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/p12903663/s54593977/25067dd6-6d8afc94-7525b556-7e913237-009c0612.jpg	null	There is no significant change compared to <unk> with re-demonstration of enlarged cardiac silhouette with tortuosity of the thoracic aorta. Hilar contours are unremarkable. Again identified are left greater than right bibasilar opacities with blunting of the diaphragmatic contour suggestive of bilateral pleural effusions with associated bibasilar consolidation. There is no pneumothorax.	altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p19791178/s58452001/b8f347db-525465ad-aa76196d-af07dc0c-de8ca4a1.jpg	MIMIC-CXR-JPG/2.0.0/files/p19791178/s58452001/b0f342d3-2bcfa91f-7e32ecb8-eb22dd49-1b0ff10e.jpg	Pa and lateral views of the chest. The sternotomy wires are intact. Coronary artery stents and/or calcifications are seen. Mediastinal clips are seen. There is prominence of epicardial fat on the left. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.	chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16937222/s52712879/69ef21d0-910dbded-aaef3c5b-4cda358b-8dee10a4.jpg	MIMIC-CXR-JPG/2.0.0/files/p16937222/s52712879/54d00feb-4fcd73dd-80d72407-696f6bf6-a62f6bd4.jpg	There is mild basilar atelectasis. No definite focal consolidation is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.	history: <unk>m with chest pain, hx of acs, pe // eval for pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p12934243/s50172947/213bc53c-b0bd7433-a673b22f-1b5d15fa-39565dd8.jpg	null	Comparison is made to previous study from <unk>. There is a dobbhoff tube whose side port and tip are above the ge junction. This needs to be advanced at least <unk>-<num> cm for optimal placement. There is cardiomegaly. There is consolidation in the lung bases. There is a large left-sided pleural effusion. There is likely loculated pleural fluid on the right side as well. No pneumothoraces are present.
MIMIC-CXR-JPG/2.0.0/files/p10143711/s53622177/a875e80f-06da317c-54e6369f-51713fca-ae4a9cc7.jpg	MIMIC-CXR-JPG/2.0.0/files/p10143711/s53622177/3a99d8f3-5dea0bb6-1978ef22-db7f88cb-97d939ef.jpg	Lung volumes are low which accentuates bronchovascular markings. The heart is moderately enlarged on this ap view. There is mild to moderate vascular congestion and pulmonary edema. No pneumothorax. No pleural effusion.	history: <unk>m with fall, h/o tib frx // ? traumatic injuries
MIMIC-CXR-JPG/2.0.0/files/p13209752/s54969009/41bcdb22-fc76ab79-a18067ba-f4aed9e2-00c440db.jpg	null	The endotracheal tube has been removed and a tracheostomy has been placed terminating <num> cm above the carina. The dobbhoff tube has been removed and a percutaneous gastrostomy has been placed. Cardiomegaly, median sternotomy wires, mediastinal clips and left subclavian catheter are stable. No new effusion, consolidation, or pneumothorax is present.	<unk>-year-old woman status post tracheostomy.
MIMIC-CXR-JPG/2.0.0/files/p18885785/s52812437/f879a691-5f4ebe87-be41051b-5da39bdd-9d55c517.jpg	MIMIC-CXR-JPG/2.0.0/files/p18885785/s52812437/88b89695-97a1ed7a-59523984-d410d818-f90faae3.jpg	Increase opacification of the right base consistent with an increase in moderate pleural effusions now measuring moderate to large in size with adjacent atelectasis. An overlying consolidation cannot be excluded. Again noted is a large rounded opacity in the right mid lung consistent with patient's known mass. Otherwise, the left hemithorax appears clear. The cardiac silhouette appears enlarged in comparison to the prior study and raises suspicion for a pericardial effusion. There is no overt edema. Osseous structures are grossly unremarkable.	evaluation of patient with pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17116348/s52093206/5e526c44-012f2909-7381e007-5969fea1-317d06db.jpg	null	Low lung volumes. Interval placement of right internal jugular central venous catheter terminates at the cavoatrial junction/very proximal right atrium without evidence of pneumothorax. Apparent interval improvement in pulmonary edema. Stable cardiomediastinal silhouette.	history: <unk>f with delirium, difficult access s/p rij // eval ? rij placement thanks
MIMIC-CXR-JPG/2.0.0/files/p18295542/s51411878/5a7e76e9-fb8edd90-3f12fd46-832d0d4e-ea887854.jpg	null	Indwelling support and monitoring devices are unchanged in position. Persistent marked cardiomegaly, but decrease in extent of pulmonary vascular congestion and improvement in severity of pulmonary edema. Small to moderate bilateral pleural effusions also appear slightly improved, although positional differences may contribute to this apparent change.
MIMIC-CXR-JPG/2.0.0/files/p16123839/s52290311/1a82db7f-7e0efec1-32520750-f686cfec-c51bbf3b.jpg	null	Right internal jugular central venous catheter tip terminates in the mid svc. No pneumothorax is present. The cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. As seen previously, innumerable tiny nodular opacities are again noted in both lung bases, compatible with chronic punctate calcifications which are likely the sequela of prior interstitial pneumonitis. No new focal consolidation or pleural effusion is present. No acute osseous abnormalities are demonstrated.	history: <unk>m with central line placement
MIMIC-CXR-JPG/2.0.0/files/p15245718/s57144727/c4b0ffd0-efeb61e6-1468ea7d-ea2c1307-6f413a99.jpg	MIMIC-CXR-JPG/2.0.0/files/p15245718/s57144727/80a1805e-d0025304-f7bd308d-7bae2f95-70bfa0ab.jpg	Linear bandlike atelectasis in the lingula and lower lobes. No focal consolidation. No pulmonary edema. The cardiac silhouette is not enlarged. No pleural effusions or pneumothorax.	<unk> year old man with leukocytosis and dysphagia post-op // ? atelectasis vs aspiration pna
MIMIC-CXR-JPG/2.0.0/files/p19353175/s58870109/8cd6b878-b62999d1-23d3623d-5ad2595b-7dad8d0c.jpg	MIMIC-CXR-JPG/2.0.0/files/p19353175/s58870109/52cf6d1d-d432bdb5-b79e3b14-765f4e0c-a9bf148b.jpg	Pa and lateral views of the chest provided. Eventration of the right hemidiaphragm again noted. The lungs appear clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Bony structures appear intact. Prominent anterior osteophytes in the thoracic spine likely account for prevertebral opacity.	<unk>m with cough, x-ray earlier today recommended another x-ray due to poor positioning on latera.
MIMIC-CXR-JPG/2.0.0/files/p10192471/s58228475/735ceeb9-3cf688a4-b4094362-619165d8-32b7e10d.jpg	MIMIC-CXR-JPG/2.0.0/files/p10192471/s58228475/ac94e555-de25dce4-112fc829-13208549-4de666d1.jpg	Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.	shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p16570780/s59289341/e4c11f2e-5a5fe18d-6fe151d1-352b46bf-cce34d3a.jpg	null	Moderate cardiomegaly is stable. Widening mediastinum has improved. Bibasilar atelectasis have minimally improved. There is no evident pneumothorax. Previously seen pneumoperitoneum is less conspicuous than before. Left chest tube remains in place. Sternal wires are aligned. Patient is status post cabg and avr	<unk> year old man s/p cabg, tiss avr // please check at <num>am on <unk> for pneumothorax w/ctube on waterseal
MIMIC-CXR-JPG/2.0.0/files/p19578341/s51276604/06a7eb92-d89ce410-4f184d34-b7e5115e-027cac89.jpg	MIMIC-CXR-JPG/2.0.0/files/p19578341/s51276604/28762001-19369be4-e997a1c5-39c61b6a-88610ce1.jpg	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.	sore throat and wheezing.
MIMIC-CXR-JPG/2.0.0/files/p13766019/s56153124/db914f3e-c459b78a-c9169d8e-a29939b4-e3782c6b.jpg	MIMIC-CXR-JPG/2.0.0/files/p13766019/s56153124/a9e558db-adb819db-2d52b7d4-3271626a-e3f6a78b.jpg	In comparison with study of <unk>, cardiac silhouette remains at the upper limits of normal in size. No definite vascular congestion or pleural effusion. No focal consolidation.	cough with left lower lobe chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10643827/s52611542/fa2ce26c-08b829d6-99b2ff43-93addbbb-3cf3192e.jpg	null	As compared to the previous radiograph, the patient has been extubated. There is blunting of the left costophrenic sinus. Interval development of multifocal bilateral parenchymal opacities with moderate peribronchial cuffing, given the short time of development, pulmonary edema is most likely. Differential diagnosis includes infection and hemorrhage. Underlying emphysema may be contributing to the inhomogeneous distribution of the disease. A repeat chest radiograph after diuresis is recommended. Unchanged moderate cardiomegaly. Interval removal of the nasogastric tube.	extubation this morning, worsening respiratory distress.
MIMIC-CXR-JPG/2.0.0/files/p14636716/s50100713/e1cdeef9-c937dd71-f301dfad-d1ea276f-567e7f83.jpg	null	Lung volumes are low. Heart size is top normal. Aorta is unfolded. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities are seen.	upper gi bleed.
MIMIC-CXR-JPG/2.0.0/files/p19172819/s58129318/d56f4088-24057223-275bf35e-01030ee3-5f3e415a.jpg	null	In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Specifically, no evidence of pneumothorax. Rounded opacification is seen overlying the second anterior rib on the right. This could represent a granuloma or possibly a bone island in the rib itself. No evidence of acute pneumonia.	cough after transbronchial needle aspiration, to assess for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10065864/s53356295/c543d5eb-d6e1a295-35061a21-3a011dc3-89a0d807.jpg	MIMIC-CXR-JPG/2.0.0/files/p10065864/s53356295/0562dc8d-b69e971b-b8be8403-9bacee6e-dce2e68c.jpg	The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.	<unk>f with chest pain. evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p12972442/s57195209/867218bb-97d50d65-412d973d-edb85e05-ce69cf09.jpg	null	Single ap view of the chest provided. Endotracheal tube should be advanced <num>-<num> cm. Prominence of the pulmonary vasculature and diffuse interstitial lung markings are consistent with mild pulmonary edema. No pneumothorax. Possible pleural effusion on the left. Hilar and cardiomediastinal contours are normal.	<unk> year old woman with possible anaphylaxis s/p intubation // eval ett position
