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/p12414025/s53928860/b9b52f3a-fd523daa-25abb6c7-669ed7dc-a4dc55a5.jpg	null	In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged with the feeding tube still located too high in the proximal stomach adjacent to the esophagogastric junction. The left hemidiaphragmatic contour is more sharply seen than on the previous study. Nevertheless, there is still some silhouetting with retrocardiac opacification. Although this could well represent merely atelectasis, in the appropriate clinical setting an infectious process would have to be considered. Little change in the degree of pulmonary vascular congestion.	post-operative, to assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17887565/s58884118/445f07aa-65b361db-7cb8f5c9-02f086b3-93c6c003.jpg	MIMIC-CXR-JPG/2.0.0/files/p17887565/s58884118/56ca75d6-4bc9ff92-6995e1e8-dfc0236a-430e7523.jpg	Lower lung volumes are seen on the current exam. Bibasilar opacities are likely secondary to atelectasis. Superiorly, lungs are clear. Cardiac silhouette is within normal limits noting noted is accentuated by low lung volumes. Tortuosity of the thoracic aorta is again noted. No acute osseous abnormalities.	<unk>m with chest pian // acute process?
MIMIC-CXR-JPG/2.0.0/files/p16773335/s53970393/02660f0b-3df800cd-ab0f6f77-21d61bb8-9573fb43.jpg	null	Compared with prior radiographs of <unk>, there has been interval placement of an et tube, which terminates <num> cm above the carina. An ng tube passes below the diaphragm and out of view. Moderate cardiomegaly and mild edema is similar to prior. Asymmetric enlargement of the right hila may represent vascular congestion due to left heart failure versus acute pulmonary embolism. There is no large pleural effusion. No new focal consolidation or pneumothorax.	<unk> year old woman with chf exacerbation // eval pulmonary congestion
MIMIC-CXR-JPG/2.0.0/files/p14858015/s56174310/f2c8aef5-816a412f-2eac1c1d-92c6144d-b7c1a5bf.jpg	MIMIC-CXR-JPG/2.0.0/files/p14858015/s56174310/4d8e05ec-6b2d33d9-2768cd5a-19b6ea5f-2050bc0c.jpg	Minimal rightward scoliosis of the thoracic spine. Normal lung volumes. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures. Minimal tortuosity of the thoracic aorta.	status post colectomy, fever, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p17304513/s57492526/ba47b7a8-0b5af4b6-80f4fe8c-4df39059-352ae77a.jpg	MIMIC-CXR-JPG/2.0.0/files/p17304513/s57492526/3811389e-cddcb977-86d6878e-f19ff000-72fc41fd.jpg	Pa and lateral views of the chest provided. The heart appears top-normal in size which is stable. There is no focal consolidation, effusion or pneumothorax. Mild hilar congestion difficult to exclude without frank pulmonary edema. Mediastinal contour appears normal. Bony structures intact.	<unk>m with sob and pedal edema // r/o chf
MIMIC-CXR-JPG/2.0.0/files/p16424731/s58426097/e92c19cd-7b12ee78-76ab30e7-bef26d7d-91407f08.jpg	null	As compared to the previous radiograph, a previously placed right picc line has been removed. The left pectoral pacemaker and its wires are in unchanged position. The appearance of the lung parenchyma is unchanged, no acute lung parenchymal pathologies such as pneumonia or pulmonary edema. No pleural effusions, no pneumothorax. The appearance of the hilar and mediastinal structures, including tortuosity of the thoracic aorta, is constant. Relatively large cardiac silhouette, enlarged left ventricle. Known healed right rib fracture.	concern for recurrent infection, rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11817853/s56340999/e11d440e-9de0ea1d-151bddf3-d43b8ac3-78785833.jpg	MIMIC-CXR-JPG/2.0.0/files/p11817853/s56340999/f7448a42-a044434e-09a41acd-2c940239-bad800e0.jpg	The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Median sternotomy wires appear intact and aligned. No acute fractures are identified.	cough and fever.
MIMIC-CXR-JPG/2.0.0/files/p16232950/s55865984/06ef33ca-693d3203-174d74da-4d3b3328-8c3c0c8b.jpg	MIMIC-CXR-JPG/2.0.0/files/p16232950/s55865984/3827b003-5c2ce7df-c490e1fe-1e017ca4-862791e2.jpg	Frontal and lateral chest radiograph demonstrates persistent elevation of the right hemidiaphragm with associated right lower lobe atelectasis, minimally improved since previous examination. Left lung is clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.	right lower lobe collapse. assess right lower lobe collapse.
MIMIC-CXR-JPG/2.0.0/files/p19039163/s56578711/5bf439a0-8b5ef85d-68ffd377-ad3b7c1c-b02d0a14.jpg	MIMIC-CXR-JPG/2.0.0/files/p19039163/s56578711/6769276e-e506f0fe-504ed84b-18adbebe-8955ecf2.jpg	Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.	right lower lobe abnormalities seen on previous radiographs. presents with chest pain evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16285590/s51431658/824a8728-9d7785ee-99ae7569-0f01fb76-530a4d17.jpg	null	Lines and tubes are similar prior. Again seen is a thin line overlying the left axilla and projecting immediately inside the left chest wall --<unk> this a picc line? If so, it does not reach the svc. No pneumothorax detected. Again seen is a small left effusion, with underlying collapse and/or consolidation, overall similar to the prior study. Also again seen is patchy opacity, possibly atelectasis, in the right cardiophrenic region ,and minimal blunting of the right costophrenic angle. No definite chf. Cardiomediastinal silhouette unchanged . Fibrotic changes in left suprahilar region are again noted. Previously identified left lower chest rib fracture not well seen.	<unk> y/o woman with h/o hfref, cad s/p lad stent, and recurrence of poorly differentiated stage iiib nsclc dx in <unk> in remission s/p chemo/rt, and severe oxygen-dependent copd, admitted on <unk> for dyspnea and transferred on <unk> (hod<num>) to micu for acute hypoxemic respiratory failure. most likely hypovolemiv given aggressive diuresis prior to icu transfer vs. infectious, now on levo and van/zosyn. // interval assessment
MIMIC-CXR-JPG/2.0.0/files/p12842991/s55659035/88ef5546-b941229b-79bdc7dd-58c4a3a8-b4f150f3.jpg	MIMIC-CXR-JPG/2.0.0/files/p12842991/s55659035/28a38d54-3cc7b229-dd7746a5-0ec927f1-f43ba179.jpg	Pa and lateral views of the chest were obtained. Heart is normal size, and cardiomediastinal silhouette is unremarkable. Lung volumes are low limiting assessment for edema. There is no focal consolidation, pleural effusion, or pneumothorax.	<unk>-year-old man with shortness of breath after exposure, evaluate for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12176298/s55203535/66ed9784-41821616-a67b9c6b-79c9eb56-692f7aaf.jpg	null	Right moderate loculated pleural effusion at the apex with right lung opacification is unchanged since yesterday. Left lung mild cardiac congestion with basal atelectasis is also unchanged. Tracheostomy is in adequate position. There is no pneumothorax.	patient with right-sided empyema ongoing events.
MIMIC-CXR-JPG/2.0.0/files/p18049506/s57820986/e561dfaa-03e15371-9001a2c2-c9efaf1d-b2bf5c34.jpg	MIMIC-CXR-JPG/2.0.0/files/p18049506/s57820986/a06736f7-47c680e3-18af4bfd-966769a5-aa963429.jpg	Frontal and lateral views of the chest were obtained. There are low lung volumes with mild left base atelectasis and mild elevation of the right hemidiaphragm. Mild enlargement of the cardiac silhouette with left ventricular configuration. Gastric air-fluid level seen. Some degenerative changes are seen along the spine although not well evaluated.
MIMIC-CXR-JPG/2.0.0/files/p10723086/s54050905/2aa2f608-6db47d18-6b18a13b-6afa0850-2fe5c9db.jpg	null	The left internal jugular approach hd catheter is unchanged in position and terminates in the right atrium. The enteric tube is again noted in the gastroesophageal junction. Unchanged position of the tracheostomy tube. There are no other significant changes. No evidence of pneumothorax. Again noted is moderate to severe pulmonary edema.	<unk> year old woman with inability to dialyze through temp hd line, please evaluate for positioning of line // <unk> year old woman with inability to dialyze through temp hd line, please evaluate for positioning of line and need for adjustment
MIMIC-CXR-JPG/2.0.0/files/p16228877/s58622466/aaa5addf-f7d4dc1f-e222978d-5b65c8ff-946c6e71.jpg	MIMIC-CXR-JPG/2.0.0/files/p16228877/s58622466/d22c780d-e51f6302-8e630c2e-bfd58ff3-54c03543.jpg	Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. Osseous and soft tissue structures are unremarkable.	<unk>-year-old female with tachycardia and rash.
MIMIC-CXR-JPG/2.0.0/files/p15145407/s55705835/d1aeb7bf-c8b33728-a5d8a058-91607a3f-533b6577.jpg	null	As compared to the previous radiograph, there is a slight increase in diameter of the pulmonary vasculature as well as some perihilar haze. In combination with increased cardiac silhouette this could be indicative of mild pulmonary edema. In unchanged manner, there is a moderate retrocardiac atelectasis and a small left pleural effusion. The observation was made at <time> a.m., <unk>, at the same time point the referring physician, <unk>. <unk>, was paged for notification.	hypercarbic and desaturation, evaluation for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19113841/s52112777/b05222b4-a9153b8c-337612f0-d1db7bee-efddae74.jpg	MIMIC-CXR-JPG/2.0.0/files/p19113841/s52112777/f507f751-e399d1c8-4b1bb5f3-fa1e4bd4-b27c5839.jpg	The lungs are moderately well inflated with subtle retrocardiac opacity. No pulmonary edema. No pleural effusion or pneumothorax. The heart is top-normal in size. Mediastinal contour and hila are unremarkable.	<unk>f with fever. assess for acute process, pna
MIMIC-CXR-JPG/2.0.0/files/p17078544/s56705332/2999e104-61bc552c-9a13084d-dcebaee4-7b123f3a.jpg	null	Comparison is made to previous study from <unk>. There is persistent cardiomegaly, which is stable. There are again seen bilateral pleural effusions, right side worse than left. There is retrocardiac opacity, which is stable since the previous study. There is likely mild fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p18655830/s50471120/690b69da-70653587-bcdee278-7f65668c-3f824233.jpg	MIMIC-CXR-JPG/2.0.0/files/p18655830/s50471120/9f3d07c8-05dbe15a-927c3dab-d43e5b7e-a77e4e32.jpg	Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Median sternotomy wires and mediastinal clips are noted. Mild compression of a lower thoracic vertebral body is unchanged.	<unk>f with hd pt who missed dialysis today and has been htn with mild hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p16783577/s52806037/3f9f97c9-63076266-9549b4eb-ca4de75c-b8206e41.jpg	null	The endotracheal tube terminates <num> cm above the carina. The right ij central venous catheter is near the cavoatrial junction. There is interval enlargement of the cardiac silhouette. Perihilar and interstitial opacities have also increased with increased airspace opacification of the lower lobes. Small bilateral pleural effusions are likely present. No pneumothorax.	<unk> year old man with respiratory distress // please evaluate for pulmonary edema, infectious process
