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MIMIC-CXR-JPG/2.0.0/files/p14683950/s59308462/0e8e9b83-1e1efd2c-0f08a904-07a19d18-98323b33.jpg | there has been interval removal of the left picc. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well expanded without new focal consolidation concerning for pneumonia. vague increased interstitial markings at the right lung base are chronic and most likely indicative of a nonspecific chronic interstitial process. the upper abdomen is unremarkable in appearance. multilevel degenerative changes are seen in the thoracic spine. | <unk> year old man with hx of lymphoma, chf, pulm htn. on chemo, immunosuppressed with pain in bilateral lateral ribs/flank area r > l. ? pna. // <unk> year old man with hx of lymphoma, chf, pulm htn. on chemo, immunosuppressed with pain in bilateral lateral ribs/flank area r > l. ? pna. |
MIMIC-CXR-JPG/2.0.0/files/p16337817/s59871919/d9be097c-9d25383b-75e43d64-74b3dcfc-99e3943c.jpg | since prior exam, the small apical right pneumothorax is unchanged in size. the right chest tube is in appropriate position in the right lung, although is somewhat more lateral than on the prior exam. the lung volumes are lower. bibasilar atelectasis persists. there is no pleural effusion, pulmonary edema or new consolidation. there is no left pneumothorax. moderate cardiomegaly is unchanged. sternal wires are intact. a right internal jugular catheter ends at the atriocaval junction. a corevalve prosthesis is noted overlying the heart. sternal wires are intact. a dobbhoff tube courses below the diaphragm with the tip out of the field of view. the second tube overlies the mid abdomen and is unchanged. | acute desat while on waterseal. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17937834/s52466500/66df60fc-356b10f7-06bc48b7-8fe29e08-3fec9a23.jpg | there is no focal consolidation, pleural effusion or pneumothorax. there is minimal atelectasis at the left base and slighty increased elevation of the right hemidiaphragm since <unk>. the cardiomediastinal silhouette is normal. osseous structures are unremarkable. | <unk>-year-old male with gastroparesis and multiple episodes of emesis, now with decreased right breath sounds. evaluate for new developing pneumonia and pneumonitis. |
MIMIC-CXR-JPG/2.0.0/files/p19845120/s51023485/8082ace3-5e32eef0-57fdc115-7aa0e3c2-9a9bd86a.jpg | portable frontal radiographs of the upper abdomen and lower chest were obtained. the first image labeled "for ngt #<num>" demonstrates the enteric tube curled within the upper esophagus pointing superiorly. the second image labelled "for ngt #<num>" with a later time stamp demonstrates the dobbhoff tube with the weighted tip within the stomach. there is otherwise little change from the prior study with stable cardiomegaly and bibasilar opacities. the lung apices and right costophrenic angle are excluded from this image. | status post right colectomy status post dobbhoff placement. |
MIMIC-CXR-JPG/2.0.0/files/p10267709/s58630233/a86dacda-df4cddbc-79deeb1e-de6832ed-582a0e2d.jpg | there has been interval improvement in lung volumes and aeration, however, previously seen basilar opacities are more prominent, right greater than left, is concerning for pneumonia. there are no other areas of consolidation concerning for infection. pleural surfaces are within normal limits. cardiomediastinal silhouette is unchanged. patient is status post sternotomy with sternotomy wires seen in alignment. no evidence of heart failure. | <unk>-year-old male with type <num> diabetes, vascular dementia, presents with fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p17392060/s59879317/0e1ec73b-dc2b9e7b-2dc6e445-d44cf162-07a69d11.jpg | endotracheal tube tip <num> cm above carina. chronic left rib fractures. very shallow inspiration. bibasilar opacities, more prominent on the right, may represent atelectasis, consider pneumonitis in the appropriate clinical setting. shallow inspiration accentuates heart size, pulmonary vascularity. small right pleural effusion cannot be excluded. gastric distention. tubing projected over right upper quadrant. | <unk> year old woman with possible sepsis // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13964931/s58444690/10f13d30-3c7de033-bd861433-4e5c70ec-b6ac6e4c.jpg | portable supine ap view of the chest. biapical scarring is again seen. there is no visualized pneumothorax. cardiomediastinal silhouette is within normal limits. no displaced rib fractures identified. known left rib fracture is not identified. | <unk>-year-old female with nausea, vomiting and diarrhea. new rib fracture on ct. question other fracture. |
MIMIC-CXR-JPG/2.0.0/files/p17708545/s51700090/6347e289-d6569c43-4ef21441-9a2309ce-7483a1eb.jpg | the patient is intubated and lying on a trauma board. the endotracheal tube is approximately <num> cm from the carina. the orogastric tube courses through the esophagus, into the stomach, and inferiorly out of the field of view. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. | <unk>-year-old man with laceration to neck. evaluate endotracheal and orogastric tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p18309149/s53423060/39e30ffd-62d209bb-27422c59-4d36909a-855e11d8.jpg | since most recent prior radiograph, there has been resolution of opacity in the right mid lung. again seen are chronic pleural changes on the right and thickening of the minor fissure. the cardiomediastinal silhouette is normal. left hemithorax is unremarkable. | <unk>-year-old man status post right chest tube thoracotomy, right video-assisted decortication of lung, recent pneumonia with effusion and chest tube, assess interval change. |