MIMIC-CXR-JPG/2.0.0/files/p17473651/s53878655/fede5605-72ac5e47-dcf1a0f8-f67f06df-20dfa85b.jpg	MIMIC-CXR-JPG/2.0.0/files/p17473651/s53878655/4d99cd9f-e40d80e5-f38eb039-cc686399-2cd1be75.jpg	Heart size is normal with mild unfolding of the aorta. Mediastinal silhouette and hilar contours are normal. Lungs are clear. Spiculated right apical nodule identified on prior ct is not visualized on radiography. Pleural surfaces are clear without effusion or pneumothorax. No overt traumatic findings.	status post fall after alcohol use presenting with headache and crackles on physical exam.
MIMIC-CXR-JPG/2.0.0/files/p16146341/s53810608/c8e901e2-ad16dd59-95da3739-da15d88a-6bd0ac94.jpg	MIMIC-CXR-JPG/2.0.0/files/p16146341/s53810608/e272d326-2c2e3a5a-0e3f9f92-875363f8-c4e4f739.jpg	Pa and lateral views of the chest were obtained, demonstrating clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p17770586/s53948900/f7dc6145-65143afb-c6f7e164-63d25cba-c55a9dd0.jpg	null	No focal consolidation is seen. There is no large pleural effusion or pneumothorax. Slight blunting of the right costophrenic angle is similar as compared to the prior study. The cardiac and mediastinal silhouettes are stable and unremarkable. No displaced fracture is seen. There is no pulmonary edema.	chest pain, tachycardia.
MIMIC-CXR-JPG/2.0.0/files/p11738518/s56115216/ae77a208-1402190d-e1caf571-2d16ce64-e3010000.jpg	null	Cardiac and mediastinal silhouettes are stable with the cardiac silhouette quite enlarged. Other may be mild vascular congestion. No overt pulmonary edema is seen. No focal consolidation. Slight blunting of the right costophrenic angle is felt to more likely due to atelectasis and a trace pleural effusion. Partially imaged aortic stent graft noted but not well evaluated on this study.	history: <unk>f with cp and ruq pain // evidence of fluid overload or pneumo, ruq infection/cholecystits
MIMIC-CXR-JPG/2.0.0/files/p10650522/s58957885/41a15546-10304bb5-f317bead-39b79766-9f874db7.jpg	null	Ap portable upright view of the chest. A new endotracheal tube terminates at the carina. Again seen are widespread pulmonary opacities bilaterally, unchanged since the <unk> examination, reflecting ards. Small bilateral pleural effusions are stable. There is no pneumothorax. The patient is post cabg. The heart is mildly enlarged.	<unk> year old man with new ett // ?ett placement
MIMIC-CXR-JPG/2.0.0/files/p18411232/s51592641/9966afca-16cf9ba6-930565c6-c42b8748-d463de9c.jpg	MIMIC-CXR-JPG/2.0.0/files/p18411232/s51592641/d89202d7-cddcb128-3cb30ebe-d7c7dab3-b9c2097f.jpg	Pa and lateral views of the chest. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. Again seen is indentation of the right lateral aspect of the trachea at the thoracic inlet which may be due to thyroid enlargement, unchanged.	altered mental status, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14669723/s53749691/f5c2cf46-d657021d-e50d75d3-24939c75-d911d2f0.jpg	null	In comparison with the study of <unk>, there is some mild indistinctness of pulmonary vessels consistent with some elevated pulmonary venous pressure. Hazy opacification at the bases raises the possibility of pleural effusions with compressive atelectasis. However, much of this may be due to overlying soft tissues and scattered radiation related to the size of the patient.	status post fluid resuscitation, to assess for overload.
MIMIC-CXR-JPG/2.0.0/files/p14346736/s55342961/8ae701cd-d61b8fe5-acf7817e-d300c887-d2741dc5.jpg	null	Ap portable semi upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Degenerative changes at the shoulders partially imaged.	<unk>f with fever and ams // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p18414625/s59984015/b49beb37-18d68897-8135bee5-e9025f4a-cb84d291.jpg	MIMIC-CXR-JPG/2.0.0/files/p18414625/s59984015/045198f0-e72def49-bcd8ed1f-aa1b57f2-e5cf760e.jpg	Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. There is status post left-sided upper lobectomy with commensurate mild degree of volume reduction of the left hemithorax. There remains some blunting of the left lateral pleural sinus, but there is no evidence of residual pleural effusion accumulating in the posterior sinus as identified on the lateral view. The on previous examination identified left-sided chest wall emphysema has disappeared completely. Right hemithorax remains unremarkable as before.	<unk>-year-old female patient, status post left upper lobectomy, check interval change.
MIMIC-CXR-JPG/2.0.0/files/p14166354/s57595026/f9a61374-acccc301-d2e727a4-31ff7d95-d647629d.jpg	MIMIC-CXR-JPG/2.0.0/files/p14166354/s57595026/4ba6f7c6-70feba05-dae0af67-44a22fa7-1a010776.jpg	Frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contours. The lungs are well-aerated and clear. There is no pleural effusion or pneumothorax.	biopsy-proven sarcoidosis with worsening shortness of breath. evaluate for new infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p15401683/s59944146/cd68828f-c3b5da07-6d9a88b3-bf2f180b-9f2ee62e.jpg	MIMIC-CXR-JPG/2.0.0/files/p15401683/s59944146/1f957764-08dd5860-931151cc-36642616-e9734452.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. Surgical clips are again seen in the right breast.	cough. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10686970/s59358815/7c0ccaea-99351e40-15fcd073-f7f2c696-4adc4f84.jpg	MIMIC-CXR-JPG/2.0.0/files/p10686970/s59358815/5e144047-83dc2735-1ba81ffe-26f66d44-dc96f532.jpg	Lungs remain hyperinflated with flattening of the diaphragms, compatible with copd. Heart size is moderately enlarged. The aorta is unfolded. Mild interstitial pulmonary edema is new compared to the previous exam. Worsening bibasilar airspace opacities are concerning for areas of infection or aspiration. Probable trace bilateral pleural effusions are present. No pneumothorax is identified. No acute osseous abnormality seen. Multilevel degenerative changes within the thoracic spine are re- demonstrated.	altered mental status, history of right lower lobe pneumonia, congestive heart failure, crackles in the right posterior lung field.
MIMIC-CXR-JPG/2.0.0/files/p15456456/s58426745/ad0c3e6d-c05cd09f-86957b15-ac626ef5-9232e151.jpg	MIMIC-CXR-JPG/2.0.0/files/p15456456/s58426745/61c7014d-db7b4c3b-6c20c20c-8437bc77-37cbebdb.jpg	<unk>, there has been interval accumulation of now moderate pleural effusion on the left with associated left basal atelectasis. The right pleural effusion also has increased since <unk>. The upper lungs are clear. The hilar and mediastinal silhouettes are unchanged. Right-sided infusion port terminates cavoatrial junction. A biliary is seen.	<unk>f with fever and sob and chest pain // pna?
MIMIC-CXR-JPG/2.0.0/files/p14482644/s56407191/0466824b-75f6e8b0-d2e79938-f1be245e-cf6bc02b.jpg	null	In comparison with the study of <unk>, the right hemidiaphragm is more sharply seen. It is unclear whether this could reflect a more erect posture of the patient, or a decrease in the degree of pleural effusion. Minimal atelectasis is above the elevated right hemidiaphragm. The left lung is essentially clear. No definite vascular congestion. Cardiomediastinal silhouette is unchanged.	hypoxemia with possible pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15237353/s58689982/c66ed064-8c473456-332b6e9c-6bfebb88-bc9b953c.jpg	null	Right ij central line tip in the mid svc. Shallow inspiration. Increased heart size, accentuated by shallow inspiration, stable. Mildly improved pulmonary vascularity. Mildly improved bibasilar opacities. No effusion.	<unk> year old man with sah // interval changes
MIMIC-CXR-JPG/2.0.0/files/p11619087/s59836463/3d7f8de0-262d51cc-b6bf8ce3-8406d861-ed907b20.jpg	null	Ap single view of the chest shows minimal increase of right basilar paracardial opacification, this area might be due to vascular congestion, though in the appropriate clinical setting pneumonia should be considered. Heart size is still top normal with prominent hila. There is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16339847/s52888375/028f4375-8eab835a-b77a288d-6882ded8-09d0169e.jpg	MIMIC-CXR-JPG/2.0.0/files/p16339847/s52888375/65ee30c4-4ccd9e2f-0a19aba7-c54764dd-adcd43de.jpg	The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	basilar crackles and cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12090235/s51505888/4773ed58-c5b1b2b5-c1b03beb-69103b9f-3399a591.jpg	null	Exam is limited by marked patient rotation. Cardiomediastinal contours are grossly normal considering this factor. Lungs are clear except for a questionable patchy opacity at the left lung base.	<unk> year old woman with stroke // r/o intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p11652499/s52128404/0d063f3c-6efa7b22-b9920b0e-86b30eca-45a85103.jpg	null	A frontal semi-upright view of the chest was obtained portably. The tracheostomy is in standard position. Lung volumes are very low, resulting in bronchovascular crowding. Atelectasis is seen at the right lung base. There is no large pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are stable. No acute osseous abnormality is identified.
MIMIC-CXR-JPG/2.0.0/files/p13541583/s50731188/7140df30-da37c8df-0977fdce-da9e76ed-012be5fa.jpg	null	The lungs are well expanded and clear. The left costophrenic angle is partially visualized; however, there is no large pleural effusion. The right pleural surface is clear. Heart size, mediastinal contour, and hila are normal.	neck pain. assess for cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11898140/s55197916/ec507eed-889f8d61-e2eace69-cafd1913-6d3c8577.jpg	null	Patchy retrocardiac opacification appears similar to the prior examination. Mild hazy opacities can be seen in both lungs, but predominantly in the right mid lung, where cuffed airways are visible.	desaturation and aspiration.
