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/p10127517/s51376634/c1b673c4-583bb501-f8cd62cb-2a682bf1-e29d8e8a.jpg	null	When compared to yesterday's exam, there has been no significant interval change. Enlarged cardiac silhouette and persistent right pleural effusion are noted.	<unk> year old man with chf, pleural effusions s/p <unk> // eval for interval change
MIMIC-CXR-JPG/2.0.0/files/p15204135/s57844492/842d83b3-45bc1447-3031b659-c551c0af-c1bfd427.jpg	MIMIC-CXR-JPG/2.0.0/files/p15204135/s57844492/dbc1f8d2-683e4d75-563a7258-9c8725dc-458ca918.jpg	Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Multiple clips are noted projecting over the left upper chest. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. There are no acute osseous abnormalities.	history: <unk>f with chest pain and palpitations. history of laparoscopic lung cancer removal <unk> year ago.
MIMIC-CXR-JPG/2.0.0/files/p12284340/s56076220/a963b4d3-08a45c35-d4c7c7a3-427526e0-b82f1a93.jpg	null	Ett is in standard position. An epidural catheter projects over the midline and mid thoracic vertebrae. Right-sided dual lead cardiac device appears intact with <num> tip in the right atrium and the other in the right ventricle. Right internal jugular venous catheter tip ends in the upper svc. No pneumothorax. Lung volumes are low. Retrocardiac opacity is unchanged. The heart size is normal. The mediastinum is not widened. No frank pulmonary edema or pleural effusion. Bilateral apical pleural thickening is overall unchanged.	<unk> year old man s/p aaa repair // eval for ett s/p reintubation
MIMIC-CXR-JPG/2.0.0/files/p14364701/s59175351/56633c6b-7b064fad-d482f163-6c40ae20-949ac9e8.jpg	null	The lungs are clear, no pulmonary edema or pneumonia. Heart size is normal. No pleural effusion or pneumothorax. Prior posterior cervical fusion.	<unk> year old woman w r hip fx, plan for or // pre-op exam surg: <unk> (r hip hemi )
MIMIC-CXR-JPG/2.0.0/files/p11880360/s52300561/7b208659-4f51aca3-7d1fb3a6-6b456e79-cfc2f0b4.jpg	null	Portable chest radiograph demonstrates unremarkable mediastinal and hilar contours. Heart size is mildly enlarged. Bilateral low lung volumes with hazy pulmonary vascualture suggesting mild pulmonary edema. No large pleural effusion or pneumothorax evident. Endotracheal tube is in a standard position. Nasogastric tube with tip below the diaphragm and crossing midline.	intubated status post seizure. please evaluate for tube placement.
MIMIC-CXR-JPG/2.0.0/files/p14711488/s56997748/f5d14158-4702a944-4089862b-4119bbdf-0be0c3f0.jpg	MIMIC-CXR-JPG/2.0.0/files/p14711488/s56997748/70077262-53e58a4c-d1cd9d0e-d1e1d746-f514b153.jpg	Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.	<unk>-year-old male found down, seizure in the emergency department.
MIMIC-CXR-JPG/2.0.0/files/p18466923/s56264555/624a0978-3ede0365-c49c4329-afc90c27-84722a66.jpg	MIMIC-CXR-JPG/2.0.0/files/p18466923/s56264555/75476c2d-021d5f1e-9e4e6137-d430bc38-7052ab14.jpg	The lungs are fully expanded and clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable.	<unk>f with blurry vision, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16227138/s50026596/b43f0881-d1dbbe3f-3183a29e-784ac8b8-eda99b4e.jpg	null	The heart size is mildly enlarged. There is cephalization of pulmonary vascular markings and vascular indistinctness compatible with mild pulmonary vascular congestion. Atherosclerotic calcifications are noted at the aortic knob. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen, and no focal consolidation is present. There is mild prominence of the hila bilaterally.	elevated white count, labile blood pressures.
MIMIC-CXR-JPG/2.0.0/files/p14221290/s58913282/fcd2e4a8-299316cf-249bec52-f154ec04-38acfbb5.jpg	null	No significant interval change. Lung volumes remain low bilaterally. No focal consolidation, pleural effusion, or pulmonary edema. The heart size is normal. Mediastinum and hila are within normal limits. An enteric tube traverses diaphragm with its tip ending in a non distended stomach.	<unk> year old man with fever secretions // ? pna
MIMIC-CXR-JPG/2.0.0/files/p13480812/s58333071/d498be9b-207afc8d-064bfb3f-cf5549eb-c1cb8459.jpg	MIMIC-CXR-JPG/2.0.0/files/p13480812/s58333071/96f69fec-1bbf142e-dbf14a36-e67119c0-7f561cc4.jpg	Pa and lateral chest radiographs were provided. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.	<unk>-year-old man with hiv, inhaled cocaine and meth with recent admission for question pneumonia versus chemical pneumonitis. presents with one day of productive cough. assess for new infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p11459120/s53847122/5f636a29-95a9300f-bdfd5b40-0355bbee-f2354129.jpg	MIMIC-CXR-JPG/2.0.0/files/p11459120/s53847122/1e453552-844b9cb2-69662671-7bc76204-a9a166bb.jpg	Focal opacities in the right upper lobe have mostly resolved. Background coarse lung markings appear unchanged and are suspected to represent airway inflammation or possibly vascular congestion, although vascular prominence has decreased substantially. This appearance is unchanged but most striking in posterior lower lobes. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. The pacer is seen overlying the left anterior chest with intact leads in appropriate positions. Atherosclerotic calcification is seen in the aortic arch.	history: <unk>f with intrascapular back pain, tender to palpation paraspinal region. // please evaluate for pneumonia, mediastinal changes to suggest intrathoracic cause of back pain
MIMIC-CXR-JPG/2.0.0/files/p18207623/s54928183/60e3e262-03789c74-86a8addc-69fc7f84-8f3aa0ca.jpg	null	Increased interstitial markings are seen as well as bilateral patchy alveolar opacities suggesting pulmonary edema. Bilateral pleural effusions are small but larger on the right than on the left and new since prior. Moderate cardiac enlargement is not dramatically changed. Prosthetic aortic valve and median sternotomy wires are noted. Atherosclerotic calcifications noted in the tortuous thoracic aorta.	<unk>f with doe x <num> day, resp distress // eval ? edema, infiltrate
MIMIC-CXR-JPG/2.0.0/files/p15365753/s58949017/f9c4e066-1f9a5e39-2293c5f3-c153607f-49f9dbda.jpg	null	Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. Increased interstitial markings and engorged pulmonary vasculature is consistent with moderate pulmonary edema. There are probable small bilateral pleural effusions. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.	<unk> year old woman with chronic dissection // eval for pleural effusions
MIMIC-CXR-JPG/2.0.0/files/p14836941/s58979433/1f0167b4-5fe2ca85-46c26196-ab9ef71d-72a335ed.jpg	MIMIC-CXR-JPG/2.0.0/files/p14836941/s58979433/a774b4ee-99a8d508-fecf2956-930401bf-89cbfec0.jpg	Re- demonstrated is gaseous distension of the colon with elevation of the left hemidiaphragm and overlying left base atelectasis. Low lung volumes persist. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	history: <unk>f with sob // eval for consolidation
MIMIC-CXR-JPG/2.0.0/files/p17930009/s59599409/a61cac6b-64a7b441-2bb80a58-396474ef-709958e6.jpg	MIMIC-CXR-JPG/2.0.0/files/p17930009/s59599409/b9e20eec-a66ce381-b95c12e2-9c80bfc1-e5b7230c.jpg	The right port-a-cath terminates in the lower svc near the superior caval atrial junction. There is no pneumothorax or pleural effusion. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia.	<unk> year old woman with metastatic pancreatic cancer. // assess port location.
MIMIC-CXR-JPG/2.0.0/files/p14888840/s51983880/0134cf8a-49480d68-00dab5aa-6198f03f-d6818346.jpg	MIMIC-CXR-JPG/2.0.0/files/p14888840/s51983880/8e678ca1-57760155-1bb20adc-9a9e62ed-d7f90b95.jpg	The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.	chest tightness with increased deep breathing.
MIMIC-CXR-JPG/2.0.0/files/p11699665/s57991815/cfe7520d-281ba977-e0389e2e-1669529b-00116cbc.jpg	MIMIC-CXR-JPG/2.0.0/files/p11699665/s57991815/692d4f4c-a2378ab1-81431d6a-9ba87b38-74adac21.jpg	In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Surgical clips in the right axilla are consistent with prior breast surgery, and there is a left breast prosthesis in place.	new onset dyspnea, to assess for congestive failure.
MIMIC-CXR-JPG/2.0.0/files/p15206209/s54073044/0b329453-0c653367-c5ca6e74-c75120b3-de225808.jpg	null	Left sided dual lead pacemaker device a appears intact and unchanged with <num> lead in the right atrium and the other in the right ventricle. Enteric tube tip traverses the hemidiaphragm and tip projects over the mid abdomen, and expected region of the stomach. Edema has improved in the interim. Otherwise, no significant interval change. Persistent, right greater than left pleural effusions with compressive atelectasis, overall unchanged given positional differences. No pneumothorax. Cardiomediastinal contours are unchanged. Aortic knob calcifications are moderate. Extensive, broad dextroconvex scoliosis of the thoracic spine with marked distortion of thoracic cage is unchanged. Incompletely visualized cervical spine fixation hardware is noted.	<unk> year old woman with copd and bilateral pleural effusions triggered for a. fib with rvr and sob. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p10624672/s54365504/555ecd7a-69f3295d-7bbf98d3-9615ac57-8fe32e16.jpg	MIMIC-CXR-JPG/2.0.0/files/p10624672/s54365504/e4099083-0734921d-1ec54877-33fdd106-46f97548.jpg	The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality. Small sliver of lucency seen just below the right hemidiaphragm is compatible with known free intraperitoneal air seen on recent ct abdomen.	<unk>m with perforated diverticulitis on ct // preop
MIMIC-CXR-JPG/2.0.0/files/p13638168/s57818406/8fd1c7ee-554f7683-0be4018f-f9aa555a-af6017fe.jpg	MIMIC-CXR-JPG/2.0.0/files/p13638168/s57818406/62c007f5-6da290b1-71d10ae1-2a138936-528c24c0.jpg	Low lung volumes cause bronchovascular crowding. A dual-chamber left pectoral pacemaker and its leads project in expected location. There is no focal consolidation pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. The aortic arch is heavily calcified. Relatively dense nodules in bilateral upper lobes likely represent granulomas or pleural and parenchymal scarring. Surgical clips are noted in the right upper quadrant.	<unk>m with fall, confusion, hx ppm in left thorax, evaluate for occult infection.
