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/p11597838/s56844792/64489bf1-3e400866-5a601849-753cac4f-ae6733b5.jpg	MIMIC-CXR-JPG/2.0.0/files/p11597838/s56844792/9092600c-bb889ad8-6e4d0c7e-5cf05157-82d198b1.jpg	Pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unchanged since the prior study with stable mild cardiomegaly. There is no evidence of pneumonia, pleural effusion, pulmonary edema or pneumothorax.	<unk>-year-old female with chest pain. evaluation for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p10800175/s52817234/e1367542-c54e0a4e-7edeca3f-9e494e4b-1aee5ce8.jpg	null	Lungs are hyperinflated. Right basilar opacity is compatible with right lower lobe atelectasis and small effusion. Spiculated left lower lung mass is again noted. Right apical nodular density is also as on prior. The lungs are otherwise clear without new focal consolidation. Skin fold projects over the left lateral thoracic cavity mimicking a pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Calcific density inferior to the left glenohumeral joint suggests intra-articular body.	<unk>f with severe resp distress // eval for acute infection
MIMIC-CXR-JPG/2.0.0/files/p12997284/s50837805/05909b00-dbf63265-fb785972-cea6cad5-970b0ac2.jpg	null	The patient has been extubated. Low lung volumes. There are sternotomy wires that appear intact and in appropriate alignment. There is a right ij with the tip in the low svc. Stable enlargement of the cardiac silhouette. Given the changes in inspiration, the lungs appear unchanged.	<unk> year old man s/p sob // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p15686931/s58256412/350909c6-1ea16178-037b3040-6357f659-3ddee25e.jpg	MIMIC-CXR-JPG/2.0.0/files/p15686931/s58256412/bb672957-d8b7e8c6-0cf0dcba-8ad461d7-efcd2fa6.jpg	The patient is status post median sternotomy with the second superior most sternal wire fractured. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified and tortuous. Battery packs overlie the bilateral upper chest.	history: <unk>m with confusion // eval for infiltrate / dbs wires
MIMIC-CXR-JPG/2.0.0/files/p17435828/s56428127/81f25519-90aef32d-db733456-ff55c7f6-8fbb6148.jpg	MIMIC-CXR-JPG/2.0.0/files/p17435828/s56428127/998c9015-a498f49d-24db4912-0b0305f4-580a85b4.jpg	A right-sided picc line terminates in the medial proximal right brachiocephalic vein. It probably terminates near the junction of the brachiocephalic vein and internal jugular vein. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. Trace bilateral pleural effusions are new. There is no pneumothorax. Upper to mid thoracic degenerative changes appear similar.	picc line placement.
MIMIC-CXR-JPG/2.0.0/files/p14998736/s50199039/b71fdfdb-04479dac-c2696234-111859e9-3b5720f8.jpg	MIMIC-CXR-JPG/2.0.0/files/p14998736/s50199039/a2164486-41b10a1e-4e54064f-8e283705-f54cbc9b.jpg	The lungs are clear. Cardiac and mediastinal contours are normal. There is no pleural effusion or pneumothorax. No acute fractures are identified.	fever of unknown source.
MIMIC-CXR-JPG/2.0.0/files/p13595620/s56914489/766adadc-f7c71b65-d4f3c62e-11a42265-40b5d89c.jpg	MIMIC-CXR-JPG/2.0.0/files/p13595620/s56914489/3020f71d-8f8ff400-691008bd-6edc4555-dd0a8b08.jpg	<num> lead right-sided pacer device is seen with lead extending the expected positions of the right atrium right ventricle. The patient is rotated somewhat to the left. The cardiac silhouette is mildly enlarged. Aorta knob calcification is noted. There is slight prominence of the pulmonary artery and there may be a component of pulmonary arterial hypertension. Left base atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. Again noted right paratracheal opacity with leftward deviation of the trachea, can be seen with the enlarged right lobe of the thyroid.	history: <unk>f with cp // effusion? edema?
MIMIC-CXR-JPG/2.0.0/files/p13877262/s50449102/157b660e-489ede95-4e177c00-05b20d19-9083869b.jpg	null	Lines and tubes are unchanged from <unk>:<num> today. The cardiomediastinal and hilar contours are stable. An intra-aortic balloon pump is in satisfactory position. Lung volumes are low which accentuates bronchovascular markings. Given that, there is slightly increased pulmonary vascular congestion without frank edema. There is a small layering left pleural effusion. The right lung is clear.	<unk> year old man with cardiogenic shock // eval for interval change of ptx
MIMIC-CXR-JPG/2.0.0/files/p17809813/s57126076/50de38e2-0f0543dc-09c890da-56ba0555-0fd1c9fa.jpg	MIMIC-CXR-JPG/2.0.0/files/p17809813/s57126076/aa0b286e-6d56e168-eeecdbbe-8758d535-67022bc8.jpg	As compared to the previous radiograph, the line inserted over the left upper extremity has been moved forward. The frontal and the lateral radiograph show that the line is slightly coiled at the level of the lower right atrium. To ensure safe position within the superior vena cava, the line should be pulled back by approximately <num> cm. No complications, notably no pneumothorax.	myeloma, picc line placement.
MIMIC-CXR-JPG/2.0.0/files/p10733236/s53835425/67ace6d8-3c3b5a49-3f06a6d3-a54cb7bb-e0955382.jpg	MIMIC-CXR-JPG/2.0.0/files/p10733236/s53835425/e81fb74f-dcd43a5b-53e0c2c5-ab06985f-3b2ed91c.jpg	No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.	cough and low-grade fever.
MIMIC-CXR-JPG/2.0.0/files/p13863170/s54034020/311cab33-14768d5e-c656551c-59907025-4ca81a87.jpg	MIMIC-CXR-JPG/2.0.0/files/p13863170/s54034020/b713c3a9-967a0005-d00c13c4-dbe901d5-fa9a2d1d.jpg	Frontal and lateral chest radiographs. Unremarkable cardiomediastinal and hilar contours. Stable right apical pleural thickening. Mild bronchovascular crowding in the lung bases due to low lung volumes. Otherwise, lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified.	gi bleed. evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p16393323/s58320635/91d66e62-b7c9ed50-bc312aa9-e5227dba-d149fc3f.jpg	MIMIC-CXR-JPG/2.0.0/files/p16393323/s58320635/5067f402-81620bf8-0129d1b8-2a9de4ed-33471576.jpg	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. There has been interval removal of a right-sided chest tube. No pneumothorax is seen. There is a small left pleural effusion.	<unk> year old man with with right ptx s/p removal chest tube // please get cxr at <num>pm. please evaluate interval change
MIMIC-CXR-JPG/2.0.0/files/p12487770/s53643924/2beda37e-5530a94b-321c1646-80ecabef-39d88685.jpg	MIMIC-CXR-JPG/2.0.0/files/p12487770/s53643924/335a49b4-397b530a-d617dba6-2053e729-a364d086.jpg	Unchanged presence of a right pectoral port-a-cath. Unchanged low lung volumes and mild cardiomegaly. Parenchymal opacity in both lower lobes, already visible on the ct examination from <unk>, appear to have increased. They are now well appreciated on the lateral radiograph. In addition, a relatively important right basal plate-like atelectasis is seen. No pulmonary edema. No pneumothorax.	metastatic non-small cell lung cancer and pulmonary embolism. rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19170368/s54449069/073863b7-dee37594-6ad25704-b14580d9-9828a115.jpg	null	There has been interval placement of a right pleural pigtail catheter. There is a persistent large right pneumothorax. Subcutaneous emphysema is also noted. The left lung is clear with suture material projecting over the apex. The cardiac silhouette is unchanged. No pleural effusion is identified.	<unk> year old man with right pleural pigtail catheter placement, evaluate placement.
MIMIC-CXR-JPG/2.0.0/files/p14586885/s59693079/e2d72a8d-d02e2d3c-cf1319c6-eeaf1c95-60888f06.jpg	null	Single frontal view of the chest. Endotracheal tube terminates <num> cm above the carina. Nasogastric tube terminates in the stomach. Bilateral chest tubes are new since the prior radiograph. Lung volumes are very low. Right lung diffuse consolidation is consistent with lung contusions and slightly improved since the prior ct. Mild edema has also slightly improved. A small right pleural effusion is stable. Elevation of the right hemidiaphragm is similar to prior. No pneumothorax. Heart size and mediastinal contours are stable. Bilateral rib fractures are seen to better detail on recent ct.	status post motor vehicle collision with bilateral chest tubes.
MIMIC-CXR-JPG/2.0.0/files/p16145101/s58895249/bfb05403-23a3ebe1-fff5dffb-7f5e7d4b-c2f1494c.jpg	MIMIC-CXR-JPG/2.0.0/files/p16145101/s58895249/88b05c0b-63e7aa59-c97d191d-5001315b-c7c61ce6.jpg	<num> views of the chest demonstrate mild bibasilar atelectasis with slightly hyperinflated lungs. The mediastinal contour is slightly prominent due to unfolding of the aorta. The cardiac size is normal and the hilar contours are within normal limits. No pneumothorax or pleural effusion.	wheezing and chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14335377/s53766543/3dc9be95-d1d02bad-947cbb45-c521af4f-3d26b6e3.jpg	null	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>m with history of cad, subacute chest pain over last week, intermittent shortness of breath. // widened mediastinum?
MIMIC-CXR-JPG/2.0.0/files/p19501510/s50280098/85f34267-5ea455b5-aafc6a35-71028706-6b84784a.jpg	MIMIC-CXR-JPG/2.0.0/files/p19501510/s50280098/53a18665-a3e6de2b-f48674b5-14638452-fac536ba.jpg	Heart size is top normal. The mediastinal contour is normal. Right hilar prominence is stable and consistent with known lymphadenopathy seen on prior ct. Mild edema is stable. Small to moderate right pleural effusion is larger than the left. No focal consolidation or pneumothorax is seen. Emphysema is severe.	<unk> year old man with heart failure, dramatic <unk> edema, orthopnea // r/o pulm edema
MIMIC-CXR-JPG/2.0.0/files/p11552741/s56284895/e7b9eab7-be479f50-51b4dcef-2f22abdb-060faef4.jpg	null	There has been interval intubation with the endotracheal tube tip terminating approximately <num> cm from the carina. The heart size remains moderately enlarged. Mediastinal contours are unchanged with the aorta appearing tortuous and likely dilated. Widening of the superior mediastinal contour also may in part be due to the presence of lymphadenopathy. Hazy opacifications of both lungs likely indicate the presence of moderate-sized layering bilateral pleural effusions. Bibasilar airspace opacities could reflect atelectasis, but infection is difficult to exclude. Peripheral wedge-shaped opacity in the left upper lung field is re- demonstrated. There appears to be mild pulmonary edema. Assessment for pneumothorax is limited on this supine exam though no large pneumothorax is detected.	history: <unk>m with endotrachial intubation