MIMIC-CXR-JPG/2.0.0/files/p19716199/s55713091/ad6b86f0-a11127e8-fa941470-bf2d132f-445f13c4.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with sob and arm numbness // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p10905492/s51829477/087001af-f1aa3ed5-bb54995b-9584d3b4-e4caad39.jpg | pa and lateral views of the chest. the lungs are clear without consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. osseous structures are unremarkable. of note, the trachea is deviated to the left at the thoracic inlet. | <unk>-year-old female with cough. |
MIMIC-CXR-JPG/2.0.0/files/p18043846/s52005476/281f898a-f7cd1729-0097465f-f4fe13e3-ae6770a0.jpg | the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. | chest pain, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10805746/s54181698/5c4d27ff-45e96227-9c5728bc-aee746b5-864984a2.jpg | the lungs are hyperinflated with significant pulmonary vascular congestion, increased interstitial markings, and moderate cardiomegaly.the aortic knob is calcified, as before. there is no focal parenchymal consolidation to indicate pneumonia.osseous structures demonstrate significant osteopenia. no pleural effusion or pneumothorax. | <unk>f with congestive heart failure , with lower extremity swelling and cough. evaluate for pulmonary edema versus pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12475198/s58387960/8f34e6a7-a9a93480-381afaf2-33925be7-c183ae6f.jpg | ap view of the chest. a temporary pacemaker lead is unchanged and in appropriate position. mild cardiomegaly is unchanged. no focal consolidation, pleural effusion or pneumothorax. | icd extraction and temporary pacemaker placement, confirm lead placement. |
MIMIC-CXR-JPG/2.0.0/files/p13011941/s56057370/879b0b8a-36c0fc44-b4e3ec2d-a981b47d-c1940ecd.jpg | there has been interval decrease in the amount of subcutaneous emphysema in the right lateral chest wall. a moderate size right pleural effusion which appears partially loculated laterally and along the apex appears minimally decreased in size. clips and chain sutures from prior right middle lobe lobectomy are present with evidence of right-sided volume loss with mild rightward shift of midline structures. cardiac and mediastinal structures appear otherwise unchanged. no pulmonary edema is present. right lower lobe atelectasis is again noted. left lung is otherwise clear. small left pleural effusion is noted, new in the interval. no pneumothorax is detected. no acute osseous abnormalities are visualized. | <unk> year old man status post right lung surgery, bleeding at surgery site |
MIMIC-CXR-JPG/2.0.0/files/p12238304/s52008823/3af96ed1-ecd11416-542f6758-4b8cb92a-17143843.jpg | the lungs are normally expanded. mild cardiomegaly is unchanged. leftward shift of the heart is chronic. the aorta is calcified. the mediastinal and hilar contours are normal. a left pleural effusion is small. there is no pneumothorax. although partially visualized there are notable degenerative changes in the right shoulder. | shortness of breath. evaluate for congestive heart failure, "cpd" or infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p10652583/s54314366/541a5903-50ec93a3-06682a8d-291f39df-a619f35f.jpg | patient is status post median sternotomy and cabg. heart size is moderately enlarged, unchanged. the aorta is tortuous. the mediastinal contours are otherwise similar. enlargement of the right hilum is unchanged, compatible with mild enlargement of the right pulmonary artery. pulmonary vasculature is not engorged. patchy right basilar opacity is concerning for an area of infection with a small right pleural effusion. no pneumothorax is present. severe degenerative changes are noted within the thoracic spine. | history: <unk>m with new onset atrial fibrillation, shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p19747459/s52089463/7ffa956c-0e415937-312af6c5-80af898b-e24e594b.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion pneumothorax. | <unk> m with bph urinary retention, clotted foley, preop cxr for prostatectomy. |
MIMIC-CXR-JPG/2.0.0/files/p17585582/s59875751/5901a408-265151c2-fac63d7f-bbe8c50a-a9de1656.jpg | the left-sided pacemaker is noted with the leads terminating in the expected position of the right atrium and right ventricle. the cardiomediastinal silhouette is stable. there are bibasilar linear opacities representing atelectasis. there is no effusion or pneumothorax. degenerative changes of the thoracic spine are noted. | persistent cough. evaluate for cardiopulmonary disease/infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p13599990/s58862801/0c2581b7-2bd97cb2-643e2ecd-98490274-c52af3b2.jpg | normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with shortness of breath // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p14733192/s58731182/80df1dad-264ad12e-19a447ed-d58c83ac-db8fb346.jpg | the tip of the swan-ganz catheter is in unchanged position. a left ij central venous catheter terminates at the superior svc. the tip of the et tube is in appropriate position terminating <num> cm above the carina. the course of the nasogastric tube cannot be fully assessed due to scatter radiation. the cardiomediastinal silhouette remains enlarged. there is bibasilar atelectasis and pleural effusions, increased on the right. there is persistent mild vascular congestion. no pneumothorax is seen. | <unk> year old man s/p cabg/pericardectomy, evaluate for pericardial effusion. |