MIMIC-CXR-JPG/2.0.0/files/p10533175/s51646639/5fa7de5a-1428d7ee-574eb341-15d7a119-e094413f.jpg	null	As compared to the previous radiograph, there is an increase in extent of a left retrocardiac atelectasis. The extent of the right pre-existing pleural effusion is constant. Today's radiograph shows evidence of minimal blunting of the left costophrenic sinus, suggesting the presence of a left pleural effusion. Moreover, there is increasing opacity at the bases of the right upper lobe, concerning for developing pneumonia. The size of the cardiac silhouette is constant. There is unchanged position of the right pigtail catheter. At the time of observation and dictation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.	pleural effusion, embolization, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p16040458/s59459246/d28a2991-578787d9-22a23ec6-8a978b75-7cde7e07.jpg	MIMIC-CXR-JPG/2.0.0/files/p16040458/s59459246/3bb9e109-db413f3d-465a7b50-78ee2132-6a55f13b.jpg	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. In view of the larger inspiration, there is probably overall little change in the right basilar opacification. Two smaller opacities in the left mid lung are likely atelectasis. No pleural effusion or pneumothorax. Sclerotic bone lesions are again seen in the left humeral head and the thoracic spine.	<unk> year old man with metastatic prostate cancer, chills, cough, clear lungs on exam // infiltrate?
MIMIC-CXR-JPG/2.0.0/files/p14300144/s51581930/1ff949b3-c0342b6f-5ca8a966-66e9afca-a533bb5b.jpg	MIMIC-CXR-JPG/2.0.0/files/p14300144/s51581930/08ed43ef-653b1bbc-afb33aff-5e6dc471-df6e9971.jpg	Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. There is mild enlargement of cardiac silhouette. Mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is not engorged. Streaky opacities are seen within the lung bases bilaterally, which may reflect atelectasis. Infection however is not excluded. Previously noted pulmonary nodules on ct are not well assessed on the current exam. There is no pleural effusion, focal consolidation or pneumothorax. Mild degenerative changes are seen within the thoracic spine.	dyspnea, fever and right-sided chest pain.
MIMIC-CXR-JPG/2.0.0/files/p15161606/s56891100/90a45f49-14101163-fb3a3bf8-3ccba5a7-5a937924.jpg	MIMIC-CXR-JPG/2.0.0/files/p15161606/s56891100/343d7286-dde50d1e-a393e0d5-f9d18848-b05e4365.jpg	Interval removal of the right ij. No pneumothorax or subcutaneous emphysema. Mild pulmonary vascular congestion, slightly improved. Interval improvement in left lower lobe atelectasis. Stable small left pleural effusion. Stable prominent cardiomegaly and mediastinal contours. The two-lead cardiac device and sternotomy wires appear intact and unchanged in position. Incidental right clips from prior shoulder surgery appear intact. Incidental stable degenerative changes in the visualized thoracic spine.	<unk>-year-old man status-post cabg; predischarge evaluation.
MIMIC-CXR-JPG/2.0.0/files/p17069910/s50658336/a6788b3e-d55a1cb7-7a315191-8d69f8ba-783cfa3f.jpg	MIMIC-CXR-JPG/2.0.0/files/p17069910/s50658336/efe4bceb-3b8427fc-041b731f-a27ced1c-11a02283.jpg	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	history: <unk>f with cough // pna?
MIMIC-CXR-JPG/2.0.0/files/p17038950/s59798342/64563691-d27d909d-b8b0ad8f-ffc3a0c0-1a2744be.jpg	null	As compared to the previous radiograph, there is no relevant change. The left internal jugular vein catheter, the endotracheal tube and the right hemodialysis catheter are in unchanged position. Unchanged aortic ring calcifications. Unchanged low lung volumes, currently there are no signs indicative of pneumonia or fluid overload. No pneumothorax, no pleural effusions.	intubation for airway protection, evaluation of tubes and lines.
MIMIC-CXR-JPG/2.0.0/files/p17336284/s56052667/f0742b3e-7739710b-4e65b542-ac89fbd0-b18067bd.jpg	MIMIC-CXR-JPG/2.0.0/files/p17336284/s56052667/7f71ff5d-b656787e-910c6e3c-802e3dba-2d45162f.jpg	Left-sided aicd is similar and position. The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable. No pleural effusion or pneumothorax is seen. Streaky right base opacity is stable may represent scarring or overlap of vascular structures. No new focal consolidation is seen. Degenerative changes are seen along the spine.	history: <unk>f with dyspnea, wheezing // evaluate for pneumonia, chf, acute process
MIMIC-CXR-JPG/2.0.0/files/p14353753/s59303125/4e490925-8a5f5faf-1aa8818f-27d73f2d-7c621605.jpg	MIMIC-CXR-JPG/2.0.0/files/p14353753/s59303125/34be3318-58dfb90e-04769a2d-f073fade-53518e3e.jpg	Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic valve again noted. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures appear intact.	<unk>m with chest pain // ? ptx
MIMIC-CXR-JPG/2.0.0/files/p13564166/s52746957/1e5016d1-647ef1c0-9f28e789-a811d3e6-d4c94772.jpg	MIMIC-CXR-JPG/2.0.0/files/p13564166/s52746957/9890d7f6-fd030e01-ea4926b9-9fdd2bb9-27a951d5.jpg	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.	history: <unk>f with cp // pna
MIMIC-CXR-JPG/2.0.0/files/p12154957/s58380522/4aee1cbe-7a21fb74-4134494c-0ffd0c83-5c7b532f.jpg	MIMIC-CXR-JPG/2.0.0/files/p12154957/s58380522/bded1491-c7a4b925-5b0dc7c7-fccc0d81-750905d8.jpg	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hila contours. No displaced fracture is seen.	chest pain, epigastric pain going to back, hypertensive.
MIMIC-CXR-JPG/2.0.0/files/p10728419/s55608423/576f08ce-d9f2b9c8-bb429957-d1577ab8-274e2d09.jpg	MIMIC-CXR-JPG/2.0.0/files/p10728419/s55608423/8496a4da-1414ac3c-8eff518a-6664b83e-ad8735d4.jpg	Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present. Vp shunt catheter courses along the right anterior aspect of the chest and into the upper abdomen.	history: <unk>m with cough and dyspnea
MIMIC-CXR-JPG/2.0.0/files/p19115115/s50052325/ceddc3d8-da8a8ae9-71eab3ca-7cdf43dc-faeceb76.jpg	null	In comparison with the study of <unk>, there is little overall change. Cardiac silhouette is at the upper limits of normal in size with a left ventricular prominence configuration. Right central catheter again extends to the lower portion of the svc. No evidence of vascular congestion or pleural effusion. The basilar opacifications seen previously have almost completely disappeared.	fever, to assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19085966/s56941647/e5738c60-d8dc3605-be9b7409-a6349c31-071f8920.jpg	null	In comparison with the study of <unk>, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Low lung volumes may account for the increased prominence of pulmonary vessels, though there probably is some elevated pulmonary venous pressure. There is increased opacification at the left base with silhouetting of the hemidiaphragm. This is consistent with volume loss in the left lower lobe and probable pleural effusion. In the appropriate clinical setting, supervening pneumonia would have to also be considered.	mesenteric ischemia with et tube placement.
MIMIC-CXR-JPG/2.0.0/files/p14639442/s54023672/3176bd0b-751a4845-9b361421-20c071d5-1a60f7e5.jpg	MIMIC-CXR-JPG/2.0.0/files/p14639442/s54023672/f17e9084-53d20e05-80b0764d-6c9d54a2-f0c576e0.jpg	Pa and lateral views of the chest. There is no evidence of pneumothorax or rib fracture. The heart, mediastinum, hilar, and pleural surfaces are normal. There is left lower lobe linear opacities consistent with atelectasis.	acute onset right chest pain while lifting log, evaluate for pneumothorax or fracture.
MIMIC-CXR-JPG/2.0.0/files/p17673557/s51913439/6c942feb-0880eb96-cb5853ae-edbc7f2f-a363dfc1.jpg	MIMIC-CXR-JPG/2.0.0/files/p17673557/s51913439/19e0deba-d57d2cd5-4858dbdf-16d86f86-72827a46.jpg	An interstitial abnormality, most pronounced in the left midlung zone suggestive of a chronic interstitial lung disease. Clips are present overlying the left scapula. The cardiomediastinal silhouette is notable for calcifications of the aortic knob and a dilated ascending aorta. A small pneumomediastinum, present on a chest ct <unk> is not visible on today's study; if still present, it has not enlarged.there is no pleural effusion or pneumothorax. The imaged upper abdomen is unremarkable. Vascular clips denote prior left axillary surgery and the configuration of the soft tissues of the chest wall suggest prior mastectomy. Although no fracture is seen, conventional chest radiographs are not sensitive for detection of chest cage trauma. Regions where there are focal findings of possible trauma should be clearly marked and imaged with bone detail views.	history: <unk>f with s/p fall please r/o fx // fx? additional history: esophageal perforation.
MIMIC-CXR-JPG/2.0.0/files/p18793287/s56497724/2d37d028-f95d738d-1e02fdfc-4461ec0f-76f21aad.jpg	null	Patient is somewhat rotated. There are patchy areas of opacity bilaterally which could relate to chronic lung disease. Underlying infection, chronic aspiration, or less likely pulmonary edema not excluded. There is elevation of the right hemidiaphragm. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. The aorta is tortuous.	history: <unk>f with new hypoxia. intracranial hemorrhage // eval for aspiration
MIMIC-CXR-JPG/2.0.0/files/p17445268/s54927063/5b51d7be-92e965bf-1a1ae1ce-c96ef875-4a58aab2.jpg	null	In comparison with the study of <unk>, the tip of the endotracheal tube is at the lower clavicular level, approximately <num> cm above the carina. Nasogastric tube extends well into the stomach. Bibasilar opacification persists with blunting of the costophrenic angles and mild elevation of pulmonary venous pressure.	for et tube placement.
MIMIC-CXR-JPG/2.0.0/files/p19454724/s56429053/64fb6c9b-b9d49f57-84c4ac2f-799a4ed0-bd56661d.jpg	null	As compared to the previous radiograph, there is no relevant change. The known left pleural effusion might have minimally increased in extent. The monitoring and support devices and other parenchymal changes as well as the known displaced fractures are constant in appearance.	motor vehicle accident, evaluation for fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p16798209/s59130111/929a553a-7260be66-c453136d-8e4b7b12-b5394c70.jpg	null	Supine portable view of the chest demonstrates a right internal jugular catheter with tip projecting over mid svc. No pneumothorax. Endotracheal and orogastric tubes are appropriately positioned, unchanged. Low lung volumes. Slight blunting of costophrenic angles, compatible with small trace pleural effusions. There are bilateral diffuse confluent airspace opacities, right greater than left, slightly worse in the interval. There is thickening of the right minor fissure. Heart size is normal. Hilar and mediastinal silhouettes are unchanged.	right internal jugular line placement.