MIMIC-CXR-JPG/2.0.0/files/p12151284/s53743504/38e11dac-956c52a3-3c88494b-55c13963-988c0eaf.jpg	null	A portable frontal chest radiograph again demonstrates normal heart size. Patchy right lung opacities with widening of the right mediastinum and more dense consolidation of the right lower lung, as well as right pleural effusion and nodular thickening of the pleura is unchanged, again concerning for complex complications of a known right lung malignancy. The left lung remains clear, without pleural effusion. There is no pneumothorax.	evaluate for acute pulmonary edema in a patient with acute shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11312502/s57582167/69d50af8-c11171fe-5b9d9ae7-51dafa5f-37aa7fa9.jpg	null	There is a small left pleural effusion and dense retrocardiac opacity. Heart size is mildly enlarged. There is pulmonary vascular redistribution and some patchy areas of alveolar infiltrate. The tracheostomy and left-sided picc line are unchanged.	<unk> year old woman with hypoxia, trach collar // interval change
MIMIC-CXR-JPG/2.0.0/files/p13860063/s52955367/6fcbe122-6dc8e58c-484c268e-a693d882-74cdfd81.jpg	MIMIC-CXR-JPG/2.0.0/files/p13860063/s52955367/6b0dd436-bb95162d-27fa00a4-1bd21e0d-d123affa.jpg	Patient is rotated to the left. Within this limitation, the lungs are clear. Left chest wall dual lead pacing device is again noted. The cardiomediastinal silhouette is grossly unchanged. Anterior flowing osteophytes along the spine suggests dish. Degenerative changes are seen at the shoulders bilaterally.	<unk>f with intermittent slurred speech // evaluation for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p10115182/s53548679/2a37efdc-69cfc04c-e2931ed0-efa20e63-d8fb5d71.jpg	MIMIC-CXR-JPG/2.0.0/files/p10115182/s53548679/dc34fd5c-94d67b2d-e3e6ba53-a16bf20b-9c61308c.jpg	In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Continued enlargement of the heart with well-positioned icd leads. No vascular congestion, pleural effusion, or acute focal pneumonia.	elevated white count with shortness of breath, to assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10626933/s56495090/14d405a7-631c6a19-4e90bbb4-4296b64e-36519af8.jpg	null	Comparison is made to prior study from <unk>. An endotracheal tube, left-sided central venous line and feeding tube are unchanged in position. There is left retrocardiac opacity. There is some developing consolidation within the right mid lung field. No pneumothoraces are seen.
MIMIC-CXR-JPG/2.0.0/files/p11332607/s56987496/d47ec0de-49adda44-7399f86c-d9e7eb15-a07bf474.jpg	MIMIC-CXR-JPG/2.0.0/files/p11332607/s56987496/9ae9c63d-e664b6b5-3c6f5018-781db17f-79aa3818.jpg	Lower lung volumes seen on the current exam with secondary right midlung atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	<unk>f with persistent elevated lactate // evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19299136/s54083485/e4c7d906-4d033a87-72b6b769-e31bb396-89776562.jpg	null	As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube projects over the middle parts of the stomach. The side port is at the level of the gastroesophageal junction. The tube could be advanced by approximately <num> cm. Otherwise, the radiograph is unchanged. The pre-existing opacities are constant in appearance. Unchanged size of the cardiac silhouette. No pneumothorax.	ischemic stroke, nasogastric tube placement.
MIMIC-CXR-JPG/2.0.0/files/p14421425/s51297996/2932be19-39f62740-a400d9c2-1d677c95-9eb8d8a1.jpg	MIMIC-CXR-JPG/2.0.0/files/p14421425/s51297996/8d8bf2e6-2600ccc2-7e44a3b9-45b46a51-84ec7e69.jpg	Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg. There is thickening/fluid along the minor fissure. There is elevation and eventration of the right hemidiaphragm with overlying right base atelectasis. The cardiac and mediastinal silhouettes are stable with the aorta calcified and tortuous and the cardiac silhouette mildly enlarged. Slight prominence of the hila is stable, which may relate to pulmonary vascular engorgement. No focal consolidation or evidence of pneumothorax is seen. There are degenerative changes at the partially imaged left shoulder.
MIMIC-CXR-JPG/2.0.0/files/p19301174/s53673782/5fa7ae8c-66f0be91-96259da4-2a0bbaa8-a0ccdc41.jpg	MIMIC-CXR-JPG/2.0.0/files/p19301174/s53673782/6039da14-26aea9b4-c31d42f4-1f800b90-54492ea0.jpg	Frontal and lateral views of the chest. Relatively low inspiratory effort on the frontal view accentuates the cardiac silhouette which is likely within normal limits. The lungs are clear of consolidation. There is no effusion. Mild hypertrophic changes seen in the spine.	<unk>-year-old male with left lower lobe crackles.
MIMIC-CXR-JPG/2.0.0/files/p11845452/s59572864/1ec1a083-ef3d5fa7-151ce8a3-255df6bf-f4e48c7c.jpg	MIMIC-CXR-JPG/2.0.0/files/p11845452/s59572864/fbbdb5fa-6b21eb57-62dda735-6ac40e47-a492ea28.jpg	There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	history: <unk>m with chest pain // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p13110963/s57558777/41702304-13351071-61330bac-6baa475e-f3f1923a.jpg	null	In comparison with the study of <unk>, the opacification at the right base has cleared. There is mild hyperexpansion of the lungs with coarse interstitial markings at the bases consistent with chronic pulmonary disease. However, no acute focal pneumonia or vascular congestion. Of incidental note are significant degenerative changes of the shoulder joints and significant dilatation of loops of bowel within the abdomen.	copd and pneumonia, to assess for bleed.
MIMIC-CXR-JPG/2.0.0/files/p12110495/s59392650/fae5b0a9-573d166d-ca9a8d1c-9040f8d8-58c0081e.jpg	null	Portable ap upright chest radiograph is obtained. There is a right arm picc line with tip in the region of the superior vena cava. Please note a line was seen in the same position on prior exam. A dual-lead right chest wall pacer is unchanged with proximal lead in the right atrium and distal lead in the expected location of the right ventricle. The heart is mildly enlarged. Mild vascular engorgement is seen without frank pulmonary edema. An area of scarring is again noted at the left lower lobe. No large pleural effusions are seen. No pneumothorax. An azygos fissure is noted. Mediastinal contour appears stable. Bony structures are intact.
MIMIC-CXR-JPG/2.0.0/files/p13352295/s58750418/6e0a9b93-2c173754-1ca08308-4fce54b6-daeae6f4.jpg	null	Heart size and cardiomediastinal contours are normal. Lung volumes are low. Diffusely increased interstitial markings are consistent with interval worsening of pulmonary edema, worse on the right. An infectious process cannot be excluded. Presumed pleural effusions are not large. No pneumothorax.	history: <unk>m with r ij attempt // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p11332829/s51478353/3b562887-fafaab21-93da105f-79c4da2b-b28a8a4d.jpg	MIMIC-CXR-JPG/2.0.0/files/p11332829/s51478353/a6ace673-7f1138bd-04724029-f4f37a4e-e94e9adb.jpg	Pa and lateral views of the chest were obtained. Midline sternotomy wires, dual-lead left chest wall pacer are stable from prior exam. The lungs appear clear bilaterally. There is minimal blunting along the left cp angle best seen on lateral view which could indicate a small pleural effusion. There is no pulmonary edema, signs of pneumonia, or pneumothorax. Cardiomediastinal silhouette appears grossly stable. The degree of hilar engorgement appears stable. No definite signs of interstitial or alveolar edema. Atherosclerotic calcification along the aortic knob noted. Bony structures appear stable. Old right mid cage posterior rib deformity again noted.
MIMIC-CXR-JPG/2.0.0/files/p12535940/s55994611/5e4c400b-6a355d0f-a485301d-5fc6b67d-1805521b.jpg	MIMIC-CXR-JPG/2.0.0/files/p12535940/s55994611/1b9a88c3-c2835811-a7a730c1-0dbe093f-e5da7846.jpg	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is top normal in size. The mediastinal contours are normal.	history: <unk>f with fall last night while sleeping // fall, pain l knee, thigh, foot, face. epistaxis x <num>
MIMIC-CXR-JPG/2.0.0/files/p17496226/s58211734/5c8a055b-6fb92ea1-651ab9e8-365fe493-f9dbad32.jpg	null	A left-sided pacemaker is in unchanged position with leads terminating in the right atrium and right ventricle. Median sternotomy wires appear intact. A nasogastric tube terminates in the stomach. The cardiomediastinal contours are normal. A new opacity at the left base with obscuration of the left hemidiaphragm likely reflects a small pleural effusion with underlying consolidation concerning for aspiration. The hilar contours are normal. There is no pulmonary vascular congestion. There is no pneumothorax. Unchanged opacity projecting over the right apex likely reflects stable pleural scarring.	<unk>-year-old woman with a subdural hematoma, now with wheezing. evaluate for aspiration.
MIMIC-CXR-JPG/2.0.0/files/p19062816/s55324605/14ec62ad-e065214b-dc34eeca-8f9b9f22-fa5c2dc9.jpg	MIMIC-CXR-JPG/2.0.0/files/p19062816/s55324605/c24da8cd-b02dc3db-4885c306-74d44736-6cc676ce.jpg	Right-sided chest tube has been removed and subcutaneous emphysema in the right chest has decreased. Small right apical pneumothorax is unchanged. Significant interval increase in the volume of a right paraspinal loculation of hydro pneumothorax, measuring <num> x <num> cm. A smaller, right lower lateral component of the air and pleural fluid is not appreciably changed since <unk>. The left lung is clear. The cardiomediastinal contours are unremarkable.	<unk>f w/ newly diagnosed guillain-<unk>'s and rll adenocarcinoma ct<num>an<num>mx s/p vats right lower lobectomy // please evaluate for interval change s/p chest tube removal, please obtain @ <time>am
