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/p11070829/s53745322/1e8d4ba9-9e967aff-7c66f9cd-e8d3e943-83a2939f.jpg	MIMIC-CXR-JPG/2.0.0/files/p11070829/s53745322/9b67d69a-9b77883f-fb0787e3-b55bacbd-af2b1984.jpg	Relatively low lung volumes are again seen with streaky right basilar opacity which is most likely atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. Left chest wall dual lead pacing device is seen with lead tips in the right atrium and right ventricular apex. No acute osseous abnormalities.	with pacemaker placed last week. lightheaded/dizzy // ?pneumonia. confirm pacemaker position
MIMIC-CXR-JPG/2.0.0/files/p18985761/s59228596/1ddc5eee-2ac4f190-340ac71c-f900e6d4-ef949693.jpg	MIMIC-CXR-JPG/2.0.0/files/p18985761/s59228596/7235522e-7e19f5cb-b49657c4-a4fddaa5-eb0b2b25.jpg	The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.	white count.
MIMIC-CXR-JPG/2.0.0/files/p19183237/s51159320/4181cfd5-d108aa06-fb72067d-e7e1af67-9949de20.jpg	MIMIC-CXR-JPG/2.0.0/files/p19183237/s51159320/8e2e8439-c3b91014-c3798e50-49926002-a7e617dd.jpg	Pa and lateral views of the chest. No prior. There is evidence of volume loss in the left hemithorax with increased opacity better characterized on the lateral compatible with left upper lobe collapse. Soft tissue fullness seen in the left hilar region in combination with upper lobe collapse, the s sign of golden. The right lung is grossly clear. Cardiomediastinal silhouette is within normal limits, noting shift to the left. Osseous and soft tissue structures are unremarkable.	<unk>-year-old female with cough.
MIMIC-CXR-JPG/2.0.0/files/p14427347/s53140713/070f6635-4afe5c94-88da87db-bd454ff0-07fd853f.jpg	null	In comparison with study of <unk>, there is a slight improvement in the heterogeneous opacities at the bases. Upper lungs are unchanged. There is no evidence of vascular congestion.	anterior chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11350319/s53781735/2b9e76e1-8d38e325-3e55f097-c99ada77-ab002f6c.jpg	null	Portable ap view of the chest. There are increased perihilar and bibasilar opacities suggestive of mild pulmonary edema. This has progressed even despite lower lung volumes on the current exam. Mild blunting of the right lateral costophrenic angle may be due to atelectasis versus small effusion. Cardiomediastinal silhouette is unchanged. Dual lumen central venous catheter is unchanged.	<unk>-year-old male with recent pneumonia and missed dialysis yesterday. question pneumonia are fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p14841692/s59270373/ede5130f-90e3eda9-4bdd5b39-d3e5bfc9-005a3115.jpg	null	Cardiac size is normal. The lungs are clear and retrospectively comparing with chest radiograph performed earlier on the same day, there is resolution of previous mild pulmonary edema. No pneumothorax or pleural effusion.	<unk> year old woman with brain lesion who will undergo surgical resection. cxr for pre-operative clearance. // chest x-ray for pre-operative clearance. surg: <unk> (craniotomy and resection of brain lesion)
MIMIC-CXR-JPG/2.0.0/files/p16473254/s57608942/5f51ed45-381c5fca-ea9db03e-ae1fb35c-dba9ef7d.jpg	MIMIC-CXR-JPG/2.0.0/files/p16473254/s57608942/87a4a6f6-a88aefe3-39afe015-981a10b3-251aa441.jpg	There is a <num> mm left lung nodule, likely corresponding to the nodule noted on prior pet-ct and chest cta. The lungs are otherwise clear of focal consolidation, pleural effusion or pneumothorax. The heart is normal in size, and the mediastinal contours are normal. There is no pulmonary edema. A stent in the right upper abdominal quadrant is again noted.	<unk>-year-old female with acute kidney injury concerning for infectious process. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16059088/s51606419/5988213d-0d5732fa-e161d4b7-40993c13-56e07f71.jpg	null	Indwelling support and monitoring devices are unchanged in position. Persistent cardiomegaly and widening of vascular pedicle. Bilateral combined alveolar and interstitial opacities appear minimally improved, with persistent more confluent opacities in the right lung base medially with adjacent elevation of right hemidiaphragm. Considering the presence of longstanding interstitial fibrosis, observed findings could represent acute exacerbation of chronic lung disease. Alternatively, this may reflect chronic lung disease complicated by infection, edema or ards.
MIMIC-CXR-JPG/2.0.0/files/p19479585/s53762472/bfedc797-450357f7-1824df56-013309b1-eb549c09.jpg	MIMIC-CXR-JPG/2.0.0/files/p19479585/s53762472/2be85f32-e115ba83-18fdf348-36f32be5-d450d4b5.jpg	The heart size is normal. The mediastinal silhouette and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.	tuberculosis, on treatment with worsening pleuritic chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11393240/s53097183/f4228f71-d99571e5-56bf25a6-73e47271-aa4fa735.jpg	MIMIC-CXR-JPG/2.0.0/files/p11393240/s53097183/d5583418-463f51f3-98ecde61-66b8f0ff-5e6f852d.jpg	Pa and lateral views of the chest provided. There is decreased lung volumes. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	<unk>m with sudden onset sharp left sided chest pain at <unk> this morning // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p13956197/s54989832/ea90e73b-60f215df-c1e44231-dbc234bc-8dab7c93.jpg	null	Portable ap chest radiograph. Diffuse interstitial and parenchymal opacities are decreased slightly compatible with minimal improvement in edema, particularly with reduction of the density of the right base. However upper to mid right lung more confluent opacity is decreased but still notable focally and may reflect asymmetric edema or masked infectious process. Cardiac enlargement is mild and stable. There is no pleural effusion or pneumothorax.	hypoxia, assess for change.
MIMIC-CXR-JPG/2.0.0/files/p12574098/s55866624/606a4dc5-ad9ff9c3-d9e8339b-3a5fdfa6-f22befae.jpg	MIMIC-CXR-JPG/2.0.0/files/p12574098/s55866624/7e312ffe-27d4879c-07a5fbef-174c421e-a9deb122.jpg	Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Hyperinflated lungs reflect known emphysema, better assessed on prior ct from <unk>. No focal consolidation is identified. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormality.	history: <unk>f with sob // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19538920/s57297323/c350e781-65b8e290-88ece3b1-cc1acd04-53185070.jpg	null	The cardiomediastinal and hilar silhouettes are stable since the prior exam. No focal consolidation, pleural effusion, or pneumothorax. Intact median sternotomy wires and unchanged positioning of the mediastinum surgical clips. No evidence of free subdiaphragmatic air.	<unk>f with acute abdominal pain. evaluate for free air.
MIMIC-CXR-JPG/2.0.0/files/p17325902/s59662135/e6c282d2-1b023047-c9950f89-7fd6c8d1-ad6fc183.jpg	MIMIC-CXR-JPG/2.0.0/files/p17325902/s59662135/6ae7e867-ce9f3ad9-6a3ba4a4-d4ef9690-02dac2fa.jpg	Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Fractures of the right fifth through eighth lateral ribs are re-demonstrated, but better assessed on the previous rib series radiographs. There is minimal right lateral pleural thickening adjacent to the site of the rib fractures. Vague opacity within the right lateral lung base may reflect an area of contusion. No pneumothorax, focal consolidation or pleural effusion is clearly evident.	history: <unk>m with four right lower rib fractures
MIMIC-CXR-JPG/2.0.0/files/p14959458/s50390124/1a8cddca-419bccf9-8d8d0f02-e888b451-40c95617.jpg	null	No focal consolidation, pleural effusion, or pneumothorax is detected. Heart and mediastinal contours are within normal limits. No fracture is identified, although rib series is more sensitive for rib fractures.	<unk>-year-old male status post fall.
MIMIC-CXR-JPG/2.0.0/files/p14606232/s52413379/739c7860-d65c816d-3cb1d0c0-3209e4d3-504ee955.jpg	MIMIC-CXR-JPG/2.0.0/files/p14606232/s52413379/4460b62c-a1a4350f-f7c405d4-3ae6c33f-f27ed54a.jpg	As compared to the previous radiograph, there is minimal elevation of the left hemidiaphragm, caused by an overinflated stomach. Moderate cardiomegaly with extensive tortuosity of the thoracic aorta but no evidence of pneumonia or pulmonary edema. No pleural effusions.	cough and decreased breath sounds, evaluation for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15614211/s57417247/7f43cdc0-d5b73872-c7a8acd2-c6b13591-edc332e7.jpg	MIMIC-CXR-JPG/2.0.0/files/p15614211/s57417247/7183396c-f22cb506-b61d14f6-222f3066-776be80b.jpg	The lungs are clear without consolidation or edema. No discrete nodul ies identified. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	tongue cancer with increased shortness of breath and cough.
MIMIC-CXR-JPG/2.0.0/files/p13791947/s55407368/be767aa4-6e5cd22c-7d8ca34b-8c0fb40b-35f2b606.jpg	null	Interval removal of the gastric tube. There is new opacification of the right mid and lower hemithorax with the exception of the right upper lung zone, likely reflecting a combination of a pleural effusion and atelectasis/ consolidation. New patchy and confluent airspace opacities at project over the left mid to lower lung zone as well. No left pleural effusion or pneumothorax bilaterally. The size of the cardiac silhouette is enlarged.	<unk> year old man with cirrhosis p/w appendicitis, acute drop in o<num> sat w/ audible wheezing // assess for acute drop in o<num> sat