MIMIC-CXR-JPG/2.0.0/files/p16055484/s54515372/239daa9b-902428d6-8cea4033-651757f0-64b1bbf6.jpg	null	In comparison with study of <unk>, the left chest tube has been removed and there is no convincing evidence of pneumothorax. Otherwise, little change.	chest tube removal.
MIMIC-CXR-JPG/2.0.0/files/p17439137/s50534862/086b63d7-e1b86b2e-d142892e-20b8e313-ae420684.jpg	MIMIC-CXR-JPG/2.0.0/files/p17439137/s50534862/a07b1dd0-482b3dac-157776b1-93638f83-77515485.jpg	Frontal and lateral chest radiographs. The heart is markedly enlarged. Median sternotomy wires are intact. There are increased insterstitial markings as well as a focal confluent opacity in the right lower lung, which may represent chf with alveolar edema. However, there is no pleural effusion. No pneumothorax detected.	dyspnea and history of chf.
MIMIC-CXR-JPG/2.0.0/files/p15102490/s58139211/ca356796-c19a235b-c3de2150-1ae7a149-b785a33d.jpg	null	As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Normal size of the cardiac silhouette. Mild retrocardiac atelectasis. Hyperlucency in the lung apices, right more than left, suggesting severe pulmonary emphysema. No evidence of pleural effusions.	history of iv drug use, altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p12754610/s58568557/3c418d55-7a1e14fd-6c1afd17-a874fcf9-af276955.jpg	null	As compared to the previous radiograph, there is a newly appeared right basal parenchymal opacity, potentially with a central air content. The lesion is highly suspicious for either pneumonia or aspiration. In addition, there is blunting of the left costophrenic sinus, suggesting the presence of a small pleural effusion. Mild retrocardiac atelectasis. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician <unk>. <unk> was paged for notification. Otherwise, the radiograph is unchanged. Unchanged monitoring and support devices, unchanged appearance of the cardiac silhouette. Unchanged right hemithorax.	progressively worsening ventilatory requirement, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p17643481/s54814862/721fab26-68c2cf95-39b326da-6250d8db-137df8e7.jpg	MIMIC-CXR-JPG/2.0.0/files/p17643481/s54814862/c3bfc9ef-1e3ec05f-f801ed41-5df43e1a-4be9b7ac.jpg	Compared to the prior chest radiographs, the large right pleural effusion is slightly smaller, but persistent. Substantial right middle and right lower lobe volume loss is similar to the prior study. Left lung is clear without focal consolidation, pleural effusion, or pneumothorax. Re-demonstration of a right clavicular fracture with overriding of the fracture fragments, as well as mild leftward curvature of the thoracic spine.	<unk> year old woman with decompensated cirrhosis with pleural effusion. evaluate for pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16479476/s57894989/16c451ac-26e1bd27-ce214098-d585cd04-59612de1.jpg	MIMIC-CXR-JPG/2.0.0/files/p16479476/s57894989/1e46621c-a99f3010-a8cf3b34-b703c5fb-99437b03.jpg	Pa and lateral views of the chest demonstrate an opacity measuring approximately <num> cm overlying the fifth posterior rib which was present in <unk>, but was not present in <unk>. An additional opacity overlying the ninth rib is most likely a nipple shadow. Otherwise, the lungs are clear. Cardiac silhouette is normal. No pleural effusion or pneumothorax.	<unk>-year-old man with chronic cough on prednisone. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13998748/s50852401/4512d1df-23dfa9cc-50e0cd97-77081072-babacae5.jpg	MIMIC-CXR-JPG/2.0.0/files/p13998748/s50852401/41342681-caa1e65d-e66725d6-f0d361b2-d1660702.jpg	The lungs are clear besides mild right basilar atelectasis. There is no effusion, consolidation, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Right shoulder arthroplasty is seen.	<unk>f with p/w n/v chills // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p15987101/s50611307/a424ba41-29e191df-95f0729c-855ac6e6-63b02839.jpg	null	In comparison with the study of <unk>, there is still enlargement of the cardiac silhouette with relatively normal or possibly minimally engorged pulmonary vessels. No acute focal pneumonia. Dobbhoff tube extends to the upper stomach, distal to the esophagogastric junction.	dobbhoff placement.
MIMIC-CXR-JPG/2.0.0/files/p17954167/s53100093/7b55d640-27143631-be6205b2-0e8e8e0f-11a31ef6.jpg	null	The tip of the endotracheal tube has been pulled back and is now <num> cm from the carina, appropriately sited. The rest of the lines and tubes are unchanged. The heart size is within normal limits. There is a persistent left retrocardiac opacity. There is improved aeration at the right lung base. There remains some atelectasis in the right mid lung field. There are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p17946856/s51958641/67e4ff8a-74460095-37ff2487-75677962-c31ad83a.jpg	MIMIC-CXR-JPG/2.0.0/files/p17946856/s51958641/fb4fa97d-654683e8-611b03b4-60d8abdf-3c2c8c91.jpg	There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiomediastinal contours are normal. Hilar structures are unremarkable.	immunodeficiency with shortness of breath and speech change. evaluate for evidence of infection.
MIMIC-CXR-JPG/2.0.0/files/p16233094/s50180110/e55621a1-fde5d1eb-9b4cce5b-090bf36d-551fd9ff.jpg	MIMIC-CXR-JPG/2.0.0/files/p16233094/s50180110/68d9dd74-3f2cab7d-5c75059e-0fb58853-a6407699.jpg	Linear areas of atelectasis or scarring involving the bilateral mid to lower lungs are unchanged since <unk>. No new focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact.	<unk>m with anterior chest pain. evaluate for chf or other acute process.
MIMIC-CXR-JPG/2.0.0/files/p10464663/s55102574/e55bba8a-07b77d8e-f6b1b3af-9ffda5ac-95340c90.jpg	MIMIC-CXR-JPG/2.0.0/files/p10464663/s55102574/315123c0-206f8a02-84aa4f6e-e9429ce5-e5200df4.jpg	Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p10604743/s55605803/596cf092-9dbc9267-1d759f7e-a08fa62c-564ee500.jpg	MIMIC-CXR-JPG/2.0.0/files/p10604743/s55605803/0a7d8a4f-eeba88cd-a63d06ce-c2c3d74e-939f4e91.jpg	Frontal and lateral radiographs of the chest demonstrate asymmetric opacity at the left base which may correspond to left lower lobe pneumonia. The cardiomediastinal contours are normal. No pleural abnormality is detected.	fever, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18481208/s54235666/c9741d22-bf48e0b4-83edce3b-1cc5af6e-a90b8175.jpg	null	Portable semi-upright frontal view of the chest. The endotracheal tube terminates <num> cm above the carina. An upper enteric tube ends in the mid portion of a non-distended stomach. There is right lower lobe atelectasis as well as opacities consistent with mild pulmonary edema. There is no pleural effusion or pneumothorax. Mild cardiomegaly is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p10024913/s58061008/762a9168-8b3c3d72-0e835c49-c96d8709-c27ac000.jpg	MIMIC-CXR-JPG/2.0.0/files/p10024913/s58061008/bd3791e4-50da1fe7-e0c6bdf8-2bc9c9cb-3ea81628.jpg	Pa and lateral views of the chest. The lungs remain clear of consolidation. Calcified pleural plaques seen at the right lung base. Rounded density nodule projects over the left lung base on the frontal view. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Surgical clips seen in the left upper abdomen.	<unk>-year-old male with pointing to the neck and chest saying painful. hyperglycemia. dementia.
MIMIC-CXR-JPG/2.0.0/files/p12441371/s58028189/81488f3d-3d1fc66d-c4e5639d-00018c82-258072c7.jpg	null	The cardiac, mediastinal and hilar contours appear stable. Generalized opacification has improved somewhat suggesting reduction in fluid overload, but on this examination there is a developing opacity projecting over the right lower lung, probably in the right lower lobe. There is still a substantial nodular focus projecting over the left mid lung and possibly a second one projecting nearby. The right mid-to-lower lung is difficult to assess for any possible nodules.	worsening dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p13730100/s51808414/9ff8905d-38792503-f7cabeb3-9c387969-0d4ce5d4.jpg	MIMIC-CXR-JPG/2.0.0/files/p13730100/s51808414/e6c128c2-1024258c-bb6c28ec-78716579-e2ce1a5a.jpg	Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs remain clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.	shortness of breath with exertion.
MIMIC-CXR-JPG/2.0.0/files/p16422396/s55292191/c7004bde-119cfee1-6210d979-7bbb4bca-05227de1.jpg	null	Left subclavian port-a-cath has tip ending in proximal right atrium. Lung volume is still low, but without consolidation or nodules. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.
MIMIC-CXR-JPG/2.0.0/files/p12980551/s57443186/9743a222-b5cc2ef4-ea59cbab-120845d5-3c7daacd.jpg	null	The cardiomediastinal silhouette is enlarged and pulmonary vessels are engorged, due to pulmonary edema. No large pleural effusions or focal consolidation concerning for pneumonia. Intact median sternotomy wires and mediastinal clips are unchanged.	<unk> year old man with tss with persistent hypoxia. ?interval changes
MIMIC-CXR-JPG/2.0.0/files/p11865204/s54422083/f2debe5a-4555b42b-36c97dca-061e173e-5730cf41.jpg	MIMIC-CXR-JPG/2.0.0/files/p11865204/s54422083/32587297-0bea04be-3cc1dfb9-14a804d0-62d02f0e.jpg	Cardiac silhouette is upper limits of normal in size. Previously reported pulmonary edema has resolved. Interval improvement in bibasilar opacities which likely represented atelectasis, with residual opacities worse on the left than the right. Small bilateral pleural effusions are present, left greater than right, with questionable slight loculation laterally on the left.
