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/p19132043/s55843234/0235885f-eb3b672e-8ea485f8-c6446be4-d5f15c01.jpg	null	Portable upright frontal view of the chest. The left internal jugular line has been removed. A right-sided port-a-cath is accessed and terminates in the low svc. A double-lumen catheter ends in the mid right atrium. Moderate-to-severe cardiomegaly that appears slightly worse since <unk>. Bilateral diffuse lower lobe predominant airspace opacities are new since <unk>. There are bilateral moderate-sized pleural effusions and bibasilar atelectasis. There is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18785003/s52024098/23ace2a5-79e12a83-2e2a1793-b4dca9be-3f3327df.jpg	null	Tip of the ng tube again is not well visualized past the diaphragm and likely is in the ge junction. Otherwise there is no significant interval change since chest radiograph performed earlier on the same day. Cardiac size is normal. There is no pneumothorax or pleural effusion. Unchanged collapse of the right middle lobe and right lower lobe with elevation of left hemidiaphragm again noted. Severely distended bowel loops again noted.	<unk> year old man with abdominal distension // ngt placement, has been advanced.
MIMIC-CXR-JPG/2.0.0/files/p18778763/s56952047/7524aec1-758bd155-cea7960a-c4e4b14a-56c2dfe7.jpg	null	Endotracheal tube approximately <num> cm above the carina, can be retracted for more optimal positioning. Nasoenteric tube within the distal esophagus and should be advanced. The heart is enlarged. Left basilar and perihilar opacities likely represent atelectasis. There is mild interstitial edema. There is a small left pleural effusion. There is no pneumothorax.	<unk>f with hypoxia, intubated, evaluate tube positioning..
MIMIC-CXR-JPG/2.0.0/files/p11379931/s54349347/69bc8b20-1f4da3ad-a8b932f5-c46aeadf-e90d60e2.jpg	MIMIC-CXR-JPG/2.0.0/files/p11379931/s54349347/62a46c7c-928ac214-7bb6234d-b38af13c-a64860f2.jpg	Mild cardiomegaly is stable in appearance. Increasing confluent opacity has developed in the periphery of the right mid lung, concerning for developing infection in the setting of fever. Worsening patchy and linear opacities in the right lung base and persistent left retrocardiac opacity may reflect atelectasis with or without coexisting pneumonia. Small bilateral pleural effusions persist, left greater than right.
MIMIC-CXR-JPG/2.0.0/files/p16017987/s55874097/8f57de3d-81ccf2f5-83d5716d-8768f718-1de66adc.jpg	null	The patient is status post interval placement of right ij central line. Et tube is in adequate position, terminating <num> cm above the carina. Ng tube is in adequate position. Surgical <unk> are noted overlying the left in the thorax, new from prior exam. Despite low lung volumes, lungs remain relatively clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.	<unk> year old man s/p gsw and stabbing w/l diaphragm laceration // evaluate for ptx, hemothorax
MIMIC-CXR-JPG/2.0.0/files/p15558349/s51699276/2f97f519-55be0627-b22bb086-f4ddf52d-b075d13c.jpg	MIMIC-CXR-JPG/2.0.0/files/p15558349/s51699276/9e8d4a3d-41e6b53f-f9a5e200-70b80eb6-ba7d3ec7.jpg	Moderate enlargement of the cardiac silhouette has increased substantially since <unk>. Severe distension of mediastinal veins is disproportionate compared to mild pulmonary vascular congestion, pointing toward right heart failure or hemodynamically significant pericardial effusion. Lungs are clear and there is no pleural effusion.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13293211/s55837880/fe5cd7b8-d1da31e3-3b6f1843-3df7018a-082d0f37.jpg	MIMIC-CXR-JPG/2.0.0/files/p13293211/s55837880/41575c22-85ee3215-73ef56d2-0d32745c-ee238d17.jpg	Pa and lateral views of the chest demonstrate bibasilar opacities, right greater left. There is also blunting of the left costophrenic angle, possibly due to effusion versus scarring. Calcifications of the aorta are seen throughout the aortic knob as well as the arch and descending aorta. Heart size is top normal.
MIMIC-CXR-JPG/2.0.0/files/p18252574/s52171213/a3f99b95-31e25896-e9dcf429-85146e2b-25e07004.jpg	null	As compared to the previous radiograph, there is no relevant change. Position of the endotracheal tube is unchanged. Unchanged course of the nasogastric tube. Unchanged moderate cardiomegaly with minimal fluid overload. No pleural effusions. No pneumonia. No pneumothorax. Minimal atelectasis at the lung bases.	ett placement.
MIMIC-CXR-JPG/2.0.0/files/p18460324/s53088615/674d8b63-74e7e731-82c36919-b06e8e58-1b7b9919.jpg	null	Persistent cardiomegaly accompanied by worsening pulmonary vascular congestion and moderate pulmonary edema. Patchy bibasilar opacities may reflect dependent edema, but aspiration and developing infectious pneumonia are also possible in the appropriate clinical setting. Short-term followup radiographs may be helpful in this regard.
MIMIC-CXR-JPG/2.0.0/files/p19441625/s53615911/620de571-d992768d-2fa9d116-19c57265-d79cd332.jpg	MIMIC-CXR-JPG/2.0.0/files/p19441625/s53615911/558b20d2-27d0dd76-97376d2e-8cd85c8f-747f81f1.jpg	There is streaky retrocardiac opacity which is most likely atelectasis. Left mid lung linear opacity also likely atelectasis versus scarring. Lungs are otherwise clear without confluent consolidation or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.	<unk>f with dyspnea // ? pneumonia or other acute cardipulm process
MIMIC-CXR-JPG/2.0.0/files/p11978101/s51647007/6933ad67-c0f5b77a-1b91c2c2-b3df6af0-cdd14856.jpg	MIMIC-CXR-JPG/2.0.0/files/p11978101/s51647007/89967cf0-26fd268b-41c7b2c1-d9d34ae6-2395f8cf.jpg	Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are stable. Linear opacity in the right lung is consistent with atelectasis. No substantial pleural effusion or pneumothorax. Leads of a left chest wall generator pack terminate in the right atrium and right ventricle. A third cardiac lead is in unchanged position since <unk>.	<unk>-year-old female with <num> days of cough.
MIMIC-CXR-JPG/2.0.0/files/p15633258/s52306471/167ca239-989a8b98-b82cef62-558a1289-40d78c06.jpg	MIMIC-CXR-JPG/2.0.0/files/p15633258/s52306471/b689464b-e9a3f529-3d4ecf94-4b4a4cf5-6e0d9860.jpg	There is a small right apical pneumothorax. This is more conspicuous than on the study from the prior day. Otherwise, the appearance of the chest is unchanged.	check pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16902906/s54338194/e0b13800-93248544-de5358f5-9cba0ff3-3b0be502.jpg	null	Tortuous, ectatic thoracic aorta is more prominent, possibly accentuated by a difference in obliquity of x-ray. Borderline heart size stable. Normal pulmonary vascularity. No edema. Mild right basilar opacity, likely atelectasis. No pneumothorax. No effusion.	<unk> year old man post op day #<num> umbilical hernia repair with intermittent chest pain // evaluate for pulm edema/consolidation?
MIMIC-CXR-JPG/2.0.0/files/p18894300/s59804928/91682fdf-7845b141-8a752842-e1933930-7803019a.jpg	null	Port-a-cath tip terminates in the lower svc. In gj tube is in the stomach but the side port is at the gastroesophageal junction. Cardiomediastinal silhouette is unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.	<unk> year old man s/p robotic proctectomy now p/w ileus; ngt placed // confirm ngt location
MIMIC-CXR-JPG/2.0.0/files/p14987986/s54031904/c826ad39-fc58365e-c5e63ad5-245077c1-1af3ae89.jpg	MIMIC-CXR-JPG/2.0.0/files/p14987986/s54031904/3c12ebeb-c5e63ceb-7fffef75-e53dfc90-59c9a9e0.jpg	No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is top normal. Mediastinal contours are stable with stable positioning of pacemaker hardware.	<unk>-year-old female with weakness and malaise.
MIMIC-CXR-JPG/2.0.0/files/p12736236/s58335011/394b143e-51dcea11-d502dac2-59e5f607-e00bb184.jpg	null	Single portable view of the chest. Moderate mid to lower thoracic dextroscoliosis is noted. There is also apparent fusion of several thoracic vertebral bodies. There is secondary asymmetry of the thoracic cavities. Dense left basilar opacity could represent secondary atelectasis due to the bony changes although underlying effusion or consolidation is also possible. The right lung is grossly clear. Cardiomediastinal silhouette is difficult to assess. Chronic changes seen in the proximal left humerus presumably from prior fracture.	<unk>-year-old male with syncope.
MIMIC-CXR-JPG/2.0.0/files/p13674030/s58247239/51043d30-9b9c0049-ea9b5184-f8649d37-2260826b.jpg	MIMIC-CXR-JPG/2.0.0/files/p13674030/s58247239/b4b2dc04-79cf3d4a-c99bafd0-0abc8795-5bb3a8d8.jpg	Frontal lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is slightly enlarged, unchanged from <unk>. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	<unk>f with several days cough // assess for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17112109/s57220749/bf2cfcf4-00b530a4-d80e3a99-f5f85229-ab47d060.jpg	MIMIC-CXR-JPG/2.0.0/files/p17112109/s57220749/1a0198fe-685a8e57-d1d696c3-2a1ca45e-0fdddbe6.jpg	Heart size is normal. The aorta remains mildly tortuous. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs remain hyperinflated without focal consolidation. Streaky atelectasis is noted in the left lung base. No pleural effusion or pneumothorax is visualized. Dextro scoliosis of the thoracic spine is again noted. Several clips are seen within the right upper quadrant of the abdomen.	history: <unk>f with weakness
MIMIC-CXR-JPG/2.0.0/files/p14786549/s59546576/cfec9503-41b28d96-7fc1187c-2357ac00-557bc051.jpg	null	Interval removal of an intra-aortic balloon pump. Interval placement of a left ij central venous dialysis catheter, which terminates in the low svc. A right ij swan-ganz catheter is unchanged in position, terminating in the proximal right pulmonary artery. An endotracheal tube terminates approximately <num> cm above the carina. <unk> mediastinal drains and bilateral chest tubes are noted. Cardiomediastinal widening is essentially unchanged. Pulmonary edema has increased, now mild to moderate. Left lower lobe atelectasis is unchanged. No focal consolidation. Small left pleural effusion is probably unchanged. The hila are unremarkable.	<unk> year old man s/p cabg // eval s/p iabp removal hd line s/p placement
