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MIMIC-CXR-JPG/2.0.0/files/p17894379/s58175296/e454ce47-461fce79-e9cdf8b8-6fe6ba32-c5f2954b.jpg | lung volumes are unchanged compared to the prior study. previous median sternotomy and coronary artery bypass graft clips noted. even allowing for the projection, the heart is moderately to severely enlarged. haziness of pulmonary vasculature is consistent with congestive heart failure. the extent of airspace opacities slightly decreased when compared to the prior study consistent with slight interval improvement in the known pulmonary edema. no pleural effusion or pneumothorax seen. | <unk> year old man with prior history of fall and fractured ribs now with new onset delirium. crackles on lung exam r >l // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p14065397/s59863898/f8323f25-dd5e5d1e-81545e4e-41939310-a89a5356.jpg | patient is status post median sternotomy and cardiac valve replacement.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. chronic rib deformity at the right upper chest. partially imaged right humeral prosthesis. again, there is a tubular structure projecting over the upper abdomen. | history: <unk>m with recent bacteremia, p/w fever // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p17127251/s50219587/da2bee88-a548228c-c17ebcbd-bbcb0d89-55136f00.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 r sided cp // pna? ptx? |
MIMIC-CXR-JPG/2.0.0/files/p10653347/s57127363/e6c5bfd7-a5f92cbc-003b6164-2984d443-7ca2ebb8.jpg | frontal and lateral views of the chest. the lungs remain clear. cardiomediastinal silhouette is normal. no acute osseous abnormalities detected. | <unk>-year-old female with cough and fever. body aches. |
MIMIC-CXR-JPG/2.0.0/files/p14714491/s58350801/525e9c7a-fb8bba99-1008de0d-0e81fb91-6ec4dc4e.jpg | portable ap upright chest on <unk> at <num> is submitted. | <unk> year old woman with rul lobectomy // ? interval change ? interval change |
MIMIC-CXR-JPG/2.0.0/files/p14642879/s50511015/6ae4f5e8-be32e193-4515b2f8-12e03092-4a42f943.jpg | cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated. | history: <unk>f with acute onset dizziness |
MIMIC-CXR-JPG/2.0.0/files/p10224805/s56803398/a40b2e24-cc0ad22d-063a6abe-b4a56fe1-6e41450d.jpg | pa and lateral views of the chest were obtained. heart is normal in size and cardiomediastinal contour is unremarkable. lungs are well expanded and clear. there is no pleural effusion or pneumothorax. no displaced rib fracture is identified. | <unk>-year-old woman presenting with pain status post fall, evaluate for posterior rib fracture. |
MIMIC-CXR-JPG/2.0.0/files/p12897175/s50769450/0a8b3f61-061be33c-97466521-f72ff84b-9f59dd44.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. mild degenerative changes are noted within the mid thoracic spine. | history: <unk>f with history of cardiac arrest, now with substernal chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13026285/s58280645/4a32556e-2eee0e23-84050f5a-a6277b8a-2980516d.jpg | as compared to <unk>, support devices are stable and in good position. increasing bibasal opacities are likely atelectasis, however in the appropriate clinical setting can be aspiration or pneumonia. no pulmonary edema, pleural effusions or pneumothorax. | <unk> year old man s/p esophagojej, febrile through case, rigors on wake // interval change |
MIMIC-CXR-JPG/2.0.0/files/p10640492/s50963553/1320072f-5c34304e-fc95905c-3a4c87e8-2ed4d77a.jpg | the aorta is tortuous. central pulmonary vasculature is mildly engorged without overt pulmonary edema. the cardiac silhouette is top-normal to mildly enlarged. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. | history: <unk>m with c/o weakness // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p17358262/s54157506/39d3a1ce-42620059-89318755-40125466-c2f35e3a.jpg | chest pa and lateral radiograph demonstrates unremarkable cardiomediastinal and hilar contours. minimal bibasilar atelectasis is noted, right greater than left. no opacification concerning for pneumonia noted. no pleural effusion or pneumothorax evident. no osseous abnormalities identified. | cough for one week, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19898417/s55693635/9f079cda-081a433c-036a8a06-f03a506a-081935d1.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>f with severe abdominal pain, no peritoneal signs. |
MIMIC-CXR-JPG/2.0.0/files/p11052935/s51882937/727f555b-ca31baa2-5a5d16fd-ca9b8960-5a9ce4e0.jpg | pa and lateral chest radiographs were provided. there is a subtle opacity in the right lower lobe that is concerning for early pneumonia. there is linear scarring in the left upper lobe from area of prior pneumonia that has resolved. the lungs are hyperinflated and the diaphragms are flattened, consistent with copd. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. there is no free air under the right hemidiaphragm. there are no acute osseous lesions. | <unk>-year-old man with one week of shortness of breath and productive cough, rule out cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p17051344/s52725331/8f274d40-207424a1-2c4d6142-2671b716-d6fe6335.jpg | frontal and lateral chest radiographs show a left upper lobe opacity with air bronchograms concerning for pneumonia. however, given the clinical history of hemoptysis, a pulmonary embolism cannot be ruled out. cardio mediastinal and hilar contours are unremarkable. a tortuous descending aorta is incidentally noted. no pleural effusion or pneumothorax is identified. | <unk>-year-old male with worsening dyspnea and <num> episode of hemoptysis. assess for pulmonary edema and mass. |