MIMIC-CXR-JPG/2.0.0/files/p14934559/s59000735/80b5c8dc-d3baeed4-c86fbc2c-7fc65f61-12a7bfb8.jpg	MIMIC-CXR-JPG/2.0.0/files/p14934559/s59000735/719e11ca-9ff55ffc-01a41a78-84e461cd-e30fa9af.jpg	There is evidence of borderline cardiomegaly. Note is made of mild deviation of the trachea to the left, suggestive of an enlarged right thyroid lobe. The hilar and mediastinal contours are otherwise normal. The lungs are clear without evidence of focal consolidations concerning for infection. No pleural effusions or pneumothorax is identified.	history of chest pain. rule out intrathoracic cause of chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10004235/s52962553/d71a4931-5c0832b8-ae60fd56-1e3658d3-a392959a.jpg	null	Lines and tubes are grossly unchanged. The ng to cannot be traced through the lower most mediastinum due to underpenetration. The cardiomediastinal silhouette is unchanged. Extensive interstitial and alveolar opacity use in both lungs appear more confluent . Small effusions would be difficult to exclude. No pneumothorax detected.	<unk> year old man with gnr sepsis s/p cardiac arrest // interval change?
MIMIC-CXR-JPG/2.0.0/files/p19855614/s52247706/69e84cd6-0272e42d-1d0bbdda-2942a40c-32a6dd03.jpg	null	Recently described opacity at left lung base has slightly decreased and may be due to improving pneumonia in the appropriate clinical setting. No new areas of consolidation have developed. Cardiomediastinal contours are stable in appearance, and tracheostomy tube remains in standard position.
MIMIC-CXR-JPG/2.0.0/files/p14155070/s51665818/4a373a75-b3721f28-fe9d3b9f-4996ff32-393595fb.jpg	null	In comparison with study of <unk>, the central catheter has been pulled back to the level of the cavoatrial junction. Streaks of opacification at the left base most likely reflect atelectasis. No definite vascular congestion or acute pneumonia. Tracheostomy tube remains in place.	fever.
MIMIC-CXR-JPG/2.0.0/files/p16439884/s58907305/44741a7b-6c4b7095-a81bd237-65621952-3584c601.jpg	null	As compared to the previous radiograph, the signs indicative of pulmonary edema have decreased and now barely present. Minimal atelectasis at the right lung base but no evidence of pneumonia. Unchanged mild cardiomegaly, no pleural effusions.	chronic heart failure, altered mental status. evaluation for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16123839/s51110593/50c22c44-d0373609-21f2df19-1fb44f6e-57ea83c1.jpg	MIMIC-CXR-JPG/2.0.0/files/p16123839/s51110593/daa7a7cc-b71e5c54-b2dc06da-47f03756-3fe3edfd.jpg	Bibasilar rounded punctate opacities correspond of microcalcifications better characterized on the prior ct chest. There is no focal consolidation, pleural effusion or pneumothorax. There is no free air beneath the right hemidiaphragm. There has been pneumomediastinum. The heart size is normal.	<unk>m with gastroparesis, kidney panc transplant <unk> p/w nausea/vomiting, chest discomfort in setting of vomiting.
MIMIC-CXR-JPG/2.0.0/files/p15924226/s59332730/36ff157d-3eb4ffa1-4a9791db-bf8584cf-006934e8.jpg	null	Lung volumes are low causing crowding of the central bronchovascular structures. The heart size is normal given ap technique. There is no focal consolidation, pleural effusion or pneumothorax. Mild widening of the mediastinum to the right of midline is probably due to fat deposition.	<unk> year old male with altered mental status. please evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15889331/s59924247/ca59dc2c-ea9149d5-e369a0ae-66332311-252f17f6.jpg	null	Evaluation of the chest is somewhat limited due to marked patient rotation. A new area of consolidation has developed in the left mid-to-lower lung region, and could potentially represent an area of localized aspiration. Short-term followup radiographs may be helpful to exclude a developing focus of infection.
MIMIC-CXR-JPG/2.0.0/files/p12372220/s54321747/f8e623d9-b04ef4c6-adad1a7d-5dfc84be-50bbd77b.jpg	null	In comparison with the study of <unk>, there are somewhat lower lung volumes in this patient who has undergone previous cabg procedure with intact midline sternal wires. The lungs are essentially clear without evidence of pulmonary edema or pleural effusion, though there is blunting of the left costophrenic angle that is essentially unchanged.	hypotension and subclavian bypass.
MIMIC-CXR-JPG/2.0.0/files/p15514356/s59472513/9f0263a0-1fad56e2-eb5ffc08-e6539591-fa472494.jpg	null	Heart size is normal with mild unfolding of the thoracic aorta. Hilar contours are normal. Lungs are hyperinflated with increased biapical lucency and loss of architecture suggestive of emphysema. There is trace scarring in the right apex. There is no dense consolidation to suggest pneumonia. Pleural surfaces are clear without effusion or pneumothorax.	history of copd with desaturations.
MIMIC-CXR-JPG/2.0.0/files/p17346220/s54289352/4765af40-0c7f6dcb-2e8fa306-515d6447-86f182a9.jpg	MIMIC-CXR-JPG/2.0.0/files/p17346220/s54289352/2e638ef5-90fb5c4a-acdc0017-ca41182f-d4073f91.jpg	When compared to prior, there has been no significant interval change. Again seen are fibrotic changes throughout the lungs bilaterally compatible with patient's history. There is no superimposed consolidation to suggest infection. There is no effusion. Cardiomediastinal silhouette is within normal limits.	<unk>m pulm fibrosis, bronchiectasis presenting with cough, dyspnea, please eval for pna
MIMIC-CXR-JPG/2.0.0/files/p14463777/s55844889/731c892a-6eb906e5-088203c3-94865014-ac107721.jpg	MIMIC-CXR-JPG/2.0.0/files/p14463777/s55844889/24d9b28d-1efa8b6c-f611a771-48ae3ab3-1595ff7c.jpg	There are bibasilar opacities more conspicuous on the frontal view than on the lateral. There is no effusion. Superiorly, the lungs are clear. Slight cardiac enlargement is noted. No acute osseous abnormalities.	<unk>m with confusion // eval for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p10914903/s56908783/3c552562-98ab9005-53180b6c-6553e679-acbd4f73.jpg	MIMIC-CXR-JPG/2.0.0/files/p10914903/s56908783/97dbb449-88010280-2777b3c7-5a44e066-60512a9f.jpg	Moderate cardiomegaly is noted. There is no focal consolidation, effusion or pneumothorax. No convincing signs of pulmonary edema. Linear density in the left mid lung likely represent subsegmental atelectasis. The aorta is somewhat unfolded with faint calcifications along the aortic knob. The imaged osseous structures are intact. A mild scoliosis is noted.	<unk>-year-old female with dyspnea, wheezing, assess pneumonia, pulmonary edema or copd flare.
MIMIC-CXR-JPG/2.0.0/files/p19528617/s58395224/75574bf6-f78bab99-0d3c1d54-bbe91323-a1d82a3e.jpg	MIMIC-CXR-JPG/2.0.0/files/p19528617/s58395224/806dde3c-c54cd53b-29bb8b90-1bd52995-ac992100.jpg	Ap upright and lateral views of the chest provided. Lung volumes are low. Bronchovascular crowding limits assessment for mild pulmonary edema. There is no large effusion or pneumothorax. No focal consolidation concerning for pneumonia. The heart size appears top-normal likely due to technique. Chronic right posterior rib deformities again seen. No free air below the right hemidiaphragm.	<unk>m with hx endocarditis p/w altered mental status after using heroine today // r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p13419061/s53616242/62ab4200-46ddb11e-0a70f379-2a385c4b-ba514ffd.jpg	null	As compared to the previous radiograph, there is unchanged evidence of a small basal right pneumothorax. The maximum of the small air collection is now located medially. There is blunting of the right costophrenic sinus, so that the presence of a minimal right pleural effusion cannot be excluded. The position of the endotracheal tube, the right chest tube and the nasogastric tube are unchanged. No evidence of tension.	pneumothorax from traumatic line placement. evaluation.
MIMIC-CXR-JPG/2.0.0/files/p10734591/s58950796/c858a1c4-61e3b8ee-3980973f-4c4fd4a7-d4acbe81.jpg	MIMIC-CXR-JPG/2.0.0/files/p10734591/s58950796/2cd63346-0e024e5f-f66cfa70-e015fb79-4f802aad.jpg	Again noted is elevation of the right hemidiaphragm. The cardiac silhouette is unremarkable. Minimal atelectasis and scarring is noted at the left lung base. Right infrahilar opacity, is more pronounced than on prior examinations, which in the appropriate clinical context, could represent pneumonia. No pneumothorax or pleural effusion.	history: <unk>m with cp // evidence of pneumonia
MIMIC-CXR-JPG/2.0.0/files/p15928733/s59852462/a49fc304-2943e0b7-7502d45d-0d124424-f9fd3ff7.jpg	MIMIC-CXR-JPG/2.0.0/files/p15928733/s59852462/a44db8e7-9d080b84-cdc04364-2c0a0d92-b610e27d.jpg	Ap upright and lateral views of the chest provided. Lung volumes are low. Allowing for low lung volumes, there is no convincing evidence for pneumonia or edema. There is mild left basal atelectasis noted. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	<unk>f with s/p mvc, c/o chest pain, r ankle pain. reassuring physical exam // eval ? traumatic injury
MIMIC-CXR-JPG/2.0.0/files/p11209764/s50714192/0b07eb90-20118073-6e319bb9-ecc3f13f-0e80247d.jpg	MIMIC-CXR-JPG/2.0.0/files/p11209764/s50714192/0b6b1372-ef32d2c5-4dbec289-6fe5c12a-709afb08.jpg	The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.	cough.
MIMIC-CXR-JPG/2.0.0/files/p10354321/s51105421/78def65c-1540feb0-5aeaf62e-43814489-f9231b37.jpg	MIMIC-CXR-JPG/2.0.0/files/p10354321/s51105421/e5f46944-7d5a88bf-ef2cb051-b7e11866-5aff885b.jpg	The heart is mildly enlarged. Upper mediastinal contours are unremarkable. The thoracic aorta is densely calcified throughout. Lung volumes are low and there is bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax.	history: <unk>m with resolved right facial droop // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p18203021/s53826851/a5940aa6-a103b26c-99266860-3784e89d-eb3c80f0.jpg	null	Right-sided port-a-cath is again seen with catheter terminating at the cavoatrial junction/lower svc. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Surgical clips are seen.	fever, on chemo.
MIMIC-CXR-JPG/2.0.0/files/p15651032/s52235618/16b1f068-0f033aff-f21dc186-1e98440a-5e435d1d.jpg	null	A orogastric and endotracheal tube are in appropriate position. Lung volumes are low with bibasilar atelectasis. There is a small left and possible trace right pleural effusion. There are no focal consolidations or overt pulmonary edema. The mediastinal and cardiac contours are within normal limits.	<unk>-year-old female with orogastric tube and endotracheal tube placement.