MIMIC-CXR-JPG/2.0.0/files/p15816613/s55248119/67f7a3c5-8da917f9-ce3aa5b5-cff59d1e-19733df0.jpg	null	Pigtail pleural catheter remains in place in the lower left hemithorax, with apparent increase in moderate loculated left pleural effusion laterally. Cardiomediastinal contours are stable. Multifocal bilateral consolidation remains most severe in the central juxtahilar regions, and has slightly worsened in the interval. More peripheral interstitial opacities have also progressed, and a small-to-moderate right pleural effusion has slightly increased in size.
MIMIC-CXR-JPG/2.0.0/files/p13556220/s55120025/a34157b9-3e588f34-1f79570b-3d24c9e5-f4a6133c.jpg	MIMIC-CXR-JPG/2.0.0/files/p13556220/s55120025/2a5f760b-155c4a9e-6286cf71-2ccac996-f75f821d.jpg	Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p14356629/s58144192/787bb1a2-8d4cf764-2e6b39d4-a828cf10-ff12f128.jpg	MIMIC-CXR-JPG/2.0.0/files/p14356629/s58144192/37c1ff95-ea13496e-8cf7a6c2-60f885b4-e4cb6fcc.jpg	The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14809657/s57388956/46109cde-7935482f-a664757a-b164405a-dfaf5c2e.jpg	MIMIC-CXR-JPG/2.0.0/files/p14809657/s57388956/d4f38ec6-3e80e27d-e7b79762-29039b07-f51bfafd.jpg	Mild subsegmental atelectasis is present at the left base. The aorta is tortuous. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.	<unk>m with chest pain, eval for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10668217/s57574800/379c4075-37a31f0b-d3c071db-3022b6e9-e9a94194.jpg	MIMIC-CXR-JPG/2.0.0/files/p10668217/s57574800/4fabde71-02f45665-9ebb228e-3871d637-ea6b76f4.jpg	The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14351706/s53641030/eb6cd025-3fe0f033-2eebf304-e544c72f-cd9d8868.jpg	MIMIC-CXR-JPG/2.0.0/files/p14351706/s53641030/b56fbb49-69630ad7-dfd8fa8f-1d3aca0e-b628b101.jpg	Pa and lateral views of the chest provided. There has been interval placement of a right ij dialysis catheter with its tip residing at the low svc level. Mild hazy opacity at the left lung base is most compatible with atelectasis though an early pneumonia is difficult to exclude in the correct clinical setting. Otherwise the lungs appear clear. No definite sign of effusion or pneumothorax. Heart and mediastinal contours appear stable and normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	history: <unk>f with malaise, hd patient, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18620252/s56096874/389902ca-fe39deef-7c3d048c-698a2886-7400cdbd.jpg	null	One ap portable upright view of the chest. The lungs are clear. The cardiac, mediastinal, and hilar contours are normal. There is no pneumothorax or pleural effusion.	<unk>-year-old female with syncope and hypotension, question pneumonia or cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19593575/s58455578/f6f3af5c-87f67be2-9f7f3b15-bce2601a-9b9e4bd1.jpg	null	Unchanged masslike opacity in the left upper lobe. No discrete pneumothorax identified. No new consolidation or pleural effusion. The size of the cardiac silhouette is mildly enlarged but unchanged. Degenerative changes of the both glenohumeral joints.	<unk> year old man with lul biopsy // r/o pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p13273041/s51854742/5dedba82-30050458-482f95df-c5fa4e08-84b3c61b.jpg	MIMIC-CXR-JPG/2.0.0/files/p13273041/s51854742/f551febe-13793da5-dd8bf70e-7e4fd971-f37695b8.jpg	As compared to the previous radiograph, a pre-existing relatively extensive left pleural effusion has completely resolved. At the level of the left and right costophrenic sinus, minimal pleural scarring is still seen, slightly more extensive on the left than on the right. The lateral radiograph additionally reveals flattening of the hemidiaphragms, indicative of moderate overinflation. The lung parenchyma appears normal. There is no pulmonary edema and no focal area of increased radiodensity, potentially suggestive of pneumonia. No lung nodules or masses. Borderline size of the cardiac silhouette with minimal tortuosity of the thoracic aorta. No pneumothorax.	cough for three weeks.
MIMIC-CXR-JPG/2.0.0/files/p18810350/s53330894/b25800c6-04eaf6c0-6e10ea13-b2c2926e-17e73967.jpg	MIMIC-CXR-JPG/2.0.0/files/p18810350/s53330894/0b82fa23-92d3db76-3275e909-63da93fe-1d2f0704.jpg	Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable. There are increased perihilar opacities which raise concern for mild pulmonary edema. Right lower lobe opacity is seen which could be due to infection or aspiration. There is also blunting of bilateral posterior costophrenic angles suggesting small pleural effusions. Cardiac silhouette remains enlarged. No pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11204500/s56390615/3fc659c3-cffddad9-6595bd9f-8731e905-bf43cf7d.jpg	MIMIC-CXR-JPG/2.0.0/files/p11204500/s56390615/1aba6084-18c731ab-1fe81cac-30cb3ee1-b843f3dc.jpg	Frontal and lateral chest radiograph demonstrate unremarkable mediastinal and hilar contours. Heart size is top normal with a configuration suggesting left ventricular hypertrophy. No lobar opacification is evident within the lungs. However, there are faint reticular nodular opacifications in the left lung possibly due to underlying atypical, possibly viral infection. No findings to suggest emphysema. No pleural effusion or pneumothorax. Port-a-cath terminates in the upper right atrium.	fever, weakness, evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p19166723/s54737722/a19fad75-8b1be309-62fed8ae-fd93df3c-5004194d.jpg	MIMIC-CXR-JPG/2.0.0/files/p19166723/s54737722/2aab9b7e-1dd0ea56-65c8b3d5-dcdb0e07-715c0504.jpg	Left perihilar opacity is similar in appearance as compared to the prior study. Biapical scarring is again noted. Right apical opacity underlying the fourth rib is stable. No definite new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	history: <unk>f with cp, recent pna, has lung ca // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p19793569/s54093792/88f5b194-80cb0cc0-0733405d-49ccc918-45727590.jpg	MIMIC-CXR-JPG/2.0.0/files/p19793569/s54093792/5cd49c7b-e86eab0d-621d7784-0af26014-8c57be30.jpg	Pa and lateral radiographs of the chest show well-inflated lungs without consolidation or nodules. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.
MIMIC-CXR-JPG/2.0.0/files/p16330595/s55461492/bce1e30e-97e6c99a-b3f3ed8d-7a351c63-c48f9e10.jpg	MIMIC-CXR-JPG/2.0.0/files/p16330595/s55461492/3f8efb13-127b9466-2cd481a1-af48a904-209c9574.jpg	There is no evidence of pneumothorax. The cardiomediastinal silhouette is normal. The lungs are clear. There is no pleural effusion.	<unk>m with l basilar lucency on supine cxr s/p fall, evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12610478/s54636558/9228bcd2-2c8ce0d9-e5d3cfbc-718a184a-f3e8e401.jpg	MIMIC-CXR-JPG/2.0.0/files/p12610478/s54636558/22c585fa-c8414907-651a02a8-c36d8924-56522e50.jpg	The heart size is normal. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Within the left upper lobe there is a <num> x <num> cm rounded opacity concerning for malignancy. Small left pleural effusion is noted. No pulmonary vascular congestion is identified. There is no pneumothorax. The right lung is clear. Mild degenerative changes are noted in the acromioclavicular joints as well as within the thoracic spine.	hemoptysis.
MIMIC-CXR-JPG/2.0.0/files/p17449822/s51688333/faac2962-6aa6d26c-6b7d2a73-78e56d7e-1c85fb65.jpg	null	Interval placement of an ng tube, which traverses the diaphragm and ascends upward into the left upper quadrant terminating in the expected region of the stomach. Stable bilateral low lung volumes, probably a combination of poor inspiration and slight lordotic positioning. The lungs are otherwise clear, without focal consolidation or pulmonary edema. No pleural effusion or pneumothorax. Stable cardiomediastinal silhouette, hila, and pleura. No pneumoperitoneum.	<unk> year old woman with ngt. evaluate ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p17007226/s51189569/657a899f-bfcca303-cd0931cb-cc3cddec-535a54e1.jpg	MIMIC-CXR-JPG/2.0.0/files/p17007226/s51189569/267150d9-dbf4a1e8-57c3e61b-0298831d-a80db361.jpg	Increased opacity at the right lung base concerning for a right lower lobe pneumonia.small right pleural effusion. The heart is mildly enlarged, unchanged compared to prior study.	<unk> year old man with new opacity and hypoxia // pna, volume overload
MIMIC-CXR-JPG/2.0.0/files/p18615329/s59100239/3487552a-e3ebcd87-21cba70d-3a55bb9e-b7e2af47.jpg	null	Chest, portable. There is a moderate right pleural effusion and a small left pleural effusion. There is bibasilar atelectasis, however infection cannot be excluded. The upper lungs are clear. Mild dnlargement of the cardiac silhouette is likely secondary to portable technique and low lung volumes. There is no pneumothorax.	<unk>-year-old man with altered mental status and cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19550773/s51382382/05079030-9708754d-675104ac-701fd81c-8a1dfb82.jpg	null	<num> right pleural catheters in place. Stable right pleural effusion. Mildly worsened right lung opacity. Left lung is clear.	<unk> year old man with chest tubes in place. // eval for infection vs. change in pleural fluid/ct.
