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MIMIC-CXR-JPG/2.0.0/files/p19907884/s51612287/32c5499f-c7a8f116-bc3516cf-55127c10-d77b160c.jpg | a supine portable frontal chest radiograph demonstrates low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. there is been interval placement of a right internal jugular catheter, with the tip likely within the proximal right atrium. there is persistent elevation of the right hemidiaphragm. no definite focal consolidation, pleural effusion, or pneumothorax is identified. the visualized upper abdomen is unremarkable. | hyperglycemia and fatigue. |
MIMIC-CXR-JPG/2.0.0/files/p16243802/s59788442/e64215be-595646e3-46102ec6-cb7f69f5-7a101556.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is similar mild-to-moderate relative elevation of the left hemidiaphragm compared to the right. there is no pleural effusion or pneumothorax. the lungs are clear. minimal degenerative changes are similar along the thoracic spine. | hiv, presenting with cough, myalgia, and sputum production. |
MIMIC-CXR-JPG/2.0.0/files/p11181748/s53956979/7a54f39f-f199adbd-22bd79bc-f9ef8f44-0ee9682f.jpg | cardiomediastinal silhouette is stable. moderate right pleural effusion has decreased in size with better aeration of the right lung. the left lung is clear. there is no left pleural effusion. no pneumothorax. | <unk> year old man with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p18867725/s57246507/07ec914a-20b28af8-c75808cf-852a0a23-3883d5ed.jpg | there is significant opacification of the left hemi thorax with significant mediastinal shift towards the left, indicative of volume loss. there is hyperinflation of the right hemithorax, which appears clear. a component of left hemithoracic opacification includes pleural fluid, however there is irregular opacification about the left hilum, concerning for a mass. osseous structures appear intact. no pneumothorax. | <unk>m with weakness // pna |
MIMIC-CXR-JPG/2.0.0/files/p17148302/s55835541/960950ac-0e4ba991-42cc78e5-754f5e59-9e49bb89.jpg | pa and lateral chest radiographs are obtained. heart is normal size and cardiomediastinal contours are unchanged. drainage catheter noted within the upper abdomen. right picc is stable. increased opacification of the left base is consistent with atelectasis and small pleural effusion, although an superimposed consolidation cannot be exluded. no interval changes in the right lung. small right pleural effusion. no pneumothorax. | <unk>-year-old man with pancreatic adenoma status post whipple admitted for worsening shortness of breath, admission chest x-ray with possible left middle lobe pneumonia, currently on cefepime and linezolid. increasing leukocytosis. please evaluate for possible pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14245674/s56194195/163f876a-10785d17-049d481f-839801fb-214e8963.jpg | bilateral lung volumes are low but the lungs are clear with no signs of consolidation, effusion, or pneumothorax. a small hiatal hernia is again noted, better evaluated on dedicated abdominal ct. cardiomediastinal silhouette is normal. no acute fractures are identified. | pre-operative chest radiograph. |
MIMIC-CXR-JPG/2.0.0/files/p13045791/s58888065/cde06b94-2cabf8b4-88adfbb9-390c9c44-b29e5d43.jpg | frontal and lateral chest radiographs again demonstrate left lateral chest wall postsurgical changes. the left pneumothorax is not well appreciated on frontal view, but the straight interface of fluid on lateral view suggests the presence of air in the pleural cavity. the left pleural effusion is increased. there is decreased left base atelectasis. the cardiomediastinal silhouette is normal and lungs are without focal consolidation. | status post left upper lobectomy and a subsequent chest wall hernia with rib cartilage fractures. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16419341/s56890666/06705252-962cef01-6a8d8254-c569a3c9-8acbbc65.jpg | pa and lateral views of the chest demonstrate hyperexpansion of the lungs bilaterally. the previously seen central venous catheter has intervally been removed. the patient is status post sternotomy and aortic valve graft repair, with a stable postoperative appearance. there has been near complete interval resolution of the previously seen left-sided pleural effusion. there is no focal opacity and no pneumothorax is seen. there is no evidence of pulmonary edema. degenerative changes are present within the thoracic spine. clips are noted in the right neck. | pulmonary hypertension and <num> month of shortness of breath. evaluation for fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p16508811/s53845981/0762369f-af8531f3-09fc45b2-f00d90c9-88e6ff7d.jpg | lines and tubes: right ij line terminates in the svc. lungs: well inflated with unchanged bilateral lower zone linear and hazy opacities. pleura: small left pleural effusion. no pneumothorax. mediastinum: stable cardiomegaly and prominence of hilar vasculature. bony thorax: no interval change | <unk> year old man with cough, fever // pna? |
MIMIC-CXR-JPG/2.0.0/files/p15900945/s51135338/21604d29-1e66e4aa-c0b29130-98af78b6-f9859dff.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are stable. | history: <unk>f w/ l sided chest wall pain x several wks // eval ? infiltrate, effusion |
MIMIC-CXR-JPG/2.0.0/files/p10572449/s52607622/3b42d4d9-14684475-7064491d-84d7aa05-761f8e13.jpg | the lungs are fully expanded and clear. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. nodular symmetric basilar densities likely represent nipple shadow. | <unk>-year-old woman with fatigue. |
