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MIMIC-CXR-JPG/2.0.0/files/p18406213/s59727941/5929bfdb-9d90c83e-7522b861-d3bc707e-87104f9f.jpg | there are low lung volumes and bibasilar opacities which are likely atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities pain | <unk>f with <unk>, now with hypoxia. // assess for ards, edema, vs atelectasis |
MIMIC-CXR-JPG/2.0.0/files/p11573299/s58380521/7c32a957-6c4a6322-08e51031-9a0622ef-e0b4d871.jpg | the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. | confusion. |
MIMIC-CXR-JPG/2.0.0/files/p12971407/s50993020/470a6baf-320f6c28-3d55fd9d-cbe51778-1b3154c0.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with fevers for <num> week // pna? |
MIMIC-CXR-JPG/2.0.0/files/p12658758/s50811211/d5aec634-7a899015-11718526-946b2d26-d49a138e.jpg | status post bronchoscopic biopsy, there is no evidence of pneumothorax. a clip is seen in appropriate position within the left lower lobe <num> cm mass. there is elevation of the right hemidiaphragm, unchanged. | <unk> year old woman with lung nodule c/f cancer, now s/p bronch and fiducial placement on left // ptx, fiducial placement on l //<unk> year old woman with lung nodule c/f cancer, now s/p bronch and fiducial |
MIMIC-CXR-JPG/2.0.0/files/p14280581/s51470944/d9e0ad21-6d587335-c939c6c5-f2155b05-440b9cba.jpg | the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. opacity in the left lower lung suggests pneumonia; noting blurring of the left cardiac border, it probably localizes to the lingula. | found down. |
MIMIC-CXR-JPG/2.0.0/files/p13571665/s58186765/949fd952-59f5a220-ec49ff0d-c9350b29-16686010.jpg | there is elevation the right hemidiaphragm. bibasilar atelectasis is noted. there are no focal consolidations concerning for pneumonia. no pleural effusion or pneumothorax. cardiac size is normal. | <unk>m with chest pressure // eval for pulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p18527192/s55721606/a0abc842-cea3f525-4334ef14-7382b823-4ce02ce1.jpg | the heart size is top normal. mediastinal and hilar contours are unchanged. there are mild atherosclerotic calcifications of the aortic knob. pulmonary vasculature is normal. trace bilateral pleural effusions have decreased in size compared to the previous exam. no focal consolidation or pneumothorax is present. there are no acute osseous abnormalities. | hypotension. |
MIMIC-CXR-JPG/2.0.0/files/p19166723/s55939239/1ea0748c-640461a8-9cacc45a-d79fd65f-eeee622d.jpg | left suprahilar fibrosis and atelectasis in the superior segment of the left lower lobe likely due to prior radiation, as noted on prior studies. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with sob and prod cough // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11666315/s52659877/3d9a53f6-7683bdd0-d64989b3-d013a2a8-61b307b5.jpg | no focal consolidation, pleural effusion, or pneumothorax is seen. mild interstitial abnormality persists. heart and mediastinal contours are stable. lung volumes are slightly low. aortic calcification is again noted. tracheostomy appears similarly positioned. median sternotomy wires appear intact. mediastinal clips suggest prior cabg. a clip is also seen in the region of the gastroesophageal junction, unchanged. | <unk>-year-old male with productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p11333117/s51964220/1866b10c-c6b126cd-bf1c401e-12dce7e7-e35a88d1.jpg | the lungs are clear of consolidation, effusion or overt pulmonary edema. the cardiomediastinal silhouette is stable. atherosclerotic calcifications again noted in the thoracic aorta. median sternotomy wires are identified. no acute osseous abnormality is noted, hypertrophic changes are noted in the thoracic spine. | <unk>m with increased fatigue, fever x<num>d, increased confusion per pt's wife, hypoxic on <unk> arrival, o<num> sat <unk>% on ra // eval for infection, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15502354/s53588961/f9ab9f51-3dd8ceb5-5ba0e283-21e182a4-d115f3b8.jpg | the exam is limited by low lung volumes and body habitus. within the limitations, there is no change in the diffuse interstitial prominence, possibly due to chronic vascular congestion. there is no focal air space consolidation, pleural effusion, or pneumothorax. the mediastinal contour remains slightly prominent, although unchanged. the heart size is normal. extensive flowing anterior osteophytes are noted along the thoracic spine. | shortness of breath, tachypnea, and fevers. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12262929/s51737345/51ece31c-d79334c4-edc5432c-ab381e8f-13851bf3.jpg | in comparison to prior radiographs, the cardiomediastinal silhouettes are stable, within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | a <unk>-year-old woman with pneumonia at outside hospital imaging, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13114529/s58101035/a0676438-f723e172-000b35db-1612c098-b2c02519.jpg | the heart is at the upper limits of normal size. the contour of the main pulmonary artery is moderately prominent. the mediastinal and hilar contours appear otherwise unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. | chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14357860/s55474557/90285924-fa0a7049-50b3a7c7-d34dd449-37ad4e5f.jpg | ap upright and lateral chest radiographs were obtained. the lungs are markedly low in volume, limiting assessment with at least mild pulmonary vascular congestion and upper zone redistribution. given the low lung volumes assessment for edema is limited. the exam is further limited due to patient body habitus with the suggestion of a retrocardiac opacity which could reflect atelectasis. pleural effusions would be difficult to exclude. cardiomegaly is stable. | decreased o<num> saturation. assess for pneumonia or chf exacerbation. |