MIMIC-CXR-JPG/2.0.0/files/p13916932/s56302756/84644f20-c75e50bd-f7b422ef-9171a6b0-0184d251.jpg	MIMIC-CXR-JPG/2.0.0/files/p13916932/s56302756/4e13a184-cca77551-957d8914-e18a637d-f2dd53f1.jpg	In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia.	persistent cough, to assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11936095/s59694580/3b99579b-c2cb2e4d-8ab16206-25457b49-b8b751a8.jpg	null	Lung volumes are low. Opacity in the left lower lung with indistinctness of the left hemidiaphragm and costophrenic angle is probably a combination of atelectasis and a small effusion. A trace right pleural effusion is likely also present. Increased interstitial prominence and pulmonary vascular congestion is moderate, more pronounced from the prior exam and suggest some degree of edema and volume overload, even in the setting of low lung volumes. No pneumothorax. No definite focal consolidation. The heart is probably mildly enlarged. Severe s-shaped scoliosis and distortion of the thoracic cage is similar to the prior exam.	<unk>-year-old woman with shortness of breath. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14481142/s59056043/a954d4d5-c937a4e5-5731ccf6-b6ac3992-c01707a1.jpg	null	Portable semi-upright radiograph of the chest demonstrates low lung volumes resulting in bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. There is no evidence of vascular congestion, pleural effusion, pneumothorax, or pneumonia.	evaluate for intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11617451/s54220834/74ae8c1c-fea90cda-9cf16f6f-84d4d82a-c155d602.jpg	null	An endotracheal tube is low lying ending approximately <num> cm above the carina. It can be retracted by approximately <num>-<num> cm for more optimal positioning. A nasoenteric tube enters the stomach. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is left basilar atelectasis. There is no acute osseous abnormality.	<unk>-year-old woman with intracranial hemorrhage evaluate for endotracheal tube placement
MIMIC-CXR-JPG/2.0.0/files/p18545682/s54003406/36a6c2ec-131f5f30-cb5b192c-37d6aa1a-f007027c.jpg	MIMIC-CXR-JPG/2.0.0/files/p18545682/s54003406/357ef0d0-de078b88-5d7368b8-1830b2b0-0c97c972.jpg	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A right picc terminates in the mid svc. Screws are noted in the right humerus and incompletely imaged.	history of hodgkin's lymphoma with febrile neutropenia. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14309442/s56138807/8545ca2d-e065f6c4-0e905ab7-903e23ee-ef750e43.jpg	null	Supine portable ap view of the chest provided. Extensive surgical hardware is noted in the cervicothoracic junction. The lungs appear clear without signs of pneumonia or chf. The cardiomediastinal silhouette appears grossly stable. No definite acute bony abnormalities are seen. Please note, thoracic kyphosis somewhat limits the evaluation.
MIMIC-CXR-JPG/2.0.0/files/p11800503/s59194421/1e542bbf-ae3e1ba2-4c63f244-0076e934-9248776c.jpg	null	The left chest tube is in unchanged position. Compared with radiograph of six hours prior, there is no change in left pleural effusion and retrocardiac atelectasis. No change in appearance of normal right hemithorax and no evidence of pneumothorax.	left traumatic effusion status post left chest tube in a.m. of <unk>, assess for pneumothorax or effusion.
MIMIC-CXR-JPG/2.0.0/files/p16868689/s59168244/0c8806fc-7db343e6-db5634c2-33138dd2-bb4fe1ae.jpg	MIMIC-CXR-JPG/2.0.0/files/p16868689/s59168244/0a8ff603-6c681fee-cabf4330-39316e94-7b830606.jpg	Mild enlargement of cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged. There is worsening interstitial pulmonary edema compared to the previous exam, now mild to moderate in extent, with probable tiny bilateral pleural effusions which are unchanged. Lungs remain hyperinflated with flattening of the diaphragms suggestive of copd. No pneumothorax is identified. Spinal fusion hardware within the thoracolumbar junction is re- demonstrated.	hypertension, congestive heart failure with increased dyspnea and chest pressure.
MIMIC-CXR-JPG/2.0.0/files/p10340850/s54257374/9259cfc3-ef3bb412-312422ab-6712972b-8e655959.jpg	MIMIC-CXR-JPG/2.0.0/files/p10340850/s54257374/911a84ba-5a9ce4ef-72e15221-36589ddf-df694cdd.jpg	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	<unk> year old man s/p liver transplant with c/o feeling of a buldge on the right side of incision with bending. // cxray to r/o concern
MIMIC-CXR-JPG/2.0.0/files/p16962183/s53685514/9a52c545-032f41de-43b1dd7f-69a7d716-2de809d5.jpg	MIMIC-CXR-JPG/2.0.0/files/p16962183/s53685514/d5e62049-ddcb9966-b4f46865-213c8246-10e7b1a5.jpg	Pa and lateral views of the chest provided. There is no focal consolidation. There is no pulmonary edema. Trace pleural effusion seen bilaterally. Heart size is stably enlarged.	<unk> year old woman with worsening sob, cough, wheezing, evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p16559046/s56158231/12244087-47b7b60e-8e85f540-3a6d162d-1e5c1ca6.jpg	null	The lungs are clear without consolidation or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.surgical clips are noted in the upper abdomen.	<unk>f with chf, sob // eval for pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p10532466/s51616176/de1c3f88-b7a1d63a-de39739c-8997c378-089082b7.jpg	MIMIC-CXR-JPG/2.0.0/files/p10532466/s51616176/74723cc5-02651e6c-7e7bf84b-f1d5822f-7a998eda.jpg	There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Prominence of the pulmonary arteries bilaterally is unchanged suggesting underlying pulmonary hypertension. Moderate to severe cardiomegaly with calcification of the aortic arch is also unchanged.	<unk> year old woman with copd and cough, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13895555/s51785393/d14a06c9-7473353b-7768db8a-3794244f-b7b51228.jpg	null	Frontal radiograph of the chest demonstrates a dobbhoff tube with the weighted portion within the stomach. A left internal jugular central venous catheter is in unchanged position. Otherwise, there is no significant change compared to the prior study.	new dobbhoff placement.
MIMIC-CXR-JPG/2.0.0/files/p18458646/s54236957/e919b3a1-1124af3b-674b6079-380dde09-9a6ec840.jpg	null	Single frontal view of the chest. Lung volumes are low. Bibasilar linear opacities are consistent with atelectasis. No focal consolidation, substantial pleural effusion, or pneumothorax. Cardiomediastinal contours are stable.	shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p18701564/s50584154/e7bb1ea2-336289bc-f42b0f9e-cea72fc9-e96e1dd1.jpg	null	Two chest tubes overlying the right hemi thorax, unchanged in position from the prior study. There is a very small right apical pneumothorax. No large pleural effusion is identified. There is mild atelectasis at the right base. A paramedial opacity on the right could represent a small hematoma or pleural collection which is decreasing in size from the prior exam. There is no evidence of pulmonary edema. The heart is enlarged however stable in appearance from the prior exam. Note is made of subcutaneous air along the right chest wall consistent with recent procedure.	<unk> year old man s/p mini-mvring // eval for pneumothorax with all chest tubes clampedplease do film at <num>pm. thanks!
MIMIC-CXR-JPG/2.0.0/files/p12629893/s58489584/82e4915e-47737b9b-6802aea9-983090b9-01143a34.jpg	null	Comparison is made to previous study from <unk> at <time> a.m. The endotracheal tube, enteric tube, and right-sided central venous line are unchanged in position. There is unchanged cardiomegaly. There is again seen coarsening of the bronchovascular markings which is unchanged and may represent some mild pulmonary edema. There is mild blunting of bilateral costophrenic angles suggestive of small pleural effusion. No pneumothoraces are seen. Overall, there has been no change.
MIMIC-CXR-JPG/2.0.0/files/p16560053/s53743922/0cf6e89b-8261611f-bf8c6570-8285928d-9915dbe6.jpg	null	Comparison is made to previous study from <unk>. The heart size is enlarged. There is a left-sided picc line with distal lead tip at the cavoatrial junction, appropriately sited. There is some prominence of pulmonary interstitial markings, suggestive of mild-to-moderate pulmonary edema. There is minimal blunting of the right cp angle, suggestive of small pleural effusion. No pneumothoraces are present.
MIMIC-CXR-JPG/2.0.0/files/p14380164/s50294620/0386c5e3-ed736ee2-d3bc7be5-00691cfb-85e4fa65.jpg	MIMIC-CXR-JPG/2.0.0/files/p14380164/s50294620/5a828f82-10c1c59a-dd40ad10-493a1057-f995746c.jpg	The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.	evaluation of patient with hyponatremia.
MIMIC-CXR-JPG/2.0.0/files/p17280011/s53804891/55441fd5-91f64292-505ce7db-d83e4e7c-15f2f20e.jpg	MIMIC-CXR-JPG/2.0.0/files/p17280011/s53804891/932b0a7b-f4a03400-839a6540-76097d46-eb8c2059.jpg	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.	history: <unk>m with r sided chest wall pain x<num> days // ? acute process
MIMIC-CXR-JPG/2.0.0/files/p12609983/s59686317/d5ff034d-a958630a-33f3ceeb-a4d37849-c282abf7.jpg	null	Exam is limited secondary to portable technique and patient body habitus. Rretrocardiac opacity is likely at least in part technical due to poor penetration and is not well assessed. Elsewhere the lungs are clear. Cardiomegaly is again noted.	<unk>m with dyspnea // pulm edema?
MIMIC-CXR-JPG/2.0.0/files/p13498039/s53001624/058101fa-811210b1-244d6faf-f590b05d-f97b7c7a.jpg	MIMIC-CXR-JPG/2.0.0/files/p13498039/s53001624/b97788c4-14e5bee9-4e37cf8d-82c8ccb0-bfa6964e.jpg	The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.	fever.
MIMIC-CXR-JPG/2.0.0/files/p16197233/s58295161/bb8e3811-e0af2002-24892417-0128c910-6b2c6017.jpg	MIMIC-CXR-JPG/2.0.0/files/p16197233/s58295161/63b758fa-153080fa-dfa87cb2-dd5a2797-7624ebf6.jpg	The cardiac, mediastinal and hilar contours appear stable including borderline cardiomegaly. Lung volumes are low with persistent mild relative elevation of the right hemidiaphragm. There is no definite pleural effusion or pneumothorax although posterior costophrenic sulci are somewhat difficult to assess on the lateral view. Allowing for technique, aside from mild atelectasis at the lung bases, the lungs appear clear. There is no evidence of free air.	history of diabetes with two weeks of upper respiratory symptoms, now with nausea, vomiting, and abdominal pain.
MIMIC-CXR-JPG/2.0.0/files/p14065496/s50366134/92f01ed3-68b9a78b-09a3d7ee-c376ea02-e43fdc21.jpg	MIMIC-CXR-JPG/2.0.0/files/p14065496/s50366134/b8e12d50-a3e731ca-0b5e1ef9-ec2df085-5c81cdb0.jpg	As compared to <unk>, there are increasing bilateral pleural effusions. Bibasal moderate atelectasis have also increased. Mild cardiomegaly. No pneumothorax.	<unk> y/o f pod<unk> s/p lap ccy, now p/w new o<num> requirement. pna not excluded on portable cxr from <unk> // interval change
