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/p18711427/s53133455/719dafc6-1b8e5d87-d15fbcfe-2abcbed2-a25dbf80.jpg	MIMIC-CXR-JPG/2.0.0/files/p18711427/s53133455/5b327760-146a7b73-a3f2e384-94da34fb-c156e115.jpg	The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. S-shaped thoracic scoliosis is noted. No acute osseous abnormalities.	<unk>f with dry cough x <num> week // ? active pulmonary disease
MIMIC-CXR-JPG/2.0.0/files/p16270136/s50842515/0ae3e899-37547d05-8ebcfba9-84fcd8a7-e3eb0100.jpg	null	Patient is status post median sternotomy cabg. Left-sided dual-chamber pacemaker device is demonstrated with leads terminating in the right atrium and right ventricle. Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion pneumothorax is present. No acute osseous abnormality is visualized.	history: <unk>m with ppm placement last month now w/ bradycardia in <num>s-<num>s
MIMIC-CXR-JPG/2.0.0/files/p17868562/s50400423/a7648c26-bf4b4991-514e321b-c08874e7-dfa279df.jpg	MIMIC-CXR-JPG/2.0.0/files/p17868562/s50400423/7ffa3e44-71636054-c992029b-1bf9845b-55aa4bce.jpg	Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. The lungs are hyperinflated. There is likely a background of interstitial abnormality of the lung apices.	<unk> year old man with cough post upper endoscopy, evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p12276635/s57561217/bdda093d-070b73ee-2baa8e54-2f857495-70b910e1.jpg	MIMIC-CXR-JPG/2.0.0/files/p12276635/s57561217/1057cbfe-22d3e7d7-2495cb70-6ff7713a-a69a79aa.jpg	Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. Linear lucency in the lower right neck at the upper edge of the image likely corresponds to air within the soft tissues, as seen on ct head from earlier the same day. There is no definite extension into the mediastinum.	<unk>m with no pmh with air injected into face. per ent ?pneumomediastinum. // pneumomediastinum
MIMIC-CXR-JPG/2.0.0/files/p18852216/s50081880/75138ed9-8375da41-c348de93-da8c47a2-b2fabb5c.jpg	null	Low lung volumes are present which cause crowding of the bronchovascular structures. There is no pulmonary edema. There has been interval removal of the right-sided pic line. There is mild cardiomegaly. There is a tracheostomy tube, with an overlying rebreather mask limiting assessment of the upper lungs. There is mild right basilar atelectasis. There is a patchy opacity in the left lung base, which could be secondary to atelectasis, however pneumonia cannot be ruled out. There is no evidence of pneumothorax. A small left pleural effusion is likely present.	history of dyspnea and vomiting. please evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14018526/s51675878/a48ea7eb-dc6e3d6c-42df6725-e2a7eb20-7e6b57fc.jpg	MIMIC-CXR-JPG/2.0.0/files/p14018526/s51675878/185b7723-c08862d6-b211bf38-8cc855a7-f9f9b64b.jpg	Frontal and lateral views of the chest were obtained. There are small bilateral pleural effusions with overlying atelectasis. Fluid is also seen tracking in the fissure. There is mild vascular congestion. The cardiac silhouette is enlarged. The aorta is calcified and tortuous. No pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p16492376/s55680586/cae0c8e5-9c876d7e-3ef2831b-ac4454d9-e0aa06cd.jpg	MIMIC-CXR-JPG/2.0.0/files/p16492376/s55680586/96aad0ce-acea8a70-cc68146d-2b668464-87361cbc.jpg	In comparison with study of <unk>, there are lower lung volumes. There is a vague area of increased opacification at the right base, which probably represents either a combination of vessels or mild atelectatic changes. No evidence of left basilar consolidation, vascular congestion, or pleural effusion.	cough with left basilar rhonchi.
MIMIC-CXR-JPG/2.0.0/files/p17942817/s55809461/5137b014-942e0524-298df322-86bcbcb5-5dc9a308.jpg	MIMIC-CXR-JPG/2.0.0/files/p17942817/s55809461/bfca882e-2b43fe43-3f3ac075-ea2e0cb8-0425bb57.jpg	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	history: <unk>f with chest pain, productive cough // pneumonia
MIMIC-CXR-JPG/2.0.0/files/p14835486/s51962052/5e67af5c-c23048e8-efe94175-7a1c2856-947cdc0b.jpg	null	The cardiac, mediastinal and hilar contours appear unchanged. Streaky right basilar opacification with volume loss suggests chronic atelectasis or scarring, also unchanged. There is potentially a small pleural effusion on the right, but no evidence for one on the left. There is no pneumothorax. As previously noted, the available ap view of the left shoulder suggests dislocation with possible healed or healing fractures suggested by irregular sclerosis along the margin of the glenoid.	mental status change. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17948635/s55164127/e2be6dc9-46200502-a9a3eab8-6af22f29-c1ddeb53.jpg	MIMIC-CXR-JPG/2.0.0/files/p17948635/s55164127/619b9b7a-4a61c715-537d6d0a-2dedc8b8-25a53c17.jpg	The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.	<unk>-year-old male with abdominal pain, pancreatitis. evaluate for effusion.
MIMIC-CXR-JPG/2.0.0/files/p12493796/s53423597/f4e7861b-e5dbcdf3-3a7bd370-f36e84e3-e5036c4a.jpg	MIMIC-CXR-JPG/2.0.0/files/p12493796/s53423597/60b360f6-c6ccc61c-c6fced4b-cb0374c1-9d9ca8cc.jpg	Lung volumes are low. The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Patchy opacities in the lung bases could reflect atelectasis but infection or aspiration cannot be completely excluded. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	cough, hemoptysis.
MIMIC-CXR-JPG/2.0.0/files/p14858512/s58482167/b9ba6d6f-913a7639-86ddda2c-0330261c-1c6308a5.jpg	null	As compared to the previous radiograph, the tip of the endotracheal tube projects <num> cm above the carina. The tube could be advanced by <num> cm. The other monitoring and support devices, including the right internal jugular vein catheter as well as the nasogastric tube are unchanged. Tip of the nasogastric tube is not included in the image. Multiple ecg cables overlay the thorax. The pre-existing parenchymal changes have decreased in severity and extent. Nevertheless, they are still clearly visible, in particular around the left hilus. Mild enlargement of the pulmonary vasculature suggests a combination of pneumonia and infection.	mechanical ventilation, evaluation of the endotracheal tube position.
MIMIC-CXR-JPG/2.0.0/files/p18066099/s59138728/82efb289-d343edc2-e3ea03aa-403efb1f-66370252.jpg	null	Previously visualized right medial basal parenchymal opacity has increased in comparison to the prior study. Additionally, there is new increased opacification of the left lower lobe. These findings are most suggestive of an infectious process, possibly due to aspiration. Cardiac and mediastinal silhouettes remains stable with moderate cardiomegaly. No large pleural effusion is identified but there is blunting of bilateral hemidiaphragms and small pleural effusions may be present. No pneumothorax.	multiple myeloma with fever.
MIMIC-CXR-JPG/2.0.0/files/p12356657/s56732715/38824444-7bb39ef3-c6413f2c-1ec8c238-89d3b01e.jpg	null	Cardiomediastinal contours are stable; there is persistent pulmonary vascular congestion. A confluent opacity at the right lung base has worsened, with obscuration of the right hemidiaphragm and part of the right heart border. These findings may represent atelectasis with or without coexisting infection in the right lower lobe and part of the right middle lobe. There is an adjacent small-to-moderate right pleural effusion. These findings are superimposed upon baseline areas of scarring and pleural thickening shown on outside abdominal ct of <unk>, with findings suggestive of right fibrothorax. On the left, hazy opacity in the left infrahilar region has slightly improved since the recent chest x-ray of <unk>, and a linear focus of atelectasis has resolved.
MIMIC-CXR-JPG/2.0.0/files/p18678399/s59210529/6805c077-45b4abbf-70a75f8c-3742b595-066450cc.jpg	MIMIC-CXR-JPG/2.0.0/files/p18678399/s59210529/5f853b52-8d72dda2-4891d1a2-f37906fe-87405a92.jpg	Mild left basilar atelectasis is persistent. Mild cardiomegaly is unchanged compared to exams dated back to <unk>. Overall, there has been interval improvement in the small bilateral pleural effusions with residual small right pleural effusion. No focal consolidations concerning for pneumonia are identified. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.	history of pleural effusions. please evaluate.
MIMIC-CXR-JPG/2.0.0/files/p12889749/s50890252/058120a9-dce7d081-182126d3-60d86853-b5dd3f22.jpg	MIMIC-CXR-JPG/2.0.0/files/p12889749/s50890252/e85b7315-c6f17251-5efc8e41-52946f85-245d3f5d.jpg	Compared to exam on <unk>, there is linear opacity in the left lower lobe with associated elevation of the left hemidiaphragm, likely due to left lower lobe atelectasis.heart size is mildly enlarged.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. Right ij catheter terminates in mid svc.	<unk> year old man with myasthenia <unk> who has a new cough and is on steroids. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11198895/s51629837/c729a5eb-733944ab-8eadd82f-9d56f151-2828e4ba.jpg	null	A right-sided internal jugular venous catheter terminates in the mid superior vena cava. Widespread opacification is seen in both lower lungs, more extensive on the right than left. The likely etiology is a combination of substantial bilateral pleural effusions and associated extensive atelectasis in the lower lungs. The pleural effusions are moderate on the left and perhaps large on the right side. Upper lungs appear clear but with attenuated irregular lung markings suggesting there may be emphysema. The aortic arch is calcified. The main pulmonary artery contour is mildly prominent. Although its contours are not well delineated, the heart is probably at the upper limits of normal size. Effacement of the right acromiohumeral interval suggests rotator cuff pathology. The bones are probably demineralized.	fluid overload and hypertension.
MIMIC-CXR-JPG/2.0.0/files/p13369881/s53205533/290c520d-add3a6ce-c9d46189-4f3f1a50-1ad481d9.jpg	null	In comparison with the study of <unk>, there has been placement of a right pigtail catheter along the lateral chest wall. No definite residual pneumothorax. Subcutaneous gas persists along both lateral chest walls extending into the neck. Continued hyperexpansion of the lungs without vascular congestion or acute focal pneumonia.	recurrent pneumothorax with chest tube placement.
