195362/s57157353/06ee57b0-b2f286cc-ff4698d1-fafe68ee-3eca6066.jpg

null

Tip of the tracheostomy tube has a lateral orientation directed to the left of midline. However, this is difficult to assess in the setting of rightward patient rotation. Diffuse mediastinal widening consistent with known thyroid mass appears unchanged, and cardiac silhouette is stable as well. Within the lungs, widespread pulmonary metastases are again demonstrated as well as persistent right lower lobe atelectasis and/or consolidation. Improved aeration at left lung base. No change in small right pleural effusion. Feeding tube has been advanced in the interval, now terminating in the body of the stomach.

MIMIC-CXR-JPG/2.0.0/files/p19350594/s53271711/135afbe1-6e03e779-81046d3b-12f4195a-ec12786f.jpg

MIMIC-CXR-JPG/2.0.0/files/p19350594/s53271711/27d3b1bf-7beef26c-ca2b2c93-48ec715d-80f75c4f.jpg

The lungs are fully expanded and clear. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.

<unk>m with cough, dyspnea, evaluate for pneumonia..

MIMIC-CXR-JPG/2.0.0/files/p19105782/s56866706/3ecc3080-c3f4ecff-f103378e-9c058f5f-c56cf4ec.jpg

MIMIC-CXR-JPG/2.0.0/files/p19105782/s56866706/2b06192b-e076c8ba-b0723ea0-cee4948c-4f7a2b6a.jpg

Frontal and lateral views of the chest were obtained. Minimal left base atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.

MIMIC-CXR-JPG/2.0.0/files/p11300822/s59466617/aa57f2cd-d2f5c79c-42d24d4a-8920cf66-269a658e.jpg

MIMIC-CXR-JPG/2.0.0/files/p11300822/s59466617/7c0770cf-41885782-c4a59613-16f658a7-20c10359.jpg

Cardiac silhouette size is mildly enlarged, similar to the previous exam. The aorta is mildly tortuous. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are hyperinflated. Patchy right basilar opacity is improved compared to the previous study, but may reflect recurrent pneumonia. No pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized without acute osseous abnormality detected. Remote right mid clavicular fracture is again seen.

history: <unk>m with episodes of confusion at night, possible altered mental status

MIMIC-CXR-JPG/2.0.0/files/p13264941/s50848279/91a6cf6d-ab61991e-0c4d28ca-f4035206-72c10f5c.jpg

null

Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

history: <unk>f with fever, tremors, cough, dyspnea