MIMIC-CXR-JPG/2.0.0/files/p11410615/s55025270/8aa1522d-d7ca98bd-340f47a5-7b4f0393-dd935fe3.jpg	MIMIC-CXR-JPG/2.0.0/files/p11410615/s55025270/5b14e1c8-3671335f-a0c38812-416f6b6b-85030588.jpg	Pa and lateral chest radiographs were obtained. There is no change in bilateral small pleural effusions with adjacent atelectasis and scarring. Right apical scarring and elevation of the right hilus is stable. Right-sided picc line tip terminates in the mid svc. There is no new consolidation or pneumothorax. Mediastinal clips and mid thoracic vertebroplasty cement are also unchanged.	<unk>-year-old woman with recurrent left-sided pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14944919/s50329616/d4c1b488-5d258c46-10710cbc-c2ed25b5-26801213.jpg	MIMIC-CXR-JPG/2.0.0/files/p14944919/s50329616/a9348801-8b5d4d62-93d1168d-1fbe6786-644b0601.jpg	The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.	cough. evaluate for focal infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p17298799/s51259641/fb388d3c-52a2a73a-9b27aac8-a58d7780-a16fe368.jpg	MIMIC-CXR-JPG/2.0.0/files/p17298799/s51259641/c24c95ec-59707985-f001dfc6-51f29f0c-f1976153.jpg	Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. There is calcification of the aortic knob, similar to prior. An azygos lobe is incidentally noted. The lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body.	<unk>-year-old male with recent uri, fatigue, new crackles at right base. evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p14513402/s53929547/cc951135-caa29943-09dca808-3334adcd-ebc2c2fb.jpg	MIMIC-CXR-JPG/2.0.0/files/p14513402/s53929547/7a277bea-28d7e514-e109a1e8-83521c8e-9d4234a8.jpg	Lung volumes are low. A calcified granuloma is noted in the left midlung. No signs of pneumonia or chf. No pleural effusion or pneumothorax. Heart size is within normal limits. The mediastinal contour is unremarkable. No definite bony abnormalities are seen.	<unk>-year-old man with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18708817/s55201330/702e6c30-d5586a89-26195d62-cd28ce11-547022d2.jpg	null	Moderate pulmonary edema is new since <unk>. Severe cardiomegaly is similar. The lungs are well expanded. There is no effusion or pneumothorax.	hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p17925184/s52901363/9be96908-9c28cca6-89d2f2f6-85870784-85cd9551.jpg	null	As compared to the previous radiograph, there is no relevant change. Severe bilateral apically predominant pulmonary emphysema. Minimal atelectasis in the retrocardiac lung areas, with several air bronchograms. No pleural effusions. No interval recurrence of pneumonia. Unchanged right picc line.	copd, status post surgery, new o<num> requirement, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p19950146/s50784740/e5131fc9-22a8e0a5-d7a650f6-0db308e1-9db213a6.jpg	null	Endotracheal tube terminates approximately <num> cm above the level of the carina. A right-sided picc terminates at the cavoatrial junction without evidence of pneumothorax. There are low lung volumes. No new focal consolidation is seen. There is no large pleural effusion. Prominence of the right hilum is grossly stable.	<unk> year old man with s/p ett // ett positioning
MIMIC-CXR-JPG/2.0.0/files/p16925328/s56455429/3397e70e-87b9d55f-692a4994-a9d5e4fd-e6da35f0.jpg	MIMIC-CXR-JPG/2.0.0/files/p16925328/s56455429/9fb0f390-0fbc30f5-e21de8b3-f346c3bd-d268d49e.jpg	A left shoulder replacement is noted. There are low lung volumes with bronchovascular crowding. No focal opacity is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No definite rib fracture is identified.	history: <unk>f with fall, r rib pain // rib fx?
MIMIC-CXR-JPG/2.0.0/files/p12530721/s58937148/beaa302d-206a1826-e1d5c958-f9806f24-b044a4b1.jpg	MIMIC-CXR-JPG/2.0.0/files/p12530721/s58937148/1365d489-dea5e7ab-7a782732-868bf942-7262d96b.jpg	The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and stable since the most recent examination. No focal consolidation is present. There is no pleural effusion or pneumothorax. Stable compression deformity of a mid thoracic vertebral body is noted.	<unk> year old woman with recent pna // f/u resolution
MIMIC-CXR-JPG/2.0.0/files/p15952632/s52206961/70023970-50714395-33e58d46-2196e157-6ecf1ac0.jpg	MIMIC-CXR-JPG/2.0.0/files/p15952632/s52206961/9030f6a5-51ec3881-c109a698-e8643d55-24769f4b.jpg	Surgical clips at the thoracic inlet at the level of thyroid are again noted. The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax.	history: <unk>f with chest pain // eval for structural process
MIMIC-CXR-JPG/2.0.0/files/p13138008/s57384203/24cf1a03-05a01992-cd6dbb0d-5d2156a7-e7451dbc.jpg	MIMIC-CXR-JPG/2.0.0/files/p13138008/s57384203/37a5eb99-e4a9b482-0d00e0d2-333252bd-6f23fc13.jpg	Frontal and lateral views of the chest were obtained. There is minimal vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p10021487/s55681272/cd4ac979-ce417d3e-37b3ee82-e1e3deac-b6a91fe5.jpg	null	Left lung is well expanded and clear. Right lung demonstrates decreased right-sided pleural effusion with residual atelectasis but no evidence of pneumothorax. Heart remains of normal in size. Normal cardiomediastinal silhouette.	<unk>-year-old man with thoracentesis, assess pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18578486/s56919263/d66599b5-8ea4b1ae-1b473e27-f18bb434-6044332b.jpg	null	There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No definite evidence of free air is seen beneath the diaphragms.
MIMIC-CXR-JPG/2.0.0/files/p12886834/s50888710/6d656545-30c2f556-f7eafe3c-6f69d8f3-2f484fbd.jpg	MIMIC-CXR-JPG/2.0.0/files/p12886834/s50888710/11d5b433-f526579e-ec1d0f83-6b716070-ac43cbd5.jpg	As compared to <unk>, nodular opacities with basilar predominance have increased. Mild pulmonary vascular congestion is stable. Mild cardiomegaly. No significant pleural effusions. No pneumothorax.	<unk> year old man with respiratory failure currently being treated for pneumonia // assess for pneumonia vs. pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p12905985/s59580089/15202de3-cba5f1fd-f5f07bbc-37dfa308-c21bf2b3.jpg	MIMIC-CXR-JPG/2.0.0/files/p12905985/s59580089/4829c0b6-3ade7d30-2e1e8570-ff09066a-390d70a3.jpg	Evaluation on the lateral radiograph is limited due to poor inspiration. Within this limitation, there is no focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits.	<unk>-year-old woman with fever, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13050277/s58438124/e072b606-daa3aa17-38c3c091-4ec0a16c-7ff4b5c6.jpg	null	The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.	confusion. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13839633/s57475744/bb4f3337-298adc31-dd1f69a8-70d22160-28afc3f8.jpg	null	In comparison with the study of <unk>, the cardiac silhouette is still enlarged but less prominent and the degree of vascular engorgement has decreased. Bibasilar atelectatic changes and possible small pleural effusions persist. The left picc line is difficult to evaluate on this study, though probably still is in the mid-to-lower portion of the svc.	post-operative, to assess for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13014715/s50858446/b7cccc84-0cc934ab-dd44c3ae-73b7189d-1540660e.jpg	MIMIC-CXR-JPG/2.0.0/files/p13014715/s50858446/647f1b50-5c789fb8-89fbc7ba-a873f7ca-86bf4d33.jpg	No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia.	cough and reactive airway disease.
MIMIC-CXR-JPG/2.0.0/files/p16218470/s56202715/d62948d8-b120acba-710c9bd2-11375f9b-0acc88ab.jpg	null	Since chest radiographs dated <unk>, the left lung base is less well aerated. A confluent area of opacification in the left lower lobe extends superiorly to the level of the hilum. Shadowing of the left hemidiaphragm is likely due to the atelectasis and a small pleural effusion. The heart is normal in size and the pleural surfaces are otherwise normal.	<unk> year old woman s/p bronch/tbna // eval for ptx, consolidation
MIMIC-CXR-JPG/2.0.0/files/p18202111/s59689487/dc5a6b80-521025ae-ce150993-44e0ff28-3c9f6b61.jpg	null	The heart is normal in size. The mediastinal and hilar structures are normal. There is no evidence of superimposed consolidations to suggest pneumonia. Postoperative changes of known lung nodules in the left lung base are unchanged. There are no pleural effusions or pneumothorax.	<unk>-year-old female patient with rising white blood cell count. study requested for assessment of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11151295/s51395592/b0a7907d-9e0797be-d91f6bd2-92437b56-c3a5bd30.jpg	null	In comparison with the study of <unk>, there is a generalized indistinctness of engorged pulmonary vessels consistent with elevated pulmonary venous pressure. More focal areas of opacification are seen at the right base and in the retrocardiac region. Although these could reflect merely atelectasis, the possibility of consolidation related to aspiration must be seriously considered. Endotracheal tube tip remains approximately <num> cm above the carina.	gastric outlet obstruction with possible aspiration.
MIMIC-CXR-JPG/2.0.0/files/p13977966/s51851747/12e36b56-18c8ee7e-1ae2211f-edb69a37-361a0254.jpg	null	Ng tube tip is in the stomach. Multiple dilated loops of bowel are seen in the abdomen in this patient known to have a small bowel obstruction. There is volume loss in the left lower lung with dense retrocardiac opacification and obscuration of the left hemidiaphragm. It is unclear if there is an underlying infectious infiltrate. The remainder of the lungs are clear. The heart continues to be moderately enlarged. Compared to the prior study, the cardiac and mediastinal silhouettes have not changed.	right femoral hernia, pre-op evaluation.