MIMIC-CXR-JPG/2.0.0/files/p16715981/s59026215/53f3a514-401856c5-b254223b-a18c6dbc-e2256011.jpg	MIMIC-CXR-JPG/2.0.0/files/p16715981/s59026215/d62388d5-1d6df228-3e478b35-8c6207e4-b7185f95.jpg	Multiple right lateral rib fractures are better assessed on the chest ct from <unk>. New right lateral basilar opacity adjacent to the rib fractures may represent a pulmonary contusion. Medial right basilar opacity appears more consolidated than on the most recent prior study but may still represent pulmonary vasculature. There is also increased right basilar atelectasis and likely a small right pleural effusion. There is no pneumothorax or left pleural effusion. Compared with most recent prior chest radiograph from <unk>, there has been improvement in the interstitial edema, but underlying bilateral interstitial abnormality, more pronounced in the periphery, remains. Cardiomediastinal and hilar contours are stable. Note is made of air filled prominent bowel loops, partly imaged.	assess for interval change in this patient with rib fractures.
MIMIC-CXR-JPG/2.0.0/files/p18097664/s50972828/34fe0bb5-5736e984-9ec016b5-303283f2-c6fcd018.jpg	MIMIC-CXR-JPG/2.0.0/files/p18097664/s50972828/fd5462ce-3af9d176-d5de093e-a7fbe766-e1071d16.jpg	Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding chest examination of <unk> performed at the<unk> campus. The present pa and lateral chest views were obtained with patient in upright position. The heart size appears to be at borderline with a relative prominence of the left ventricular contour. This coincides with a moderate degree of widening and mild elongation of the thoracic aorta suggestive of systemic hypertension. Pulmonary vasculature, however, is not congested. The on next previous examination of <unk> identified pulmonary parenchymal infiltrates that occupied the right middle lobe have resolved almost completely. There remain some small linear densities in this area suggestive of scar formations or peripheral remnants of atelectasis. No new pulmonary abnormalities can be identified. A linear density in the left upper lobe area reaching the apical pleura where local thickening exists appears to be evidence of old probably specific scars. Their appearance has not changed during the latest examination interval. Observed that the previous examination was also confirmed by a ct examination at that time. The apparent prominence of the right hilum did not demonstrate any mass.	<unk>-year-old male patient with history of pneumonia at<unk> <unk>. evaluate for resolution of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12655864/s54217514/f47bfad8-da3b267e-610a629a-4ce79787-c7fe0f38.jpg	MIMIC-CXR-JPG/2.0.0/files/p12655864/s54217514/3ac5c055-73bb6462-97ecc78d-b925cd5e-b338e9ac.jpg	The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The ascending aorta is mildly tortuous. There is no pleural effusion or pneumothorax. The lungs are clear.	history: <unk>f with cough, sob // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17016753/s55342982/d8bd5d8d-7341fed0-42b9e30e-c9dc62c4-4423e095.jpg	MIMIC-CXR-JPG/2.0.0/files/p17016753/s55342982/e09ca43b-a6f6fb07-d09c1fcc-4f1d625d-b8a85765.jpg	The lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities.	<unk>m with sudden onset mid-back pain // ?acute injury
MIMIC-CXR-JPG/2.0.0/files/p18033939/s57566617/dc66d759-37a00b47-05a51946-4217e502-215deb87.jpg	null	There are bilateral diffuse interstitial opacities, predominantly upper lobes, consistent with severe pulmonary edema. However, underlying consolidation or superimposed infectious process is not cannot be excluded. Heart size is at the upper limits of normal. No acute fractures are identified.	hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p13484879/s51604830/b43c6453-55bf3c09-e1187303-0576d5ea-b0a92eab.jpg	MIMIC-CXR-JPG/2.0.0/files/p13484879/s51604830/ee59142c-3f00952a-22efaf2d-b04e230d-2d566f1e.jpg	Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal. There is no displaced rib fracture. The sternum is intact.	fall.
MIMIC-CXR-JPG/2.0.0/files/p15228038/s55829353/b6ed1626-27cefce7-cb309b0f-15d6afc0-ef58254f.jpg	null	Right chest wall power injectable port-a-cath tip and left picc line tip project over the right atrium. A right pleural drainage tube is present. Unchanged atelectasis at the right lung base as well as patchy airspace opacities predominantly involving the right lung. A small right pleural effusion is present. Trace right pneumothorax which is better evaluated on today's ct scan of the chest. The size the cardiomediastinal silhouette is within normal limits.	<unk> year old woman with metastatic appendiceal carcinoma // concern for aspiration pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11123456/s57925525/321d8fef-a422d37b-94c64dff-8b4aa185-c5f6738c.jpg	MIMIC-CXR-JPG/2.0.0/files/p11123456/s57925525/0814f3e5-45b88599-a85ac821-0388fdfc-d7b7207f.jpg	As compared to the previous radiograph, the chest tube on the right has been removed. There is a substantial air-fluid level that has newly occurred in the right apical lung (fluidopneumothorax). There also is a substantial amount of intrafissural fluid. On the left, the lung volume has increased, but there is a newly appeared small left pleural effusion. The size of the cardiac silhouette is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p18625840/s52757378/62e0cde3-4b2c163c-b81be3b7-b7295fcf-91817d0f.jpg	MIMIC-CXR-JPG/2.0.0/files/p18625840/s52757378/9aedd0f9-7f51bb35-73135a25-f1d2b0aa-8e6085d2.jpg	Heart size is mildly enlarged. The aorta is tortuous, unchanged. Mediastinal and hilar contours are similar. There is no pulmonary edema. Small left pleural effusion is slightly decreased in size. No focal consolidation or pneumothorax is seen. Eventration of the right hemidiaphragm is re- demonstrated. Minimal atelectasis is noted in both lung bases. There are no acute osseous abnormalities.	history: <unk>f with pancreatic adenoma s/p whipple c/b portal vein thrombosis and secondary cirrhosis with ascites/splenomegaly/varices recently hospitalized for gi bleed requiring multiple transfusions, presenting with fever/rigors // please assess for pneumonia or fluid overload
MIMIC-CXR-JPG/2.0.0/files/p11533384/s57384547/1be1c418-50aeca8d-8f1f6279-a339c6d7-88695667.jpg	MIMIC-CXR-JPG/2.0.0/files/p11533384/s57384547/6eef125d-06624502-bec37b1e-7befa81a-1d90a433.jpg	The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	ventricular tachycardia, to get a pacer today. pre-operative assessment.
MIMIC-CXR-JPG/2.0.0/files/p19979469/s57559342/69a4658b-166b6f7f-d7943e3b-98e238f0-796df200.jpg	MIMIC-CXR-JPG/2.0.0/files/p19979469/s57559342/a56ba08e-9b32ffd8-2b9e55dc-9ddf4910-01154117.jpg	Frontal and lateral views of the chest. Right chest wall port is seen with catheter tip in the upper right atrium, similar to prior. The lungs are clear of consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.	<unk>-year-old male with subjective fevers nonproductive cough, on chemotherapy for pancreatic cancer.
MIMIC-CXR-JPG/2.0.0/files/p19461413/s55607803/dda5f7e0-a9834a78-84d0b0a9-7287ff30-064ae069.jpg	null	Substantial worsening of pulmonary edema with increased perihilar opacities, alveolar edema, increased cardiomediastinal silhouette and air bronchograms. Worsening of bilateral large pleural effusions. Moderate-to-severe bibasilar compressive atelectasis, right greater than left. There is some tracheal displacement to the right however this is likely due to mild malrotation of the patient. The osseous structures are stable.	<unk> year old woman with tachypnea and increasing oxygen requirement // worsening pulm edema?
MIMIC-CXR-JPG/2.0.0/files/p13604521/s58246299/61839d5b-214a4ea6-726ec41c-7223f98d-42e09298.jpg	MIMIC-CXR-JPG/2.0.0/files/p13604521/s58246299/75b5f8f1-9aea5bfb-c0c356cc-1d400b72-45e275db.jpg	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. S-shaped thoracic scoliosis is noted.	<unk>m with hypoxia, sob // aspiration? pna?
MIMIC-CXR-JPG/2.0.0/files/p13459964/s54300532/3032b619-ae51c0e5-15568bb5-d186afe7-ef3e5a09.jpg	MIMIC-CXR-JPG/2.0.0/files/p13459964/s54300532/a5f8b083-09c54ffb-889f7bcc-fb349351-caf3487a.jpg	Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. There is no edema or pneumonia. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.	<unk>f with chest pain
MIMIC-CXR-JPG/2.0.0/files/p11055110/s58777516/67b6bc69-626ec06f-95ad5af9-deb95d4c-604579bb.jpg	null	Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified on this supine exam although the left costophrenic sulcus is not included in the field of view. No acute osseous abnormality is identified. Old left-sided rib fractures are noted.	history: <unk>f with fall on face, sustained unstable c spine fx. may need to go to or tonight. // acute pulm process/baseline emphysema. also ? rib fx
MIMIC-CXR-JPG/2.0.0/files/p17470895/s53047468/5b98c5b2-90354645-df6138b7-139ed812-814bb625.jpg	null	Ap portable supine view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.	<unk>m with mvc, cw and lspine tenderss, intox so req ct head and c-spine.
MIMIC-CXR-JPG/2.0.0/files/p15556292/s52574579/0530ea6d-89779fe2-24500149-e2cf32ba-6bb176f0.jpg	MIMIC-CXR-JPG/2.0.0/files/p15556292/s52574579/a4d8e6a5-f41cf508-25162dd3-e857a5c7-dab770a3.jpg	The lungs remain hyperinflated. The cardiac and mediastinal silhouettes are stable. Patchy right base opacity has been present over multiple prior studies and may be chronic, underlying aspiration or infection is difficult to entirely exclude. The left lung is grossly clear. There is no pleural effusion or pneumothorax. The bones are diffusely osteopenic.	history: <unk>f with weakness // ? pna
MIMIC-CXR-JPG/2.0.0/files/p18775105/s51510506/6ca5096d-5fc2ad27-e112dda2-461eccc7-24bb3e2f.jpg	null	As compared to previous radiograph, the feeding tube is now in post-pyloric position. No evidence of complications. The appearance of the lung parenchyma is constant. The other monitoring and support devices are unchanged.	status post avr, feeding tube advancement. evaluation.
MIMIC-CXR-JPG/2.0.0/files/p19469336/s54004735/d9b36be1-638632db-237da7fa-49926596-84527b5b.jpg	null	Cardiomediastinal contours are stable in appearance with tortuosity of the thoracic aorta and left ventricular configuration of the heart. Lungs and pleural surfaces are clear. No acute skeletal abnormalities are detected on this limited portable study.
MIMIC-CXR-JPG/2.0.0/files/p12489165/s50481989/f3697fb6-dd40e464-44417337-b414155f-75c18f86.jpg	null	Status post sternotomy. The cardiomediastinal silhouette is grossly unchanged. Again seen are small bilateral effusions, with underlying atelectasis, similar to the prior study. No definite residual right apical pneumothorax. A tiny left apical pneumothorax is cannot be entirely excluded. Subcutaneous emphysema again noted about the lung apices bilaterally. Left-sided chest tube again noted.	<unk> year old woman s/p asd repair with chest tube on clamping trail // eval for ptx - please do at <num> am