MIMIC-CXR-JPG/2.0.0/files/p12169678/s55457809/963d27b5-2c6b7b0d-d85c2631-7464d44e-7ae36ef9.jpg	null	A right parasternal port-a-cath is again noted with its catheter extending into the right subclavian vein and its tip in the region of the mid to low svc. There is new airspace consolidation in the right lower lung which is concerning for pneumonia. Also noted, is increased opacity in the right upper lobe which could represent pneumonia. Extensive pulmonary nodules as seen on prior ct again noted consistent with endometrial cancer metastasis. There is likely a small right pleural effusion. Cardiomediastinal silhouette appears stable. No pneumothorax. Bony structures are intact. Bilateral percutaneous nephrostomy catheters are noted. Hardware partially noted in the lumbar spine.	<unk>f with hypoxia, endometrial cancer // eval for pna, ptx
MIMIC-CXR-JPG/2.0.0/files/p17080143/s57007763/0256325b-599d7e3f-315c0911-45a20707-4921326c.jpg	MIMIC-CXR-JPG/2.0.0/files/p17080143/s57007763/62046273-026f2610-516b38b4-461e1cb9-260d6340.jpg	The heart is enlarged. There is a small right pleural effusion and a small-to-moderate left pleural effusion. Calcified lymph nodes are seen in the right hilum. Otherwise, the hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no focal consolidations. There is no pneumothorax. A left-sided double-lumen dialysis catheter is seen with the tip in the right atrium.	<unk>-year-old female patient with history of chf, end-stage renal disease on dialysis. study requested for evaluation of cardiomegaly, pleural effusion and/or infiltration.
MIMIC-CXR-JPG/2.0.0/files/p12411890/s54065170/ec7d28b4-85d5ebde-78174c1d-e5004c95-bc19cbbc.jpg	null	Right ij catheter ends in the approximate region of the cavoatrial junction. No pneumothorax or pleural effusion. The heart is mildly enlarged, increased from the prior exam. There is mild cardiac vascular congestion, new from the prior exam. No focal consolidation. The lungs are clear.	<unk> year old woman s/p kidney transplant, cvl placementl // ? pnx
MIMIC-CXR-JPG/2.0.0/files/p10151713/s54885877/d2698e07-8489c58c-36fea134-e472c5ec-9670612e.jpg	MIMIC-CXR-JPG/2.0.0/files/p10151713/s54885877/9dab7e3f-6e9bc29d-61bc9a17-8689844b-8f8cfbaf.jpg	The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.	<unk>-year-old female with fatigue and dizziness.
MIMIC-CXR-JPG/2.0.0/files/p14709655/s51097188/3dc8d173-3fbe298f-be5f3ea8-cf1b7bf6-2c9159ee.jpg	MIMIC-CXR-JPG/2.0.0/files/p14709655/s51097188/1126bc67-cb69629f-4ff9b337-bf3f104e-fc039bb7.jpg	In comparison with the study of <unk>, the cardiac silhouette is unchanged. No definite vascular congestion or pleural effusion. Minimal bibasilar atelectatic changes without convincing evidence of supervening pneumonia.	symptoms suggesting pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18294701/s50694317/aab514b1-6b3a8259-8c7297ec-49697452-609cb666.jpg	MIMIC-CXR-JPG/2.0.0/files/p18294701/s50694317/aba00d84-6b8b7415-6e5e1c21-e47f81e3-4ad4a719.jpg	The heart is mildly enlarged. Each hilum shows fullness with upper zone redistribution of pulmonary vasculature and hazy predominantly central opacification suggesting mild pulmonary edema. There is no pleural effusion or pneumothorax.	weakness and fatigue.
MIMIC-CXR-JPG/2.0.0/files/p10253747/s57386693/04d640cf-b09e310e-eba0c772-c3c6dc64-2ee1d25d.jpg	MIMIC-CXR-JPG/2.0.0/files/p10253747/s57386693/ee41187c-ceddf45e-92d7f7a1-e18eebc7-27c8f9a4.jpg	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	history: <unk>m with etoh cirrhosis here with lightheadedness
MIMIC-CXR-JPG/2.0.0/files/p15767642/s52567873/5cee46c2-30826e88-425e9a23-1f5e236b-e50fb637.jpg	null	Single frontal view of the chest. Severe thoracic dextroscoliosis is similar to prior with a stable appearance of mild cardiomegaly and mediastinal contours. Interstitial markings are diffusely increased with mild cephalization of vessels, consistent with mild pulmonary edema. Ill-defined bilateral lower lung opacities are nonspecific and could represent atelectasis or infection. No pneumothorax or substantial pleural effusion.	shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p17100571/s50000854/39087390-9be0f531-bb438f01-ffc75aff-3fda8cfa.jpg	null	Compared to the study from the prior day there has been some interval improvement in aeration at the left base. The et tube and left subclavian line are unchanged. The ng tube is unchanged.	et tube.
MIMIC-CXR-JPG/2.0.0/files/p15379840/s53617229/ed2dc4ae-c38971d7-6673de92-df8e229c-d40f258a.jpg	MIMIC-CXR-JPG/2.0.0/files/p15379840/s53617229/d4d2f6c0-25046277-cd5c7295-763090aa-746883de.jpg	Right upper lobe volume loss is responsible for marked elevation of the right hilus. This could well be scarring, but should be evaluated by comparison to prior chest radiographs to see if there is any need to investigate possible bronchial obstruction. Lungs are otherwise clear. Cardiomediastinal and left hilar silhouettes are normal. There is no pleural effusion.	<unk>f with ams // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p17058654/s55049834/199fca52-3723b087-ac8a2941-22840909-ae502a09.jpg	null	As compared to the prior examination dated <unk>, there has been interval increased opacification of the entire right lung. Interval progression of bilateral airspace opacities and now moderate pulmonary edema. Multiple calcified pulmonary nodules, including a <num> cm right upper lobe nodule, are stable and better assessed on ct. Small, bilateral pleural effusions are stable. The patient is status post median sternotomy, and moderate cardiomegaly is noted. Right ij line terminates at the cavoatrial junction.	<unk> year old woman with gi bleed and nstemi, now s/p prolonged intubation // r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17675880/s53109254/ba3ad924-98ae91da-87213ed3-8ab7d739-2bd2b902.jpg	null	There is a consolidation of the right lower lobe, with a more patchy opacity in the mid lung field accompanied by a moderate pleural effusion in this side. The right hemidiaphragm is obscured but the right heart border is well defined. There is a patchy opacity also in the left lower lung field, but no blunting of the left costophrenic angle. There is stable moderate cardiomegaly with bilateral hilar prominence and vascular upper redistribution. The mediastinal contour is unremarkable and there is no pneumothorax. A pacemaker generator is noted in the left axilla with the leads ending in expected positions in the right atrium and right ventricle.	<unk>-year-old man with dyspnea. evaluate for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11900721/s52224551/f86e49bd-1d59ea6d-3f2b9ba5-6c3e79b1-3e396257.jpg	null	Ap view of the chest provided. Ng tube has turned in the mid esophagus and courses cephalad, terminating likely in the oropharynx. Endotracheal tube and hemodialysis line are in unchanged positions. The left hemidiaphgram is obscured, likely from atelectasis. There is hazy opacity overlying the hemidiaphragm, reflective of layering pleural effusion and loss of lung volume. Mild pulmonary vascular congestion is again seen. A heart size is stably enlarged.	<unk> year old woman with new ngt
MIMIC-CXR-JPG/2.0.0/files/p15278197/s57045489/e5bd3197-f72c6672-92faefa6-459a19d8-26faa460.jpg	MIMIC-CXR-JPG/2.0.0/files/p15278197/s57045489/21165ef5-eba895b5-24dc84d3-275da2ae-823d2b9d.jpg	The lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Heart is normal size. Aorta is tortuous, unchanged. Hilar contours are unremarkable. Sternotomy wires are present. No radiopaque prosthetic valves noted.	pre mri, evaluate for metallic valves.
MIMIC-CXR-JPG/2.0.0/files/p17956532/s51351004/2bbd45c8-954e016a-3bf3d628-001e206a-f06d7097.jpg	MIMIC-CXR-JPG/2.0.0/files/p17956532/s51351004/da3ddccc-5953d1d4-592f7d44-9317bd92-56524ea7.jpg	Frontal and lateral views of the chest were obtained. The heart is of top normal size. Cardiomediastinal contours are unremarkable. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign bodies.	<unk>-year-old female with increasing confusion. rule out acute process.
MIMIC-CXR-JPG/2.0.0/files/p19641005/s57693481/e5fc0e71-781d845c-97f37930-36ed78c7-5672bfa5.jpg	null	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No visualized free intraperitoneal air.	<unk>m with tachycardia to <num>s, abd pain // eval ? free air, intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p17600369/s57260862/2cd3468a-d74be536-b0ded687-efd4c1d9-8d9b3a83.jpg	null	In comparison with the study of <unk>, the chest tube has been removed and there is no evidence of pneumothorax. Right swan-ganz catheter has been pulled back and there is a right ij sheath is in place. Endotracheal tube and nasogastric tube remain in position. Bibasilar opacification persists. The position of the heart with respect to the midline suggests some substantial volume loss in the left lower lobe.	chest tube removal, to assess for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14953396/s53485232/bcb6053f-e827b512-d9980366-ce0465d7-da669711.jpg	null	A frontal upright view of the chest was obtained portably. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is mild bibasilar atelectasis. No free air is seen in the diaphragm. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute fracture is identified. Bilateral symmetric <num> cm opacities projecting over the lower lung fields bilaterally are likely nipple shadows.
MIMIC-CXR-JPG/2.0.0/files/p10418908/s59040720/5b702896-ad643937-16ddfc3c-8c6c91c8-62c53e3e.jpg	MIMIC-CXR-JPG/2.0.0/files/p10418908/s59040720/1ea67e73-51729f8b-ccb9b855-bbde1f63-d220f4a7.jpg	Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.	<unk> year old man with new doe // any explanation for doe on cxr?
MIMIC-CXR-JPG/2.0.0/files/p11554870/s52736712/a3f54952-25ff073b-ad33789a-117edb50-b4ad2991.jpg	null	Interval removal of endotracheal tube. Stable cardiomegaly. Improved pulmonary vascular congestion. Slight worsening of right basilar opacity and development of patchy left retrocardiac opacity. Differential diagnosis includes atelectasis, aspiration and developing pneumonia. Small left pleural effusion has slightly increased in size.
MIMIC-CXR-JPG/2.0.0/files/p10001401/s57492692/a83c7ff9-2d42639c-6ddebd0e-6b67809b-38210026.jpg	null	Ng tube is coiled in the stomach. Right picc in lower svc is unchanged in position. Cardiac size is normal. Mild bibasilar opacities consistent with atelectasis, unchanged compared to chest radiograph performed earlier in the same day. There is no pneumothorax or pleural effusion.	<unk> year old woman with ngt re-placed // assess for ngt placement, interval change