MIMIC-CXR-JPG/2.0.0/files/p10172240/s52794735/7de19788-b1a111ca-8cdd4772-5198d315-87053a5a.jpg	MIMIC-CXR-JPG/2.0.0/files/p10172240/s52794735/d92646a4-c1401528-fccf4a58-bb4d3b0a-1b0a38e0.jpg	In comparison with the study of <unk>, the postoperative changes in the left mid and lower zones have substantially resolved with some residual scarring. The right upper lobe nodule is again seen. No evidence of acute focal pneumonia or vascular congestion.	pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16403677/s52738259/053b963f-c85010bb-01f74283-ba2633bc-6bad2fbf.jpg	null	The patient is rightward rotated somewhat limiting evaluation. The costophrenic sulci are omitted from view. The lungs are normally expanded and clear. There is no pleural effusion or pneumothorax. Heart size is top normal. The mediastinal and hilar contours are grossly normal.	<unk> year old woman with seizure this am // r/o pna.
MIMIC-CXR-JPG/2.0.0/files/p15813307/s53658057/a038bc6e-0e447b92-5fb369dc-f73a31ce-e84647f0.jpg	null	Left-sided prepectoral dual lead pacemaker in situ in the right atrium and right ventricle. Evidence of previous cabg. No pneumothorax. Interval improvement in pulmonary vascular congestion. No pulmonary edema. Small peripheral granuloma in the right mid lung zone is unchanged compared to prior imaging done <unk>. No new airspace consolidation.	<unk> year old man s/p dual chamber pm implantation // check for lead position and pnx
MIMIC-CXR-JPG/2.0.0/files/p13193330/s56992177/423f46aa-a5de9c92-796bcb30-5a323bcf-fc5b3fe1.jpg	MIMIC-CXR-JPG/2.0.0/files/p13193330/s56992177/9b6f4328-1b4f2f24-cf62382c-52baa8d9-9d894e69.jpg	Pa and lateral views of the chest provided. Midline sternotomy wires are noted. Low lung volumes limit evaluation. The heart is top-normal in size. Hilar congestion with mild pulmonary edema noted. Small bilateral pleural effusions are present. No pneumothorax. No convincing evidence for pneumonia. Bony structures are intact.	<unk> year old woman with myasthenia <unk> s/p thymectomy p/w multiple episodes of atrial fibrillation
MIMIC-CXR-JPG/2.0.0/files/p12736635/s59714109/f6fd98ce-f652f232-d40a9a24-587a1540-9e930b56.jpg	MIMIC-CXR-JPG/2.0.0/files/p12736635/s59714109/45c4f954-aff8ff66-c6b6d4f8-ba8eebcd-74eb5c6b.jpg	Lung volumes are reduced compared to the previous exam. This accentuates the size of the cardiac silhouette which is likely within normal limits. The aortic knob is calcified. There is crowding of bronchovascular structures but no pulmonary edema is present. Mediastinal and hilar contours otherwise are unremarkable. Patchy bibasilar airspace opacities could reflect atelectasis but infection cannot be excluded. There is no pleural effusion or pneumothorax identified. Degenerative changes are seen within the imaged thoracolumbar spine.	altered mental status, poor historian, not acting like herself, possibly falling at home.
MIMIC-CXR-JPG/2.0.0/files/p13880219/s51345399/8c6efcb9-878e7b30-57daf810-9f07574f-8efce149.jpg	MIMIC-CXR-JPG/2.0.0/files/p13880219/s51345399/f303af71-32d94c40-cc0a2f99-eaa9d2fb-9e09664f.jpg	Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p10685081/s58101382/d5581cb1-1153bf14-1685d11f-144eeb85-41328847.jpg	MIMIC-CXR-JPG/2.0.0/files/p10685081/s58101382/8ed83803-48a49924-b5e86233-a3827a4e-e98f41b8.jpg	Ap and lateral views of the chest. Vague opacity projecting over the anterior left <num>st rib is compatible with patient's known lung mass. Left lower lobe pulmonary nodule also seen in the retrocardiac region on the frontal exam. There is a new opacity at the left lung base laterally on the frontal view which is not clearly delineated on the lateral exam. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.	<unk>-year-old male with chest pain and diarrhea. known lung mass. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17172702/s55703418/091c12ff-50e98fc1-a45f2a8b-dbdd4895-16c4e118.jpg	null	In comparison with study of <unk>, the increased apparent prominence of the cardiac silhouette most likely reflects differences in obliquity of the patient. There is again some poor definition of pulmonary vessels, raising the possibility of some elevated pulmonary venous pressure. No definite acute pneumonia.	chronic dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p10496867/s57329320/c5daee8f-d7ed466b-58e4ca7b-dee89cad-29a5b3e3.jpg	MIMIC-CXR-JPG/2.0.0/files/p10496867/s57329320/033824fb-901c4243-5494f64b-c3b3e6f0-9b81cc70.jpg	Cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. Linear left basilar opacity is most consistent with atelectasis.	<unk>-year-old man with sudden onset exertional chest tightness, evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p13403622/s58922267/dc8bc561-8fabab2f-727658d3-e75401dc-848b5a90.jpg	null	Large mass contiguous with aortic arch is consistent with known pseudoaneurysm and appears similar to the prior radiograph. Stable cardiomegaly accompanied by pulmonary vascular congestion and increasing interstitial edema. Marked improved aeration in left lower lobe with associated decrease in small left pleural effusion, but moderate right pleural effusion appears similar.
MIMIC-CXR-JPG/2.0.0/files/p14773816/s54822008/d85ec060-952fc0aa-38edd2a4-291c4f05-a29f850a.jpg	MIMIC-CXR-JPG/2.0.0/files/p14773816/s54822008/50887afb-47632a95-c11f5a39-e1fb5593-4cf7739c.jpg	New compared to prior diffuse bilateral parenchymal opacities most notably in the right mid lung and left lung base. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	<unk>m with cough // cough
MIMIC-CXR-JPG/2.0.0/files/p15491552/s53404311/164d737f-4d38f20b-5cfdcd6f-e96b13c7-3fcebde6.jpg	null	In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion or pleural effusion. Stable appearance of the left fifth and sixth ribs for at least <unk> years.	fever, to assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14388085/s50884894/b087f36d-4e590608-0b1fda10-4d25ad12-e8f454b3.jpg	MIMIC-CXR-JPG/2.0.0/files/p14388085/s50884894/de543154-9c3bad0a-9cfc5e48-3bf08efb-13f47fe3.jpg	Lung volumes are extremely low accentuating the cardiac silhouette and pulmonary vasculature. Given low lung volumes, there remains central pulmonary vascular congestion without interstitial edema. Heart size is likely normal given ap projection and slightly lordotic positioning. Hazy bibasilar opacities could represent atelectasis though infection is difficult to exclude in the correct clinical setting. . Pleural surfaces are clear without effusion or pneumothorax.	chills
MIMIC-CXR-JPG/2.0.0/files/p15034859/s50640860/3d8a1cdf-b40aba3b-a7189f9c-f6028210-ebbff82c.jpg	null	As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the upper to middle parts of the stomach. Moderate cardiomegaly with tortuosity of the thoracic aorta. No fluid overload. No pneumonia, no pneumothorax.	shortness of breath, evaluation for nasogastric tube.
MIMIC-CXR-JPG/2.0.0/files/p14734513/s55830780/c85dbc9f-bfd4916e-9b437e93-d5f43142-79b1e352.jpg	MIMIC-CXR-JPG/2.0.0/files/p14734513/s55830780/0f7b0ef7-378c5822-7f009834-0ccde475-3a3fd3e5.jpg	In comparison with the study of <unk>, the interstitial disease has somewhat decreased, suggesting some improvement in interstitial edema in a patient with known interstitial fibrosis. No definite acute focal consolidation.	fibrotic disease with dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p14987339/s55448313/afe34628-1fd7ede8-2d34a569-b86efe4a-48699501.jpg	null	Heart size is normal. The cardiomediastinal silhouette is stable and normal. The hilar contour is stable. Lungs are clear without focal consolidations, effusions or pneumothorax. No acute bony abnormality.	cough and chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14283529/s52934299/3ee4a2b8-179d2c87-4f4421d2-945fb8e7-1695d4a2.jpg	MIMIC-CXR-JPG/2.0.0/files/p14283529/s52934299/923b86d8-881486fa-1c97b188-2a82469b-08753c50.jpg	Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Hilar and mediastinal silhouettes are unremarkable. Heart has increased in size since <unk>. Pulmonary vascular congestion. No pleural effusion. Multiple surgical clips project over the mediastinum. Superior sternotomy wire is fractured.	syncope.
MIMIC-CXR-JPG/2.0.0/files/p14097166/s55662117/66c4aefd-e207ec6c-42691c73-366fad14-7f655f0e.jpg	null	The lungs are clear. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion. Right-sided subclavian line ends in the mid svc.	patient with lymphoma, fever, consolidation.
MIMIC-CXR-JPG/2.0.0/files/p18436961/s56151467/524beb14-0ce0d9ec-3d3995d8-198dc3bb-874e3ff7.jpg	MIMIC-CXR-JPG/2.0.0/files/p18436961/s56151467/ebe4e958-bc1c98f6-4bcd4923-7accb6f7-143d16ca.jpg	The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	<unk>m with esrd qnd liver transplant presenting with chest pain // does this patient have pna or rib fracture
MIMIC-CXR-JPG/2.0.0/files/p13632905/s51149093/23969e35-7ea2299b-8e326c32-9833ab4f-6c9e4d12.jpg	null	In comparison with study of earlier in this date, there is little change in the appearance of the endotracheal and nasogastric tubes. Little change in the appearance of the heart and lungs.	intubation.
MIMIC-CXR-JPG/2.0.0/files/p13856414/s51794395/38d39080-c122c903-5763c3df-b0471f99-698bed72.jpg	MIMIC-CXR-JPG/2.0.0/files/p13856414/s51794395/07fa3818-a96e1e42-6d10f6b1-fb8ba0cc-d5e5c70d.jpg	The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.	history: <unk>m with abd pain, pre-op // ?pna