MIMIC-CXR-JPG/2.0.0/files/p10264949/s57613101/0f9f0169-09af143e-c28654cb-0b0531f3-05ac6432.jpg	MIMIC-CXR-JPG/2.0.0/files/p10264949/s57613101/c27dc107-833b5e0a-71b30e06-cf338837-85858e33.jpg	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Left-sided port-a-cath is seen, terminating in the low svc.	history: <unk>f with endometrial ca w/ <num> wk fatigue possible uti rlq pain // r/o pna, eval port placement
MIMIC-CXR-JPG/2.0.0/files/p19302354/s58527870/3eebb843-8cf6564d-d8ca2a30-49d31f4f-dba79b9c.jpg	null	As compared to the previous radiograph, the lung volumes have slightly decreased. Moderate cardiomegaly with retrocardiac atelectasis but no evidence of pneumonia or aspiration. No pleural effusions. The semicircular opacity projecting over the right hilus is less apparent than on the previous image.	osteomyelitis, status post bone biopsy, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p11025227/s57231466/b557538a-7003249f-7a30eb93-e189b460-022bad6d.jpg	MIMIC-CXR-JPG/2.0.0/files/p11025227/s57231466/605c0b0f-a7140c23-62e70877-0e139d4d-346473e7.jpg	There is mild cardiomegaly. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. Visualized osseous structures are grossly unremarkable.	<unk>-year-old female patient with hypertension, hyperlipidemia, presenting with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18569995/s56411787/2c4d585d-21621839-d72747d9-ed29ca70-af57472c.jpg	MIMIC-CXR-JPG/2.0.0/files/p18569995/s56411787/e69de060-30edb673-23daeac3-4953b62e-f4761ac9.jpg	The heart is normal in size. The mediastinal and hilar contours appear unchanged with similar mild prominent of the main pulmonary artery contour. There is no pleural effusion or pneumothorax. Mild prominence of central interstitial opacities appears, if anything, decreased.	presyncope.
MIMIC-CXR-JPG/2.0.0/files/p11304959/s51752676/447e96d7-32bdf057-14afb363-882be98c-2ad3de55.jpg	null	Et tube and nasogastric tube is in standard placement. Right jugular line ends in the mid svc. Tip of the intra-aortic balloon pump below the lower margin of the left main bronchus along the left lateral vertebral body is approximately <num> cm from the aortic arch. Combination of severe bilateral lower lobe atelectasis and small to moderate pleural effusions has not changed over the past several days, but heart size remains enlarged and the component of pulmonary edema has largely cleared. No pneumothorax.	<unk> year old man with chf and mr <unk>/p mitraclip, intubated with iabp // position of iabp, et tube
MIMIC-CXR-JPG/2.0.0/files/p17638202/s50554105/64d0cdcb-356a4a36-ddd2f9e5-6307ebcb-7cf139ec.jpg	null	Et tube is unchanged with tip ending at <num> cm from the carina bifurcation. Ng tube is unchanged with tip not visualized but below the diaphragm. Right subclavian picc is still in place with tip ending in lower svc. <unk> catheter has been removed. Lung fields are well inflated with bibasilar opacities for atelectasis and right base small pleural effusion. Heart size is still mildly enlarged.
MIMIC-CXR-JPG/2.0.0/files/p16408283/s56821527/19b9098c-8814fa38-7560714f-e2dceace-f9673125.jpg	null	The lungs are hyperexpanded and clear. No pleural effusion or pneumothorax. There are median sternotomy wires and clips projecting over the left mediastinum. The heart size is top normal.	<unk> year old man with sdh preop // preop surg: <unk> (craniotomy)
MIMIC-CXR-JPG/2.0.0/files/p19813796/s53271157/3cb63542-820ddb45-0de524b6-968f8b2c-0d524763.jpg	MIMIC-CXR-JPG/2.0.0/files/p19813796/s53271157/b109798e-c29a7f2b-679728d1-86e0c43c-40c1672d.jpg	The heart is mildly enlarged. The aorta is moderately tortuous. The pulmonary vasculature shows upper zone redistribution suggesting pulmonary venous hypertension, but no congestive heart failure. There is no pleural effusion or pneumothorax. Moderate anterior osteophyte formation and mild narrowings among several mid thoracic interspaces are noted.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11949990/s50463244/b5db4f53-40364bc2-4535157f-c560a084-0460f4ce.jpg	null	<num> frontal chest radiographs were obtained. There is no clear consolidation, although a <unk> x <num> mm opacity a in the left lower lobe could be the residual of infection. The nature of this nodule needs to be clarified. There is no pleural effusion, pneumothorax or pulmonary edema. The heart size is normal. Mild thickening of the right paratracheal stripe could be due to adenopathy.	<unk>-year-old female with recently diagnosed pneumonia, treated with antibiotics and steroids, presenting with ongoing chest tightness. evaluate for consolidation.
MIMIC-CXR-JPG/2.0.0/files/p10425960/s54492362/ae2bac97-20e7b7e2-8828a06f-7fdfc195-68d960f8.jpg	MIMIC-CXR-JPG/2.0.0/files/p10425960/s54492362/671604ba-3dbbc776-9b5f3bb5-9d8e9cfa-b60d01a3.jpg	As compared to prior examination, a left pleural effusion is minimally decreased, now small-moderate in size. There is adjacent linear opacities suggestive of atelectasis within left lower lobe. The left upper lung field and right lung are grossly clear. The silhouette is stable. Multiple, left rib fractures are again seen .	<unk> year old woman s/p fall with chest pain and dyspnea, afebrile and previous cxr concerning for empyema // effusion vs empyema vs pna; lat decub view if indicated
MIMIC-CXR-JPG/2.0.0/files/p14545252/s58144372/455e4f15-4c4b821a-e41d0b71-c3112966-efdff2af.jpg	MIMIC-CXR-JPG/2.0.0/files/p14545252/s58144372/9cdbf81e-8c4bf69b-02312910-25cbcd4b-2cbefbff.jpg	Mild to moderate cardiomegaly is a stable. Pacer leads are in standard position. Right ij catheter tip projects over the confluence of the brachiocephalic and the superior vena cava. There is no pneumothorax. Small bilateral effusions are larger on the left side associated with adjacent atelectasis. Sternal wires are aligned. Patient is status post avr	<unk> year old man s/p tissue avr // predischarge eval
MIMIC-CXR-JPG/2.0.0/files/p19005583/s51728935/74fd4b30-195cf59b-a166099c-cf98619f-0a8f632b.jpg	MIMIC-CXR-JPG/2.0.0/files/p19005583/s51728935/dafefc07-7b63a525-8dfbd126-765fa926-5dea1e15.jpg	No focal consolidation, pleural effusion or evidence of pneumothorax is seen. Cardiac, mediastinal, and hilar contours are stable. There is flattening of the diaphragm, suggesting chronic obstructive pulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p14321604/s50742683/cc8878c0-fec08d7e-0d369312-fed2eb98-1407799f.jpg	null	Portable ap chest radiograph. The lungs are clear, but the vascular pedicle and mediastinal vessels are engorged. There is no pleural effusion or pneumothorax. The heart size is top normal.	tachycardia and altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p15936063/s51269022/699e6ff1-338aaf62-5f30f062-6e583cc8-d2c3e76c.jpg	null	In comparison with the study of <unk>, there is little overall change. Continued opacification at the left base reflects soie combination of pleural fluid, atelectasis, and pneumonia. Remainder of the lungs show no evidence of consolidation. Stable mild cardiomegaly without evidence of vascular congestion or right effusion. Tracheostomy tube remains in place.	intracranial bleed with tracheostomy and bilateral pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13120691/s58914394/f1857133-8af497d7-57a807a9-49d03d39-85fdb9a9.jpg	MIMIC-CXR-JPG/2.0.0/files/p13120691/s58914394/44225371-8bec2937-dfa92220-cfdce38f-9eed5be1.jpg	Frontal and lateral views of the chest were obtained. Again seen is a rounded lesion in the lingula, which was fdg-avid on recent chest ct. Increased opacity at the left lung base is likely due to mediastinal fat. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is within normal limits. The mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified.
MIMIC-CXR-JPG/2.0.0/files/p10585788/s58190512/24118e0b-e61243f2-b35b1edd-6d698d4f-83898a5e.jpg	MIMIC-CXR-JPG/2.0.0/files/p10585788/s58190512/80bba0b3-bef7cc93-f41d3f99-475cba72-a1f1a97c.jpg	The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Minimal linear opacity at the left lung base is likely atelectasis. No definite focal consolidation is identified. A tiny nodule projecting over the right medial lung base likely represents a vessel en face. There is no pleural effusion or pneumothorax.	<unk>m with left sided chest pain, cough // eval for pna, acute process
MIMIC-CXR-JPG/2.0.0/files/p19954715/s56191391/8209887b-1fe17ee8-8b2e5ebe-a06589e6-7376a81b.jpg	null	In comparison with the study of <unk>, there are continued low lung volumes. There is mild enlargement of the cardiac silhouette with left ventricular configuration. Bilateral pleural effusions with compressive atelectasis persist. Poor definition of the left hemidiaphragm suggests substantial volume loss in the left lower lobe. Pulmonary vessels are somewhat ill-defined, suggesting some elevated pulmonary venous pressure.	fever.
MIMIC-CXR-JPG/2.0.0/files/p19002886/s59920451/45b2839a-f17e51ca-62b7a5dc-9d0d6ef1-4ab7e911.jpg	null	In comparison with study of <unk>, the monitoring and support devices are essentially unchanged. Patient has taken a much better inspiration. Minimal atelectatic changes are seen above the elevated right hemidiaphragm. No evidence of acute pneumonia or vascular congestion.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p19660235/s51584929/54ccbc51-6e9ebe39-31d6ea12-0a8ac60f-02875d2b.jpg	null	There has been interval removal of a right-sided picc. Minimal left base atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	chills
MIMIC-CXR-JPG/2.0.0/files/p17582273/s54885104/77e2ae63-9f7f0951-8ccaddd6-8a07b2cc-f27adc3e.jpg	MIMIC-CXR-JPG/2.0.0/files/p17582273/s54885104/f0c4efd8-07d035b5-9c266ff1-42641d92-9c2dfd9f.jpg	Interval removal of a conventional tracheostomy tube placement of a t-tube, unremarkable in position. Lungs are well-expanded without new focal opacity. Trace right pleural effusion is possible. No left pleural effusion. No pneumothorax. Heart size is top-normal. Bilateral pulmonary arteries are prominent, but unchanged. A left subclavian port and central venous catheter is unchanged in position, terminating near the superior cavoatrial junction.	<unk> year old woman with idiopathic subglottic stenosis status post multiple balloon dilatations, hypertension,type <num> diabetes, hypothyroidism, colorectal cancer s/p resected liver mets on folfox c<num>d<num>, now s/p t-tubeplacement. // evaluate t-tube place