MIMIC-CXR-JPG/2.0.0/files/p14229888/s55418740/09adf8b9-5060c0e3-4020ed26-8b22085d-e3512d8d.jpg	MIMIC-CXR-JPG/2.0.0/files/p14229888/s55418740/dd8f240d-9ee46fdc-4756681e-683b13eb-25930272.jpg	Heart size is top normal. The mediastinal and hilar contours are unremarkable aside from mild unfolding of the descending aorta. There is no pneumothorax or large pleural effusion. Lungs are mildly hypoinflated, but clear, without focal consolidation concerning for pneumonia. Note is made of a left axillary dual-lead pacemaker with tips terminating in the right atrium and right ventricle as expected. Compression deformities of two upper lumbar vertebral bodies are noted on the lateral view with prior vertebroplasties. Mild loss in height among two upper thoracic vertebral bodies is probably chronic.	<unk>-year-old male with dementia, ams and fatigue for one day.
MIMIC-CXR-JPG/2.0.0/files/p14567555/s55207438/3d7d5c44-33f9453d-5418976b-3d230795-78c64d4e.jpg	MIMIC-CXR-JPG/2.0.0/files/p14567555/s55207438/e892a310-e18de58d-065baf35-b3fe4273-69f12243.jpg	Upright ap and lateral views of the chest provided. Mild basal atelectasis noted. There is no evidence of pneumonia or edema. No large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Imaged bony structures are intact. No free air below the right hemidiaphragm.	<unk>m with fever, n/vd
MIMIC-CXR-JPG/2.0.0/files/p10575383/s58545323/b39b2e70-6f611825-9fe7c7fd-168a72b0-87468e3b.jpg	null	Portable frontal view of the chest. The endotracheal tube ends <num> cm above the carina. The upper enteric tube ends in the stomach. Opacity over the left lung base could represent atelectasis, early infection or scarring. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax.	<unk>m with altered mental status, intubated.
MIMIC-CXR-JPG/2.0.0/files/p14453634/s55596178/c80ccf7c-d2c29114-b86f3976-1818d4c0-a0f11ad9.jpg	null	Right internal jugular central venous catheter terminates in the low svc. Feeding tube courses below the level of the diaphragm, distal aspect not seen but courses at least into the stomach and possibly more distal. An endotracheal tube is seen terminating approximately <num> cm above the level of the carina. Bibasilar opacities persist, similar to prior, with possible slight improvement at the right costophrenic angle. There is increased obscuration of the left hemidiaphragm which may be due to combination of pleural effusion and atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10341952/s51511940/543f42bd-3317855b-b91f73fd-a6b68509-fe5a93cf.jpg	MIMIC-CXR-JPG/2.0.0/files/p10341952/s51511940/0fa2de04-6c982510-d3da846c-d8451a19-b8a2868d.jpg	The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation concerning for pneumonia. Several small oval radiopaque densities are seen projecting over the left upper quadrant which may represent ingested pills.	history: <unk>f with tachycardia.
MIMIC-CXR-JPG/2.0.0/files/p18428184/s54972928/8ded1bfa-a4e55694-141b9b5f-5bc1b6c4-0b23a01c.jpg	MIMIC-CXR-JPG/2.0.0/files/p18428184/s54972928/32b9eab0-4fb61d66-520fa253-d6cff1bd-1b628ab1.jpg	There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.	<unk>f with cough and shortness of breath, evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p10570409/s57098420/96aff5b8-ca7c3528-b5b1ee34-29285a83-0b410efe.jpg	null	The right hemidiaphragm is mildly elevated. Heart size is mildly enlarged. No fracture is identified. There is no pneumothorax.	status post fall, question pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13458905/s57903469/3f1e7589-405661dc-87247e6a-68fac750-57eb0530.jpg	null	Sternotomy. Right ij central line tip in the mid svc. Chest tubes have been removed. No pneumothorax. There is mild right pleural effusion which is more prominent. More prominent bibasilar opacities, likely atelectasis. Probable tiny left pleural effusion, similar. Shallow inspiration accentuates heart size. Normal pulmonary vascularity. Prominent upper abdominal bowel loops.	<unk> year old man with removal of chest tubes // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p11343484/s51088885/371b5f8d-1b4e081e-f7b363f0-00b576c2-1c0d6dda.jpg	null	As compared to the previous radiograph, the patient has received a dobbhoff catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid part of the stomach. The other monitoring and support devices are constant. Minimal improvement of the bilateral predominantly basal parenchymal opacities. No new opacities. Unchanged moderate cardiomegaly without overt pulmonary edema.	new dobbhoff placement, evaluation of tube position.
MIMIC-CXR-JPG/2.0.0/files/p19670770/s54714757/24d08b20-6471719a-b2303004-630f13c9-34dbd118.jpg	MIMIC-CXR-JPG/2.0.0/files/p19670770/s54714757/3cff4aa7-efb7f47b-5a3f2c2c-467e806e-5b03247e.jpg	Pa and lateral views of the chest provided. Left chest tube is been removed. There is subcutaneous emphysema the left chest wall. There is a tiny left apical pneumothorax. Mild left basal atelectasis. Otherwise no change.	<unk>f s/p vats for lung cancer, chest tube pulled by thoracic team // eval s/p chest tube removal
MIMIC-CXR-JPG/2.0.0/files/p15407803/s53443704/a09e8cc2-aca1ec4c-11ad97a9-136f0f57-988ff2c9.jpg	null	Lung volumes are low. The bibasilar opacities have improved since <unk>. No new areas of focal consolidation are visualized. Small left pleural effusion is unchanged from the prior study. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits.	<unk> year old man with cirrhosis with increasing bili // ?opacity, pna
MIMIC-CXR-JPG/2.0.0/files/p15504510/s54471400/bc24042b-65898675-d6e2557c-a91ebed2-084787cf.jpg	MIMIC-CXR-JPG/2.0.0/files/p15504510/s54471400/f850cc73-c8289b9f-b2805e88-5ec10e5b-6367a33d.jpg	Pa and lateral views of the chest. In the right lower lobe, there is a new opacity. In the left lower lobe, there is a smaller and more subtle opacity adjacent to the apex of the heart. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is increased ap diameter consistent with copd.	<unk>-year-old female with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p14954046/s53515024/7503e19d-d8b5204e-ba21acfd-e1952e5e-32532745.jpg	MIMIC-CXR-JPG/2.0.0/files/p14954046/s53515024/fb61d5ac-2e511bb7-98fe7afa-fb9fc2ee-28c06ce9.jpg	Right picc is seen with tip in the upper svc. Lung volumes are relatively low. There is bibasilar atelectasis and likely superimposed mild pulmonary edema. Small bilateral pleural effusions are also suspected. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Right-sided pigtail catheter is no longer visualized.	<unk>f s/p tah bso o n <unk>, fever and tachycardia without other focal symptoms // infiltrate, evidence of infection
MIMIC-CXR-JPG/2.0.0/files/p12993430/s55279065/25fdec78-56c2275a-75694030-81a979e1-3cdd24ff.jpg	MIMIC-CXR-JPG/2.0.0/files/p12993430/s55279065/ff197cf9-98ed4446-a9f7fe0c-6bc4d841-cc2f277b.jpg	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.	low-grade fever. history of lymphoma.
MIMIC-CXR-JPG/2.0.0/files/p14427347/s55740955/54a36830-246f1a42-1faec003-219bc3dc-eb79b28e.jpg	MIMIC-CXR-JPG/2.0.0/files/p14427347/s55740955/817d09f2-2d3c8856-4a125695-074f40a1-6d46329c.jpg	Frontal and lateral views of the chest were obtained. Multifocal opacities, new from <unk>, worst in the right upper lobe, are compatible with pneumonia seen on the chest ct performed the same day at another hospital. Bilateral bronchiectasis, right worse than left, is again noted. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.	cough and dyspnea. history of liver transplant.
MIMIC-CXR-JPG/2.0.0/files/p18283050/s52995237/957b314f-6e1bb093-76dde03f-8d221ca8-9a1bcf84.jpg	MIMIC-CXR-JPG/2.0.0/files/p18283050/s52995237/b818c0a2-b27013b8-76579cd5-cdaaa9f5-2c7d8cf9.jpg	Comparison is made to previous study from <unk> at <time> a.m. There has been removal of the right-sided chest tube. There remains a small right apical pneumothorax which is unchanged from the prior study. There is a single-lead right-sided pacemaker. There is unchanged cardiomegaly. There is a small right pleural effusion. There are no signs for overt pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17008145/s51501606/2d4a8586-6deb8002-acb50666-79b3cb15-85e9102f.jpg	MIMIC-CXR-JPG/2.0.0/files/p17008145/s51501606/bd667d9f-dac5f47b-9dc052f4-38769d82-af8aa19d.jpg	A right picc line has been removed in the interval. There are new trace bilateral pleural effusions. There are no focal consolidations or pneumothorax. The cardiomediastinal silhouette is normal. No evidence of pulmonary vascular congestion.	history of hodgkin lymphoma. fever and cough. rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12127320/s52171831/4095ca5d-e80f85b5-ab565a09-f9762cd9-fb53ccc8.jpg	null	The picc ends at the junction of the upper and middle svc, and has been pulled back since the prior radiograph. A pacemaker is in place with the leads seen in the left ventricle and right atrium. Sternal wires are intact and midline. Multiple clips are seen within the mediastinum. Since the prior radiograph, there has been resolution of the right pleural effusion. Opacification of the left base likely represents a persistent left effusion. There is no evidence of pulmonary edema.	assess picc line.
MIMIC-CXR-JPG/2.0.0/files/p16748212/s56572427/d4e0a65b-ccdbee9a-1008186b-afda8900-02dad0da.jpg	null	A right-sided picc terminates in the mid svc, having been slightly withdrawn in the interval. Heart size and mediastinal contours are unchanged. Diffuse pulmonary opacities are progressed, consistent with progression of pulmonary edema. No definite pleural effusion. No pneumothorax. Osseous structures are unchanged.	shortness of breath, evaluate for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13824820/s54250542/ed7252ae-0f37d304-0879bbce-29ddbd2e-94615365.jpg	MIMIC-CXR-JPG/2.0.0/files/p13824820/s54250542/2dcaccb0-ef8262b8-0ff37f2c-6df3d797-c9e4ed7d.jpg	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are remarkable only for mild-to-moderate degenerative osteophyte formation along the anterior margin of the lower thoracic spine.	not feeling well. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11943583/s52508860/8411e1e3-4ecab7bd-b5d96c9a-e2915b90-2532ce7c.jpg	MIMIC-CXR-JPG/2.0.0/files/p11943583/s52508860/c4b274e7-00bcc540-a2fb2d08-77f6861c-8abb71f2.jpg	Unchanged cardiomegaly. The aorta is calcified, indicating atherosclerosis. There is a moderate right pleural effusion with overlying compressive atelectasis. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.	history: <unk>m with lgib // ? cpd