MIMIC-CXR-JPG/2.0.0/files/p10640362/s52033667/016d9b44-c1e70333-e87e5929-4307590f-b4227ba6.jpg	MIMIC-CXR-JPG/2.0.0/files/p10640362/s52033667/f96eb608-b4b827b9-47729a8b-f4592e4f-a9d11d99.jpg	Frontal and lateral views of the chest were obtained. Minimal left basilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Density projecting along the left aspect of the mid thoracic spine correlates to bridging osteophyte, as seen on prior chest ct from <unk> and also appears stable in appearance compared to prior chest radiograph. Multilevel degenerative changes are seen along the spine. No overt pulmonary edema is seen.
MIMIC-CXR-JPG/2.0.0/files/p15510911/s50824866/8cc58ff0-7a6c1d2c-945fc98c-f8627827-6176a8e0.jpg	null	Lung volumes remain low. There is a new airspace opacity at the right lung base consistent with right middle lobe consolidation. In the setting of trauma this may reflect a pulmonary contusion but infection cannot be excluded. There is a small amount free air under both hemidiaphragms. A gastrostomy tube appears to have been placed recently which may account this finding but hollow visceral injury cannot be excluded.	<unk> year old woman with polytrauma // routine cxr
MIMIC-CXR-JPG/2.0.0/files/p14671276/s51958146/8008f433-fb24e42a-44dddb92-88105904-e4328dc1.jpg	null	As compared to the previous radiograph, there is no relevant change. Extensive bilateral parenchymal opacities and size of the cardiac silhouette are constant. Unchanged position of monitoring and support devices.	respiratory distress, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p19770723/s50963836/19788304-fcb2b563-6bb90f08-560b0765-a14846d9.jpg	MIMIC-CXR-JPG/2.0.0/files/p19770723/s50963836/75819fea-a43e280c-1f3fa2e0-e4c5a35b-4fcb3ec9.jpg	Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. There exists a small area of poorly delineated parenchymal infiltrates projecting partially over the left heart border identified on the lateral view to occupy the posterior segment of the left lower lobe. No other acute pulmonary parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free of any fluid accumulation. No pneumothorax seen in the apical area. Skeletal structures of the thorax grossly unremarkable. Our records do not include a previous chest examination available for comparison.	<unk>-year-old male patient with productive cough and wheezing. mild hemoptysis. nonsmoker. evaluate for possible infiltrates.
MIMIC-CXR-JPG/2.0.0/files/p14575807/s58138941/15f5363f-823e3c2b-822ffb03-0f44d878-7fdd8e8d.jpg	MIMIC-CXR-JPG/2.0.0/files/p14575807/s58138941/2098bead-2a353052-491c845c-4d1ed52f-1e956c91.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 shortness of breath and doe // r/o infectious process
MIMIC-CXR-JPG/2.0.0/files/p19963242/s51118747/a5ffaef6-c4515d8a-8862c4e3-bf1365d3-ca12e601.jpg	null	The lung volumes are normal. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No parenchymal opacities. No pleural effusions. No pneumothorax. No pulmonary edema.	pre-operative chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p13956943/s55513298/060a8ca4-90d2cc81-20f2ba3b-bbfc37cc-ff7db46c.jpg	MIMIC-CXR-JPG/2.0.0/files/p13956943/s55513298/b982d435-5c53b481-d68ed7d9-2ab5e6c3-a23be09b.jpg	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A right-sided pectoral pacemaker is present with the leads in unchanged position.	dizziness and chest pain. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19899954/s58004320/11a857ab-a612c843-3406c87a-f1d38f82-d56ff749.jpg	null	Heart size, mediastinal and hilar contours are normal. The lungs demonstrate nonspecific biapical scarring with nodularity at left apex as well as a focal area of linear atelectasis in the left lower lobe. No pleural effusions or acute skeletal findings are evident in the chest.
MIMIC-CXR-JPG/2.0.0/files/p15770196/s55383506/f08838fa-472ab25a-4ac81600-f0edebf6-c90685cb.jpg	null	As compared to the previous radiograph, there is no relevant change. Tracheostomy tube, right central venous line catheter and left pectoral pacemaker are constant in appearance. Unchanged moderate cardiomegaly with a relatively substantial right pleural effusion and subsequent atelectasis. Small left pleural effusion and retrocardiac atelectasis. Mild fluid overload. No pneumothorax.	ards. evaluation for interval improvement.
MIMIC-CXR-JPG/2.0.0/files/p15013830/s59721627/901b375c-3312f747-b3451074-1c0dc91e-6d1b92ec.jpg	null	Mild cardiomegaly and vascular engorgement are present. Patchy opacity in the right lower lobe may represent underlying infection or mass. No evidence of pleural effusions or pneumothorax.	<unk>f with significant wbc, stroke. eval for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10224101/s59893985/fcf4d501-65d91ce5-a88b16d8-33ab6d25-01159ad3.jpg	MIMIC-CXR-JPG/2.0.0/files/p10224101/s59893985/a7c41834-716935a7-86f66ca4-7368dd28-d7f04e67.jpg	Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Multiple small rounded metallic densities project over the anterior chest wall as on prior.	<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p17872759/s59369775/4280f69e-0ca6e406-9e4e35df-cd550ee4-63b134e9.jpg	MIMIC-CXR-JPG/2.0.0/files/p17872759/s59369775/a14dac34-938de68d-be483a7f-f1fe305e-f86c696a.jpg	In comparison with the study of <unk>, the cardiac silhouette is again somewhat prominent with a left ventricular configuration. However, there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.	polycythemia <unk>, to assess for pneumonia or chf.
MIMIC-CXR-JPG/2.0.0/files/p13693197/s53459523/aac9baf8-ed61683c-4fcfa3b1-acde0fef-5ed05c7c.jpg	MIMIC-CXR-JPG/2.0.0/files/p13693197/s53459523/20d244bc-1defa506-606bb734-79fe015c-6e60fba4.jpg	A right port-a-cath ends in the low svc, as before. Heterogeneous opacities in the right mid to lower lung are not significantly changed compared to the prior radiograph from <unk>. Additional nodular opacities in the left lower lobe are also unchanged. There is no new focal consolidation. The heart size is normal. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen.	lymphoma with increasing cough. assess for abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16095216/s56445252/c8446d53-8fdb5a40-928ff269-660bbdb0-68b9a362.jpg	MIMIC-CXR-JPG/2.0.0/files/p16095216/s56445252/54c3d458-4e47b87d-d787c6df-b7fb6e47-b0d736a6.jpg	The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen demonstrates no free air beneath the right hemidiaphragm.	left-sided chest pain, here to evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10534245/s53892697/2babe09e-da0c1b60-b44701b8-f003ca77-91ee6585.jpg	null	Once again, the swan-ganz catheter is positioned very distally within the right pulmonary arterial system, approximately <num> cm lateral to the mediastinal margins. This is unchanged in appearance compared to the prior study. An intra- aortic balloon pump is essentially unchanged in appearance. There is persistent moderate cardiomegaly. A right-sided picc terminates in the proximal svc. No pneumothorax, consolidation or pleural effusion seen.	<unk> year old man with iabp // iabp (intra aortic balloon pump) placement
MIMIC-CXR-JPG/2.0.0/files/p13752306/s58997807/d0aaa11c-09c1790e-dfde5f79-a43fdca6-cb5c539c.jpg	MIMIC-CXR-JPG/2.0.0/files/p13752306/s58997807/2717174b-4453c83d-5f12409a-ff8cbcbf-040ff3a5.jpg	The lungs are clear of focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.	<unk>m with chest pain // cardiopulm process?
MIMIC-CXR-JPG/2.0.0/files/p13680126/s55705600/e35ac71f-01727398-b93607fd-a3003bb3-756e731c.jpg	MIMIC-CXR-JPG/2.0.0/files/p13680126/s55705600/7891b8da-fbd24068-408a9c09-371e33a8-ea7d62e2.jpg	There is no focal consolidation or pneumothorax. There is a small left pleural effusion with underlying atelectasis, decreased since <unk>. Postsurgical changes in the left lung are stable. The cardiomediastinal silhouette is shifted to the left, unchanged since the prior exam and likely due to volume loss. The imaged upper abdomen is unremarkable. The bones are intact.	history: <unk>m with cough/syncope // eval for cough
MIMIC-CXR-JPG/2.0.0/files/p17353130/s59967926/90090e26-f70f3d13-e570d008-ca052c4d-44bde036.jpg	MIMIC-CXR-JPG/2.0.0/files/p17353130/s59967926/4ca83da0-b9c8bb34-ae48b4d3-b491b973-472a8187.jpg	The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. An old well-healed fracture of the right mid clavicle is again noted.	shortness of breath and cough.
MIMIC-CXR-JPG/2.0.0/files/p14207639/s59649646/3ac07756-88ed03a2-e01924bd-c5171a2a-2ce0a324.jpg	MIMIC-CXR-JPG/2.0.0/files/p14207639/s59649646/7a99922f-75f536e2-8b38a216-a4df73ae-33f3be18.jpg	Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. No pneumothorax, pleural effusion, or consolidation. A compression deformity of the lower thoracic vertebral body is age indeterminate, but new from <unk>. Multilevel degenerative changes in the thoracic spine.	history: <unk>f with sob // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p18784631/s53126036/1b529f98-5f601c26-5a31bab3-36464ed5-2a799c3a.jpg	MIMIC-CXR-JPG/2.0.0/files/p18784631/s53126036/bee5286e-1bf0c1d1-39392b92-df3b775d-75ccc5a1.jpg	Lungs appear clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax or pulmonary edema.	anterior chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11296020/s59655714/50b3e648-1db5a222-1b45e35a-84b8154b-05058220.jpg	MIMIC-CXR-JPG/2.0.0/files/p11296020/s59655714/e321c491-eb6248d3-410341e3-d4859ff4-0d6bcded.jpg	The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.	history: <unk>m with pmh of wpw presents to the ed via ambulance s/p mvc w lac to the head, l shoulder pain and l flank pain. // does he have any intracranial or intrabdominal bleeding?
