File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p10763687/s54612005/9e0e6004-03535f69-3abb530d-e80533f6-1e672a9b.jpg
two views of the chest were provided. there is a moderate right pleural effusion, similar in extent to the prior study. well demarcated linear opacity at the right base has the configuration of atelectasis; however, infection cannot be excluded. there is mild prominence of the pulmonary vasculature consistent with pulmonary edema. cardiomediastinal silhouette is otherwise unchanged. osseous structures are intact.
<unk>-year-old man with cough, question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10297948/s53720242/a704832a-bfdf3df8-d1f19880-ed8e4e57-fc08c7d1.jpg
the heart is mildly enlarged. again seen is dense mitral annular calcification. the mediastinal contour is stable. there is stable focus of scarring in the left lung base. there is no focal consolidation concerning for pneumonia. there is no pleural effusion or pneumothorax.
history of shortness of breath, dyspnea on exertion, rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15455152/s51958814/63428999-50ea2105-b14444aa-a4149939-91773630.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 hx hiv, presenting with cough // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p18819572/s53517740/46cdd291-f09e4db1-528c7a32-4c16ee22-e8fc3bb8.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.
<unk>m with cp // ?pna
MIMIC-CXR-JPG/2.0.0/files/p17504502/s51470684/9971ed95-cfb43928-4b153683-afdb5563-d064d36e.jpg
trace left lower lobe atelectasis is noted. there is no evidence of lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with dyspnea, cough, myalgias // r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p10860432/s57935384/a90c9be6-e2f48085-b6e3db4b-5b38e2f9-c4f96769.jpg
pa and lateral chest views were obtained with patient upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination <unk> <unk>. the heart is enlarged. the configuration suggests a prominence of the left ventricular contour, but an additional enlargement of the left atrium is noted in the form of a typical double contour in the right heart shadow. thoracic aorta is moderately widened and elongated but does not show any local contour abnormalities. the pulmonary vasculature demonstrates an upper zone redistribution pattern and there exists small amounts of bilateral pleural effusions in the posterior pleural sinuses as well as mostly on the right pleural sinus. comparison is made with the next preceding examination. the, at that time observed pulmonary abnormalities believed to be chronic and possibly representing scar formations are again noted. there is however a new area of diffuse parenchymal density on the left lung base partially in retrocardiac location that appears to be new and represents possibly a pulmonary infiltrate. it is observed that on the preceding chest examination cardiac enlargement existed already as well as the upper zone redistribution pattern in the pulmonary circulation. the present examination shows however diffuse increased perivascular haze.
<unk>-year-old male patient with increased shortness of breath, evaluate for chf or infection.
MIMIC-CXR-JPG/2.0.0/files/p17710225/s54423042/26d8063b-02e3b6b2-e379c194-d38d2358-d2fc91de.jpg
pa and lateral views of the chest provided. lungs are clear. pulmonary vasculature is normal. heart size is normal. mediastinal and hilar contours are normal. there is no pleural effusion.
<unk> year old woman with with several days of productive cough and fever
MIMIC-CXR-JPG/2.0.0/files/p13308693/s53593555/f05e3b99-2d3d63bb-863d295a-c0ffb505-d770766c.jpg
the patient is status post median sternotomy, cabg, aortic valve replacement, and vascular stenting. heart size is mildly enlarged with a left ventricular predominance. the aorta is unfolded. the hilar contours are normal. there is no pulmonary vascular congestion. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is seen. remote right <unk> posterior rib fracture is noted. no acutely displaced fractures are seen.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p19117468/s51108583/4615aef0-8739e32a-8f83d4ab-e53e5fb8-a95ad4fa.jpg
the heart is normal in size. there is heterogeneous opacification in each mid to lower lung and each hilum is mildly enlarged. this is probably due to enlargement of pulmonary vessels in association with mild vascular congestion. confluent opacification obscuring the left cardiac border suggests pneumonia in the lingula, although pneumonia might not be confined to this area.
shortness of breath and cough.
MIMIC-CXR-JPG/2.0.0/files/p14634306/s56476193/7386c07a-cabb0281-61f74080-554991ed-5718108a.jpg
compared to the prior study there is increased opacification of the left lung base, this likely reflects a combination of pleural fluid and atelectasis, superimposed infection cannot be excluded. support lines and tubes equipment are unchanged in appearance. mild pulmonary vascular congestion and pulmonary edema have improved slightly when compared to the prior study. no pneumothorax seen.
<unk> year old man with desaturation // ?acute interval changes
MIMIC-CXR-JPG/2.0.0/files/p14335308/s56003988/322fb9d1-91f8a8f6-532bf9da-81986654-882a5c5e.jpg
the heart is at the upper limits of normal size with a left ventricular configuration. the mediastinal and hilar contours appear unchanged. there is new, but mild diffuse interstitial abnormality, which most often would likely signify pulmonary vascular congestion. left basilar opacity suggests atelectasis or scarring. the aorta is extensively calcified. there is no pleural effusion or pneumothorax. there is mild rightward convex curvature and bony demineralization with a lower thoracic compression deformity that appears not significantly changed.
confusion and elevated lactate. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18395216/s54823602/a21419a3-24feb596-598d4879-0e8c9cd6-364e4e05.jpg
opacities at both lung bases have progressed since <unk>. pleural effusions at both lung bases are at least moderate. in addition, there is fluid within the right minor fissure. an additional component of atelectasis or consolidation may be present, particularly in the left lower lobe. there are no new abnormal cardiac or mediastinal contours.
left lower lobe infiltrate and effusions.