MIMIC-CXR-JPG/2.0.0/files/p17948003/s52005459/5bc8bb85-13eb8fbd-913c18e5-91985730-bd54ccb9.jpg	MIMIC-CXR-JPG/2.0.0/files/p17948003/s52005459/cc5fe27e-699813fd-35c92069-d0bbb8c8-f6f5ff0a.jpg	The lung volumes are normal. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No effusion. The lung parenchyma appears normal. No pneumonia, no pulmonary edema. No nodules or masses.	consolidated lung sounds.
MIMIC-CXR-JPG/2.0.0/files/p17265012/s54373388/83ba79d8-64260dab-8541bd97-6ef0c907-9646eb5c.jpg	MIMIC-CXR-JPG/2.0.0/files/p17265012/s54373388/8b7a1ca7-d3022e46-0ad59e44-e51a88aa-ddd607ac.jpg	Elevation of the right hemidiaphragm is unchanged. Posterior atelectasis at the left hemidiaphragm. Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Left dual lead pacer is unchanged. Heart size is top normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.	syncope and bradycardia.
MIMIC-CXR-JPG/2.0.0/files/p13323126/s51629725/164c986e-d83d8c2f-fb943423-c9ffebf7-32c3f1e8.jpg	MIMIC-CXR-JPG/2.0.0/files/p13323126/s51629725/ecf112ab-23f7d5fb-7fbbf664-8aecc2ab-977043e6.jpg	Patient is status post median sternotomy and aortic valvular surgery. Interval slight decrease in size of cardiomediastinal contours and improved pulmonary vascular engorgement. Abnormalities at the right lung apex are present including a poorly defined nodule adjacent to fiducial seeds corresponding to the patient's known lung cancer site, as well as apicolateral pleural thickening. Adjacent post-treatment changes are present as well as mild associated right upper lobe volume loss. Small bilateral pleural effusions appear similar to the recent chest radiograph, and there is no visible pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12138223/s55783253/2a032724-f12d2bb3-3507ed3f-9f4c447a-c77330b1.jpg	MIMIC-CXR-JPG/2.0.0/files/p12138223/s55783253/68707ad8-58700616-33f22fd2-a1d1a4aa-7c6ce3a5.jpg	Pa and lateral chest radiographs demonstrate clear lungs. There are no diminutive pulmonary blood vessels. The cardiomediastinal silhouette is normal.	dyspnea on exertion. planned vq scan.
MIMIC-CXR-JPG/2.0.0/files/p18964499/s59756052/57297f95-04f0bcf2-72b961a0-f9dd689c-a5edec39.jpg	MIMIC-CXR-JPG/2.0.0/files/p18964499/s59756052/730d5521-4c9514b4-d5cca646-1ff2fc9f-18ef6eae.jpg	Pa and lateral views of the chest are compared to previous exam from <unk>. Despite lower lung volumes on the current exam, the lungs remain clear. There is no effusion nor pulmonary vascular congestion. Cardiac silhouette is within normal limits. The osseous and soft tissue structures are unremarkable. Surgical clips are seen in the right upper quadrant suggesting prior cholecystectomy.	diabetes. question cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p18366346/s59865424/9ad9ec66-bb848479-581f90b1-a453682e-150ab2c2.jpg	null	Portable semi-upright radiograph of the chest demonstrates well-expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, consolidation, or pleural effusion. Endotracheal tube ends <num> cm above the carina. The right-sided central venous line ends at the cavoatrial junction. A nasogastric tube courses into the stomach and out of the field of view.	<unk>-year-old female with subdural hematoma status post intubation. evaluate for placement of endotracheal tube.
MIMIC-CXR-JPG/2.0.0/files/p12130765/s57887955/d10c11ca-7be6cd4c-204e6935-317de649-3de39fcc.jpg	MIMIC-CXR-JPG/2.0.0/files/p12130765/s57887955/d53d94fb-8292ab9b-e06d2d13-9d46d9d2-36c0d779.jpg	Upright pa and lateral views of the chest demonstrate no acute intrathoracic process. The mediastinal, pleural and pulmonary structures are unremarkable. The heart size is top normal. There is no free air underneath the diaphragm. A stent is seen within the common bile duct. There are no suspicious osseous lesions.	left upper quadrant pain after recent ercp, evaluate for acute intrathoracic process or perforation.
MIMIC-CXR-JPG/2.0.0/files/p18761820/s58656504/356dd59a-3a4bbd53-199fb88b-f115867f-f2b573e1.jpg	null	An orogastric tube is present. The radiopaque tip overlies the stomach. The lung volumes are low. Allowing for this, there is evidence of chf, with interstitial edema. Probable platelike atelectasis in the right mid zone versus small amount of fluid in the fissure. Small leftand possible small right effusions. At the left base, there is collapse and/or consolidation with obscuration of left hemidiaphragm. Minimal atelectasis at the right base	<unk> year old woman with cough and congestion on tube feeds // ? pna
MIMIC-CXR-JPG/2.0.0/files/p14800808/s56597390/1bb46049-e82817cd-3c9cbecd-3024cf5a-30f9c7ee.jpg	null	Left lingular and lower lobe airspace opacity is concerning for pneumonia. Linear opacities at the right lung base likely represent atelectasis. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.pulmonary vasculature is normal.	history: <unk>m with tachypnea
MIMIC-CXR-JPG/2.0.0/files/p11480082/s51922088/994880ca-9cd9c1c3-d07a373d-d2a124db-4e9fd7d6.jpg	MIMIC-CXR-JPG/2.0.0/files/p11480082/s51922088/a144ddea-ab355736-a8dbc00e-c4fbf6a9-8d3a6560.jpg	A right internal jugular sheath has been removed. Sternotomy wires, mediastinal clips and an aortic valve prosthesis are constant. Substantial infrahilar atelectasis has improved from <unk>. The small left pleural effusion is unchanged in volume. Mild pulmonary edema and the right pleural effusion have resolved. The heart is borderline enlarged but unchanged, accounting for differences in technique. No pneumothorax.	aortic valve replacement and cabg. evaluate for pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11781233/s53579033/f4cbdc28-f1fc7797-1f299dae-ce30556f-c905a3a9.jpg	null	Please note the lateral aspect of the lower chest wall was excluded from view. Ill-defined opacity is again noted at the right lower lung similar to the prior exam. There is slightly better definition of the left hemidiaphragm relative to the prior exam. A nodular density projects in the left upper lung between the posterior aspects of the left fifth and sixth ribs. There is no focal consolidation. Aortic tortuosity with calcified plaque throughout is again seen. There are prominent bilateral pulmonary arteries. The cardiac silhouette remains enlarged. No pneumothorax is seen. There are no definite displaced fractures evident. Calcifications are again seen in the right axilla.	trauma from fall.
MIMIC-CXR-JPG/2.0.0/files/p10776100/s50419964/beec725d-46011d01-4b3d51dc-a592551d-d5b043fb.jpg	MIMIC-CXR-JPG/2.0.0/files/p10776100/s50419964/fc445742-2eda984e-a6e84c0e-09e95bad-ae25ab74.jpg	Pa and lateral views of the chest were obtained. Cardiomegaly is moderate. There is hilar congestion and mild pulmonary edema. No large effusions are seen. Mediastinal contour appears grossly within normal limits. No pneumothorax. Bony structures are intact.
MIMIC-CXR-JPG/2.0.0/files/p14775533/s53062067/1bf9c76f-54a2aeff-bc4ff4bc-a750a7be-4925b773.jpg	null	Comparison is made to previous study from <unk>. The right ij central line and the feeding tube are unchanged in position. The median sternotomy wires are seen. There is extensive subcutaneous emphysema throughout the chest, which limits evaluation of lung parenchyma. Allowing for this, there is unchanged cardiomegaly. There are bilateral pleural effusions which are large but stable. There is a left retrocardiac opacity. No pneumothoraces are seen.
MIMIC-CXR-JPG/2.0.0/files/p15527518/s50021794/69d67f27-a3a6df0d-96deef76-7ff1cbd9-c9513140.jpg	null	Compared with the prior study, no change in the positioning of the endotracheal tube, right picc line, and ng tube. No change in the prior left lower lung consolidation and right lower lung opacity. No new pneumothorax. Small bilateral effusions are persistent. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact, with unchanged mediastinal clips.	<unk> year old woman with respiratory failure, intubated. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p11021643/s57289427/11a74d05-00134cf9-9d6e9de7-0bc6c0e8-e1eca33d.jpg	MIMIC-CXR-JPG/2.0.0/files/p11021643/s57289427/6ca9b347-dd6cadba-fd4342ca-01280f98-c696856a.jpg	Patient is status post median sternotomy and cabg. Mild enlargement of the cardiac silhouette is decreased compared to the prior study. Similarly is, previous pulmonary edema has improved with only mild pulmonary vascular congestion seen on the current exam. The aorta is mildly tortuous. Hilar contours are unremarkable. No pneumothorax or pleural effusion is identified, with resolution of the previously seen right pleural effusion. There are multilevel mild to moderate degenerative changes noted in the thoracic spine.	history: <unk>f with chf, diabetes on insulin presents with malaise
MIMIC-CXR-JPG/2.0.0/files/p16064649/s53475096/710468d1-e0183396-6aaac988-5d3bbb83-874500b9.jpg	null	Single frontal view of the chest was obtained. Right paratracheal ovoid calcifications may represent calcified lymph nodes and may be a sequela of prior granulomatous disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The mediastinum and hilar contours are unremarkable. Diffuse osteopenia noted.
MIMIC-CXR-JPG/2.0.0/files/p15407174/s50658100/ec1e4e4c-fc78df70-5fad30f1-93290745-7d3d1f3a.jpg	MIMIC-CXR-JPG/2.0.0/files/p15407174/s50658100/ed7c5429-ab340bc1-0d6db111-a0372bd4-1a7cc4ad.jpg	There are bilateral pleural effusions, larger on the left. Airspace opacity at the left lung base may reflect a degree of atelectasis however this seems relatively extensive compared to the size of the effusion and infection cannot be excluded. The right lung appears grossly clear, linear atelectasis or scarring in the right mid lung. No pneumothorax seen.	<unk> year old man s/p cabg // eval for pleural effusions
MIMIC-CXR-JPG/2.0.0/files/p12945469/s57212069/758469a1-750f9c28-a9f2055a-1ee451c1-d54f8d47.jpg	MIMIC-CXR-JPG/2.0.0/files/p12945469/s57212069/092162c5-6620d1da-f4a7a029-4422c0bd-a1032560.jpg	As compared to the previous radiograph, no relevant change is seen. Normal lung volumes. No pneumonia, no pulmonary edema. No pleural effusions. Normal appearance of the hilar and mediastinal structures. Normal size of the cardiac silhouette.	cough for <num> days. evaluation.