MIMIC-CXR-JPG/2.0.0/files/p10512988/s59924201/64fe67d2-dd81c58c-71192782-f5db9629-a8172093.jpg	MIMIC-CXR-JPG/2.0.0/files/p10512988/s59924201/618deafe-d1a166df-c8eda369-941d4766-c4b13bf0.jpg	Frontal and lateral radiographs of the chest demonstrate a large hiatal hernia with adjacent atelectasis, grossly unchanged from the prior exam. Atelectasis is also noted at the right base. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.	history: <unk>f with mild hypoxia, weakness // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p17557505/s52627203/ce019c61-d5a7bbdf-ad1a70e6-45af9c26-ed714fcc.jpg	null	Ap portable upright view of the chest. Overlying ekg leads are present. There is no focal consolidation, effusion, or pneumothorax. Heart appears top-normal in size. Mediastinal contour is normal. . Imaged osseous structures are intact.	<unk>f with tahcycardia // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p12600024/s55187009/36b4b014-be3a5692-2945e195-81e047fe-cf4657d3.jpg	MIMIC-CXR-JPG/2.0.0/files/p12600024/s55187009/e5f84833-f79b723f-787d6227-61b58221-abf62eb4.jpg	In comparison with the study of <unk>, there is little change in the appearance of the opacification in the left mid zone, which is projected posteriorly on the lateral view. This is consistent with consolidation in the superior segment of the lower lobe. Blunting of the right costophrenic angle persists. Repeat study after four-six weeks of treatment is suggested to ensure complete clearing of this apparent infectious process.	cough and fever with left opacity seen on ap film.
MIMIC-CXR-JPG/2.0.0/files/p16401626/s55845385/935bad51-20993900-11a011b9-b1ac135c-02bbe4e8.jpg	MIMIC-CXR-JPG/2.0.0/files/p16401626/s55845385/02bc8472-c1bed581-a6cb04cd-09c42139-ad9434ee.jpg	Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and lung volumes which are slightly lower compared to prior exam. Again seen is consolidation in the lingula with associated lucency. A right cardiophrenic angle opacity is not as well appreciated on this exam. A nodular opacity in the left mid lung is unchanged. There is no new focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.	evaluate for acute process in a patient with anxiety, tremor, nausea/vomiting.
MIMIC-CXR-JPG/2.0.0/files/p15680265/s56029869/bb592302-b38bb146-8a56ae18-1de70932-4ccb7779.jpg	null	Since the chest radiograph obtained approximately <num> hours prior, there has been interval removal of the left-sided chest tube. No pneumothorax or other acute complications. A small amount of subcutaneous emphysema appears unchanged. Lungs are fully expanded and clear without focal consolidation or pleural effusions. Heart size is normal. Cardiomediastinal hilar silhouettes are normal.	<unk> year old man with pneumothorax // s/p post chest tube removal
MIMIC-CXR-JPG/2.0.0/files/p12542818/s56547664/4198959b-5d9e67a0-c019ff3f-f6278918-988b5a2a.jpg	MIMIC-CXR-JPG/2.0.0/files/p12542818/s56547664/4783d769-54aaef88-73e01ea4-00f3b09c-de246d4f.jpg	Pa and lateral views of the chest provided. Airspace consolidation is noted within the right lower lobe concerning for pneumonia. Left lung is clear. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. Bony structures are intact.	<unk>m with cough and fever // acute process
MIMIC-CXR-JPG/2.0.0/files/p11265209/s51552814/63d5119f-9ed1afbe-2257ca45-0189c4bc-7885ef04.jpg	MIMIC-CXR-JPG/2.0.0/files/p11265209/s51552814/aa0deb2b-57cfc9f6-591253e4-5016daf4-0c775ba3.jpg	Pa and lateral views of the chest were obtained. There are linear densities in the lower lungs which are most compatible with scarring and appear essentially stable from the prior exam. There is no definite sign of pneumonia or chf. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable with top normal heart size with atherosclerotic calcifications along the unfolded thoracic aorta. The imaged osseous structures demonstrate diffuse osseous demineralization and old rib deformities in the left rib cage.
MIMIC-CXR-JPG/2.0.0/files/p18785721/s57211080/9b70cbc1-86955d7b-3d669676-672776e1-aca71944.jpg	MIMIC-CXR-JPG/2.0.0/files/p18785721/s57211080/b4d5effc-439ee3fb-3f362827-f86c10dc-60938135.jpg	Again visualize or bilateral pleural effusions, small on the right, and moderate on the left. Known right upper lobe nodules are not well seen on this study. Bilateral apical lateral parenchymal scarring is again noted. The lungs are otherwise clear. Cardiac and mediastinal silhouettes are stable. No acute fractures are identified.	fever, evaluation for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11686109/s51291994/7cb54e17-1d8daad0-d05994f8-d794fe9b-5ea27fcf.jpg	MIMIC-CXR-JPG/2.0.0/files/p11686109/s51291994/d603a306-c46b7024-7a24aa1d-81e2dfa1-3df3132b.jpg	There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.	<unk>f with new onset afib, evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p16576075/s51406391/206a2b1d-2f50406e-16a5ce7a-b50126e1-76c7a30a.jpg	null	As compared to the previous radiograph, the pre-existing pleural effusions distribute in a slightly different manner, but are overall unchanged in extent. Also unchanged are the bilateral subsequent basal areas of atelectasis. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices.	sepsis, colectomy, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p15767612/s57705953/8497168f-6084e12a-221b07e8-10ae21bc-b25a1c4d.jpg	null	The et tube terminates approximately <num> cm above the carina. The heart size is normal. The hilar and mediastinal contours are normal. There may be a small left pleural effusion, with adjacent atelectasis. Subtle irregularities are seen along the lateral margins of the left seventh and eighth ribs, are concerning for nondisplaced fractures. There is no evidence of a pneumothorax.	history: <unk>m with intubated // s/p intubation. patient presented with severe facial trauma.
MIMIC-CXR-JPG/2.0.0/files/p17887429/s58918011/efcb0c76-9128611b-3244d0bc-eeebf832-5fdd4226.jpg	null	One ap portable view of the chest. Low lung volumes. Enteric tube ends in the stomach. A left picc ends in the mid svc. Moderate bilateral pleural effusions have increased along with bibasilar atelectasis. No pneumothorax. Cardiomediastinal and hilar contours are stable.	history of pulmonary embolism, hypoxemia after abdominal surgery.
MIMIC-CXR-JPG/2.0.0/files/p11673799/s53828598/59484bc7-b8dc4e84-b7ae4113-12f9dd27-97af24a0.jpg	MIMIC-CXR-JPG/2.0.0/files/p11673799/s53828598/65875e42-c84f9c8b-a8974fe9-cb20c305-73966b9c.jpg	There is no significant interval change compared to the immediate prior exam.heart size is within normal limits.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.	<unk> year old woman with history of sarcoid, new chest/arm pain with negative cardiac workup. evaluate for lymphadenopathy.
MIMIC-CXR-JPG/2.0.0/files/p17635175/s59702684/f0b9a024-20db79d7-e993137c-bc960deb-58fbc486.jpg	MIMIC-CXR-JPG/2.0.0/files/p17635175/s59702684/4d50eb18-fc71128a-83ba31c7-d16e58df-821d25f3.jpg	Ap upright and lateral views of the chest provided. Lung volumes somewhat low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	<unk>m with hypotension, tachycardia // pna?
MIMIC-CXR-JPG/2.0.0/files/p17361720/s55448800/23045475-2fdf313b-b3e34143-90b09675-693cb434.jpg	null	In comparison to the prior examination from a few hours prior there has been interval placement of an enteric tube which courses below the level of the diaphragm and likely terminates in the region of the stomach. There has also been interval placement of right ij line which ends in the upper svc. Moderate edema is worsened. Probable small pleural effusions.	<unk> year old woman with s/p central line placement and ng tube // et placement/ng placement
MIMIC-CXR-JPG/2.0.0/files/p11865363/s51885680/344e7860-4dfc6476-11e3d4dd-51a569fd-2913e710.jpg	MIMIC-CXR-JPG/2.0.0/files/p11865363/s51885680/9177ac3b-e090cb56-df2b6e93-64efec08-bb80caba.jpg	Frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. The cardiac silhouette is normal in size, mediastinal contours are notable for tortuosity of the thoracic aorta. The pulmonary vasculature is normal. Multilevel degenerative change of the thoracic spine, unchanged. There is marked gynecomastia.	<unk>-year-old male with esrd initiating dialysis.
MIMIC-CXR-JPG/2.0.0/files/p10203383/s53324846/4fd4ad11-aec489ca-85efd670-c756e019-0f650535.jpg	null	Compared to the prior exam there is a new right pigtail catheter with interval decrease in the right pleural effusion. There still small amount of fluid in the major fissure. And volume loss in the right lower lung. The upper lungs are clear.	<unk> year old woman with right chest tube // r/o ptx
MIMIC-CXR-JPG/2.0.0/files/p10676055/s58710074/5bd283f0-d8c8d8f1-03dfafcf-0c94077e-405024ff.jpg	null	Et tube terminates <num> cm from the carina. Ng with tip and side hole below the diaphragm. Temperature probe in the mid esophagus. Worsening bilateral perihilar opacities concerning for pulmonary edema, and new right lower lobe consolidation, probably atelectasis. . Heart size is normal. No pleural effusion. No pneumothorax.	history: <unk>m with cardiac arrest // eval ett placement
MIMIC-CXR-JPG/2.0.0/files/p16878717/s50843956/3bb9a575-24693301-303d156b-8b4d9210-b9a43659.jpg	null	An endotracheal tube and enteric tube are unchanged in position. The lung volumes are slightly decreased from <unk>. Mild pulmonary interstitial edema/vascular congestion is improved from <unk>. No large pleural effusion or pneumothorax is appreciated. The cardiomediastinal contours are within normal limits and unchanged.	pulmonary edema, here to evaluate for interval changes.
MIMIC-CXR-JPG/2.0.0/files/p11604380/s54077923/dc97d5af-65606fb3-3ec3f78b-15aef098-7fb8a23f.jpg	null	As compared to prior radiograph support devices are in unchanged and correct position. Lung parenchyma remains similar with low lung volumes and mild enlargement of vascular structures at the lung hilus. No acute changes such as pulmonary edema, pneumonia or large pleural effusions. No pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12604499/s57900585/7617b851-0e4e53c9-f5360f60-ad1cc135-ab4c46fa.jpg	null	The ett is approximately <num> cm above the carina. The lung volume is small. Pulmonary edema and pulmonary venous congestion are unchanged. Increased left mid lung opacification is concerning for pneumonia. No pleural effusion or pneumothorax. Cardiomegaly is unchanged. The mediastinum is unchanged.	<unk> year old woman s/p ex lap, sbr // please assess for etiology of acute desaturation