MIMIC-CXR-JPG/2.0.0/files/p19509250/s57048411/41f4ce8c-065cc44f-5c8b27d0-b7f2ac10-6e05daa7.jpg | a portable supine frontal chest radiograph demonstrates interval placement of a left central venous catheter, which crosses midline and courses superiorly, terminating either within the brachiocephalic or the right subclavian or internal jugular veins near their confluence. the remainder of the exam is unchanged, including cardiomegaly and diffuse pulmonary opacity suggestive of edema. | status post central venous line placement. |
MIMIC-CXR-JPG/2.0.0/files/p13872997/s54917883/368ed99b-5f32ba70-56e5437f-bbf75d0e-1a58c174.jpg | heart is mildly enlarged and note is made of pulmonary vascular congestion and persistent distension of the azygos vein. multifocal poorly defined opacities in both lungs show interval improvement, and no new areas of abnormal lung opacification are identified. there are no pleural effusions. | <unk> year old woman with new multifocal lung infiltrates on last cxr but no sx of pna. // eval for progression of infiltrates. please instruct good inspiratory effort if possible, thanks! |
MIMIC-CXR-JPG/2.0.0/files/p14328836/s54254760/e5825e40-64ebe3a0-1f12532d-c7b543f0-c26c9c29.jpg | there is no focal consolidation concerning for pneumonia. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. the heart size is top normal. | <unk> year old woman with asthma exacerbation // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p10376769/s58739109/1e44e5ce-f5254f74-ae29d7b1-4183bd93-9eb1c349.jpg | pa and lateral views of the chest. no prior. small calcified granulomas are identified at the upper lungs, more numerous on the right than on the left. the lungs are otherwise clear without consolidation or effusion. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with elevated white blood cell count. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16933132/s52316418/eec300bd-30f8256e-47847d99-4a96cccf-3e733ae2.jpg | there has been interval mild improvement in the bilateral parenchymal opacities, now indicating moderate pulmonary edema. cardiomediastinal and hilar contours are stable with moderate cardiomegaly and stable tortuosity of the descending aorta. there is no pleural effusion or pneumothorax. | volume overload post diuresis. |
MIMIC-CXR-JPG/2.0.0/files/p18035960/s52280703/e172698b-e0d2e788-9b29abfe-239db458-9e7c0ce7.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with episodes of chest pain, palpitations |
MIMIC-CXR-JPG/2.0.0/files/p18433395/s56539663/ed1a969f-83f7082b-5bc33964-7be95ee7-22b592d9.jpg | ap upright and lateral views of the chest provided. hilar congestion is noted with mild interstitial pulmonary edema. bibasilar opacities may represent atelectasis versus pneumonia. small pleural effusions are also noted. heart size cannot be assessed. mediastinal contour is stable. bony structures appear intact. | <unk>f with sob // eval for pulmonary edema, effusion |
MIMIC-CXR-JPG/2.0.0/files/p15085810/s59464981/7b7492bc-c3ca3a49-8f4c8140-a31501a8-06021190.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. a calcified nodule at the left apex is again noted likely representing granuloma. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. | positional headaches with glioblastoma, just stopped chemo on <unk>. evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p14449203/s59440394/70133ba6-025053a2-b9e596f0-80a41d07-8e3e51e1.jpg | the tip of the right picc line extends to the mid svc. there is persisting mild pulmonary vascular congestion however the element of interstitial opacities has resolved. minimal left basilar atelectasis. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged. | <unk> year old woman with picc // assess position of picc |
MIMIC-CXR-JPG/2.0.0/files/p12237086/s55455640/78ef382e-d24415c3-1e2e44bc-0548a7d1-d9c99060.jpg | there has been interval placement of a new chest tube which terminates in the medial lower right lung. there has been slight interval increase in a right apical pneumothorax. there is no pleural effusion. the visualized osseous structures are unremarkable. | history: <unk>f with new chest tube. please evaluate chest tube. |
MIMIC-CXR-JPG/2.0.0/files/p10893121/s55688652/09f8f62f-6f4fc94d-7cbf8643-6d85ab2a-155c5e12.jpg | frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p12051380/s56017225/87867c53-dcc18d07-7175895d-3faab673-ab3560f8.jpg | there has been interval placement of a right-sided chest tube with substantial decrease in the right-sided pleural effusion. there is a small amount of loculated air adjacent to the chest tube on the current study and a small amount of fluid tracking superiorly over the right chest wall. no subcutaneous emphysema seen. left lung appears clear. | <unk> year old man with empyema s/p chest tube placement // chest tube placement |
MIMIC-CXR-JPG/2.0.0/files/p12781518/s53641531/b9b17acb-b1737947-46bb2b1d-44c7a6bf-49e81db6.jpg | heart size is normal. the mediastinal and hilar contours are normal. the aorta is tortuous. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. | history: <unk>f with +dvt, sob // pilm infarct? |