MIMIC-CXR-JPG/2.0.0/files/p14972005/s53818033/14a1dfc9-c3b59f22-6355fed2-e91810bf-ca002904.jpg	MIMIC-CXR-JPG/2.0.0/files/p14972005/s53818033/28da4871-318221a9-f759c318-0b4a7946-fcf59aea.jpg	Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. There is status post sternotomy as before. The presence of multiple surgical clips in the left-sided anterior mediastinum is indicative of previous bypass surgery. The heart size is not enlarged. No typical configurational abnormality is present. Thoracic aorta mildly widened and elongated, but without local contour abnormalities. The pulmonary vasculature is not congested. No signs of pleural effusion as the lateral and posterior pleural sinuses are free. No acute parenchymal infiltrates. Similar as on preceding examination, there is some hazy crowding of the left cardiac contour identified as pleural thickening on the lateral view. These findings are completely unchanged and most likely represent postoperative scar formations related to cardiac surgery. Do not represent any acute pulmonary infiltrate.	<unk>-year-old male patient with chronic myelocytic leukemia, two weeks of productive cough, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11234535/s58725148/cf8240bd-78e99c78-8ebdbbe0-82513e76-930ca17a.jpg	MIMIC-CXR-JPG/2.0.0/files/p11234535/s58725148/f181a48f-5158b882-e6053881-72d9e884-16d675b7.jpg	Frontal and lateral views of the chest. Improved inspiratory effort seen on the current exam. There has been interval resolution of the previously seen vascular congestion. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.	<unk>-year-old male with nash cirrhosis with worsening confusion. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10320861/s57309839/d37936f9-fc750c2a-fd0854af-b84c892a-37d05de2.jpg	MIMIC-CXR-JPG/2.0.0/files/p10320861/s57309839/87dd07b1-9bfd206b-277f4928-0a32c7e4-5be3dbb9.jpg	There is no suspicious mass, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Surgical clips are noted projecting over the left mediastinum.	<unk> year old man with hypercoagulable state, pvt, chronic smoker presenting with <num> weeks significant weight loss // pls r/o mass/nodule
MIMIC-CXR-JPG/2.0.0/files/p14376085/s52827580/232485d6-08a3a6d7-7ba6549d-e4194385-70e73919.jpg	MIMIC-CXR-JPG/2.0.0/files/p14376085/s52827580/c05d8a90-1f901864-f6f6c5a5-fe1fbd1b-4428b3ae.jpg	There is mild pulmonary vascular congestion without overt edema. There is no focal consolidation or large effusion. There is moderate cardiac enlargement and a coronary artery stent identified. Atherosclerotic calcifications are noted in the thoracic aorta. Degenerative changes are noted at the left shoulder.	<unk>m with chest crackles on exam, chest pain. // evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p14922245/s59991703/bee3b950-6eb8cbe3-ae139108-da70284d-c4019b43.jpg	MIMIC-CXR-JPG/2.0.0/files/p14922245/s59991703/a5f169f1-bc72dd1f-9aa13214-cef5ba7a-820006d8.jpg	The pulmonary vascularity is top normal, without evidence for pulmonary edema, unchanged from <unk>. Cardiac silhouette is top normal and unchanged. A calcified tortuous aorta is again seen. The hilar structures are normal. An old fracture of the right humerus is noted. Calcifications are seen within the carotid arteries.	bilateral lower extremity edema. evaluate for an acute process.
MIMIC-CXR-JPG/2.0.0/files/p15389391/s59497826/95747929-c684f9cb-4c9b235f-67d56b79-9de57f44.jpg	null	Right internal jugular vein catheter in the mid svc. Right picc line at the cavoatrial junction. The nasogastric tube is in the stomach, the tip is not included on the image. Unchanged severe cardiomegaly with moderate pulmonary edema and bilateral pleural effusions. Unchanged left basal atelectasis.	line placement.
MIMIC-CXR-JPG/2.0.0/files/p16654740/s51673466/52a5131f-9d9b0d2a-b8590981-82f252fc-a61e6526.jpg	null	The lower lungs was partly excluded. The heart appears enlarged but is incompletely assessed. Allowing for differences in technique, the mediastinal contours are probably unchanged. This view shows perihilar fullness and indistinct prominent pulmonary vascularity suggesting mild-to-moderate pulmonary edema.	dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p13160692/s50529412/1f48a300-da03f713-42023aa3-2d164503-c1d5b35e.jpg	MIMIC-CXR-JPG/2.0.0/files/p13160692/s50529412/5e48278a-ecbe0807-4274521b-6f2a55b8-88fbf66a.jpg	Patient is rotated to the right. The right hemidiaphragm is elevated and there is overlying atelectasis and possible small right pleural effusion. Difficult to exclude small left pleural effusion. No pneumothorax. The cardiac silhouette is not well assessed but appears enlarged. The aorta is unfolded.	history: <unk>f with cough // acute process?
MIMIC-CXR-JPG/2.0.0/files/p18335638/s52863434/275a3d07-7b16b1bb-2e848d10-d1ae75ab-d7394927.jpg	MIMIC-CXR-JPG/2.0.0/files/p18335638/s52863434/a17e1f4a-ab87b361-cf8f2162-4b2a6e0e-0ae4c8ec.jpg	<num> views of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. Heart and mediastinal contours are unremarkable. There is no free intraperitoneal air.	pancreatitis with shortness of breath, assess for pleural effusion or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18681198/s54612603/4dc37307-3b003d07-df0169b4-b04be414-7dcec53b.jpg	MIMIC-CXR-JPG/2.0.0/files/p18681198/s54612603/dbdb2e96-8ea045a0-f6ed3eef-6d9ea25d-8669407b.jpg	The heart size is normal. The aorta is mildly tortuous and demonstrates atherosclerotic mural calcifications at the aortic arch. The hilar contours are normal. There is mild pulmonary vascular congestion. Blunting of the costophrenic angle on the right is compatible with a trace pleural effusion. The lungs are hyperinflated. There is scarring within the lung apices. No focal consolidation is identified, and there is no pneumothorax. Diffuse demineralization of the osseous structures is noted.	shortness of breath and pedal edema.
MIMIC-CXR-JPG/2.0.0/files/p18853762/s59493962/449cfe55-08099f36-b95fa82e-bd7d4b31-60d4a6ad.jpg	MIMIC-CXR-JPG/2.0.0/files/p18853762/s59493962/88d25194-c3fa24c6-3e1eccda-f362028a-5a35418d.jpg	Heart is top-normal in size. Moderately tortuous aorta is again seen. Mediastinal contour is stable. The lungs are clear. There is no pleural effusion or pneumothorax.	<unk>-year-old woman with dyspnea, <num> weeks of cough, sternal chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16623791/s58709863/577178c6-7c496dc1-ea14d11d-7ba8c08f-aec89331.jpg	null	The nasogastric tube terminates in the stomach. The right picc line terminates near the superior cavoatrial junction. There is no pneumothorax. Bilateral airspace opacities are unchanged. Moderate cardiomegaly despite the projection is stable. Small bilateral pleural effusions are likely present.	<unk> year old man with new ngt // ngt location
MIMIC-CXR-JPG/2.0.0/files/p19438782/s54997630/58269eb1-40ff220b-d305a16f-152f3652-8e91637e.jpg	null	As compared to the previous radiograph, the lung volumes remain low. The heart is moderately enlarged and mild fluid overload is seen in almost unchanged manner. However, there is no overt pulmonary edema. Minimal atelectasis at the right lung bases. The right internal jugular vein catheter is unchanged, the nasogastric tube has been removed in the interval.	perforated colon, status post high volume fluid resuscitation, evaluation for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15790605/s53703673/f6c31b9a-e2700472-092497b4-1d33f361-87d3f914.jpg	MIMIC-CXR-JPG/2.0.0/files/p15790605/s53703673/93c7836d-de93ef7c-11fc5e79-136dfc3f-58f3603c.jpg	Lungs are unchanged in appearance with left basilar atelectasis predominantly medially within the lower lobe and a small amount of right basilar atelectasis which is slightly nodular, as before. No evidence of pneumonia. As before, there is marked elevation left hemidiaphragm likely from chronic paralysis. As before, there is marked is left-greater-than-right mediastinal widening frontal lymphadenopathy. Right picc has its tip near the cavoatrial junction, as before. No concerning bone findings.	<unk> year old woman with primary mediastinal lymphoma and new fever; r/o pna // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p14112540/s51795421/c53ae59b-86b0eff9-e59f3d4e-5692bc0b-3d2a83c3.jpg	null	The et tube has been withdrawn and is now situated <num> mm proximal to the carina. Ng tube in situ. Right ijv cvp in the mid svc. The left lower lobe atelectasis has nearly resolved.	<unk> year old woman with intubation // confirm ett placement
MIMIC-CXR-JPG/2.0.0/files/p11452018/s58466027/59d5f315-384214b9-662c8a56-a9498e78-f20de07e.jpg	MIMIC-CXR-JPG/2.0.0/files/p11452018/s58466027/3f13b8db-ba6f370c-d0c4169e-8404ddb0-eb88e98a.jpg	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	history: <unk>f with epigastric pain and cough // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p16632462/s55801483/dae86162-b0d4e4f5-af9ca7bd-4e53d448-4b3e2fcc.jpg	MIMIC-CXR-JPG/2.0.0/files/p16632462/s55801483/1421f808-97d537fb-c05f83bd-333c78e2-f6eb4495.jpg	Left anterior chest wall biventricular pacer is in place. Heart size is enlarged with mild unfolding of the aortic arch. Hilar contours are unremarkable. There is diffusely increased reticulation stable when compared to the prior examination, . There is no acute opacity to suggest pneumonia. There is no effusion or pneumothorax. Stable sclerotic lesion involving the right rib, previously demonstrated on pet-ct dated <unk>.	<unk> year old woman with breast cncer on treatment // r/o pneumonia, right chest decreased bs, green sputum
MIMIC-CXR-JPG/2.0.0/files/p10741092/s54225014/c144d1a9-9a598416-5ae2048f-fe083ce3-493c59be.jpg	null	Diffuse widening of the right mediastinal contour is present, and appears to correspond to a prominent mediastinal fat and tortuous vessels on subsequently dictated chest cta performed approximately one hour later (clip <unk>). Heart is normal in size. Lungs are clear except for minimal areas of linear atelectasis and/or scar in the mid and lower lungs bilaterally.
MIMIC-CXR-JPG/2.0.0/files/p19868102/s57140371/fab6e91c-0eeca56f-d4b2928b-b384db82-f5224b68.jpg	null	The ng tube tip is in the stomach. There is dense retrocardiac opacity compatible with volume loss/infiltrate/effusion. There is diffuse increase in interstitial markings, right greater than left and it is unclear if this is secondary to asymmetric pulmonary edema or an infectious process. There is volume loss in the right lower lobe as well. The heart is moderately enlarged and is larger than on the prior study. There are bilateral effusions, left greater than right.	abdominal pain, nausea and vomiting.
MIMIC-CXR-JPG/2.0.0/files/p11593651/s53920116/b4a178cb-35065b21-81d75a14-df3e1908-4c19286d.jpg	MIMIC-CXR-JPG/2.0.0/files/p11593651/s53920116/bb4dbdf4-8c677d36-e7fd8fd5-9ac034aa-bfa67f90.jpg	Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p10672175/s52062406/0745bcf2-05631681-004081f7-f584beaf-3c769882.jpg	MIMIC-CXR-JPG/2.0.0/files/p10672175/s52062406/8642f8c4-113e547d-3c2c3c5e-47ad2f66-a70e48aa.jpg	Pa and lateral views of the chest provided. Volumes are low. 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 c/o cough and sob // ? pna