MIMIC-CXR-JPG/2.0.0/files/p15991401/s58948943/4c5aad91-07cd097c-d5124d9e-da0bf4d6-dfe089d9.jpg | the lungs are clear without focal consolidation concerning for pneumonia. a linear density in the lingula likely reflects scarring or platelike atelectasis. no pleural effusion or pneumothorax is detected. there is biapical pleural thickening, which appears symmetrical. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is mildly enlarged but stable. the mediastinal and hilar contours are within normal limits. there is mild calcification of the aortic knob. the patient is status post median sternotomy with intact appearing wires. multilevel degenerative changes of the thoracic spine are noted on the lateral view. | dyspnea, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11782473/s56702633/8be7d01f-3408eef5-14c00250-80ef2738-d68866ee.jpg | the mediastinal drains are in satisfactory position. the right ij catheter terminates in mid svc. the sternotomy wires are intact without evidence of dehiscence. no pulmonary edema, pneumothorax, pleural effusion, or consolidation. the cardiomediastinal silhouette is mildly enlarged compared to prior, consistent with postoperative changes. | <unk> year old man with anterior mediastinal germ cell tumor now s/p resection via median sternotomy. // evaluate tube position |
MIMIC-CXR-JPG/2.0.0/files/p18602995/s57258210/9d0b907d-8a0f69b7-3f465ebb-7734d195-845641d5.jpg | the cardiomediastinal and hilar contours are normal. the lung volumes are low but clear of lobar consolidation; low volumes likely contribute to crowding of bronchovascular structures. there is no pleural effusion or pneumothorax. | <unk>-year-old male with fever, body aches, and cough. |
MIMIC-CXR-JPG/2.0.0/files/p15881107/s53093428/310fa063-9292a09e-08477085-2b4934f5-a60363de.jpg | frontal upright and lateral chest radiographs demonstrate well-expanded lungs. cardiomediastinal contour is unremarkable. lungs are clear. there is no pleural effusion and no pneumothorax. | chest pain, evaluate for pneumonia, effusion, or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16439884/s52499297/4b109b0a-8e6d3fe6-73361cc0-f64f2329-f06ec935.jpg | the cardiac silhouette is mildly enlarged and the hilar contour is and are normal. convexity of the right lateral mediastinal border is likely a dilated azygos vein indicative of increased central venous pressure. lungs are clear. there is no pleural effusion or pneumothorax. moderate sized hiatal hernia is unchanged from the a ct of the abdomen and pelvis dated <unk>. | congestive heart failure presenting with transient hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p14067967/s59343110/4ba1330f-44ed76a7-6ad1e343-337376ca-179fb351.jpg | ap portable upright view of the chest. aicd unchanged. the endotracheal tube tip resides <num> cm above the carinal. the nasogastric tube tip is not visualized. there has been no change in the position of the right upper extremity picc line which is still looped in the svc with the tip pointing craniad. pulmonary edema persists. | <unk> year old man with malpositioned picc, now repositioned. |
MIMIC-CXR-JPG/2.0.0/files/p17490535/s56027116/67d81c76-7d907518-846f55f3-8fa0d017-ffd5e46a.jpg | heart is mildly enlarged but unchanged. the aorta is diffusely calcified and tortuous. prominence of the right paratracheal stripe is again noted, and appears to be due to tortuous vessels as seen on the prior ct torso from <unk>. pulmonary vascularity is normal. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities are visualized. degenerative changes of the right glenohumeral joint are present. | worsening confusion. |
MIMIC-CXR-JPG/2.0.0/files/p19900981/s57545398/328cde5d-5e61618b-7f1aee6a-b64bdc24-79bb8509.jpg | heart size is enlarged. the mediastinal and hilar contours are normal. the pulmonary vasculature is minimally engorged. lung volumes are slightly low which accentuate bronchovascular markings. given that, there is subtle opacity at the base of the right lung which could represent atelectasis or infection in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the is made of some sclerosis in the left humeral head. | <unk>m with ?pna // pna? |
MIMIC-CXR-JPG/2.0.0/files/p16921511/s56194293/2213fcbd-effa42e8-c592162f-084e038b-1b92981e.jpg | right ij central venous catheter ends in the mid svc. an endotracheal tube and esophageal temperature probe, are unchanged. a nasoenteric tube is in place with the side port at the ge junction, it can be advanced approximately <num> cm, if the desired position of the side port is in the stomach. bibasilar opacities persist, likely representing a combination of atelectasis and layering pleural fluid. cardiomediastinal silhouette is unchanged. | <unk> year old woman with resp distress, evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p11211680/s55733149/5335b2d9-ddd433c1-9393be2a-2fdba6c0-097352e4.jpg | pa and lateral chest radiographs. aside from linear atelectasis in the left upper lobe, the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | asthma and decreased breath sounds in the left lower lobe. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13397927/s58779497/e506c255-8941c6fa-eb9fe06d-e49eb3d1-97e2a252.jpg | the lungs are hyperinflated and clear. no focal consolidation, pleural effusion, evidence of pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal and hilar contours are unremarkable. | right upper quadrant pain last night with nausea. |
MIMIC-CXR-JPG/2.0.0/files/p18655331/s54391524/4b674f19-1e6be60c-8afc7c9c-3f2d86ab-0fd99533.jpg | ap upright and lateral views of the chest provided. lung volumes markedly low. cardiomegaly is mild. the aorta appears unfolded. mild lower lung atelectasis without convincing signs of pneumonia or edema. no large effusion or pneumothorax is seen. bony structures are intact. | <unk>f with fall and headstrike <num> week ago on pradaxa, altered mental status today |