MIMIC-CXR-JPG/2.0.0/files/p16924201/s52871387/8c573e2e-5b78311e-f109274b-aef4b970-4a3fc160.jpg | pa and lateral views of the chest provided. lung volumes are low. bibasilar linear opacities likely represent atelectasis or scarring. there is no effusion or pneumothorax. unfolded aorta is similar to prior. cardiomediastinal silhouette is stable. ossific densities inferior to the humeral heads bilaterally may represent intraarticular bodies. incidentally noted is colonic interposition between the right hemidiaphragm and the liver. | <unk> year old man with two weeks of prod cough and reported hypoxia // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p17580398/s59969693/fa7c49e6-c45793af-96247219-05b8aac9-e3bcd894.jpg | the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes. | <unk> year old woman with fever and cough. // rule out pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19185111/s59456746/1974cb4b-80e37201-0d740e38-d2cb76b2-5072763c.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable. | <unk>f with hx asthma, <num> days sob with fever // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14709954/s54069389/d0a8f349-1dce49ba-d4e35c6f-ea779f58-c4c85f59.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | history: <unk>f with exertional chest pain // evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p19700882/s51217447/5f3eac20-bf91180b-365d8abd-3a188d85-662ce62b.jpg | cardiomediastinal contours are unchanged. small to moderate right effusion high has decreased. small left effusion has almost completely resolved. right apical opacities are better seen in prior ct. there is a small right pneumothorax. pleurx catheter is in-situ in the right lower chest. sternal wires are aligned. patient is status post avr. | <unk> year old man with chronic pleural effusion, lung nodule // evaluaiton of effusion |
MIMIC-CXR-JPG/2.0.0/files/p18271444/s54382011/3282530d-4b939844-ab4bee8a-fa334238-4c1379e4.jpg | the cardiomediastinal and hilar contours remain stable. support and monitoring devices remain stable. there appears to be improvement of bibasilar pleural effusion and atelectasis; however, this may be due to patient positioning. there is no new focal consolidation in the lungs. osseous structures remain unremarkable. | <unk>-year-old with respiratory failure, decreased breath sounds on the left. |
MIMIC-CXR-JPG/2.0.0/files/p15643451/s59355592/f752d7e1-462868ec-cc5468c0-dd475fc0-34e77997.jpg | there is no focal consolidation, pleural effusion or pneumothorax. minimal scarring is noted in the lingula, which is stable in appearance compared to the prior studies. the heart size is mildly enlarged, stable in appearance since <unk>. patient is status post bilateral shoulder replacement surgery. otherwise, no acute osseous abnormalities are identified. | <unk> year old woman with fall and chronic cough // please evaluate for etiology of cough |
MIMIC-CXR-JPG/2.0.0/files/p17555214/s53755869/63100eab-9e8a8d90-392bc822-325de482-69a64e3b.jpg | the cardiac silhouette is normal. the hilar and mediastinal contours are normal. the lungs are well expanded and clear. there are no pleural effusions or pneumothorax. nasogastric tube tip is seen barely at the level of the eg junction. | <unk>-year-old male patient with abdominal pain and nausea, new ng tube placement. study requested for evaluation of aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p13398283/s59531972/84bc6b01-59bd0ffa-cc5672bd-51c1ab04-a0409e3a.jpg | linear perihilar right opacity is again seen, potentially due to scarring. lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. there is tortuosity of the thoracic aorta. no acute osseous abnormalities. | <unk>m recently discharged <unk> from right inguinal hernia repair, now with fatigue, new cough // assess for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17493939/s53509777/556a8099-89037695-93151716-7e839456-9d4887b4.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15881002/s59658268/ed730ed6-e391f6a6-55e52913-a66b2844-da028e10.jpg | compared to the radiograph from <num> hr prior, there is no change in the multifocal parenchymal consolidation, predominantly upper lobes bilaterally. moderate left and small right pleural effusions persist. heart size and mediastinal contours are unchanged. lung volumes are slightly lower. | history: <unk>m with chest pain, hypotension // eval ? infiltrate, edema, effusion |
MIMIC-CXR-JPG/2.0.0/files/p11422357/s54639807/66d70def-01478382-e28a876c-b49676e2-d8dd3aba.jpg | pa and lateral views of the chest. transvenous aicd lead ends in the right ventricle. mediastinal clips and sternotomy wires are in appropriate position. moderate cardiomegaly is stable. the previously seen mild interstitial pulmonary edema has resolved. chronic interstitial lung disease findings are noted. no pleural effusion or pneumothorax. no pulmonary vascular congestion. no focal parenchymal opacities concerning for pneumonia. | chf, evaluate pulmonary congestion. |
MIMIC-CXR-JPG/2.0.0/files/p14779022/s53664064/d6e954d4-10df460d-ec1884ac-c9018c2a-9342b86e.jpg | pa and lateral chest radiographs demonstrate little overall change in the diffuse interstitial opacities compared to <unk>. there is persistent bilateral hilar lymphadenopathy. there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is within normal limits. | recurrent sarcoidosis with hypoxemia and dyspnea on exertion. currently on steroids beginning in early <unk>. assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p13024906/s50826643/b97ef1a2-d4884206-09c3656b-9bb8f16e-27d0d85f.jpg | widespread bilateral interstitial opacities are new since the prior exam and consistent with mild interstitial pulmonary edema. a small right pleural effusion is present with bibasilar opacities consistent with atelectasis. no focal consolidation or pneumothorax. the heart size is mildly enlarged and there is calcification of the aortic knob. right rib deformities are consistent with chronic fractures. osseous structures are diffusely demineralized with multiple thoracic and lumbar spine compression deformities, of indeterminate age. | history: <unk>f with aortic stenosis, dyspnea // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p10440642/s51787487/3ef09e50-2d96ea5e-852a74c4-a83e8c84-3a918fce.jpg | ap upright and lateral radiographs of the chest demonstrate decreased inspiratory lung volumes. there is increased retrocardiac opacification obscuring the left hemidiaphragm consistent with small left pleural effusion and associated atelectasis. in the appropriate clinical setting, underlying consolidation cannot be excluded. no focal consolidation is seen in the right lung. no pneumothorax is detected. the cardiac silhouette is enlarged but unchanged. the mediastinal and hilar contours are prominent but unchanged allowing for positional differences. a hiatal hernia is noted on the lateral radiograph. there are multilevel degenerative changes throughout the thoracic spine. the bilateral humeral heads appear high-riding but unchanged from the prior study. | <unk>-year-old female with hypotension, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15247708/s55166450/6204bdbe-4bed4c3b-b5bd92cd-77ff4e02-a174637f.jpg | ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. heart appears top-normal in size though this to be secondary to ap portable technique. mediastinal contour is normal. imaged osseous structures are intact. | <unk>m with shortness of breath // eval acute process |
MIMIC-CXR-JPG/2.0.0/files/p17404906/s55633552/915212ca-9821aa5e-1b069e34-6fb778a1-fc7e25db.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 cough, fever, blood streaked sputum // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p10311503/s55266496/8ba4371e-9cb02004-551c26f6-0d1c0c02-b3270b69.jpg | persistent elevation of the right hemidiaphragm is unchanged. mild enlargement of the cardiac silhouette is similar. the mediastinal and hilar contours are also unchanged. pulmonary vasculature is not engorged. bibasilar atelectasis is re- demonstrated, without focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormality is identified. | history: <unk>m with cough |
MIMIC-CXR-JPG/2.0.0/files/p15165816/s57358995/5fa53b05-6c7e2359-396e77f1-216e44bc-b59b7454.jpg | there are relatively low lung volumes. bibasilar atelectasis is seen without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are likely exaggerated by low lung volumes. the aorta is tortuous. the cardiac silhouette is top-normal to mildly enlarged. there may be mild central pulmonary vascular engorgement, without overt pulmonary edema. there is anterior wedging of a vertebral body at the thoracolumbar junction, of indeterminate age. | history: <unk>f with dm, htn, cad p/w right mca stroke // r/o chf, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18784631/s54342159/496984f8-448bb160-31b15266-c84bddc4-d4c22ae3.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the diaphragm. | history: <unk>f with abd and chest pain. h/o partial sbo in the past // ?sbo, ?appendicitis |
MIMIC-CXR-JPG/2.0.0/files/p16097039/s56006269/a744a135-210aa633-1b3e3a76-9d20adc2-0f2ab17a.jpg | patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. there is a peripheral wedge-shaped opacity at the base of the left chest associated probably with the lingula, most likely atelectasis. elsewhere, the lungs appear clear. there are no pleural effusions or pneumothorax. | chest pain that worsens with deep breath. status post recent fall two days ago. |
MIMIC-CXR-JPG/2.0.0/files/p17042282/s56401033/9ea3eb1f-151c0944-cd7c0fff-646a4c36-ca47258c.jpg | pa and lateral views of the chest provided. lungs are clear. 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>f with foreign body sensation x <num> days. |
MIMIC-CXR-JPG/2.0.0/files/p17338425/s55949920/9e10a95f-5ecf6248-00829ee6-1c1e73bd-7130ad6a.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. hypertrophic changes are again noted within the thoracic spine. | history: <unk>m with syncope |
MIMIC-CXR-JPG/2.0.0/files/p13007957/s56920676/7c7d6b78-ca3c285d-9ba753e1-248b4806-2e9c81fc.jpg | ap upright 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. partially visualized ac joints noted to be widened bilaterally. no free air below the right hemidiaphragm is seen. a catheter projects over the left chest wall into the left neck. | <unk>f with multiple seizures today // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12843084/s51550465/ed25ccdc-be750300-b00a45b9-306cbbf5-d29ea20b.jpg | ap portable upright view of the chest. lung volumes are markedly low in there is underpenetrated technique which limits assessment. the cardiomediastinal silhouette appears prominent though this is likely due to portable ap technique. there is no definite consolidation, large effusion or pneumothorax. no overt signs of edema. bony structures are intact peer | <unk>f with dyspnea, wheezing, h/o asthma / |
MIMIC-CXR-JPG/2.0.0/files/p19081213/s53851070/8b5f1eb2-b8ded974-5cd5b913-a2b3f568-1cfd094b.jpg | a new right internal jugular central line courses into the right atrium. if desired, the line could be withdrawn <num>-<num> cm for positioning within the low svc. there is no pneumothorax or new pleural effusion. bilateral diffuse parenchymal opacities, worse in the right lung, are unchanged. | new central line. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11752817/s59214750/4b45e0ae-b0c984e7-31ca069d-f31e1a67-37d50eb8.jpg | the patient is somewhat rotated on today's study, limiting assessment of the cardiomediastinal contour. nonetheless, the cardiomediastinal contour is grossly unchanged compared to the prior study. there is a persistent right pleural effusion, this tracks superiorly over the apex of the lung. this appears grossly unchanged compared to the prior study. there is associated right basilar atelectasis. airspace opacity in the right upper lung is similar in degree when compared to the prior study. this may reflect a combination of atelectasis and layering of the pleural fluid, however superimposed infection cannot be excluded. there is evidence of prior rib resection in the right lower chest. the left lung appears grossly clear. | <unk>m c hcv cirrhosis and chronic right empyema s/p rib resection and drainage of empyema <unk> now s/p right latissimus flap closure of empyema // pneumonia?, bloody mucus secretions |