MIMIC-CXR-JPG/2.0.0/files/p12061930/s50723970/ed56e5c6-3dbed7ea-342cdb3f-660a6136-808eec57.jpg | there are bilateral airspace patchy opacities, more pronounced in both lower lung fields, more specifically in the right middle and right lower lobe as well as in the left lower lobe in the retrocardiac region. no pleural effusion or pneumothorax is identified. the heart is mildly enlarged. | <unk>-year-old male with dyspnea, cough, fever. |
MIMIC-CXR-JPG/2.0.0/files/p17997411/s55203283/6f28c8a1-0c6749d7-8ce53cfa-2b9ac7a1-23c939a5.jpg | ap and lateral views of the chest. no prior. there is what appears to be eventration of left hemidiaphragm with underyling loops of stool-filled bowel. herniation is also possible. where well visualized, the lungs are clear. there is no large effusion. the cardiomediastinal silhouette is grossly unremarkable, noting that it is not well assessed. no acute osseous abnormality is identified. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19647910/s57248377/1ae9bf27-4f09b4ee-26205d42-b853336d-d5846694.jpg | rounded opacity projecting over the left hemi-diaphragm unchanged from <unk>, the date of earliest available imaging, potentially eventration of the diaphragm. no pleural effusion, pneumothorax or focal airspace consolidation. heart is mildly enlarged but unchanged. mediastinal hilar contours are unremarkable. | weight gain with history of renal transplant. evaluate for pulmonary edema or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19585869/s56036300/5fd01cd4-f65ec7b3-b9a1fc0c-1f4fc655-f468ea1c.jpg | compared with the prior study and allowing for significant differences in positioning, degree of vascular plethora may be slightly increased. there is also slight blurring due to respiratory motion. left lower lobe collapse and/or consolidation is again seen. the right hemidiaphragm is much less well delineated --<unk> could be an artifact of positioning, but suggests the presence of collapse and/or consolidation at the right lung base. no gross pleural effusion, though small effusions would be difficult to exclude. the cardiomediastinal silhouette is probably unchanged. clips again noted in the the region of the ge junction. et tube tip lies <num> cm above the carina. right ij central line lies near the cavoatrial junction, unchanged. ng type tube extends beneath the diaphragm to overlie the proximal stomach. no pneumothorax is detected. | <unk> year old woman with sdh // interval changes |
MIMIC-CXR-JPG/2.0.0/files/p18406652/s59794861/d7feaf53-85a9c2c1-67b61e33-79bcdff0-0b7d2641.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. minimal patchy right opacity in the right lower lobe is present. remainder the lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with sudden onset pain right lateral chest with deep deep breathing //evaluate for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p11637705/s57117684/ff4d338f-80c33f8b-9756ca27-85e8ec4c-780d8cd8.jpg | no previous images. the heart is normal in size, and lungs are clear without vascular congestion or pleural effusion. | postoperative fever. |
MIMIC-CXR-JPG/2.0.0/files/p15554865/s58863912/122dffe8-b930d98d-8d016e10-e7555295-421be3e0.jpg | substantially larger uniform radiodensity in the right hemithorax with new right apical pleural fluid collection reflects an increasing right pleural effusion. right chest tube loops project over the right hemithorax. interval increase in vascular congestion and mediastinal venous distension. stable low lung volumes and moderate cardiomegaly. | <unk>-year-old woman with respiratory failure and pleural effusion status post chest tube placement. evaluate size of pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p15479046/s53294898/c55dc6cd-eb7d3de0-59171862-dfb9ccec-f818ea02.jpg | there is stable appearance of moderate cardiomegaly with a left ventricular predominance. there is no focal consolidation, effusion or pneumothorax. there is no evidence of pulmonary vascular congestion. streaky opacities at the right base likely represent atelectasis. bony structures are grossly intact. | generalized weakness, no source. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15393401/s53386512/3fcac1c0-7afa558f-f51df555-3ba02f47-ad17da4f.jpg | there are small bilateral pleural effusions with fluid extending into the major and minor fissures bilaterally. there is no focal consolidation. rounded densities projecting over the peripheral right upper lung zone on the ap view may represent pulmonary nodules. there is mild pulmonary vascular congestion/interstitial edema. the cardiac silhouette is mild-to-moderately enlarged, but stable. the mediastinal and hilar contours are within normal limits. partial calcification of the aortic knob is noted. | dyspnea, here to evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p17310670/s51997315/fa9a250f-9b491529-15fe6d19-8a28f082-b77577cf.jpg | there are moderate-sized left and small right pleural effusions, both of which have increased in size over the interval, and are associated with mild adjacent bibasilar opacities. the heart remains enlarged. a pacemaker device is present, with leads terminating in the region of the right atrium and right ventricle. there is no pneumothorax or focal consolidation. | <unk> year old man with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p18936722/s51842722/d36e0557-d9bf98b1-f0ba5eed-663e070d-d8a42fe7.jpg | a left-sided picc terminates at the lower svc. the heart size is normal. the hilar and mediastinal contours are within normal limits. a moderately calcified aortic arch is unchanged. small bilateral pleural effusions are markedly decreased in size since the <unk> examination. there is no vascular congestion or pulmonary edema. there is no pneumothorax or superimposed consolidation. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18001762/s57190506/7ba70acd-c543c594-6a4b40fe-43b724b0-ec0090a5.jpg | the cardiac silhouette size remains mildly enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. minimal atelectasis is noted in the right lower lobe. there are no acute osseous abnormalities. | history: <unk>f with doe, wheezing since yesterday, hx asthma, no fevers, chills, or chest pain // eval ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p16502979/s58645980/9920e9cb-9a9e3f48-b5ba64fe-f2e3df7d-1ac22d9c.jpg | the lung volumes are noted to be decreased once again. as compared with the prior examination, there has been no significant interval change. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is identified. the heart size is normal. mediastinal and hilar contours are stable. | cirrhosis and possible dic, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14105485/s55516324/099360fb-80758689-12747309-23c32e08-b72db989.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. tortuous aorta and dextroscoliosis of the t-spine appear similar to prior exam. posterior left lower lobe opacity is new. small pleural effusions bilaterally. no pneumothorax. | <unk> year old woman with <num> wk of productive cough, low grade fever, smoker // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18853762/s59493962/449cfe55-08099f36-b95fa82e-bd7d4b31-60d4a6ad.jpg | heart is top-normal in size. moderately tortuous aorta is again seen. mediastinal contour is stable. the lungs are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old woman with dyspnea, <num> weeks of cough, sternal chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18413775/s59249939/fbc8ea97-6bdcde3e-f12c5605-cc95eb62-7c1097b0.jpg | heart size is normal. the mediastinal and hilar contours are normal. there is new, mild pulmonary edema. there is a right basal opacity, which may represent asymmetric edema or infection. no pleural effusion or pneumothorax is seen. | <unk> year old woman with fever and dyspnea // new opacity |
MIMIC-CXR-JPG/2.0.0/files/p19398915/s55197331/9be4ccd3-9cd8e4a0-977ad1bb-d8f3c816-5f1da208.jpg | there is a large right pleural effusion with severe compressive atelectasis and a very small amount of remaining aerated lung. confluent diffuse airspace opacities are also present in the left lung. there is no large left effusion. no pneumothorax. cardiac silhouette is largely obscured | <unk> year old man with cirrhosis, hepatic hydrothorax, tips-resistant // eval status of hepatic hydrothorax |
MIMIC-CXR-JPG/2.0.0/files/p15202542/s57602418/bf776ed7-dfff33f5-9dd03fa5-36c5dd4c-735995e3.jpg | portable ap upright chest film <unk> at <time> is submitted. | <unk> year old woman with septic shock secondary to meningitis, pneumonia, bacteremia, now all resolving on antibiotic therapy, on the floor getting blood transfusion. worsening respiratory distress. please eval for taco. // volume overload? volume overload? |
MIMIC-CXR-JPG/2.0.0/files/p16534334/s52147770/3957a2bd-b31d2439-c7be74ef-f7f85ffa-bba94fa6.jpg | lungs are clear without focal consolidation, effusion, or edema. prior right picc is no longer seen. mild cardiomegaly is noted. hypertrophic changes are noted in the spine. | <unk>m with hx of osteo p/w weakness and cough // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p15605860/s57236768/9ee9213a-cf19a7e6-d4d29fab-ca7bc63a-5c98156f.jpg | portable semi-upright radiograph of the chest demonstrates a pleural drainage catheter on the left. there is a small persistent left apical pneumothorax, with some pleural effusion tracking along the left apex. left basilar pleural effusion and left lower lobe atelectasis appears unchanged. the right lung is grossly clear. | <unk> year old man s/p left diaphragmatic hernia repair w/ left ct placement on <unk>. // interval change |
MIMIC-CXR-JPG/2.0.0/files/p10842061/s50957191/e1b1e5fc-c16cfcd3-7ffb95ec-3f2d941a-edff655c.jpg | et tube is <num> cm above the carina. a left mainstem bronchus stent is in place. since the prior radiograph, there is no significant change. small left pleural effusion is unchanged the right lung is clear. there is no focal consolidation, or pneumothorax. the bony structures are intact. | <unk>-year-old man status post mainstem stent placement, et tube, collapsed lung. |
MIMIC-CXR-JPG/2.0.0/files/p11648387/s53907510/719bbbae-9c3378e0-3437a1be-337dc367-83f92510.jpg | cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are hyperinflated with bronchiectasis again noted at the lung bases and somewhat ovoid and tubular opacification in the right lung base compatible with previously noted nodules and mucoid impaction suggestive of infection. no new focal consolidation, pleural effusion or pneumothorax is seen. mild degenerative changes are seen in the thoracic spine. | history: <unk>m with cough // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p15877362/s53921049/6930ad76-75ecc101-868f8730-7ee63c6a-b0422f3e.jpg | cardiomediastinal silhouette is unchanged. there is mild tortuosity of the thoracic aorta. there is no focal lung consolidation. there is no pleural effusion or pneumothorax. nodular left lower lobe opacity <unk>, is seen on the current study, most likely corresponding to lingular atelectasis seen on the ct abdomen from <unk>. | <unk>-year-old woman with chest pain, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p19774071/s56105555/c1219987-589f6193-c3b249a7-16266f52-9992da18.jpg | the heart size is normal. there is known right paratracheal lymphadenopathy. there is scarring in the right upper lobe medially as seen on the chest ct. the lungs are otherwise clear. there is no focal consolidation, pneumothorax, or effusion. | preoperative radiograph and patient with malignancy |