MIMIC-CXR-JPG/2.0.0/files/p14524604/s54741789/161b639c-da98276c-bf926ee8-8428d4f3-5e1441d6.jpg
the heart size is normal. there is a new, large area of focal consolidation overlying the right upper lung, as well as patchy opacities in the lung bases bilaterally, right greater than left. there is a small right pleural effusion. there is no pneumothorax. the visualized osseous structures are unremarkable.
white blood cell count elevation and cough. please evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16839550/s59674063/fe973523-399311ab-30eb14d6-af12928c-02b1359a.jpg
frontal and lateral views of the chest were compared to previous exam from <unk>. when compared to prior, there has been no significant interval change. again seen is a right lung base opacity localizing to the lower lobe on the lateral exam. elsewhere, the lungs remain clear. pleural thickening versus prominent extrapleural fat seen laterally on the right as well as regions of calcified pleura. there is no pleural effusion. cardiac silhouette is enlarged but stable. dual-lead pacing device again noted as well as postoperative changes from median sternotomy. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11422357/s51406837/53c5015a-b8f8c184-a1cfd21e-ff60d6b6-f9a44868.jpg
ap view of the chest. a left-sided pacemaker ends with its leads in appropriate position. the median sternotomy wires and mediastinal clips are stable. there is moderate cardiomegaly, stable. prominent interstitial markings appear chronic and likely due to chronic congestion, no edema. no pleural effusion or pneumothorax.
chf and previously shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p17109313/s54012186/b14ce4cb-baced223-cd48ee6f-f969fcfa-85273649.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 shortness of breath, cough, asthma // pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18071127/s52934232/8865d745-14d6517b-9b3294f0-91132884-51db1a09.jpg
the inspiratory lung volumes are decreased with resultant accentuation of the cardiac silhouette and bronchovascular structures. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits allowing for low lung volumes. no acute osseous abnormality is detected.
<unk>-year-old man with chills, cough // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p12020348/s51381342/418228b4-2f6b1ccf-73734757-e732f1af-1049aa12.jpg
lung volumes are low. there is mild pulmonary edema. there is interval increase of the left retrocardiac opacity, likely representing atelectasis, but cannot rule out pneumonia. the cardiomediastinal silhouette and hila are normal. sternotomy wires are seen, as well as moderate degenerative changes at the right glenohumeral joint.
<unk>-year-old with history of chf, copd.
MIMIC-CXR-JPG/2.0.0/files/p17607517/s56142900/29c78a67-8f5bd8b7-0eb12a93-217698b7-45a1b55c.jpg
the lungs remain clear without consolidation or edema. mild aortic tortuosity is stable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the visualized osseous structures are unremarkable. changes are seen throughout the thoracic spine.
pre-ect chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p18626491/s50626742/32ca8097-dd5bb081-c16bb15b-98a83675-0d9c225c.jpg
lung volumes remain low. bibasilar atelectasis and elevation of the right hemidiaphragm are unchanged. there are bilateral pleural effusions, unchanged from <unk>. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits.
history of effusions with increasing shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p19852995/s50053200/cc44958e-cf122a5e-07a3bd6b-a660f0c2-cdf124d7.jpg
compared with prior radiographs on <unk>, there is no significant change in bilateral lower lobe consolidations. there is no pleural effusion or pulmonary edema. no pneumothorax.
<unk> year old man with hiv/hbv cirrhosis and s/p tace for hcc with new onset possible pna and worsening abdominal pain. any new process? // any interval changes or air under diaphragm? new tenderness in abdomen
MIMIC-CXR-JPG/2.0.0/files/p12439626/s58542129/413ea340-cf9d72a2-eca94b4b-87ace432-b72372c4.jpg
the heart size is mildly enlarged, increased compared to the previous exam. the mediastinal contour is unchanged. there is mild pulmonary vascular congestion, with increasing patchy opacities in the lung bases. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities. degenerative changes within the thoracic spine with anterior osteophyte formation is re- demonstrated.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p14694180/s51953446/7238d684-07dffc7c-e35eb106-0fac7984-63dd0090.jpg
there is re- demonstration of pneumomediastinum with air tracking into the subcutaneous tissues in the neck. the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. no pneumoperitoneum is identified. osseous structures are grossly intact.
pneumomediastinum, evaluate for worsening free air.