MIMIC-CXR-JPG/2.0.0/files/p13121392/s56703732/08e09e1d-1851c10e-3c8b8544-06ecf8c2-7d32cbfb.jpg | moderate to large left-sided pleural effusion with left upper lobe mass and coarse reticular opacities throughout the left lung are known lung cancer and likely lymphangitic carcinomatosis. right lower lobe coarse reticular opacities. no pneumothorax. | <unk> year old woman with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p11985806/s53082676/e1800a92-397dd85f-75e62f48-69d1a30b-9a999890.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> year old man with history of liver cirrhosis and hepatic hydrothorax, s/p tips p/w pre-syncope // please assess for evidence of pneumonia or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p17393801/s51934890/dbcc363d-e5ef68d9-951a08ed-00676364-880ca7ab.jpg | bilateral pleural effusions, small on the right, moderate on the left with adjacent atelectasis are better delineated on dedicated ct. the heart appears enlarged consistent with known pericardial effusion. mild increased interstitial opacities are noted within the left upper lobe. no acute fractures are identified. | hypotension and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16493786/s56687632/2c855dbd-472882ab-4f4ed32a-4b80f9db-05043eb4.jpg | frontal and lateral views of the chest. no prior. examination is limited by patient body habitus. streaky left basilar opacity is suggestive of atelectasis, especially in the setting of relatively low lung volumes. there is no definite pulmonary vascular congestion, consolidation, or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with hypotension, wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p15443439/s51127839/3eb2f923-a1811c77-392e134d-f381b7ea-d89e4e66.jpg | since <unk>, there has been interval placement of an et tube, which terminates <num> cm above the carina, and an enteric tube, which coils at the ge junction and ascends within the esophagus to the level of the clavicles. the previously identified large hiatal hernia is not identified on this examination due to a combination of moderate left pleural effusion and associated compressive atelectasis. heart and mediastinum appear mildly enlarged and there is mild pulmonary edema, which may be exaggerated by overall low lung volumes. | <unk> year old woman with post op with ett // stat |
MIMIC-CXR-JPG/2.0.0/files/p15935989/s58880597/c7d3e08a-5d20c01a-05a29dd2-8b52d278-68286ac8.jpg | ap and lateral views of the chest. somewhat low lung volumes seen with streaky bibasilar opacities suggestive of atelectasis. there is no consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. acute left clavicular fracture is better characterized on dedicated shoulder films. | <unk>-year-old female with fall and shoulder pain. |
MIMIC-CXR-JPG/2.0.0/files/p12460244/s54843401/3f3efdf7-682cfdec-4c5e2981-0ce13fab-048d1c5f.jpg | <num> views of the chest demonstrates mildly hyperexpanded lungs. opacity at the right lung base likely represents pneumonia, in the setting of an elevated wbc count. no pleural effusions. no pneumothorax is seen. hilar and mediastinal contours are normal. | shortness of breath and hypoxia. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18180591/s57383452/824dd464-1264b6c4-3b3ad5f3-b7ba87ee-4961236e.jpg | there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | history: <unk>f with syncope, cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p19687461/s51844354/6850ecd2-c56281c9-6ece47dc-f3b9cbf5-78dba457.jpg | et tube is <num> cm above the level of the carina, and is in appropriate position. ng tube with tip in the proximal stomach and is shifted leftwards from a large central paraseptal bullae as is seen on ct chest. vascular clips are noted, and the sternotomy wires are intact. stable bibasilar atelectasis, left greater than right. no additional focal opacity or pleural effusions. lung apices are not imaged on this film, however no large pneumothorax. the aorta is tortuous and dilated, and is unchanged. heart size is top normal and right hilus is normal. | <unk>-year-old male with stroke, intubated with og tube in place. assess og tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p17125250/s53917291/518614e1-05c667d3-13ab2802-3f90471a-a4dfca52.jpg | there is a dual-lead pacemaker device with leads terminating in the right atrium and ventricle, respectively. the heart is normal in size. the mediastinal and hilar contours appear unchanged. there is upper zone redistribution of pulmonary vascularity, suggesting pulmonary venous hypertension without frank congestive heart failure. otherwise, the lungs appear clear. there are no definite pleural effusions or pneumothorax. | shortness of breath and atrial fibrillation. |
MIMIC-CXR-JPG/2.0.0/files/p13680126/s54113101/d50c3dd3-c88401a2-f371e82e-b700d357-3d6a2b99.jpg | heart size is normal. mediastinal and hilar contours are unchanged. patient is status post left upper lobe superior segmentectomy with chain sutures and expected postoperative changes noted in the left hilum. lungs are hyperinflated with marked upper lobe a dominant emphysema. pulmonary vasculature is not engorged. chronic left lateral and costophrenic angle pleural thickening is re- demonstrated. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. multiple clips are noted within the left upper quadrant of the abdomen. deformity of the left rib cage is likely from prior thoracotomy. | <unk>m with productive cough and shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p10306289/s52823317/19e42fd9-79561bd1-e48ee496-d92fc163-975161a3.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. | <unk> year old woman with two weeks of cough, wheeze and doe; crackles at bases // assess for pneumonia or other |