MIMIC-CXR-JPG/2.0.0/files/p11667471/s58635270/3f8cfa14-50e1abf6-1b8d6fa3-7bfbadf5-c6b7165d.jpg | there is unchanged moderate left lower lobe atelectasis and bilateral pleural effusions. linear atelectases in the left mid lung field are again seen, essentially unchanged. lesion in the right seventh rib is unchanged. pleurx catheter is seen, unchanged in position at the base of the left lung. there is no evidence of pneumothorax. pacer is seen with leads appropriately placed within the right and left atria. mediastinal silhouette is within normal limits with a calcified aorta. | <unk>-year-old male with history of metastatic thyroid cancer and left pleural effusion. recently placed pleurx catheter. |
MIMIC-CXR-JPG/2.0.0/files/p11908889/s52238900/01f4a045-797ffa50-a2edba21-dcbc4609-797e73c5.jpg | unchanged appearance of the intact median sternotomy wires and aortic valve prosthesis. continued interval decrease in pulmonary vascular congestion. no new focal consolidation, pleural effusion, or pneumothorax. cardiac silhouette is stable. the previous right lower lobe opacity is resolved. | <unk> year old man with intermittent palpitations/sob; pmhx of avr <unk>, paroxysmal af, chronic anticoagulation. please assess cardiopulmonary architecture. |
MIMIC-CXR-JPG/2.0.0/files/p15515274/s57005839/5f788086-912914c1-3a06f643-dac62a11-9e345782.jpg | the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk>-year-old woman with history of asthma and persistent fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19019610/s55250714/462e5c3e-0321b1da-cf130467-ece1abff-3aeff5de.jpg | there is a hazy right basilar opacity projecting over the lower thoracic spine suspicious for developing consolidation. no pleural effusion or pneumothorax. heart size and cardiomediastinal contours are normal. | history: <unk>m with chest pain // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p10048244/s50891588/16dc888f-d7d65914-689c7a09-135f2d66-c23096bc.jpg | in comparison to the chest radiographs obtained <unk>, there is been interval removal of a dobhoff tube. otherwise no significant changes. a large, right, plaque-like pleural calcification is unchanged. lungs are otherwise fully expanded and clear without focal consolidation cavitary lesions, or suspicious pulmonary nodules. heart size is normal. cardiomediastinal hilar silhouettes are normal. no pleural effusion. | <unk> year old man with participating in clinical research study // rule out tb for clinical research study |
MIMIC-CXR-JPG/2.0.0/files/p10016367/s51553809/65c50181-255cb5ac-7514777c-2c135cf3-0d571760.jpg | the inspiratory lung volumes are appropriate. atelectasis or scarring at the right lung base is unchanged. there is no focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. there is kyphotic curvature of the spine. | history: <unk>f with sob and palps pls eval edema vs pna // history: <unk>f with sob and palps pls eval edema vs pna |
MIMIC-CXR-JPG/2.0.0/files/p15099669/s53093673/84d656fb-cde895af-24d6c5ef-11960082-043d439f.jpg | the patient is status post transbronchial biopsy. an area of subpleural thickening projecting over the right upper lateral hemithorax appears to have resolved, which may be due to disappearance of a focal loculated fluid collection. there is no definite pneumothorax. there has been no other significant change. | status post transbronchial biopsy on the right. question pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14424227/s54454439/2939b36e-d93c1495-025ac645-c7fa9983-396a4b2d.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. bilateral calcified breast implants are present. streaky opacity appears probably unchanged in the lingula and is most consistent with minor scarring. otherwise the lungs appear clear. there is no pleural effusion or pneumothorax. a deformity of the proximal left humerus is probably unchanged although not entirely assessed. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16237702/s54671523/0eb921b4-1d720dc4-b9e89980-aa66b3d1-e10b7867.jpg | a single-lead pacemaker is unchanged in position, with the lead terminating in the right ventricle. the cardiac silhouette is normal in size. the mediastinal and hilar contours are stable with mild tortuosity of the descending thoracic aorta. the lungs are clear aside from unchanged left basilar atelectasis or scarring. no focal consolidation, pleural effusion, or pneumothorax is seen. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. degenerative changes of the thoracic spine are similar in appearance to the prior study. | chest pain, here to evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p12876817/s55622749/451bc8c1-434d9363-965aff50-ee25beda-4c8191c8.jpg | there is no focal consolidation, pleural effusion or pneumothorax. there is stable cardiomegaly. there is a ventricular pacemaker in the left chest wall with leads ending in the apical portion of the right ventricle and a second lead coursing through the coronary sinus into a left coronary vein. mediastinum is unremarkable. osseous structures are notable for old healed left clavicular fracture and multiple healed rib fractures. | <unk>-year-old woman with cough, rule out infiltrate versus chf. |
MIMIC-CXR-JPG/2.0.0/files/p17234374/s54018913/65781b53-cc9ba9ca-7aa6dfb8-165aaf90-b8a2f064.jpg | pa and lateral views of the chest. the lungs are clear. there is no pleural effusion, pneumothorax or consolidation. the cardiac, mediastinal, and hilar contours are normal. | asymptomatic, chest x-ray for employment. |