MIMIC-CXR-JPG/2.0.0/files/p15450337/s51115652/a83af759-c90e68ac-5f5f7a52-f1638775-0d832e0e.jpg
the heart size is borderline. there is a new moderate interstitial abnormality with perihilar hazy opacification and indistinct pulmonary vessels, most suggestive of interstitial pulmonary edema. this appearance includes a relatively confluent area of right infrahilar opacification. there is no clear evidence for pleural effusion. there is no pneumothorax.
crackles on lung examination. question pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14093561/s59662325/cc43a198-fa660e25-bc644037-6a2ec227-f77833bd.jpg
heart size and mediastinal and hilar contours are within normal limits. faint aortic calcification noted. minimal atelectasis noted at the medial right lung base. no focal consolidation, pleural effusion or pneumothorax. no chf.
history: <unk>m with fever, cp, sob // eval for consolidation
MIMIC-CXR-JPG/2.0.0/files/p19844373/s53861238/5e0f7ad8-1d89b30e-3ca8bcf2-2adf0ceb-bbabd6a6.jpg
postsurgical changes in the right upper hemithorax are again seen with mild volume loss of the right lung and shift of mediastinum to the right. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no radiopaque foreign body is seen aside from stable appearing surgical clips over the right mediastinum.
question foreign body in right lung, feels like something in her lung, rule out foreign body.
MIMIC-CXR-JPG/2.0.0/files/p18112176/s52040598/bec2c70c-b81be60b-66f0519f-4b35bfa5-f91f18fe.jpg
the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear.
increased seizures.
MIMIC-CXR-JPG/2.0.0/files/p19435977/s52550274/944f672f-9dedc1b8-7eb52fe4-e96bdb4f-deb6ac89.jpg
no focal consolidation is seen peer there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the diaphragms.
history: <unk>m with abdominal pain // abdominal pain
MIMIC-CXR-JPG/2.0.0/files/p14884845/s59382236/636a2d30-113bf816-81c1cfc4-940968da-af6cdeb2.jpg
increased interstitial markings, including at the subpleural regions, similar to possibly a slightly progressed compared to the prior study. no definite new focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with prod cough pls eval pna // history: <unk>f with prod cough pls eval pna
MIMIC-CXR-JPG/2.0.0/files/p11944396/s51743515/d23968dd-5fa18002-e00885f8-359123bb-d42b56a8.jpg
the heart size is normal. the hilar and mediastinal contours are normal. again seen is suture material in the right mid to upper lung. there is mild pulmonary edema and vascular engorgement unchanged compared to the prior exam. there is no pneumothorax or pleural effusions. there is no focal consolidation.
<unk>-year-old female with a past medical history of tobacco abuse and hospitalization in early <unk>, who presents for evaluation of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14574036/s56231043/e806bced-ef3be218-594d21d5-14a5f878-321b51f9.jpg
pa and lateral views of the chest are compared to previous exam from one day prior, performed at <unk>. the lungs are hyperinflated but clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unchanged, noting post-surgical change in the right humeral head.
<unk>-year-old male with dyspnea and cough. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19794843/s51274064/0ff44159-bfda0cf7-2bc1f311-36670b90-386a1e50.jpg
ap portable upright view of the chest. bilateral pleural effusions are present, small to moderate in size. the hila appear congested and there is at least mild to moderate pulmonary edema. no large pneumothorax is seen. heart size cannot be assessed. aortic calcifications are noted. bony structures are grossly intact.
<unk>f with chf and hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p13158454/s54931555/ecb2edeb-71c4c419-f2459865-0aaaa1e5-536882dc.jpg
heart appears to be mildly enlarged. cardiomediastinal contours are unremarkable. again, blunting of the right costophrenic angle is noted along with elevation of the right hemidiaphragm. this could be due to atelectasis or in the proper clinical context could represent underlying pneumonia; however, the degree of opacification has not significantly changed from the prior study. no pneumothorax. bony structures appear to be intact.
<unk>-year-old lady with ckd, chf, cad, presenting with right upper quadrant/right chest/right flank pain, radiographic signs of pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p18016603/s51106928/93be0b44-6370f8cd-72514bb2-d0fde8b9-b8a43701.jpg
frontal and lateral radiographs of the chest were acquired. lung volumes are slightly low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. there is subsegmental left mid and lower lung linear atelectasis. the lungs are otherwise clear. mild-to-moderate cardiomegaly is not significantly changed compared to the radiographs from <unk>. there are no pleural effusions. no pneumothorax is seen. aortic calcifications are re-demonstrated. multilevel degenerative changes of the thoracolumbar spine are again seen. heterotopic calcification in the left cervical region could be within the left common carotid artery, unchanged.
syncope, dizziness, right leg swelling and pain. assess for acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11778436/s53015494/c1df9065-0a3c703b-b3093698-47b64489-a545b4cd.jpg
the comparison chest radiograph from <unk>, there is a mild improvement in right lateral pneumothorax, though leftward mediastinal shift remains and there is still concern for hemodynamic significance. right basilar pigtail catheter tip unchanged in standard placement. bibasilar interstitial abnormalities persist. there is no pleural effusion or left pneumothorax. heart size is normal. severe emphysema.
<unk> year old man with copd with pneumothorax with right chest tube to water seal // eval for worsening pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p16617031/s57452155/db7315ea-50d47e2b-2dfbf16a-ccf13627-4a158d13.jpg
low lung volumes and mild elevation of the right hemidiaphragm persist. the very inferior right costophrenic angle is not fully included on the image. there is right basilar atelectasis. right mid lung scarring/chronic change again seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen.
history: <unk>m with dizzy and weak // acute process?
MIMIC-CXR-JPG/2.0.0/files/p16239444/s54718586/1b792519-68871940-e2f96173-1588ab21-bb776c67.jpg
a single portable ap upright view of the chest was obtained. lung volumes are lower compared to the prior study; however, there is no evidence of focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal contour is unremarkable. no overt signs of pulmonary edema.