MIMIC-CXR-JPG/2.0.0/files/p13780803/s55895991/04facf56-df8a1a01-92afc69f-f314e309-1cedc3e3.jpg	null	Again seen is an opacity at the base of the right lung which has worsened since the prior study is concerning for atelectasis and likely supervening infection. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.	evaluation for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12543863/s52157422/2e8a30c2-741f20fa-208a3379-8204eb49-b1c108da.jpg	MIMIC-CXR-JPG/2.0.0/files/p12543863/s52157422/9dc3f87e-15eeeec9-d25e0569-d875cda7-c0bab14f.jpg	Pa and lateral views the chest provided. An ivc access central venous catheter terminates in the right atrium. Midline sternotomy wires are again noted. Lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.	<unk>f with abdominal pain // ?free air
MIMIC-CXR-JPG/2.0.0/files/p15619921/s52229495/da9f025b-14da581e-7a95c5f3-7aa72d72-a5e858d6.jpg	null	Single portable view of the chest. The degree of pulmonary vascular engorgement is unchanged. The left greater than right pleural effusions are not significantly changed. The cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again seen.	<unk>-year-old female with dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p18060940/s50811812/a67b566e-d35f375c-e7685154-e9999ab5-a3540a3a.jpg	null	Portable ap chest radiograph. The et tube terminates <num> cm above the carina. Lung volumes are low with bibasilar atelectasis and scarring, particularly in the left lower lobe. The heart is mildly enlarged, though this is limited by technique. There is no pleural effusion or pneumothorax.	history of gbm. presenting with possible seizure.
MIMIC-CXR-JPG/2.0.0/files/p17396346/s51283380/9f3bd291-a528528c-488d48c8-f293ea94-0e8e5c65.jpg	null	Since the prior exam, there is increased vascular congestion with mild pulmonary edema. Linear opacities at the right base are likely atelectasis. There is no definite pleural effusion or pneumothorax. The mediastinal contours are unchanged. The heart is severely enlarged, and stable. Surgical clips are noted in the left breast.	acute shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p14605415/s51337003/7cd9fbae-cb4aa05a-75afc984-95751c56-4f877310.jpg	null	Single frontal portable upright chest radiograph demonstrates stable severe cardiomegaly with increased hazy prominence of the pulmonary vasculature with multifocal opacifications bilaterally, right greater than left. No pleural effusion or pneumothorax is evident. Findings may represent pulmonary edema, though infectious process is not excluded. No pneumothorax evident. Sternotomy sutures are midline. Stable fracture of the first sternotomy suture identified.	cough, fever, pneumonia. evaluate for congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p11763607/s50711671/4f1e4ff6-9318a7c8-665df6d0-c84834e3-cfcfbf32.jpg	null	Lung volumes are low. Heart size is moderately enlarged. The left costophrenic angle is not seen due to overlying density; pleural effusion cannot be excluded. There is mild interstitial edema. The right atrial pacer lead is positioned deep, probably at the level of the tricuspid valve or right ventricle; the right ventricular lead appears appropriately positioned on this single view, but is not completely evaluated.	<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p12789872/s55652628/1b03aa6a-6fec0372-b32d4c6a-e031c418-f36fe7cf.jpg	null	Cardiac silhouette is enlarged. Within the lungs, a <num> cm oval shaped opacity is present in the left mid lung region, above the level of the imaging acquisition for the recent cta. Lungs are otherwise clear except for minimal linear atelectasis or scarring at the bases. There are no pleural effusions.	<unk> year old woman with dementia, unable to give history. presented with ischemic limb and leukocytosis. // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p13656989/s59243271/06fec1e7-3408dd6f-803cf561-ad78cdf5-a6284e61.jpg	MIMIC-CXR-JPG/2.0.0/files/p13656989/s59243271/95c0cb0d-559cc0cd-0aabbd6b-8825ee9c-96bb2430.jpg	There is no interstitial disease to suggest amiodarone toxicity. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unchanged. Left pectoral pacemaker leads terminate in the right atrium and right ventricle.	<unk> year old man with h/o vt/vf on amiodarone. please assess for e/o toxicity (annual exam). // ?amiodarone toxicity
MIMIC-CXR-JPG/2.0.0/files/p15128914/s53203856/5a2a6d25-b5c1cb6c-f9d7880e-6bd9a6af-29f63da5.jpg	null	The heart size is top normal. Mediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion. The lungs are adequately expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.	history: <unk>f with tachycardia, chest pain // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p12709202/s51023441/6e76227b-d4aa53fb-7272edc1-1af89cdf-c9d85558.jpg	MIMIC-CXR-JPG/2.0.0/files/p12709202/s51023441/f89c232f-c7b4b863-eadb89dd-a1447d27-39a9ae79.jpg	Moderate-to-severe cardiomegaly is seen with diffuse alveolar opacities compatible with moderate pulmonary edema as seen on the recent prior. Small-to-moderate left pleural effusion with resultant atelectasis is seen. Given the retrocardiac consolidation, followup imaging after diuresis is recommended to exclude underlying infectious process.	shortness of breath and fever, assess for acute infectious process.
MIMIC-CXR-JPG/2.0.0/files/p12010209/s55218821/5530b1bf-05a2c797-3a7b8b8c-c01e521a-4cd6a8d1.jpg	MIMIC-CXR-JPG/2.0.0/files/p12010209/s55218821/1f29dbbb-e1c3770e-3691b07d-ef3c9e40-0d1b248b.jpg	No focal consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.	<unk>-year-old man with multiple myeloma, being worked up for autologous bone marrow transplant.
MIMIC-CXR-JPG/2.0.0/files/p15411788/s58989410/3cbeb86b-9620dfbd-7b2c9968-e495ccbc-55b396d8.jpg	null	Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable	<unk> year old man with tia // rule out pna
MIMIC-CXR-JPG/2.0.0/files/p12868507/s50002970/01b1eecf-7b2ef75f-62a420ba-50abbf6c-31f68583.jpg	null	The endotracheal tube is in appropriate position below the thoracic inlet and its tip is <num> cm above the carina. An esophageal tube is noted with the tip below the gastroesophageal junction and the sideport in the lower esophagus. The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Bilateral degenerative changes of the shoulders are demonstrated, right worse than left. The right humeral head is flattened suggesting prior episode of osteonecrosis.	patient status post fall, intubated selectively for mri. evaluate location of the endotracheal tube.
MIMIC-CXR-JPG/2.0.0/files/p15461582/s53621644/80f1c901-73ba5845-4c715c24-108eeaa0-fbae48dc.jpg	MIMIC-CXR-JPG/2.0.0/files/p15461582/s53621644/c4bed91e-bc79c6f3-65b095af-360702a6-d109ebf1.jpg	A single lead left chest pacer, median sternotomy wires and mediastinal clips remain in unchanged position. The heart is enlarged, unchanged. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.	<num> day post cath stent. rule out pneumonia, atelectasis
MIMIC-CXR-JPG/2.0.0/files/p11737430/s57624194/f0995924-57355e86-97af2a3e-65df5554-28a3fa64.jpg	MIMIC-CXR-JPG/2.0.0/files/p11737430/s57624194/743121c1-a51bb4a9-399db303-b7ced2c1-a8bd695a.jpg	The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Patchy opacification in the left mid lung suggests atelectasis or scarring, noting that it was already present and similar extent with a somewhat shifting morphology. There is no free air or pneumomediastinum.	gastroparesis, abdominal pain, and hematemesis.
MIMIC-CXR-JPG/2.0.0/files/p10020852/s58129659/5a4aaa2a-c00f4429-aa96074c-57b5f8a0-9a7ef44d.jpg	MIMIC-CXR-JPG/2.0.0/files/p10020852/s58129659/36ac19d0-0f74ad5b-2e05452c-4000f29c-2e646e00.jpg	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Mild prominence of the hila is stable.	history: <unk>f with sob and cp // r/oinfiltrate
MIMIC-CXR-JPG/2.0.0/files/p10422081/s51456671/696fda10-c8aa4e7b-99362002-8648db04-c430220b.jpg	null	A portable view of the chest shows a right ij ending in the upper svc. Bilateral lung opacities, most pronounced in the right lower lobe, and cardiomegaly is consistent with pulmonary edema. Pleural effusions are small, if any. There is no pneumothorax.	<unk> year old man with rij, assess position.
MIMIC-CXR-JPG/2.0.0/files/p19206612/s59249581/6ed7d8e7-25ef2bfa-429c719f-6e7167fe-fc03a699.jpg	MIMIC-CXR-JPG/2.0.0/files/p19206612/s59249581/9f77f855-feb68f14-c41c50df-e49cac61-cfd05675.jpg	The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.	<unk>-year-old woman presenting with chest pain and shortness of breath. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17971963/s50979987/384254ea-c5d1a4f4-fcbef1a0-1788bf2d-8d909d7b.jpg	null	Cardiac size is top normal. The lungs are clear. There is no pneumothorax or pleural effusion.	<unk> year old man with <num>-week history of confusion and behavioral changes. // pna?
MIMIC-CXR-JPG/2.0.0/files/p16122029/s57753941/c298143f-fc1245fc-3a28fa30-6045f99f-0a6dbe0d.jpg	null	There are opacities throughout the right lung. Left retrocardiac opacity obscures the left hemidiaphragm although this is only minimally increased since <unk>. The left upper lung is relatively clear. Heart size is normal. The mediastinal contours are unremarkable with the limits of portable technique. Aortic arch is calcified. There is no pneumothorax or large pleural effusion.	history: <unk>f with hypoxia // eval pna