MIMIC-CXR-JPG/2.0.0/files/p13786783/s59903424/2f4b1e91-b13af05f-e0aebde4-c197cb4a-c1b29bc2.jpg | pa and lateral views of the chest provided. partially imaged c-spine fusion hardware. 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 cp // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p16885440/s57171296/df340ae8-fa19aea1-ce24e9ea-fd6bc245-3abbc647.jpg | the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. bilateral nipple ornamentation is noted. | <unk>-year-old female with fever. |
MIMIC-CXR-JPG/2.0.0/files/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg | there is mild hyperexpansion likely due to underlying obstructive lung disease. minimal left base atelectasis is evident. no focal consolidation or superimposed edema is noted. mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. degenerative changes are seen throughout the thoracic spine and in bilateral shoulders. clips are evident posteriorly in the medial left upper quadrant. | fatigue. |
MIMIC-CXR-JPG/2.0.0/files/p11103704/s58855020/6b6111aa-14ee82ec-1e031863-92a5aa90-7aad51de.jpg | lung volumes are low. the cardiomediastinal silhouette is stable. the pulmonary vasculature is unremarkable. left basilar opacity is unchanged since prior examination. no definite pleural effusion or pneumothorax. | <unk> year old man with pulmonary embolus // evaluate for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p12111976/s55423103/618ac3ea-b8ca260c-ae85663b-890606f8-66cbc0d6.jpg | mild cardiomegaly has been stable compared to the prior exams dated back to at least <unk>. the patient is status post sternotomy, and coronary artery bypass graft surgery. the left single lead pacemaker is unchanged in position. no fracture of the wire is identified. a right-sided port-a-cath appears to terminate in the mid to low svc. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. mild lingular and right basilar atelectasis is unchanged compared to the prior exam. re demonstrated is a prominent right-sided epicardial fat pad. there is no pleural effusion or pneumothorax. a smooth, pleural based lesion is seen at the left lung apex, measuring <num>-cm x <num>-cm, and appears more prominent compared to the prior exam from <unk>. | history: <unk>m with nsclc, cad s/p icd placement with fall onto area overlying icd today. no palpitations. // eval for icd placement, trauma |
MIMIC-CXR-JPG/2.0.0/files/p12504543/s54256432/bde759cd-ab7db5e5-8fc8afe1-db78e1bd-b4a4285c.jpg | lungs are clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal silhouette. | intermittent cough and chest pain over the past several months. assess for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p12479159/s52442564/be3ce247-fba46f60-9d0db89d-edaefbb9-2ecd48d3.jpg | portable upright chest radiograph <unk> at <time> is submitted. | <unk> year old man with dyspnea // lung parenchymal disease lung parenchymal disease |
MIMIC-CXR-JPG/2.0.0/files/p13537136/s54628742/13f22609-e960c4b6-dea9dd8d-36da797d-e1b037ff.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with trauma to anterior chest presenting with bilateral breast pain // eval for rib fracture |
MIMIC-CXR-JPG/2.0.0/files/p16707063/s50780717/ac179987-a317ee48-029ffb54-2046bbb9-2524ef39.jpg | one semi-erect portable ap view of the chest. there is a linear opacity in the left lower lobe that may represent atelectasis or early pneumonia. the right lung is clear. there is no pleural effusion. the apices are slightly obscured by the patient's chin; however, no definite pneumothoraces are seen. there is no pulmonary vascular congestion. | recent subarachnoid hemorrhage, new cough, question of aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p11177152/s54644380/707e869c-25900a86-e4b4090c-f8804665-813c2021.jpg | pa and lateral views of the chest provided. lung volumes are low with bibasilar atelectasis noted. no convincing evidence for pneumonia though lung bases are poorly assessed due to presence of atelectasis. no large effusion or pneumothorax. no convincing signs of edema or congestion. heart size is difficult to assess. mediastinal contour is normal. bony structures are intact. prominent spurs are noted anteriorly in the lower t-spine. | prior exam dated <unk> <unk>m with pleuritic r posterior thoracic back pain, dyspnea, decreased breath sounds rl base |
MIMIC-CXR-JPG/2.0.0/files/p15245907/s57810369/c05603c1-00ede072-e45c6a66-ef41239e-4f2616fb.jpg | portable semi-erect chest film <unk> at <time> is submitted. | <unk> year old woman with resp failure s/p intubation // eval ett position, pulm edema eval ett position, pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p12953887/s50743581/52707faa-14685b99-abd3ca6e-9bf3ef35-91e1c282.jpg | frontal and lateral chest radiograph demonstrates well expanded and clear lungs. the cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax. no evidence to suggest copd. | <unk>-year-old male with chest discomfort. |
MIMIC-CXR-JPG/2.0.0/files/p17516272/s50997341/33ff57cb-ecabac85-429229ac-9d9c736d-76d0bebd.jpg | frontal and lateral views of the chest were compared to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with fever. |