MIMIC-CXR-JPG/2.0.0/files/p17899681/s54687293/e231e9ca-617722f6-a6e789d0-57124075-a9e62666.jpg	MIMIC-CXR-JPG/2.0.0/files/p17899681/s54687293/4d28063d-44789cf3-9db46e8e-6f6f3e0f-ba286751.jpg	Pa and lateral views of the chest. No prior. The lungs are clear. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. The osseous and soft tissue structures are unremarkable.	<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p12606543/s57831687/84a4b2ff-2ab06e1e-b0976c6e-dc9117df-321313b5.jpg	null	There is substantial, but stable enlargement of the cardiac silhouette. A tracheostomy is again demonstrated. There is prominence of the central pulmonary artery as well as evidence of pulmonary vascular congestion and mild edema. Streaky atelectasis is seen at the bases bilaterally. No pneumothorax. No pleural effusion.	<unk>-year-old female with complex past medical history including obstructive sleep apnea, ventilator dependent, pulmonary hypertension, diastolic congestive heart failure and near weekly outpatient diuresis for same admitted to the icu in the setting of nocturnal vent dependence. // eval pulm edema
MIMIC-CXR-JPG/2.0.0/files/p17449313/s53213970/354f928d-e5eee468-f74fd286-ad72c344-eeff94d1.jpg	MIMIC-CXR-JPG/2.0.0/files/p17449313/s53213970/a161943b-466d28c5-0c5834f8-d6b98fcf-ebd9f80d.jpg	Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.	warm feeling in the <unk> the chest, no radiation, not worse with food, began during housework. evaluate for pneumonia or pneumothorax. also assess for congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p14634689/s51020071/06560d1c-a874416e-c9331544-4d4edaa1-7531db58.jpg	MIMIC-CXR-JPG/2.0.0/files/p14634689/s51020071/5851f473-cf83168b-2cfaa2e8-d0ce5f11-794fd9b1.jpg	Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.	<unk>-year-old male with fever.
MIMIC-CXR-JPG/2.0.0/files/p19186444/s55490920/d12715c6-31896cd8-18b791cb-a0e4e684-74cd7718.jpg	null	New ng tube has sidehole in mid gastric cavity. All the reminder monitoring and supporting device are unchanged and in standard position. Persistent low lung volume with improvement of bilateral opacity, due to improved pulmonary edema. Heart size is top normal. There is no pneumothorax or pleural effusion. Gastric dilatation improved.
MIMIC-CXR-JPG/2.0.0/files/p16474066/s56859597/5bb196df-b49a940a-97d240b6-19ee95c9-762ff2a9.jpg	MIMIC-CXR-JPG/2.0.0/files/p16474066/s56859597/5e05986f-f674d964-14025b0c-7faa9b48-48dcba17.jpg	Pa and lateral views of the chest are reviewed. The patient is status post median sternotomy. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is similar to prior.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10072153/s52900702/6743f944-0d5253ca-c6564a3e-84ae7928-9b90e448.jpg	null	As compared to the previous image, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube is not included in the image. The other monitoring and support devices as well as the appearance of the heart and of the lung parenchyma are unchanged. No evidence of complications, notably no pneumothorax.	nasogastric tube placement.
MIMIC-CXR-JPG/2.0.0/files/p11941849/s52093897/bf4f6294-114142b9-70113bf9-8c57f5d4-1e9a80ed.jpg	MIMIC-CXR-JPG/2.0.0/files/p11941849/s52093897/9391f907-b2a3855c-89f0cfd4-b517ba7d-9ecb504d.jpg	Rotated positioning. There is probable background copd. Allowing for rotation, the cardiomediastinal silhouette is grossly unchanged. There is upper zone redistribution, without overt chf. There is increased opacity at the left lung base, likely a combination of pleural effusion and underlying collapse and/or consolidation. This appears larger than on <unk>. The possibility of an associated elevated left hemidiaphragm cannot be excluded. Again seen is a small right pleural effusion, probably similar to the prior study on the lateral view. Elsewhere, no focal infiltrate or consolidation. The patient has an azygos lobe, likely incomplete. Given patient rotation, the possibility of some opacification in the azygos lobe cannot be excluded, though this could be an artifact due to positioning.	<unk> year old woman with wbc <unk> and volume overload, osh record mentions retrocardiac opacity on ap view // pna vs pulm edema
MIMIC-CXR-JPG/2.0.0/files/p15680725/s54228968/11da9ca2-e49b6bcd-d5e4f8cf-5e4b7f82-6822f229.jpg	MIMIC-CXR-JPG/2.0.0/files/p15680725/s54228968/72f6c11e-8e0e2d3d-dbecce34-42d928fc-f70a0180.jpg	In comparison with study of <unk>, there is little overall change. Small pneumothorax persists in the right apical region. There are low lung volumes which accentuate the prominence of the transverse diameter of the heart. Elevation of the right hemidiaphragm is again seen with effusion and atelectasis at the right base. Less prominent atelectasis and possible effusion on the left.	to assess for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18001760/s51437059/c6a164b9-a805e3e2-c72898e9-24cf798d-58c6ee13.jpg	MIMIC-CXR-JPG/2.0.0/files/p18001760/s51437059/f683f16f-49c418d2-7eea4314-b4496259-c4b02e6a.jpg	Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is stable and normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p10920105/s51956798/29462f70-50f0f267-6294aa6b-6d0413b6-128550a8.jpg	null	A right pleural drainage pigtail catheter has been placed. The large right pleural effusion has decreased in size, now moderate. The catheter itself is remote from the remaining pleural fluid collection on this upright film, terminating in the medial mid lung. The proximal portion of the catheter takes an unusual course and appears slightly kinked, possibly at the site of entry. There is no pneumothorax. The left lung is clear.	right pleural effusion, status post chest tube placement. evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p17989329/s51336329/02f8529a-ffe5ad6a-6824cfed-1c3bc16e-0cac00bf.jpg	null	There has been interval repositioning of the left picc line, the tip now extending to the mid svc. No pneumothorax identified. Minimal blunting of left costophrenic angle is unchanged suggesting trace effusion or mild pleural thickening. There is mild elevation of left hemidiaphragm which may be secondary to an element of left lower lobe collapse. No pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.	<unk> year old woman with l picc malpositioned // l picc powerflushed retracted <num>cm <unk> <unk>
MIMIC-CXR-JPG/2.0.0/files/p12927133/s59704932/7237e8be-415c7e30-f415ada5-af62bb41-ebfa7193.jpg	MIMIC-CXR-JPG/2.0.0/files/p12927133/s59704932/10dfb34c-d1168792-2f2ba907-298ab4fa-d5348f7c.jpg	Pa and lateral views of the chest are provided. There is mild elevation of the left hemidiaphragm. The lungs are clear. No signs of pneumonia or chf. No effusion or pneumothorax is seen. Cardiomediastinal silhouette appears normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p18261939/s57583311/4d235a83-fdcff2b1-032bade6-d46fd491-3b2d5e35.jpg	null	Single portable view of the chest. Lower lung volumes seen on the current exam with secondary to crowding of the bronchovascular markings. The lungs are clear of confluent consolidation or large effusion. Calcific density again projects over left mid lung. Cardiac silhouette is enlarged but given differences in technique and inspiratory effort has not changed. Increased fullness with an unusual contour again seen at the left hilum.	<unk>-year-old female with newly found.
MIMIC-CXR-JPG/2.0.0/files/p15545849/s52818796/2ad9bb25-422e673a-49d79993-4b905487-83cda22f.jpg	null	In comparison with the study of <unk>, the monitoring and support devices remain in good position. Continued enlargement of the cardiac silhouette with stable or slightly improving elevation of pulmonary venous pressure. Continued retrocardiac opacification most likely reflects atelectasis and small pleural effusion, though superimposed pneumonia could not be unequivocally excluded as a source for infection.	prior pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14309165/s54696470/f0f85241-999006d3-93b39c5f-06fb70d0-3363548e.jpg	MIMIC-CXR-JPG/2.0.0/files/p14309165/s54696470/3dfa5e68-fd04b288-5d674699-2e6e6ffc-ffa0f847.jpg	The lungs are hyperinflated with an increased ap diameter, which is likely exaggerated by the thoracic spine kyphosis. Heart size is moderately enlarged but stable. There is no focal consolidation, pulmonary edema or pneumothorax. Blunting of the costophrenic angles bilaterally is likely a function of small pleural effusions, better characterized on the ct from the same day. A significantly calcified aortic knob is again noted.	history: <unk>f s/p fall with laceration to head // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p13299285/s56248051/34dde7cd-c662a10c-15e45d38-ba2d22ae-89fa0c9c.jpg	null	As compared to previous radiograph from <unk>, there has been no significant change. There is moderate cardiomegaly with mild-to-moderate pulmonary edema. There are likely small bilateral pleural effusions. There is retrocardiac atelectasis. Monitoring and support devices are unchanged.	<unk>-year-old male patient with question small effusion in setting of sirs related to pj leakage. study requested for evaluation of interval change.