MIMIC-CXR-JPG/2.0.0/files/p10827966/s52440513/5682857e-c6f81829-058e1800-b0d19667-29d16b42.jpg	MIMIC-CXR-JPG/2.0.0/files/p10827966/s52440513/810e1393-53ec8627-92ae18ea-795e4ffd-3e3f319f.jpg	There has been interval removal in previously seen left-sided central venous catheter.there are low lung volumes. Left lower lobe opacity could be due to pneumonia and/ or atelectasis. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.	history: <unk>f with chest pressure and sob beginning while walking in the mall. // consolidation or other acute process
MIMIC-CXR-JPG/2.0.0/files/p13189376/s54508503/83fb8079-2a8bbdf9-f9c98b73-f7132e82-42a0cd43.jpg	null	Compared to the prior chest radiographs, pulmonary vascular congestion and pulmonary edema have increased. New confluent opacities, right greater than left, lower lobes, with probable small bilateral effusions. No pneumothorax. Mild cardiomegaly is unchanged.	<unk>-year-old man with difficulty breathing. evaluate for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10695742/s56058115/7777de55-f6a73a82-cbb716fc-6a9505f7-a4b7ba53.jpg	null	In comparison with the study of <unk> from an outside facility, there is little overall change in the appearance of a patient who has undergone previous cabg procedure and has sternal wires with the third from the top showing a discontinuity. Cardiac silhouette is mildly enlarged. Opacification at the left base is consistent with some volume loss in the left lower lobe and possible small effusion.	cough with possible aspiration.
MIMIC-CXR-JPG/2.0.0/files/p15003327/s53224324/1607c1b7-b44411e8-3407aa67-0a41b5ed-06d5f461.jpg	MIMIC-CXR-JPG/2.0.0/files/p15003327/s53224324/ad5e4487-e6fbe963-22e496e2-20565753-781e7cfc.jpg	A left pectoral pacer and dual leads are new from the prior examination and appear in the expected position. Median sternotomy wires are stable. The heart is top-normal in size but stable from the prior examination. The hilar contours are within normal limits. There is a small right pleural effusion. No focal consolidation or pneumothorax is identified.	<unk> year old man with av block s/p dual chamber pacemaker. // rule out pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p11516775/s59501634/2ca6233b-1b984826-316a624f-7b1c4087-a0a8535b.jpg	null	Lungs are clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is normal. There is no free intraperitoneal air. No acute osseous abnormalities.	<unk>f with epigastric pain, h/o nephrolithiasis. s/p cholecystitis // assess for nephrolithiasis
MIMIC-CXR-JPG/2.0.0/files/p16297607/s51961156/bd3f3cfd-a811f9f2-81fe4f04-755fcf46-c329b2d4.jpg	MIMIC-CXR-JPG/2.0.0/files/p16297607/s51961156/71018d7d-b5939c80-75fdeca7-60446e96-cdb63654.jpg	Mild cardiomegaly is stable. The hilar and mediastinal contours are within normal limits. A vague opacity projecting over the left first costo sternal junction could be sclerosis of those structures but to exclude a small lung nodule lordotic view of the chest is recommended. The lungs are otherwise clear. There is no focal consolidation, pleural effusion or pneumothorax.	history: <unk>f with history of worsening shoulder pain x <num> weeks // please eval for fx, dislocation
MIMIC-CXR-JPG/2.0.0/files/p18295542/s57376120/772f335d-f228cbb9-fdf01385-7f581861-0dda6d3a.jpg	null	Tracheostomy tube is unchanged in position. A right-sided picc line is unchanged in position with the tip overlying the upper svc. The moderate to large left pneumothorax has increased in size from the preceding chest radiographs, now with a basal component (previously only apical). A left pleural effusion is decreased in size from the preceding study. Known emphysema is unchanged. The cardiac silhouette is top normal in size. The hilar and mediastinal contours are stable. A peg tube is noted in the left upper abdomen. Large retrocardiac atelectasis is unchanged.	<unk>-year-old female with copd and recurrent pneumonia complicated by pneumothorax status post pleurodesis and chest tube removal, here to reassess for interval changes.
MIMIC-CXR-JPG/2.0.0/files/p11587177/s58124709/8e609281-969e4c0f-cf7c9dec-5770cbc5-84246b1f.jpg	null	Moderate cardiomegaly is stable. Mediastinal and hilar contours are unchanged. There is no pneumothorax or large pleural effusion. Elevation of the right hemidiaphragm is chronic. Slightly lower lung volumes than on the most recent prior study may account for bronchovascular crowding at the lung bases. No focal consolidation concerning for pneumonia is seen. There is no pulmonary edema.	hypoxia, query chf or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13069997/s58160771/7f8503f6-272055e9-ffbc0b05-2736ec4d-8c16cfa9.jpg	MIMIC-CXR-JPG/2.0.0/files/p13069997/s58160771/052098e0-37f72411-c8a48889-5ab827ca-f1464713.jpg	Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	<unk>m with atypical chest pain // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p19972440/s55795374/44936ff4-64fea189-5bf74375-82f12b4a-698ea991.jpg	MIMIC-CXR-JPG/2.0.0/files/p19972440/s55795374/568fac72-1f9107b0-a4cd669a-2e2e50ae-9eac01eb.jpg	The cardiac, mediastinal and hilar contours appear stable. The aorta is again mildly tortuous. There is no pleural effusion or pneumothorax. The lungs appear clear. The patient is status post anterior cervical fusion. The usual kyphotic curvature of the lower thoracic spine is straightened. Mid thoracic interspaces are mildly narrowed.	several weeks of chest pressure.
MIMIC-CXR-JPG/2.0.0/files/p13462147/s59677601/1f0940c5-377686bf-b25bb0d6-cd25f358-1316a157.jpg	MIMIC-CXR-JPG/2.0.0/files/p13462147/s59677601/331164b5-f50320d8-f0d6ff04-7be44989-ab4799b9.jpg	The lungs are well expanded and clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The visualized osseous structures are unremarkable.	persistent cough.
MIMIC-CXR-JPG/2.0.0/files/p12135489/s59643204/2d69f74e-36f8da3a-383dc92b-f51c09b0-a54d42e0.jpg	null	In comparison with the study of <unk>, the patient has taken a slightly better inspiration. There is similar or even increasing opacification at the left base, consistent with pleural effusion and underlying atelectasis. Cardiac silhouette remains at the upper limits of normal size, though there is no evidence of vascular congestion.	trauma, to assess for change in pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16604754/s58451780/a9af51ab-47588895-617bae1a-b4c41b1c-8cbdffac.jpg	MIMIC-CXR-JPG/2.0.0/files/p16604754/s58451780/f6448630-46e22e57-a60d62f0-85d14d80-3c911435.jpg	Frontal and lateral chest radiograph demonstrates new left pectorally placed dual chamber pacemaker with intact leads following the expected course to the right atrium and ventricle in appropriate position. There is no pneumothorax. The lungs are well expanded and clear. There is no pleural effusion. The cardiomediastinal and hilar contours are within normal limits.	<unk>-year-old male with recent dual-chamber pacemaker.
MIMIC-CXR-JPG/2.0.0/files/p14330416/s57561335/63435ba4-c7ab1d6b-dc1e943d-ff48198b-b091ac3b.jpg	MIMIC-CXR-JPG/2.0.0/files/p14330416/s57561335/4001643c-80f905cd-623c743f-38d60056-0020f37b.jpg	As compared to the previous radiograph, the left chest tube is now on waterseal. However, no left pneumothorax can be detected. No evidence of tension. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma.	chest tube on waterseal, evaluation for resolution of left pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10452634/s58837458/ad9809f3-0e1a7d8d-b573a7f4-2c15c11e-7008fcad.jpg	null	The previously noted endotracheal tube has since been removed. Previously noted left-sided chest tube appear stable in position. Lucency is noted overlying the left diaphragm and suggestive of small left pneumothorax. Previously noted left-sided opacity persists and likely represents a combination of previously noted left hemothorax as well as adjacent atelectasis/trauma in the region of the chest tube. There are now increased right basilar opacities which may represent atelectasis/new developing infectious process.	stab wound to the chest with left-sided pneumothorax, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p15434807/s58504713/09c992e0-76cf817f-538688a6-d619f42b-eabe7c46.jpg	MIMIC-CXR-JPG/2.0.0/files/p15434807/s58504713/0f358502-0b192f78-2dafe1a7-cc18e6d6-3a063bcb.jpg	Lung volumes are low, accounting for some bronchovascular crowding. No focal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.	<unk>-year-old male with vomiting and throat pain. evaluate for evidence of pneumothorax or pneumomediastinum.
MIMIC-CXR-JPG/2.0.0/files/p19948788/s54253734/ea0a160b-7c91e8f4-5545030e-b3422a56-e9856a27.jpg	MIMIC-CXR-JPG/2.0.0/files/p19948788/s54253734/cad06bc7-f8988b05-575736c4-411adda6-e5a11142.jpg	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Please note that tiny millimetric pulmonary nodules seen on prior ct are better assessed on ct.	shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p10609078/s50216678/c9242bf7-41832c15-0eda00ae-1a6c0da5-adeb3472.jpg	MIMIC-CXR-JPG/2.0.0/files/p10609078/s50216678/e25fb531-259ab214-efe60adc-9bb856aa-afc890be.jpg	The cardiomediastinal and hilar contours are within normal limits. There is prominence of the hilar vasculature without pulmonary edema. Patchy opacity at the right base likely reflect atelectasis, although infection/aspiration should also be considered. Multiple nodular opacities are not well appreciated and are are better characterized on recent ct from <unk>. There is no evidence of pleural effusion or pneumothorax.	history: <unk>m with new onset ascites and sob // eval for pulm edema
MIMIC-CXR-JPG/2.0.0/files/p13049990/s55625985/96e64325-c25ac69d-cd0afa72-39d56781-39cc5fd6.jpg	MIMIC-CXR-JPG/2.0.0/files/p13049990/s55625985/c1a5c726-81899e87-119a4cad-2a69690f-2998df3b.jpg	The lungs are clear. The cardiomediastinal silhouette is normal. Coronary artery stents are noted. No acute osseous abnormalities identified.	<unk>m with chest pain, dizziness, fatigue // eval heart and lungs
MIMIC-CXR-JPG/2.0.0/files/p17057667/s52472374/4f4fa207-a8e3cbbb-3e927a85-788c3c46-2d81ad76.jpg	MIMIC-CXR-JPG/2.0.0/files/p17057667/s52472374/bd7900e5-00483bdf-d2a9dfe8-c89c0137-e8480f31.jpg	As compared to the previous radiograph, the extent, distribution, and severity of the pre-existing interstitial changes have increased. As a consequence, the lung volumes have decreased. Increase is particularly obvious at both lung bases and at the level of the left hemithorax. Borderline size of the cardiac silhouette. No other relevant changes.	dyspnea, interstitial lung disease.