MIMIC-CXR-JPG/2.0.0/files/p18672842/s57696413/f01dc632-23f15175-40c5a1b1-1701f374-d49123d4.jpg	null	Single ap image through the chest demonstrates clear lungs bilaterally. No focal consolidation concerning for pneumonia is identified. Cardiomediastinal contours demonstrate top normal heart size. No evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Redemonstration of old rib fracture, right seventh rib.	<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18322831/s56902983/5325091b-96369efb-6c3ec04f-0f0cff3e-4cef3718.jpg	MIMIC-CXR-JPG/2.0.0/files/p18322831/s56902983/46c8b101-d9d879d3-be602505-03cdd5b8-6dabb32d.jpg	Ap upright and lateral views of the chest provided. Consolidation is seen in the right lower lobe posteriorly compatible with pneumonia. There is probably an associated small pleural effusion. Left lung is clear. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm is seen. There is prominent retrosternal clear space compatible with copd.	<unk>-year-old male with concern for sepsis, rule-out pneumonia as source. // pna?
MIMIC-CXR-JPG/2.0.0/files/p15223781/s51911131/4431140d-b69504c1-880edef7-9630758b-04037bcf.jpg	null	As compared to the previous radiograph, there is no relevant change. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No evidence of pleural effusions or parenchymal opacities. The course of the double-lumen right-sided catheter as well as its position is unchanged and correct.	aml, hickman catheter, evaluation of catheter position.
MIMIC-CXR-JPG/2.0.0/files/p19802150/s50209284/833f34da-a144ea8f-4a49fad6-f554a2d8-9e46fe28.jpg	MIMIC-CXR-JPG/2.0.0/files/p19802150/s50209284/5bcfe7f6-80d49d38-d3482070-2a3aec47-a1197bf8.jpg	Pa and lateral views of the chest were reviewed. Compared to the most recent prior, left lower lobe atelectasis and mild cardiomegaly are unchanged. Otherwise the lungs are clear and the mediastinal and pleural surfaces are normal.	all and blast crisis in a patient undergoing chemotherapy.
MIMIC-CXR-JPG/2.0.0/files/p18733090/s54651062/c9d717f6-48552aca-f846079e-a6f8ca02-39b6eeb7.jpg	MIMIC-CXR-JPG/2.0.0/files/p18733090/s54651062/b8bb6764-262bc5d4-93bd8236-b9f6c3e2-a98a5460.jpg	Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable, noting pronounced tortuosity of the descending thoracic aorta. Incidental note is made of mild s-shaped scoliosis. Surgical clips are seen projecting over the bilateral upper quadrants. There has been interval removal of an inferior approach swan-ganz catheter.	<unk>f with palpitations, lightheadedness
MIMIC-CXR-JPG/2.0.0/files/p13660676/s54664969/463443e5-ace59ef2-441e4f0c-ff2a8787-4673b7f7.jpg	MIMIC-CXR-JPG/2.0.0/files/p13660676/s54664969/629e03d3-5d82a791-3b519c9c-624775a5-4854025e.jpg	The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.	<unk>-year-old male with chest pressure. please evaluate for cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p14381389/s54580403/325b31f2-b848768c-4738ca0e-2d210a73-a5e3bdf7.jpg	null	Since the prior cxr performed yesterday afternoon, there has been interval removal of the right chest tube, pulmonary artery catheter, enteric tube and endotracheal tube. The right ij introducer is still in place. The bilateral small-to-moderate pleural effusions appear to have increased in size since yesterday. Hazy opacification of the right apex is likely due to layering of the right effusion, but resolution must be confirmed with follow-up chest radiographs. No pneumothorax. Stable cardiomediastinal silhouette.	<unk> year old woman s/p mvr and ct removal // r/o ptx
MIMIC-CXR-JPG/2.0.0/files/p12935838/s58676313/028a1039-cc8e3df0-469a4d20-ea2ac921-92929e40.jpg	null	In comparison with the study of <unk>, there again are low lung volumes with enlargement of the cardiac silhouette, pulmonary edema, bilateral pleural effusions, and compressive atelectasis at the bases. Little change in the position of the right ij catheter.	cardiac surgery.
MIMIC-CXR-JPG/2.0.0/files/p10019777/s55627966/e0e33b4a-58d195f6-f41f12ca-8f76cfde-f2d522b3.jpg	MIMIC-CXR-JPG/2.0.0/files/p10019777/s55627966/71b06a46-a5d3b039-950ce2b4-3863dd41-346d6cc6.jpg	In comparison to the prior chest radiograph, all lines and tubes have been removed. The bilateral lung aeration has improved dramatically. There is a small left pleural effusion. There is a subtle right basilar opacity. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen.	<unk> year old man with new dx pancreatic ca, massive gi bleed, being treated for ventilator assoc pna // eval for interval change
MIMIC-CXR-JPG/2.0.0/files/p13472364/s57866216/01a753b1-6f9ccfaf-692e4713-c2016097-741e92ec.jpg	MIMIC-CXR-JPG/2.0.0/files/p13472364/s57866216/61ed216b-5e6a45df-2dfbf107-5219bad6-da46c668.jpg	The lungs are well-expanded and clear. The cardiomediastinal hilar contours are unchanged. There is no pneumothorax, consolidation, or pleural effusion. A right port-a-cath ends in the right atrium.	history: <unk>m with fever cough cancer patient // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p16131849/s58104506/73281fe8-78976d53-c9b09af6-706f6e86-3d7f9df5.jpg	null	Left chest tubes remain in place, with persistent left apical pneumothorax, and a slightly improving basilar hydropneumothorax. Consolidative opacities in left mid and lower lung have also slightly improved. Right lung demonstrates upper lobe predominant emphysema and a nonspecific central right upper lobe opacity, likely corresponding to a region of possible scarring on prior ct of <unk>. Please see that report for complete description.
MIMIC-CXR-JPG/2.0.0/files/p16061694/s56285982/537cfb2c-f11a785a-4f181db3-0d71898e-6b695903.jpg	null	Multiple contiguous left rib fractures are again visualized. Moderate left hydropneumothorax is notable for increasing pleural fluid component compared to the recent study. Associated worsening atelectasis at the left lower lobe. Right lung and pleural surfaces are grossly clear.
MIMIC-CXR-JPG/2.0.0/files/p10365197/s58918212/5f5eab7e-f6a7a455-21d0160a-ad15b35c-10b0a4e2.jpg	null	As compared to the previous radiograph, the patient has received a new dobbhoff catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the proximal parts of the stomach. No evidence of complications, notably no pneumothorax. The other left picc line is in unchanged position. Unchanged mild fluid overload and a potential small left pleural effusion, unchanged bilateral areas of atelectasis. No new parenchymal opacities. Vertebral stabilization devices are in unchanged position.	multiple old and new acute injuries, dobbhoff placement.
MIMIC-CXR-JPG/2.0.0/files/p13319174/s59329292/25774b30-c388f5c8-29c5b1df-6e742437-e64ec858.jpg	MIMIC-CXR-JPG/2.0.0/files/p13319174/s59329292/9d29492d-e57da559-2600c723-d7f7087d-5edf9a4b.jpg	Pa and lateral chest radiograph demonstrates clear lungs without evidence to suggest pneumonia. There is no pleural effusion. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. There is no air under the right hemidiaphragm.	history: <unk>f with septic toe // preop
MIMIC-CXR-JPG/2.0.0/files/p12013634/s51409836/3c42d84c-0d4af47b-5f09933d-84b1cec8-9dfb28a4.jpg	null	Ap portable supine view of the chest. A right ij central venous catheter is seen with its tip in the upper svc. The endotracheal tube tip resides <num> cm above the carinal. The ng tube courses into the left upper abdomen. Otherwise, no change. No pneumothorax.	<unk>m with new r ij cvl // eval for cvl placement
MIMIC-CXR-JPG/2.0.0/files/p19735084/s58629092/0b6bcf32-7178220c-292db1bd-94c1e9f4-93b5b68d.jpg	MIMIC-CXR-JPG/2.0.0/files/p19735084/s58629092/f8f3652e-02f1211e-b053a47a-4610a983-abe03b84.jpg	As compared to the previous radiograph, one of the two post-procedural chest tubes on the right has been removed. The known pneumothorax, partially filled with fluid, is unchanged. However, the right lung is better expanded than on the previous image. Unchanged appearance of the cardiac silhouette and of the left lung.	lung cancer, status post drainage.
MIMIC-CXR-JPG/2.0.0/files/p15299235/s56357232/b4f47a89-44f27146-869ed69b-91286a4a-60229d09.jpg	MIMIC-CXR-JPG/2.0.0/files/p15299235/s56357232/e9581166-a56525be-569ae18e-e1f81e9b-298db17c.jpg	Cardiomediastinal contours are normal. Biapical pleural-parenchymal a scarring is unchanged. There is no pneumothorax or pleural effusion. Which shaped deformities in thoracic vertebral body is unchanged	<unk> year old woman with progressive dementia // ?old granulomatous disease
MIMIC-CXR-JPG/2.0.0/files/p14932888/s53692920/00628246-5de2100d-be970cd5-10fb67cd-b69b22ac.jpg	MIMIC-CXR-JPG/2.0.0/files/p14932888/s53692920/365406ed-4f87366b-5cf533b5-83660f34-abb0dacb.jpg	Hear size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.	asthma exacerbation last night with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p15803827/s52490684/dfc6a8ef-72401011-abee3c0a-766fcab5-61700633.jpg	MIMIC-CXR-JPG/2.0.0/files/p15803827/s52490684/6676fd99-2ff927be-69f28286-f1667911-e4fb5749.jpg	Right picc tip terminates in the lower svc. Heart size is normal. Mediastinal and hilar contours are unchanged. Linear scarring in the left apex is similar. Diffuse bronchiectasis is re- demonstrated with areas of lucency compatible with regions of air trapping, more so within the right lung compared to the left, better appreciated on the previous ct. Increased patchy opacities are noted within the left lung base, new from the previous study, findings which could reflect atelectasis but infection or aspiration cannot be excluded. Chain sutures are seen within the left lower lung field. There is no pleural effusion or pneumothorax. No acute osseous abnormalities detected.	history: <unk>m with extensive pulmonary history, bronchoscopy yesterday presents with shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p17132849/s55100059/0c15e088-8aa59a6a-3f20f642-be26aafa-41d79d60.jpg	null	Et and ng tube has been removed. Right ij catheter is unchanged and in standard position. Lung volume is moderate with interval improvement of lung ventilation due to improved atelectasis and pulmonary edema. Persistent small right lung base pleural effusion. Left lung base atelectasis and pleural effusion are unchanged. Stable moderate cardiomegaly. There is no pneumothorax.