MIMIC-CXR-JPG/2.0.0/files/p16942631/s50711820/2f9596b6-fe634e77-5aa1184b-ed5b9749-267298d6.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | cough and vomiting. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p13714231/s50089855/f8d44f0e-026e908a-971c144c-b5b29bd3-7a7d1168.jpg | the lungs are hyperexpanded, with worsening bibasilar opacities and bronchiectasis, compared to the prior study. there is no pneumothorax, or overt pulmonary edema. the heart size is normal. | <unk> year old woman with pna hx,cough, fevers // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p13864100/s58617370/c394d21a-9e6f4756-e7668e58-44a67a8f-9de604ac.jpg | heart size remains mild to moderately enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is identified. assessment of the lung apices is obscured by the patient's chin and neck soft tissues projecting over these areas. there is minimal atelectasis at the lung bases. degenerative changes are re- demonstrated in the thoracic spine. small amount of free air is seen underlying the central tendon of the diaphragm. | history: <unk>m with atrial fibrillation, abdominal pain, copd |
MIMIC-CXR-JPG/2.0.0/files/p10989760/s51055641/d0b0689d-3e4124fc-1e995c6b-ffdd9c08-3cb75e2e.jpg | the patient remains intubated. the endotracheal tube terminates nearly <num> cm above the carina compared to about <num> cm before. bilateral internal jugular venous catheters appear unchanged. an orogastric tube also enters the stomach. there is increased bilateral perihilar opacification but with some improvement in aeration of the right lower lung. this appearance suggests moderate vascular congestion, perhaps slightly increased, with similar probably moderate layering bilateral pleural effusions, within the limitations of technique. retrocardiac opacity is not as well imaged since the lower chest is partly excluded but is probably unchanged. | ards and pulmonary edema, status post intubation. |
MIMIC-CXR-JPG/2.0.0/files/p10800710/s50465545/d60e6c97-aece17f3-4586805a-9552d796-3fc00b7c.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 |
MIMIC-CXR-JPG/2.0.0/files/p14306198/s51010873/d3aac75e-8a56c958-077f254a-8d3e3de7-68326815.jpg | ap upright and lateral views of the chest provided. lung volumes are low. there is no definite signs of pneumonia or edema. no large effusion or pneumothorax. the heart appears mildly enlarged. mediastinal contours unremarkable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with sob w/ cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p11458593/s50830143/d6cc6817-1925dc02-217245ff-e49a68b2-89b19bee.jpg | portable chest radiograph when compared to previous examination <unk> demonstrates interval extubation. a right picc is seen terminating in the mid to low svc, constant in position. there is improved aeration of the right lower lobe with persistent layering effusion at the left base and associated atelectasis. there are no new focal consolidations. there is no pneumothorax. the cardiomediastinal and hilar contour remains constant. there is persistent mild vascular congestion. | <unk>-year-old female status post hip surgery with respiratory failure. evaluate interval change. |
MIMIC-CXR-JPG/2.0.0/files/p11258377/s50191845/be4f9f6b-dfec824c-f8440d19-0abc22dd-497acb0e.jpg | interval placement of a right internal jugular central venous catheter that terminates in the right atrium. unchanged enteric tube with tip gastric body. unchanged left chest defibrillator with electrodes in expected and unaltered positions. low lung volumes. heart size is normal and unchanged. the aorta is calcified, indicating atherosclerosis. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. background of emphysema. there is bibasilar atelectasis. apparent blunting of the left costophrenic angle is likely secondary to prominent epicardial fat as no pleural effusion was seen on ct of the abdomen and pelvis from earlier this morning. no pneumothorax is seen. there are no acute osseous abnormalities. post vertebroplasty changes. multilevel degenerative changes of the visualized thoracolumbar spine. | <unk>f with ij placement. evaluate placement. |
MIMIC-CXR-JPG/2.0.0/files/p14417042/s52372703/4ad125d1-7bc94d89-6e2fe9bf-51df069a-7ccefdfe.jpg | there is no consolidation. previously noted interstitial pulmonary edema has resolved. bilateral pleural effusions are small. no pneumothorax. moderate cardiomegaly is stable. | <unk> year old man with esrd , dialysis with cough and sob // lung status r/o pneumonia , infiltrates , chf |
MIMIC-CXR-JPG/2.0.0/files/p13818168/s59880286/681b312a-e96383ce-019834c1-9c99600f-bf752c5f.jpg | in comparison with the study of <unk>, the left hemidiaphragm can now be visualized, possibly because of the change in patient position. there is substantial opacification involving the left lower lobe, consistent with pneumonia. the right lung and upper portion of the left lung are clear. central catheter remains in place. | pneumonia, to assess for change. |
MIMIC-CXR-JPG/2.0.0/files/p15131736/s56536391/108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f.jpg | lung volumes low with bibasilar atelectasis and increased bilateral alveolar opacities and bilateral pleural effusions. ng tube has been advanced now terminating in the stomach although the side port is difficult to visualize. other indwelling monitoring and support devices are stable and appropriate position. | <unk> year old woman with copd/dchf, failure to wean from vent // assess for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p12555865/s50352363/4ceb7346-842090fc-5fc500a2-dc1af853-63f21c00.jpg | the lungs are clear. the heart and great vessels are normal. no pleural effusion or pneumothorax. right subclavian line. is placed with its tip in the right atrium. et tube is <num>. ng tube in the stomach with side hole in the distal esophagus. suggest to advance the tube a few cm. | <unk> year old woman with ? avm // cvl, ett, ogt confirmation contact name: <unk>, <unk>: <unk> |