MIMIC-CXR-JPG/2.0.0/files/p17951860/s52233441/b1f7c2e2-0838829f-e96cf293-d0ab69e5-9935c7d0.jpg	MIMIC-CXR-JPG/2.0.0/files/p17951860/s52233441/a7fa0282-d1b36f76-2d26bd0a-d681d0cc-0cbed18b.jpg	The cardiac, mediastinal and hilar contours appear stable. Lung volumes are low. There is no pleural effusion or pneumothorax. There is new retrocardiac opacification which is fairly streaky in nature. Elsewhere, the lungs remain clear. There is very mild s shaped curvature to the visualized thoracolumbar spine.	cough and hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p14878442/s51176972/b86078b7-69a9841d-66d167f4-0464af66-065a764a.jpg	null	Patient positioning is somewhat suboptimal as the patient's head obscures the right lung apex. Lung volumes are unchanged compared to the prior study. A well-defined opacity projecting over the left hemi thorax is likely something on the patient's skin as it does not conform to anatomic landmarks. Small right pleural effusion, no left pleural effusion seen. No consolidation or pneumothorax seen. Streaky retrocardiac opacities are unchanged compared to the prior study and likely reflect left lower lobe atelectasis.	<unk> year old man with urosepsis, continued tachycardia // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p13660695/s50636541/0b926536-98655f34-e81d6e64-ae148dcf-cb015b70.jpg	MIMIC-CXR-JPG/2.0.0/files/p13660695/s50636541/ce078733-872bbd47-4fe9e415-8263fedb-04bda6f4.jpg	The cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, fracture or dislocation. There is a focal opacity the right and base, more fully evaluated by subsequent cta of the chest. Lung volumes are low, and lungs are otherwise clear. .	history: <unk>f with prior pe with decreased bs on right // eval for hemorrhage, infarction
MIMIC-CXR-JPG/2.0.0/files/p17591410/s53099551/cd58ef1a-26bf1b28-7644e6cd-c4564f12-dbded299.jpg	null	As compared to <unk>, left pneumothorax and associated left pleural effusion have not substantially changed. Mild pulmonary vascular congestion of the right lung has resolved. Lung volumes are slightly lower compared to the prior. Mild to moderate cardiomegaly.	<unk> year old man with multiple cardiac comorbidities with with left pleural effusion s/p <unk> c/b trapped lung/persistent pneumothorax // eval for worsening effusion, pneumothorax, acute change
MIMIC-CXR-JPG/2.0.0/files/p10924501/s58710572/19d37133-a38d5ac7-0eb833c8-79d701f5-82cb89fc.jpg	null	The endotracheal tube has been repositioned with its tip ending approximately <num>-<num> cm above the carina and is appropriate. Left subclavian line ends at mid svc. Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate. Bilateral lung volumes are low. Bibasal atelectasis is no different from prior radiograph. Heart size, mediastinal and hilar contours are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p16828280/s51583036/1a7c048f-6cc2b679-ab3026cd-84b4fd43-a3b6d9cc.jpg	null	As compared to the previous radiograph, the patient has been extubated. The left picc line is in unchanged position. Unchanged moderate cardiomegaly and atelectasis at both lung bases. No interval appearance of new parenchymal opacities. No pneumothorax.	respiratory failure, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p18563140/s59074099/2b7d4eb5-6976215d-db0f8ad2-26e35b79-330b2078.jpg	null	Single portable chest radiograph is provided. Et tube is approximately <num> cm from the carina. Ng tube courses below the diaphragm. The left internal jugular catheter is now in the left brachiocephalic vein. A right triple-lumen catheter has been removed. Again seen are bilateral diffuse opacities similar in appearance to the prior study which may be due to pulmonary edema. There are probable small bilateral pleural effusions. Cardiomediastinal silhouette is unchanged and slightly enlarged. Bony structures are intact.	<unk>-year-old woman status post pea arrest, intubated status post rewarming, check et tube placement.
MIMIC-CXR-JPG/2.0.0/files/p13046589/s59433278/390f0d87-11b45d7a-d6912be1-efd330f3-5c1f842a.jpg	null	The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Incidentally noted is an azygos fissure. No acute osseous abnormalities.	<unk>f with inability to ambulate and right ankle ttp // eval for fracture/dislocation
MIMIC-CXR-JPG/2.0.0/files/p16449069/s50782682/092dcec9-81d0a020-0f56fffb-a82c85a4-b0addf40.jpg	null	There is slight prominence of the pulmonary interstitium. The lungs are otherwise clear. The cardiac silhouette is prominent but may be exaggerated by portable technique. Is calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact.
MIMIC-CXR-JPG/2.0.0/files/p15059098/s56984556/8a228441-d929e9c9-ca059165-ae089da2-89213432.jpg	null	In comparison with the earlier study of this date, there has been substantial re-expansion of the left lung with only mild opacification at the bases and a streak in the upper zone consistent with residual atelectatic change. This probably reflects removal of a mucus plug. The right lung is essentially clear.	bronchoscopy, to assess for inflation of the lung.
MIMIC-CXR-JPG/2.0.0/files/p17974607/s51608392/918dff7a-db7c5d84-9ecb9f24-e0aee91f-0eb89dcc.jpg	MIMIC-CXR-JPG/2.0.0/files/p17974607/s51608392/ac9d1e05-b9f98d0d-98ee2de8-68134747-5f585c78.jpg	Lung volumes are low, possibly on the basis of restrictive lung disease. Cardiomediastinal contours are stable. Nonspecific reticular interstitial opacities appear unchanged from the prior radiograph but have probably worsened since <unk>. No focal areas of consolidation are present to suggest the presence of pneumonia. There are no pleural effusions.	<unk> year old man h/o aspiration pna with cough and dyspnea. // r/o infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p19224491/s54629158/f4f943ac-36baba3c-9db812dd-a27af517-c0839414.jpg	MIMIC-CXR-JPG/2.0.0/files/p19224491/s54629158/ff691804-8aefb8a9-22e86968-bed056f8-f8797459.jpg	Frontal and lateral radiographs were reviewed. Heart size is top normal. Mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are clear. Pulmonary vasculature is within normal limits.	left-sided chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18913994/s56779431/e70f8383-a5bcfb61-5becc68c-9ea04ba5-fd68a41b.jpg	null	In comparison with chest radiograph or few hours earlier, there has been interval removal of a left chest tube. There is a small left apical pneumothorax without evidence of tension. Otherwise, there is little change. Right internal jugular line terminates in the lower svc. Persistent mild bibasilar atelectasis. Mediastinal and cardiac contours are stable.	<unk> year old man s/p cabg and ct removal // r/o ptx
MIMIC-CXR-JPG/2.0.0/files/p18495506/s59587125/fce70172-8d966f11-69f38ef0-89a88191-1eaacf80.jpg	MIMIC-CXR-JPG/2.0.0/files/p18495506/s59587125/2ba01901-88c0981d-8f933494-89f5c6c7-ef9c72c5.jpg	Linear opacities seen at the right lung base laterally likely atelectasis. The lungs are otherwise clear without consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	<unk>m with chest pain // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p19324169/s50179591/5e32fab7-b256476e-87a1ed11-cc189709-54f96556.jpg	MIMIC-CXR-JPG/2.0.0/files/p19324169/s50179591/17b98484-5ff23937-fd73d87d-2fba16aa-5cb48caf.jpg	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	cough.
MIMIC-CXR-JPG/2.0.0/files/p14341536/s56724265/1a02a319-e6f37d8c-11bd7ad3-cbe2bc1d-901ef293.jpg	MIMIC-CXR-JPG/2.0.0/files/p14341536/s56724265/42b0a5a3-405291c4-2a21a602-017ee6be-cbdeef85.jpg	Previous right pleural effusion has resolved. No pleural effusion, pulmonary edema or consolidation is seen. The cardiac silhouette is normal, and median sternotomy wires are intact. Mechanical mitral valve is seen.	<unk>-year-old woman with dyspnea, status post mitral valve replacement. evaluate for consolidation.
MIMIC-CXR-JPG/2.0.0/files/p18248250/s55422923/0749b8a9-50e66e1b-84d8ac57-a8446576-865fcc28.jpg	MIMIC-CXR-JPG/2.0.0/files/p18248250/s55422923/3320b578-a1196b3f-8bfc5eb8-a9d63242-d487d235.jpg	The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable noting mild cardiomegaly. No acute osseous abnormalities, posterior fixation lumbar spinal hardware is partially visualized.	<unk>f with chest pain // acute process
MIMIC-CXR-JPG/2.0.0/files/p11667361/s57713496/723e460e-59bf7ec9-d875b945-d729fef4-e48ebed3.jpg	null	The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The left-sided picc line has been pulled in the interval and now ends in the mid svc.	<unk>-year-old female with re-positioning of a picc line. please evaluate for position of the picc.
MIMIC-CXR-JPG/2.0.0/files/p10670674/s50613073/bc9305f3-0125bafc-1787fe24-e436ff8a-947dade6.jpg	null	Single ap view of the chest provided. Diffuse alveolar and interstitial opacities are worsened from <unk>. A faint focal left lower lung opacity is concerning for pneumonia. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.	<unk> year old woman <num> fever // evaluate for pna
MIMIC-CXR-JPG/2.0.0/files/p12238407/s53130259/411a70f5-cac14485-cf0baa53-7c7e5e71-cb0edebf.jpg	null	<num> supine views of the chest demonstrate progressive advancement of an ng tube into the stomach. An et tube has been placed in the interim which resides cm in the carinal. Better evident than on the prior study is a opacity in the right lower lobe concerning for pneumonia. Additional retrocardiac opacities are also noted. Cardiac size remains stable. The remainder the exam is unchanged with no pneumothorax or pleural effusion.	history: <unk>m with sob // tube placement
MIMIC-CXR-JPG/2.0.0/files/p14065514/s54323994/096ef6c3-6aa93fe3-8cbe3727-fc62a372-88c00f0d.jpg	MIMIC-CXR-JPG/2.0.0/files/p14065514/s54323994/57312665-3c4c2bbb-ff35651e-8959d5dd-52365f8e.jpg	Right small pneumothorax has slightly improved from <unk>.<num> to <unk>.<num> mm. An air-fluid level is seen in the right basal pleura. Air overlying the right mediastinum is probably compatible with a gastic pull up in this patient with esophageal cancer. Bibasal atelectasis is slightly improved. Left lung is unremarkable.	patient with pneumothorax followup.
MIMIC-CXR-JPG/2.0.0/files/p10978236/s59962074/13d27528-901160e9-1cea1b55-1c718578-14359aad.jpg	MIMIC-CXR-JPG/2.0.0/files/p10978236/s59962074/acb4726f-a0131ea8-5cd7ec9d-77cef024-2029b566.jpg	The cardiomediastinal and hilar silhouettes are stable. The lungs are well expanded and clear. There is no pulmonary edema, pleural effusion, or pneumothorax.	<unk>-year-old woman presenting with cough and fevers.
MIMIC-CXR-JPG/2.0.0/files/p14211252/s53234366/b110be33-f4b5aa2f-d51d01c2-acad9510-b87063c0.jpg	null	Single frontal view of the chest. Endotracheal tube, left pleural tube, two mediastinal drains, and swan-ganz catheter have been removed. Sternotomy wires appear intact. A tiny left pneumothorax is slightly smaller than on <unk>. A right apical linear density with peripheral lucency may represent a new small right pneumothorax. Atelectasis at the left base is more pronounced, as expected post-extubation. No focal consolidation or pleural effusion. The heart remains mildly enlarged.	<unk>-year-old male status post cabg. evaluate for pneumothorax after chest tube removal.