MIMIC-CXR-JPG/2.0.0/files/p13991458/s56529679/0054e6c4-2f0f928c-f3eaa27d-3f6e9fd9-d2785e84.jpg	null	On chest ct <unk>, bilateral consolidation and ground-glass opacities were mostly compatible with pneumonia. Severe widespread ground glass opacities and consolidations progressed on latest chest x-ray done today at <time> p.m. This chest x-ray was done two hours after the most recent prior and there is improvement of bilateral opacities. Considering the rapid evolution of these opacities, pulmonary edema is the most likely diagnosis. The residual pulmonary edema is moderate. Bibasilar consolidations as shown on ct are compatible with pneumonia. Et tube ends <num> cm above carina. Ng tube is in the stomach. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal.	patient with hypoxic respiratory failure.
MIMIC-CXR-JPG/2.0.0/files/p12135489/s54882431/b0f347ee-12e4c5d2-080c01c8-505a10e4-55770eec.jpg	MIMIC-CXR-JPG/2.0.0/files/p12135489/s54882431/a0f38177-485e9b1d-4e01250d-9df2c78b-4b070a56.jpg	Compared with the prior radiograph, lungs are more aerated, particularly in the left base. Mild cardiomegaly is stable. No change in the right ij line, which ends in the mid svc. There is a small amount of fluid in the right minor fissure, with mild bilateral pleural effusions. No pneumothorax or new focal consolidation. Posttraumatic bony coalition at the posterior left sixth through eighth ribs is stable.	<unk> year old man with s/p asc.ao.replacement. evaluate postoperative changes.
MIMIC-CXR-JPG/2.0.0/files/p16675693/s55105461/317a9f9f-ec04d3c0-0a0ca0ed-20b1d11c-848ab012.jpg	MIMIC-CXR-JPG/2.0.0/files/p16675693/s55105461/8ce6d503-18daa28a-850f629d-fe6871a1-963b492c.jpg	Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Moderate thoracic kyphosis and multilevel wedge deformities are unchanged.	left chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14867487/s56814964/035a12b1-8b19d419-32fb5a6a-6250b616-ff8162bb.jpg	MIMIC-CXR-JPG/2.0.0/files/p14867487/s56814964/68832718-bb848979-f01248c8-d19e3932-92655e6e.jpg	Heart size is normal with mild tortuosity of the thoracic aorta. Slight indentation of the cervical trachea is suggestive of enlarged thyroid, which has been previously evaluated by ultrasound. Hilar contours are unremarkable. Lungs are clear. Nipple shadows should not be confused for nodules. Pleural surfaces are clear without effusion or pneumothorax.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p12329981/s51431569/db4190d9-16000df4-5ccedd75-6e2cbf6c-6926b2c4.jpg	null	Comparison is made to prior study from <unk>. The endotracheal tube tip is appropriately sited, <num> cm above the carina. There is a right ij and a right subclavian central line with distal lead tips in the mid to distal svc. There is a left-sided central line with the distal lead tip in the distal svc. There is a nasogastric tube whose distal tip is off the field of view of the study. There is persistent cardiomegaly. Bilateral pleural effusions are seen. There is atelectasis at the right base and there is a left retrocardiac opacity which are stable. There are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p10956814/s57537791/ce4b9107-0e2420d6-f3b13fd0-13e65936-d5c16494.jpg	null	Ap portable upright view of the chest. Overlying ekg leads are present. Lung volumes are low. There are small bilateral pleural effusions. Mild cardiomegaly is unchanged. Hilar congestion is noted with probable mild pulmonary edema. Chronic right rib deformity noted. No acute fracture is seen. Calcification noted along the costochondral junction.	<unk>f with chest pain, l arm pain s/p fall /
MIMIC-CXR-JPG/2.0.0/files/p12316130/s50159516/7cdd879c-13e34a71-af4517b5-c1a4cccb-d41adb5a.jpg	null	No pleural effusion, pneumothorax, or pulmonary edema is evident on this single supine view. Heart and mediastinal contours are within normal limits. Multiple minimally and non-displaced right rib fractures are seen, better evaluated on concomitant ct; there is subtle increased opacity of the adjacent right lung.	<unk>-year-old male pedestrian struck.
MIMIC-CXR-JPG/2.0.0/files/p14029254/s55134322/e76c0daa-f5ff4a98-984ff8f5-1a07f6f3-3034dbcb.jpg	null	The lungs are clear though volumes are low. No convincing sign of effusion or pneumothorax. The cardiomediastinal silhouette is grossly unremarkable allowing for technique. Bony structures are intact.	<unk>m with bradycardia.
MIMIC-CXR-JPG/2.0.0/files/p12585717/s50445140/a0d4db62-5d92aafa-e0ef678b-f35432cf-8f392a21.jpg	null	As compared to the previous radiograph, the patient has been extubated. The nasogastric tube and the right central venous access line persist. The left lung is substantially better ventilated with only a small area of atelectasis remaining in the retrocardiac lung areas. On the right, the lung volumes have also increased and a small pre-existing medial basal atelectasis persists. No pneumothorax. No larger pleural effusions. No new parenchymal opacity. Moderate cardiomegaly, with enlargement of the left ventricle, is unchanged.	polytrauma, significant fluid resuscitation, questionable pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15488245/s54867807/403229e8-3432960b-e1376f7f-eb21a73a-a02ba0f6.jpg	MIMIC-CXR-JPG/2.0.0/files/p15488245/s54867807/834bd04c-d4113988-8dfbcabd-29324727-716f86f3.jpg	Heart size and cardiomediastinal contours are stable. Lung volumes are low and apparent interstitial opacities in the lung bases likely represents crowding of vascular structures. No focal consolidation, pleural effusion, or pneumothorax.	history: <unk>m with s/p fall r/o infection // eval ? pna
MIMIC-CXR-JPG/2.0.0/files/p16441183/s57199533/73802487-99087b42-07dfbfa5-0014f1b3-185103dc.jpg	null	Nasogastric tube extends at least to the distal stomach and possibly into the duodenum. Central catheter tip remains in the lower portion of the svc. There are low lung volumes with minimal atelectasis at the right base. However, no evidence of vascular congestion or pleural effusion.	ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p11778436/s54498083/c913accc-b2364a8e-f6cac2c0-01bb8fdf-db7c0f3d.jpg	MIMIC-CXR-JPG/2.0.0/files/p11778436/s54498083/2d4fe8e2-27852551-f8ea3e4a-75020f0d-196c233c.jpg	A right pigtail catheter is in stable position along the right lung base. There is a no appreciable right pneumothorax. Hyperinflation of the lungs and relative hyperlucency of the upper lobes is compatible with copd. No new focal consolidation, pleural effusion or overt pulmonary team is seen. The heart is normal in size.	<unk> year old man with copd and right pneumothorax. please check right pneumothorax following the pigtail being placed to water seal.
MIMIC-CXR-JPG/2.0.0/files/p14766138/s55764074/88352d2a-26294b7b-66f299d4-2988c5e0-423aa6e9.jpg	null	Interval placement of an endotracheal tube, terminating <num> cm above the carina. Interval placement of an enteric tube with its tip outside the field of view, but likely appropriately positioned. Unchanged right ij central venous catheter with tip in the mid svc. Heart size is normal and unchanged. The aorta is calcified. Unchanged dense consolidation in the left upper lobe and patchy atelectasis within both lung bases. There is lung hyperinflation and emphysema, as before. Unchanged probable small left pleural effusion. Cholecystectomy clips, as before.	history: <unk>f status post intubation. check tube placement
MIMIC-CXR-JPG/2.0.0/files/p16002903/s57347999/81481fbd-bc26fd61-4948a40d-38d71977-30d8fec0.jpg	null	Since prior, there is little interval change. Endotracheal tube and right chest tube unchanged in position. Right hemithorax is stable as is a small right apical pneumothorax. There has been mild increase in aeration of the left lung. Cardiomediastinal silhouette is stable.	<unk> year old woman s/p rul wedge resection, postoperative day <num>.
MIMIC-CXR-JPG/2.0.0/files/p11452018/s53031686/88979da6-abf82642-c3f4c151-48c56d22-a681a141.jpg	MIMIC-CXR-JPG/2.0.0/files/p11452018/s53031686/162a7148-5bda8887-d9da49b2-9d450d11-ae61df45.jpg	Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. There is no subdiaphragmatic free air.	history: <unk>f with sob, pleuritis chest pain <num> day post surgery // eval for pna or other cause of dyspnea
MIMIC-CXR-JPG/2.0.0/files/p13280884/s58952895/73da670a-7dd3ca7e-949de52e-a3f3687e-28ab68f9.jpg	null	As compared to chest radiograph from <num> day prior, support device remain in similar position with swirling feeding tube in the stomach. Pulmonary vascular congestion has improved. Lung volumes remain very low. No pneumothorax. .	<unk> year old man with encephalopathy, intubated // interval change at <num>am on <unk>
MIMIC-CXR-JPG/2.0.0/files/p12766828/s55536657/4e07e3dc-08b264b0-bb66bf22-00665e5c-d2783edc.jpg	MIMIC-CXR-JPG/2.0.0/files/p12766828/s55536657/476ebf0c-779c50e2-8ebc54b9-013d6c0a-f90042ad.jpg	Pa and lateral views of the chest demonstrate relatively low lung volumes with no pleural effusion, pneumothorax or focal consolidation. There is no overt pulmonary edema. The heart is mildly enlarged, but stable compared to the prior exam from <unk>. The thoracic aorta is tortuous.	cough and dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p17472085/s56589818/480bca15-90647329-c8df0b47-f8ee2b7a-eb711385.jpg	MIMIC-CXR-JPG/2.0.0/files/p17472085/s56589818/d5f92535-178036d5-83fe8d7b-52cd39d1-586e673d.jpg	Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	syncope and history of hypertension.
MIMIC-CXR-JPG/2.0.0/files/p10076958/s51561578/fee29e8d-89897e84-44d689a6-2522d7e1-9d19662e.jpg	MIMIC-CXR-JPG/2.0.0/files/p10076958/s51561578/8608fd62-5b54303f-f948a196-fc6b04ff-1e37c3a7.jpg	There has been no significant interval change since the prior study. Again noted is postoperative esophagus with gastric pull-up, with adjacent atelectasis.no pleural effusion or pneumothorax is seen. The lateral view appears similar to the prior study.	history: <unk>f with multiple bouts of wretching // eval for perforation poor technique lateral only
MIMIC-CXR-JPG/2.0.0/files/p14634306/s56180305/224f08c2-b5925610-c4880b6f-4d5705e2-20dae69d.jpg	null	Interval repositioning of left picc, now terminating just below the junction of the superior vena cava and right atrium. Otherwise, similar appearance of the chest to the recent study with the exception of improving parenchymal opacification in the left lower lobe.