MIMIC-CXR-JPG/2.0.0/files/p18987082/s54070114/a3bbd8db-e67bbdf1-74d670ea-42c4e76f-715e5df0.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | <unk> year old man with h/o melanoma. evaluate for intrathoracic disease. |
MIMIC-CXR-JPG/2.0.0/files/p12810555/s52242851/192e2c86-47d8af59-468ed9ce-9c0e0fa5-30185140.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with <num> pack year history, recent episode of hemoptysis |
MIMIC-CXR-JPG/2.0.0/files/p18237138/s53718028/58d14a2c-3784bc84-2ca56ac2-d67c9324-39691e7c.jpg | portable semi-upright radiograph of the chest demonstrates diffuse interstitial opacities, likely representing moderate fluid overload, slightly increased from prior. increased bibasilar opacities are consistent with layering pleural effusions as well with atelectasis/ pneumonia. no large pleural effusion is seen. no apical pneumothorax is identified. cardiomegaly is noted. epigastric surgical clips are noted. | <unk> year old man with advanced dementia, w/increased work of breathing and low grade temperature, c/f pneumonia or pulm edema // pneumonia or pulm edema? |
MIMIC-CXR-JPG/2.0.0/files/p14734397/s59515850/7c4ede20-0cbbce73-45b0d441-a5bdc25b-4027db76.jpg | left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. cardiac silhouette size remains top normal. the aorta is diffusely calcified. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are mild-to-moderate multilevel degenerative changes noted in the imaged thoracolumbar spine. | history: <unk>m with lightheadedness bradycardia |
MIMIC-CXR-JPG/2.0.0/files/p17715144/s54051207/641a9dda-8fb36856-53082542-35dd1451-d2e7f5a9.jpg | an endotracheal tube terminates in appropriate position, and an gastric tube terminates just distal to the gastroesophageal junction. there are low lung volumes with central pulmonary vascular congestion. no focal consolidation is noted. no large effusion or pneumothorax. | <unk>-year-old male with intubated for seizure with intracranial hemorrhage. evaluate for tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p12110564/s53205001/5b5f35dd-6486efe4-dbc335cf-a2345863-4e82f74f.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. underlying interstitial disease is suspected with peripheral reticulation. more confluent but irregular opacities are noted in each lower lung, particularly in the left lower lung, involving the lingula and probably the left lower lobe. a small right apical nodular opacity measures about <num> mm in diameter. a more vague <num> mm nodular opacity is also identified in the left upper lung. mild biapical pleural thickening may be accompanied by a small bulla at the right apex. a trace pleural effusion is suspected on the left. mild degenerative changes and exaggerated kyphosis are noted along the thoracic spine with small anterior osteophytes. | increasing dyspnea on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p11024993/s59259814/26bc3124-67bf725c-f9a322aa-8067cc5b-425072eb.jpg | there is subtle opacity in the right lung partially obscuring the right cardiac margin also seen on the lateral view suspicious for subtle pneumonia. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. | <unk>m with dyspnea // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p15117030/s59184749/9b2d20f7-e0b1ef01-d37b3302-9233968c-362a2236.jpg | the lungs are well-expanded and clear. no pulmonary edema. no pneumothorax. the hilar and pleural surfaces are unremarkable. the cardiomediastinal silhouette is normal. anterior flowing osteophytosis of the mid thoracic spine is again noted on the lateral view. | history: <unk>f with palps // ?chf |
MIMIC-CXR-JPG/2.0.0/files/p17075911/s57386097/3829cefe-620ae52f-d02084ac-0b1b9de2-1335adb9.jpg | cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. | <unk> year old woman with shortness of breath // please eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15694968/s50345255/4241de56-f62e7cd8-d1747249-c31f9cef-949d3179.jpg | ap portable upright view of the chest. an endotracheal tube terminates <num> cm above the carina, unchanged in position since <unk>. a left picc terminates at the cavoatrial junction. an orogastric tube extends to at least the level of the stomach, with the tip excluded from this examination. the cardiac and mediastinal contours remain unchanged. there is increased atelectasis at the right lung base with a small right pleural effusion. | <unk> year old man s/p fall with respiratory failure // pls look for interval changes in lung fields |
MIMIC-CXR-JPG/2.0.0/files/p13595620/s59637401/895e62c4-a5da02de-4e1a6297-73265193-eca5d178.jpg | the cardiac silhouette is mildly enlarged. there is a left basilar opacity which may reflect pleural fluid or atelectasis. however, an infectious process cannot be excluded. there is no definite pneumothorax. a left-sided pacemaker is seen with its leads projecting over the right atrium and right ventricle, expected locations. | shortness of breath. evaluate for edema, infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p15517908/s59607182/fee8ff59-a7315ea9-1aa061d6-27db33d1-4e64ce66.jpg | there bilateral pleural effusions which are small but perhaps minimally enlarged since prior. associated streaky right basilar opacity is likely atelectasis. superiorly, the lungs are clear without consolidation. given patient's rotation, cardiomediastinal silhouette is unchanged. multiple left rib fractures, specifically affecting ribs <num> through <num> are again noted. severe mid thoracic compression deformity is again noted. bilateral clavicular fractures are noted as well as partially visualized hardware in the proximal right humerus. | <unk>f with cough, malaise // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p11599031/s58057513/0681a2b5-c3b86dcd-268123fe-076a79bd-ebc1a462.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. incidental note is made of an azygos fissure. | <unk>-year-old male with a cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13030232/s51323109/f5df2152-b1c23a69-6609f597-f3148ed4-2df456f9.jpg | pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips again noted. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with ?seizure. r/o infection |