MIMIC-CXR-JPG/2.0.0/files/p14306557/s57098484/5f6aee34-9539b3b6-3c6bf4fa-865ef410-7266b7cb.jpg	MIMIC-CXR-JPG/2.0.0/files/p14306557/s57098484/24f34a7a-1640618f-cd2b4177-ea3e48fb-09a17bfd.jpg	As compared to the previous radiograph, there is no relevant change. The lung volumes have increased. The monitoring and support devices are all unchanged. Unchanged scarring at the left and right lung bases but no newly appeared parenchymal opacity. Unchanged size of the cardiac silhouette.	immunocompromised woman, shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11901665/s53992084/3dc14a8c-9956ea7d-06367643-ce522e83-41abc9f0.jpg	MIMIC-CXR-JPG/2.0.0/files/p11901665/s53992084/e833931c-f33042ef-29cbda8c-05329328-72a77abe.jpg	The cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax is seen. No pulmonary vascular congestion is noted. Multiple clips are re- demonstrated in the right upper quadrant of the abdomen.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10712217/s59112567/133c2e8f-f05c532d-d2884249-a9177396-df45af9c.jpg	null	There is a new et tube <num> cm above the carina. Og tube tip is in the stomach. Right ij cordis is unchanged. There is moderate-to-severe cardiomegaly with pulmonary vascular redistribution and alveolar infiltrates, compatible with fluid overload. An underlying infectious infiltrate cannot be excluded.	og tube placement.
MIMIC-CXR-JPG/2.0.0/files/p17069106/s54514238/7592f8f8-c6c69b4a-073c4a2b-3dc98df6-bc40cadd.jpg	MIMIC-CXR-JPG/2.0.0/files/p17069106/s54514238/fb19d960-620af4c1-c1ca5627-1d65fabd-f76d80ab.jpg	Sternal wires appear intact. Multiple mediastinal surgical clips are noted heart size is considerably enlarged, particularly the left atrium. The lungs demonstrate moderate interstitial edema. Bilateral pleural effusions are small. There is no evidence of pneumonia retrocardiac opacification likely reflects atelectasis.	<unk>m with apparent chf exacerbation. doe. weight gain // pna? pulm edema
MIMIC-CXR-JPG/2.0.0/files/p12665392/s56738421/35a80ce9-96d59556-ffe86a59-fdef9372-c2ab47ee.jpg	MIMIC-CXR-JPG/2.0.0/files/p12665392/s56738421/2440ad19-eb7fd01a-fbff5f5d-72356d65-b2f4d61c.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 decr bs on right, ili sx // r/o pna, ptx
MIMIC-CXR-JPG/2.0.0/files/p19417241/s50797538/46d95e55-7ce9f6a5-404d2eb6-412c4251-4ac3c8db.jpg	null	Low lung volumes are again noted. There is been interval improvement of the previously noted pulmonary edema which is now mild. There is no new consolidation. Cardiomediastinal silhouette is stable. There is no large effusion.	<unk>m with resp distress // ? infiltrate
MIMIC-CXR-JPG/2.0.0/files/p11961264/s50965243/4b7a32b8-868bbfa2-de3a8e88-d5d3cb8b-b8141912.jpg	MIMIC-CXR-JPG/2.0.0/files/p11961264/s50965243/912bc102-77d444af-5fa6a6db-d90d13e3-f66bb4a7.jpg	The heart is enlarged, minimally increased from <unk>. Lung volumes are low which accentuates bronchovascular markings. Given that, there is mild pulmonary vascular congestion and mild to moderate pulmonary edema. No pleural effusion or pneumothorax is seen.	<unk> year old woman with basilar crackles // ? edema
MIMIC-CXR-JPG/2.0.0/files/p16472682/s55837143/2780e305-3d55dc31-55a3d876-96fac079-611c5db6.jpg	null	Single portable chest radiograph demonstrates stable mild cardiomegaly. Apparent widening of the mediastinum is related to patient rotation. Left-sided central venous catheter with tip at the distal svc. Endotracheal tube is in standard position. Nasogastric tube, seen coiled in oropharynx on next preceding study, is seen passing into stomach and out of view with the side port not definitively seen. Interval increased opacification of the bilateral lung bases is likely a combination of worsening atelectasis and pleural effusion. Stable minimally asymmetrically increased density of the right middle lobe corresponds with area of increased atelectasis on the <unk> ct. No pneumothorax evident.	recent intubation, please evaluate for pneumonia or interval change.
MIMIC-CXR-JPG/2.0.0/files/p11750601/s54439186/c9ac1116-3b505674-b710d8ba-2e012799-cb43032f.jpg	MIMIC-CXR-JPG/2.0.0/files/p11750601/s54439186/258fe936-3a0b8304-9bf8426e-794d2d5c-a3f0b964.jpg	Pa and lateral views of the chest were provided. The heart resides in the right lower chest as per clinical history of situs inversus. The gastric bubble is also seen on the right side. The lungs appear clear without focal consolidation, effusion, or pneumothorax. Heart size appears within normal limits. The mediastinal contour is normal. Bony structures are intact. No displaced rib fractures are seen.
MIMIC-CXR-JPG/2.0.0/files/p16698321/s58881322/4173f744-3d87a93a-af1fe0ea-a6865345-e2ab34a6.jpg	MIMIC-CXR-JPG/2.0.0/files/p16698321/s58881322/ec582b45-9dc4b1b0-aa9a0bc9-95307763-7f341dd6.jpg	Frontal and lateral views of the chest are obtained. Dual-lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. Minimal bibasilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p12706590/s52287390/925329e3-ee831da1-bc993fff-5290f3d8-57207867.jpg	MIMIC-CXR-JPG/2.0.0/files/p12706590/s52287390/e12e08ca-34ccc242-0cd24610-08b6dc41-4bcec5ac.jpg	In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.	cough, to assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13826828/s54926770/0b2d1eee-939dd072-381e6906-f7a8c2cb-e8d2a185.jpg	null	As compared to the previous radiograph, there is no relevant change. A pseudocavitary lesion in the right lower lobe can no longer be seen with confidence. However, relatively extensive bilateral parenchymal opacities, likely reflecting a combination of edema and pneumonia, still present. Moderate cardiomegaly. No larger pleural effusions. Unchanged monitoring and support devices.	chronic heart failure, underlying infection, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p11240669/s51241817/5e78615b-5f9ab5bd-97724f4b-3a0ed440-5a7dc9b4.jpg	MIMIC-CXR-JPG/2.0.0/files/p11240669/s51241817/0be72cc6-1c6e5654-23875880-aba3a41f-7ee976fb.jpg	Pa and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax. The chest is hyperinflated. Moderate degenerative changes affect each acromioclavicular joint.	cad status post pci, now presenting with chest pain and shortness of breath. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12376118/s55014066/48e1e2ee-446398aa-816f4141-eddaaec6-356599b2.jpg	null	There are bilateral pleural effusions with volume loss in both lower lungs. There is pulmonary vascular redistribution. Compared to the study from the prior day. There is improved aeration in the left upper lung. The dual lead pacemaker and a right ij line are unchanged.	pneumonia. rsv.
MIMIC-CXR-JPG/2.0.0/files/p14197574/s57097979/5f020f2b-3fb08519-9a373a8c-0142a48e-5c878a96.jpg	null	Multiple views of the chest, obtained to assess dobhoff placement. On view # <num>, the radiopaque portion of the dobhoff tube overlies the expected region of the ge junction, with the tip probably overlying the gastric fundus. On view # <num>, the tube is been advanced. The radiopaque portion extends beyond the inferior edge of the film and is not localized. Note is made of an et tube, with tip relatively low lying, approximately <unk>.<num> -<unk>.<num> cm above the carina. Of note, however, the inferior edge of the clavicular heads is is only <unk>.<num> mm above the carina. A right ij central line is again noted, overlying the right atrium. Again seen is increased retrocardiac density with obscures the left hemidiaphragm and left costophrenic angle. Probable subsegmental atelectasis at the right lung base.	<unk> year old woman with dobhoff tube placement // dobhoff position
MIMIC-CXR-JPG/2.0.0/files/p12514721/s59474861/a2ca70e0-17b948e2-55fe1f5e-c2b173bb-577b5cb3.jpg	null	As compared to the previous radiograph, the patient has been extubated. The nasogastric tube has been removed. The patient, however, has received a right anterior pleural drain. The pre-existing right pneumothorax is not visible on the current image. A linear opacity overlying the sixth and seventh right rib is symmetrical and obviously caused by a foreign body outside of the patient. Close radiographic monitoring, however, is strongly recommended.	copd, right anterior pneumothorax, status post chest tube placement. evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p19097768/s50791706/66591652-3dce71a6-a81f9869-6ade585a-f7c0faee.jpg	MIMIC-CXR-JPG/2.0.0/files/p19097768/s50791706/651da861-e19f50fd-a39f984e-abe08536-3990ea3e.jpg	There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.	history: <unk>m with chest pain and new leukocytosis. // please evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p12408441/s59522074/f24a8ea2-ab3a06b2-8a912b25-0514aed2-2b0a255b.jpg	MIMIC-CXR-JPG/2.0.0/files/p12408441/s59522074/df15c2eb-eedc2f03-9d088367-aff63ea2-377938d7.jpg	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony mild degenerative changes are noted along the mid through lower thoracic spine.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p15104829/s53568407/a5b132b2-47824754-9883ae23-2a4ea312-b0299fdb.jpg	MIMIC-CXR-JPG/2.0.0/files/p15104829/s53568407/bafd87ab-b58e4a58-108c925e-746afcf4-2a16620d.jpg	Lung volumes are low. No focal opacity to suggest pneumonia is seen. No pleural effusion or pneumothorax is present. There is a small amount of atelectasis at the right base. Elevation of the right hemidiaphragm is unchanged. The heart size is within normal limits.	syncope.
MIMIC-CXR-JPG/2.0.0/files/p14978114/s58895225/2233209a-18baf1ab-91c01c00-da0ccb43-5f20fa91.jpg	MIMIC-CXR-JPG/2.0.0/files/p14978114/s58895225/7350becd-b01e068b-4e8612e1-37544f6e-3f03a860.jpg	The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. A mitral valve replacement is noted. Patient is status post median sternotomy. No pneumothorax, pleural effusion, pulmonary edema, or pneumonia.	history: <unk>f with hx of mitral valve replacement presents with cp, sob // any e/o pna, pleural effusion/edema, acute change?
MIMIC-CXR-JPG/2.0.0/files/p15057835/s58603618/ae9c18ac-468fb62f-40aeca88-808ea20e-eb44d9e2.jpg	null	There is mild bibasilar atelectasis, slightly worse on the left than the right. The lungs are otherwise clear without a consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Sternal wires are intact.	chest pain. evaluate for pneumothorax.