MIMIC-CXR-JPG/2.0.0/files/p13573314/s59565585/e6d641b7-2ddec0ac-cdb47d51-3536ccf1-5c4435d9.jpg | in comparison with chest radiographs from <unk>, there is little overall change. bibasilar and left retrocardiac opacities are stable, likely reflecting atelectasis, though superimposed pneumonia cannot be definitively excluded in the appropriate clinical setting. no new focal consolidation. no pneumothorax. small bilateral effusions are stable. there is mild central vascular congestion with overt pulmonary edema. gaseous distention of loop of bowel in the left upper quadrant, presumably stomach, is unchanged. | <unk> year old woman with new retrocardiac opacity on kub // please evaluate for pneumonia, effusion |
MIMIC-CXR-JPG/2.0.0/files/p12363545/s59083585/e118538c-9ef5cc05-61debc6a-bec27b5d-852e15ec.jpg | the heart size is top-normal. the lungs are well expanded clear. no pleural abnormality is seen. the mediastinal and hilar contours are unremarkable. | <unk>f s/p assault // ?fx, ?ich |
MIMIC-CXR-JPG/2.0.0/files/p14972430/s50514261/34d61e41-7beb2fb8-29b3e028-27dd1e82-8a2ac6c4.jpg | there is a right basilar opacity, some of which is attributed to moderate pleural effusion. the left lung is grossly clear without confluent consolidation, or effusion although there is mild pulmonary vascular congestion. the cardiac silhouette is enlarged but stable in configuration. left chest wall dual lead pacing device is again noted. no acute osseous abnormalities. | <unk>f with altered mental status and cough // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13500073/s50996660/788ce59f-ea36e85f-03079242-d8fb045b-5f5b969b.jpg | the lungs are clear of consolidation, effusion, or edema. the cardiomediastinal silhouette is unchanged. no acute osseous abnormality is identified, sclerosis of the mid thoracic vertebral body is unchanged. | <unk>f with cp // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p13413453/s51140698/a8f80566-85748f56-dd7e8c82-7880e22e-5b6f16c9.jpg | there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. there is mild prominence to the central pulmonary vasculature. the cardiomediastinal silhouette is within normal limits. | <unk>m with headache, visual changes. hx stroke. // recrudescence of stroke symptoms from infection? |
MIMIC-CXR-JPG/2.0.0/files/p10236621/s58602726/98484282-3c884bd3-7d77847a-0efe8ad2-8b35246b.jpg | the lungs are hyperexpanded with flattened diaphragms and increased retrosternal and retrocardiac lucency. lungs are clear. normal postoperative mediastinum and heart borders. coronary stent and mitral valve repair are unchanged. no pleural effusion. | <unk> year old man with cad, occasional wheezing, longterm mj use // r/o chf |
MIMIC-CXR-JPG/2.0.0/files/p12238483/s52646063/1f4380c3-ebeabf75-36c6df86-51368112-b8e4479a.jpg | given inability of the patient to cooperate the position of the torso in this radiograph is bizarre and this image has almost no diagnostic value. no gross fracture or seen. | <unk>-year-old male status post fall evaluate for fracture or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18238341/s56890494/69f05a24-77560860-a0407730-7067c930-9887c7af.jpg | as low lung volumes accentuate the bronchovascular markings. no right lower lobe opacity. mild eventration of the diaphragm is causing right lower lobe rounded opacity. mild cardiomegaly. significant scoliosis. | <unk> year old woman with subacute cognitive decline // interval change, evaluate for ?opacity in rll |
MIMIC-CXR-JPG/2.0.0/files/p13192224/s50845430/7ad05ef5-c712035a-faac1582-37a164f2-f69d369c.jpg | right internal jugular central venous catheter is new, terminating in the proximal right atrium. no large pneumothorax is detected on this supine exam. there are low lung volumes with patchy bibasilar opacities likely reflective of atelectasis. cardiac and mediastinal contours are otherwise unchanged allowing for patient rotation. assessment of the left apex is limited as it is obscured by the patient's chin and neck soft tissues. no large pleural effusion is demonstrated. | sepsis. cnetral line placement. |
MIMIC-CXR-JPG/2.0.0/files/p19955348/s56227479/8a735623-fefa60ae-b23ead23-e8240009-6742ca2c.jpg | pa and lateral chest radiograph demonstrates a left chest port, <num> leads which project over the anticipated location of the right atrium and just below the superior cavoatrial junction. there is a moderate-sized right pleural effusion which obscures the right heart border. the left lung appears grossly clear, streaky opacity at the left lung base thought likely atelectatic. there is no evidence of pulmonary edema. there is no pneumothorax. | <unk>m with sob // eval pneumonia vs chf |
MIMIC-CXR-JPG/2.0.0/files/p12637864/s51084000/7c66c47c-2caf12f1-4572d1f6-4660d7c9-b50dcc45.jpg | one frontal view of the chest, upright. there is mild left basilar atelectasis. there is no pleural effusion or pneumothorax. cardiac, mediastinal and hilar contours are normal. there are aortic knob calcifications. there is no free air. again seen are dilated loops of small bowel in the abdomen. | question of free air, diffuse abdominal pain and tenderness on exam. |
MIMIC-CXR-JPG/2.0.0/files/p13368848/s56029466/e1af8243-49995c6c-05713cf2-f786f4cc-b39a627c.jpg | cardiomediastinal contours are stable with moderate cardiomegaly and tortuous aorta. pacer lead tip is in the right ventricle. the lungs are hyperinflated clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine | <unk> year old man s/p single chamber pm implantation // check for lead location and pnx |