MIMIC-CXR-JPG/2.0.0/files/p11601822/s53809752/e44b4133-28216f44-17ab09e0-018f717a-15254e14.jpg	MIMIC-CXR-JPG/2.0.0/files/p11601822/s53809752/8a08a888-5c4a2511-06819154-d3e4ed9d-0c788e4d.jpg	As compared <unk>, new peribronchiolar opacities have developed in the inferior lingular segment and to a lesser extent in left lower lobe. Lungs remain hyperinflated, suggestive of copd. Cardiomediastinal contours are normal and without change. No pleural effusion.	<unk> year old man p/w <num> days productive cough and low-grade temps. yesterday fever to <unk>f, tachycardic // assess for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p10043321/s57676358/88f13ab3-74abd94f-9f30ada1-4ff6bf03-28e6d6b3.jpg	MIMIC-CXR-JPG/2.0.0/files/p10043321/s57676358/d13668d8-3accd202-06ea4982-a91eea82-d467bb0a.jpg	There is mild cardiomegaly. The hilar and mediastinal contours are normal. Lung volumes are increased. There are persistent interstitial reticular opacities within the upper lobes bilaterally, better characterized on prior ct examination. There is no focal consolidation concerning for pneumonia. There are no pleural effusions or pneumothorax. There are degenerative changes along the lower thoracic spine.	<unk>-year-old female patient with newly diagnosed pulmonary hypertension and hypoxemia.
MIMIC-CXR-JPG/2.0.0/files/p14880685/s50126091/e7abf58e-40619b7a-24cdeb8a-de281325-b09de0a2.jpg	null	New bilateral consolidations are worrisome for aspiration or pneumonia. A component of mild increased pulmonary edema is also possible. Small bilateral pleural effusion with left lower lobe collapse is unchanged. Ng tube projecting in the lower esophagus in the mid mediastinum. A right tube is in unchanged position overlying the heart. Right-sided port-a-cath ends at the cavoatrial junction.	patient with minimally invasive esophagectomy via laparoscopy, rule out interval change.
MIMIC-CXR-JPG/2.0.0/files/p12833242/s59514976/b8321e1f-7ffcae85-1415ec19-c8fd0764-8fb479f4.jpg	MIMIC-CXR-JPG/2.0.0/files/p12833242/s59514976/d20f8ec8-50735958-ca54d98d-03c67eac-0b62cc9c.jpg	The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. Multilevel degenerative changes are re- demonstrated within the thoracic spine.	neutropenia, fevers.
MIMIC-CXR-JPG/2.0.0/files/p15653759/s55870589/974a32bd-0f7daad3-1dfeb4f6-efb47d38-f2d88b34.jpg	null	An accessed left pectoral mediport extends into the right atrium. The large right pleural effusion has increased despite the presence of a pigtail catheter at the right base. Bibasilar airspace opacities are grossly stable on the left, but difficult to assess on the right due to pleural fluid. The small left pleural effusion is stable. The heart and mediastinum are within normal limits despite the projection. Upper lung fields remain clear.	<unk> year old woman with metastatic gastric cancer, new pleural effusion s/p chest tube placement // eval for persistence of fluid
MIMIC-CXR-JPG/2.0.0/files/p15656571/s52249997/be1ef1b2-b84e6f85-0cdefe2f-f94c1df9-67efaa29.jpg	MIMIC-CXR-JPG/2.0.0/files/p15656571/s52249997/fb432365-76f139ad-99a14409-25f49997-fa15511d.jpg	Left-sided pacemaker/ aicd device is re- demonstrated with leads terminating in the right atrium and right ventricle. Heart size remains moderately enlarged. Mediastinal and hilar contours are unchanged. Mild interstitial pulmonary edema is worse compared to the previous exam. No large pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.	history: <unk>m with dyspnea, chest pain, known congestive heart failure, coughing.
MIMIC-CXR-JPG/2.0.0/files/p11300581/s54257300/2f16d591-c1ac32c5-eca0da2f-031b1b06-25c1c84d.jpg	null	As compared to previous radiograph, there is no relevant change. Likely small bilateral pleural effusions, reactive bilateral basal areas of atelectasis, but no newly appeared parenchymal opacity suggesting pneumonia. Moderate cardiomegaly, known right-sided port-a-cath.	fever, rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10702735/s54364082/f5b41450-c7e11e36-72e87976-fffc186c-b86a440f.jpg	MIMIC-CXR-JPG/2.0.0/files/p10702735/s54364082/5a1910ce-16497daf-6c4c53b9-8bf520b2-5a6edb6e.jpg	Moderate cardiomegaly is unchanged. Low lung volumes with vascular crowding are seen. Previously seen question of pneumoperitoneum is minimal if any. If definitive answer is needed, recommend follow-up ct abdomen or ct torso for further evaluation. Small right pleural effusion is unchanged.	<unk> year old man s/p acdf having difficulty swallowing and constipation now with recent cxr concerning for pneumoperitoneum // upright pa/lat imaging based on radiologist rec to eval for free air based on recent imaging concerning for pneumoperitoneum
MIMIC-CXR-JPG/2.0.0/files/p14771250/s53066870/183a956f-036aa0b3-e73ec4e3-a14fbf0e-8ade9dc6.jpg	MIMIC-CXR-JPG/2.0.0/files/p14771250/s53066870/17d6aec1-b4dfff50-cd65be06-c0e4cd2a-e4cd7aa1.jpg	Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.	<unk>-year-old male with chest pain. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13496539/s52254694/88c51244-02d151f5-80a53a9d-2aa4cd7b-47a5e711.jpg	null	Comparison is made to the prior radiographs from <unk>. The right-sided pigtail catheter and dual lead pacemaker generator are in unchanged position. There remains a small right apical pneumothorax. There are bilateral pleural effusions, which are unchanged. There is unchanged cardiomegaly. There is improvement of the pulmonary edema since the prior study.
MIMIC-CXR-JPG/2.0.0/files/p19423670/s54197327/c46bfc75-ba2a31ef-66d65cfe-c5ceed4b-9f61e9bf.jpg	null	There is again seen a right-sided dialysis catheter whose distal tip projects over the lower svc versus cavoatrial junction. This is likely in unchanged position and the appearance of a more distal location of the tip likely reflects decreased lung volumes in comparison to prior radiograph. There has been interval removal of endotracheal tube, as well as removal of previously seen ng tube. The cardio mediastinal contours are grossly unchanged. There is no evidence of pneumothorax. There has been interval increase in opacification of the lower portion of the right upper lobe which may represent developing pulmonary edema, infection, or atelectasis. There is again redemonstrated a loculated left pleural effusion without significant interval change. Also again seen is a small right sided pleural effusion.	<unk> year old man with sob and increasing requirement // please evaluate for acute process
MIMIC-CXR-JPG/2.0.0/files/p15866824/s52360956/b4f0edb2-3eb8c387-57dabd65-6157d877-2f22c252.jpg	null	There are low inspiratory volumes. There is rotated positioning. Allowing for this, the cardiomediastinal silhouette is probably unchanged compared with <unk>. Upper zone redistribution likely relates to low inspiratory volumes. There is minimal atelectasis, somewhat patchy at the left base. No definite infiltrate. There is atelectasis in the right cardiophrenic region, also without definite infiltrate. Minimal blunting of both costophrenic angles, without gross effusion. No pneumothorax detected.	fever, evaluate for pneumonia. chest, single ap view.
MIMIC-CXR-JPG/2.0.0/files/p12006413/s59439698/2605c5f7-64ab0293-a4d8875e-f5f066b4-890a501a.jpg	null	Ap portable supine view of the chest. Patient is intubated and the tip of the endotracheal tube is positioned <num> cm above the carina. An ng tube courses into the left upper quadrant with the tip positioned approximately <num> cm beyond the ge junction. Midline sternotomy wires are noted. A pacemaker is implanted in the left chest wall and the leads extend over the heart. Lungs are clear. Cardiomediastinal silhouette is stable. No acute bony abnormalities.	<unk>m with unresponsiveness
MIMIC-CXR-JPG/2.0.0/files/p16722520/s54975117/a3c09be9-3df16794-fb134df5-7fac9bfc-35b0ef67.jpg	null	In comparison with the study of <unk>, there is increased opacification at the right base with preservation of pulmonary markings, most likely reflecting layering effusion related to the portable technique. The possibility of supervening pneumonia would have to be considered in the appropriate clinical setting. Continued enlargement of the cardiac silhouette with elevated pulmonary venous pressure and dense calcification of the mitral annulus. The left lung is essentially clear. Dual-channel pacer device remains in place.	shortness of breath, to assess for pneumonia or edema.
MIMIC-CXR-JPG/2.0.0/files/p16517178/s56403753/fb493bfd-60e5a633-831a8d3c-889a77f3-4e4a47a5.jpg	MIMIC-CXR-JPG/2.0.0/files/p16517178/s56403753/208cd6ce-201891f4-b829eb6d-342d55e4-13b3614f.jpg	Cardiomegaly is mild. Enlargement of the hilar pulmonary arteries is symmetric. There is no pneumothorax or large pleural effusion. The lungs are well expanded and clear without focal consolidation. There is no pulmonary edema. The upper abdomen is unremarkable.	<unk> male with hypotension and fever, pls eval for pna or edema.
MIMIC-CXR-JPG/2.0.0/files/p14889394/s52803134/93d41155-1d9cddcd-ea091c9d-6edd3691-5a2179c6.jpg	null	As compared to the previous radiograph, there is an unchanged area of increased opacity at the right lung base. Area has not changed in radiographic appearance. The remainder of the radiograph is also unchanged. No newly appeared focal parenchymal opacities. No pleural effusions. No pulmonary edema. Unchanged borderline size of the cardiac silhouette.	subdural hematoma, retroperitoneal hematoma, multiple blood transfusions, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p19926820/s55085672/37881d7c-471f6706-c21b77b3-cdd9228e-8f16d42a.jpg	null	Feeding tube tip is in the mid stomach. Shallow inspiration accentuates heart size, pulmonary vascularity. Mild left basilar opacity, likely atelectasis, consider pneumonitis in the appropriate clinical setting, more prominent since prior. Right lung is clear.	<unk> year old man with cirrhosis, alc hepatitis, with new dobhoff placement // evaluate dobhoff placement