<unk>-year-old woman with altered mental status and confusion, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12189565/s58748403/57937c86-673beab7-32de34a7-a98eb9d9-8c365337.jpg
cardiac silhouette size is normal. mediastinal and hilar contours are unchanged with several rim calcified lesion is again noted in the region the left thyroid gland, as noted previously. pulmonary vasculature is not engorged. calcified granuloma in the left mid lung field is unchanged. lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is present. moderate to severe multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with cough
MIMIC-CXR-JPG/2.0.0/files/p13043422/s57801702/10d31974-8da48fcd-4529d4d7-3dfca3fb-bb32f858.jpg
portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. the cardiomediastinal hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with dec o<num> sats at <unk>, pls eval for pna // history: <unk>f with dec o<num> sats at <unk>, pls eval for pna
MIMIC-CXR-JPG/2.0.0/files/p12554679/s50646903/5b7eae20-a34fa6df-5fd69f1c-0b962dbf-a453a7c0.jpg
frontal and lateral chest radiographs demonstrate a persistent small left apical pneumothorax and unchanged multiple rib fractures. the cardiomediastinal silhouette is unchanged and the lungs are clear. there is no pleural effusion. a left pigtail catheter and epidural catheter are in place.
multiple rib fractures and a left pneumothorax. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p19394918/s52389406/c6c38961-9e99e977-92de9bd8-d1f277be-c294bac5.jpg
<num> views of the chest were obtained. the lungs are lower in volume compared to the previous examination with increased bibasilar predominantly linear opacities consistent with atelectasis. no definite effusion is seen although trace left effusion would be difficult to entirely exclude. there is no pneumothorax. heart is top-normal in size with normal mediastinal contours.
cough and chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10321217/s52154154/e0331136-0c82c1f2-be776914-fc8456e0-92382fb4.jpg
pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. the heart is normal in size. there is no pleural effusion, pulmonary edema, pneumothorax or focal air space opacity. the bony structures appear intact, with no evidence of displaced rib fracture.
<unk>-year-old female with assault to the left back. evaluation for left rib fractures.
MIMIC-CXR-JPG/2.0.0/files/p10833919/s54370392/7b6f823d-a9147049-afe7b231-5b60b7a8-408bebcd.jpg
pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. the right picc terminates in the mid svc.
low-grade fever and cough.
MIMIC-CXR-JPG/2.0.0/files/p19069160/s53374218/9682a3cf-be530a52-bfb48bbf-f1a98f4b-1414a970.jpg
the heart is at the upper limits of normal size. there is mild unfolding of the thoracic aorta. the lungs appear clear. there are no pleural effusions or pneumothorax. small osteophytes are noted along the thoracic spine.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p15750813/s57601761/3ca8bc0d-d8724645-10c88cf0-9dfd9e9f-68ce69be.jpg
pa and lateral views of the chest. no prior. linear opacity at the left lung base in the frontal is most suggestive of atelectasis. lungs are otherwise clear and there is no effusion. the cardiomediastinal silhouette is within normal limits, noting atherosclerotic calcifications at the aortic arch. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath and cough for four days.
MIMIC-CXR-JPG/2.0.0/files/p13920236/s52833111/166e0be3-7a03f3eb-148ab8de-d736ca48-fbbbd684.jpg
the cardiac, mediastinal and hilar contours appear stable. a dense tubular structure suggests a stent in the left anterior descending coronary artery or perhaps dense calcification. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14119818/s52234869/0b893691-7c69fbbf-4f39f081-4a76752f-9108bcc4.jpg
the tip of the ng tube projects over the midline, in the distal esophagus. the heart size is mild-to-moderately enlarged. central pulmonary vascular congestion is minimal. mild left basilar atelectasis. no frank pulmonary edema, pleural effusion, or pneumothorax.
<unk>-year-old man with small bowel obstruction. evaluate ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p18345927/s55438833/3122ec93-e9096e93-9000074d-3cbaadc8-147e0b22.jpg
the heart is normal in size. mild unfolding of the thoracic aorta appears unchanged. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. there has been no significant change allowing for differences in technique including better inspiration on this examination. there is no free air. bony structures are unremarkable.
epigastric abdominal pain radiating to the chest.
MIMIC-CXR-JPG/2.0.0/files/p18253112/s57635978/5681cfeb-8cc8b528-3c04f8bd-826cefeb-b6ae694f.jpg
frontal and lateral views of the chest were obtained. the heart is of top normal size, exaggerated by low lung volumes. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old male with hypoxia. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19516231/s53420299/d3a50ed0-2c9311a8-6d9cd1f0-d2e98e32-16da1a4c.jpg
frontal and lateral chest radiographs demonstrate clear lungs without pulmonary edema or focal opacity. patient has likely undergone thoracic surgery, given the surgical material seen in the right apex. a widened paratracheal stripe suggests possible lymphadenopathy. the heart is normal in size. there are bilateral pleural effusions, left greater than right. no pneumothorax is present.
history of pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11227520/s58882741/441bcbd6-ce8622c3-56ee568d-7d664578-b0d22566.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are noted along the thoracic spine.
fatigue and weakness with new diagnosis of leukemia.