MIMIC-CXR-JPG/2.0.0/files/p14503956/s53254847/8386dff2-6a4e9e19-937c7573-665f04da-5f391c8e.jpg | cardiomediastinal contours are stable in appearance with persistent moderate to large hiatal hernia. left basilar consolidation is new and potentially accompanied by small pleural effusion. right basilar atelectasis or scarring has worsened since the prior study. | <unk> year old woman with new onset afib with rvr // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p10124029/s53360317/ce1ec6e2-e1bb8131-11d6166c-348c2923-dce004e3.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. hilar contours are stable. | history: <unk>f with chest pain // chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13356514/s50379122/e3238db6-490c0b47-b9657a2a-61822baf-5b1d75bd.jpg | frontal and lateral views of the chest were performed. the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the pleural and hilar structures are unremarkable. the imaged upper abdomen is normal. there are no osseous abnormalities appreciated. | lower extremity edema shortness of breath, evaluate for fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p17759397/s57222058/48f1ebd2-5218ec20-45cf7bb7-44459428-d7c6cd11.jpg | the patient has been intubated. the endotracheal tube terminates <num> cm above the carina. an orogastric tube terminates in the stomach. the heart is probably at the upper limits of normal size, perhaps with a left ventricular configuration. the mediastinal and hilar contours appear within normal limits. the lung apices, particularly on the left, are partly excluded, but visualized lung fields appear clear. there is no pleural effusion or pneumothorax. | status post endotracheal intubation. |
MIMIC-CXR-JPG/2.0.0/files/p13312240/s57806288/76dc1edf-4e27cad5-7a75fe43-bdfbf6e8-f3f93ff6.jpg | compared to the prior study there is no significant interval change. there is no mediastinal widening, pneumothorax, fracture or new infiltrate. | status post total chest compression. |
MIMIC-CXR-JPG/2.0.0/files/p12218441/s57201200/54f915da-d901d120-394bab96-a1a6c550-83e8b55b.jpg | ap and lateral radiographs of the chest are provided. the lungs show no focal consolidation. stable small focus of minimal atelectasis/scarring seen in left lower lung. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no displaced fracture is seen. some degenerative changes are seen along the spine. | <unk>-year-old man with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14127694/s58605706/4df298df-24f8a2f3-68377264-a07e95d6-252a5eff.jpg | dual lead left chest wall pacemaker unchanged. heart size is top normal. mediastinal contours are normal. lungs are clear with no focal consolidation, pleural effusion, or pneumothorax. osseous structures are intact. | history: <unk>f with cough, chest epigastric pressure. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p14503109/s51644657/1333e174-58cd6f21-9094f364-838f228b-2b5baf56.jpg | the lungs are mildly hyperinflated and clear. no pleural effusion, pneumothorax, or pneumomediastinum. heart size, mediastinal contour, and hila are unremarkable. the upper abdomen is within normal limits. | <unk>f with chest pain. assess for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19164966/s54902314/8d38e562-593ad1a1-5b6f5d02-70265d89-ddd5781d.jpg | no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. there is no evidence for pulmonary edema. | <unk>-year-old female with leukocytosis and gastrointestinal bleeding. |
MIMIC-CXR-JPG/2.0.0/files/p15424569/s51736005/abc7635b-11748e9e-bf7eb6a8-159113d0-e6e03a63.jpg | the patient is status post sternotomy and apparently coronary artery bypass surgery. a single lead pacemaker/icd device appears unchanged. the cardiac, mediastinal and hilar contours appear stable including cardiac enlargement. there is mild new pulmonary edema and probably trace pleural effusions, the latter not necessarily changed. there is no pneumothorax. | congestive heart failure with recent valvuloplasty and left right lower extremity swelling, likely cellulitis. |
MIMIC-CXR-JPG/2.0.0/files/p12244625/s55422903/b1918d62-c10f75fe-d4dd0586-e4a0c265-ae8a3200.jpg | heart size is normal. the aorta is diffusely calcified. the mediastinal and hilar contours are unchanged with mild unfolding of the thoracic aorta. pulmonary vascularity is normal. the lungs are clear. there is no pleural effusion or pneumothorax. multilevel degenerative changes are seen in the thoracic spine. mild contour irregularity of the right <unk> posterior rib could reflect a nondisplaced fracture. | fall from bed with right hip, thoracic and lumbar spine pain. |
MIMIC-CXR-JPG/2.0.0/files/p15686026/s56369175/d1035d3e-ba962aa3-beb3ca81-d34c37f8-61f52fa7.jpg | the inspiratory lung volumes are decreased with resultant accentuation of bronchovascular and cardiomediastinal structures. there is a small left pleural effusion with associated left basilar opacification. there is no significant pulmonary vascular engorgement. the mediastinum is prominent in part due to unfolding of the thoracic aorta. there is minimal calcification of the aortic knob. no acute osseous abnormalities detected. | <unk> year old man with liver failure, s/p albumin, now becming slightly more hypoxic // eval for worsening edema |