MIMIC-CXR-JPG/2.0.0/files/p17782126/s54761332/223bdb9d-236836df-90be9d7b-f99055a9-55ff6f9f.jpg	null	There is no placement of a new dobbhoff tube, which courses down the left lower lobe bronchus. This needs to be removed immediately and replaced. Bibasilar atelectasis is noted, otherwise the lungs are clear and the cardiomediastinal contour is within normal limits. No pleural effusion or pneumothorax.	<unk> year old woman with ams and emesis, eval for aspiration. // eval for aspiration
MIMIC-CXR-JPG/2.0.0/files/p15483978/s51658830/d5444176-c9ae8871-80ba7614-907adc59-5b9477ed.jpg	MIMIC-CXR-JPG/2.0.0/files/p15483978/s51658830/33b10aa5-58ca5c94-c9dbb053-4c2b5d51-851b846f.jpg	No pleural effusion or pneumothorax is seen. The lung volumes are slightly low, but lungs are clear bilaterally. Cardiomediastinal silhouette is unremarkable.	<unk>-year-old female cough // r/o pneumonia r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18080005/s50098906/8200a72e-31ed1023-22a68259-cc60035a-7b99e4b3.jpg	MIMIC-CXR-JPG/2.0.0/files/p18080005/s50098906/86285c4b-d62d47a2-2c44e070-754c0c3f-30576e63.jpg	The cardiac silhouette is moderately enlarged and stable from previous studies. There is extensive atherosclerotic calcification of the aorta otherwise the mediastinal contour is unremarkable. There has been interval improvement of right lower lobe opacity though bilateral small pleural effusions persist with pulmonary vascular prominence making pneumonia less likely.	<unk> year old woman with chf, atrial fibrillation s/p dccv on <unk> with persistent cough and dyspnea // evidence of rll pna or pleural effusion?
MIMIC-CXR-JPG/2.0.0/files/p10027100/s59896865/b7e18bba-011dab56-27b6648a-a35c2810-31089eb3.jpg	MIMIC-CXR-JPG/2.0.0/files/p10027100/s59896865/6fa5429e-30a357de-2e1296a8-930fe4e4-5ebb8787.jpg	Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.	<unk>-year-old man with chest pain. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10758777/s56963061/ae4ae987-0cdd6561-90353582-69b0867e-d7971edd.jpg	MIMIC-CXR-JPG/2.0.0/files/p10758777/s56963061/a76d59d4-f34722b9-f350f703-bfdac633-83406202.jpg	The heart is mildly enlarged and there is mild pulmonary vascular redistribution and a small left effusion that is new compared to the prior study. There is no focal infiltrate. Compared to the prior exam, the fluid status is slightly worse. Degenerative changes are again seen in both the shoulders.	cough and shortness of breath with new crackles.
MIMIC-CXR-JPG/2.0.0/files/p12992793/s55546903/c53ad5b5-c08e1f09-25225a4e-4382c1fc-04ec73e9.jpg	null	There is severe stable cardiomegaly with associated chronic vascular cephalization and hilar engorgement. No interstitial thickening or focal lung opacity is observed. There is no pleural effusion or pneumothorax.	<unk>-year-old female with fever, chills. evaluate for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19615440/s52663774/605d9d66-5904eca6-a99abfdd-309e2489-b7f9ccab.jpg	MIMIC-CXR-JPG/2.0.0/files/p19615440/s52663774/082f2dd4-2c6e5cd1-eceee85d-a701cf61-99c1e17a.jpg	Persistent cardiomegaly and upper zone vascular redistribution, but decreased in extent of bilateral perihilar haziness and bilateral septal thickening, suggesting improved pulmonary edema in the setting of interval diuresis. Geographically marginated opacities in left juxtahilar region correspond to apparent post-radiation fibrosis on prior ct chest of <unk>, and correlation with previous treatment history would be helpful in this regard. Small-to-moderate right pleural effusion has decreased in size and a small left pleural effusion is similar to the prior study. Pericardial calcifications are noted, best visualized on the lateral view, and correlate to findings concerning for constrictive pericarditis on prior cta of the chest.
MIMIC-CXR-JPG/2.0.0/files/p12429546/s55547781/127b4815-d00d623e-399eb106-2704b5ad-1285f4db.jpg	null	The cardiac silhouette is stably enlarged. Again noted is right lower lung opacity and likely pleural effusion, progressed since the most recent examination. There is progression of pulmonary edema. No pneumothorax is identified.	<unk> year old woman with stemi, sob c/f acute decompensated heart failure versus pna, now s/p cardiac catheterization with no intervention. // please assess for pna
MIMIC-CXR-JPG/2.0.0/files/p10438541/s57748545/db9d9ecc-8e9e1581-9427adbb-30bfb815-df8e40c4.jpg	null	Comparison is made to prior radiographs performed seven hours earlier. There is nasogastric tube whose tip and side port are below the ge junction, appropriately sited. Heart size is within normal limits. There remains minimal bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15730635/s53215349/25cf93e3-d7c7e6b0-12d9b059-7d430577-82177e89.jpg	null	Again seen are opacities within the bilateral lower lobes, likely combination of increasing pleural effusions, atelectasis and edema, which are grossly unchanged from prior study. Diffuse bilateral extensive consolidations are also unchanged. Stable cardiomegaly. Lines and tubes remain in unchanged standard position.	<unk> year old man with hypoxic respiratory failure // <unk> year old man with hypoxic respiratory failure
MIMIC-CXR-JPG/2.0.0/files/p16969063/s56789787/c5441114-8755bedd-b00435c5-166e9c50-37208389.jpg	null	Et tube ends <num> cm above carina. Bibasilar opacities have slightly increased on the left side. Cardiac contour is mildly enlarged. Pleural effusions are small, if any. There is no pneumothorax.	patient with intubation.
MIMIC-CXR-JPG/2.0.0/files/p13752677/s56172384/0604d173-801d3e74-e891cdaf-56ed48e1-75d0d46a.jpg	MIMIC-CXR-JPG/2.0.0/files/p13752677/s56172384/d1078ecd-eb4c7ac2-fbac7587-b476f93a-aed0cc4b.jpg	Single ap upright radiograph was provided. An ng tube is seen coursing below the diaphragm. Lung volumes are low. Crowding of the pulmonary vasculature is consistent with pulmonary edema. A radiopaque density over the right hemidiaphragm is likely outside of the patient. Median sternotomy wires are intact. Patient is status post aortic and mitral valve replacement. Cardiomediastinal silhouette is unchanged. Osseous structures are intact.	<unk>-year-old man with recently placed ng tube. evaluate ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p11905824/s57055545/ad6656d8-0cf92eeb-0255a787-25cbfedb-78a49738.jpg	MIMIC-CXR-JPG/2.0.0/files/p11905824/s57055545/3c1a19ca-e7af3601-fb18a36e-2781ec71-d0f80ef3.jpg	Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.	<unk>m with dyspnea, exertional cp
MIMIC-CXR-JPG/2.0.0/files/p11536267/s57704173/831d6e40-af9439ca-f273286f-3aafe99e-a050bee2.jpg	null	Semi-upright portable view of the chest demonstrates low lung volumes without pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Large hiatal hernia is noted. Bibasilar opacities are better seen on ct chest of the same date.	chest pain. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15563657/s52971612/4479bbd5-549205ce-e32a96df-f9b5b2e1-f7ce5f31.jpg	null	As compared to the previous radiograph, the pre-existing bilateral parenchymal opacities have minimally improved on the right and minimally progressed on the left. Overall, there is no relevant change. Unchanged retrocardiac atelectasis and moderate cardiomegaly. No newly appeared parenchymal opacities. The monitoring and support devices are constant.	status post cardiac arrest, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p12374129/s56382340/79911d54-891fb07b-76fb281a-fcac95c8-7c332ae7.jpg	MIMIC-CXR-JPG/2.0.0/files/p12374129/s56382340/20ad59c2-fe81e66f-bf71365e-a2ad2cd5-f7bdc5ff.jpg	Ap and lateral views of the chest. There is elevation of the right hemidiaphragm. Linear opacity at the left lung base is suggestive of atelectasis versus scarring. There is no focal consolidation. No effusion. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Median sternotomy wires are identified. No acute osseous abnormalities detected. Tubing from patient's ventriculoperitoneal shunt is seen to course along the right anterior chest wall.	<unk>-year-old male with altered mental status and cough.
MIMIC-CXR-JPG/2.0.0/files/p19363901/s53525508/370eda31-5227cdd1-4a25d696-de05cf6d-53bac281.jpg	MIMIC-CXR-JPG/2.0.0/files/p19363901/s53525508/fd038dce-07db2a6e-06c0d74f-f6a581d7-d46f41fc.jpg	Heart size is top-normal. The aorta is tortuous. Convexity along the right paratracheal stripe may reflect tortuous vessels. Right hilar prominence may reflect underlying lymphadenopathy. Mediastinal and left hilar contours are otherwise unremarkable. No pulmonary edema is present. Increased interstitial opacities are seen in the lung bases, potentially reflective of a chronic changes. No focal consolidation, pleural effusion or pneumothorax is detected. There mild degenerative changes in the lower thoracic spine.	history: <unk>f with hemoptysis
MIMIC-CXR-JPG/2.0.0/files/p15448850/s54595389/a1d2e0ac-e3d1484f-989b987f-80ebeab4-5a3f50d9.jpg	MIMIC-CXR-JPG/2.0.0/files/p15448850/s54595389/800c7aee-bf09141f-24ace3a5-020cfee2-18d886df.jpg	Pa and lateral views of the chest are provided. The lungs are clear bilaterally. No signs of pneumonia or chf. Cardiomediastinal silhouette is normal. Bony structures are intact. Anterior spurring in the mid-to-lower t-spine.
MIMIC-CXR-JPG/2.0.0/files/p18135710/s58051717/f1585861-ded7ffd7-91d9de2d-01f2237f-7b13c3e6.jpg	MIMIC-CXR-JPG/2.0.0/files/p18135710/s58051717/b5c5e568-33067ece-1beb77e2-5909d6d8-23241954.jpg	Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Lungs are slightly hyperexpanded . There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. There is no air under the right hemidiaphragm.	<unk>f with fever on methotrexate // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11789279/s50210610/e9637ad7-5f219557-ba4e1f8b-fd280a01-b3c5a61d.jpg	null	As compared to the previous image, the lung volumes have decreased. There are areas of bilateral atelectasis at both lung bases. The presence of minimal post-operative pleural effusions cannot be excluded. No pulmonary edema. No pneumonia. The appearance of the cardiac silhouette is unchanged.	status post abdominal surgery. respiratory distress.