MIMIC-CXR-JPG/2.0.0/files/p11939156/s50062458/998cf0d7-2f16b61e-73b80341-ced5944c-d9edfc47.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and relatively well-aerated lungs. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. | evaluate for acute process in a patient with syncope and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15200895/s58807881/94790ba1-651dadbc-b796ec29-4b5d1bca-ff119239.jpg | ap single view of the chest has been obtained with patient in sitting semi-upright position. available for comparison is a preceding chest examination dated <unk>, issued by the <unk> emergency room. on present examination, significant cardiac enlargement is seen. the pulmonary vasculature is markedly congested bilaterally with prominent perivascular haze in the pulmonary circulation. the lateral bases are obscured, so are the diaphragmatic contours compatible with bilateral pleural effusions. no pneumothorax can be identified in the apical area. in comparison with the next previous examination obtained one earlier, the pulmonary congestive pattern has markedly increased and the same is too for the bilateral pleural effusions. | <unk>-year-old female patient with history of chf/copd with dyspnea. evaluate for acute cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p13049382/s55458694/a4fa357d-c9363029-07a3c1d5-976c7dda-57666caf.jpg | the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p17347519/s52153499/89c2d2ce-b489767a-3c919459-987bbbc3-bcd1cf72.jpg | frontal and lateral radiographs of the chest demonstrate no evidence of residual hd catheter. there is mild cardiomegaly. again seen is bibasilar atelectasis with minimal bilateral pleural effusions, which have improved slightly from <unk>. there is calcification of the aortic knob and descending thoracic aorta. left-sided picc line is seen with the tip terminating in the mid svc. there is no evidence of renal osteodystrophy. | <unk>-year-old man with end-stage renal disease on hd, status post removal of hd catheter. evaluate for residual hd catheter tip. |
MIMIC-CXR-JPG/2.0.0/files/p17010654/s53864864/8baaa7f7-eb8cbf49-71bd4201-a7046a32-7d415cbf.jpg | the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. heart size remains mildly enlarged. the aorta is slightly tortuous. no acute fractures are identified. | hypoxia status post total knee replacement. |
MIMIC-CXR-JPG/2.0.0/files/p13956943/s57749974/68e214c8-bcfe143d-4ac58cc1-d5c38bf9-973041ad.jpg | the lungs are clear. nodular opacity projecting over the right lung base is presumably a nipple shadow as it was not present on recent exam. small calcified granulomas noted in the right lung. ground-glass nodule at the left lung base seen on ct is not clearly delineated and should be followed as previously outlined. cardiomediastinal silhouette is within normal limits. right chest wall dual lead pacing device is again noted. | <unk>m with r sided numbness pls eval infarction |
MIMIC-CXR-JPG/2.0.0/files/p17663170/s57441342/7db471cc-2a38daad-bf1c9e4d-bc79cc76-aca68b02.jpg | as compared to <unk>, there is severe hyperinflation of the lungs with small bilateral pleural effusions. no acute focal consolidation. the cardiomediastinal silhouette is not enlarged. no pneumothorax. right-sided picc remains in the upper svc. | <unk> year old man with h/o copd now with new o<num> requirement today. // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19018567/s55459239/2c9478a0-b14ce8da-ce23be76-98408d67-0120e933.jpg | the lungs are hyperinflated, with attenuation of the peripheral vessels, compatible with emphysema. in the periphery of the right mid lung, projecting over the anterior right fourth rib there is a vague opacity, which may represent pulmonary consolidation versus summation of structures. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are unremarkable. multiple small lucent lesions in the right clavicle and scapula are compatible with known history of multiple myeloma. there is less than <unk>% compression deformity of a mid thoracic vertebral body. | <unk>-year-old female with severe pain, history of multiple myeloma. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p12601251/s56746947/95ebe8b7-4f508f9f-d5c9f0d8-4ae2936c-06e849b2.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. tavr is in place. | <unk>f with altered ms. <unk> acute process. |
MIMIC-CXR-JPG/2.0.0/files/p12165269/s51589995/7305ff7e-93026eee-3fe6033a-53571e7b-3603cd6f.jpg | the lungs remain clear. the cardiomediastinal silhouette is stable. median sternotomy wires, mediastinal clips, and dense atherosclerotic calcifications at the arch are again noted. no acute osseous abnormalities. | <unk>f with left hand weakness // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13877230/s54566976/bf0c8c57-78c24979-18ea8de1-9a0cf5b5-5a820fb0.jpg | et tube terminates <num> cm above the carina and points toward the right mainstem bronchus there is hyperinflation suggestive of probable background copd. probable mild cardiomegaly. aorta is mildly tortuous. a <num> mm calcific density in the ap view window likely represents calcified lymph node. small calcified granuloma may be present in the right upper zone. there is upper zone redistribution, without overt chf. no consolidation, pneumothorax, or large pleural effusion detected. an ovoid density measuring <unk>.<num> mm overlies the cardiac silhouette immediately to the left of the lower thoracic spine, not fully characterized on this examination. this is new compared with an outside scanned-in radiograph from <unk> and may represent artifact. hazy density adjacent to the right upper chest wall, below the edge of the scapula is noted, but may also represent artifact. | history: <unk>f with ett // intubated |