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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. S-shaped thoracic scoliosis is noted. No acute osseous abnormalities.

<unk>f with dry cough x <num> week // ? active pulmonary disease

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Patient is status post median sternotomy cabg. Left-sided dual-chamber pacemaker device is demonstrated with leads terminating in the right atrium and right ventricle. Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>m with ppm placement last month now w/ bradycardia in <num>s-<num>s

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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. The lungs are hyperinflated. There is likely a background of interstitial abnormality of the lung apices.

<unk> year old man with cough post upper endoscopy, evaluate for pneumonia

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. Linear lucency in the lower right neck at the upper edge of the image likely corresponds to air within the soft tissues, as seen on ct head from earlier the same day. There is no definite extension into the mediastinum.

<unk>m with no pmh with air injected into face. per ent ?pneumomediastinum. // pneumomediastinum

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Low lung volumes are present which cause crowding of the bronchovascular structures. There is no pulmonary edema. There has been interval removal of the right-sided pic line. There is mild cardiomegaly. There is a tracheostomy tube, with an overlying rebreather mask limiting assessment of the upper lungs. There is mild right basilar atelectasis. There is a patchy opacity in the left lung base, which could be secondary to atelectasis, however pneumonia cannot be ruled out. There is no evidence of pneumothorax. A small left pleural effusion is likely present.

history of dyspnea and vomiting. please evaluate for pneumonia.

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Frontal and lateral views of the chest were obtained. There are small bilateral pleural effusions with overlying atelectasis. Fluid is also seen tracking in the fissure. There is mild vascular congestion. The cardiac silhouette is enlarged. The aorta is calcified and tortuous. No pneumothorax is seen.

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In comparison with study of <unk>, there are lower lung volumes. There is a vague area of increased opacification at the right base, which probably represents either a combination of vessels or mild atelectatic changes. No evidence of left basilar consolidation, vascular congestion, or pleural effusion.

cough with left basilar rhonchi.

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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.

history: <unk>f with chest pain, productive cough // pneumonia

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The cardiac, mediastinal and hilar contours appear unchanged. Streaky right basilar opacification with volume loss suggests chronic atelectasis or scarring, also unchanged. There is potentially a small pleural effusion on the right, but no evidence for one on the left. There is no pneumothorax. As previously noted, the available ap view of the left shoulder suggests dislocation with possible healed or healing fractures suggested by irregular sclerosis along the margin of the glenoid.

mental status change. question pneumonia.

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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.

<unk>-year-old male with abdominal pain, pancreatitis. evaluate for effusion.

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Lung volumes are low. The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Patchy opacities in the lung bases could reflect atelectasis but infection or aspiration cannot be completely excluded. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

cough, hemoptysis.

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As compared to the previous radiograph, the tip of the endotracheal tube projects <num> cm above the carina. The tube could be advanced by <num> cm. The other monitoring and support devices, including the right internal jugular vein catheter as well as the nasogastric tube are unchanged. Tip of the nasogastric tube is not included in the image. Multiple ecg cables overlay the thorax. The pre-existing parenchymal changes have decreased in severity and extent. Nevertheless, they are still clearly visible, in particular around the left hilus. Mild enlargement of the pulmonary vasculature suggests a combination of pneumonia and infection.

mechanical ventilation, evaluation of the endotracheal tube position.

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Previously visualized right medial basal parenchymal opacity has increased in comparison to the prior study. Additionally, there is new increased opacification of the left lower lobe. These findings are most suggestive of an infectious process, possibly due to aspiration. Cardiac and mediastinal silhouettes remains stable with moderate cardiomegaly. No large pleural effusion is identified but there is blunting of bilateral hemidiaphragms and small pleural effusions may be present. No pneumothorax.

multiple myeloma with fever.

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Cardiomediastinal contours are stable; there is persistent pulmonary vascular congestion. A confluent opacity at the right lung base has worsened, with obscuration of the right hemidiaphragm and part of the right heart border. These findings may represent atelectasis with or without coexisting infection in the right lower lobe and part of the right middle lobe. There is an adjacent small-to-moderate right pleural effusion. These findings are superimposed upon baseline areas of scarring and pleural thickening shown on outside abdominal ct of <unk>, with findings suggestive of right fibrothorax. On the left, hazy opacity in the left infrahilar region has slightly improved since the recent chest x-ray of <unk>, and a linear focus of atelectasis has resolved.

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Mild left basilar atelectasis is persistent. Mild cardiomegaly is unchanged compared to exams dated back to <unk>. Overall, there has been interval improvement in the small bilateral pleural effusions with residual small right pleural effusion. No focal consolidations concerning for pneumonia are identified. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.

history of pleural effusions. please evaluate.

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Compared to exam on <unk>, there is linear opacity in the left lower lobe with associated elevation of the left hemidiaphragm, likely due to left lower lobe atelectasis.heart size is mildly enlarged.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. Right ij catheter terminates in mid svc.

<unk> year old man with myasthenia <unk> who has a new cough and is on steroids. evaluate for pneumonia.

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A right-sided internal jugular venous catheter terminates in the mid superior vena cava. Widespread opacification is seen in both lower lungs, more extensive on the right than left. The likely etiology is a combination of substantial bilateral pleural effusions and associated extensive atelectasis in the lower lungs. The pleural effusions are moderate on the left and perhaps large on the right side. Upper lungs appear clear but with attenuated irregular lung markings suggesting there may be emphysema. The aortic arch is calcified. The main pulmonary artery contour is mildly prominent. Although its contours are not well delineated, the heart is probably at the upper limits of normal size. Effacement of the right acromiohumeral interval suggests rotator cuff pathology. The bones are probably demineralized.

fluid overload and hypertension.

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In comparison with the study of <unk>, there has been placement of a right pigtail catheter along the lateral chest wall. No definite residual pneumothorax. Subcutaneous gas persists along both lateral chest walls extending into the neck. Continued hyperexpansion of the lungs without vascular congestion or acute focal pneumonia.

recurrent pneumothorax with chest tube placement.

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Multiple right lateral rib fractures are better assessed on the chest ct from <unk>. New right lateral basilar opacity adjacent to the rib fractures may represent a pulmonary contusion. Medial right basilar opacity appears more consolidated than on the most recent prior study but may still represent pulmonary vasculature. There is also increased right basilar atelectasis and likely a small right pleural effusion. There is no pneumothorax or left pleural effusion. Compared with most recent prior chest radiograph from <unk>, there has been improvement in the interstitial edema, but underlying bilateral interstitial abnormality, more pronounced in the periphery, remains. Cardiomediastinal and hilar contours are stable. Note is made of air filled prominent bowel loops, partly imaged.

assess for interval change in this patient with rib fractures.

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding chest examination of <unk> performed at the<unk> campus. The present pa and lateral chest views were obtained with patient in upright position. The heart size appears to be at borderline with a relative prominence of the left ventricular contour. This coincides with a moderate degree of widening and mild elongation of the thoracic aorta suggestive of systemic hypertension. Pulmonary vasculature, however, is not congested. The on next previous examination of <unk> identified pulmonary parenchymal infiltrates that occupied the right middle lobe have resolved almost completely. There remain some small linear densities in this area suggestive of scar formations or peripheral remnants of atelectasis. No new pulmonary abnormalities can be identified. A linear density in the left upper lobe area reaching the apical pleura where local thickening exists appears to be evidence of old probably specific scars. Their appearance has not changed during the latest examination interval. Observed that the previous examination was also confirmed by a ct examination at that time. The apparent prominence of the right hilum did not demonstrate any mass.

<unk>-year-old male patient with history of pneumonia at<unk> <unk>. evaluate for resolution of pneumonia.

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The ascending aorta is mildly tortuous. There is no pleural effusion or pneumothorax. The lungs are clear.

history: <unk>f with cough, sob // ? pneumonia

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities.

<unk>m with sudden onset mid-back pain // ?acute injury

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There are bilateral diffuse interstitial opacities, predominantly upper lobes, consistent with severe pulmonary edema. However, underlying consolidation or superimposed infectious process is not cannot be excluded. Heart size is at the upper limits of normal. No acute fractures are identified.

hypoxia.

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal. There is no displaced rib fracture. The sternum is intact.

fall.

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Right chest wall power injectable port-a-cath tip and left picc line tip project over the right atrium. A right pleural drainage tube is present. Unchanged atelectasis at the right lung base as well as patchy airspace opacities predominantly involving the right lung. A small right pleural effusion is present. Trace right pneumothorax which is better evaluated on today's ct scan of the chest. The size the cardiomediastinal silhouette is within normal limits.

<unk> year old woman with metastatic appendiceal carcinoma // concern for aspiration pneumonia

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As compared to the previous radiograph, the chest tube on the right has been removed. There is a substantial air-fluid level that has newly occurred in the right apical lung (fluidopneumothorax). There also is a substantial amount of intrafissural fluid. On the left, the lung volume has increased, but there is a newly appeared small left pleural effusion. The size of the cardiac silhouette is unchanged.