MIMIC-CXR-JPG/2.0.0/files/p11021643/s55959301/c353bbcf-61b5481f-1b673e73-d134bb80-aad29b6b.jpg | pa and lateral views of the chest provided. midline sternotomy wires again noted. there is mild interstitial pulmonary edema. the heart remains top-normal in size. no large effusion, pneumothorax or signs of pneumonia. mild degenerative spurring is seen in the thoracic spine anteriorly. degenerative changes also partially imaged at the left shoulder. | <unk>f with cp sob // ro pna |
MIMIC-CXR-JPG/2.0.0/files/p11120087/s50173051/a8b24587-2813d65a-f0f6fd20-67118cb6-2a8b6f21.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs demonstrate no focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. note is made of a well-circumscribed calcified nodule overlying the mid right lung measuring <num> cm. additional nodule overlying the left anterior <num>nd rib. note is also made of a nodular opacity anterior to the lower thoracic spine, though to osteophyte. | history of cough, smoking. please evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p18806770/s50052228/580261b6-913cb8e8-16bafaa3-138e2b1a-17399aeb.jpg | moderate cardiomegaly is again noted. the lungs are clear and without a focal consolidations, effusions, or pneumothoraces. no acute fractures are identified. | cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14691065/s54412085/2f364152-9825b973-4019adce-06bde0eb-1380ed7f.jpg | since <num> days prior, there is been interval placement of a right-sided chest tube. no pneumothorax. bilateral, small pleural effusions are probably unchanged. bibasilar atelectasis has substantially improved, though some areas of linear at persist. heart size is unchanged and cardiomediastinal hilar silhouettes are normal. no pulmonary vascular congestion. a right-sided picc terminates in the mid svc. | <unk> year old man with new chest tube placement // evaluate for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p19530208/s59756668/753ed73f-b62a1aa4-2c516689-d5d975c1-20e4081e.jpg | no implanted port-a-cath is seen. again seen is a metallic stent within the svc. previously noted tracheostomy tube is not clearly visualized. there is a focal narrowing in the upper trachea again noted. a linear peripheral opacity projecting over the right upper lung is likely a small scar. lungs are clear. no new focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unchanged. | <unk>f with port a cath placed <unk>, unable to find on exam. evaluate for left port-a-cath. |
MIMIC-CXR-JPG/2.0.0/files/p13567401/s56741740/90e5ca49-f26da746-0e6ae151-b873db04-30271da3.jpg | two supine portable views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is mild perihilar vascular congestion. no pneumothorax is seen. the final image demonstrates et tube terminating approximately <num> cm above the carina. | patient intubated for mri, assess for et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p16287674/s53392379/6d3410bd-326924e5-863e8517-b06d32b9-5298df75.jpg | the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. | <unk>-year-old woman with fever, shortness of breath, cough. |
MIMIC-CXR-JPG/2.0.0/files/p14020496/s50368501/1df33167-0936569a-69598d99-cbd47116-bf675243.jpg | the lungs are well inflated. small calcified granulomas are present in the right mid lung. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. tortuosity of the thoracic aorta is unchanged. there is no pleural effusion or pneumothorax. | <unk>f with weakness, vertigo, headache // please eval for any evidence of infection |
MIMIC-CXR-JPG/2.0.0/files/p14552554/s50493458/92e294d0-ab91453e-a4e9180d-b31fd5a8-8b896db6.jpg | patient is status post left lower lobectomy. there is persistent essentially complete collapse of the left upper lobe with associated left-sided volume loss. the right lung is clear. severe compression deformity of a lower thoracic vertebral body is as seen on prior. posterior lumbar fixation hardware is identified. | <unk>f with doe // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p10233307/s56058955/c4572bf9-b7e8f4b4-9b4cba74-b6d4ef8d-58873cf8.jpg | ap portable supine view of the chest. et tube is in place with the tip located <num> cm above the carina. an endogastric tube extends inferiorly along the thoracic midline with the tip excluded from the field of view. lung volumes are low. the hila appear somewhat congested. no focal consolidation or supine evidence for effusion or pneumothorax. overall cardiomediastinal silhouette is unchanged. no acute osseous abnormality is seen. | <unk>m with ich, intubated |