MIMIC-CXR-JPG/2.0.0/files/p11888962/s50741998/94d71170-039b32ef-398b6d34-a428d171-463f6046.jpg | tracheostomy tube and sternotomy wires are all unchanged. the lung volume is small, exaggerating the pulmonary vascular markings. mild pulmonary edema and pulmonary vascular congestion is are unchanged. left pleural effusion with underlying volume loss is stable. no new consolidation. no pneumothorax. cardiomediastinal silhouette is unchanged. | <unk> year old man with ivh, trach, pulmonary edema. interval changes. |
MIMIC-CXR-JPG/2.0.0/files/p19305450/s50003809/fe08fc67-db312763-871c51bb-875925a1-96a38d9c.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 ruq pain x <num> weeks, no sob/cough // eval pna, atelectasis |
MIMIC-CXR-JPG/2.0.0/files/p10495823/s50079853/b626fd3e-768bea03-ca4e068b-42ab2bca-fd311acc.jpg | left chest wall transvenous pacer/ defibrillator with leads ending in the right atrium and right ventricle. there is no evidence of pneumothorax or pleural effusion. heart size is mildly enlarged. there is no focal consolidation. | <unk>-year-old woman with cognitive changes and delirium, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13075096/s53703463/eda73a8a-2e189f49-4b693824-78c41e54-5a73394b.jpg | there is subdiaphragmatic free air. the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of colonoscopy yesterday with abdominal pain and right rib pain. please evaluate for air. |
MIMIC-CXR-JPG/2.0.0/files/p18341991/s52324583/6c29f05c-ceac737a-a96aef53-d03cc729-f94c41b9.jpg | the left picc terminates in the mid svc. there are bilateral pleural effusions and pulmonary edema, slightly worse when compared to <unk>. persistent cardiomegaly is noted. | history of aspiration with positive cardiac enzymes and wheezes. question of pulmonary edema or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10955604/s50509154/616b57b0-ff9e47fd-0d7f765d-56a5a4d1-52ba03dc.jpg | diffuse asymmetric interstitial changes, worse on the left and at the right apex, are unchanged over multiple prior studies. there is again prominence of the left hilum which is better evaluated on ct chest <unk>. the cardiac silhouette is stable. there is no pneumothorax. there is no pulmonary edema. | history: <unk>m with liver failure, sob // any vascular congestion, fluid overload |
MIMIC-CXR-JPG/2.0.0/files/p14235184/s51611847/22d4b5a3-c6744296-d4c6b985-335ebb8a-47b33809.jpg | moderate cardiomegaly persists. the mediastinal and hilar contours are within normal limits. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. calcified granuloma in the left lower lobe is unchanged. there are no acute osseous abnormalities. | history: <unk>f with epigastric pain and chest pain intermittent |
MIMIC-CXR-JPG/2.0.0/files/p16839455/s59847174/ff083900-37dd793e-0eeaa9f6-e874d0c3-fe8a4093.jpg | the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. | <unk>-year-old woman with left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14368163/s51527649/88f0662e-214b2053-1286db69-bfcd0639-5cefde01.jpg | the patient's tracheostomy has a similar appearance. the ng tube is been removed. there is new right upper lobe hazy alveolar infiltrate. the appearance of the lower lobes with volume loss/ infiltrate/effusion is similar compared to prior | <unk> year old man with pna on vent and new onset rt chest tightness // right chest tightness |
MIMIC-CXR-JPG/2.0.0/files/p11934347/s58539002/0ccaefae-08d94feb-27faaca1-bc829a46-fa020c56.jpg | pa and lateral views of the chest provided. volumes are low. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with abdominal pain, sig. leukocytosis |
MIMIC-CXR-JPG/2.0.0/files/p16973998/s50997444/4b15fbb4-fe235e4c-cb75cd62-91816cf2-a60902b3.jpg | support lines and tubes are unchanged in appearance when compared to the prior study. there is persistent silhouetting of the left hemidiaphragm consistent with left lower lobe atelectasis, superimposed infection cannot be excluded. no pneumothorax or pleural effusion seen. no consolidation seen. even allowing for the projection, the heart appears mildly enlarged with mild pulmonary vascular congestion. | <unk> year old woman with shock, tamponade, rll pneumonia. // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p15212295/s59840179/2c865069-6c76ec60-12e23bc9-20ea2d22-7cecbdfe.jpg | frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. on the lateral view, projecting over the mid thoracic spine is a region of opacity probably in the superior segment of the left lower lobe, probably pneumonia, though not clearly seen on the frontal view. there is no pleural effusion, or pneumothorax. no thoracic vertebral body compression fracture or displaced rib fracture appreciated. rightward deviation of the trachea in the neck could be due to a left thyroid mass or adenopathy. | left-sided back pain and cough. |
MIMIC-CXR-JPG/2.0.0/files/p13588600/s52182872/aa485dff-bc1d29ab-738e1069-de0c5269-ad1f2376.jpg | the lungs are clear without focal consolidation. no large pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with cp/sob // please eval for acute cardiopulm process (ptx, pna, enlarged heart etc) |
MIMIC-CXR-JPG/2.0.0/files/p13452052/s59121790/707b9b89-81f96c32-8e2b036e-72d01121-199e2d38.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. | history: <unk>m with tachycardia hypoxia cirrohosis decrease breath sounds tips procedure // eval for pnaeval for portal venous thrombosis ruq ultrasound |