MIMIC-CXR-JPG/2.0.0/files/p13091743/s56124505/4b274d65-616c83d3-52c82560-e120a6d9-678ef95a.jpg	MIMIC-CXR-JPG/2.0.0/files/p13091743/s56124505/2678e894-36734860-544b656c-cdea57a7-08e72d94.jpg	Ap and lateral chest radiographs demonstrate clear hyperinflated lungs. A tortuous aorta is noted. Cardiomediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. Multi-level degenerative changes are noted throughout the thoracic spine. Numerous metallic biliary stents in the right upper quadrant are related to known cholangiocarcinoma.	<unk>-year-old male with cough.
MIMIC-CXR-JPG/2.0.0/files/p14394983/s59603606/c91091f2-5c569021-dd2b7eb8-d1a4a209-955a15b2.jpg	MIMIC-CXR-JPG/2.0.0/files/p14394983/s59603606/0bfe4ea0-f887d59c-7e4adf01-d57f34ef-006d7e3c.jpg	Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.	chest pain and cough.
MIMIC-CXR-JPG/2.0.0/files/p18173859/s56334501/7061120f-972d772f-e7c9eab7-82858f14-1c573d77.jpg	MIMIC-CXR-JPG/2.0.0/files/p18173859/s56334501/246e7a2b-99eaa369-8bb5ea74-7d2e0f64-f2b703b3.jpg	Frontal and lateral chest radiograph demonstrate stable prominence of the upper mediastinum, particularly on the left with evidence of volume loss and traction of the hila, particularly on the left consistent with fibrosis related to radiotherapy, not significantly changed since <unk>. No new nodular contour abnormality to suggest underlying lymphadenopathy. Lungs are clear. No pleural effusion or pneumothorax.	history of hodgkin's lymphoma in the chest status post radiation many years ago who presents with left chest discomfort with deep breath. assess for lung or mediastinal mass.
MIMIC-CXR-JPG/2.0.0/files/p15906836/s51913184/96a7ceb1-6f8a0368-64e43706-7728d155-52cf00a2.jpg	MIMIC-CXR-JPG/2.0.0/files/p15906836/s51913184/19de3768-77928ffc-9060bd00-f50fa764-249af06a.jpg	Frontal and lateral views of the chest were obtained. There are patchy bibasilar mid lung opacities bilaterally, raising concern for multifocal infection. Alternatively, the superimposed aspiration is not excluded. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is top normal. The aorta is calcified.
MIMIC-CXR-JPG/2.0.0/files/p18304932/s59615455/98ccb439-b348211f-fe9bc639-775d8028-01b5f189.jpg	MIMIC-CXR-JPG/2.0.0/files/p18304932/s59615455/9e1c62bd-57c66016-62cc5d9e-602cb584-d010d406.jpg	Mild bronchovascular crowding in the right lower lung is not significantly changed compared to the prior radiograph from <unk>, although increased compared to the radiograph from <unk>. The lungs are clear. Mild cardiomegaly is not significantly changed. Large spinal osteophytes should not be be mistaken for azygos dilatation. The mediastinal contours are otherwise normal. There are no pleural effusions. No pneumothorax is seen.	fevers and cough. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16832609/s52984488/c886fd71-b4861895-07034e7a-a73b38db-eb27537a.jpg	null	As compared to the previous radiograph, the lung volumes have slightly decreased. There is unchanged cardiomegaly and moderate right pleural effusion. Newly occurred is a minimal left pleural effusion. The areas of atelectasis at both lung bases are slightly progressive. Unchanged evidence of mild-to-moderate pulmonary edema. No new parenchymal opacities have appeared.	chronic heart failure, potential fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p18549459/s53957232/63473bdb-18ef8cf7-f6f65ea4-14ebdc09-6ebb75ab.jpg	null	Lung volumes are low with secondary crowding of the bronchovascular markings. Superimposed pulmonary vascular congestion would be difficult to exclude. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	<unk>f with benzo, methadone od // eval ? aspiration
MIMIC-CXR-JPG/2.0.0/files/p19318303/s57945499/73dfda76-1305f285-1616a61c-30c0cc90-783beee7.jpg	null	Cardiomediastinal contours are stable. Bibasilar atelectasis is again demonstrated, and is slightly worsened in the left lower lobe. Small left pleural effusion is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p10145540/s54716374/139cff2a-97fda1e1-6fc69803-ce0adbd1-4fa01889.jpg	null	Ap portable upright view of the chest. Overlying ekg leads are present. Lung volumes are low. The heart is mildly enlarged. No focal consolidation, effusion, or pneumothorax. No overt edema. Mediastinal contour is normal. A subtle rounded density projecting over the right mediastinum is likely the azygos arch. Bony structures are intact.	<unk>m s/p assault with head/facial laceration, l flank bruising // evaluate for rib fracture
MIMIC-CXR-JPG/2.0.0/files/p14735209/s50373971/36066284-b917cea7-9ef5d24a-0143b30e-2701f47b.jpg	null	Endotracheal tube tip is <num> cm from the carina. Enteric tube tip in the stomach however side-port is proximal to the ge junction and should be advanced. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.	<unk>m with ett, ams // eval for bleed/ams, tube placement
MIMIC-CXR-JPG/2.0.0/files/p11944377/s57869126/b8f7658f-68fac583-109bc3ff-8630520c-83d287ec.jpg	null	In comparison to the chest radiograph obtained <num> day prior, there has been substantial improvement in pulmonary edema. Multiple rib fractures and right clavicular fracture are unchanged. No obvious pneumothorax. There is increased bibasilar atelectasis and new, small, bilateral pleural effusions. Bilateral chest tubes are essentially unchanged in position. An ng tube side port projects just distal to the ge junction. An et tube terminates <num> cm above the carina.	<unk> year old man s/p mcc with multiple traumas // chest tubes, ett
MIMIC-CXR-JPG/2.0.0/files/p11609366/s52876073/bd6abdfd-c1cdfb63-f0b0607a-7198f858-b828d849.jpg	MIMIC-CXR-JPG/2.0.0/files/p11609366/s52876073/c1b7f235-f8b51710-d9236907-968117de-d66e0332.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 pleuritic chest pain
MIMIC-CXR-JPG/2.0.0/files/p19885929/s53728849/ddc128a7-60c9d82d-ee24eacf-64ca0a74-0398ebcb.jpg	MIMIC-CXR-JPG/2.0.0/files/p19885929/s53728849/dd2b91de-25405ee8-8690b2a3-581f12b5-a87f3e72.jpg	There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No evidence of pneumomediastinum. No acute osseous abnormalities are identified.	history: <unk>f with severe dysphagia x <num> days, // pneumomediastinum? esophageal pathology?
MIMIC-CXR-JPG/2.0.0/files/p15325060/s52868881/4371f43e-0bdf7fc4-59c607ee-bdc5802f-0a9c87c5.jpg	MIMIC-CXR-JPG/2.0.0/files/p15325060/s52868881/65aba44d-c49ba1af-3f314a51-5daca84e-ea547e36.jpg	Frontal and lateral views of the chest. Compared to prior, there is no change. Subtle opacity in the left suprahilar region is unchanged and as previously characterized. The lungs are otherwise clear. Rounded opacity over the right lung base laterally on one of the frontal views is most compatible with a nipple shadow. Streaky right basilar opacity is most likely atelectasis given low lung volumes. Trace bilateral effusions are identified. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcification is seen at the aortic arch. No acute osseous abnormalities identified.	shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p16410508/s55349928/cd8db156-cb822730-dc6dd52f-46e3b2c7-559e331f.jpg	MIMIC-CXR-JPG/2.0.0/files/p16410508/s55349928/f18b1820-2e2823ab-d153da11-4a0c7d68-2a1a214b.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 chest tightness // ptx
MIMIC-CXR-JPG/2.0.0/files/p15969667/s53623381/428ab79e-0d23de55-440e5565-b27fbe46-586f04bf.jpg	MIMIC-CXR-JPG/2.0.0/files/p15969667/s53623381/8871f17f-5d0483c9-9983c3b7-d61b0f08-cda9e3f9.jpg	Lung volumes are slightly low. Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Subsegmental atelectasis is demonstrated within the lingula. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes visualized in the thoracic spine.	history: <unk>m with cough
MIMIC-CXR-JPG/2.0.0/files/p12520640/s55166597/dd1f6611-4eba385b-b268cbc4-2c52005f-2822af41.jpg	MIMIC-CXR-JPG/2.0.0/files/p12520640/s55166597/22555f51-1409d21d-95c79966-f21518cb-76df5c3c.jpg	Pa and lateral views of the chest were reviewed. Compared to the most recent prior, the small right-sided pleural effusion has decreased. There are no complications appreciated including pneumothorax. The heart, lungs and mediastinal contours are unchanged.	evaluation of right pleural effusion status post right thoracentesis.
MIMIC-CXR-JPG/2.0.0/files/p11445908/s56266844/11d16b72-e96f942e-a53c1335-9310ac76-01232978.jpg	null	As compared to the previous examination, there is no relevant change. The left pectoral pacemaker and the right internal jugular vein catheter are in correct position. There are unchanged bat-wing opacities constant in extent and severity. The size of the cardiac silhouette is also constant.	sepsis and heart failure, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p13620373/s58371513/28cf0141-d35aead9-3f6fa1a9-4833f163-9ca5cfb8.jpg	MIMIC-CXR-JPG/2.0.0/files/p13620373/s58371513/7d86e4d1-93a5157a-81ee7e6a-8f56f2e7-5c4b9645.jpg	The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. There is no concerning parenchymal consolidation. Bony structures are unremarkable.	<unk>f with anxiety and depression, fever cough // eval for pna.
MIMIC-CXR-JPG/2.0.0/files/p16754762/s50062354/9223985c-40fe0281-8860610f-2c868a10-e163a6c9.jpg	null	As compared to the previous radiograph, the pre-existing parenchymal opacity in the right mid and lower lung has minimally increased in severity and extent. However, the opacity is still extensive and clearly visible. There is a minimal right pleural effusion. The left complete opacification of the hemithorax is unchanged. Unchanged stabilization devices of the spine.	evaluation for interval change.