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When compared to yesterday's exam, there has been no significant interval change. Enlarged cardiac silhouette and persistent right pleural effusion are noted.

<unk> year old man with chf, pleural effusions s/p <unk> // eval for interval change

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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Multiple clips are noted projecting over the left upper chest. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. There are no acute osseous abnormalities.

history: <unk>f with chest pain and palpitations. history of laparoscopic lung cancer removal <unk> year ago.

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Ett is in standard position. An epidural catheter projects over the midline and mid thoracic vertebrae. Right-sided dual lead cardiac device appears intact with <num> tip in the right atrium and the other in the right ventricle. Right internal jugular venous catheter tip ends in the upper svc. No pneumothorax. Lung volumes are low. Retrocardiac opacity is unchanged. The heart size is normal. The mediastinum is not widened. No frank pulmonary edema or pleural effusion. Bilateral apical pleural thickening is overall unchanged.

<unk> year old man s/p aaa repair // eval for ett s/p reintubation

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The lungs are clear, no pulmonary edema or pneumonia. Heart size is normal. No pleural effusion or pneumothorax. Prior posterior cervical fusion.

<unk> year old woman w r hip fx, plan for or // pre-op exam surg: <unk> (r hip hemi )

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Portable chest radiograph demonstrates unremarkable mediastinal and hilar contours. Heart size is mildly enlarged. Bilateral low lung volumes with hazy pulmonary vascualture suggesting mild pulmonary edema. No large pleural effusion or pneumothorax evident. Endotracheal tube is in a standard position. Nasogastric tube with tip below the diaphragm and crossing midline.

intubated status post seizure. please evaluate for tube placement.

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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.

<unk>-year-old male found down, seizure in the emergency department.

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The lungs are fully expanded and clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable.

<unk>f with blurry vision, evaluate for pneumonia.

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The heart size is mildly enlarged. There is cephalization of pulmonary vascular markings and vascular indistinctness compatible with mild pulmonary vascular congestion. Atherosclerotic calcifications are noted at the aortic knob. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen, and no focal consolidation is present. There is mild prominence of the hila bilaterally.

elevated white count, labile blood pressures.

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No significant interval change. Lung volumes remain low bilaterally. No focal consolidation, pleural effusion, or pulmonary edema. The heart size is normal. Mediastinum and hila are within normal limits. An enteric tube traverses diaphragm with its tip ending in a non distended stomach.

<unk> year old man with fever secretions // ? pna

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Pa and lateral chest radiographs were provided. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.

<unk>-year-old man with hiv, inhaled cocaine and meth with recent admission for question pneumonia versus chemical pneumonitis. presents with one day of productive cough. assess for new infiltrate.

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Focal opacities in the right upper lobe have mostly resolved. Background coarse lung markings appear unchanged and are suspected to represent airway inflammation or possibly vascular congestion, although vascular prominence has decreased substantially. This appearance is unchanged but most striking in posterior lower lobes. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. The pacer is seen overlying the left anterior chest with intact leads in appropriate positions. Atherosclerotic calcification is seen in the aortic arch.

history: <unk>f with intrascapular back pain, tender to palpation paraspinal region. // please evaluate for pneumonia, mediastinal changes to suggest intrathoracic cause of back pain

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Increased interstitial markings are seen as well as bilateral patchy alveolar opacities suggesting pulmonary edema. Bilateral pleural effusions are small but larger on the right than on the left and new since prior. Moderate cardiac enlargement is not dramatically changed. Prosthetic aortic valve and median sternotomy wires are noted. Atherosclerotic calcifications noted in the tortuous thoracic aorta.

<unk>f with doe x <num> day, resp distress // eval ? edema, infiltrate

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Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. Increased interstitial markings and engorged pulmonary vasculature is consistent with moderate pulmonary edema. There are probable small bilateral pleural effusions. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.

<unk> year old woman with chronic dissection // eval for pleural effusions

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Re- demonstrated is gaseous distension of the colon with elevation of the left hemidiaphragm and overlying left base atelectasis. Low lung volumes persist. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>f with sob // eval for consolidation

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The right port-a-cath terminates in the lower svc near the superior caval atrial junction. There is no pneumothorax or pleural effusion. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia.

<unk> year old woman with metastatic pancreatic cancer. // assess port location.

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

chest tightness with increased deep breathing.

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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Surgical clips in the right axilla are consistent with prior breast surgery, and there is a left breast prosthesis in place.

new onset dyspnea, to assess for congestive failure.

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Left sided dual lead pacemaker device a appears intact and unchanged with <num> lead in the right atrium and the other in the right ventricle. Enteric tube tip traverses the hemidiaphragm and tip projects over the mid abdomen, and expected region of the stomach. Edema has improved in the interim. Otherwise, no significant interval change. Persistent, right greater than left pleural effusions with compressive atelectasis, overall unchanged given positional differences. No pneumothorax. Cardiomediastinal contours are unchanged. Aortic knob calcifications are moderate. Extensive, broad dextroconvex scoliosis of the thoracic spine with marked distortion of thoracic cage is unchanged. Incompletely visualized cervical spine fixation hardware is noted.

<unk> year old woman with copd and bilateral pleural effusions triggered for a. fib with rvr and sob. evaluate for interval change.

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The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality. Small sliver of lucency seen just below the right hemidiaphragm is compatible with known free intraperitoneal air seen on recent ct abdomen.

<unk>m with perforated diverticulitis on ct // preop

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Low lung volumes cause bronchovascular crowding. A dual-chamber left pectoral pacemaker and its leads project in expected location. There is no focal consolidation pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. The aortic arch is heavily calcified. Relatively dense nodules in bilateral upper lobes likely represent granulomas or pleural and parenchymal scarring. Surgical clips are noted in the right upper quadrant.

<unk>m with fall, confusion, hx ppm in left thorax, evaluate for occult infection.

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As compared to the previous radiograph, there is an increase in extent of a left retrocardiac atelectasis. The extent of the right pre-existing pleural effusion is constant. Today's radiograph shows evidence of minimal blunting of the left costophrenic sinus, suggesting the presence of a left pleural effusion. Moreover, there is increasing opacity at the bases of the right upper lobe, concerning for developing pneumonia. The size of the cardiac silhouette is constant. There is unchanged position of the right pigtail catheter. At the time of observation and dictation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.

pleural effusion, embolization, evaluation for interval change.

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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. In view of the larger inspiration, there is probably overall little change in the right basilar opacification. Two smaller opacities in the left mid lung are likely atelectasis. No pleural effusion or pneumothorax. Sclerotic bone lesions are again seen in the left humeral head and the thoracic spine.

<unk> year old man with metastatic prostate cancer, chills, cough, clear lungs on exam // infiltrate?

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Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. There is mild enlargement of cardiac silhouette. Mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is not engorged. Streaky opacities are seen within the lung bases bilaterally, which may reflect atelectasis. Infection however is not excluded. Previously noted pulmonary nodules on ct are not well assessed on the current exam. There is no pleural effusion, focal consolidation or pneumothorax. Mild degenerative changes are seen within the thoracic spine.

dyspnea, fever and right-sided chest pain.

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Interval removal of the right ij. No pneumothorax or subcutaneous emphysema. Mild pulmonary vascular congestion, slightly improved. Interval improvement in left lower lobe atelectasis. Stable small left pleural effusion. Stable prominent cardiomegaly and mediastinal contours. The two-lead cardiac device and sternotomy wires appear intact and unchanged in position. Incidental right clips from prior shoulder surgery appear intact. Incidental stable degenerative changes in the visualized thoracic spine.

<unk>-year-old man status-post cabg; predischarge evaluation.

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

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

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As compared to the previous radiograph, there is no relevant change. The left internal jugular vein catheter, the endotracheal tube and the right hemodialysis catheter are in unchanged position. Unchanged aortic ring calcifications. Unchanged low lung volumes, currently there are no signs indicative of pneumonia or fluid overload. No pneumothorax, no pleural effusions.

intubation for airway protection, evaluation of tubes and lines.

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Left-sided aicd is similar and position. The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable. No pleural effusion or pneumothorax is seen. Streaky right base opacity is stable may represent scarring or overlap of vascular structures. No new focal consolidation is seen. Degenerative changes are seen along the spine.

history: <unk>f with dyspnea, wheezing // evaluate for pneumonia, chf, acute process

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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic valve again noted. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures appear intact.

<unk>m with chest pain // ? ptx

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

history: <unk>f with cp // pna

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hila contours. No displaced fracture is seen.

chest pain, epigastric pain going to back, hypertensive.

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Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present. Vp shunt catheter courses along the right anterior aspect of the chest and into the upper abdomen.

history: <unk>m with cough and dyspnea

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In comparison with the study of <unk>, there is little overall change. Cardiac silhouette is at the upper limits of normal in size with a left ventricular prominence configuration. Right central catheter again extends to the lower portion of the svc. No evidence of vascular congestion or pleural effusion. The basilar opacifications seen previously have almost completely disappeared.

fever, to assess for pneumonia.

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In comparison with the study of <unk>, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Low lung volumes may account for the increased prominence of pulmonary vessels, though there probably is some elevated pulmonary venous pressure. There is increased opacification at the left base with silhouetting of the hemidiaphragm. This is consistent with volume loss in the left lower lobe and probable pleural effusion. In the appropriate clinical setting, supervening pneumonia would have to also be considered.

mesenteric ischemia with et tube placement.