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There is no significant change compared to <unk> with re-demonstration of enlarged cardiac silhouette with tortuosity of the thoracic aorta. Hilar contours are unremarkable. Again identified are left greater than right bibasilar opacities with blunting of the diaphragmatic contour suggestive of bilateral pleural effusions with associated bibasilar consolidation. There is no pneumothorax.

altered mental status.

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Pa and lateral views of the chest. The sternotomy wires are intact. Coronary artery stents and/or calcifications are seen. Mediastinal clips are seen. There is prominence of epicardial fat on the left. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.

chest pain.

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There is mild basilar atelectasis. No definite focal consolidation is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with chest pain, hx of acs, pe // eval for pneumothorax

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Comparison is made to previous study from <unk>. There is a dobbhoff tube whose side port and tip are above the ge junction. This needs to be advanced at least <unk>-<num> cm for optimal placement. There is cardiomegaly. There is consolidation in the lung bases. There is a large left-sided pleural effusion. There is likely loculated pleural fluid on the right side as well. No pneumothoraces are present.

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Lung volumes are low which accentuates bronchovascular markings. The heart is moderately enlarged on this ap view. There is mild to moderate vascular congestion and pulmonary edema. No pneumothorax. No pleural effusion.

history: <unk>m with fall, h/o tib frx // ? traumatic injuries

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The endotracheal tube has been removed and a tracheostomy has been placed terminating <num> cm above the carina. The dobbhoff tube has been removed and a percutaneous gastrostomy has been placed. Cardiomegaly, median sternotomy wires, mediastinal clips and left subclavian catheter are stable. No new effusion, consolidation, or pneumothorax is present.

<unk>-year-old woman status post tracheostomy.

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Increase opacification of the right base consistent with an increase in moderate pleural effusions now measuring moderate to large in size with adjacent atelectasis. An overlying consolidation cannot be excluded. Again noted is a large rounded opacity in the right mid lung consistent with patient's known mass. Otherwise, the left hemithorax appears clear. The cardiac silhouette appears enlarged in comparison to the prior study and raises suspicion for a pericardial effusion. There is no overt edema. Osseous structures are grossly unremarkable.

evaluation of patient with pleural effusion.

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Low lung volumes. Interval placement of right internal jugular central venous catheter terminates at the cavoatrial junction/very proximal right atrium without evidence of pneumothorax. Apparent interval improvement in pulmonary edema. Stable cardiomediastinal silhouette.

history: <unk>f with delirium, difficult access s/p rij // eval ? rij placement thanks

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Indwelling support and monitoring devices are unchanged in position. Persistent marked cardiomegaly, but decrease in extent of pulmonary vascular congestion and improvement in severity of pulmonary edema. Small to moderate bilateral pleural effusions also appear slightly improved, although positional differences may contribute to this apparent change.

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Right internal jugular central venous catheter tip terminates in the mid svc. No pneumothorax is present. The cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. As seen previously, innumerable tiny nodular opacities are again noted in both lung bases, compatible with chronic punctate calcifications which are likely the sequela of prior interstitial pneumonitis. No new focal consolidation or pleural effusion is present. No acute osseous abnormalities are demonstrated.

history: <unk>m with central line placement

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Linear bandlike atelectasis in the lingula and lower lobes. No focal consolidation. No pulmonary edema. The cardiac silhouette is not enlarged. No pleural effusions or pneumothorax.

<unk> year old man with leukocytosis and dysphagia post-op // ? atelectasis vs aspiration pna

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Pa and lateral views of the chest provided. Eventration of the right hemidiaphragm again noted. The lungs appear clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Bony structures appear intact. Prominent anterior osteophytes in the thoracic spine likely account for prevertebral opacity.

<unk>m with cough, x-ray earlier today recommended another x-ray due to poor positioning on latera.

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

shortness of breath.

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Moderate cardiomegaly is stable. Widening mediastinum has improved. Bibasilar atelectasis have minimally improved. There is no evident pneumothorax. Previously seen pneumoperitoneum is less conspicuous than before. Left chest tube remains in place. Sternal wires are aligned. Patient is status post cabg and avr

<unk> year old man s/p cabg, tiss avr // please check at <num>am on <unk> for pneumothorax w/ctube on waterseal

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

sore throat and wheezing.

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In comparison with study of <unk>, cardiac silhouette remains at the upper limits of normal in size. No definite vascular congestion or pleural effusion. No focal consolidation.

cough with left lower lobe chest pain.

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As compared to the previous radiograph, the patient has been extubated. There is blunting of the left costophrenic sinus. Interval development of multifocal bilateral parenchymal opacities with moderate peribronchial cuffing, given the short time of development, pulmonary edema is most likely. Differential diagnosis includes infection and hemorrhage. Underlying emphysema may be contributing to the inhomogeneous distribution of the disease. A repeat chest radiograph after diuresis is recommended. Unchanged moderate cardiomegaly. Interval removal of the nasogastric tube.

extubation this morning, worsening respiratory distress.

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Lung volumes are low. Heart size is top normal. Aorta is unfolded. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities are seen.

upper gi bleed.

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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Specifically, no evidence of pneumothorax. Rounded opacification is seen overlying the second anterior rib on the right. This could represent a granuloma or possibly a bone island in the rib itself. No evidence of acute pneumonia.

cough after transbronchial needle aspiration, to assess for pneumothorax.

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

<unk>f with chest pain. evaluate for acute process.

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Single ap view of the chest provided. Endotracheal tube should be advanced <num>-<num> cm. Prominence of the pulmonary vasculature and diffuse interstitial lung markings are consistent with mild pulmonary edema. No pneumothorax. Possible pleural effusion on the left. Hilar and cardiomediastinal contours are normal.

<unk> year old woman with possible anaphylaxis s/p intubation // eval ett position

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Heart size is normal with mild unfolding of the aorta. Mediastinal silhouette and hilar contours are normal. Lungs are clear. Spiculated right apical nodule identified on prior ct is not visualized on radiography. Pleural surfaces are clear without effusion or pneumothorax. No overt traumatic findings.

status post fall after alcohol use presenting with headache and crackles on physical exam.

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Pa and lateral views of the chest were obtained, demonstrating clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.

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No focal consolidation is seen. There is no large pleural effusion or pneumothorax. Slight blunting of the right costophrenic angle is similar as compared to the prior study. The cardiac and mediastinal silhouettes are stable and unremarkable. No displaced fracture is seen. There is no pulmonary edema.

chest pain, tachycardia.

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Cardiac and mediastinal silhouettes are stable with the cardiac silhouette quite enlarged. Other may be mild vascular congestion. No overt pulmonary edema is seen. No focal consolidation. Slight blunting of the right costophrenic angle is felt to more likely due to atelectasis and a trace pleural effusion. Partially imaged aortic stent graft noted but not well evaluated on this study.

history: <unk>f with cp and ruq pain // evidence of fluid overload or pneumo, ruq infection/cholecystits

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Ap portable upright view of the chest. A new endotracheal tube terminates at the carina. Again seen are widespread pulmonary opacities bilaterally, unchanged since the <unk> examination, reflecting ards. Small bilateral pleural effusions are stable. There is no pneumothorax. The patient is post cabg. The heart is mildly enlarged.

<unk> year old man with new ett // ?ett placement

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Pa and lateral views of the chest. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. Again seen is indentation of the right lateral aspect of the trachea at the thoracic inlet which may be due to thyroid enlargement, unchanged.

altered mental status, evaluate for pneumonia.

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In comparison with the study of <unk>, there is some mild indistinctness of pulmonary vessels consistent with some elevated pulmonary venous pressure. Hazy opacification at the bases raises the possibility of pleural effusions with compressive atelectasis. However, much of this may be due to overlying soft tissues and scattered radiation related to the size of the patient.

status post fluid resuscitation, to assess for overload.

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Ap portable semi upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Degenerative changes at the shoulders partially imaged.

<unk>f with fever and ams // eval for pna

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. There is status post left-sided upper lobectomy with commensurate mild degree of volume reduction of the left hemithorax. There remains some blunting of the left lateral pleural sinus, but there is no evidence of residual pleural effusion accumulating in the posterior sinus as identified on the lateral view. The on previous examination identified left-sided chest wall emphysema has disappeared completely. Right hemithorax remains unremarkable as before.

<unk>-year-old female patient, status post left upper lobectomy, check interval change.

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Frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contours. The lungs are well-aerated and clear. There is no pleural effusion or pneumothorax.

biopsy-proven sarcoidosis with worsening shortness of breath. evaluate for new infiltrate.

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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. Surgical clips are again seen in the right breast.

cough. question pneumonia.

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Lungs remain hyperinflated with flattening of the diaphragms, compatible with copd. Heart size is moderately enlarged. The aorta is unfolded. Mild interstitial pulmonary edema is new compared to the previous exam. Worsening bibasilar airspace opacities are concerning for areas of infection or aspiration. Probable trace bilateral pleural effusions are present. No pneumothorax is identified. No acute osseous abnormality seen. Multilevel degenerative changes within the thoracic spine are re- demonstrated.

altered mental status, history of right lower lobe pneumonia, congestive heart failure, crackles in the right posterior lung field.