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Portable upright frontal view of the chest. The left internal jugular line has been removed. A right-sided port-a-cath is accessed and terminates in the low svc. A double-lumen catheter ends in the mid right atrium. Moderate-to-severe cardiomegaly that appears slightly worse since <unk>. Bilateral diffuse lower lobe predominant airspace opacities are new since <unk>. There are bilateral moderate-sized pleural effusions and bibasilar atelectasis. There is no pneumothorax.

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Tip of the ng tube again is not well visualized past the diaphragm and likely is in the ge junction. Otherwise there is no significant interval change since chest radiograph performed earlier on the same day. Cardiac size is normal. There is no pneumothorax or pleural effusion. Unchanged collapse of the right middle lobe and right lower lobe with elevation of left hemidiaphragm again noted. Severely distended bowel loops again noted.

<unk> year old man with abdominal distension // ngt placement, has been advanced.

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Endotracheal tube approximately <num> cm above the carina, can be retracted for more optimal positioning. Nasoenteric tube within the distal esophagus and should be advanced. The heart is enlarged. Left basilar and perihilar opacities likely represent atelectasis. There is mild interstitial edema. There is a small left pleural effusion. There is no pneumothorax.

<unk>f with hypoxia, intubated, evaluate tube positioning..

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Mild cardiomegaly is stable in appearance. Increasing confluent opacity has developed in the periphery of the right mid lung, concerning for developing infection in the setting of fever. Worsening patchy and linear opacities in the right lung base and persistent left retrocardiac opacity may reflect atelectasis with or without coexisting pneumonia. Small bilateral pleural effusions persist, left greater than right.

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The patient is status post interval placement of right ij central line. Et tube is in adequate position, terminating <num> cm above the carina. Ng tube is in adequate position. Surgical <unk> are noted overlying the left in the thorax, new from prior exam. Despite low lung volumes, lungs remain relatively clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

<unk> year old man s/p gsw and stabbing w/l diaphragm laceration // evaluate for ptx, hemothorax

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Moderate enlargement of the cardiac silhouette has increased substantially since <unk>. Severe distension of mediastinal veins is disproportionate compared to mild pulmonary vascular congestion, pointing toward right heart failure or hemodynamically significant pericardial effusion. Lungs are clear and there is no pleural effusion.

chest pain.

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Pa and lateral views of the chest demonstrate bibasilar opacities, right greater left. There is also blunting of the left costophrenic angle, possibly due to effusion versus scarring. Calcifications of the aorta are seen throughout the aortic knob as well as the arch and descending aorta. Heart size is top normal.

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As compared to the previous radiograph, there is no relevant change. Position of the endotracheal tube is unchanged. Unchanged course of the nasogastric tube. Unchanged moderate cardiomegaly with minimal fluid overload. No pleural effusions. No pneumonia. No pneumothorax. Minimal atelectasis at the lung bases.

ett placement.

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Persistent cardiomegaly accompanied by worsening pulmonary vascular congestion and moderate pulmonary edema. Patchy bibasilar opacities may reflect dependent edema, but aspiration and developing infectious pneumonia are also possible in the appropriate clinical setting. Short-term followup radiographs may be helpful in this regard.

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There is streaky retrocardiac opacity which is most likely atelectasis. Left mid lung linear opacity also likely atelectasis versus scarring. Lungs are otherwise clear without confluent consolidation or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.

<unk>f with dyspnea // ? pneumonia or other acute cardipulm process

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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are stable. Linear opacity in the right lung is consistent with atelectasis. No substantial pleural effusion or pneumothorax. Leads of a left chest wall generator pack terminate in the right atrium and right ventricle. A third cardiac lead is in unchanged position since <unk>.

<unk>-year-old female with <num> days of cough.

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There is a small right apical pneumothorax. This is more conspicuous than on the study from the prior day. Otherwise, the appearance of the chest is unchanged.

check pneumothorax.

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Tortuous, ectatic thoracic aorta is more prominent, possibly accentuated by a difference in obliquity of x-ray. Borderline heart size stable. Normal pulmonary vascularity. No edema. Mild right basilar opacity, likely atelectasis. No pneumothorax. No effusion.

<unk> year old man post op day #<num> umbilical hernia repair with intermittent chest pain // evaluate for pulm edema/consolidation?

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Port-a-cath tip terminates in the lower svc. In gj tube is in the stomach but the side port is at the gastroesophageal junction. Cardiomediastinal silhouette is unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.

<unk> year old man s/p robotic proctectomy now p/w ileus; ngt placed // confirm ngt location

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is top normal. Mediastinal contours are stable with stable positioning of pacemaker hardware.

<unk>-year-old female with weakness and malaise.

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Single portable view of the chest. Moderate mid to lower thoracic dextroscoliosis is noted. There is also apparent fusion of several thoracic vertebral bodies. There is secondary asymmetry of the thoracic cavities. Dense left basilar opacity could represent secondary atelectasis due to the bony changes although underlying effusion or consolidation is also possible. The right lung is grossly clear. Cardiomediastinal silhouette is difficult to assess. Chronic changes seen in the proximal left humerus presumably from prior fracture.

<unk>-year-old male with syncope.

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Frontal lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is slightly enlarged, unchanged from <unk>. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with several days cough // assess for pneumonia

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Heart size is normal. The aorta remains mildly tortuous. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs remain hyperinflated without focal consolidation. Streaky atelectasis is noted in the left lung base. No pleural effusion or pneumothorax is visualized. Dextro scoliosis of the thoracic spine is again noted. Several clips are seen within the right upper quadrant of the abdomen.

history: <unk>f with weakness

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Interval removal of an intra-aortic balloon pump. Interval placement of a left ij central venous dialysis catheter, which terminates in the low svc. A right ij swan-ganz catheter is unchanged in position, terminating in the proximal right pulmonary artery. An endotracheal tube terminates approximately <num> cm above the carina. <unk> mediastinal drains and bilateral chest tubes are noted. Cardiomediastinal widening is essentially unchanged. Pulmonary edema has increased, now mild to moderate. Left lower lobe atelectasis is unchanged. No focal consolidation. Small left pleural effusion is probably unchanged. The hila are unremarkable.

<unk> year old man s/p cabg // eval s/p iabp removal hd line s/p placement

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Pigtail pleural catheter remains in place in the lower left hemithorax, with apparent increase in moderate loculated left pleural effusion laterally. Cardiomediastinal contours are stable. Multifocal bilateral consolidation remains most severe in the central juxtahilar regions, and has slightly worsened in the interval. More peripheral interstitial opacities have also progressed, and a small-to-moderate right pleural effusion has slightly increased in size.

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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.

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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

chest pain.

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Mild subsegmental atelectasis is present at the left base. The aorta is tortuous. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

<unk>m with chest pain, eval for pneumothorax.

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The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

chest pain.

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Pa and lateral views of the chest provided. There has been interval placement of a right ij dialysis catheter with its tip residing at the low svc level. Mild hazy opacity at the left lung base is most compatible with atelectasis though an early pneumonia is difficult to exclude in the correct clinical setting. Otherwise the lungs appear clear. No definite sign of effusion or pneumothorax. Heart and mediastinal contours appear stable and normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

history: <unk>f with malaise, hd patient, evaluate for pneumonia.

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One ap portable upright view of the chest. The lungs are clear. The cardiac, mediastinal, and hilar contours are normal. There is no pneumothorax or pleural effusion.

<unk>-year-old female with syncope and hypotension, question pneumonia or cardiomegaly.

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Unchanged masslike opacity in the left upper lobe. No discrete pneumothorax identified. No new consolidation or pleural effusion. The size of the cardiac silhouette is mildly enlarged but unchanged. Degenerative changes of the both glenohumeral joints.