MIMIC-CXR-JPG/2.0.0/files/p18677109/s59987960/272f293a-90b18e78-5cae099d-e6ec460f-cf67d7c6.jpg	MIMIC-CXR-JPG/2.0.0/files/p18677109/s59987960/a63d369d-48394c5b-c0b15964-b8027378-a35965af.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.	syncope.
MIMIC-CXR-JPG/2.0.0/files/p16280495/s59456659/d8c4239a-c60d444d-16a9595d-683911d5-08a09209.jpg	null	Compared to <unk>, the patient has taken a deeper inspiration. The lungs are well expanded and clear. The heart size is normal. There is no pleural abnormality. The mediastinal and hilar contours are within normal limits.	history: <unk>m with tachycardia // evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p13342866/s54707305/21ea9318-af0c5440-d7f78683-fa4a92f7-75a70676.jpg	null	The patient is rotated to the right. The lungs are hyperinflated. There is right costophrenic angle opacity which may be due to atelectasis, pleural effusion, pulmonary contusion not excluded given overlying rib fractures. There are multiple right-sided rib fractures including the right lateral fourth through of seventh and possibly eighth rib. Possible nondisplaced left-sided rib fractures involving the anterolateral left fourth and sixth ribs and possibly the fifth rib. No definite pneumothorax identified. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.	history: <unk>f with fall, bil chest pain // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p14725206/s54689126/9fc2a2b3-7822bb28-d5c490a3-076555bd-74aa9aa0.jpg	MIMIC-CXR-JPG/2.0.0/files/p14725206/s54689126/a1d54c6e-27440430-b9313962-e2a4897f-0de4795f.jpg	The heart is normal in size. Abnormal mediastinal and right hilar contours appear similar to the prior scout view. A focal opacity in the right upper lobe also appears unchanged allowing for differences in modality. These findings are most consistent with stable malignant disease in the chest. Small changes would not be easily detected with radiography, however. Likewise, there are several nodules in the left lung which correlate generally with prior findings, although small to moderate differences would again be difficult to detect. There is similar moderate relative elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax.	cough, fever. history of chemotherapy.
MIMIC-CXR-JPG/2.0.0/files/p17768098/s50066450/2da353d3-47eac273-233c7e97-5436c381-92a163eb.jpg	MIMIC-CXR-JPG/2.0.0/files/p17768098/s50066450/4de5da90-0f8389e1-b62fae16-c4c3b38d-dd9d50f7.jpg	Pa and lateral radiographs of the chest demonstrate dilated fluid-filled neoesophagus, with more fluid than on the prior radiograph. Chronic scarring at the right lung base. Again, there appears to be radioopaque contrast material posteriorly in the neoesophagus. Possible small right pleural effusion. The cardiac and hilar contours are normal.	recent <unk> esophagectomy, now presenting with fevers.
MIMIC-CXR-JPG/2.0.0/files/p15353817/s56689753/f3bcd28a-38b54955-cc16ff71-28a93a9f-947dd4b0.jpg	null	Et tube is <num> cm from the carina. Left picc and left internal jugular central venous catheter both terminate in the right atrium. Heart and mediastinal contours remain stable. Moderate pulmonary edema is beginning to improve. Right pigtail catheter is in stable position with persistent small pleural effusion. There is no pneumothorax.	<unk> year old man s/p re-intubation // ?ett placement
MIMIC-CXR-JPG/2.0.0/files/p19002886/s52851469/be333871-fa5060f3-c82f9a1e-7e39ad2f-586f984e.jpg	null	In comparison with study of <unk>, there is some increasing opacification at the left base consistent with aspiration or pneumonia. Less prominent opacification is seen at the right base. Right subclavian catheter remains in place.	possible aspiration.
MIMIC-CXR-JPG/2.0.0/files/p12917345/s55608250/a0113d96-22bea202-eca846ee-47c4d833-7979b8e9.jpg	null	There is moderate unfolding of the thoracic aorta, this likely is the cause of apparent widening of the mediastinum. Lung volumes are within normal limits. No consolidation or pneumothorax seen. No pleural effusion seen. Surgical hardware in the lower cervical spine is incompletely visualized. Small sclerotic focus in the left proximal humerus likely reflects a bone island.	<unk> year old man with fever // pna
MIMIC-CXR-JPG/2.0.0/files/p18194653/s54672947/40fc463a-cf55abc2-3ed3c1e3-c781411b-57afd584.jpg	null	As compared to the previous radiograph, there is unchanged evidence of a coil temperature device. The appearance of the lung parenchyma is constant as compared to the previous image. Hyperlucent left lung base but without direct indication for a pneumothorax. Unchanged appearance of the perihilar lung parenchyma and of the heart. No pleural effusions.	massive pe, ecmo, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p17551672/s51295933/6a0f986d-8f95cc2f-a2cd7e84-bcdee024-2cd855d6.jpg	MIMIC-CXR-JPG/2.0.0/files/p17551672/s51295933/8d79082c-3b34ccf6-e2314b6c-a807945e-b11a724f.jpg	A heterogeneous opacity is present in the right lower lobe consistent with a pneumonia. There is no pleural effusion, edema, or pneumothorax. The cardiomediastinal silhouette is normal.	recent pneumonia. evaluate for effusion.
MIMIC-CXR-JPG/2.0.0/files/p14291723/s51039563/20938167-5957b596-2a81ae83-7817e242-6bd2dabe.jpg	null	There is been interval improvement in her social edema, bed moderate pulmonary edema remains. There is persistent left lower lobe collapse with pleural effusion appear. Lung volumes are lingual, there is no new focal consolidation concerning for pneumonia. Moderate cardiomegaly is stable. No ng tube is visualized. A right picc is present with tip not well visualized but seen at least to the mid svc.	<unk> year old man with hx of seizure. // ng tube placement, interval change.
MIMIC-CXR-JPG/2.0.0/files/p11437366/s54904518/1c2aedf7-531071e8-59adc6da-de25ffb8-81dca998.jpg	MIMIC-CXR-JPG/2.0.0/files/p11437366/s54904518/c53e6257-387c1630-5b619e78-89ba4dfa-234bf5e4.jpg	Relatively low lung volumes are seen. Retrocardiac opacity is identified elsewhere the lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted. No acute osseous abnormalities detected.	<unk>m pmhx cva <num> weeks ago with l sided weakness, d/c to rehab, worsening sx, ? infx // eval consolidation
MIMIC-CXR-JPG/2.0.0/files/p15932963/s51855297/93a21f28-8847d58f-e3735dcc-e97e4770-d57237eb.jpg	MIMIC-CXR-JPG/2.0.0/files/p15932963/s51855297/03d62038-15191ae6-4a0309ed-01c9b2c1-ba6cdc62.jpg	Pa and lateral radiographs of the chest demonstrate a previously <num> x <num> cm left upper lobe lung mass, now measuring <num> x <num> cm with interval cavitation and a new air-fluid level, which presumably represents a cavitated bronchogenic carcinoma with necrotic contents. Superimposed infection cannot be excluded. This lesion abuts the anterior left hilus. No pleural effusion or pneumothorax is detected. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The aortic knob is partially calcified without dilatation.	<unk>-year-old male with history of fall and possible lung malignancy, here to evaluate for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13449480/s56143045/852f2df4-7524e286-4dca3d53-d2bfd7c0-b27dd8f4.jpg	null	As compared to the previous radiograph, the pre-existing parenchymal opacities have substantially decreased in severity. Their extent, however, is still diffuse. The lung volumes have also increased, so that the apparent severity decrease of the parenchymal changes could also be the effect of increased ventilatory pressure. No pleural effusions on today's examination. Borderline size of the cardiac silhouette. No pneumothorax.	pneumonia, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p15214780/s54633074/3d50502a-0efbaf5a-5f3c5940-5b087f8e-067cdaf3.jpg	MIMIC-CXR-JPG/2.0.0/files/p15214780/s54633074/723c06c5-b3907e55-44b05e2c-1d6fa23b-781d42db.jpg	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	history: <unk>f with chest pain, h/o pots
MIMIC-CXR-JPG/2.0.0/files/p16741854/s59888878/3c41b298-4f04201f-ff8d0b9e-70437421-70975808.jpg	MIMIC-CXR-JPG/2.0.0/files/p16741854/s59888878/0b37d4a2-2d8c2b64-7a216319-898fcaf8-8694b0bd.jpg	Frontal and lateral chest radiographs demonstrate unchanged mediastinal and hilar contours. Stable cardiac enlargement noted. There is increased distribution and density of the previously noted left upper lobe ground glass opacification. New retrocardiac opacification may represent atelectasis though pneumonia cannot be excluded in the correct clinical setting. In addition, there is a new small left pleural effusion. Multiple densely calcified pleural plaques are again noted and may contribute to the appearance of lung parenchymal abnormalities.	dyspnea. evaluate for chf or other pathology.
MIMIC-CXR-JPG/2.0.0/files/p10417421/s55565191/fca34755-904299ae-11d20b2c-14152848-d1b1cf4a.jpg	MIMIC-CXR-JPG/2.0.0/files/p10417421/s55565191/2531e574-e2948838-86740b78-a31091fd-9ac1d906.jpg	Pa and lateral chest radiographs were obtained. Bibasilar airspace opacities correlate with the findings seen on the recent ct. There is no consolidation in the upper lobes. There is no pneumothorax. The central pulmonary vasculature is mildly prominent, but there is no evidence of overt edema. There are no abnormal cardiac or cardiomediastinal contours. The aorta is mildly tortuous. No signficant pleural effusions is noted.	pancreatitis, hypoxemia, possible bibasilar pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15346940/s56228131/048b6555-7a118ec1-cb43775c-109bdcb0-67cdc56e.jpg	MIMIC-CXR-JPG/2.0.0/files/p15346940/s56228131/d6f725be-0715c255-4955a28d-e729421d-71d18e4c.jpg	Lung volumes are low. The cardiac and mediastinal silhouette are within normal limits. The hilar contours are normal. Right upper lobe consolidative opacity is compatible with pneumonia. Left lung is clear. No pleural effusion, pulmonary edema, or pneumothorax is identified. No acute osseous abnormalities are visualized.	fever.
MIMIC-CXR-JPG/2.0.0/files/p12579086/s54984209/17db9e6d-b6a43138-bb9db11c-044b786e-05091f1e.jpg	MIMIC-CXR-JPG/2.0.0/files/p12579086/s54984209/4d9384b7-938f2134-962fd6da-62e8e9b0-94a06f00.jpg	Ap upright and lateral views of the chest provided. The lungs are clear and hyperinflated. No focal consolidation effusion or pneumothorax is seen. No signs of pulmonary edema. Curvilinear coarsened calcification projecting over the heart likely reflect mitral annular calcifications. The heart is not enlarged. Aortic calcification is noted. Bony structures appear intact. Calcifications in the right neck could reside within the right carotid.	<unk>f with ble pain, some difficult breathing at times // pneumonia? copd