MIMIC-CXR-JPG/2.0.0/files/p19692222/s59731342/34f60010-6cd0ed4c-5b0e699d-3dac769f-af283cbf.jpg | the heart is mildly enlarged. the aorta is again mildly tortuous. there is patchy regional opacification of the right middle and lower lobes suggesting pneumonia with fluid along the major and minor fissures as well as a suspected small pleural effusion. a small pleural effusion is also suspected on the left. hazy opacification and reticulation involving each mid lung zone may be associated with superimposed mild vascular congestion or fluid overload, but also could be secondary to widespread inflammatory process. there is no pneumothorax. the cardiac, mediastinal and hilar contours appear unchanged. bony structures are unremarkable. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p15531735/s58687564/6f31ab55-031bd06f-b93c5c03-e44eadb0-e6e6d58c.jpg | lung volumes remain decreased, accentuating the bronchovascular structures. the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. | lymphoma stage iii. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16488297/s50452979/d4fe47b9-bc775630-e6fc3f01-a347a607-04237a3d.jpg | there is mild bibasilar atelectasis without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute fractures are identified. | evaluation of patient with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11532006/s53065269/c722fb66-0ed6128c-b3ba4d03-b0caf088-e1dfa5f1.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with cough and fever |
MIMIC-CXR-JPG/2.0.0/files/p14910233/s59292978/4ce93f1b-13332407-5f46666f-ba7331a1-e91cef93.jpg | frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old female with dyspnea and hemoptysis. |
MIMIC-CXR-JPG/2.0.0/files/p19019488/s51727163/300f48ed-39e1bc90-ee2ec48d-800559b6-8df0406e.jpg | frontal and lateral views of the chest were obtained. the heart is mildly enlarged, exaggerated by low lung volumes. a fluid level is seen within the dilated appearing distal esophagus, which may be due to distal stricture or dysmotility. there is increased opacity at the bilateral lung bases. no pneumothorax or pleural effusion is seen. there is a compression deformity of mid thoracic vertebral body, of unknown chronicity. no radiopaque foreign bodies are seen. | <unk>-year-old female with shortness of breath and cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19955908/s54306853/22f07c3f-1092f6f1-987de09e-a8c9a038-f293a70c.jpg | right picc tip terminates in the upper svc. cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>m with history of vna adjusting picc and feeling it advance and move. ?for appropriateness of picc placement |
MIMIC-CXR-JPG/2.0.0/files/p14232172/s54734584/b6a1d78e-7785ec3a-4d00e02d-e772af7b-8f551dbf.jpg | since the prior examination there has been resolution of right perihilar opacification but interval development of right basilar opacification. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are otherwise stable demonstrating borderline cardiomegaly. pulmonary vascularity is not increased. | <unk>-year-old male with shortness of breath. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12789116/s57949920/1a7171f8-5311a358-273c718c-b359e244-952068d4.jpg | an endotracheal tube terminates approximately <num> cm above the carina. an enteric tube terminates below the diaphragm and off the field of view. again seen is a hazy opacity at the right lung base. cardiomediastinal silhouette is unchanged. | history: <unk>m with ett placement // repeat |
MIMIC-CXR-JPG/2.0.0/files/p12022236/s57683998/722c354d-a3c3f580-8bdd748d-614f4233-516b1bd3.jpg | there has been interval displacement of the left pigtail catheter outside of the pleural space. there is an associated large pneumothorax with resultant collapse of the left lung and mediastinal shift to the right. the right lung is clear, and the heart is normal in size. a cardiac matter a pack is noted over the left chest. | <unk>-year-old male with pneumothorax. the pigtail seems out of place. |
MIMIC-CXR-JPG/2.0.0/files/p15648216/s57844984/42d901da-5a30175c-7bc261c4-bf8e5cd2-326ac9c5.jpg | the heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. there is minimal calcification at the aortic knob. the pulmonary vascularity is normal. no pleural effusion, focal consolidation or pneumothorax is visualized. there are mild degenerative changes in the mid thoracic spine. | congestive heart failure presenting with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p16319384/s59964362/8e6a0848-5eb51eaf-ff31f21a-a030a9fb-daef4652.jpg | heart size remains moderately enlarged but unchanged. the aortic knob is diffusely calcified. pulmonary vascularity is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes within the thoracic spine. surgical clip is seen within the upper abdomen on the lateral view. | dyspnea, history of congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p16777824/s55677695/660d273f-5f247e40-283122ab-2046d7b9-05074527.jpg | the lungs are well inflated without evidence of focal consolidation. mild bronchial wall thickening in the lower pole of the right hila, which may reflect some mild reactive airways disease. there is no pneumothorax or pulmonary edema. the heart size is normal. | history: <unk>m with syncope, abd pain // cardiac w/u, r/o dissection, cr pending |
MIMIC-CXR-JPG/2.0.0/files/p11345788/s54208392/a0027bdc-5ab4a404-297b3991-9796fa63-b2f1a195.jpg | lung volumes are low. again seen is widening of the ap diameter suggesting chronic obstructive lung disease. there is no evidence of focal consolidation, pleural effusion or pneumothorax. eventration of the right hemidiaphragm is stable. the aorta is tortuous but stable. | <unk>-year-old man with chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13485392/s59736980/2930fb4e-804c1d2e-a3b79793-f0577c78-e3bf7456.jpg | lung volumes are unchanged compared to the prior study. a left internal jugular catheter terminates in the proximal svc. there are persistent extensive bilateral airspace opacities with cystic areas. the appearances are most consistent with a background interstitial lung disease with superimposed pulmonary edema. the extent of airspace opacity is similar to slightly worse when compared to the prior study. no definite pleural effusion seen. the cardiomediastinal contour cannot be evaluated. | <unk> year old man with chf exac, ild // progression of pulmonary edema, any new consolidations |