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Heart size is mildly enlarged. The aorta is tortuous, unchanged. Mediastinal and hilar contours are similar. There is no pulmonary edema. Small left pleural effusion is slightly decreased in size. No focal consolidation or pneumothorax is seen. Eventration of the right hemidiaphragm is re- demonstrated. Minimal atelectasis is noted in both lung bases. There are no acute osseous abnormalities.

history: <unk>f with pancreatic adenoma s/p whipple c/b portal vein thrombosis and secondary cirrhosis with ascites/splenomegaly/varices recently hospitalized for gi bleed requiring multiple transfusions, presenting with fever/rigors // please assess for pneumonia or fluid overload

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

ventricular tachycardia, to get a pacer today. pre-operative assessment.

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Frontal and lateral views of the chest. Right chest wall port is seen with catheter tip in the upper right atrium, similar to prior. The lungs are clear of consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old male with subjective fevers nonproductive cough, on chemotherapy for pancreatic cancer.

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Substantial worsening of pulmonary edema with increased perihilar opacities, alveolar edema, increased cardiomediastinal silhouette and air bronchograms. Worsening of bilateral large pleural effusions. Moderate-to-severe bibasilar compressive atelectasis, right greater than left. There is some tracheal displacement to the right however this is likely due to mild malrotation of the patient. The osseous structures are stable.

<unk> year old woman with tachypnea and increasing oxygen requirement // worsening pulm edema?

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. S-shaped thoracic scoliosis is noted.

<unk>m with hypoxia, sob // aspiration? pna?

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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. There is no edema or pneumonia. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.

<unk>f with chest pain

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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified on this supine exam although the left costophrenic sulcus is not included in the field of view. No acute osseous abnormality is identified. Old left-sided rib fractures are noted.

history: <unk>f with fall on face, sustained unstable c spine fx. may need to go to or tonight. // acute pulm process/baseline emphysema. also ? rib fx

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Ap portable supine view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.

<unk>m with mvc, cw and lspine tenderss, intox so req ct head and c-spine.

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The lungs remain hyperinflated. The cardiac and mediastinal silhouettes are stable. Patchy right base opacity has been present over multiple prior studies and may be chronic, underlying aspiration or infection is difficult to entirely exclude. The left lung is grossly clear. There is no pleural effusion or pneumothorax. The bones are diffusely osteopenic.

history: <unk>f with weakness // ? pna

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As compared to previous radiograph, the feeding tube is now in post-pyloric position. No evidence of complications. The appearance of the lung parenchyma is constant. The other monitoring and support devices are unchanged.

status post avr, feeding tube advancement. evaluation.

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Cardiomediastinal contours are stable in appearance with tortuosity of the thoracic aorta and left ventricular configuration of the heart. Lungs and pleural surfaces are clear. No acute skeletal abnormalities are detected on this limited portable study.

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Status post sternotomy. The cardiomediastinal silhouette is grossly unchanged. Again seen are small bilateral effusions, with underlying atelectasis, similar to the prior study. No definite residual right apical pneumothorax. A tiny left apical pneumothorax is cannot be entirely excluded. Subcutaneous emphysema again noted about the lung apices bilaterally. Left-sided chest tube again noted.

<unk> year old woman s/p asd repair with chest tube on clamping trail // eval for ptx - please do at <num> am

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The lung volumes are normal. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No effusion. The lung parenchyma appears normal. No pneumonia, no pulmonary edema. No nodules or masses.

consolidated lung sounds.

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Elevation of the right hemidiaphragm is unchanged. Posterior atelectasis at the left hemidiaphragm. Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Left dual lead pacer is unchanged. Heart size is top normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

syncope and bradycardia.

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Patient is status post median sternotomy and aortic valvular surgery. Interval slight decrease in size of cardiomediastinal contours and improved pulmonary vascular engorgement. Abnormalities at the right lung apex are present including a poorly defined nodule adjacent to fiducial seeds corresponding to the patient's known lung cancer site, as well as apicolateral pleural thickening. Adjacent post-treatment changes are present as well as mild associated right upper lobe volume loss. Small bilateral pleural effusions appear similar to the recent chest radiograph, and there is no visible pneumothorax.

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Pa and lateral chest radiographs demonstrate clear lungs. There are no diminutive pulmonary blood vessels. The cardiomediastinal silhouette is normal.

dyspnea on exertion. planned vq scan.

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Pa and lateral views of the chest are compared to previous exam from <unk>. Despite lower lung volumes on the current exam, the lungs remain clear. There is no effusion nor pulmonary vascular congestion. Cardiac silhouette is within normal limits. The osseous and soft tissue structures are unremarkable. Surgical clips are seen in the right upper quadrant suggesting prior cholecystectomy.

diabetes. question cardiomegaly.

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Portable semi-upright radiograph of the chest demonstrates well-expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, consolidation, or pleural effusion. Endotracheal tube ends <num> cm above the carina. The right-sided central venous line ends at the cavoatrial junction. A nasogastric tube courses into the stomach and out of the field of view.

<unk>-year-old female with subdural hematoma status post intubation. evaluate for placement of endotracheal tube.

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Upright pa and lateral views of the chest demonstrate no acute intrathoracic process. The mediastinal, pleural and pulmonary structures are unremarkable. The heart size is top normal. There is no free air underneath the diaphragm. A stent is seen within the common bile duct. There are no suspicious osseous lesions.

left upper quadrant pain after recent ercp, evaluate for acute intrathoracic process or perforation.

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An orogastric tube is present. The radiopaque tip overlies the stomach. The lung volumes are low. Allowing for this, there is evidence of chf, with interstitial edema. Probable platelike atelectasis in the right mid zone versus small amount of fluid in the fissure. Small leftand possible small right effusions. At the left base, there is collapse and/or consolidation with obscuration of left hemidiaphragm. Minimal atelectasis at the right base

<unk> year old woman with cough and congestion on tube feeds // ? pna

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Left lingular and lower lobe airspace opacity is concerning for pneumonia. Linear opacities at the right lung base likely represent atelectasis. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.pulmonary vasculature is normal.

history: <unk>m with tachypnea

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A right internal jugular sheath has been removed. Sternotomy wires, mediastinal clips and an aortic valve prosthesis are constant. Substantial infrahilar atelectasis has improved from <unk>. The small left pleural effusion is unchanged in volume. Mild pulmonary edema and the right pleural effusion have resolved. The heart is borderline enlarged but unchanged, accounting for differences in technique. No pneumothorax.

aortic valve replacement and cabg. evaluate for pleural effusions.

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Please note the lateral aspect of the lower chest wall was excluded from view. Ill-defined opacity is again noted at the right lower lung similar to the prior exam. There is slightly better definition of the left hemidiaphragm relative to the prior exam. A nodular density projects in the left upper lung between the posterior aspects of the left fifth and sixth ribs. There is no focal consolidation. Aortic tortuosity with calcified plaque throughout is again seen. There are prominent bilateral pulmonary arteries. The cardiac silhouette remains enlarged. No pneumothorax is seen. There are no definite displaced fractures evident. Calcifications are again seen in the right axilla.

trauma from fall.

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Pa and lateral views of the chest were obtained. Cardiomegaly is moderate. There is hilar congestion and mild pulmonary edema. No large effusions are seen. Mediastinal contour appears grossly within normal limits. No pneumothorax. Bony structures are intact.

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Comparison is made to previous study from <unk>. The right ij central line and the feeding tube are unchanged in position. The median sternotomy wires are seen. There is extensive subcutaneous emphysema throughout the chest, which limits evaluation of lung parenchyma. Allowing for this, there is unchanged cardiomegaly. There are bilateral pleural effusions which are large but stable. There is a left retrocardiac opacity. No pneumothoraces are seen.

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Compared with the prior study, no change in the positioning of the endotracheal tube, right picc line, and ng tube. No change in the prior left lower lung consolidation and right lower lung opacity. No new pneumothorax. Small bilateral effusions are persistent. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact, with unchanged mediastinal clips.

<unk> year old woman with respiratory failure, intubated. evaluate for interval change.

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Patient is status post median sternotomy and cabg. Mild enlargement of the cardiac silhouette is decreased compared to the prior study. Similarly is, previous pulmonary edema has improved with only mild pulmonary vascular congestion seen on the current exam. The aorta is mildly tortuous. Hilar contours are unremarkable. No pneumothorax or pleural effusion is identified, with resolution of the previously seen right pleural effusion. There are multilevel mild to moderate degenerative changes noted in the thoracic spine.

history: <unk>f with chf, diabetes on insulin presents with malaise

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Single frontal view of the chest was obtained. Right paratracheal ovoid calcifications may represent calcified lymph nodes and may be a sequela of prior granulomatous disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The mediastinum and hilar contours are unremarkable. Diffuse osteopenia noted.

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There are bilateral pleural effusions, larger on the left. Airspace opacity at the left lung base may reflect a degree of atelectasis however this seems relatively extensive compared to the size of the effusion and infection cannot be excluded. The right lung appears grossly clear, linear atelectasis or scarring in the right mid lung. No pneumothorax seen.

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

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As compared to the previous radiograph, no relevant change is seen. Normal lung volumes. No pneumonia, no pulmonary edema. No pleural effusions. Normal appearance of the hilar and mediastinal structures. Normal size of the cardiac silhouette.

cough for <num> days. evaluation.

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The cardiac, mediastinal and hilar contours appear stable. Lung volumes are low. There is no pleural effusion or pneumothorax. There is new retrocardiac opacification which is fairly streaky in nature. Elsewhere, the lungs remain clear. There is very mild s shaped curvature to the visualized thoracolumbar spine.

cough and hypoxia.

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Patient positioning is somewhat suboptimal as the patient's head obscures the right lung apex. Lung volumes are unchanged compared to the prior study. A well-defined opacity projecting over the left hemi thorax is likely something on the patient's skin as it does not conform to anatomic landmarks. Small right pleural effusion, no left pleural effusion seen. No consolidation or pneumothorax seen. Streaky retrocardiac opacities are unchanged compared to the prior study and likely reflect left lower lobe atelectasis.

<unk> year old man with urosepsis, continued tachycardia // ? pneumonia

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The cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, fracture or dislocation. There is a focal opacity the right and base, more fully evaluated by subsequent cta of the chest. Lung volumes are low, and lungs are otherwise clear. .

history: <unk>f with prior pe with decreased bs on right // eval for hemorrhage, infarction

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As compared to <unk>, left pneumothorax and associated left pleural effusion have not substantially changed. Mild pulmonary vascular congestion of the right lung has resolved. Lung volumes are slightly lower compared to the prior. Mild to moderate cardiomegaly.

<unk> year old man with multiple cardiac comorbidities with with left pleural effusion s/p <unk> c/b trapped lung/persistent pneumothorax // eval for worsening effusion, pneumothorax, acute change

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The endotracheal tube has been repositioned with its tip ending approximately <num>-<num> cm above the carina and is appropriate. Left subclavian line ends at mid svc. Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate. Bilateral lung volumes are low. Bibasal atelectasis is no different from prior radiograph. Heart size, mediastinal and hilar contours are unchanged.