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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged with the feeding tube still located too high in the proximal stomach adjacent to the esophagogastric junction. The left hemidiaphragmatic contour is more sharply seen than on the previous study. Nevertheless, there is still some silhouetting with retrocardiac opacification. Although this could well represent merely atelectasis, in the appropriate clinical setting an infectious process would have to be considered. Little change in the degree of pulmonary vascular congestion.

post-operative, to assess for pneumonia.

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Lower lung volumes are seen on the current exam. Bibasilar opacities are likely secondary to atelectasis. Superiorly, lungs are clear. Cardiac silhouette is within normal limits noting noted is accentuated by low lung volumes. Tortuosity of the thoracic aorta is again noted. No acute osseous abnormalities.

<unk>m with chest pian // acute process?

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Compared with prior radiographs of <unk>, there has been interval placement of an et tube, which terminates <num> cm above the carina. An ng tube passes below the diaphragm and out of view. Moderate cardiomegaly and mild edema is similar to prior. Asymmetric enlargement of the right hila may represent vascular congestion due to left heart failure versus acute pulmonary embolism. There is no large pleural effusion. No new focal consolidation or pneumothorax.

<unk> year old woman with chf exacerbation // eval pulmonary congestion

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Minimal rightward scoliosis of the thoracic spine. Normal lung volumes. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures. Minimal tortuosity of the thoracic aorta.

status post colectomy, fever, evaluation.

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Pa and lateral views of the chest provided. The heart appears top-normal in size which is stable. There is no focal consolidation, effusion or pneumothorax. Mild hilar congestion difficult to exclude without frank pulmonary edema. Mediastinal contour appears normal. Bony structures intact.

<unk>m with sob and pedal edema // r/o chf

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As compared to the previous radiograph, a previously placed right picc line has been removed. The left pectoral pacemaker and its wires are in unchanged position. The appearance of the lung parenchyma is unchanged, no acute lung parenchymal pathologies such as pneumonia or pulmonary edema. No pleural effusions, no pneumothorax. The appearance of the hilar and mediastinal structures, including tortuosity of the thoracic aorta, is constant. Relatively large cardiac silhouette, enlarged left ventricle. Known healed right rib fracture.

concern for recurrent infection, rule out pneumonia.

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Median sternotomy wires appear intact and aligned. No acute fractures are identified.

cough and fever.

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Frontal and lateral chest radiograph demonstrates persistent elevation of the right hemidiaphragm with associated right lower lobe atelectasis, minimally improved since previous examination. Left lung is clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.

right lower lobe collapse. assess right lower lobe collapse.

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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.

right lower lobe abnormalities seen on previous radiographs. presents with chest pain evaluate for pneumonia.

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Lines and tubes are similar prior. Again seen is a thin line overlying the left axilla and projecting immediately inside the left chest wall --<unk> this a picc line? If so, it does not reach the svc. No pneumothorax detected. Again seen is a small left effusion, with underlying collapse and/or consolidation, overall similar to the prior study. Also again seen is patchy opacity, possibly atelectasis, in the right cardiophrenic region ,and minimal blunting of the right costophrenic angle. No definite chf. Cardiomediastinal silhouette unchanged . Fibrotic changes in left suprahilar region are again noted. Previously identified left lower chest rib fracture not well seen.

<unk> y/o woman with h/o hfref, cad s/p lad stent, and recurrence of poorly differentiated stage iiib nsclc dx in <unk> in remission s/p chemo/rt, and severe oxygen-dependent copd, admitted on <unk> for dyspnea and transferred on <unk> (hod<num>) to micu for acute hypoxemic respiratory failure. most likely hypovolemiv given aggressive diuresis prior to icu transfer vs. infectious, now on levo and van/zosyn. // interval assessment

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Pa and lateral views of the chest were obtained. Heart is normal size, and cardiomediastinal silhouette is unremarkable. Lung volumes are low limiting assessment for edema. There is no focal consolidation, pleural effusion, or pneumothorax.

<unk>-year-old man with shortness of breath after exposure, evaluate for pulmonary edema.

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Right moderate loculated pleural effusion at the apex with right lung opacification is unchanged since yesterday. Left lung mild cardiac congestion with basal atelectasis is also unchanged. Tracheostomy is in adequate position. There is no pneumothorax.

patient with right-sided empyema ongoing events.

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Frontal and lateral views of the chest were obtained. There are low lung volumes with mild left base atelectasis and mild elevation of the right hemidiaphragm. Mild enlargement of the cardiac silhouette with left ventricular configuration. Gastric air-fluid level seen. Some degenerative changes are seen along the spine although not well evaluated.

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The left internal jugular approach hd catheter is unchanged in position and terminates in the right atrium. The enteric tube is again noted in the gastroesophageal junction. Unchanged position of the tracheostomy tube. There are no other significant changes. No evidence of pneumothorax. Again noted is moderate to severe pulmonary edema.

<unk> year old woman with inability to dialyze through temp hd line, please evaluate for positioning of line // <unk> year old woman with inability to dialyze through temp hd line, please evaluate for positioning of line and need for adjustment

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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with tachycardia and rash.

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As compared to the previous radiograph, there is a slight increase in diameter of the pulmonary vasculature as well as some perihilar haze. In combination with increased cardiac silhouette this could be indicative of mild pulmonary edema. In unchanged manner, there is a moderate retrocardiac atelectasis and a small left pleural effusion. The observation was made at <time> a.m., <unk>, at the same time point the referring physician, <unk>. <unk>, was paged for notification.

hypercarbic and desaturation, evaluation for pulmonary edema.

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The lungs are moderately well inflated with subtle retrocardiac opacity. No pulmonary edema. No pleural effusion or pneumothorax. The heart is top-normal in size. Mediastinal contour and hila are unremarkable.

<unk>f with fever. assess for acute process, pna

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Comparison is made to previous study from <unk>. There is persistent cardiomegaly, which is stable. There are again seen bilateral pleural effusions, right side worse than left. There is retrocardiac opacity, which is stable since the previous study. There is likely mild fluid overload.

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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Median sternotomy wires and mediastinal clips are noted. Mild compression of a lower thoracic vertebral body is unchanged.

<unk>f with hd pt who missed dialysis today and has been htn with mild hypoxia.

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The endotracheal tube terminates <num> cm above the carina. The right ij central venous catheter is near the cavoatrial junction. There is interval enlargement of the cardiac silhouette. Perihilar and interstitial opacities have also increased with increased airspace opacification of the lower lobes. Small bilateral pleural effusions are likely present. No pneumothorax.

<unk> year old man with respiratory distress // please evaluate for pulmonary edema, infectious process

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A portable frontal chest radiograph again demonstrates normal heart size. Patchy right lung opacities with widening of the right mediastinum and more dense consolidation of the right lower lung, as well as right pleural effusion and nodular thickening of the pleura is unchanged, again concerning for complex complications of a known right lung malignancy. The left lung remains clear, without pleural effusion. There is no pneumothorax.

evaluate for acute pulmonary edema in a patient with acute shortness of breath.

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There is a small left pleural effusion and dense retrocardiac opacity. Heart size is mildly enlarged. There is pulmonary vascular redistribution and some patchy areas of alveolar infiltrate. The tracheostomy and left-sided picc line are unchanged.

<unk> year old woman with hypoxia, trach collar // interval change

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Patient is rotated to the left. Within this limitation, the lungs are clear. Left chest wall dual lead pacing device is again noted. The cardiomediastinal silhouette is grossly unchanged. Anterior flowing osteophytes along the spine suggests dish. Degenerative changes are seen at the shoulders bilaterally.

<unk>f with intermittent slurred speech // evaluation for pneumonia

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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Continued enlargement of the heart with well-positioned icd leads. No vascular congestion, pleural effusion, or acute focal pneumonia.

elevated white count with shortness of breath, to assess for pneumonia.

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Comparison is made to prior study from <unk>. An endotracheal tube, left-sided central venous line and feeding tube are unchanged in position. There is left retrocardiac opacity. There is some developing consolidation within the right mid lung field. No pneumothoraces are seen.

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Lower lung volumes seen on the current exam with secondary right midlung atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>f with persistent elevated lactate // evaluate for pneumonia

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As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube projects over the middle parts of the stomach. The side port is at the level of the gastroesophageal junction. The tube could be advanced by approximately <num> cm. Otherwise, the radiograph is unchanged. The pre-existing opacities are constant in appearance. Unchanged size of the cardiac silhouette. No pneumothorax.

ischemic stroke, nasogastric tube placement.

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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg. There is thickening/fluid along the minor fissure. There is elevation and eventration of the right hemidiaphragm with overlying right base atelectasis. The cardiac and mediastinal silhouettes are stable with the aorta calcified and tortuous and the cardiac silhouette mildly enlarged. Slight prominence of the hila is stable, which may relate to pulmonary vascular engorgement. No focal consolidation or evidence of pneumothorax is seen. There are degenerative changes at the partially imaged left shoulder.

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Frontal and lateral views of the chest. Relatively low inspiratory effort on the frontal view accentuates the cardiac silhouette which is likely within normal limits. The lungs are clear of consolidation. There is no effusion. Mild hypertrophic changes seen in the spine.

<unk>-year-old male with left lower lobe crackles.

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

history: <unk>m with chest pain // eval for ptx

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In comparison with the study of <unk>, the opacification at the right base has cleared. There is mild hyperexpansion of the lungs with coarse interstitial markings at the bases consistent with chronic pulmonary disease. However, no acute focal pneumonia or vascular congestion. Of incidental note are significant degenerative changes of the shoulder joints and significant dilatation of loops of bowel within the abdomen.

copd and pneumonia, to assess for bleed.