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Pa and lateral views of the chest. There is no evidence of pneumothorax or rib fracture. The heart, mediastinum, hilar, and pleural surfaces are normal. There is left lower lobe linear opacities consistent with atelectasis.

acute onset right chest pain while lifting log, evaluate for pneumothorax or fracture.

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An interstitial abnormality, most pronounced in the left midlung zone suggestive of a chronic interstitial lung disease. Clips are present overlying the left scapula. The cardiomediastinal silhouette is notable for calcifications of the aortic knob and a dilated ascending aorta. A small pneumomediastinum, present on a chest ct <unk> is not visible on today's study; if still present, it has not enlarged.there is no pleural effusion or pneumothorax. The imaged upper abdomen is unremarkable. Vascular clips denote prior left axillary surgery and the configuration of the soft tissues of the chest wall suggest prior mastectomy. Although no fracture is seen, conventional chest radiographs are not sensitive for detection of chest cage trauma. Regions where there are focal findings of possible trauma should be clearly marked and imaged with bone detail views.

history: <unk>f with s/p fall please r/o fx // fx? additional history: esophageal perforation.

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Patient is somewhat rotated. There are patchy areas of opacity bilaterally which could relate to chronic lung disease. Underlying infection, chronic aspiration, or less likely pulmonary edema not excluded. There is elevation of the right hemidiaphragm. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. The aorta is tortuous.

history: <unk>f with new hypoxia. intracranial hemorrhage // eval for aspiration

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In comparison with the study of <unk>, the tip of the endotracheal tube is at the lower clavicular level, approximately <num> cm above the carina. Nasogastric tube extends well into the stomach. Bibasilar opacification persists with blunting of the costophrenic angles and mild elevation of pulmonary venous pressure.

for et tube placement.

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As compared to the previous radiograph, there is no relevant change. The known left pleural effusion might have minimally increased in extent. The monitoring and support devices and other parenchymal changes as well as the known displaced fractures are constant in appearance.

motor vehicle accident, evaluation for fluid overload.

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Supine portable view of the chest demonstrates a right internal jugular catheter with tip projecting over mid svc. No pneumothorax. Endotracheal and orogastric tubes are appropriately positioned, unchanged. Low lung volumes. Slight blunting of costophrenic angles, compatible with small trace pleural effusions. There are bilateral diffuse confluent airspace opacities, right greater than left, slightly worse in the interval. There is thickening of the right minor fissure. Heart size is normal. Hilar and mediastinal silhouettes are unchanged.

right internal jugular line placement.

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A right parasternal port-a-cath is again noted with its catheter extending into the right subclavian vein and its tip in the region of the mid to low svc. There is new airspace consolidation in the right lower lung which is concerning for pneumonia. Also noted, is increased opacity in the right upper lobe which could represent pneumonia. Extensive pulmonary nodules as seen on prior ct again noted consistent with endometrial cancer metastasis. There is likely a small right pleural effusion. Cardiomediastinal silhouette appears stable. No pneumothorax. Bony structures are intact. Bilateral percutaneous nephrostomy catheters are noted. Hardware partially noted in the lumbar spine.

<unk>f with hypoxia, endometrial cancer // eval for pna, ptx

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The heart is enlarged. There is a small right pleural effusion and a small-to-moderate left pleural effusion. Calcified lymph nodes are seen in the right hilum. Otherwise, the hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no focal consolidations. There is no pneumothorax. A left-sided double-lumen dialysis catheter is seen with the tip in the right atrium.

<unk>-year-old female patient with history of chf, end-stage renal disease on dialysis. study requested for evaluation of cardiomegaly, pleural effusion and/or infiltration.

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Right ij catheter ends in the approximate region of the cavoatrial junction. No pneumothorax or pleural effusion. The heart is mildly enlarged, increased from the prior exam. There is mild cardiac vascular congestion, new from the prior exam. No focal consolidation. The lungs are clear.

<unk> year old woman s/p kidney transplant, cvl placementl // ? pnx

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

<unk>-year-old female with fatigue and dizziness.

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In comparison with the study of <unk>, the cardiac silhouette is unchanged. No definite vascular congestion or pleural effusion. Minimal bibasilar atelectatic changes without convincing evidence of supervening pneumonia.

symptoms suggesting pneumonia.

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The heart is mildly enlarged. Each hilum shows fullness with upper zone redistribution of pulmonary vasculature and hazy predominantly central opacification suggesting mild pulmonary edema. There is no pleural effusion or pneumothorax.

weakness and fatigue.

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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 etoh cirrhosis here with lightheadedness

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Single frontal view of the chest. Severe thoracic dextroscoliosis is similar to prior with a stable appearance of mild cardiomegaly and mediastinal contours. Interstitial markings are diffusely increased with mild cephalization of vessels, consistent with mild pulmonary edema. Ill-defined bilateral lower lung opacities are nonspecific and could represent atelectasis or infection. No pneumothorax or substantial pleural effusion.

shortness of breath.

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Compared to the study from the prior day there has been some interval improvement in aeration at the left base. The et tube and left subclavian line are unchanged. The ng tube is unchanged.

et tube.

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Right upper lobe volume loss is responsible for marked elevation of the right hilus. This could well be scarring, but should be evaluated by comparison to prior chest radiographs to see if there is any need to investigate possible bronchial obstruction. Lungs are otherwise clear. Cardiomediastinal and left hilar silhouettes are normal. There is no pleural effusion.

<unk>f with ams // eval for acute process

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As compared to the prior examination dated <unk>, there has been interval increased opacification of the entire right lung. Interval progression of bilateral airspace opacities and now moderate pulmonary edema. Multiple calcified pulmonary nodules, including a <num> cm right upper lobe nodule, are stable and better assessed on ct. Small, bilateral pleural effusions are stable. The patient is status post median sternotomy, and moderate cardiomegaly is noted. Right ij line terminates at the cavoatrial junction.

<unk> year old woman with gi bleed and nstemi, now s/p prolonged intubation // r/o pneumonia

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There is a consolidation of the right lower lobe, with a more patchy opacity in the mid lung field accompanied by a moderate pleural effusion in this side. The right hemidiaphragm is obscured but the right heart border is well defined. There is a patchy opacity also in the left lower lung field, but no blunting of the left costophrenic angle. There is stable moderate cardiomegaly with bilateral hilar prominence and vascular upper redistribution. The mediastinal contour is unremarkable and there is no pneumothorax. A pacemaker generator is noted in the left axilla with the leads ending in expected positions in the right atrium and right ventricle.

<unk>-year-old man with dyspnea. evaluate for pulmonary edema.

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Ap view of the chest provided. Ng tube has turned in the mid esophagus and courses cephalad, terminating likely in the oropharynx. Endotracheal tube and hemodialysis line are in unchanged positions. The left hemidiaphgram is obscured, likely from atelectasis. There is hazy opacity overlying the hemidiaphragm, reflective of layering pleural effusion and loss of lung volume. Mild pulmonary vascular congestion is again seen. A heart size is stably enlarged.

<unk> year old woman with new ngt

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The lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Heart is normal size. Aorta is tortuous, unchanged. Hilar contours are unremarkable. Sternotomy wires are present. No radiopaque prosthetic valves noted.

pre mri, evaluate for metallic valves.

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Frontal and lateral views of the chest were obtained. The heart is of top normal size. Cardiomediastinal contours are unremarkable. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign bodies.

<unk>-year-old female with increasing confusion. rule out acute process.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No visualized free intraperitoneal air.

<unk>m with tachycardia to <num>s, abd pain // eval ? free air, intrathoracic process

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In comparison with the study of <unk>, the chest tube has been removed and there is no evidence of pneumothorax. Right swan-ganz catheter has been pulled back and there is a right ij sheath is in place. Endotracheal tube and nasogastric tube remain in position. Bibasilar opacification persists. The position of the heart with respect to the midline suggests some substantial volume loss in the left lower lobe.

chest tube removal, to assess for pneumothorax.

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A frontal upright view of the chest was obtained portably. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is mild bibasilar atelectasis. No free air is seen in the diaphragm. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute fracture is identified. Bilateral symmetric <num> cm opacities projecting over the lower lung fields bilaterally are likely nipple shadows.

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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.

<unk> year old man with new doe // any explanation for doe on cxr?

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Interval removal of endotracheal tube. Stable cardiomegaly. Improved pulmonary vascular congestion. Slight worsening of right basilar opacity and development of patchy left retrocardiac opacity. Differential diagnosis includes atelectasis, aspiration and developing pneumonia. Small left pleural effusion has slightly increased in size.

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Ng tube is coiled in the stomach. Right picc in lower svc is unchanged in position. Cardiac size is normal. Mild bibasilar opacities consistent with atelectasis, unchanged compared to chest radiograph performed earlier in the same day. There is no pneumothorax or pleural effusion.

<unk> year old woman with ngt re-placed // assess for ngt placement, interval change

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There has been interval removal in previously seen left-sided central venous catheter.there are low lung volumes. Left lower lobe opacity could be due to pneumonia and/ or atelectasis. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.

history: <unk>f with chest pressure and sob beginning while walking in the mall. // consolidation or other acute process

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Compared to the prior chest radiographs, pulmonary vascular congestion and pulmonary edema have increased. New confluent opacities, right greater than left, lower lobes, with probable small bilateral effusions. No pneumothorax. Mild cardiomegaly is unchanged.

<unk>-year-old man with difficulty breathing. evaluate for pulmonary edema.

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In comparison with the study of <unk> from an outside facility, there is little overall change in the appearance of a patient who has undergone previous cabg procedure and has sternal wires with the third from the top showing a discontinuity. Cardiac silhouette is mildly enlarged. Opacification at the left base is consistent with some volume loss in the left lower lobe and possible small effusion.

cough with possible aspiration.

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A left pectoral pacer and dual leads are new from the prior examination and appear in the expected position. Median sternotomy wires are stable. The heart is top-normal in size but stable from the prior examination. The hilar contours are within normal limits. There is a small right pleural effusion. No focal consolidation or pneumothorax is identified.

<unk> year old man with av block s/p dual chamber pacemaker. // rule out pneumothorax

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Lungs are clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is normal. There is no free intraperitoneal air. No acute osseous abnormalities.