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Pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unchanged since the prior study with stable mild cardiomegaly. There is no evidence of pneumonia, pleural effusion, pulmonary edema or pneumothorax.

<unk>-year-old female with chest pain. evaluation for infiltrate.

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Lungs are hyperinflated. Right basilar opacity is compatible with right lower lobe atelectasis and small effusion. Spiculated left lower lung mass is again noted. Right apical nodular density is also as on prior. The lungs are otherwise clear without new focal consolidation. Skin fold projects over the left lateral thoracic cavity mimicking a pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Calcific density inferior to the left glenohumeral joint suggests intra-articular body.

<unk>f with severe resp distress // eval for acute infection

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The patient has been extubated. Low lung volumes. There are sternotomy wires that appear intact and in appropriate alignment. There is a right ij with the tip in the low svc. Stable enlargement of the cardiac silhouette. Given the changes in inspiration, the lungs appear unchanged.

<unk> year old man s/p sob // eval for ptx

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The patient is status post median sternotomy with the second superior most sternal wire fractured. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified and tortuous. Battery packs overlie the bilateral upper chest.

history: <unk>m with confusion // eval for infiltrate / dbs wires

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A right-sided picc line terminates in the medial proximal right brachiocephalic vein. It probably terminates near the junction of the brachiocephalic vein and internal jugular vein. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. Trace bilateral pleural effusions are new. There is no pneumothorax. Upper to mid thoracic degenerative changes appear similar.

picc line placement.

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The lungs are clear. Cardiac and mediastinal contours are normal. There is no pleural effusion or pneumothorax. No acute fractures are identified.

fever of unknown source.

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<num> lead right-sided pacer device is seen with lead extending the expected positions of the right atrium right ventricle. The patient is rotated somewhat to the left. The cardiac silhouette is mildly enlarged. Aorta knob calcification is noted. There is slight prominence of the pulmonary artery and there may be a component of pulmonary arterial hypertension. Left base atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. Again noted right paratracheal opacity with leftward deviation of the trachea, can be seen with the enlarged right lobe of the thyroid.

history: <unk>f with cp // effusion? edema?

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Lines and tubes are unchanged from <unk>:<num> today. The cardiomediastinal and hilar contours are stable. An intra-aortic balloon pump is in satisfactory position. Lung volumes are low which accentuates bronchovascular markings. Given that, there is slightly increased pulmonary vascular congestion without frank edema. There is a small layering left pleural effusion. The right lung is clear.

<unk> year old man with cardiogenic shock // eval for interval change of ptx

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As compared to the previous radiograph, the line inserted over the left upper extremity has been moved forward. The frontal and the lateral radiograph show that the line is slightly coiled at the level of the lower right atrium. To ensure safe position within the superior vena cava, the line should be pulled back by approximately <num> cm. No complications, notably no pneumothorax.

myeloma, picc line placement.

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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

cough and low-grade fever.

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Frontal and lateral chest radiographs. Unremarkable cardiomediastinal and hilar contours. Stable right apical pleural thickening. Mild bronchovascular crowding in the lung bases due to low lung volumes. Otherwise, lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified.

gi bleed. evaluate for acute process.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. There has been interval removal of a right-sided chest tube. No pneumothorax is seen. There is a small left pleural effusion.

<unk> year old man with with right ptx s/p removal chest tube // please get cxr at <num>pm. please evaluate interval change

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Unchanged presence of a right pectoral port-a-cath. Unchanged low lung volumes and mild cardiomegaly. Parenchymal opacity in both lower lobes, already visible on the ct examination from <unk>, appear to have increased. They are now well appreciated on the lateral radiograph. In addition, a relatively important right basal plate-like atelectasis is seen. No pulmonary edema. No pneumothorax.

metastatic non-small cell lung cancer and pulmonary embolism. rule out pneumonia.

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There has been interval placement of a right pleural pigtail catheter. There is a persistent large right pneumothorax. Subcutaneous emphysema is also noted. The left lung is clear with suture material projecting over the apex. The cardiac silhouette is unchanged. No pleural effusion is identified.

<unk> year old man with right pleural pigtail catheter placement, evaluate placement.

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Single frontal view of the chest. Endotracheal tube terminates <num> cm above the carina. Nasogastric tube terminates in the stomach. Bilateral chest tubes are new since the prior radiograph. Lung volumes are very low. Right lung diffuse consolidation is consistent with lung contusions and slightly improved since the prior ct. Mild edema has also slightly improved. A small right pleural effusion is stable. Elevation of the right hemidiaphragm is similar to prior. No pneumothorax. Heart size and mediastinal contours are stable. Bilateral rib fractures are seen to better detail on recent ct.

status post motor vehicle collision with bilateral chest tubes.

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<num> views of the chest demonstrate mild bibasilar atelectasis with slightly hyperinflated lungs. The mediastinal contour is slightly prominent due to unfolding of the aorta. The cardiac size is normal and the hilar contours are within normal limits. No pneumothorax or pleural effusion.

wheezing and chest pain.

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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>m with history of cad, subacute chest pain over last week, intermittent shortness of breath. // widened mediastinum?

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Heart size is top normal. The mediastinal contour is normal. Right hilar prominence is stable and consistent with known lymphadenopathy seen on prior ct. Mild edema is stable. Small to moderate right pleural effusion is larger than the left. No focal consolidation or pneumothorax is seen. Emphysema is severe.

<unk> year old man with heart failure, dramatic <unk> edema, orthopnea // r/o pulm edema

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There has been interval intubation with the endotracheal tube tip terminating approximately <num> cm from the carina. The heart size remains moderately enlarged. Mediastinal contours are unchanged with the aorta appearing tortuous and likely dilated. Widening of the superior mediastinal contour also may in part be due to the presence of lymphadenopathy. Hazy opacifications of both lungs likely indicate the presence of moderate-sized layering bilateral pleural effusions. Bibasilar airspace opacities could reflect atelectasis, but infection is difficult to exclude. Peripheral wedge-shaped opacity in the left upper lung field is re- demonstrated. There appears to be mild pulmonary edema. Assessment for pneumothorax is limited on this supine exam though no large pneumothorax is detected.

history: <unk>m with endotrachial intubation

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In comparison with study of <unk>, the left chest tube has been removed and there is no convincing evidence of pneumothorax. Otherwise, little change.

chest tube removal.

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Frontal and lateral chest radiographs. The heart is markedly enlarged. Median sternotomy wires are intact. There are increased insterstitial markings as well as a focal confluent opacity in the right lower lung, which may represent chf with alveolar edema. However, there is no pleural effusion. No pneumothorax detected.

dyspnea and history of chf.

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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Normal size of the cardiac silhouette. Mild retrocardiac atelectasis. Hyperlucency in the lung apices, right more than left, suggesting severe pulmonary emphysema. No evidence of pleural effusions.

history of iv drug use, altered mental status.

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As compared to the previous radiograph, there is a newly appeared right basal parenchymal opacity, potentially with a central air content. The lesion is highly suspicious for either pneumonia or aspiration. In addition, there is blunting of the left costophrenic sinus, suggesting the presence of a small pleural effusion. Mild retrocardiac atelectasis. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician <unk>. <unk> was paged for notification. Otherwise, the radiograph is unchanged. Unchanged monitoring and support devices, unchanged appearance of the cardiac silhouette. Unchanged right hemithorax.

progressively worsening ventilatory requirement, evaluation.

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Compared to the prior chest radiographs, the large right pleural effusion is slightly smaller, but persistent. Substantial right middle and right lower lobe volume loss is similar to the prior study. Left lung is clear without focal consolidation, pleural effusion, or pneumothorax. Re-demonstration of a right clavicular fracture with overriding of the fracture fragments, as well as mild leftward curvature of the thoracic spine.

<unk> year old woman with decompensated cirrhosis with pleural effusion. evaluate for pleural effusion.

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Pa and lateral views of the chest demonstrate an opacity measuring approximately <num> cm overlying the fifth posterior rib which was present in <unk>, but was not present in <unk>. An additional opacity overlying the ninth rib is most likely a nipple shadow. Otherwise, the lungs are clear. Cardiac silhouette is normal. No pleural effusion or pneumothorax.

<unk>-year-old man with chronic cough on prednisone. question pneumonia.

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The lungs are clear besides mild right basilar atelectasis. There is no effusion, consolidation, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Right shoulder arthroplasty is seen.

<unk>f with p/w n/v chills // eval for pna

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In comparison with the study of <unk>, there is still enlargement of the cardiac silhouette with relatively normal or possibly minimally engorged pulmonary vessels. No acute focal pneumonia. Dobbhoff tube extends to the upper stomach, distal to the esophagogastric junction.

dobbhoff placement.

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The tip of the endotracheal tube has been pulled back and is now <num> cm from the carina, appropriately sited. The rest of the lines and tubes are unchanged. The heart size is within normal limits. There is a persistent left retrocardiac opacity. There is improved aeration at the right lung base. There remains some atelectasis in the right mid lung field. There are no pneumothoraces.