MIMIC-CXR-JPG/2.0.0/files/p14616765/s50557337/14929460-73455628-b919a290-4baa1bb6-279c7560.jpg
bilateral pleural plaques and irregular, densely calcified pleural calcifications in the left lung, consistent with prior asbestos exposure, are unchanged. right upper lobe opacity with right hilar elevation and linear arrays of bronchial wall thickening and bronchiectasis is worse since <unk>, and is perhaps due to post-radiation fibrosis. however, correlation for history of tuberculosis is warranted. heart size is normal. the lungs are hyperexpanded with flattened diaphragms, due to emphysema. due to the preexisting pleural plaques and previously demonstrated breast artifacts, it is difficult to discern if there is a focal consolidation concerning for pneumonia in the mid lung fields. no pleural effusions.
<unk> year old man with cough and chills. rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19864113/s56984140/6eb78b71-b9a7bfff-53cb0758-3d389a6d-9a779fa1.jpg
portable upright chest radiograph <unk> at <time> is submitted
<unk> year old man <unk> s/p echmo with s/p bronch and intubation // eval for interval change eval for interval change
MIMIC-CXR-JPG/2.0.0/files/p16615356/s52294224/8e584298-865e1314-0bdfdaf6-00d6d5c7-fe63e1ac.jpg
pa and lateral views of the chest demonstrate the lungs are well expanded. apparent bulging of the posterior left mediastinum adjacent to the descending aorta, has been attributed to varices on prior studies. there is no evidence of focal consolidation, effusion, or pneumothorax. mild interstitial prominence is present, most notably in the right lower lung, with no evidence of overt pulmonary edema.
<unk>-year-old man with cough and hoarse voice. evaluation for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16182726/s59012722/6db0d286-b92f3429-be9eddc4-d457d794-6207a4bf.jpg
the heart is mild to moderately enlarged, perhaps somewhat larger than before. the mediastinal and hilar contours are unremarkable. there are new dense opacities involving both lower lobes, greater on the right than left, and there is probably also some degree of atelectasis or pneumonia seen on the lateral view anteriorly, probably referring to the right middle lobe. there is no pleural effusion or pneumothorax. pulmonary vasculature appears essentially within normal limits.
rapid atrial fibrillation.
MIMIC-CXR-JPG/2.0.0/files/p14889442/s51360855/18a99b48-92c65ae1-5884f1a3-9da1b764-3d6338c6.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with acute onset dizziness // ro infection
MIMIC-CXR-JPG/2.0.0/files/p18079777/s56472025/cf1634d4-59effff3-5e837019-9a6b538c-29ecb1e3.jpg
the tip of a new ng tube is seen in the stomach and turns back on itself to face the gastroesophageal junction. the tip of the endotracheal tube is seen <num> cm above the carina and will need to be pulled back by several cm. a right picc line is in unchanged position in the mid svc. since earlier same day chest radiograph, moderate left pleural effusion and adjacent atelectasis appears minimally worse. mild basilar atelectasis is seen in the right lung but otherwise remains clear. the heart size is unchanged.
<unk> year old man with new ngt placement // ? ngt placement
MIMIC-CXR-JPG/2.0.0/files/p19359902/s55208555/a3913528-ccaf2184-3d3ceee5-1507831b-5f5c7d80.jpg
numerous bilateral pleural plaques are similar to the prior study. right pleural thickening is chronic. the cardiomediastinal silhouette is unchanged with mild cardiomegaly. elevation of the right hemidiaphragm is chronic. there are no concerning focal airspace opacities. there is no pulmonary edema. there is no pleural effusion or pneumothorax.
recent pancreatitis, fall with gluteal hematoma, fever last night. exclude pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13244322/s55768935/70bcf129-ee9b458d-799215ba-65f6a67a-c9cfec0b.jpg
lung volumes are low. the patient's chin obscures the lung apices. lordotic positioning of the patient slightly limits assessment. heart size is moderately enlarged, and accentuated due to low lung volumes. the aorta is calcified and tortuous. mediastinal contours are unchanged with re- demonstration of rightward deviation of the upper trachea. there is crowding of the bronchovascular structures with possible mild pulmonary vascular congestion, but no overt pulmonary edema. streaky bibasilar airspace opacities likely reflect atelectasis. no pleural effusion or pneumothorax is seen. the patient is status post vertebroplasty of a lumbar vertebral body. multilevel degenerative changes are noted in the imaged spine.
chest pain, bilateral crackles.
MIMIC-CXR-JPG/2.0.0/files/p12214583/s52672806/751be1a7-bb8ae764-a2315945-2638362a-684890d1.jpg
cardiomediastinal contours are stable with moderate cardiomegaly. pacer leads are in standard position with tip in the right atrium and right ventricle. mild vascular congestion has minimally increased. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
<unk> year old woman s/p dual chamber pm implantation // check for lead position and pnx, thanks
MIMIC-CXR-JPG/2.0.0/files/p16158334/s56125641/e2a5c5a5-3c8d28ba-c716adbd-1ef5e549-ca53e3d4.jpg
the heart the great vessels are normal. the lungs are clear of an active process and well expanded. there is no pleural effusion or pneumothorax.