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Portable ap upright chest radiograph is obtained. There is a right arm picc line with tip in the region of the superior vena cava. Please note a line was seen in the same position on prior exam. A dual-lead right chest wall pacer is unchanged with proximal lead in the right atrium and distal lead in the expected location of the right ventricle. The heart is mildly enlarged. Mild vascular engorgement is seen without frank pulmonary edema. An area of scarring is again noted at the left lower lobe. No large pleural effusions are seen. No pneumothorax. An azygos fissure is noted. Mediastinal contour appears stable. Bony structures are intact.

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Heart size and cardiomediastinal contours are normal. Lung volumes are low. Diffusely increased interstitial markings are consistent with interval worsening of pulmonary edema, worse on the right. An infectious process cannot be excluded. Presumed pleural effusions are not large. No pneumothorax.

history: <unk>m with r ij attempt // eval for ptx

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Pa and lateral views of the chest were obtained. Midline sternotomy wires, dual-lead left chest wall pacer are stable from prior exam. The lungs appear clear bilaterally. There is minimal blunting along the left cp angle best seen on lateral view which could indicate a small pleural effusion. There is no pulmonary edema, signs of pneumonia, or pneumothorax. Cardiomediastinal silhouette appears grossly stable. The degree of hilar engorgement appears stable. No definite signs of interstitial or alveolar edema. Atherosclerotic calcification along the aortic knob noted. Bony structures appear stable. Old right mid cage posterior rib deformity again noted.

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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is top normal in size. The mediastinal contours are normal.

history: <unk>f with fall last night while sleeping // fall, pain l knee, thigh, foot, face. epistaxis x <num>

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A left-sided pacemaker is in unchanged position with leads terminating in the right atrium and right ventricle. Median sternotomy wires appear intact. A nasogastric tube terminates in the stomach. The cardiomediastinal contours are normal. A new opacity at the left base with obscuration of the left hemidiaphragm likely reflects a small pleural effusion with underlying consolidation concerning for aspiration. The hilar contours are normal. There is no pulmonary vascular congestion. There is no pneumothorax. Unchanged opacity projecting over the right apex likely reflects stable pleural scarring.

<unk>-year-old woman with a subdural hematoma, now with wheezing. evaluate for aspiration.

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Right-sided chest tube has been removed and subcutaneous emphysema in the right chest has decreased. Small right apical pneumothorax is unchanged. Significant interval increase in the volume of a right paraspinal loculation of hydro pneumothorax, measuring <num> x <num> cm. A smaller, right lower lateral component of the air and pleural fluid is not appreciably changed since <unk>. The left lung is clear. The cardiomediastinal contours are unremarkable.

<unk>f w/ newly diagnosed guillain-<unk>'s and rll adenocarcinoma ct<num>an<num>mx s/p vats right lower lobectomy // please evaluate for interval change s/p chest tube removal, please obtain @ <time>am

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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia.

persistent cough, to assess for pneumonia.

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Lung volumes are low. Opacity in the left lower lung with indistinctness of the left hemidiaphragm and costophrenic angle is probably a combination of atelectasis and a small effusion. A trace right pleural effusion is likely also present. Increased interstitial prominence and pulmonary vascular congestion is moderate, more pronounced from the prior exam and suggest some degree of edema and volume overload, even in the setting of low lung volumes. No pneumothorax. No definite focal consolidation. The heart is probably mildly enlarged. Severe s-shaped scoliosis and distortion of the thoracic cage is similar to the prior exam.

<unk>-year-old woman with shortness of breath. evaluate for pneumonia.

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Portable semi-upright radiograph of the chest demonstrates low lung volumes resulting in bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. There is no evidence of vascular congestion, pleural effusion, pneumothorax, or pneumonia.

evaluate for intrathoracic process.

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An endotracheal tube is low lying ending approximately <num> cm above the carina. It can be retracted by approximately <num>-<num> cm for more optimal positioning. A nasoenteric tube enters the stomach. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is left basilar atelectasis. There is no acute osseous abnormality.

<unk>-year-old woman with intracranial hemorrhage evaluate for endotracheal tube placement

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A right picc terminates in the mid svc. Screws are noted in the right humerus and incompletely imaged.

history of hodgkin's lymphoma with febrile neutropenia. evaluate for pneumonia.

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Supine portable ap view of the chest provided. Extensive surgical hardware is noted in the cervicothoracic junction. The lungs appear clear without signs of pneumonia or chf. The cardiomediastinal silhouette appears grossly stable. No definite acute bony abnormalities are seen. Please note, thoracic kyphosis somewhat limits the evaluation.

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The left chest tube is in unchanged position. Compared with radiograph of six hours prior, there is no change in left pleural effusion and retrocardiac atelectasis. No change in appearance of normal right hemithorax and no evidence of pneumothorax.

left traumatic effusion status post left chest tube in a.m. of <unk>, assess for pneumothorax or effusion.

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Mild enlargement of cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged. There is worsening interstitial pulmonary edema compared to the previous exam, now mild to moderate in extent, with probable tiny bilateral pleural effusions which are unchanged. Lungs remain hyperinflated with flattening of the diaphragms suggestive of copd. No pneumothorax is identified. Spinal fusion hardware within the thoracolumbar junction is re- demonstrated.

hypertension, congestive heart failure with increased dyspnea and chest pressure.

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

<unk> year old man s/p liver transplant with c/o feeling of a buldge on the right side of incision with bending. // cxray to r/o concern

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Pa and lateral views of the chest provided. There is no focal consolidation. There is no pulmonary edema. Trace pleural effusion seen bilaterally. Heart size is stably enlarged.

<unk> year old woman with worsening sob, cough, wheezing, evaluate for pneumonia

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The lungs are clear without consolidation or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.surgical clips are noted in the upper abdomen.

<unk>f with chf, sob // eval for pulmonary edema

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Prominence of the pulmonary arteries bilaterally is unchanged suggesting underlying pulmonary hypertension. Moderate to severe cardiomegaly with calcification of the aortic arch is also unchanged.

<unk> year old woman with copd and cough, evaluate for pneumonia.

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Frontal radiograph of the chest demonstrates a dobbhoff tube with the weighted portion within the stomach. A left internal jugular central venous catheter is in unchanged position. Otherwise, there is no significant change compared to the prior study.

new dobbhoff placement.

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Single frontal view of the chest. Lung volumes are low. Bibasilar linear opacities are consistent with atelectasis. No focal consolidation, substantial pleural effusion, or pneumothorax. Cardiomediastinal contours are stable.

shortness of breath.

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Two chest tubes overlying the right hemi thorax, unchanged in position from the prior study. There is a very small right apical pneumothorax. No large pleural effusion is identified. There is mild atelectasis at the right base. A paramedial opacity on the right could represent a small hematoma or pleural collection which is decreasing in size from the prior exam. There is no evidence of pulmonary edema. The heart is enlarged however stable in appearance from the prior exam. Note is made of subcutaneous air along the right chest wall consistent with recent procedure.

<unk> year old man s/p mini-mvring // eval for pneumothorax with all chest tubes clampedplease do film at <num>pm. thanks!

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Comparison is made to previous study from <unk> at <time> a.m. The endotracheal tube, enteric tube, and right-sided central venous line are unchanged in position. There is unchanged cardiomegaly. There is again seen coarsening of the bronchovascular markings which is unchanged and may represent some mild pulmonary edema. There is mild blunting of bilateral costophrenic angles suggestive of small pleural effusion. No pneumothoraces are seen. Overall, there has been no change.

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Comparison is made to previous study from <unk>. The heart size is enlarged. There is a left-sided picc line with distal lead tip at the cavoatrial junction, appropriately sited. There is some prominence of pulmonary interstitial markings, suggestive of mild-to-moderate pulmonary edema. There is minimal blunting of the right cp angle, suggestive of small pleural effusion. No pneumothoraces are present.

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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.

evaluation of patient with hyponatremia.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.

history: <unk>m with r sided chest wall pain x<num> days // ? acute process

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Exam is limited secondary to portable technique and patient body habitus. Rretrocardiac opacity is likely at least in part technical due to poor penetration and is not well assessed. Elsewhere the lungs are clear. Cardiomegaly is again noted.

<unk>m with dyspnea // pulm edema?

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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.

fever.

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The cardiac, mediastinal and hilar contours appear stable including borderline cardiomegaly. Lung volumes are low with persistent mild relative elevation of the right hemidiaphragm. There is no definite pleural effusion or pneumothorax although posterior costophrenic sulci are somewhat difficult to assess on the lateral view. Allowing for technique, aside from mild atelectasis at the lung bases, the lungs appear clear. There is no evidence of free air.

history of diabetes with two weeks of upper respiratory symptoms, now with nausea, vomiting, and abdominal pain.

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As compared to <unk>, there are increasing bilateral pleural effusions. Bibasal moderate atelectasis have also increased. Mild cardiomegaly. No pneumothorax.

<unk> y/o f pod<unk> s/p lap ccy, now p/w new o<num> requirement. pna not excluded on portable cxr from <unk> // interval change

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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. There is status post sternotomy as before. The presence of multiple surgical clips in the left-sided anterior mediastinum is indicative of previous bypass surgery. The heart size is not enlarged. No typical configurational abnormality is present. Thoracic aorta mildly widened and elongated, but without local contour abnormalities. The pulmonary vasculature is not congested. No signs of pleural effusion as the lateral and posterior pleural sinuses are free. No acute parenchymal infiltrates. Similar as on preceding examination, there is some hazy crowding of the left cardiac contour identified as pleural thickening on the lateral view. These findings are completely unchanged and most likely represent postoperative scar formations related to cardiac surgery. Do not represent any acute pulmonary infiltrate.

<unk>-year-old male patient with chronic myelocytic leukemia, two weeks of productive cough, evaluate for pneumonia.

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Frontal and lateral views of the chest. Improved inspiratory effort seen on the current exam. There has been interval resolution of the previously seen vascular congestion. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.

<unk>-year-old male with nash cirrhosis with worsening confusion. question pneumonia.

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There is no suspicious mass, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Surgical clips are noted projecting over the left mediastinum.

<unk> year old man with hypercoagulable state, pvt, chronic smoker presenting with <num> weeks significant weight loss // pls r/o mass/nodule

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There is mild pulmonary vascular congestion without overt edema. There is no focal consolidation or large effusion. There is moderate cardiac enlargement and a coronary artery stent identified. Atherosclerotic calcifications are noted in the thoracic aorta. Degenerative changes are noted at the left shoulder.

<unk>m with chest crackles on exam, chest pain. // evaluate for pneumonia

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The pulmonary vascularity is top normal, without evidence for pulmonary edema, unchanged from <unk>. Cardiac silhouette is top normal and unchanged. A calcified tortuous aorta is again seen. The hilar structures are normal. An old fracture of the right humerus is noted. Calcifications are seen within the carotid arteries.

bilateral lower extremity edema. evaluate for an acute process.

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Right internal jugular vein catheter in the mid svc. Right picc line at the cavoatrial junction. The nasogastric tube is in the stomach, the tip is not included on the image. Unchanged severe cardiomegaly with moderate pulmonary edema and bilateral pleural effusions. Unchanged left basal atelectasis.

line placement.