MIMIC-CXR-JPG/2.0.0/files/p17842035/s53667027/cb731f02-f8c55e06-069bb729-29af828c-183c3c88.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally with no focal opacity convincing for pneumonia. asymmetry within the pleural margins at the apices more nodular in appearance on the left. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion. mild rightward deviation of the trachea is thought secondary to tortuous aorta. there is no pneumothorax. visualized osseous structures demonstrates no acute abnormality. | <unk>-year-old male with ongoing complaints and difficulty swallowing. |
MIMIC-CXR-JPG/2.0.0/files/p17043471/s55188656/e2f677cd-3a7fdf07-8c3f2577-4e427700-ad59201e.jpg | the overall appearance of diffuse bilateral interstitial and airspace opacities is not appreciably changed since <unk>. superimposed right basilar subsegmental atelectasis may be slightly increased. the cardiomediastinal silhouette is stable. there is no pneumothorax. small bilateral pleural effusions are unchanged. | <unk> year old man with afib, esophageal ca s/p chemo/rads, acute on chronic respiratory failure, ? radiation pneumonitis // compare with prior |
MIMIC-CXR-JPG/2.0.0/files/p18761422/s57582162/12fd41d9-e18b02ff-f2f4513a-134339fb-c9db51af.jpg | cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. minimal atelectasis is seen in the right middle lobe. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | *** code cord *** history: <unk>f with back pain pre-op x-ray // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p19931942/s56871825/67b8e9df-3d390d18-6e1b9d89-89dc372d-16e05d46.jpg | a new left chest wall dual lead icd is in place with leads in the expected location of the right atrium and right ventricle. a large hiatus hernia is present. mild enlargement of the cardiac silhouette is improved compared to the prior study. an eventration in the diaphragm is noted. no focal consolidation, pleural effusion or pneumothorax. | <unk> year old woman s/p dual chamber icd // <unk> year old woman s/p dual chamber icd |
MIMIC-CXR-JPG/2.0.0/files/p18815342/s57236797/52e9b617-7190021a-27a52bee-b8349ccd-5eb7b205.jpg | lung volumes are low. the heart size is mildly enlarged, but unchanged. mediastinal and hilar contours are within normal limits. the pulmonary vascularity is normal. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities seen. | shortness of breath and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p16599161/s51926993/29246e5a-771a7473-714f727f-9658d941-da532559.jpg | normal post sternotomy mediastinum with lines and tubes in normal position. heart is mildly enlarged with the mediastinal vein dilatation and vascular engorgement. no pneumothorax. two wire loops seen best on augmented reconstruction (image<num>) with curve that may represent needle or epicardial leads. | assess for missing needle. |
MIMIC-CXR-JPG/2.0.0/files/p19818481/s56987553/9219c4ad-07ed8680-001e8564-974b0bc0-6e30fd96.jpg | the nasogastric tube ends in the distal esophagus and could be advanced. cardiomegaly was present in <unk>. bilateral lower lobe opacities most likely represent atelectasis. no large pleural effusion or pneumothorax. the mediastinum is widened, likely due to positioning. | history: <unk>f with evaluate ngt placement // evaluate ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p15170707/s59771172/8a6f9dcc-f499c45f-f59dd74b-5a5bb948-26e20089.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is unchanged. | <unk> year old man with myeloma and increasing cough, evaluate for abnormalities. |
MIMIC-CXR-JPG/2.0.0/files/p12726628/s57965817/28a21330-f82df350-65f81c99-a551c8f5-eeb59d4d.jpg | there is bilateral mediastinal and hilar adenopathy, more pronounced on the right side than left side. there are diffuse parenchymal nodular opacities bilaterally. there is no definite change in the degree of adenopathy or degree of nodular opacities from chest radiograph <unk>. median sternotomy wires are in place. the lung volumes are normal. normal size of the cardiac silhouette. there is no pneumonia, pleural effusion, or pneumothorax. | <unk> year old man with hx of sarcoid and cough // any evidence of sarcoid activity? |
MIMIC-CXR-JPG/2.0.0/files/p12868764/s56131065/fb24b1e7-15d29dcb-9eac53ad-63b70152-5613bce2.jpg | nodular density projecting over the right lung base corresponds to nipple shadow as demonstrated on the current exam with nipple markers in place. the lungs are clear. the cardiomediastinal silhouette is within normal limits.no acute osseous abnormalities. | <unk>f with multiple complaints, last cxr with possible nodule vs nipple shadow // please repeat cxr with nipple markers. |
MIMIC-CXR-JPG/2.0.0/files/p15024484/s54162490/a601d32b-137434d7-011eed3d-c9b84cf5-ca878668.jpg | appearance of bilateral pleural effusions and bibasilar atelectasis is unchanged. there are no new regions of opacity. cardiomediastinal silhouette is unchanged. | <unk> year old man with cirrhosis s/p tips, factor v leiden with h/o dvts on fondaparinux, presenting s/p fall on anticoagulation with traumatic sah and right shoulder fractures x<num>, now with afib with rvr, right upper extremity dvt, cough, and febrile to <num>. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11276090/s58713892/eb789b94-ace3dd05-030edbd3-e43fb7e9-4bd68ea9.jpg | lung volumes are low. re- demonstrated are diffuse mild peripheral reticular opacities, suggestive of a mild chronic interstitial lung disease, as noted on previous chest ct. bibasilar linear opacities are likely due to atelectasis. no definite focal consolidation is identified. there is no pleural effusion or pneumothorax.the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. | history: <unk>m with abdominal distension, sob // abdominal distension, sob |