<unk> year old woman withcough // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p18103164/s53023445/239a0a06-0803f2f8-54a7de2b-1a0fcafa-c8d0f9e4.jpg
heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. lungs are grossly clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen. there are no radiopaque foreign bodies.
trauma, injury from explosion.
MIMIC-CXR-JPG/2.0.0/files/p12794612/s51848873/4faea202-1e57fb58-2a0d4d95-415c2dfa-e0c78610.jpg
pa and lateral views of the chest provided. small vague increased right middle lobe opacity may reflect atelectasis, possibly pneumonia. heart size is normal. there are no pleural effusions.
<unk>m with ams, evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19909991/s50947300/a4eaba7f-5d04879c-868b3f68-fd5f7353-b7c7931b.jpg
the lungs are clear lung volumes are normal. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. the mediastinal and hilar structures are unchanged.
confusion, evaluate for an acute process.
MIMIC-CXR-JPG/2.0.0/files/p12283783/s59473083/719561cf-f09eb94d-6d0e5fed-ef269050-f69b5bf5.jpg
streaky left base atelectasis/scarring is seen. there is also mild right base atelectasis. rounded cystic structure projecting over the lateral aspect of the left upper lung is stable. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable..
history: <unk>m with cp // cp, eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p19630748/s51304184/5bb3bff6-7620a819-e5368680-834c7670-c84de00f.jpg
portable semi-upright radiograph of the chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion, pneumothorax or consolidation.
history of ventricular tachycardia and vomiting. evaluate for heart failure or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19180667/s52681912/70bb6f03-6de90066-9e73ffb3-74961995-fb185cd2.jpg
there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. minimal pneumomediastinum is noted, corresponding to findigns on ct. heart size is normal.
history: <unk>m with vomiting and concern for perf // eval for pneumomediastinum
MIMIC-CXR-JPG/2.0.0/files/p17458909/s59075695/de91fd14-b04cb269-d9193fe2-b8634155-46bfe44e.jpg
frontal lateral chest radiographs demonstrate sternal wires and a central catheter which terminates in the right atrium. cardiac size is normal. the lungs are moderately well aerated. there is a small chronic left pleural effusion with chronic atelectasis or aspiration. no focal consolidation or pneumothorax is seen.
hypotension. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15475968/s52627675/64f44164-34ff4da4-3fb05a8a-304a899d-a9dd37c6.jpg
endotracheal tube tip is in standard position, terminating approximately <num> cm from the carina. an enteric tube tip is within the stomach. heart size is normal. mediastinal and hilar contours are within normal limits. there is no pulmonary edema. patchy opacities are noted within the lung bases, which could reflect areas of aspiration or infection. no pleural effusion or pneumothorax is visualized.
intubated.
MIMIC-CXR-JPG/2.0.0/files/p15151511/s55283816/fb073b9c-d9c2c144-7da42f15-86fc900c-262da522.jpg
frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax identified. no osseous abnormality is present.
cough, fever, decreased breath sounds in the right base. assess for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p16345043/s51882809/087b6e00-37913351-67b8845d-ad32eb1b-a5c0534b.jpg
endotracheal tube terminates <num> cm above the carina. nasogastric tube terminates below the diaphragm. increased bilateral interstitial lung markings are exaggerated due to low lung volumes, and may represent pulmonary edema or drug inhalation related lung disease. no pleural effusion or pneumothorax. heart size and cardiomediastinal contours are normal.
history: <unk>f with intubated overdose // ? ett and nj placement
MIMIC-CXR-JPG/2.0.0/files/p14865510/s55845518/1e4177dd-98ada624-8126247b-713296a6-5b55728a.jpg
lungs are hyperinflated with emphysematous changes again demonstrated. heart size is normal. the mediastinal and hilar contours are unchanged, with prominence of the right hilum. mild pulmonary vascular congestion is noted with cephalization of vascular markings. no focal consolidation or pleural effusion is seen. biapical pleural parenchymal scarring is present without evidence for pneumothorax. there are no acute osseous abnormalities.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10394411/s50612417/c7d9895e-57044c53-596be3a1-bbdf1c69-94de658c.jpg
ap and lateral views of the chest. the lung volumes are seen. that said, there increased bibasilar opacities. there is no large pleural effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with seizures. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10283819/s58343894/e77097b7-ca8f9281-3e38a107-12b7ceb0-a49d55f1.jpg
all the monitoring devices are unchanged and in standard position. compared to chest x-ray of <unk>, there are no major interval changes, there is a mild dilatation of the mediastinal vein. persist right base atelectasis with concomitant pleural effusion. the pulmonary edema is unchanged and mild.
evaluation of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17439137/s56952248/69b041b7-d4cf2972-18bf2b8b-0bdcf58f-1c843038.jpg
the patient is status post median sternotomy and cabg. moderate to severe enlargement of the cardiac silhouette persists. previously demonstrated diffuse alveolar opacities have substantially improved in the interval. linear and increased interstitial opacities within the left perihilar region as well as the right lung base may reflect atelectasis or scarring. no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is not engorged. there are extensive degenerative changes of the left glenohumeral joint with milder changes noted in the right glenohumeral joint. moderate multilevel degenerative changes are also seen within the imaged thoracic spine.
history: <unk>m with weakness and failure to thrive // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17167158/s59177899/2a0600c2-ae0bcc3b-e2df7ad8-544e684a-67c8830d.jpg
the left-sided picc line has been removed. there is a new left lower lobe infiltrate. there are new bilateral small pleural effusions. the heart size is mildly enlarged compared to prior and there is pulmonary vascular redistribution. old left sided rib fractures are again visualized.
copd hypoxia and cough.