<unk> year old man with lul biopsy // r/o pneumothorax

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As compared to the previous radiograph, a pre-existing relatively extensive left pleural effusion has completely resolved. At the level of the left and right costophrenic sinus, minimal pleural scarring is still seen, slightly more extensive on the left than on the right. The lateral radiograph additionally reveals flattening of the hemidiaphragms, indicative of moderate overinflation. The lung parenchyma appears normal. There is no pulmonary edema and no focal area of increased radiodensity, potentially suggestive of pneumonia. No lung nodules or masses. Borderline size of the cardiac silhouette with minimal tortuosity of the thoracic aorta. No pneumothorax.

cough for three weeks.

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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable. There are increased perihilar opacities which raise concern for mild pulmonary edema. Right lower lobe opacity is seen which could be due to infection or aspiration. There is also blunting of bilateral posterior costophrenic angles suggesting small pleural effusions. Cardiac silhouette remains enlarged. No pneumothorax.

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Frontal and lateral chest radiograph demonstrate unremarkable mediastinal and hilar contours. Heart size is top normal with a configuration suggesting left ventricular hypertrophy. No lobar opacification is evident within the lungs. However, there are faint reticular nodular opacifications in the left lung possibly due to underlying atypical, possibly viral infection. No findings to suggest emphysema. No pleural effusion or pneumothorax. Port-a-cath terminates in the upper right atrium.

fever, weakness, evaluate for infiltrate.

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Left perihilar opacity is similar in appearance as compared to the prior study. Biapical scarring is again noted. Right apical opacity underlying the fourth rib is stable. No definite new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with cp, recent pna, has lung ca // r/o pna

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Pa and lateral radiographs of the chest show well-inflated lungs without consolidation or nodules. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.

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There is no evidence of pneumothorax. The cardiomediastinal silhouette is normal. The lungs are clear. There is no pleural effusion.

<unk>m with l basilar lucency on supine cxr s/p fall, evaluate for pneumothorax.

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The heart size is normal. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Within the left upper lobe there is a <num> x <num> cm rounded opacity concerning for malignancy. Small left pleural effusion is noted. No pulmonary vascular congestion is identified. There is no pneumothorax. The right lung is clear. Mild degenerative changes are noted in the acromioclavicular joints as well as within the thoracic spine.

hemoptysis.

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Interval placement of an ng tube, which traverses the diaphragm and ascends upward into the left upper quadrant terminating in the expected region of the stomach. Stable bilateral low lung volumes, probably a combination of poor inspiration and slight lordotic positioning. The lungs are otherwise clear, without focal consolidation or pulmonary edema. No pleural effusion or pneumothorax. Stable cardiomediastinal silhouette, hila, and pleura. No pneumoperitoneum.

<unk> year old woman with ngt. evaluate ng tube placement.

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Increased opacity at the right lung base concerning for a right lower lobe pneumonia.small right pleural effusion. The heart is mildly enlarged, unchanged compared to prior study.

<unk> year old man with new opacity and hypoxia // pna, volume overload

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Chest, portable. There is a moderate right pleural effusion and a small left pleural effusion. There is bibasilar atelectasis, however infection cannot be excluded. The upper lungs are clear. Mild dnlargement of the cardiac silhouette is likely secondary to portable technique and low lung volumes. There is no pneumothorax.

<unk>-year-old man with altered mental status and cough. evaluate for pneumonia.

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<num> right pleural catheters in place. Stable right pleural effusion. Mildly worsened right lung opacity. Left lung is clear.

<unk> year old man with chest tubes in place. // eval for infection vs. change in pleural fluid/ct.

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Heart size is top normal. The mediastinal and hilar contours are unremarkable aside from mild unfolding of the descending aorta. There is no pneumothorax or large pleural effusion. Lungs are mildly hypoinflated, but clear, without focal consolidation concerning for pneumonia. Note is made of a left axillary dual-lead pacemaker with tips terminating in the right atrium and right ventricle as expected. Compression deformities of two upper lumbar vertebral bodies are noted on the lateral view with prior vertebroplasties. Mild loss in height among two upper thoracic vertebral bodies is probably chronic.

<unk>-year-old male with dementia, ams and fatigue for one day.

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Upright ap and lateral views of the chest provided. Mild basal atelectasis noted. There is no evidence of pneumonia or edema. No large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Imaged bony structures are intact. No free air below the right hemidiaphragm.

<unk>m with fever, n/vd

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Portable frontal view of the chest. The endotracheal tube ends <num> cm above the carina. The upper enteric tube ends in the stomach. Opacity over the left lung base could represent atelectasis, early infection or scarring. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax.

<unk>m with altered mental status, intubated.

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Right internal jugular central venous catheter terminates in the low svc. Feeding tube courses below the level of the diaphragm, distal aspect not seen but courses at least into the stomach and possibly more distal. An endotracheal tube is seen terminating approximately <num> cm above the level of the carina. Bibasilar opacities persist, similar to prior, with possible slight improvement at the right costophrenic angle. There is increased obscuration of the left hemidiaphragm which may be due to combination of pleural effusion and atelectasis.

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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation concerning for pneumonia. Several small oval radiopaque densities are seen projecting over the left upper quadrant which may represent ingested pills.

history: <unk>f with tachycardia.

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.

<unk>f with cough and shortness of breath, evaluate for acute process.

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The right hemidiaphragm is mildly elevated. Heart size is mildly enlarged. No fracture is identified. There is no pneumothorax.

status post fall, question pneumothorax.

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Sternotomy. Right ij central line tip in the mid svc. Chest tubes have been removed. No pneumothorax. There is mild right pleural effusion which is more prominent. More prominent bibasilar opacities, likely atelectasis. Probable tiny left pleural effusion, similar. Shallow inspiration accentuates heart size. Normal pulmonary vascularity. Prominent upper abdominal bowel loops.

<unk> year old man with removal of chest tubes // eval for ptx

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As compared to the previous radiograph, the patient has received a dobbhoff catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid part of the stomach. The other monitoring and support devices are constant. Minimal improvement of the bilateral predominantly basal parenchymal opacities. No new opacities. Unchanged moderate cardiomegaly without overt pulmonary edema.

new dobbhoff placement, evaluation of tube position.

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Pa and lateral views of the chest provided. Left chest tube is been removed. There is subcutaneous emphysema the left chest wall. There is a tiny left apical pneumothorax. Mild left basal atelectasis. Otherwise no change.

<unk>f s/p vats for lung cancer, chest tube pulled by thoracic team // eval s/p chest tube removal

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Lung volumes are low. The bibasilar opacities have improved since <unk>. No new areas of focal consolidation are visualized. Small left pleural effusion is unchanged from the prior study. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits.

<unk> year old man with cirrhosis with increasing bili // ?opacity, pna

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Pa and lateral views of the chest. In the right lower lobe, there is a new opacity. In the left lower lobe, there is a smaller and more subtle opacity adjacent to the apex of the heart. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is increased ap diameter consistent with copd.

<unk>-year-old female with shortness of breath.

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Right picc is seen with tip in the upper svc. Lung volumes are relatively low. There is bibasilar atelectasis and likely superimposed mild pulmonary edema. Small bilateral pleural effusions are also suspected. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Right-sided pigtail catheter is no longer visualized.

<unk>f s/p tah bso o n <unk>, fever and tachycardia without other focal symptoms // infiltrate, evidence of infection

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.

low-grade fever. history of lymphoma.

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Frontal and lateral views of the chest were obtained. Multifocal opacities, new from <unk>, worst in the right upper lobe, are compatible with pneumonia seen on the chest ct performed the same day at another hospital. Bilateral bronchiectasis, right worse than left, is again noted. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.

cough and dyspnea. history of liver transplant.

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Comparison is made to previous study from <unk> at <time> a.m. There has been removal of the right-sided chest tube. There remains a small right apical pneumothorax which is unchanged from the prior study. There is a single-lead right-sided pacemaker. There is unchanged cardiomegaly. There is a small right pleural effusion. There are no signs for overt pulmonary edema.

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A right picc line has been removed in the interval. There are new trace bilateral pleural effusions. There are no focal consolidations or pneumothorax. The cardiomediastinal silhouette is normal. No evidence of pulmonary vascular congestion.

history of hodgkin lymphoma. fever and cough. rule out pneumonia.

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The picc ends at the junction of the upper and middle svc, and has been pulled back since the prior radiograph. A pacemaker is in place with the leads seen in the left ventricle and right atrium. Sternal wires are intact and midline. Multiple clips are seen within the mediastinum. Since the prior radiograph, there has been resolution of the right pleural effusion. Opacification of the left base likely represents a persistent left effusion. There is no evidence of pulmonary edema.

assess picc line.

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A right-sided picc terminates in the mid svc, having been slightly withdrawn in the interval. Heart size and mediastinal contours are unchanged. Diffuse pulmonary opacities are progressed, consistent with progression of pulmonary edema. No definite pleural effusion. No pneumothorax. Osseous structures are unchanged.

shortness of breath, evaluate for pulmonary edema.

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are remarkable only for mild-to-moderate degenerative osteophyte formation along the anterior margin of the lower thoracic spine.

not feeling well. question pneumonia.

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Unchanged cardiomegaly. The aorta is calcified, indicating atherosclerosis. There is a moderate right pleural effusion with overlying compressive atelectasis. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.

history: <unk>m with lgib // ? cpd

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Again seen is an opacity at the base of the right lung which has worsened since the prior study is concerning for atelectasis and likely supervening infection. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.

evaluation for pneumonia.

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Pa and lateral views the chest provided. An ivc access central venous catheter terminates in the right atrium. Midline sternotomy wires are again noted. Lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with abdominal pain // ?free air

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Single portable view of the chest. The degree of pulmonary vascular engorgement is unchanged. The left greater than right pleural effusions are not significantly changed. The cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again seen.