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Relatively low lung volumes are again seen with streaky right basilar opacity which is most likely atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. Left chest wall dual lead pacing device is seen with lead tips in the right atrium and right ventricular apex. No acute osseous abnormalities.

with pacemaker placed last week. lightheaded/dizzy // ?pneumonia. confirm pacemaker position

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

white count.

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Pa and lateral views of the chest. No prior. There is evidence of volume loss in the left hemithorax with increased opacity better characterized on the lateral compatible with left upper lobe collapse. Soft tissue fullness seen in the left hilar region in combination with upper lobe collapse, the s sign of golden. The right lung is grossly clear. Cardiomediastinal silhouette is within normal limits, noting shift to the left. Osseous and soft tissue structures are unremarkable.

<unk>-year-old female with cough.

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In comparison with study of <unk>, there is a slight improvement in the heterogeneous opacities at the bases. Upper lungs are unchanged. There is no evidence of vascular congestion.

anterior chest pain.

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Portable ap view of the chest. There are increased perihilar and bibasilar opacities suggestive of mild pulmonary edema. This has progressed even despite lower lung volumes on the current exam. Mild blunting of the right lateral costophrenic angle may be due to atelectasis versus small effusion. Cardiomediastinal silhouette is unchanged. Dual lumen central venous catheter is unchanged.

<unk>-year-old male with recent pneumonia and missed dialysis yesterday. question pneumonia are fluid overload.

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Cardiac size is normal. The lungs are clear and retrospectively comparing with chest radiograph performed earlier on the same day, there is resolution of previous mild pulmonary edema. No pneumothorax or pleural effusion.

<unk> year old woman with brain lesion who will undergo surgical resection. cxr for pre-operative clearance. // chest x-ray for pre-operative clearance. surg: <unk> (craniotomy and resection of brain lesion)

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There is a <num> mm left lung nodule, likely corresponding to the nodule noted on prior pet-ct and chest cta. The lungs are otherwise clear of focal consolidation, pleural effusion or pneumothorax. The heart is normal in size, and the mediastinal contours are normal. There is no pulmonary edema. A stent in the right upper abdominal quadrant is again noted.

<unk>-year-old female with acute kidney injury concerning for infectious process. evaluate for pneumonia.

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Indwelling support and monitoring devices are unchanged in position. Persistent cardiomegaly and widening of vascular pedicle. Bilateral combined alveolar and interstitial opacities appear minimally improved, with persistent more confluent opacities in the right lung base medially with adjacent elevation of right hemidiaphragm. Considering the presence of longstanding interstitial fibrosis, observed findings could represent acute exacerbation of chronic lung disease. Alternatively, this may reflect chronic lung disease complicated by infection, edema or ards.

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The heart size is normal. The mediastinal silhouette and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.

tuberculosis, on treatment with worsening pleuritic chest pain.

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Pa and lateral views of the chest provided. There is decreased lung volumes. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with sudden onset sharp left sided chest pain at <unk> this morning // eval for ptx

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Portable ap chest radiograph. Diffuse interstitial and parenchymal opacities are decreased slightly compatible with minimal improvement in edema, particularly with reduction of the density of the right base. However upper to mid right lung more confluent opacity is decreased but still notable focally and may reflect asymmetric edema or masked infectious process. Cardiac enlargement is mild and stable. There is no pleural effusion or pneumothorax.

hypoxia, assess for change.

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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Hyperinflated lungs reflect known emphysema, better assessed on prior ct from <unk>. No focal consolidation is identified. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormality.

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

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The cardiomediastinal and hilar silhouettes are stable since the prior exam. No focal consolidation, pleural effusion, or pneumothorax. Intact median sternotomy wires and unchanged positioning of the mediastinum surgical clips. No evidence of free subdiaphragmatic air.

<unk>f with acute abdominal pain. evaluate for free air.

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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Fractures of the right fifth through eighth lateral ribs are re-demonstrated, but better assessed on the previous rib series radiographs. There is minimal right lateral pleural thickening adjacent to the site of the rib fractures. Vague opacity within the right lateral lung base may reflect an area of contusion. No pneumothorax, focal consolidation or pleural effusion is clearly evident.

history: <unk>m with four right lower rib fractures

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No focal consolidation, pleural effusion, or pneumothorax is detected. Heart and mediastinal contours are within normal limits. No fracture is identified, although rib series is more sensitive for rib fractures.

<unk>-year-old male status post fall.

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As compared to the previous radiograph, there is minimal elevation of the left hemidiaphragm, caused by an overinflated stomach. Moderate cardiomegaly with extensive tortuosity of the thoracic aorta but no evidence of pneumonia or pulmonary edema. No pleural effusions.

cough and decreased breath sounds, evaluation for pneumonia.

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The lungs are clear without consolidation or edema. No discrete nodul ies identified. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

tongue cancer with increased shortness of breath and cough.

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Interval removal of the gastric tube. There is new opacification of the right mid and lower hemithorax with the exception of the right upper lung zone, likely reflecting a combination of a pleural effusion and atelectasis/ consolidation. New patchy and confluent airspace opacities at project over the left mid to lower lung zone as well. No left pleural effusion or pneumothorax bilaterally. The size of the cardiac silhouette is enlarged.

<unk> year old man with cirrhosis p/w appendicitis, acute drop in o<num> sat w/ audible wheezing // assess for acute drop in o<num> sat

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Pa and lateral chest radiographs were obtained. There is no change in bilateral small pleural effusions with adjacent atelectasis and scarring. Right apical scarring and elevation of the right hilus is stable. Right-sided picc line tip terminates in the mid svc. There is no new consolidation or pneumothorax. Mediastinal clips and mid thoracic vertebroplasty cement are also unchanged.

<unk>-year-old woman with recurrent left-sided pleural effusion.

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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.

cough. evaluate for focal infiltrate.

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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. There is calcification of the aortic knob, similar to prior. An azygos lobe is incidentally noted. The lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body.

<unk>-year-old male with recent uri, fatigue, new crackles at right base. evaluate for infiltrate.

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Lung volumes are low. A calcified granuloma is noted in the left midlung. No signs of pneumonia or chf. No pleural effusion or pneumothorax. Heart size is within normal limits. The mediastinal contour is unremarkable. No definite bony abnormalities are seen.

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

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Moderate pulmonary edema is new since <unk>. Severe cardiomegaly is similar. The lungs are well expanded. There is no effusion or pneumothorax.

hypoxia.

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As compared to the previous radiograph, there is no relevant change. Severe bilateral apically predominant pulmonary emphysema. Minimal atelectasis in the retrocardiac lung areas, with several air bronchograms. No pleural effusions. No interval recurrence of pneumonia. Unchanged right picc line.

copd, status post surgery, new o<num> requirement, evaluation.

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Endotracheal tube terminates approximately <num> cm above the level of the carina. A right-sided picc terminates at the cavoatrial junction without evidence of pneumothorax. There are low lung volumes. No new focal consolidation is seen. There is no large pleural effusion. Prominence of the right hilum is grossly stable.

<unk> year old man with s/p ett // ett positioning

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A left shoulder replacement is noted. There are low lung volumes with bronchovascular crowding. No focal opacity is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No definite rib fracture is identified.

history: <unk>f with fall, r rib pain // rib fx?