MIMIC-CXR-JPG/2.0.0/files/p18709688/s56540427/00ff3d3c-cae991ee-a2751349-7eed294a-d0da9dfd.jpg | compared to the film from <unk>, there is a small left effusion that is increased in size and there is increased volume loss in the left lower lobe. infection, particularly at the left base cannot be completely excluded. there continues to be volume loss at the right base. | recurrent pancreatic cancer, shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11451979/s58022852/60e0b042-a65d66bf-85334cdb-51123de8-de13be7b.jpg | semi-upright portable view of the chest demonstrates interval removal of an endotracheal tube. swan-ganz catheter is in unchanged position. sternotomy wires appear intact. extensive diffuse bilateral heterogeneous opacities are significantly progressed from prior exam, compatible. small pleural effusions cannot be excluded. there is no pneumothorax. the hilar and mediastinal silhouettes are unchanged. cardiomegaly is mild to moderate. | patient with worsening shortness of breath. assess for worsening pneumonia or edema. |
MIMIC-CXR-JPG/2.0.0/files/p17112662/s51166712/55881fd3-df9cb0ae-9c3f81c1-3a898b1a-dfb927e4.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. surgical clips are seen in the left axilla. | history: <unk>f with pain |
MIMIC-CXR-JPG/2.0.0/files/p15944907/s59894137/3e315b20-dcce8e03-6a971a5a-106812db-245468bb.jpg | cardiac size is slightly enlarged. increased perihilar opacities are suggestive of pulmonary edema. no effusion is present. no pneumonia is present. there is no pneumothorax. there is no abdominal free air. | altered mental status and seizures. |
MIMIC-CXR-JPG/2.0.0/files/p10007326/s59442660/0be4bdc0-81b9f8dd-ce647d4e-27b6f6ca-fae48943.jpg | pa and lateral radiographs of the chest demonstrate clear lungs without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. there is no evidence of pneumomediastinum. the trachea is midline. the visualized upper abdomen is unremarkable. | abdominal pain and hematemesis, here to evaluate for pneumomediastinum. |
MIMIC-CXR-JPG/2.0.0/files/p10426650/s52494980/dc09e5e0-a6fc0401-1d6ed67a-2d0afcaf-37865a04.jpg | et tube tip is seen with tip <num> cm from the carina. enteric tube tip in the stomach with side port likely proximal to the ge junction. of note the stomach is significantly distended. left chest tube is again noted with tip projecting over the left apex. perhaps trace pneumothorax is seen laterally. left lung consolidation is unchanged. left rib fractures as previously described. | <unk>m with mvc left chest tube. // recheck tubes |
MIMIC-CXR-JPG/2.0.0/files/p16461238/s58648972/8b80aa6c-96098c14-739b56fe-fa66e85b-6a4fb14d.jpg | the cardiac, mediastinal and hilar contours appear stable. the chest is hyperinflated. there is no pleural effusion or pneumothorax. subpleural thickening at the right lung apex appears unchanged. the lungs appear clear. the bones appear demineralized. no fracture is identified. | unwitnessed fall. question acute injury. |
MIMIC-CXR-JPG/2.0.0/files/p16597028/s53875069/2915437f-e4347b84-030dc36e-b4e0378b-0f682ca6.jpg | et tube, ng tube and right internal jugular catheter are unchanged in satisfactory position. pulmonary edema is somewhat improved since yesterday. bilateral pleural effusions are larger with are increase in associated atelectasis. cardiomediastinal silhouette is unchanged. no pneumothorax. | volvulized small bowel around j-tube now s/p small bowel resection x <num> and j-tube excision then g-j conversion by ir of g tube. evaluate interval change s/p sirs response to anastomotic leak |
MIMIC-CXR-JPG/2.0.0/files/p19155097/s59054252/b6d9d6ec-03f33612-55e2bda5-1983df24-17ce5130.jpg | decreased vascular congestion is accompanied by slightly decreased left mid lung and unchanged left lower lung opacities. lungs remain very low in volume with small to moderate bilateral pleural effusions. heart is poorly assessed but appears mild to moderately enlarged with calcified aortic arch. | <unk>-year-old woman with shortness of breath, assess for chf. |
MIMIC-CXR-JPG/2.0.0/files/p14676772/s51629472/51ee906a-7525b29a-57091d25-cde77583-65edc9e9.jpg | pa and lateral radiographs were obtained of the chest. the lungs are low in volume but clear. the heart is top normal in size. there is no pleural effusion or pneumothorax. | <unk>-year-old woman with ankle edema, assess for fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p16373952/s53405516/08932ec0-d7ce7202-a5c2b137-148f3917-ab1a3ffb.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. no pleural effusion or pneumothorax. there is no abnormality in the upper mediastinum. | <unk>-year-old female with poorly evaluated upper mediastinum in prior chest radiograph due to artifact from hair. |
MIMIC-CXR-JPG/2.0.0/files/p17074965/s59968385/2f5dad47-8b79c8ca-5e2c8620-eb5e651e-0799149c.jpg | the aorta is mildly tortuous. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | <unk>f with chest pain, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p12064623/s50042924/aad777f0-bafee278-ec965ffa-b22018a2-6f74c9a9.jpg | patient is post median sternotomy, mitral replacement. left-sided defibrillator, with leads in the right atrium and right ventricle, is unchanged. previously seen ill-defined nodular and hazy opacities in the right lung have greatly improved since the radiograph from <num> days prior, suggesting these were due to pulmonary edema. however, persistent opacities in the right could be due to residual asymmetric edema or infection. | <unk> year old woman with systolic chf, pulm htn, asthma admitted with dyspnea, hypoxia. cxr c/f multifocal pna vs. asymmetrical pulm edema. ? interval change |