MIMIC-CXR-JPG/2.0.0/files/p12856008/s54941302/1bce2d50-36bbf552-1d9c9f88-90ede7d7-a6382b6f.jpg | lung volumes are low. there are bilateral increased opacities suggesting atelectasis. mild increase interstitial findings are noted likely representative of a minimal pulmonary edema. previously visualized ill-defined radiodensity now projects over the <unk> posterior rib as opposed to <unk> posterior previously and remains nonspecific but the relatively unchanged. moderate atherosclerotic calcifications of the aortic arch are noted. no acute fractures are identified. | foot ulcer, preoperative evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p18952476/s51412669/72476a18-e792e311-c9eb8f5a-ffed21c9-b1018726.jpg | two pa and one lateral view of the chest. the lungs are essentially clear noting linear opacity at the left lung base which mostly clears on repeat exam and is most likely atelectasis. the cardiomediastinal silhouette is within normal limits. osseous structures are unremarkable. | <unk>-year-old male with left thoracic pain since last night. |
MIMIC-CXR-JPG/2.0.0/files/p12629893/s50471001/3bdfcd47-d1726dd7-38532b31-dc7799a1-163a3fd6.jpg | moderate cardiomegaly and moderate pulmonary edema as well as a large layering right pleural effusion are compatible with cardiac failure. the patient is status post median sternotomy. hyperinflation is noted as well. | history: <unk>m with cp, shortness of breath // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p14111050/s58430284/472ed41e-d5bbc4f8-6acf678a-5d292398-6c96bd6c.jpg | compared with the prior study, the hila appear more congested with evidence of interstitial pulmonary edema and new small bilateral pleural effusions. there are persistent lower lung opacities, concerning for pneumonia. these have improved in the right lung base, but are stable to marginally worsened in the left lung base. no pneumothorax is identified. | <unk>m with dyspnea and chest pain. eval for pna. |
MIMIC-CXR-JPG/2.0.0/files/p18862543/s57528726/6abf0dd4-37ea6ac5-8b33dc02-83cf1c0c-14741eec.jpg | cardiomediastinal contours are unchanged, the aorta is elongated. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | history: <unk>f with shortness of breath, dry cough , h/o pneumonia // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p11856988/s57788851/debcecea-42df1574-ecc1262c-55f073d2-ae1c3c6a.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. there are bibasilar linear opacities suggestive of atelectasis versus scar, similar to prior. the lungs are hyperinflated, but clear of new region of consolidation. cardiac silhouette is enlarged, but stable in configuration. osseous and soft tissue structures are unchanged. | <unk>-year-old male with productive cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13192224/s59351062/3f943aa9-e0900b67-56ac6c26-a466c364-30e412da.jpg | endotracheal tube terminates <num> cm above the carina. enteric tube descends below the hemidiaphragm and terminates in the region stomach. slightly low lung volumes. bibasilar opacities appear increased from the prior exam are probably due to aspiration or developing pneumonia. no pneumothorax. no large pleural effusion. | history: <unk>m with s/p intubation, resp distress // ett and ogt placement |
MIMIC-CXR-JPG/2.0.0/files/p12672152/s53554886/1a0926c5-af5559c5-a4b2c13f-c01176ff-ca31b295.jpg | lower lung opacity due to a combination of effusion and atelectasis now involves the entire left hemithorax suggestive of an increased large left pleural effusion. two pleural pigtail catheters in the left lower hemithorax are unchanged in position. increase in the left pleural effusion. there has not been much change in the position of the mediastinum probably due to associated left lung volume loss. moderate right pleural effusion and right basilar atelectasis is similar. upper lung is clear. | query pneumothorax, <unk>-year-old woman with large esophageal neoplasm extending into the left mainstem. |
MIMIC-CXR-JPG/2.0.0/files/p14306557/s58964701/a36344c3-f93f9958-ee1a625e-48a87ef6-ade200e2.jpg | the support lines are in unchanged position. the right subclavian line and left port-a-cath terminates in the lower svc. the left subclavian line terminates in the mid svc. bibasilar atelectasis is unchanged. the cardiomediastinal silhouette is unchanged. there is no pulmonary vascular congestion. there is no focal consolidation, pneumothorax or pleural effusion. | status post +<num> days after matched unrelated donor bone marrow transplant with skin graft versus host disease and acute cough. evaluate interval change and no evidence of any new infiltrates. |
MIMIC-CXR-JPG/2.0.0/files/p18863821/s59484879/97ccfae1-4920cb9e-9a6586b7-9d953c97-63b847c0.jpg | multiple large round pulmonary nodules are seen, the largest measuring about <num> cm in the right mid lung zone. there are bibasilar atelectatic changes. there is mild pulmonary edema and possible small bilateral pleural effusions. | <unk>-year-old with bilateral lower extremity edema, please assess for chf. |
MIMIC-CXR-JPG/2.0.0/files/p19895786/s56811724/a34987db-71943129-d87b1656-f66e6fbc-7e656a61.jpg | the left picc is barely visible but appears to be terminate in the low svc. there is mild cardiomegaly. hyperexpansion and diaphragmatic flattening suggests emphysema. surgical clips are overlying the upper abdomen. there is no focal consolidation or pneumothorax. there are small bilateral pleural effusions. there is no pulmonary vascular congestion. | leukocytosis, shortness of breath. |
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