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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and stable since the most recent examination. No focal consolidation is present. There is no pleural effusion or pneumothorax. Stable compression deformity of a mid thoracic vertebral body is noted.

<unk> year old woman with recent pna // f/u resolution

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Surgical clips at the thoracic inlet at the level of thyroid are again noted. The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax.

history: <unk>f with chest pain // eval for structural process

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Frontal and lateral views of the chest were obtained. There is minimal vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.

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Left lung is well expanded and clear. Right lung demonstrates decreased right-sided pleural effusion with residual atelectasis but no evidence of pneumothorax. Heart remains of normal in size. Normal cardiomediastinal silhouette.

<unk>-year-old man with thoracentesis, assess pneumothorax.

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There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No definite evidence of free air is seen beneath the diaphragms.

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As compared to <unk>, nodular opacities with basilar predominance have increased. Mild pulmonary vascular congestion is stable. Mild cardiomegaly. No significant pleural effusions. No pneumothorax.

<unk> year old man with respiratory failure currently being treated for pneumonia // assess for pneumonia vs. pulmonary edema

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Evaluation on the lateral radiograph is limited due to poor inspiration. Within this limitation, there is no focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits.

<unk>-year-old woman with fever, here to evaluate for pneumonia.

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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.

confusion. question pneumonia.

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In comparison with the study of <unk>, the cardiac silhouette is still enlarged but less prominent and the degree of vascular engorgement has decreased. Bibasilar atelectatic changes and possible small pleural effusions persist. The left picc line is difficult to evaluate on this study, though probably still is in the mid-to-lower portion of the svc.

post-operative, to assess for pulmonary edema.

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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia.

cough and reactive airway disease.

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Since chest radiographs dated <unk>, the left lung base is less well aerated. A confluent area of opacification in the left lower lobe extends superiorly to the level of the hilum. Shadowing of the left hemidiaphragm is likely due to the atelectasis and a small pleural effusion. The heart is normal in size and the pleural surfaces are otherwise normal.

<unk> year old woman s/p bronch/tbna // eval for ptx, consolidation

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The heart is normal in size. The mediastinal and hilar structures are normal. There is no evidence of superimposed consolidations to suggest pneumonia. Postoperative changes of known lung nodules in the left lung base are unchanged. There are no pleural effusions or pneumothorax.

<unk>-year-old female patient with rising white blood cell count. study requested for assessment of pneumonia.

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In comparison with the study of <unk>, there is a generalized indistinctness of engorged pulmonary vessels consistent with elevated pulmonary venous pressure. More focal areas of opacification are seen at the right base and in the retrocardiac region. Although these could reflect merely atelectasis, the possibility of consolidation related to aspiration must be seriously considered. Endotracheal tube tip remains approximately <num> cm above the carina.

gastric outlet obstruction with possible aspiration.

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Ng tube tip is in the stomach. Multiple dilated loops of bowel are seen in the abdomen in this patient known to have a small bowel obstruction. There is volume loss in the left lower lung with dense retrocardiac opacification and obscuration of the left hemidiaphragm. It is unclear if there is an underlying infectious infiltrate. The remainder of the lungs are clear. The heart continues to be moderately enlarged. Compared to the prior study, the cardiac and mediastinal silhouettes have not changed.

right femoral hernia, pre-op evaluation.

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In comparison with the study of <unk>, the postoperative changes in the left mid and lower zones have substantially resolved with some residual scarring. The right upper lobe nodule is again seen. No evidence of acute focal pneumonia or vascular congestion.

pleural effusion.

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The patient is rightward rotated somewhat limiting evaluation. The costophrenic sulci are omitted from view. The lungs are normally expanded and clear. There is no pleural effusion or pneumothorax. Heart size is top normal. The mediastinal and hilar contours are grossly normal.

<unk> year old woman with seizure this am // r/o pna.

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Left-sided prepectoral dual lead pacemaker in situ in the right atrium and right ventricle. Evidence of previous cabg. No pneumothorax. Interval improvement in pulmonary vascular congestion. No pulmonary edema. Small peripheral granuloma in the right mid lung zone is unchanged compared to prior imaging done <unk>. No new airspace consolidation.

<unk> year old man s/p dual chamber pm implantation // check for lead position and pnx

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Pa and lateral views of the chest provided. Midline sternotomy wires are noted. Low lung volumes limit evaluation. The heart is top-normal in size. Hilar congestion with mild pulmonary edema noted. Small bilateral pleural effusions are present. No pneumothorax. No convincing evidence for pneumonia. Bony structures are intact.

<unk> year old woman with myasthenia <unk> s/p thymectomy p/w multiple episodes of atrial fibrillation

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Lung volumes are reduced compared to the previous exam. This accentuates the size of the cardiac silhouette which is likely within normal limits. The aortic knob is calcified. There is crowding of bronchovascular structures but no pulmonary edema is present. Mediastinal and hilar contours otherwise are unremarkable. Patchy bibasilar airspace opacities could reflect atelectasis but infection cannot be excluded. There is no pleural effusion or pneumothorax identified. Degenerative changes are seen within the imaged thoracolumbar spine.

altered mental status, poor historian, not acting like herself, possibly falling at home.

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

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Ap and lateral views of the chest. Vague opacity projecting over the anterior left <num>st rib is compatible with patient's known lung mass. Left lower lobe pulmonary nodule also seen in the retrocardiac region on the frontal exam. There is a new opacity at the left lung base laterally on the frontal view which is not clearly delineated on the lateral exam. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.

<unk>-year-old male with chest pain and diarrhea. known lung mass. question pneumonia.

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In comparison with study of <unk>, the increased apparent prominence of the cardiac silhouette most likely reflects differences in obliquity of the patient. There is again some poor definition of pulmonary vessels, raising the possibility of some elevated pulmonary venous pressure. No definite acute pneumonia.

chronic dyspnea.

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Cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. Linear left basilar opacity is most consistent with atelectasis.

<unk>-year-old man with sudden onset exertional chest tightness, evaluate for pneumonia

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Large mass contiguous with aortic arch is consistent with known pseudoaneurysm and appears similar to the prior radiograph. Stable cardiomegaly accompanied by pulmonary vascular congestion and increasing interstitial edema. Marked improved aeration in left lower lobe with associated decrease in small left pleural effusion, but moderate right pleural effusion appears similar.

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New compared to prior diffuse bilateral parenchymal opacities most notably in the right mid lung and left lung base. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with cough // cough

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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion or pleural effusion. Stable appearance of the left fifth and sixth ribs for at least <unk> years.

fever, to assess for pneumonia.

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Lung volumes are extremely low accentuating the cardiac silhouette and pulmonary vasculature. Given low lung volumes, there remains central pulmonary vascular congestion without interstitial edema. Heart size is likely normal given ap projection and slightly lordotic positioning. Hazy bibasilar opacities could represent atelectasis though infection is difficult to exclude in the correct clinical setting. . Pleural surfaces are clear without effusion or pneumothorax.

chills

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As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the upper to middle parts of the stomach. Moderate cardiomegaly with tortuosity of the thoracic aorta. No fluid overload. No pneumonia, no pneumothorax.

shortness of breath, evaluation for nasogastric tube.

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In comparison with the study of <unk>, the interstitial disease has somewhat decreased, suggesting some improvement in interstitial edema in a patient with known interstitial fibrosis. No definite acute focal consolidation.

fibrotic disease with dyspnea.

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Heart size is normal. The cardiomediastinal silhouette is stable and normal. The hilar contour is stable. Lungs are clear without focal consolidations, effusions or pneumothorax. No acute bony abnormality.

cough and chest pain.

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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Hilar and mediastinal silhouettes are unremarkable. Heart has increased in size since <unk>. Pulmonary vascular congestion. No pleural effusion. Multiple surgical clips project over the mediastinum. Superior sternotomy wire is fractured.

syncope.

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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion. Right-sided subclavian line ends in the mid svc.

patient with lymphoma, fever, consolidation.

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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with esrd qnd liver transplant presenting with chest pain // does this patient have pna or rib fracture

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In comparison with study of earlier in this date, there is little change in the appearance of the endotracheal and nasogastric tubes. Little change in the appearance of the heart and lungs.

intubation.

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

history: <unk>m with abd pain, pre-op // ?pna

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Frontal and lateral views of the chest were obtained. Minimal left basilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Density projecting along the left aspect of the mid thoracic spine correlates to bridging osteophyte, as seen on prior chest ct from <unk> and also appears stable in appearance compared to prior chest radiograph. Multilevel degenerative changes are seen along the spine. No overt pulmonary edema is seen.

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Lung volumes remain low. There is a new airspace opacity at the right lung base consistent with right middle lobe consolidation. In the setting of trauma this may reflect a pulmonary contusion but infection cannot be excluded. There is a small amount free air under both hemidiaphragms. A gastrostomy tube appears to have been placed recently which may account this finding but hollow visceral injury cannot be excluded.

<unk> year old woman with polytrauma // routine cxr

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As compared to the previous radiograph, there is no relevant change. Extensive bilateral parenchymal opacities and size of the cardiac silhouette are constant. Unchanged position of monitoring and support devices.

respiratory distress, evaluation for interval change.