MIMIC-CXR-JPG/2.0.0/files/p13629081/s52829316/ecb9bc37-bf40fb11-9f4536b0-d0840299-d665e444.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with acute sob and cp // r/o acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p15553759/s55203264/225d0b30-ebc488ea-9ffca43a-a87a51b4-0ed61dfb.jpg | single upright radiograph of the chest demonstrates free air under the right hemidiaphragm, concerning for perforated viscus. there is a right subclavian central venous catheter in place, terminating in the low svc. there is no pleural effusion, pulmonary edema, pneumothorax or focal pneumonia. mild bibasilar atelectasis is present. the heart size is normal. the aorta is tortuous. | <unk>-year-old male with hypotension. evaluation for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p12716861/s52104930/dfe0eb81-126c5746-077c107e-f360729b-692d8a44.jpg | there has been no change since most recent radiograph. no focal consolidation is seen within the hyperinflated and compensatory left lung. there continues to be opacification of the right hemithorax and associated mediastinal displacement to the right. | <unk>-year-old woman with cough x<num> weeks, history of right lobectomy. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11442770/s59155206/fbd26e24-01a06832-5237551f-72d8e8b1-b64fa727.jpg | single portable view of the chest is compared to previous exam from <unk>. again seen is elevation of the left hemidiaphragm. blunting of the costophrenic angles bilaterally suggestive of small effusions. right basilar opacity is again seen. left lung is grossly clear. cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures. | <unk>-year-old male with known aortic stenosis and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p12816555/s53825679/d676d269-8a705cbb-231a45ea-68dfc013-b6c57de4.jpg | left-sided vagal nerve stimulator device is noted with lead coursing cephalad into the neck, and the tip appears to be coiled within the left aspect of the lower neck. a right-sided vp shunt catheter is present with the tip terminating in the right upper quadrant of the abdomen. the cardiac silhouette size is normal. the aorta is tortuous. lung volumes are low with streaky opacities at the lung bases likely reflective of atelectasis. no pleural effusion or pneumothorax is seen. there is crowding of the bronchovascular structures. no acute osseous abnormalities present. | vagal nerve stimulator placement. |
MIMIC-CXR-JPG/2.0.0/files/p14913407/s59270435/5b1bae46-bf8a2827-14e57ef9-c349194a-beceb648.jpg | frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax identified. | chest pain radiating to back, assess for widened mediastinum or other cause of chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10637168/s58596134/061a2d10-28b8faac-fa01a713-ba839042-221f2322.jpg | ap portable upright view of the chest. bibasilar opacities are most compatible with atelectasis, difficult to exclude subtle pneumonia/ aspiration. no large effusion or pneumothorax. heart size cannot be reliably assessed. mediastinal contour appears unchanged allowing for slight rotation. bony structures are intact. | <unk>f with resp distress // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p18721510/s58712799/0ad34dc5-94ecda56-7d986e04-6232d224-e755337a.jpg | bilateral rib fractures again noted. worsening opacities in the left mid lung and right base likely represents worsening infectious process. bilateral pulmonary edema with also worse compared to <unk>. . cardio mediastinal silhouette is unchanged. no pneumothorax or significant pleural effusions. interval removal of the et tube and ng tube. | <unk> year old man with known pna, recent extubation, now febrile // please evaluate for worsening pna, interval change since extubation |
MIMIC-CXR-JPG/2.0.0/files/p13111741/s54975781/f37785c8-5edc38bf-f53b5055-b3a9678a-97561d48.jpg | single portable chest radiograph was provided. again seen are bilateral pulmonary opacities, unchanged since the prior exam. a small right effusion is stable. there may be a trace left pleural effusion. cardiomediastinal silhouette is unchanged. median sternotomy wires are intact. the imaged upper abdomen is unremarkable. | history of rsv pneumonia, healthcare-associated pneumonia and aspiration. increased work of breathing after drinking. evaluate for effusion. |
MIMIC-CXR-JPG/2.0.0/files/p18152023/s58157319/ec9d6a61-ed1032ec-5e7e4f22-3e193173-70eba036.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. plate and screws are seen in the right clavicle. no acute fracture is identified. | history: <unk>f with mvc ped struck at high speed // acute process |
MIMIC-CXR-JPG/2.0.0/files/p10312423/s55733970/bf3f794b-d6fab380-8e7ca7b0-82dde2c5-b3470a0b.jpg | lung volumes are low. heart size remains mildly enlarged, accentuated due to low lung volumes. the mediastinal and hilar contours are unchanged and within normal limits. crowding of the bronchovascular structures likely relates to low lung volumes without overt pulmonary edema. patchy opacities in lung bases most likely reflect atelectasis. no pleural effusion or pneumothorax is present. clips project over the left axilla. | history: <unk>f with abdominal pain, tachycardia, history of pulmonary embolism |