<unk>-year-old female with dyspnea.

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Portable ap chest radiograph. The et tube terminates <num> cm above the carina. Lung volumes are low with bibasilar atelectasis and scarring, particularly in the left lower lobe. The heart is mildly enlarged, though this is limited by technique. There is no pleural effusion or pneumothorax.

history of gbm. presenting with possible seizure.

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Since the prior exam, there is increased vascular congestion with mild pulmonary edema. Linear opacities at the right base are likely atelectasis. There is no definite pleural effusion or pneumothorax. The mediastinal contours are unchanged. The heart is severely enlarged, and stable. Surgical clips are noted in the left breast.

acute shortness of breath.

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Single frontal portable upright chest radiograph demonstrates stable severe cardiomegaly with increased hazy prominence of the pulmonary vasculature with multifocal opacifications bilaterally, right greater than left. No pleural effusion or pneumothorax is evident. Findings may represent pulmonary edema, though infectious process is not excluded. No pneumothorax evident. Sternotomy sutures are midline. Stable fracture of the first sternotomy suture identified.

cough, fever, pneumonia. evaluate for congestive heart failure.

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Lung volumes are low. Heart size is moderately enlarged. The left costophrenic angle is not seen due to overlying density; pleural effusion cannot be excluded. There is mild interstitial edema. The right atrial pacer lead is positioned deep, probably at the level of the tricuspid valve or right ventricle; the right ventricular lead appears appropriately positioned on this single view, but is not completely evaluated.

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

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Cardiac silhouette is enlarged. Within the lungs, a <num> cm oval shaped opacity is present in the left mid lung region, above the level of the imaging acquisition for the recent cta. Lungs are otherwise clear except for minimal linear atelectasis or scarring at the bases. There are no pleural effusions.

<unk> year old woman with dementia, unable to give history. presented with ischemic limb and leukocytosis. // eval for pna

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There is no interstitial disease to suggest amiodarone toxicity. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unchanged. Left pectoral pacemaker leads terminate in the right atrium and right ventricle.

<unk> year old man with h/o vt/vf on amiodarone. please assess for e/o toxicity (annual exam). // ?amiodarone toxicity

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The heart size is top normal. Mediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion. The lungs are adequately expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.

history: <unk>f with tachycardia, chest pain // eval for acute process

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Moderate-to-severe cardiomegaly is seen with diffuse alveolar opacities compatible with moderate pulmonary edema as seen on the recent prior. Small-to-moderate left pleural effusion with resultant atelectasis is seen. Given the retrocardiac consolidation, followup imaging after diuresis is recommended to exclude underlying infectious process.

shortness of breath and fever, assess for acute infectious process.

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No focal consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.

<unk>-year-old man with multiple myeloma, being worked up for autologous bone marrow transplant.

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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old man with tia // rule out pna

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The endotracheal tube is in appropriate position below the thoracic inlet and its tip is <num> cm above the carina. An esophageal tube is noted with the tip below the gastroesophageal junction and the sideport in the lower esophagus. The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Bilateral degenerative changes of the shoulders are demonstrated, right worse than left. The right humeral head is flattened suggesting prior episode of osteonecrosis.

patient status post fall, intubated selectively for mri. evaluate location of the endotracheal tube.

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A single lead left chest pacer, median sternotomy wires and mediastinal clips remain in unchanged position. The heart is enlarged, unchanged. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

<num> day post cath stent. rule out pneumonia, atelectasis

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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Patchy opacification in the left mid lung suggests atelectasis or scarring, noting that it was already present and similar extent with a somewhat shifting morphology. There is no free air or pneumomediastinum.

gastroparesis, abdominal pain, and hematemesis.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Mild prominence of the hila is stable.

history: <unk>f with sob and cp // r/oinfiltrate

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A portable view of the chest shows a right ij ending in the upper svc. Bilateral lung opacities, most pronounced in the right lower lobe, and cardiomegaly is consistent with pulmonary edema. Pleural effusions are small, if any. There is no pneumothorax.

<unk> year old man with rij, assess position.

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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old woman presenting with chest pain and shortness of breath. evaluate for pneumonia.

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Cardiac size is top normal. The lungs are clear. There is no pneumothorax or pleural effusion.

<unk> year old man with <num>-week history of confusion and behavioral changes. // pna?

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There are opacities throughout the right lung. Left retrocardiac opacity obscures the left hemidiaphragm although this is only minimally increased since <unk>. The left upper lung is relatively clear. Heart size is normal. The mediastinal contours are unremarkable with the limits of portable technique. Aortic arch is calcified. There is no pneumothorax or large pleural effusion.

history: <unk>f with hypoxia // eval pna

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Ap and lateral chest radiographs demonstrate clear hyperinflated lungs. A tortuous aorta is noted. Cardiomediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. Multi-level degenerative changes are noted throughout the thoracic spine. Numerous metallic biliary stents in the right upper quadrant are related to known cholangiocarcinoma.

<unk>-year-old male with cough.

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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.

chest pain and cough.

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Frontal and lateral chest radiograph demonstrate stable prominence of the upper mediastinum, particularly on the left with evidence of volume loss and traction of the hila, particularly on the left consistent with fibrosis related to radiotherapy, not significantly changed since <unk>. No new nodular contour abnormality to suggest underlying lymphadenopathy. Lungs are clear. No pleural effusion or pneumothorax.

history of hodgkin's lymphoma in the chest status post radiation many years ago who presents with left chest discomfort with deep breath. assess for lung or mediastinal mass.

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Frontal and lateral views of the chest were obtained. There are patchy bibasilar mid lung opacities bilaterally, raising concern for multifocal infection. Alternatively, the superimposed aspiration is not excluded. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is top normal. The aorta is calcified.

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Mild bronchovascular crowding in the right lower lung is not significantly changed compared to the prior radiograph from <unk>, although increased compared to the radiograph from <unk>. The lungs are clear. Mild cardiomegaly is not significantly changed. Large spinal osteophytes should not be be mistaken for azygos dilatation. The mediastinal contours are otherwise normal. There are no pleural effusions. No pneumothorax is seen.

fevers and cough. assess for pneumonia.

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As compared to the previous radiograph, the lung volumes have slightly decreased. There is unchanged cardiomegaly and moderate right pleural effusion. Newly occurred is a minimal left pleural effusion. The areas of atelectasis at both lung bases are slightly progressive. Unchanged evidence of mild-to-moderate pulmonary edema. No new parenchymal opacities have appeared.

chronic heart failure, potential fluid overload.

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Lung volumes are low with secondary crowding of the bronchovascular markings. Superimposed pulmonary vascular congestion would be difficult to exclude. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with benzo, methadone od // eval ? aspiration

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Cardiomediastinal contours are stable. Bibasilar atelectasis is again demonstrated, and is slightly worsened in the left lower lobe. Small left pleural effusion is unchanged.

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Ap portable upright view of the chest. Overlying ekg leads are present. Lung volumes are low. The heart is mildly enlarged. No focal consolidation, effusion, or pneumothorax. No overt edema. Mediastinal contour is normal. A subtle rounded density projecting over the right mediastinum is likely the azygos arch. Bony structures are intact.

<unk>m s/p assault with head/facial laceration, l flank bruising // evaluate for rib fracture

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Endotracheal tube tip is <num> cm from the carina. Enteric tube tip in the stomach however side-port is proximal to the ge junction and should be advanced. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.

<unk>m with ett, ams // eval for bleed/ams, tube placement

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In comparison to the chest radiograph obtained <num> day prior, there has been substantial improvement in pulmonary edema. Multiple rib fractures and right clavicular fracture are unchanged. No obvious pneumothorax. There is increased bibasilar atelectasis and new, small, bilateral pleural effusions. Bilateral chest tubes are essentially unchanged in position. An ng tube side port projects just distal to the ge junction. An et tube terminates <num> cm above the carina.

<unk> year old man s/p mcc with multiple traumas // chest tubes, ett

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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 pleuritic chest pain

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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No evidence of pneumomediastinum. No acute osseous abnormalities are identified.

history: <unk>f with severe dysphagia x <num> days, // pneumomediastinum? esophageal pathology?

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Frontal and lateral views of the chest. Compared to prior, there is no change. Subtle opacity in the left suprahilar region is unchanged and as previously characterized. The lungs are otherwise clear. Rounded opacity over the right lung base laterally on one of the frontal views is most compatible with a nipple shadow. Streaky right basilar opacity is most likely atelectasis given low lung volumes. Trace bilateral effusions are identified. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcification is seen at the aortic arch. No acute osseous abnormalities identified.

shortness of breath.

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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 chest tightness // ptx

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Lung volumes are slightly low. Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Subsegmental atelectasis is demonstrated within the lingula. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes visualized in the thoracic spine.

history: <unk>m with cough

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Pa and lateral views of the chest were reviewed. Compared to the most recent prior, the small right-sided pleural effusion has decreased. There are no complications appreciated including pneumothorax. The heart, lungs and mediastinal contours are unchanged.

evaluation of right pleural effusion status post right thoracentesis.

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As compared to the previous examination, there is no relevant change. The left pectoral pacemaker and the right internal jugular vein catheter are in correct position. There are unchanged bat-wing opacities constant in extent and severity. The size of the cardiac silhouette is also constant.

sepsis and heart failure, evaluation for interval change.

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The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. There is no concerning parenchymal consolidation. Bony structures are unremarkable.

<unk>f with anxiety and depression, fever cough // eval for pna.

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As compared to the previous radiograph, the pre-existing parenchymal opacity in the right mid and lower lung has minimally increased in severity and extent. However, the opacity is still extensive and clearly visible. There is a minimal right pleural effusion. The left complete opacification of the hemithorax is unchanged. Unchanged stabilization devices of the spine.

evaluation for interval change.