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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. There exists a small area of poorly delineated parenchymal infiltrates projecting partially over the left heart border identified on the lateral view to occupy the posterior segment of the left lower lobe. No other acute pulmonary parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free of any fluid accumulation. No pneumothorax seen in the apical area. Skeletal structures of the thorax grossly unremarkable. Our records do not include a previous chest examination available for comparison.

<unk>-year-old male patient with productive cough and wheezing. mild hemoptysis. nonsmoker. evaluate for possible infiltrates.

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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 shortness of breath and doe // r/o infectious process

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The lung volumes are normal. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No parenchymal opacities. No pleural effusions. No pneumothorax. No pulmonary edema.

pre-operative chest x-ray.

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A right-sided pectoral pacemaker is present with the leads in unchanged position.

dizziness and chest pain. evaluate for pneumonia.

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Heart size, mediastinal and hilar contours are normal. The lungs demonstrate nonspecific biapical scarring with nodularity at left apex as well as a focal area of linear atelectasis in the left lower lobe. No pleural effusions or acute skeletal findings are evident in the chest.

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As compared to the previous radiograph, there is no relevant change. Tracheostomy tube, right central venous line catheter and left pectoral pacemaker are constant in appearance. Unchanged moderate cardiomegaly with a relatively substantial right pleural effusion and subsequent atelectasis. Small left pleural effusion and retrocardiac atelectasis. Mild fluid overload. No pneumothorax.

ards. evaluation for interval improvement.

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Mild cardiomegaly and vascular engorgement are present. Patchy opacity in the right lower lobe may represent underlying infection or mass. No evidence of pleural effusions or pneumothorax.

<unk>f with significant wbc, stroke. eval for pneumonia.

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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Multiple small rounded metallic densities project over the anterior chest wall as on prior.

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

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In comparison with the study of <unk>, the cardiac silhouette is again somewhat prominent with a left ventricular configuration. However, there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

polycythemia <unk>, to assess for pneumonia or chf.

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A right port-a-cath ends in the low svc, as before. Heterogeneous opacities in the right mid to lower lung are not significantly changed compared to the prior radiograph from <unk>. Additional nodular opacities in the left lower lobe are also unchanged. There is no new focal consolidation. The heart size is normal. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen.

lymphoma with increasing cough. assess for abnormality.

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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen demonstrates no free air beneath the right hemidiaphragm.

left-sided chest pain, here to evaluate for pneumothorax.

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Once again, the swan-ganz catheter is positioned very distally within the right pulmonary arterial system, approximately <num> cm lateral to the mediastinal margins. This is unchanged in appearance compared to the prior study. An intra- aortic balloon pump is essentially unchanged in appearance. There is persistent moderate cardiomegaly. A right-sided picc terminates in the proximal svc. No pneumothorax, consolidation or pleural effusion seen.

<unk> year old man with iabp // iabp (intra aortic balloon pump) placement

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The lungs are clear of focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>m with chest pain // cardiopulm process?

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There is no focal consolidation or pneumothorax. There is a small left pleural effusion with underlying atelectasis, decreased since <unk>. Postsurgical changes in the left lung are stable. The cardiomediastinal silhouette is shifted to the left, unchanged since the prior exam and likely due to volume loss. The imaged upper abdomen is unremarkable. The bones are intact.

history: <unk>m with cough/syncope // eval for cough

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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. An old well-healed fracture of the right mid clavicle is again noted.

shortness of breath and cough.

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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. No pneumothorax, pleural effusion, or consolidation. A compression deformity of the lower thoracic vertebral body is age indeterminate, but new from <unk>. Multilevel degenerative changes in the thoracic spine.

history: <unk>f with sob // r/o acute process

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Lungs appear clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax or pulmonary edema.

anterior chest pain.

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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.

history: <unk>m with pmh of wpw presents to the ed via ambulance s/p mvc w lac to the head, l shoulder pain and l flank pain. // does he have any intracranial or intrabdominal bleeding?

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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. The osseous and soft tissue structures are unremarkable.

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

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There is substantial, but stable enlargement of the cardiac silhouette. A tracheostomy is again demonstrated. There is prominence of the central pulmonary artery as well as evidence of pulmonary vascular congestion and mild edema. Streaky atelectasis is seen at the bases bilaterally. No pneumothorax. No pleural effusion.

<unk>-year-old female with complex past medical history including obstructive sleep apnea, ventilator dependent, pulmonary hypertension, diastolic congestive heart failure and near weekly outpatient diuresis for same admitted to the icu in the setting of nocturnal vent dependence. // eval pulm edema

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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.

warm feeling in the <unk> the chest, no radiation, not worse with food, began during housework. evaluate for pneumonia or pneumothorax. also assess for congestive heart failure.

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Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.

<unk>-year-old male with fever.

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New ng tube has sidehole in mid gastric cavity. All the reminder monitoring and supporting device are unchanged and in standard position. Persistent low lung volume with improvement of bilateral opacity, due to improved pulmonary edema. Heart size is top normal. There is no pneumothorax or pleural effusion. Gastric dilatation improved.

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Pa and lateral views of the chest are reviewed. The patient is status post median sternotomy. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is similar to prior.

chest pain.

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As compared to the previous image, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube is not included in the image. The other monitoring and support devices as well as the appearance of the heart and of the lung parenchyma are unchanged. No evidence of complications, notably no pneumothorax.

nasogastric tube placement.

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Rotated positioning. There is probable background copd. Allowing for rotation, the cardiomediastinal silhouette is grossly unchanged. There is upper zone redistribution, without overt chf. There is increased opacity at the left lung base, likely a combination of pleural effusion and underlying collapse and/or consolidation. This appears larger than on <unk>. The possibility of an associated elevated left hemidiaphragm cannot be excluded. Again seen is a small right pleural effusion, probably similar to the prior study on the lateral view. Elsewhere, no focal infiltrate or consolidation. The patient has an azygos lobe, likely incomplete. Given patient rotation, the possibility of some opacification in the azygos lobe cannot be excluded, though this could be an artifact due to positioning.

<unk> year old woman with wbc <unk> and volume overload, osh record mentions retrocardiac opacity on ap view // pna vs pulm edema

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In comparison with study of <unk>, there is little overall change. Small pneumothorax persists in the right apical region. There are low lung volumes which accentuate the prominence of the transverse diameter of the heart. Elevation of the right hemidiaphragm is again seen with effusion and atelectasis at the right base. Less prominent atelectasis and possible effusion on the left.

to assess for pneumothorax.

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

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A right pleural drainage pigtail catheter has been placed. The large right pleural effusion has decreased in size, now moderate. The catheter itself is remote from the remaining pleural fluid collection on this upright film, terminating in the medial mid lung. The proximal portion of the catheter takes an unusual course and appears slightly kinked, possibly at the site of entry. There is no pneumothorax. The left lung is clear.

right pleural effusion, status post chest tube placement. evaluate for pneumothorax.

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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Extensive bilateral pleural effusions with mild cardiomegaly and likely mild pulmonary edema. Subsequent areas of bilateral basal atelectasis. No other relevant changes.

paraesophageal hernia, status post repair. evaluation.

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There has been interval repositioning of the left picc line, the tip now extending to the mid svc. No pneumothorax identified. Minimal blunting of left costophrenic angle is unchanged suggesting trace effusion or mild pleural thickening. There is mild elevation of left hemidiaphragm which may be secondary to an element of left lower lobe collapse. No pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.

<unk> year old woman with l picc malpositioned // l picc powerflushed retracted <num>cm <unk> <unk>

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Pa and lateral views of the chest are provided. There is mild elevation of the left hemidiaphragm. The lungs are clear. No signs of pneumonia or chf. No effusion or pneumothorax is seen. Cardiomediastinal silhouette appears normal. Bony structures are intact. There is no free air below the right hemidiaphragm.

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Single portable view of the chest. Lower lung volumes seen on the current exam with secondary to crowding of the bronchovascular markings. The lungs are clear of confluent consolidation or large effusion. Calcific density again projects over left mid lung. Cardiac silhouette is enlarged but given differences in technique and inspiratory effort has not changed. Increased fullness with an unusual contour again seen at the left hilum.

<unk>-year-old female with newly found.

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In comparison with the study of <unk>, the monitoring and support devices remain in good position. Continued enlargement of the cardiac silhouette with stable or slightly improving elevation of pulmonary venous pressure. Continued retrocardiac opacification most likely reflects atelectasis and small pleural effusion, though superimposed pneumonia could not be unequivocally excluded as a source for infection.

prior pneumonia.

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The lungs are hyperinflated with an increased ap diameter, which is likely exaggerated by the thoracic spine kyphosis. Heart size is moderately enlarged but stable. There is no focal consolidation, pulmonary edema or pneumothorax. Blunting of the costophrenic angles bilaterally is likely a function of small pleural effusions, better characterized on the ct from the same day. A significantly calcified aortic knob is again noted.

history: <unk>f s/p fall with laceration to head // r/o acute process

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As compared to previous radiograph from <unk>, there has been no significant change. There is moderate cardiomegaly with mild-to-moderate pulmonary edema. There are likely small bilateral pleural effusions. There is retrocardiac atelectasis. Monitoring and support devices are unchanged.

<unk>-year-old male patient with question small effusion in setting of sirs related to pj leakage. study requested for evaluation of interval change.