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<unk>, there has been interval accumulation of now moderate pleural effusion on the left with associated left basal atelectasis. The right pleural effusion also has increased since <unk>. The upper lungs are clear. The hilar and mediastinal silhouettes are unchanged. Right-sided infusion port terminates cavoatrial junction. A biliary is seen.

<unk>f with fever and sob and chest pain // pna?

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In comparison with the study of <unk>, the right hemidiaphragm is more sharply seen. It is unclear whether this could reflect a more erect posture of the patient, or a decrease in the degree of pleural effusion. Minimal atelectasis is above the elevated right hemidiaphragm. The left lung is essentially clear. No definite vascular congestion. Cardiomediastinal silhouette is unchanged.

hypoxemia with possible pneumonia.

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Right ij central line tip in the mid svc. Shallow inspiration. Increased heart size, accentuated by shallow inspiration, stable. Mildly improved pulmonary vascularity. Mildly improved bibasilar opacities. No effusion.

<unk> year old man with sah // interval changes

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Ap single view of the chest shows minimal increase of right basilar paracardial opacification, this area might be due to vascular congestion, though in the appropriate clinical setting pneumonia should be considered. Heart size is still top normal with prominent hila. There is no pleural effusion or pneumothorax.

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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

basilar crackles and cough. evaluate for pneumonia.

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Exam is limited by marked patient rotation. Cardiomediastinal contours are grossly normal considering this factor. Lungs are clear except for a questionable patchy opacity at the left lung base.

<unk> year old woman with stroke // r/o intrathoracic process

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A frontal semi-upright view of the chest was obtained portably. The tracheostomy is in standard position. Lung volumes are very low, resulting in bronchovascular crowding. Atelectasis is seen at the right lung base. There is no large pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are stable. No acute osseous abnormality is identified.

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The lungs are well expanded and clear. The left costophrenic angle is partially visualized; however, there is no large pleural effusion. The right pleural surface is clear. Heart size, mediastinal contour, and hila are normal.

neck pain. assess for cardiopulmonary process.

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Patchy retrocardiac opacification appears similar to the prior examination. Mild hazy opacities can be seen in both lungs, but predominantly in the right mid lung, where cuffed airways are visible.

desaturation and aspiration.

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Frontal and lateral radiographs of the chest demonstrate a large hiatal hernia with adjacent atelectasis, grossly unchanged from the prior exam. Atelectasis is also noted at the right base. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.

history: <unk>f with mild hypoxia, weakness // r/o pna

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Ap portable upright view of the chest. Overlying ekg leads are present. There is no focal consolidation, effusion, or pneumothorax. Heart appears top-normal in size. Mediastinal contour is normal. . Imaged osseous structures are intact.

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

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In comparison with the study of <unk>, there is little change in the appearance of the opacification in the left mid zone, which is projected posteriorly on the lateral view. This is consistent with consolidation in the superior segment of the lower lobe. Blunting of the right costophrenic angle persists. Repeat study after four-six weeks of treatment is suggested to ensure complete clearing of this apparent infectious process.

cough and fever with left opacity seen on ap film.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and lung volumes which are slightly lower compared to prior exam. Again seen is consolidation in the lingula with associated lucency. A right cardiophrenic angle opacity is not as well appreciated on this exam. A nodular opacity in the left mid lung is unchanged. There is no new focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for acute process in a patient with anxiety, tremor, nausea/vomiting.

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Since the chest radiograph obtained approximately <num> hours prior, there has been interval removal of the left-sided chest tube. No pneumothorax or other acute complications. A small amount of subcutaneous emphysema appears unchanged. Lungs are fully expanded and clear without focal consolidation or pleural effusions. Heart size is normal. Cardiomediastinal hilar silhouettes are normal.

<unk> year old man with pneumothorax // s/p post chest tube removal

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Pa and lateral views of the chest provided. Airspace consolidation is noted within the right lower lobe concerning for pneumonia. Left lung is clear. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. Bony structures are intact.

<unk>m with cough and fever // acute process

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Pa and lateral views of the chest were obtained. There are linear densities in the lower lungs which are most compatible with scarring and appear essentially stable from the prior exam. There is no definite sign of pneumonia or chf. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable with top normal heart size with atherosclerotic calcifications along the unfolded thoracic aorta. The imaged osseous structures demonstrate diffuse osseous demineralization and old rib deformities in the left rib cage.

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Again visualize or bilateral pleural effusions, small on the right, and moderate on the left. Known right upper lobe nodules are not well seen on this study. Bilateral apical lateral parenchymal scarring is again noted. The lungs are otherwise clear. Cardiac and mediastinal silhouettes are stable. No acute fractures are identified.

fever, evaluation for pneumonia.

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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.

<unk>f with new onset afib, evaluate for acute process.

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As compared to the previous radiograph, the pre-existing pleural effusions distribute in a slightly different manner, but are overall unchanged in extent. Also unchanged are the bilateral subsequent basal areas of atelectasis. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices.

sepsis, colectomy, evaluation.

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The et tube terminates approximately <num> cm above the carina. The heart size is normal. The hilar and mediastinal contours are normal. There may be a small left pleural effusion, with adjacent atelectasis. Subtle irregularities are seen along the lateral margins of the left seventh and eighth ribs, are concerning for nondisplaced fractures. There is no evidence of a pneumothorax.

history: <unk>m with intubated // s/p intubation. patient presented with severe facial trauma.

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One ap portable view of the chest. Low lung volumes. Enteric tube ends in the stomach. A left picc ends in the mid svc. Moderate bilateral pleural effusions have increased along with bibasilar atelectasis. No pneumothorax. Cardiomediastinal and hilar contours are stable.

history of pulmonary embolism, hypoxemia after abdominal surgery.

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There is no significant interval change compared to the immediate prior exam.heart size is within normal limits.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.

<unk> year old woman with history of sarcoid, new chest/arm pain with negative cardiac workup. evaluate for lymphadenopathy.

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

<unk>m with hypotension, tachycardia // pna?

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In comparison to the prior examination from a few hours prior there has been interval placement of an enteric tube which courses below the level of the diaphragm and likely terminates in the region of the stomach. There has also been interval placement of right ij line which ends in the upper svc. Moderate edema is worsened. Probable small pleural effusions.

<unk> year old woman with s/p central line placement and ng tube // et placement/ng placement

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Frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. The cardiac silhouette is normal in size, mediastinal contours are notable for tortuosity of the thoracic aorta. The pulmonary vasculature is normal. Multilevel degenerative change of the thoracic spine, unchanged. There is marked gynecomastia.

<unk>-year-old male with esrd initiating dialysis.

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Compared to the prior exam there is a new right pigtail catheter with interval decrease in the right pleural effusion. There still small amount of fluid in the major fissure. And volume loss in the right lower lung. The upper lungs are clear.

<unk> year old woman with right chest tube // r/o ptx

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Et tube terminates <num> cm from the carina. Ng with tip and side hole below the diaphragm. Temperature probe in the mid esophagus. Worsening bilateral perihilar opacities concerning for pulmonary edema, and new right lower lobe consolidation, probably atelectasis. . Heart size is normal. No pleural effusion. No pneumothorax.

history: <unk>m with cardiac arrest // eval ett placement

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An endotracheal tube and enteric tube are unchanged in position. The lung volumes are slightly decreased from <unk>. Mild pulmonary interstitial edema/vascular congestion is improved from <unk>. No large pleural effusion or pneumothorax is appreciated. The cardiomediastinal contours are within normal limits and unchanged.

pulmonary edema, here to evaluate for interval changes.

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As compared to prior radiograph support devices are in unchanged and correct position. Lung parenchyma remains similar with low lung volumes and mild enlargement of vascular structures at the lung hilus. No acute changes such as pulmonary edema, pneumonia or large pleural effusions. No pneumothorax.

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The ett is approximately <num> cm above the carina. The lung volume is small. Pulmonary edema and pulmonary venous congestion are unchanged. Increased left mid lung opacification is concerning for pneumonia. No pleural effusion or pneumothorax. Cardiomegaly is unchanged. The mediastinum is unchanged.

<unk> year old woman s/p ex lap, sbr // please assess for etiology of acute desaturation

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As compared <unk>, new peribronchiolar opacities have developed in the inferior lingular segment and to a lesser extent in left lower lobe. Lungs remain hyperinflated, suggestive of copd. Cardiomediastinal contours are normal and without change. No pleural effusion.

<unk> year old man p/w <num> days productive cough and low-grade temps. yesterday fever to <unk>f, tachycardic // assess for infiltrate

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There is mild cardiomegaly. The hilar and mediastinal contours are normal. Lung volumes are increased. There are persistent interstitial reticular opacities within the upper lobes bilaterally, better characterized on prior ct examination. There is no focal consolidation concerning for pneumonia. There are no pleural effusions or pneumothorax. There are degenerative changes along the lower thoracic spine.

<unk>-year-old female patient with newly diagnosed pulmonary hypertension and hypoxemia.

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New bilateral consolidations are worrisome for aspiration or pneumonia. A component of mild increased pulmonary edema is also possible. Small bilateral pleural effusion with left lower lobe collapse is unchanged. Ng tube projecting in the lower esophagus in the mid mediastinum. A right tube is in unchanged position overlying the heart. Right-sided port-a-cath ends at the cavoatrial junction.

patient with minimally invasive esophagectomy via laparoscopy, rule out interval change.

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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. Multilevel degenerative changes are re- demonstrated within the thoracic spine.

neutropenia, fevers.

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An accessed left pectoral mediport extends into the right atrium. The large right pleural effusion has increased despite the presence of a pigtail catheter at the right base. Bibasilar airspace opacities are grossly stable on the left, but difficult to assess on the right due to pleural fluid. The small left pleural effusion is stable. The heart and mediastinum are within normal limits despite the projection. Upper lung fields remain clear.

<unk> year old woman with metastatic gastric cancer, new pleural effusion s/p chest tube placement // eval for persistence of fluid

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Left-sided pacemaker/ aicd device is re- demonstrated with leads terminating in the right atrium and right ventricle. Heart size remains moderately enlarged. Mediastinal and hilar contours are unchanged. Mild interstitial pulmonary edema is worse compared to the previous exam. No large pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.

history: <unk>m with dyspnea, chest pain, known congestive heart failure, coughing.