MIMIC-CXR-JPG/2.0.0/files/p17282924/s58229918/5ab24f26-160cf9fd-97b351f0-d7f4dd18-846530ba.jpg | pa and lateral views of the chest. the lungs are clear. nodular opacities over the lung bases are most compatible with nipple shadows. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old male with fever and recent hospitalization. |
MIMIC-CXR-JPG/2.0.0/files/p16732790/s59539162/95a83380-9119e19a-cff4ffeb-6d7991c8-54230b5e.jpg | single frontal view of the chest demonstrates a left pectoral cardiac pacer with leads terminating in the right atrium and right ventricle. the cardiac silhouette is mildly prominent, accentuated by slightly decreased lung volumes. the thoracic aorta is mildly tortuous. there are persistent bilateral pleural effusions with associated compressive atelectasis. there is no pneumothorax or vascular congestion. | <unk>-year-old female with altered mental status. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12590816/s55830856/e6ad1358-07655696-3c6213e6-b3d986a9-901bdb9a.jpg | frontal and lateral views of the chest. lung volumes are very low, exaggerating heart size and mediastinal width. there is small left base atelectasis but no focal consolidation, pleural effusion, or pneumothorax. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p17589503/s56098173/3af30f77-77cf8129-cd1710e2-cd797a91-5cb828cd.jpg | there has been interval placement of a left chest wall dual lead pacemaker, with leads projecting over the expected locations of the right atrium and right ventricle. the lungs are normally expanded and grossly clear. heart size is normal. the thoracic aorta is tortuous. there is no pleural effusion or pneumothorax. there is a mildly displaced, unchanged right seventh lateral rib fracture. calcified densities projecting over the left scapula and inferior glenohumeral joint are unchanged, likely degenerative or posttraumatic. | <unk> year old woman with htn, cad, chf, complete heart block // s/p ppm today |
MIMIC-CXR-JPG/2.0.0/files/p10906758/s55961610/d50610d9-d7bad62b-3dd6645a-b4407c0e-7c864739.jpg | there has been interval resolution of the previously demonstrated left lower lobe collapse. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal. | history of left lower lobe collapse in <unk>, evaluate for re-expansion. |
MIMIC-CXR-JPG/2.0.0/files/p16806588/s54971904/c5d8a8af-dc92a762-6f6aa7a5-be7ce97a-2f704808.jpg | pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pneumothorax. the cardiac silhouette is moderately enlarged. no acute osseous abnormality is detected. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19182562/s53174635/92d3f655-61640433-0ed055a8-53cb2241-8e8984a5.jpg | frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. | fever. assess for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11398733/s51847006/006cc8be-865cdfd8-ec72e316-cf9997eb-1c7416a0.jpg | the heart size is mildly enlarged. lung volumes are slightly low. mediastinal and hilar contours are within normal limits. there is crowding of bronchovascular structures without pulmonary edema. patchy opacities in the lung bases likely reflect areas of atelectasis, with no focal consolidation, pleural effusion or pneumothorax identified. no acute osseous abnormalities seen. | history: <unk>f with hiv, recent travel to <unk>, fever/ tachycardia/hypotension, abdominal pain |
MIMIC-CXR-JPG/2.0.0/files/p14164730/s56122821/fcac5fc1-dcaf8c6b-83e65e80-374bb54c-905ec9d6.jpg | two pa and one lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. | productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p11576703/s50906166/3faff1d6-9ab86ff9-41470952-da3b5113-d7f9bd3d.jpg | pa and lateral views of the chest provided. patient is slightly rotated to the right. 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 generalized weakness // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p19902791/s52552503/a9b522f2-d2af93e4-b9b94517-bb588d35-ee583df3.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 dizziness , chest pain radiate to back. onset today // mass?bleed?dissection |
MIMIC-CXR-JPG/2.0.0/files/p18274437/s54286365/708c7ef9-babe6fc4-946b0083-bc080618-45a71f83.jpg | pa and lateral radiographs of the chest were acquired. lung volumes are slightly low, causing accentuation of the pulmonary vasculature. the lungs are clear, aside from minimal left basilar atelectasis. heart size is top normal. the mediastinal contours are normal. there are no pleural abnormalities. | cough. evaluate for acute cardiac or pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p10878238/s56435113/24d8736b-8c1d3de8-1fdbc7ba-db33690f-5fc202c6.jpg | pa and lateral views of the chest demonstrate the lungs are hyperexpanded and there is persistent bilateral apical lucency, representing emphysemetous changes. the bilateral pulmonary hila are prominent, possibly representing vascular congestion, however an atypical bronchopneumonia cannot be entirely excluded. there is no pneumothorax or pleural effusions. subsegmental linear atelectasis is seen within the right mid lung. | productive cough and shortness of breath. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12070314/s55873391/378bc4b6-f4b96533-7b2c0a88-4e904116-81d4f20b.jpg | the lungs are clear and the lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. blunting of the posterior diaphragmatic sulcus on the lateral view appears chronic. the heart is normal size. the mediastinal and hilar contours are unremarkable. | weakness. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18860477/s57128647/20830be5-df6551d4-b639dba2-e2dab1d7-f3c247b2.jpg | again seen is extensive right lung opacification consistent with known lung carcinoma and areas of atelectasis and consolidation. there is also a small right pleural effusion. as compared to the prior examination, there is slightly improved aeration of the right hemithorax. on the left, there is a small pleural effusion. known left pulmonary nodules are better evaluated on the ct examination. no pneumothorax is identified. the cardiomediastinal contours are grossly stable. | known lung cancer with history of pleural effusions and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p12198712/s59211435/dd56e99a-7e49e1aa-f9ffc902-22f0cc69-aa6e2a37.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with dyspnea, cp // evidence of pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p11453770/s53431793/1767ae86-d65765d1-986a058b-a5e06ec9-bbb3c00e.jpg | no pulmonary opacities are seen. there is a chain suture in the right upper lung field likely from prior wedge resection. cardiomediastinal and hilar contours are unremarkable. mild cardiomegaly is stable. there is no pleural effusion or pneumothorax. | <unk>-year-old female with new atrial fibrillation. please evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p14252529/s59806911/f2eb9fd3-8fe1a353-15a572a2-85d37832-43f5e820.jpg | the lungs are well expanded and clear. no consolidation. the hila and pulmonary vasculatures are normal. the cardiomediastinal silhouette is normal. no pleural abnormalities. no pneumothorax. no fractures. | <unk> year old woman with right lower rib pain for <num> months // rib or lung pathology |
MIMIC-CXR-JPG/2.0.0/files/p16274384/s58415598/ea86d0a9-2bd8a005-aabf4c65-d9e2aa9d-cd388704.jpg | a single portable ap upright view of the chest was obtained. cardiomediastinal silhouette is unremarkable. lungs are well expanded. there is no focal consolidation, pleural effusion, or pneumothorax. | <unk>-year-old woman with sudden onset of altered mental status and left lower quadrant pain. |
MIMIC-CXR-JPG/2.0.0/files/p11451907/s55988389/fbde1638-402441cd-0369a9f2-17f0ae5f-7981f5b5.jpg | overall the examination is unchanged. no focal opacity to suggest pneumonia is seen. there may be mild vascular congestion; however, no pulmonary edema. no pleural effusion or pneumothorax is seen. the heart size is top normal. there is mild tortuosity of the aorta. the pleural surface contours are normal. | history of asthma, presenting with dyspnea and cough. |
MIMIC-CXR-JPG/2.0.0/files/p16245238/s57225393/ed78df85-a5a4e986-40c190b1-44112e4b-07627d89.jpg | the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities. | <unk>f with weakness // ? consolidation |
MIMIC-CXR-JPG/2.0.0/files/p11747830/s56425682/7cab7d1a-8d0f975e-6eb575e3-d47515bd-999621d1.jpg | the lung volumes are somewhat low. there is new opacity in the superior segment of the right lower lobe, concerning for pneumonia. no pleural effusion, pneumothorax or pulmonary edema is seen.the cardiomediastinal silhouette is unchanged. | <unk> year old man with fevers, cough, hemopysis, r. chest pain // pna? bronchitis only? other cause? |
MIMIC-CXR-JPG/2.0.0/files/p14125101/s56543504/3a88f66b-30ee8154-0fd2fba6-bc07874c-2b2cf6d7.jpg | the lungs are clear. the there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with chronic neck and back pain, s/p fall w/ worsening l lateral neck pain, l posterior/lateral back/chest wall pain |
MIMIC-CXR-JPG/2.0.0/files/p14203508/s54653311/c676b594-233fcbbd-b0ad59db-1c47d32e-cff20a3b.jpg | an endotracheal tube terminates <num> cm above the carina. a nasogastric tube is coiled within the stomach. there is improved aeration of the lungs since the <unk> examination. a small left pleural effusion is unchanged. a persistent mild left retrocardiac opacity remains stable. | pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13722528/s55960864/96efa075-88b5082c-8576962c-dd1e4238-b16bfefd.jpg | pa and lateral views of the chest provided. there is left lung volume loss with increased left upper lung opacity concerning for pneumonia. scarring in the right apex is noted. the heart is mildly enlarged. no large effusion is seen. no pneumothorax. mediastinal contour is within normal limits. aortic calcification is present. bony structures are intact. | <unk>m with hx copd and c/o increased weakness |
MIMIC-CXR-JPG/2.0.0/files/p12381874/s58854171/76a8a4d8-5e600c83-638a6ab7-a98de374-de072804.jpg | ap portable supine view of the chest. underlying trauma board is in place. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. | <unk>f with fall // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p10084233/s53106834/3934715b-c0e32d32-d77af580-647f1020-5152c776.jpg | there is moderate cardiomegaly. the lungs are clear without focal consolidation, effusion, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | <unk>m with hypotension // eval for pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p11372027/s51138134/c2e82f1a-d3d0aab1-db126bb9-01c8b6b1-0d07d326.jpg | ap upright and lateral views of the chest provided. dialysis catheter resides over the right chest wall with right ij insertion and catheter tip in the low svc near the cavoatrial junction. the heart remains mildly enlarged. there is hilar engorgement with mild interstitial pulmonary edema. no large effusion is seen. there is mild basal atelectasis. no pneumothorax. aortic calcification again noted with unchanged mediastinal contour. mild wedging is seen at multiple levels of the mid thoracic spine, grossly unchanged from the prior exam dated <unk>. | <unk>f with chest pain/dyspnea |
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