MIMIC-CXR-JPG/2.0.0/files/p15465927/s59955743/030a33f6-2e4964bc-6d3c926f-32fe0ac3-f4dde6b6.jpg | no evidence of pneumonia. stable cardiomegaly with stable mild pulmonary edema. there is a small pleural effusion. otherwise, lung fields are unremarkable with no areas of focal consolidation or evidence of pneumothorax. the pleural surfaces are within normal limits. sternotomy wires are again seen. note is made of multilevel degenerative changes seen along the thoracic spine. | <unk>-year-old woman with fevers despite antibiotic therapy. |
MIMIC-CXR-JPG/2.0.0/files/p15954616/s51617974/e2f06800-bca875ef-fedbe462-801b847b-ceca0860.jpg | the patient is status post median sternotomy and mitral valve replacement. the heart is moderate enlarged, and the mediastinal and hilar contours are unremarkable. there is no pulmonary edema. apart from minimal atelectasis at the lung bases, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities demonstrated. | rapid atrial fibrillation. |
MIMIC-CXR-JPG/2.0.0/files/p11911069/s57409321/ada90109-323c06fe-003b6b8a-c922166d-e5ffe804.jpg | a frontal view of the chest was obtained portably. the endotracheal tube ends <num> cm above the carina. the right port-a-cath and left internal jugular catheter end in the mid svc. an orogastric tube follows the expected course, although the tip is not visualized. soft tissue density adjacent to the aortic knob is again noted, unchanged in appearance from the prior study. this may represent pneumonia, but remains concerning for dissection given the unchanged left pleural effusion. a small right pleural effusion and cardiomegaly are unchanged. | repeat radiograph to evaluate aortic knob soft tissues seen on the prior study. |
MIMIC-CXR-JPG/2.0.0/files/p13483571/s51774743/087c02f8-bbe99e59-11ed79f9-94edbc3d-ca967b01.jpg | the cardiac silhouette is mildly enlarged. left-sided pacer leads are unchanged. there is a central pulmonary vascular congestion with mild edema. heterogeneous bibasilar opacities are likely due to edema however in the correct clinical circumstance infection cannot be excluded. there are tiny bilateral pleural effusions. there is no pneumothorax. the visualized osseous structures are grossly unremarkable. | fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p16895271/s56696025/828c5c7e-4e952edb-22fe672e-e688f99f-3b4fc3bf.jpg | pa and lateral views of the chest provided. there is a mass in the left upper lobe measuring approximately <num> x <num> x <num> cm concerning for malignancy. otherwise the lungs appear clear. the cardiomediastinal silhouette appears normal. no large effusion or pneumothorax. imaged bony structures appear intact. | <unk>f with likely brain mets |
MIMIC-CXR-JPG/2.0.0/files/p19881566/s57964871/6c18a2bb-ae5009e0-54ed1415-6cc584d2-d976189d.jpg | lung volumes are well inflated. a left-sided pacing device with dual leads follow the expected course to the right atrium and ventricle, respectively. no focal consolidation or pneumothorax. blunting of the left costophrenic angle may be due to a small pleural effusion or chronic pleural thickening. no large effusion on the right. there is no central vascular congestion or pulmonary edema. diffuse interstitial opacification extending to the periphery bilaterally is unchanged since prior study and likely reflects a chronic interstitial process. there is stable mild parenchymal scarring at the right lung base. unchanged tortuosity of the thoracic aorta is re- demonstrated with atherosclerotic calcifications. otherwise, mediastinal and hilar contours are unchanged. heart size normal. | history: <unk>f with sick sinus syndrome status post ppm, mitral regurgitation presents with chest heaviness // evaluate for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p16310735/s50752441/47704007-59c05b0e-841fc4d1-0f133181-382929d2.jpg | patient is status post median sternotomy and cabg. heart size is mildly enlarged but unchanged. mild interstitial pulmonary edema is present along with small bilateral pleural effusions, similar compared to the previous exam. no focal consolidation or pneumothorax is visualized. there are no acute osseous abnormalities detected. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19236445/s52066635/60c6043b-fdbbc4ad-2989fada-e30bee47-9a09cf13.jpg | a hazy opacity is seen in the right lower lung on ap view. the upper lungs are clear. hyperinflated lungs and upper lung vascular deficiency suggests emphysema. the pulmonary artery is mildly enlarged. the heart size is unchanged. no pulmonary edema, pneumothorax, or pleural effusion. | cough with fever |
MIMIC-CXR-JPG/2.0.0/files/p13713209/s51479509/684b426a-7caae861-1b1c45ca-32c9fe31-3857174a.jpg | the lungs are hyperinflated and clear. no pleural effusion or pneumothorax. prominence of the right pulmonary artery is stable. again seen is a <num> mm nodular opacity projecting over the anterior left sixth rib which is unchanged dating back to <unk>. stable mild cardiomegaly. aortic arch, mitral annular disease and coronary artery calcifications are present. mediastinal contour and hila are unremarkable. | <unk>m with chest pain. assess for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17239145/s52279794/6c3be498-2aa3dbe0-c3382fc7-48278600-feecda3b.jpg | the lungs are clear withou any focal consolidation, pleural effusion, pulmonary edema or pneumothorax. the heart and mediastinal contours are normal. | chest pain. evaluate for structural change. |