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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiomediastinal contours are normal. Hilar structures are unremarkable.

immunodeficiency with shortness of breath and speech change. evaluate for evidence of infection.

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Linear areas of atelectasis or scarring involving the bilateral mid to lower lungs are unchanged since <unk>. No new focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact.

<unk>m with anterior chest pain. evaluate for chf or other acute process.

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

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Frontal and lateral radiographs of the chest demonstrate asymmetric opacity at the left base which may correspond to left lower lobe pneumonia. The cardiomediastinal contours are normal. No pleural abnormality is detected.

fever, evaluate for pneumonia.

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Portable semi-upright frontal view of the chest. The endotracheal tube terminates <num> cm above the carina. An upper enteric tube ends in the mid portion of a non-distended stomach. There is right lower lobe atelectasis as well as opacities consistent with mild pulmonary edema. There is no pleural effusion or pneumothorax. Mild cardiomegaly is unchanged.

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Pa and lateral views of the chest. The lungs remain clear of consolidation. Calcified pleural plaques seen at the right lung base. Rounded density nodule projects over the left lung base on the frontal view. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Surgical clips seen in the left upper abdomen.

<unk>-year-old male with pointing to the neck and chest saying painful. hyperglycemia. dementia.

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The cardiac, mediastinal and hilar contours appear stable. Generalized opacification has improved somewhat suggesting reduction in fluid overload, but on this examination there is a developing opacity projecting over the right lower lung, probably in the right lower lobe. There is still a substantial nodular focus projecting over the left mid lung and possibly a second one projecting nearby. The right mid-to-lower lung is difficult to assess for any possible nodules.

worsening dyspnea.

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Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs remain clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.

shortness of breath with exertion.

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Left subclavian port-a-cath has tip ending in proximal right atrium. Lung volume is still low, but without consolidation or nodules. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.

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The cardiomediastinal silhouette is enlarged and pulmonary vessels are engorged, due to pulmonary edema. No large pleural effusions or focal consolidation concerning for pneumonia. Intact median sternotomy wires and mediastinal clips are unchanged.

<unk> year old man with tss with persistent hypoxia. ?interval changes

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Cardiac silhouette is upper limits of normal in size. Previously reported pulmonary edema has resolved. Interval improvement in bibasilar opacities which likely represented atelectasis, with residual opacities worse on the left than the right. Small bilateral pleural effusions are present, left greater than right, with questionable slight loculation laterally on the left.

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There is evidence of borderline cardiomegaly. Note is made of mild deviation of the trachea to the left, suggestive of an enlarged right thyroid lobe. The hilar and mediastinal contours are otherwise normal. The lungs are clear without evidence of focal consolidations concerning for infection. No pleural effusions or pneumothorax is identified.

history of chest pain. rule out intrathoracic cause of chest pain.

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Lines and tubes are grossly unchanged. The ng to cannot be traced through the lower most mediastinum due to underpenetration. The cardiomediastinal silhouette is unchanged. Extensive interstitial and alveolar opacity use in both lungs appear more confluent . Small effusions would be difficult to exclude. No pneumothorax detected.

<unk> year old man with gnr sepsis s/p cardiac arrest // interval change?

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Recently described opacity at left lung base has slightly decreased and may be due to improving pneumonia in the appropriate clinical setting. No new areas of consolidation have developed. Cardiomediastinal contours are stable in appearance, and tracheostomy tube remains in standard position.

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In comparison with study of <unk>, the central catheter has been pulled back to the level of the cavoatrial junction. Streaks of opacification at the left base most likely reflect atelectasis. No definite vascular congestion or acute pneumonia. Tracheostomy tube remains in place.

fever.

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As compared to the previous radiograph, the signs indicative of pulmonary edema have decreased and now barely present. Minimal atelectasis at the right lung base but no evidence of pneumonia. Unchanged mild cardiomegaly, no pleural effusions.

chronic heart failure, altered mental status. evaluation for pneumonia.

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Bibasilar rounded punctate opacities correspond of microcalcifications better characterized on the prior ct chest. There is no focal consolidation, pleural effusion or pneumothorax. There is no free air beneath the right hemidiaphragm. There has been pneumomediastinum. The heart size is normal.

<unk>m with gastroparesis, kidney panc transplant <unk> p/w nausea/vomiting, chest discomfort in setting of vomiting.

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Lung volumes are low causing crowding of the central bronchovascular structures. The heart size is normal given ap technique. There is no focal consolidation, pleural effusion or pneumothorax. Mild widening of the mediastinum to the right of midline is probably due to fat deposition.

<unk> year old male with altered mental status. please evaluate for pneumonia.

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Evaluation of the chest is somewhat limited due to marked patient rotation. A new area of consolidation has developed in the left mid-to-lower lung region, and could potentially represent an area of localized aspiration. Short-term followup radiographs may be helpful to exclude a developing focus of infection.

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In comparison with the study of <unk>, there are somewhat lower lung volumes in this patient who has undergone previous cabg procedure with intact midline sternal wires. The lungs are essentially clear without evidence of pulmonary edema or pleural effusion, though there is blunting of the left costophrenic angle that is essentially unchanged.

hypotension and subclavian bypass.

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Heart size is normal with mild unfolding of the thoracic aorta. Hilar contours are normal. Lungs are hyperinflated with increased biapical lucency and loss of architecture suggestive of emphysema. There is trace scarring in the right apex. There is no dense consolidation to suggest pneumonia. Pleural surfaces are clear without effusion or pneumothorax.

history of copd with desaturations.

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When compared to prior, there has been no significant interval change. Again seen are fibrotic changes throughout the lungs bilaterally compatible with patient's history. There is no superimposed consolidation to suggest infection. There is no effusion. Cardiomediastinal silhouette is within normal limits.

<unk>m pulm fibrosis, bronchiectasis presenting with cough, dyspnea, please eval for pna

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There are bibasilar opacities more conspicuous on the frontal view than on the lateral. There is no effusion. Superiorly, the lungs are clear. Slight cardiac enlargement is noted. No acute osseous abnormalities.

<unk>m with confusion // eval for infiltrate

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Moderate cardiomegaly is noted. There is no focal consolidation, effusion or pneumothorax. No convincing signs of pulmonary edema. Linear density in the left mid lung likely represent subsegmental atelectasis. The aorta is somewhat unfolded with faint calcifications along the aortic knob. The imaged osseous structures are intact. A mild scoliosis is noted.

<unk>-year-old female with dyspnea, wheezing, assess pneumonia, pulmonary edema or copd flare.

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Ap upright and lateral views of the chest provided. Lung volumes are low. Bronchovascular crowding limits assessment for mild pulmonary edema. There is no large effusion or pneumothorax. No focal consolidation concerning for pneumonia. The heart size appears top-normal likely due to technique. Chronic right posterior rib deformities again seen. No free air below the right hemidiaphragm.

<unk>m with hx endocarditis p/w altered mental status after using heroine today // r/o pneumonia

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As compared to the previous radiograph, there is unchanged evidence of a small basal right pneumothorax. The maximum of the small air collection is now located medially. There is blunting of the right costophrenic sinus, so that the presence of a minimal right pleural effusion cannot be excluded. The position of the endotracheal tube, the right chest tube and the nasogastric tube are unchanged. No evidence of tension.

pneumothorax from traumatic line placement. evaluation.

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Again noted is elevation of the right hemidiaphragm. The cardiac silhouette is unremarkable. Minimal atelectasis and scarring is noted at the left lung base. Right infrahilar opacity, is more pronounced than on prior examinations, which in the appropriate clinical context, could represent pneumonia. No pneumothorax or pleural effusion.

history: <unk>m with cp // evidence of pneumonia

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Ap upright and lateral views of the chest provided. Lung volumes are low. Allowing for low lung volumes, there is no convincing evidence for pneumonia or edema. There is mild left basal atelectasis noted. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>f with s/p mvc, c/o chest pain, r ankle pain. reassuring physical exam // eval ? traumatic injury

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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.

cough.

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The heart is mildly enlarged. Upper mediastinal contours are unremarkable. The thoracic aorta is densely calcified throughout. Lung volumes are low and there is bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax.

history: <unk>m with resolved right facial droop // eval for pna

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Right-sided port-a-cath is again seen with catheter terminating at the cavoatrial junction/lower svc. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Surgical clips are seen.

fever, on chemo.

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A orogastric and endotracheal tube are in appropriate position. Lung volumes are low with bibasilar atelectasis. There is a small left and possible trace right pleural effusion. There are no focal consolidations or overt pulmonary edema. The mediastinal and cardiac contours are within normal limits.

<unk>-year-old female with orogastric tube and endotracheal tube 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. Left-sided port-a-cath is seen, terminating in the low svc.

history: <unk>f with endometrial ca w/ <num> wk fatigue possible uti rlq pain // r/o pna, eval port placement

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As compared to the previous radiograph, the lung volumes have slightly decreased. Moderate cardiomegaly with retrocardiac atelectasis but no evidence of pneumonia or aspiration. No pleural effusions. The semicircular opacity projecting over the right hilus is less apparent than on the previous image.

osteomyelitis, status post bone biopsy, evaluation.

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There is mild cardiomegaly. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. Visualized osseous structures are grossly unremarkable.

<unk>-year-old female patient with hypertension, hyperlipidemia, presenting with chest pain.

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The heart is normal in size. The mediastinal and hilar contours appear unchanged with similar mild prominent of the main pulmonary artery contour. There is no pleural effusion or pneumothorax. Mild prominence of central interstitial opacities appears, if anything, decreased.

presyncope.

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Et tube and nasogastric tube is in standard placement. Right jugular line ends in the mid svc. Tip of the intra-aortic balloon pump below the lower margin of the left main bronchus along the left lateral vertebral body is approximately <num> cm from the aortic arch. Combination of severe bilateral lower lobe atelectasis and small to moderate pleural effusions has not changed over the past several days, but heart size remains enlarged and the component of pulmonary edema has largely cleared. No pneumothorax.

<unk> year old man with chf and mr <unk>/p mitraclip, intubated with iabp // position of iabp, et tube

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Et tube is unchanged with tip ending at <num> cm from the carina bifurcation. Ng tube is unchanged with tip not visualized but below the diaphragm. Right subclavian picc is still in place with tip ending in lower svc. <unk> catheter has been removed. Lung fields are well inflated with bibasilar opacities for atelectasis and right base small pleural effusion. Heart size is still mildly enlarged.