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As compared to previous radiograph, there is no relevant change. Likely small bilateral pleural effusions, reactive bilateral basal areas of atelectasis, but no newly appeared parenchymal opacity suggesting pneumonia. Moderate cardiomegaly, known right-sided port-a-cath.

fever, rule out pneumonia.

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Moderate cardiomegaly is unchanged. Low lung volumes with vascular crowding are seen. Previously seen question of pneumoperitoneum is minimal if any. If definitive answer is needed, recommend follow-up ct abdomen or ct torso for further evaluation. Small right pleural effusion is unchanged.

<unk> year old man s/p acdf having difficulty swallowing and constipation now with recent cxr concerning for pneumoperitoneum // upright pa/lat imaging based on radiologist rec to eval for free air based on recent imaging concerning for pneumoperitoneum

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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

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

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Comparison is made to the prior radiographs from <unk>. The right-sided pigtail catheter and dual lead pacemaker generator are in unchanged position. There remains a small right apical pneumothorax. There are bilateral pleural effusions, which are unchanged. There is unchanged cardiomegaly. There is improvement of the pulmonary edema since the prior study.

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There is again seen a right-sided dialysis catheter whose distal tip projects over the lower svc versus cavoatrial junction. This is likely in unchanged position and the appearance of a more distal location of the tip likely reflects decreased lung volumes in comparison to prior radiograph. There has been interval removal of endotracheal tube, as well as removal of previously seen ng tube. The cardio mediastinal contours are grossly unchanged. There is no evidence of pneumothorax. There has been interval increase in opacification of the lower portion of the right upper lobe which may represent developing pulmonary edema, infection, or atelectasis. There is again redemonstrated a loculated left pleural effusion without significant interval change. Also again seen is a small right sided pleural effusion.

<unk> year old man with sob and increasing requirement // please evaluate for acute process

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There are low inspiratory volumes. There is rotated positioning. Allowing for this, the cardiomediastinal silhouette is probably unchanged compared with <unk>. Upper zone redistribution likely relates to low inspiratory volumes. There is minimal atelectasis, somewhat patchy at the left base. No definite infiltrate. There is atelectasis in the right cardiophrenic region, also without definite infiltrate. Minimal blunting of both costophrenic angles, without gross effusion. No pneumothorax detected.

fever, evaluate for pneumonia. chest, single ap view.

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Ap portable supine view of the chest. Patient is intubated and the tip of the endotracheal tube is positioned <num> cm above the carina. An ng tube courses into the left upper quadrant with the tip positioned approximately <num> cm beyond the ge junction. Midline sternotomy wires are noted. A pacemaker is implanted in the left chest wall and the leads extend over the heart. Lungs are clear. Cardiomediastinal silhouette is stable. No acute bony abnormalities.

<unk>m with unresponsiveness

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In comparison with the study of <unk>, there is increased opacification at the right base with preservation of pulmonary markings, most likely reflecting layering effusion related to the portable technique. The possibility of supervening pneumonia would have to be considered in the appropriate clinical setting. Continued enlargement of the cardiac silhouette with elevated pulmonary venous pressure and dense calcification of the mitral annulus. The left lung is essentially clear. Dual-channel pacer device remains in place.

shortness of breath, to assess for pneumonia or edema.

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Cardiomegaly is mild. Enlargement of the hilar pulmonary arteries is symmetric. There is no pneumothorax or large pleural effusion. The lungs are well expanded and clear without focal consolidation. There is no pulmonary edema. The upper abdomen is unremarkable.

<unk> male with hypotension and fever, pls eval for pna or edema.

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As compared to the previous radiograph, there is an unchanged area of increased opacity at the right lung base. Area has not changed in radiographic appearance. The remainder of the radiograph is also unchanged. No newly appeared focal parenchymal opacities. No pleural effusions. No pulmonary edema. Unchanged borderline size of the cardiac silhouette.

subdural hematoma, retroperitoneal hematoma, multiple blood transfusions, evaluation for interval change.

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Feeding tube tip is in the mid stomach. Shallow inspiration accentuates heart size, pulmonary vascularity. Mild left basilar opacity, likely atelectasis, consider pneumonitis in the appropriate clinical setting, more prominent since prior. Right lung is clear.

<unk> year old man with cirrhosis, alc hepatitis, with new dobhoff placement // evaluate dobhoff placement

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There is no placement of a new dobbhoff tube, which courses down the left lower lobe bronchus. This needs to be removed immediately and replaced. Bibasilar atelectasis is noted, otherwise the lungs are clear and the cardiomediastinal contour is within normal limits. No pleural effusion or pneumothorax.

<unk> year old woman with ams and emesis, eval for aspiration. // eval for aspiration

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No pleural effusion or pneumothorax is seen. The lung volumes are slightly low, but lungs are clear bilaterally. Cardiomediastinal silhouette is unremarkable.

<unk>-year-old female cough // r/o pneumonia r/o pneumonia

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The cardiac silhouette is moderately enlarged and stable from previous studies. There is extensive atherosclerotic calcification of the aorta otherwise the mediastinal contour is unremarkable. There has been interval improvement of right lower lobe opacity though bilateral small pleural effusions persist with pulmonary vascular prominence making pneumonia less likely.

<unk> year old woman with chf, atrial fibrillation s/p dccv on <unk> with persistent cough and dyspnea // evidence of rll pna or pleural effusion?

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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

<unk>-year-old man with chest pain. evaluate for pneumonia.

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The heart is mildly enlarged and there is mild pulmonary vascular redistribution and a small left effusion that is new compared to the prior study. There is no focal infiltrate. Compared to the prior exam, the fluid status is slightly worse. Degenerative changes are again seen in both the shoulders.

cough and shortness of breath with new crackles.

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There is severe stable cardiomegaly with associated chronic vascular cephalization and hilar engorgement. No interstitial thickening or focal lung opacity is observed. There is no pleural effusion or pneumothorax.

<unk>-year-old female with fever, chills. evaluate for acute cardiopulmonary process.

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Persistent cardiomegaly and upper zone vascular redistribution, but decreased in extent of bilateral perihilar haziness and bilateral septal thickening, suggesting improved pulmonary edema in the setting of interval diuresis. Geographically marginated opacities in left juxtahilar region correspond to apparent post-radiation fibrosis on prior ct chest of <unk>, and correlation with previous treatment history would be helpful in this regard. Small-to-moderate right pleural effusion has decreased in size and a small left pleural effusion is similar to the prior study. Pericardial calcifications are noted, best visualized on the lateral view, and correlate to findings concerning for constrictive pericarditis on prior cta of the chest.

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The cardiac silhouette is stably enlarged. Again noted is right lower lung opacity and likely pleural effusion, progressed since the most recent examination. There is progression of pulmonary edema. No pneumothorax is identified.

<unk> year old woman with stemi, sob c/f acute decompensated heart failure versus pna, now s/p cardiac catheterization with no intervention. // please assess for pna

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Comparison is made to prior radiographs performed seven hours earlier. There is nasogastric tube whose tip and side port are below the ge junction, appropriately sited. Heart size is within normal limits. There remains minimal bibasilar atelectasis.

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Again seen are opacities within the bilateral lower lobes, likely combination of increasing pleural effusions, atelectasis and edema, which are grossly unchanged from prior study. Diffuse bilateral extensive consolidations are also unchanged. Stable cardiomegaly. Lines and tubes remain in unchanged standard position.

<unk> year old man with hypoxic respiratory failure // <unk> year old man with hypoxic respiratory failure

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Et tube ends <num> cm above carina. Bibasilar opacities have slightly increased on the left side. Cardiac contour is mildly enlarged. Pleural effusions are small, if any. There is no pneumothorax.

patient with intubation.

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Single ap upright radiograph was provided. An ng tube is seen coursing below the diaphragm. Lung volumes are low. Crowding of the pulmonary vasculature is consistent with pulmonary edema. A radiopaque density over the right hemidiaphragm is likely outside of the patient. Median sternotomy wires are intact. Patient is status post aortic and mitral valve replacement. Cardiomediastinal silhouette is unchanged. Osseous structures are intact.

<unk>-year-old man with recently placed ng tube. evaluate ng tube placement.

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

<unk>m with dyspnea, exertional cp

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Semi-upright portable view of the chest demonstrates low lung volumes without pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Large hiatal hernia is noted. Bibasilar opacities are better seen on ct chest of the same date.

chest pain. assess for pneumonia.

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As compared to the previous radiograph, the pre-existing bilateral parenchymal opacities have minimally improved on the right and minimally progressed on the left. Overall, there is no relevant change. Unchanged retrocardiac atelectasis and moderate cardiomegaly. No newly appeared parenchymal opacities. The monitoring and support devices are constant.

status post cardiac arrest, evaluation for interval change.

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Ap and lateral views of the chest. There is elevation of the right hemidiaphragm. Linear opacity at the left lung base is suggestive of atelectasis versus scarring. There is no focal consolidation. No effusion. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Median sternotomy wires are identified. No acute osseous abnormalities detected. Tubing from patient's ventriculoperitoneal shunt is seen to course along the right anterior chest wall.

<unk>-year-old male with altered mental status and cough.

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Heart size is top-normal. The aorta is tortuous. Convexity along the right paratracheal stripe may reflect tortuous vessels. Right hilar prominence may reflect underlying lymphadenopathy. Mediastinal and left hilar contours are otherwise unremarkable. No pulmonary edema is present. Increased interstitial opacities are seen in the lung bases, potentially reflective of a chronic changes. No focal consolidation, pleural effusion or pneumothorax is detected. There mild degenerative changes in the lower thoracic spine.

history: <unk>f with hemoptysis

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Pa and lateral views of the chest are provided. The lungs are clear bilaterally. No signs of pneumonia or chf. Cardiomediastinal silhouette is normal. Bony structures are intact. Anterior spurring in the mid-to-lower t-spine.

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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Lungs are slightly hyperexpanded . There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. There is no air under the right hemidiaphragm.

<unk>f with fever on methotrexate // eval for pneumonia

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As compared to the previous image, the lung volumes have decreased. There are areas of bilateral atelectasis at both lung bases. The presence of minimal post-operative pleural effusions cannot be excluded. No pulmonary edema. No pneumonia. The appearance of the cardiac silhouette is unchanged.

status post abdominal surgery. respiratory distress.