MIMIC-CXR-JPG/2.0.0/files/p12820032/s52264886/ec95bfa2-f1be4294-523cc830-c9513894-bf87f492.jpg | the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures and pleural surfaces are normal. the imaged upper abdomen is unremarkable. a mild dextroconvex scoliosis of the thoracic spine is unchanged. | <num> week cough which is not improving, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16055484/s58966180/86d216fe-9afa0624-97130ea2-c5d33309-a4f8dd5a.jpg | there continues to be elevation of the left hemidiaphragm with volume loss/infiltrate/ effusion in the retrocardiac region. there is also small right effusion. the heart is mildly enlarged. there is mild pulmonary vascular redistribution. | <unk> year old woman with s/p cabg // f/u effusions, atx |
MIMIC-CXR-JPG/2.0.0/files/p16959552/s59717451/2ec6c6c9-99650f77-647b75e5-04b7f82c-f7e64689.jpg | there is no focal consolidation or effusion. indistinct pulmonary vascular markings are seen throughout the lungs. moderate cardiomegaly is identified. atherosclerotic calcifications noted at the aortic arch. s-shaped thoracic scoliosis is noted. | <unk>f with sob and full body swelling // ?pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p15933971/s54962407/1e0bb42c-794ba77e-f5ecb737-9cdda352-98097fab.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. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable. | <unk>f with lue weakness // r/o compressive left apex lesion |
MIMIC-CXR-JPG/2.0.0/files/p10843517/s51876571/911713cb-21fb34e7-15ee0c4f-f7d85237-8af27fe7.jpg | normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. | <unk> year old man with cough, fever x <num> week // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12219977/s58686380/0e8ce0a6-9d4c1901-27fc36fd-e50d3f42-e5bb4ac8.jpg | the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are seen at the aortic arch. no acute osseous abnormalities. | <unk>f with sob // wheezing |
MIMIC-CXR-JPG/2.0.0/files/p11808061/s57882528/d8dcff03-59649cea-532a47cc-41f65cf2-d75755c6.jpg | upright pa and lateral radiographs of the chest were obtained. the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. | shortness of breath. evaluate for pneumonia or edema. |
MIMIC-CXR-JPG/2.0.0/files/p14304572/s58124775/816d295f-08ba314f-ca568399-29370a4b-adf7445b.jpg | portable semi-erect chest film <unk> at <time> is submitted. | <unk> year old woman with ards. // any interval change in lung opacities? is et tube appropriately placed? any interval change in lung opacities? is et tube appropriat |
MIMIC-CXR-JPG/2.0.0/files/p13703773/s56677975/94d1095a-3841f720-69f672ed-47507fcf-17772d8e.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. left humeral head replacement is noted, new from prior. no free air below the right hemidiaphragm is seen. | <unk> year old man with cp and sob, pls eval for pna vs edema. |
MIMIC-CXR-JPG/2.0.0/files/p13948093/s59556729/8e67f306-c2f22d08-261f1870-401a4daa-0814740b.jpg | dual lumen central venous catheter tip terminates in the right atrium, unchanged. heart size remains mildly enlarged. mediastinal and hilar contours are similar. there is no pulmonary edema. patchy opacities are demonstrated in the left lung base, compatible with atelectasis as seen on the previous ct. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities seen. . | history: <unk>f with chest pain and dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p10289125/s50841156/1fc6c1f3-996ec32e-5ba66747-a29511ad-5c58ca9d.jpg | since prior, there is no significant interval change. an endotracheal tube, left subclavian central line, and left chest tube are unchanged in position. a line in the lateral left soft tissues that courses superiorly, likely overlies the patient. there is no pleural effusion or pneumothorax. the right and left lung are grossly clear. the cardiomediastinal silhouette is unchanged. multiple left rib fractures are again seen. | <unk> year old man with polytrauma, progressing to brain death. |
MIMIC-CXR-JPG/2.0.0/files/p12663504/s59014222/89bf795d-23decde2-0cb86355-25d8a118-0733db98.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the aorta is tortuous with tortuosity or dilation of the ascending aorta. heart size is normal. | <unk>-year-old male with ankle fracture, preoperative. |
MIMIC-CXR-JPG/2.0.0/files/p12996303/s59217586/73272d0b-5438f62d-df42d4ee-0f35b622-0f367c0a.jpg | portable chest radiograph demonstrates appearance of a widened mediastinum, likely exaggerated by patient rotation; however, may also be due to increased lymphadenopathy. extensive increased interstitial prominence extending from the right infrahilar region is suggestive of worsening lymphangitic carcinomatosis given. increased opacifications in the left retrocardiac space as well as mid lung, likely atelectasis, though cannot exclude infectious process. no overt pulmonary edema evident. interval placement of right-sided chest tube with near resolution of right pleural effusion and development of subcutaneous emphysema. no pneumothorax evident. small left pleural effusion may be minimally increased compared to prior study. | hypoxia after pleuroscopy and talc pleurodesis. please evaluate for residual disease. |
MIMIC-CXR-JPG/2.0.0/files/p14082222/s57000489/4703957a-abc7a626-c2d1bab0-80f2cc9d-9cd8328d.jpg | the heart is mild to moderately enlarged. the aorta is tortuous. the cardiac, mediastinal and hilar contours are probably unchanged allowing for differences in technique, including a convex contour to the right upper mediastinum, which is commonly due to tortuosity of great vessels. there is no focal opacification. the interstitium is again mildly coarse, but similar to baseline. fissures are mildly thickened as best depicted on the lateral view and there are also trace posterior pleural effusions. | right upper extremity cellulitis and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p14349467/s55604634/f20ee61b-f7fd599d-6005fa3b-cd50bccb-87c9d9cd.jpg | ap and lateral chest radiographs. there is no focal consolidation or pneumothorax. mild pulmonary vascular congestion is similar to priors. there has been improvement of the bilateral pleural effusions. the heart size is top-normal. compression fracture of a upper thoracic vertebra is unchanged from <unk>. | history: <unk>m with acute cholecystitis // acute process, pre-op |