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The lungs are hyperexpanded and clear. No pleural effusion or pneumothorax. There are median sternotomy wires and clips projecting over the left mediastinum. The heart size is top normal.

<unk> year old man with sdh preop // preop surg: <unk> (craniotomy)

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The heart is mildly enlarged. The aorta is moderately tortuous. The pulmonary vasculature shows upper zone redistribution suggesting pulmonary venous hypertension, but no congestive heart failure. There is no pleural effusion or pneumothorax. Moderate anterior osteophyte formation and mild narrowings among several mid thoracic interspaces are noted.

chest pain.

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<num> frontal chest radiographs were obtained. There is no clear consolidation, although a <unk> x <num> mm opacity a in the left lower lobe could be the residual of infection. The nature of this nodule needs to be clarified. There is no pleural effusion, pneumothorax or pulmonary edema. The heart size is normal. Mild thickening of the right paratracheal stripe could be due to adenopathy.

<unk>-year-old female with recently diagnosed pneumonia, treated with antibiotics and steroids, presenting with ongoing chest tightness. evaluate for consolidation.

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As compared to prior examination, a left pleural effusion is minimally decreased, now small-moderate in size. There is adjacent linear opacities suggestive of atelectasis within left lower lobe. The left upper lung field and right lung are grossly clear. The silhouette is stable. Multiple, left rib fractures are again seen .

<unk> year old woman s/p fall with chest pain and dyspnea, afebrile and previous cxr concerning for empyema // effusion vs empyema vs pna; lat decub view if indicated

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Mild to moderate cardiomegaly is a stable. Pacer leads are in standard position. Right ij catheter tip projects over the confluence of the brachiocephalic and the superior vena cava. There is no pneumothorax. Small bilateral effusions are larger on the left side associated with adjacent atelectasis. Sternal wires are aligned. Patient is status post avr

<unk> year old man s/p tissue avr // predischarge eval

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No focal consolidation, pleural effusion or evidence of pneumothorax is seen. Cardiac, mediastinal, and hilar contours are stable. There is flattening of the diaphragm, suggesting chronic obstructive pulmonary disease.

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Portable ap chest radiograph. The lungs are clear, but the vascular pedicle and mediastinal vessels are engorged. There is no pleural effusion or pneumothorax. The heart size is top normal.

tachycardia and altered mental status.

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In comparison with the study of <unk>, there is little overall change. Continued opacification at the left base reflects soie combination of pleural fluid, atelectasis, and pneumonia. Remainder of the lungs show no evidence of consolidation. Stable mild cardiomegaly without evidence of vascular congestion or right effusion. Tracheostomy tube remains in place.

intracranial bleed with tracheostomy and bilateral pneumonia.

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Frontal and lateral views of the chest were obtained. Again seen is a rounded lesion in the lingula, which was fdg-avid on recent chest ct. Increased opacity at the left lung base is likely due to mediastinal fat. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is within normal limits. The mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified.

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Minimal linear opacity at the left lung base is likely atelectasis. No definite focal consolidation is identified. A tiny nodule projecting over the right medial lung base likely represents a vessel en face. There is no pleural effusion or pneumothorax.

<unk>m with left sided chest pain, cough // eval for pna, acute process

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In comparison with the study of <unk>, there are continued low lung volumes. There is mild enlargement of the cardiac silhouette with left ventricular configuration. Bilateral pleural effusions with compressive atelectasis persist. Poor definition of the left hemidiaphragm suggests substantial volume loss in the left lower lobe. Pulmonary vessels are somewhat ill-defined, suggesting some elevated pulmonary venous pressure.

fever.

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In comparison with study of <unk>, the monitoring and support devices are essentially unchanged. Patient has taken a much better inspiration. Minimal atelectatic changes are seen above the elevated right hemidiaphragm. No evidence of acute pneumonia or vascular congestion.

chest pain.

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There has been interval removal of a right-sided picc. Minimal left base atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

chills

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Interval removal of a conventional tracheostomy tube placement of a t-tube, unremarkable in position. Lungs are well-expanded without new focal opacity. Trace right pleural effusion is possible. No left pleural effusion. No pneumothorax. Heart size is top-normal. Bilateral pulmonary arteries are prominent, but unchanged. A left subclavian port and central venous catheter is unchanged in position, terminating near the superior cavoatrial junction.

<unk> year old woman with idiopathic subglottic stenosis status post multiple balloon dilatations, hypertension,type <num> diabetes, hypothyroidism, colorectal cancer s/p resected liver mets on folfox c<num>d<num>, now s/p t-tubeplacement. // evaluate t-tube place

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Single ap image through the chest demonstrates clear lungs bilaterally. No focal consolidation concerning for pneumonia is identified. Cardiomediastinal contours demonstrate top normal heart size. No evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Redemonstration of old rib fracture, right seventh rib.

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

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Ap upright and lateral views of the chest provided. Consolidation is seen in the right lower lobe posteriorly compatible with pneumonia. There is probably an associated small pleural effusion. Left lung is clear. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm is seen. There is prominent retrosternal clear space compatible with copd.

<unk>-year-old male with concern for sepsis, rule-out pneumonia as source. // pna?

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As compared to the previous radiograph, there is no relevant change. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No evidence of pleural effusions or parenchymal opacities. The course of the double-lumen right-sided catheter as well as its position is unchanged and correct.

aml, hickman catheter, evaluation of catheter position.

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Pa and lateral views of the chest were reviewed. Compared to the most recent prior, left lower lobe atelectasis and mild cardiomegaly are unchanged. Otherwise the lungs are clear and the mediastinal and pleural surfaces are normal.

all and blast crisis in a patient undergoing chemotherapy.

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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable, noting pronounced tortuosity of the descending thoracic aorta. Incidental note is made of mild s-shaped scoliosis. Surgical clips are seen projecting over the bilateral upper quadrants. There has been interval removal of an inferior approach swan-ganz catheter.

<unk>f with palpitations, lightheadedness

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

<unk>-year-old male with chest pressure. please evaluate for cardiopulmonary disease.

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Since the prior cxr performed yesterday afternoon, there has been interval removal of the right chest tube, pulmonary artery catheter, enteric tube and endotracheal tube. The right ij introducer is still in place. The bilateral small-to-moderate pleural effusions appear to have increased in size since yesterday. Hazy opacification of the right apex is likely due to layering of the right effusion, but resolution must be confirmed with follow-up chest radiographs. No pneumothorax. Stable cardiomediastinal silhouette.

<unk> year old woman s/p mvr and ct removal // r/o ptx

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In comparison with the study of <unk>, there again are low lung volumes with enlargement of the cardiac silhouette, pulmonary edema, bilateral pleural effusions, and compressive atelectasis at the bases. Little change in the position of the right ij catheter.

cardiac surgery.

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In comparison to the prior chest radiograph, all lines and tubes have been removed. The bilateral lung aeration has improved dramatically. There is a small left pleural effusion. There is a subtle right basilar opacity. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen.

<unk> year old man with new dx pancreatic ca, massive gi bleed, being treated for ventilator assoc pna // eval for interval change

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The lungs are well-expanded and clear. The cardiomediastinal hilar contours are unchanged. There is no pneumothorax, consolidation, or pleural effusion. A right port-a-cath ends in the right atrium.

history: <unk>m with fever cough cancer patient // r/o pna

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Left chest tubes remain in place, with persistent left apical pneumothorax, and a slightly improving basilar hydropneumothorax. Consolidative opacities in left mid and lower lung have also slightly improved. Right lung demonstrates upper lobe predominant emphysema and a nonspecific central right upper lobe opacity, likely corresponding to a region of possible scarring on prior ct of <unk>. Please see that report for complete description.

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Multiple contiguous left rib fractures are again visualized. Moderate left hydropneumothorax is notable for increasing pleural fluid component compared to the recent study. Associated worsening atelectasis at the left lower lobe. Right lung and pleural surfaces are grossly clear.

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As compared to the previous radiograph, the patient has received a new dobbhoff catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the proximal parts of the stomach. No evidence of complications, notably no pneumothorax. The other left picc line is in unchanged position. Unchanged mild fluid overload and a potential small left pleural effusion, unchanged bilateral areas of atelectasis. No new parenchymal opacities. Vertebral stabilization devices are in unchanged position.

multiple old and new acute injuries, dobbhoff placement.

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Pa and lateral chest radiograph demonstrates clear lungs without evidence to suggest pneumonia. There is no pleural effusion. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. There is no air under the right hemidiaphragm.

history: <unk>f with septic toe // preop

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Ap portable supine view of the chest. A right ij central venous catheter is seen with its tip in the upper svc. The endotracheal tube tip resides <num> cm above the carinal. The ng tube courses into the left upper abdomen. Otherwise, no change. No pneumothorax.

<unk>m with new r ij cvl // eval for cvl placement

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As compared to the previous radiograph, one of the two post-procedural chest tubes on the right has been removed. The known pneumothorax, partially filled with fluid, is unchanged. However, the right lung is better expanded than on the previous image. Unchanged appearance of the cardiac silhouette and of the left lung.

lung cancer, status post drainage.

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Cardiomediastinal contours are normal. Biapical pleural-parenchymal a scarring is unchanged. There is no pneumothorax or pleural effusion. Which shaped deformities in thoracic vertebral body is unchanged

<unk> year old woman with progressive dementia // ?old granulomatous disease

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Hear size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.

asthma exacerbation last night with chest pain.

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Right picc tip terminates in the lower svc. Heart size is normal. Mediastinal and hilar contours are unchanged. Linear scarring in the left apex is similar. Diffuse bronchiectasis is re- demonstrated with areas of lucency compatible with regions of air trapping, more so within the right lung compared to the left, better appreciated on the previous ct. Increased patchy opacities are noted within the left lung base, new from the previous study, findings which could reflect atelectasis but infection or aspiration cannot be excluded. Chain sutures are seen within the left lower lung field. There is no pleural effusion or pneumothorax. No acute osseous abnormalities detected.

history: <unk>m with extensive pulmonary history, bronchoscopy yesterday presents with shortness of breath

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Et and ng tube has been removed. Right ij catheter is unchanged and in standard position. Lung volume is moderate with interval improvement of lung ventilation due to improved atelectasis and pulmonary edema. Persistent small right lung base pleural effusion. Left lung base atelectasis and pleural effusion are unchanged. Stable moderate cardiomegaly. There is no pneumothorax.