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As compared to the previous radiograph, the patient has been extubated. The left picc line is in unchanged position. Unchanged moderate cardiomegaly and atelectasis at both lung bases. No interval appearance of new parenchymal opacities. No pneumothorax.

respiratory failure, evaluation for interval change.

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Single portable chest radiograph is provided. Et tube is approximately <num> cm from the carina. Ng tube courses below the diaphragm. The left internal jugular catheter is now in the left brachiocephalic vein. A right triple-lumen catheter has been removed. Again seen are bilateral diffuse opacities similar in appearance to the prior study which may be due to pulmonary edema. There are probable small bilateral pleural effusions. Cardiomediastinal silhouette is unchanged and slightly enlarged. Bony structures are intact.

<unk>-year-old woman status post pea arrest, intubated status post rewarming, check et tube placement.

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The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Incidentally noted is an azygos fissure. No acute osseous abnormalities.

<unk>f with inability to ambulate and right ankle ttp // eval for fracture/dislocation

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There is slight prominence of the pulmonary interstitium. The lungs are otherwise clear. The cardiac silhouette is prominent but may be exaggerated by portable technique. Is calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact.

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In comparison with the earlier study of this date, there has been substantial re-expansion of the left lung with only mild opacification at the bases and a streak in the upper zone consistent with residual atelectatic change. This probably reflects removal of a mucus plug. The right lung is essentially clear.

bronchoscopy, to assess for inflation of the lung.

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Lung volumes are low, possibly on the basis of restrictive lung disease. Cardiomediastinal contours are stable. Nonspecific reticular interstitial opacities appear unchanged from the prior radiograph but have probably worsened since <unk>. No focal areas of consolidation are present to suggest the presence of pneumonia. There are no pleural effusions.

<unk> year old man h/o aspiration pna with cough and dyspnea. // r/o infiltrate.

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Frontal and lateral radiographs were reviewed. Heart size is top normal. Mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are clear. Pulmonary vasculature is within normal limits.

left-sided chest pain.

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In comparison with chest radiograph or few hours earlier, there has been interval removal of a left chest tube. There is a small left apical pneumothorax without evidence of tension. Otherwise, there is little change. Right internal jugular line terminates in the lower svc. Persistent mild bibasilar atelectasis. Mediastinal and cardiac contours are stable.

<unk> year old man s/p cabg and ct removal // r/o ptx

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Linear opacities seen at the right lung base laterally likely atelectasis. The lungs are otherwise clear without consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with chest pain // r/o pna

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

cough.

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Previous right pleural effusion has resolved. No pleural effusion, pulmonary edema or consolidation is seen. The cardiac silhouette is normal, and median sternotomy wires are intact. Mechanical mitral valve is seen.

<unk>-year-old woman with dyspnea, status post mitral valve replacement. evaluate for consolidation.

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The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable noting mild cardiomegaly. No acute osseous abnormalities, posterior fixation lumbar spinal hardware is partially visualized.

<unk>f with chest pain // acute process

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The left-sided picc line has been pulled in the interval and now ends in the mid svc.

<unk>-year-old female with re-positioning of a picc line. please evaluate for position of the picc.

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Single ap view of the chest provided. Diffuse alveolar and interstitial opacities are worsened from <unk>. A faint focal left lower lung opacity is concerning for pneumonia. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.

<unk> year old woman <num> fever // evaluate for pna

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<num> supine views of the chest demonstrate progressive advancement of an ng tube into the stomach. An et tube has been placed in the interim which resides cm in the carinal. Better evident than on the prior study is a opacity in the right lower lobe concerning for pneumonia. Additional retrocardiac opacities are also noted. Cardiac size remains stable. The remainder the exam is unchanged with no pneumothorax or pleural effusion.

history: <unk>m with sob // tube placement

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Right small pneumothorax has slightly improved from <unk>.<num> to <unk>.<num> mm. An air-fluid level is seen in the right basal pleura. Air overlying the right mediastinum is probably compatible with a gastic pull up in this patient with esophageal cancer. Bibasal atelectasis is slightly improved. Left lung is unremarkable.

patient with pneumothorax followup.

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The cardiomediastinal and hilar silhouettes are stable. The lungs are well expanded and clear. There is no pulmonary edema, pleural effusion, or pneumothorax.

<unk>-year-old woman presenting with cough and fevers.

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Single frontal view of the chest. Endotracheal tube, left pleural tube, two mediastinal drains, and swan-ganz catheter have been removed. Sternotomy wires appear intact. A tiny left pneumothorax is slightly smaller than on <unk>. A right apical linear density with peripheral lucency may represent a new small right pneumothorax. Atelectasis at the left base is more pronounced, as expected post-extubation. No focal consolidation or pleural effusion. The heart remains mildly enlarged.

<unk>-year-old male status post cabg. evaluate for pneumothorax after chest tube removal.

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As compared to the previous radiograph, there is no relevant change. The lung volumes have increased. The monitoring and support devices are all unchanged. Unchanged scarring at the left and right lung bases but no newly appeared parenchymal opacity. Unchanged size of the cardiac silhouette.

immunocompromised woman, shortness of breath.

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The cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax is seen. No pulmonary vascular congestion is noted. Multiple clips are re- demonstrated in the right upper quadrant of the abdomen.

chest pain.

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There is a new et tube <num> cm above the carina. Og tube tip is in the stomach. Right ij cordis is unchanged. There is moderate-to-severe cardiomegaly with pulmonary vascular redistribution and alveolar infiltrates, compatible with fluid overload. An underlying infectious infiltrate cannot be excluded.

og tube placement.

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Sternal wires appear intact. Multiple mediastinal surgical clips are noted heart size is considerably enlarged, particularly the left atrium. The lungs demonstrate moderate interstitial edema. Bilateral pleural effusions are small. There is no evidence of pneumonia retrocardiac opacification likely reflects atelectasis.

<unk>m with apparent chf exacerbation. doe. weight gain // pna? pulm edema

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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 decr bs on right, ili sx // r/o pna, ptx

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Low lung volumes are again noted. There is been interval improvement of the previously noted pulmonary edema which is now mild. There is no new consolidation. Cardiomediastinal silhouette is stable. There is no large effusion.

<unk>m with resp distress // ? infiltrate

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The heart is enlarged, minimally increased from <unk>. Lung volumes are low which accentuates bronchovascular markings. Given that, there is mild pulmonary vascular congestion and mild to moderate pulmonary edema. No pleural effusion or pneumothorax is seen.

<unk> year old woman with basilar crackles // ? edema

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Single portable chest radiograph demonstrates stable mild cardiomegaly. Apparent widening of the mediastinum is related to patient rotation. Left-sided central venous catheter with tip at the distal svc. Endotracheal tube is in standard position. Nasogastric tube, seen coiled in oropharynx on next preceding study, is seen passing into stomach and out of view with the side port not definitively seen. Interval increased opacification of the bilateral lung bases is likely a combination of worsening atelectasis and pleural effusion. Stable minimally asymmetrically increased density of the right middle lobe corresponds with area of increased atelectasis on the <unk> ct. No pneumothorax evident.

recent intubation, please evaluate for pneumonia or interval change.

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Pa and lateral views of the chest were provided. The heart resides in the right lower chest as per clinical history of situs inversus. The gastric bubble is also seen on the right side. The lungs appear clear without focal consolidation, effusion, or pneumothorax. Heart size appears within normal limits. The mediastinal contour is normal. Bony structures are intact. No displaced rib fractures are seen.

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Frontal and lateral views of the chest are obtained. Dual-lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. Minimal bibasilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.

cough, to assess for pneumonia.

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As compared to the previous radiograph, there is no relevant change. A pseudocavitary lesion in the right lower lobe can no longer be seen with confidence. However, relatively extensive bilateral parenchymal opacities, likely reflecting a combination of edema and pneumonia, still present. Moderate cardiomegaly. No larger pleural effusions. Unchanged monitoring and support devices.

chronic heart failure, underlying infection, evaluation.

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Pa and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax. The chest is hyperinflated. Moderate degenerative changes affect each acromioclavicular joint.

cad status post pci, now presenting with chest pain and shortness of breath. evaluate for pneumonia.

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There are bilateral pleural effusions with volume loss in both lower lungs. There is pulmonary vascular redistribution. Compared to the study from the prior day. There is improved aeration in the left upper lung. The dual lead pacemaker and a right ij line are unchanged.

pneumonia. rsv.

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Multiple views of the chest, obtained to assess dobhoff placement. On view # <num>, the radiopaque portion of the dobhoff tube overlies the expected region of the ge junction, with the tip probably overlying the gastric fundus. On view # <num>, the tube is been advanced. The radiopaque portion extends beyond the inferior edge of the film and is not localized. Note is made of an et tube, with tip relatively low lying, approximately <unk>.<num> -<unk>.<num> cm above the carina. Of note, however, the inferior edge of the clavicular heads is is only <unk>.<num> mm above the carina. A right ij central line is again noted, overlying the right atrium. Again seen is increased retrocardiac density with obscures the left hemidiaphragm and left costophrenic angle. Probable subsegmental atelectasis at the right lung base.

<unk> year old woman with dobhoff tube placement // dobhoff position

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As compared to the previous radiograph, the patient has been extubated. The nasogastric tube has been removed. The patient, however, has received a right anterior pleural drain. The pre-existing right pneumothorax is not visible on the current image. A linear opacity overlying the sixth and seventh right rib is symmetrical and obviously caused by a foreign body outside of the patient. Close radiographic monitoring, however, is strongly recommended.

copd, right anterior pneumothorax, status post chest tube placement. evaluation for interval change.

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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.

history: <unk>m with chest pain and new leukocytosis. // please evaluate for pneumonia

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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony mild degenerative changes are noted along the mid through lower thoracic spine.

chest pain.

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Lung volumes are low. No focal opacity to suggest pneumonia is seen. No pleural effusion or pneumothorax is present. There is a small amount of atelectasis at the right base. Elevation of the right hemidiaphragm is unchanged. The heart size is within normal limits.

syncope.

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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. A mitral valve replacement is noted. Patient is status post median sternotomy. No pneumothorax, pleural effusion, pulmonary edema, or pneumonia.

history: <unk>f with hx of mitral valve replacement presents with cp, sob // any e/o pna, pleural effusion/edema, acute change?

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There is mild bibasilar atelectasis, slightly worse on the left than the right. The lungs are otherwise clear without a consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Sternal wires are intact.

chest pain. evaluate for pneumothorax.