MIMIC-CXR-JPG/2.0.0/files/p12493668/s52179383/0d1a9512-0014fd9b-7f643558-980aed22-32ebf718.jpg | pa and lateral views of the chest provided. interval removal of the right ij central venous catheter. 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 infx workup |
MIMIC-CXR-JPG/2.0.0/files/p11144686/s50246004/f4b120f5-319926a9-968bee50-2381d951-d1b922b6.jpg | a right chest tube remains in place. there is been interval removal the left picc line. compared to the previous radiographs, the right lung base opacity persists but is less dense than on prior exam. no new focal consolidation is present. there is persistence of a right pleural effusion. the cardiomediastinal silhouette is unchanged. a catheter is seen in the right upper abdomen. | metastatic choroidal melanoma status post right hepatic lobectomy and hepaticojejunostomy complicated by bile leak and presented with fevers, chills and vomiting after coli angio on <unk> point and prepping of ptc drain. ptc and capped. the blood and prior cultures sent and started on iv antibiotics. has persistent cough/gagging. assess for pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p18777781/s55266704/af7c6a26-ecd78c68-5ad83909-303307b2-d83c9880.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear without consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected. | <unk>-year-old female with right-sided chest pain and decreased breath sounds on the right. |
MIMIC-CXR-JPG/2.0.0/files/p19836188/s53847630/3f080e4a-0de18e72-d977f9b2-15354122-715350d2.jpg | the lungs are grossly clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. | <unk>-year-old female with left eye visual changes. please assess for pneumonia as part of stroke workup. |
MIMIC-CXR-JPG/2.0.0/files/p12268481/s50521565/6832fdaf-fc44f997-ac91870e-03bb5307-edec054e.jpg | frontal and lateral chest radiograph demonstrates a new right middle lobe and left lower lobe consolidation with associated left pleural effusion. in addition, there is a mildly enlarged heart with mildly increased vascular congestion and enlargement of the azygous vein suggestive of increased patient fluid volume. there is no overt pulmonary edema. there is no pneumothorax. | <unk>-year-old female with fever and cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13612848/s52359704/6d988110-04d7e754-43bd4de5-902adb7d-d7e6b52a.jpg | the lung volumes are low with bibasilar linear opacities, which are most likely atelectasis. there is mild pulmonary edema with trace pleural effusions. there is no pneumothorax. the mediastinal contours are normal. the heart is enlarged, though not significantly changed from the prior exam. | shortness of breath. evaluate for an acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10573359/s54869547/d67c115d-2d6da3c2-08b4e23b-a2c47657-24b903ff.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with effusions and sob // interval change |
MIMIC-CXR-JPG/2.0.0/files/p14467049/s59842468/292e8271-b80e6fa8-ee885612-ed1232e0-b196c263.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>f with fever // eval heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p13500443/s52745460/07cd91ab-17e0c4c1-285198ea-188bca89-2f3e3007.jpg | lung volumes are low which accentuates the size of the cardiac silhouette which appears moderately enlarged. mediastinal contour is unremarkable. mild pulmonary edema is present with perihilar haziness and vascular indistinctness. patchy opacities in the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is identified. cervical spinal fusion hardware is incompletely assessed. no acute osseous abnormalities are visualized. multilevel degenerative changes are noted within the thoracic spine. | history: <unk>m with chest pain, esrd |
MIMIC-CXR-JPG/2.0.0/files/p10685894/s59836191/d8ee15e3-72e80b6f-3d5a1c96-dfc5ccfe-8b4a64c0.jpg | right picc terminates in the right axillary vein, unchanged since <unk>. no pneumothorax. the lungs are well-expanded and clear. mediastinal contours, hila, and cardiac borders are normal. | <unk>f with right arm and right upper quadrant pain // eval picc line and for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p12208657/s59571824/9917ef02-d2041f0c-f09ecb5e-07f8f908-56fa4857.jpg | the pacer-defibrillator unit sits in the left upper chest. these are seen extending into the right atrium and right ventricle as well as into the coronary sinus and down a more distal vein, presumably to pace the left ventricle. the heart size is within normal limits and the mediastinal contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old male with new crt-d via the left subclavian. |
MIMIC-CXR-JPG/2.0.0/files/p14095662/s54928646/f14f24f1-e75c523f-1ca23c6f-e8fac684-1e98b573.jpg | the heart is mild-to-moderately enlarged. the chest is hyperinflated. there is mild unfolding and calcification along the thoracic aorta. there is no definite pleural effusion or pneumothorax. fissures are thickened and the interstitium is moderately prominent. projecting over the medial left upper lobe is a focal opacity which has vague borders and measures about <num> cm. this is compatible but not diagnostic of a focal consolidation. a pulmonary mass with associated atelectasis would be an additional consideration. the bones are probably demineralized. | dry cough and malaise. |
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