MIMIC-CXR-JPG/2.0.0/files/p16777967/s59353488/52966794-71a22709-f53531c2-37af27f9-b03df8b8.jpg
the heart is at the upper limits of normal size. the aorta is mild to moderately tortuous, as before, with calcification along the arch. there is new haziness of pulmonary vascularity suggesting mild vascular congestion, although diffuse inflammation could also be considered. in addition a focal right perihilar opacification has developed, worrisome for pneumonia. less likely, a relatively focal appearance of pulmonary edema could be considered. there is no pleural effusion or pneumothorax.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13595479/s55430222/7ff1bebe-ee9ddc5b-bb0ffa14-40487928-7c81c93f.jpg
ap portable upright view of the chest. mildly elevated left hemidiaphragm is noted. lungs are clear. no large effusion or pneumothorax. heart size appears grossly within normal limits <num> left heart border is partially obscured. mediastinal contours unremarkable. bony structures are intact.
<unk>m with syncope and hypoxia // r/o pe
MIMIC-CXR-JPG/2.0.0/files/p18070922/s58669522/334d990b-79270607-18108d9b-f03cc9b2-f2af3b36.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. dual lead left-sided pacemaker is seen, unchanged in position. no pulmonary edema is seen.
history: <unk>m s/p pacer placement with chest pain // eval for pneumonia/chf
MIMIC-CXR-JPG/2.0.0/files/p14380985/s56162081/7cf4fd20-11a8a8ab-1b268d5c-e50409a3-becb57bb.jpg
the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. old anterior right rib fractures are noted. surgical clips project over the right breast.
<unk>f with chest pressure, dyspnea // ?cardiomegaly, pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p10165220/s59871079/8cb05f1e-28011b27-e0a374be-f766202e-d1973b99.jpg
the lungs are symmetrically expanded and well aerated without focal consolidation concerning for pneumonia. no significant pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged. the trachea is midline. there is no free air beneath the right hemidiaphragm.
productive cough for the past <num> months, here to evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17430262/s59063388/7c3742d4-7f117114-bb2bbcb1-17399b6d-113c92f7.jpg
ap and lateral chest radiographs are provided. lung volumes are low. there is crowding of the pulmonary vasculature in the upper lung zones. patchy opacities at the bases may represent atelectasis; however, underlying infectious process cannot be excluded. the previously seen left lower lobe opacity is less conspicuous on the current study. cardiomediastinal silhouette is unremarkable allowing for the ap view. there are no concerning osseous lesions.
<unk>-year-old woman with history of acute promyelocytic leukemia with near syncope, evaluate for infiltrate and pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15214825/s54125526/d11100db-d963223f-9b42b466-4f48efaf-c55825d6.jpg
frontal and lateral radiographs of the chest demonstrate low lung volumes with right basilar atelectasis and no pleural effusions or pneumothorax. the cardiac and mediastinal contours are normal.
cirrhosis and new liver transplant evaluation. evaluate for pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11976834/s58368704/3cf6b6d6-a15c84e5-03b044d6-59c95330-f4e987ea.jpg
pa and lateral views of the chest provided. previously noted picc line has been removed. 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.
history: <unk>f with chest pain // eval heart and lungs
MIMIC-CXR-JPG/2.0.0/files/p16408178/s58494283/3146814b-5abe6fc0-9962f0f3-787d10e3-48f16871.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> year old man with chest tension
MIMIC-CXR-JPG/2.0.0/files/p18798261/s58203491/11f1e165-8779ee7b-05a442c9-a27109aa-adc28c9c.jpg
cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. patchy opacities seen within the left lower lobe concerning for pneumonia. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with cough, fever, tachycardia.
MIMIC-CXR-JPG/2.0.0/files/p15710368/s52896081/a2fdb0a4-d6b6388e-4717d496-d0e24196-1a1b216d.jpg
pulmonary markings suggestive of interstitial edema are seen, but recommend correlation with chest ct from today. there is a partially loculated right pleural effusion. chest tube is seen in place. there is no pneumothorax.
<unk>-year-old female with lung cancer and chronic effusion with pleur-evac in place, now with concern for blockage.
MIMIC-CXR-JPG/2.0.0/files/p11362126/s58889129/418906f9-1042c236-e9088d61-89d09a96-eccf7066.jpg
et tube is <num> cm from the carina. a right ij central catheter terminates in the mid svc. ng tube is below the diaphragm. the right lung is clear. on the left, there continues to be extensive opacification involving the lateral aspect of the mid to lower lung zone consistent with pneumonia, and possibly aspiration. the upper lung demonstrates increased aeration.
<unk>-year-old female with past medical history of copd and asthma, transferred from outside hospital with left lower lobe pneumonia, went into pea arrest upon revival to micu with resuscitation on <unk> sun cooling protocol, position of et tube.