MIMIC-CXR-JPG/2.0.0/files/p11443713/s51732786/2f629dc9-c0ce7777-0f3e926e-33a4296c-614a8642.jpg | again seen is a left chest dual lead pacemaker which appears unchanged. no focal consolidation is identified. there is stable moderate cardiomegaly. there is a small left and possible trace right pleural effusion. there is no pneumothorax. | <unk>f with vomiting, weakness, evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p16912219/s58530892/88e46488-e466a6f6-e62f850a-88d1016d-de0e3b1b.jpg | the cardiac silhouette is top-normal. mediastinal contours are unremarkable. aortic knob calcification is again noted. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. degenerative change is incidentally noted at the right acromioclavicular joint. | history: <unk>m with parkinsons disease, more frequent falls here with ams // |
MIMIC-CXR-JPG/2.0.0/files/p17462585/s56660643/064a7b5f-aa5f62b7-df82bf01-70307523-1de63a1e.jpg | there are low lung volumes, which results in bronchovascular crowding. there is a moderate pulmonary edema and small bilateral pleural effusions. heart remains moderately enlarged. hilar congestion is noted. mediastinal contours stable. | history: <unk>f with dyspnea, crackles b/l since this am // eval ? edema, pneumonia, effusion |
MIMIC-CXR-JPG/2.0.0/files/p12661994/s58533960/6ebc3195-621207d4-4a4102c4-04ab3057-6a7551f7.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with resp distress // daily chest xray |
MIMIC-CXR-JPG/2.0.0/files/p18429092/s53865292/102049d8-4004be9c-b7cafc87-55b16404-3d9f7595.jpg | portable semi-erect chest film <unk> at <time> is submitted. | <unk> year old man with chronic hypoxemic respiratory failure s/p trach placement, colonied with p aeruginosa with bronchiectasis, hypervolemic // interval change interval change |
MIMIC-CXR-JPG/2.0.0/files/p11523342/s51043453/5c4a9281-5111bd6e-351f7da9-a57f4033-d30b1a08.jpg | left superior mediastinal widening rightward deviation and narrowing of the trachea is consistent with known history of thyroid goiter. heart size and remaining mediastinal contours are normal. lungs are well-expanded and clear. no pleural effusion. | <unk> year old woman with cough and fever // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p19343822/s53396660/327cb451-a0309bb6-3eb8419a-a6f8a54c-b6f08409.jpg | the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. | <unk>f with cp. assess for acute process |
MIMIC-CXR-JPG/2.0.0/files/p16528352/s58950166/74f148be-b66553f7-738b0fa3-c1585951-1dc98c5f.jpg | right-sided picc line ends at mid svc. a pleural pigtail catheter is present at right lung base. no significant interval changes in the chest since <unk>. opacity at the right lung base which is likely atelectasis and presumed small residual effusion are stable. left lung is clear. there is an evidence of prior median sternotomy. sternal sutures are intact. heart size, mediastinal and hilar contours are normal. no pneumothorax. | increased oxygen requirement and chest tightness suspicious for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19182863/s56466110/a7747cf0-5a042d25-ae9af09d-d8f2956d-ecfb087d.jpg | small right pleural effusion has slightly increased in size compared to <unk> with associated right lung basilar atelectasis. lungs are otherwise clear without focal consolidation or pulmonary edema. left ij central venous line ends in a known left svc. the cardiac silhouette continues to be mildly enlarged, and the median sternotomy wires are intact. the mediastinal and hilar contours are normal. | <unk>-year-old with possible recurrent pleural effusion, evaluation effusion. |
MIMIC-CXR-JPG/2.0.0/files/p15964158/s59342655/a8eacf60-4a955dd8-14369b42-9a7e8ffe-88345d43.jpg | the lungs are hyperinflated but clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. old healed right lateral rib fractures are noted. | <unk>m w/shortness of breath, cough, please eval for occult pna |
MIMIC-CXR-JPG/2.0.0/files/p16392279/s55736942/734f9ee5-1751830a-2558a59a-62ac1b63-9bb91c77.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. | <unk>m with history of si, drug/alcohol abuse, copd, seizure disorder, presenting with doe and syncopal and pre-syncopal episodes. please assess for intrapulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p16298689/s53508065/d2cb6465-b54791e7-d998cd3e-4f7c86a4-bc9cf5fd.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. | <unk> year old female with tuberculosis. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p14074577/s56008789/87700372-83e501d3-e279efe0-7239e5ad-925b7363.jpg | the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact. | <unk>f with feeling ill // eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p17786212/s59963855/ad29bb87-1e77fb76-57336004-02c74ee8-c28a655f.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | history: <unk>m with likely food impaction. chest discomfort. // eval for cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p12476693/s54064563/b1a24692-1b3f107c-1a2fbfbd-e385ad72-015ae498.jpg | the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact. | history: <unk>f with chest pain // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14913519/s55227919/1a4c3452-a72b54a6-75191c0f-333f286a-2962786c.jpg | the lungs are well-expanded. retrosternal soft tissue only seen on lateral projection may represent a right middle lobe pneumonia or scarring. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures demonstrates a subacute lateral left ninth rib fracture. additional chronic healed deformities of the anterolateral left fifth through seventh ribs are noted. | <unk>f with cough. assess for pneumonia. |
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