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The lower lungs was partly excluded. The heart appears enlarged but is incompletely assessed. Allowing for differences in technique, the mediastinal contours are probably unchanged. This view shows perihilar fullness and indistinct prominent pulmonary vascularity suggesting mild-to-moderate pulmonary edema.

dyspnea.

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Patient is rotated to the right. The right hemidiaphragm is elevated and there is overlying atelectasis and possible small right pleural effusion. Difficult to exclude small left pleural effusion. No pneumothorax. The cardiac silhouette is not well assessed but appears enlarged. The aorta is unfolded.

history: <unk>f with cough // acute process?

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<num> views of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. Heart and mediastinal contours are unremarkable. There is no free intraperitoneal air.

pancreatitis with shortness of breath, assess for pleural effusion or pneumonia.

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The heart size is normal. The aorta is mildly tortuous and demonstrates atherosclerotic mural calcifications at the aortic arch. The hilar contours are normal. There is mild pulmonary vascular congestion. Blunting of the costophrenic angle on the right is compatible with a trace pleural effusion. The lungs are hyperinflated. There is scarring within the lung apices. No focal consolidation is identified, and there is no pneumothorax. Diffuse demineralization of the osseous structures is noted.

shortness of breath and pedal edema.

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Heart is top-normal in size. Moderately tortuous aorta is again seen. Mediastinal contour is stable. The lungs are clear. There is no pleural effusion or pneumothorax.

<unk>-year-old woman with dyspnea, <num> weeks of cough, sternal chest pain.

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The nasogastric tube terminates in the stomach. The right picc line terminates near the superior cavoatrial junction. There is no pneumothorax. Bilateral airspace opacities are unchanged. Moderate cardiomegaly despite the projection is stable. Small bilateral pleural effusions are likely present.

<unk> year old man with new ngt // ngt location

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As compared to the previous radiograph, the lung volumes remain low. The heart is moderately enlarged and mild fluid overload is seen in almost unchanged manner. However, there is no overt pulmonary edema. Minimal atelectasis at the right lung bases. The right internal jugular vein catheter is unchanged, the nasogastric tube has been removed in the interval.

perforated colon, status post high volume fluid resuscitation, evaluation for pulmonary edema.

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Lungs are unchanged in appearance with left basilar atelectasis predominantly medially within the lower lobe and a small amount of right basilar atelectasis which is slightly nodular, as before. No evidence of pneumonia. As before, there is marked elevation left hemidiaphragm likely from chronic paralysis. As before, there is marked is left-greater-than-right mediastinal widening frontal lymphadenopathy. Right picc has its tip near the cavoatrial junction, as before. No concerning bone findings.

<unk> year old woman with primary mediastinal lymphoma and new fever; r/o pna // r/o pna

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The et tube has been withdrawn and is now situated <num> mm proximal to the carina. Ng tube in situ. Right ijv cvp in the mid svc. The left lower lobe atelectasis has nearly resolved.

<unk> year old woman with intubation // confirm ett placement

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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.

history: <unk>f with epigastric pain and cough // eval for pneumonia

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Left anterior chest wall biventricular pacer is in place. Heart size is enlarged with mild unfolding of the aortic arch. Hilar contours are unremarkable. There is diffusely increased reticulation stable when compared to the prior examination, . There is no acute opacity to suggest pneumonia. There is no effusion or pneumothorax. Stable sclerotic lesion involving the right rib, previously demonstrated on pet-ct dated <unk>.

<unk> year old woman with breast cncer on treatment // r/o pneumonia, right chest decreased bs, green sputum

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Diffuse widening of the right mediastinal contour is present, and appears to correspond to a prominent mediastinal fat and tortuous vessels on subsequently dictated chest cta performed approximately one hour later (clip <unk>). Heart is normal in size. Lungs are clear except for minimal areas of linear atelectasis and/or scar in the mid and lower lungs bilaterally.

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The ng tube tip is in the stomach. There is dense retrocardiac opacity compatible with volume loss/infiltrate/effusion. There is diffuse increase in interstitial markings, right greater than left and it is unclear if this is secondary to asymmetric pulmonary edema or an infectious process. There is volume loss in the right lower lobe as well. The heart is moderately enlarged and is larger than on the prior study. There are bilateral effusions, left greater than right.

abdominal pain, nausea and vomiting.

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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.

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Pa and lateral views of the chest provided. Volumes are low. 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 c/o cough and sob // ? pna

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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.

syncope.

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Compared to <unk>, the patient has taken a deeper inspiration. The lungs are well expanded and clear. The heart size is normal. There is no pleural abnormality. The mediastinal and hilar contours are within normal limits.

history: <unk>m with tachycardia // evaluate for pneumonia

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The patient is rotated to the right. The lungs are hyperinflated. There is right costophrenic angle opacity which may be due to atelectasis, pleural effusion, pulmonary contusion not excluded given overlying rib fractures. There are multiple right-sided rib fractures including the right lateral fourth through of seventh and possibly eighth rib. Possible nondisplaced left-sided rib fractures involving the anterolateral left fourth and sixth ribs and possibly the fifth rib. No definite pneumothorax identified. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.

history: <unk>f with fall, bil chest pain // eval for ptx

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The heart is normal in size. Abnormal mediastinal and right hilar contours appear similar to the prior scout view. A focal opacity in the right upper lobe also appears unchanged allowing for differences in modality. These findings are most consistent with stable malignant disease in the chest. Small changes would not be easily detected with radiography, however. Likewise, there are several nodules in the left lung which correlate generally with prior findings, although small to moderate differences would again be difficult to detect. There is similar moderate relative elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax.

cough, fever. history of chemotherapy.

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Pa and lateral radiographs of the chest demonstrate dilated fluid-filled neoesophagus, with more fluid than on the prior radiograph. Chronic scarring at the right lung base. Again, there appears to be radioopaque contrast material posteriorly in the neoesophagus. Possible small right pleural effusion. The cardiac and hilar contours are normal.

recent <unk> esophagectomy, now presenting with fevers.

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Et tube is <num> cm from the carina. Left picc and left internal jugular central venous catheter both terminate in the right atrium. Heart and mediastinal contours remain stable. Moderate pulmonary edema is beginning to improve. Right pigtail catheter is in stable position with persistent small pleural effusion. There is no pneumothorax.

<unk> year old man s/p re-intubation // ?ett placement

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In comparison with study of <unk>, there is some increasing opacification at the left base consistent with aspiration or pneumonia. Less prominent opacification is seen at the right base. Right subclavian catheter remains in place.

possible aspiration.

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There is moderate unfolding of the thoracic aorta, this likely is the cause of apparent widening of the mediastinum. Lung volumes are within normal limits. No consolidation or pneumothorax seen. No pleural effusion seen. Surgical hardware in the lower cervical spine is incompletely visualized. Small sclerotic focus in the left proximal humerus likely reflects a bone island.

<unk> year old man with fever // pna

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As compared to the previous radiograph, there is unchanged evidence of a coil temperature device. The appearance of the lung parenchyma is constant as compared to the previous image. Hyperlucent left lung base but without direct indication for a pneumothorax. Unchanged appearance of the perihilar lung parenchyma and of the heart. No pleural effusions.

massive pe, ecmo, evaluation.

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A heterogeneous opacity is present in the right lower lobe consistent with a pneumonia. There is no pleural effusion, edema, or pneumothorax. The cardiomediastinal silhouette is normal.

recent pneumonia. evaluate for effusion.

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There is been interval improvement in her social edema, bed moderate pulmonary edema remains. There is persistent left lower lobe collapse with pleural effusion appear. Lung volumes are lingual, there is no new focal consolidation concerning for pneumonia. Moderate cardiomegaly is stable. No ng tube is visualized. A right picc is present with tip not well visualized but seen at least to the mid svc.

<unk> year old man with hx of seizure. // ng tube placement, interval change.

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Relatively low lung volumes are seen. Retrocardiac opacity is identified elsewhere the lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted. No acute osseous abnormalities detected.

<unk>m pmhx cva <num> weeks ago with l sided weakness, d/c to rehab, worsening sx, ? infx // eval consolidation

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Pa and lateral radiographs of the chest demonstrate a previously <num> x <num> cm left upper lobe lung mass, now measuring <num> x <num> cm with interval cavitation and a new air-fluid level, which presumably represents a cavitated bronchogenic carcinoma with necrotic contents. Superimposed infection cannot be excluded. This lesion abuts the anterior left hilus. No pleural effusion or pneumothorax is detected. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The aortic knob is partially calcified without dilatation.

<unk>-year-old male with history of fall and possible lung malignancy, here to evaluate for acute cardiopulmonary process.

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As compared to the previous radiograph, the pre-existing parenchymal opacities have substantially decreased in severity. Their extent, however, is still diffuse. The lung volumes have also increased, so that the apparent severity decrease of the parenchymal changes could also be the effect of increased ventilatory pressure. No pleural effusions on today's examination. Borderline size of the cardiac silhouette. No pneumothorax.

pneumonia, evaluation for interval change.

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

history: <unk>f with chest pain, h/o pots

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Frontal and lateral chest radiographs demonstrate unchanged mediastinal and hilar contours. Stable cardiac enlargement noted. There is increased distribution and density of the previously noted left upper lobe ground glass opacification. New retrocardiac opacification may represent atelectasis though pneumonia cannot be excluded in the correct clinical setting. In addition, there is a new small left pleural effusion. Multiple densely calcified pleural plaques are again noted and may contribute to the appearance of lung parenchymal abnormalities.

dyspnea. evaluate for chf or other pathology.

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Pa and lateral chest radiographs were obtained. Bibasilar airspace opacities correlate with the findings seen on the recent ct. There is no consolidation in the upper lobes. There is no pneumothorax. The central pulmonary vasculature is mildly prominent, but there is no evidence of overt edema. There are no abnormal cardiac or cardiomediastinal contours. The aorta is mildly tortuous. No signficant pleural effusions is noted.

pancreatitis, hypoxemia, possible bibasilar pneumonia.

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Lung volumes are low. The cardiac and mediastinal silhouette are within normal limits. The hilar contours are normal. Right upper lobe consolidative opacity is compatible with pneumonia. Left lung is clear. No pleural effusion, pulmonary edema, or pneumothorax is identified. No acute osseous abnormalities are visualized.

fever.

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Ap upright and lateral views of the chest provided. The lungs are clear and hyperinflated. No focal consolidation effusion or pneumothorax is seen. No signs of pulmonary edema. Curvilinear coarsened calcification projecting over the heart likely reflect mitral annular calcifications. The heart is not enlarged. Aortic calcification is noted. Bony structures appear intact. Calcifications in the right neck could reside within the right carotid.

<unk>f with ble pain, some difficult breathing at times // pneumonia? copd