MIMIC-CXR-JPG/2.0.0/files/p16975973/s56859816/0fed0872-27e31097-ea336251-77f259c7-420a605d.jpg
the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>m with near syncope at spartan race, rule out cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15233610/s52425727/e8e91cdb-202bb2b5-9f840808-e5c68d28-a4f81b50.jpg
the patient is status post median sternotomy and valve replacement. mild cardiomegaly is present. right-sided pacemaker device is noted with leads terminating in the region of the right atrium and right ventricle. widening of the superior mediastinal contour is noted, which could be due to low lung volumes and the presence of mediastinal fat. there is crowding of bronchovascular structures with mild pulmonary vascular congestion noted. patchy retrocardiac opacity likely reflects atelectasis. no large pleural effusion or pneumothorax is seen. there are no displaced fractures identified.
fall.
MIMIC-CXR-JPG/2.0.0/files/p17356783/s59936520/9e841d17-2d611bba-de638b5d-69bcf867-9cc2d217.jpg
the lungs are clear. the cardiomediastinal silhouette and hilar contours are within normal limits. the pleural surfaces are clear without effusion or pneumothorax.
cough and crackles in left lower lung.
MIMIC-CXR-JPG/2.0.0/files/p11984152/s58981333/808ab316-57c2602c-af92d047-fab1aadb-b568b3f5.jpg
ap portable semi upright view of the chest. lower lung opacities appear most compatible with atelectasis. lungs appear otherwise clear. cardiomediastinal silhouette appears grossly unremarkable. bony structures are intact.
<unk>m with appendicitis // pre-op
MIMIC-CXR-JPG/2.0.0/files/p16564743/s59039763/58556499-84b5527a-620d1bfd-80ce607a-25fce330.jpg
frontal and lateral views of the chest. the previously seen left picc is no longer visualized. the lungs are clear of focal consolidation effusion or pulmonary vascular congestion. cardiomediastinal silhouette is stable. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13013222/s57621269/a89b7e06-39fcf83a-d75a307d-0a9ab845-6008e0db.jpg
there is mild elevation the right hemidiaphragm. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with calcaneal fx, preop // calc fx will need for sx
MIMIC-CXR-JPG/2.0.0/files/p18871802/s53295531/4f41f2b1-6d7e25ba-85ab9d6f-db3d2a66-8b67142a.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette appears normal. the pulmonary hilar markings appear minimally prominent though likely within range of normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with cough, left sided chest pain, fever
MIMIC-CXR-JPG/2.0.0/files/p15993611/s59258946/7b5cee18-ca61904e-3db2eb70-60594226-99a7a627.jpg
pa and lateral views of the chest were reviewed. retrocardiac opacity on the lateral view could represent atelectais or consolidation. there is no pulmonary edema, pleural effusion, or pneumothorax. median sternotomy wires are aligned and intact. prosthetic mitral valve projects over the heart. aortic calcifications are noted. otherwise, the hila and mediastinal contours are normal.
flu-like symptoms and cough.
MIMIC-CXR-JPG/2.0.0/files/p13227558/s57307084/944346e4-93f0e9a8-576e0997-0d6658df-8aba90f3.jpg
the lungs are clear. the heart size is normal. there is no pleural effusion, pneumothorax or pulmonary edema. a tortuous aorta is not calcified.
syncope.
MIMIC-CXR-JPG/2.0.0/files/p11229277/s50111444/5533686a-bfdb1889-a0371863-823ec1e4-54ea3ffc.jpg
there is a left chest port-a-cath with distal tip overlying the cavoatrial junction. the cardiomediastinal silhouettes are within normal limits. the hila are unremarkable. there is no evidence of pulmonary vascular congestion. there is diffuse reticulonodular interstitial opacity worst at the lung bases, and better evaluated on prior ct torso. given tree-in-<unk> appearance on that examination, findings are concerning for multifocal infection, including but not limited to mycobacterium organisms including tuberculosis, and fungal pneumonia.
<unk>-year-old man with a perforated viscus, dyspnea on exertion, o<num> requirement, evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p10699336/s54273790/3ffb4a18-ed8245ce-449fbc17-a2a290d7-391525f1.jpg
the left picc line remains in the azygos vein in the azygos fissure. increased hazy opacity in the right lower lobe could be a layering effusion or increased atelectasis. left basal atelectasis and pleural fluid is stable. no interstitial pulmonary edema. cardiopericardial silhouette is stable. no pneumothorax. right displaced lateral rib fractures are stable.
<unk> year old man with polytrauma, now fluid overloaded. // ? worsening effusion? worseining atelectasis? pna? compare with previous cxr
MIMIC-CXR-JPG/2.0.0/files/p10750092/s59472868/632aa920-047fa58d-57bb9ec3-53497e57-ab6df53a.jpg
in the interim, the patient has been intubated, the endotracheal tube tip lies no less than <num> cm from the level of the carina. the lungs remain hyperexpanded, with no pneumothorax or pleural effusion. the cardiac silhouette remains normal in size, the mediastinal contours are notable for aortic ectasia. there is a healed fracture of the posterolateral right fifth rib. an ng tube remains in place with its tip and sidehole within the stomach. note is made of mitral annular calcifications.
<unk>-year-old male status post fall two days ago with cervical spinal fractures and worsening respiratory status, status post intubation.