<unk>f with epigastric pain, h/o nephrolithiasis. s/p cholecystitis // assess for nephrolithiasis

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Mild cardiomegaly is stable. The hilar and mediastinal contours are within normal limits. A vague opacity projecting over the left first costo sternal junction could be sclerosis of those structures but to exclude a small lung nodule lordotic view of the chest is recommended. The lungs are otherwise clear. There is no focal consolidation, pleural effusion or pneumothorax.

history: <unk>f with history of worsening shoulder pain x <num> weeks // please eval for fx, dislocation

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Tracheostomy tube is unchanged in position. A right-sided picc line is unchanged in position with the tip overlying the upper svc. The moderate to large left pneumothorax has increased in size from the preceding chest radiographs, now with a basal component (previously only apical). A left pleural effusion is decreased in size from the preceding study. Known emphysema is unchanged. The cardiac silhouette is top normal in size. The hilar and mediastinal contours are stable. A peg tube is noted in the left upper abdomen. Large retrocardiac atelectasis is unchanged.

<unk>-year-old female with copd and recurrent pneumonia complicated by pneumothorax status post pleurodesis and chest tube removal, here to reassess for interval changes.

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Moderate cardiomegaly is stable. Mediastinal and hilar contours are unchanged. There is no pneumothorax or large pleural effusion. Elevation of the right hemidiaphragm is chronic. Slightly lower lung volumes than on the most recent prior study may account for bronchovascular crowding at the lung bases. No focal consolidation concerning for pneumonia is seen. There is no pulmonary edema.

hypoxia, query chf or pneumonia.

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

<unk>m with atypical chest pain // eval for ptx

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The cardiac, mediastinal and hilar contours appear stable. The aorta is again mildly tortuous. There is no pleural effusion or pneumothorax. The lungs appear clear. The patient is status post anterior cervical fusion. The usual kyphotic curvature of the lower thoracic spine is straightened. Mid thoracic interspaces are mildly narrowed.

several weeks of chest pressure.

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The lungs are well expanded and clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The visualized osseous structures are unremarkable.

persistent cough.

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In comparison with the study of <unk>, the patient has taken a slightly better inspiration. There is similar or even increasing opacification at the left base, consistent with pleural effusion and underlying atelectasis. Cardiac silhouette remains at the upper limits of normal size, though there is no evidence of vascular congestion.

trauma, to assess for change in pneumothorax.

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Frontal and lateral chest radiograph demonstrates new left pectorally placed dual chamber pacemaker with intact leads following the expected course to the right atrium and ventricle in appropriate position. There is no pneumothorax. The lungs are well expanded and clear. There is no pleural effusion. The cardiomediastinal and hilar contours are within normal limits.

<unk>-year-old male with recent dual-chamber pacemaker.

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As compared to the previous radiograph, the left chest tube is now on waterseal. However, no left pneumothorax can be detected. No evidence of tension. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma.

chest tube on waterseal, evaluation for resolution of left pneumothorax.

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The previously noted endotracheal tube has since been removed. Previously noted left-sided chest tube appear stable in position. Lucency is noted overlying the left diaphragm and suggestive of small left pneumothorax. Previously noted left-sided opacity persists and likely represents a combination of previously noted left hemothorax as well as adjacent atelectasis/trauma in the region of the chest tube. There are now increased right basilar opacities which may represent atelectasis/new developing infectious process.

stab wound to the chest with left-sided pneumothorax, evaluation for interval change.

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Lung volumes are low, accounting for some bronchovascular crowding. No focal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old male with vomiting and throat pain. evaluate for evidence of pneumothorax or pneumomediastinum.

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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. Please note that tiny millimetric pulmonary nodules seen on prior ct are better assessed on ct.

shortness of breath.

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The cardiomediastinal and hilar contours are within normal limits. There is prominence of the hilar vasculature without pulmonary edema. Patchy opacity at the right base likely reflect atelectasis, although infection/aspiration should also be considered. Multiple nodular opacities are not well appreciated and are are better characterized on recent ct from <unk>. There is no evidence of pleural effusion or pneumothorax.

history: <unk>m with new onset ascites and sob // eval for pulm edema

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The lungs are clear. The cardiomediastinal silhouette is normal. Coronary artery stents are noted. No acute osseous abnormalities identified.

<unk>m with chest pain, dizziness, fatigue // eval heart and lungs

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As compared to the previous radiograph, the extent, distribution, and severity of the pre-existing interstitial changes have increased. As a consequence, the lung volumes have decreased. Increase is particularly obvious at both lung bases and at the level of the left hemithorax. Borderline size of the cardiac silhouette. No other relevant changes.

dyspnea, interstitial lung disease.

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On chest ct <unk>, bilateral consolidation and ground-glass opacities were mostly compatible with pneumonia. Severe widespread ground glass opacities and consolidations progressed on latest chest x-ray done today at <time> p.m. This chest x-ray was done two hours after the most recent prior and there is improvement of bilateral opacities. Considering the rapid evolution of these opacities, pulmonary edema is the most likely diagnosis. The residual pulmonary edema is moderate. Bibasilar consolidations as shown on ct are compatible with pneumonia. Et tube ends <num> cm above carina. Ng tube is in the stomach. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal.

patient with hypoxic respiratory failure.

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Compared with the prior radiograph, lungs are more aerated, particularly in the left base. Mild cardiomegaly is stable. No change in the right ij line, which ends in the mid svc. There is a small amount of fluid in the right minor fissure, with mild bilateral pleural effusions. No pneumothorax or new focal consolidation. Posttraumatic bony coalition at the posterior left sixth through eighth ribs is stable.

<unk> year old man with s/p asc.ao.replacement. evaluate postoperative changes.

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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Moderate thoracic kyphosis and multilevel wedge deformities are unchanged.

left chest pain.

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Heart size is normal with mild tortuosity of the thoracic aorta. Slight indentation of the cervical trachea is suggestive of enlarged thyroid, which has been previously evaluated by ultrasound. Hilar contours are unremarkable. Lungs are clear. Nipple shadows should not be confused for nodules. Pleural surfaces are clear without effusion or pneumothorax.

chest pain.

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Comparison is made to prior study from <unk>. The endotracheal tube tip is appropriately sited, <num> cm above the carina. There is a right ij and a right subclavian central line with distal lead tips in the mid to distal svc. There is a left-sided central line with the distal lead tip in the distal svc. There is a nasogastric tube whose distal tip is off the field of view of the study. There is persistent cardiomegaly. Bilateral pleural effusions are seen. There is atelectasis at the right base and there is a left retrocardiac opacity which are stable. There are no pneumothoraces.

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Ap portable upright view of the chest. Overlying ekg leads are present. Lung volumes are low. There are small bilateral pleural effusions. Mild cardiomegaly is unchanged. Hilar congestion is noted with probable mild pulmonary edema. Chronic right rib deformity noted. No acute fracture is seen. Calcification noted along the costochondral junction.

<unk>f with chest pain, l arm pain s/p fall /

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No pleural effusion, pneumothorax, or pulmonary edema is evident on this single supine view. Heart and mediastinal contours are within normal limits. Multiple minimally and non-displaced right rib fractures are seen, better evaluated on concomitant ct; there is subtle increased opacity of the adjacent right lung.

<unk>-year-old male pedestrian struck.

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The lungs are clear though volumes are low. No convincing sign of effusion or pneumothorax. The cardiomediastinal silhouette is grossly unremarkable allowing for technique. Bony structures are intact.

<unk>m with bradycardia.

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As compared to the previous radiograph, the patient has been extubated. The nasogastric tube and the right central venous access line persist. The left lung is substantially better ventilated with only a small area of atelectasis remaining in the retrocardiac lung areas. On the right, the lung volumes have also increased and a small pre-existing medial basal atelectasis persists. No pneumothorax. No larger pleural effusions. No new parenchymal opacity. Moderate cardiomegaly, with enlargement of the left ventricle, is unchanged.

polytrauma, significant fluid resuscitation, questionable pulmonary edema.

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Heart size and cardiomediastinal contours are stable. Lung volumes are low and apparent interstitial opacities in the lung bases likely represents crowding of vascular structures. No focal consolidation, pleural effusion, or pneumothorax.

history: <unk>m with s/p fall r/o infection // eval ? pna

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Nasogastric tube extends at least to the distal stomach and possibly into the duodenum. Central catheter tip remains in the lower portion of the svc. There are low lung volumes with minimal atelectasis at the right base. However, no evidence of vascular congestion or pleural effusion.

ng tube placement.

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A right pigtail catheter is in stable position along the right lung base. There is a no appreciable right pneumothorax. Hyperinflation of the lungs and relative hyperlucency of the upper lobes is compatible with copd. No new focal consolidation, pleural effusion or overt pulmonary team is seen. The heart is normal in size.

<unk> year old man with copd and right pneumothorax. please check right pneumothorax following the pigtail being placed to water seal.

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Interval placement of an endotracheal tube, terminating <num> cm above the carina. Interval placement of an enteric tube with its tip outside the field of view, but likely appropriately positioned. Unchanged right ij central venous catheter with tip in the mid svc. Heart size is normal and unchanged. The aorta is calcified. Unchanged dense consolidation in the left upper lobe and patchy atelectasis within both lung bases. There is lung hyperinflation and emphysema, as before. Unchanged probable small left pleural effusion. Cholecystectomy clips, as before.

history: <unk>f status post intubation. check tube placement

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Since prior, there is little interval change. Endotracheal tube and right chest tube unchanged in position. Right hemithorax is stable as is a small right apical pneumothorax. There has been mild increase in aeration of the left lung. Cardiomediastinal silhouette is stable.

<unk> year old woman s/p rul wedge resection, postoperative day <num>.

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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. There is no subdiaphragmatic free air.

history: <unk>f with sob, pleuritis chest pain <num> day post surgery // eval for pna or other cause of dyspnea

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As compared to chest radiograph from <num> day prior, support device remain in similar position with swirling feeding tube in the stomach. Pulmonary vascular congestion has improved. Lung volumes remain very low. No pneumothorax. .

<unk> year old man with encephalopathy, intubated // interval change at <num>am on <unk>

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Pa and lateral views of the chest demonstrate relatively low lung volumes with no pleural effusion, pneumothorax or focal consolidation. There is no overt pulmonary edema. The heart is mildly enlarged, but stable compared to the prior exam from <unk>. The thoracic aorta is tortuous.

cough and dyspnea.

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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

syncope and history of hypertension.

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There has been no significant interval change since the prior study. Again noted is postoperative esophagus with gastric pull-up, with adjacent atelectasis.no pleural effusion or pneumothorax is seen. The lateral view appears similar to the prior study.

history: <unk>f with multiple bouts of wretching // eval for perforation poor technique lateral only

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Interval repositioning of left picc, now terminating just below the junction of the superior vena cava and right atrium. Otherwise, similar appearance of the chest to the recent study with the exception of improving parenchymal opacification in the left lower lobe.