File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p19425469/s54404427/2c44e553-f2b6141a-7d655696-8335c92c-23807091.jpg
there are diffuse bilateral airspace opacities. no pneumothorax or large pleural effusion. the cardiac silhouette is mild-to-moderately enlarged.
sob, weakness, crackles, assess for pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p17980774/s54362740/8caf3cd9-a768dbdd-b09d0b2c-09d72c26-356d36ef.jpg
there is a large right-sided pleural effusion which is increased. a moderate to large left-sided pleural effusion is probably unchanged. extensive atelectasis of each lung bases presumed to coincide. however, apical portions of each lung appear within normal limits without edema. cardiac, mediastinal and hilar contours are obscured.
dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p11539566/s59123366/c3d80855-648c90e8-3634983b-a26647bf-a1078854.jpg
frontal and lateral views of the chest demonstrate low lung volumes with bibasilar bronchovascular crowding. there is left greater than right basilar atelectasis, similar as before. upper lungs are clear. there is no pneumothorax, vascular congestion, or gross pleural effusion. trace pleural fluid would be difficult to exclude. mild multilevel thoracic spondylosis is present. the heart is not enlarged.
<unk>-year-old male with recent pe. question consolidation or effusion.
MIMIC-CXR-JPG/2.0.0/files/p16785490/s59300498/fee82a9f-1ae8b4f1-54680f05-7b8329c8-53e5a9bf.jpg
the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. mild right lateral pleural thickening is probably post-traumatic noting poorly characterized old overlying rib fractures.
altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p11480082/s51922088/994880ca-9cd9c1c3-d07a373d-d2a124db-4e9fd7d6.jpg
a right internal jugular sheath has been removed. sternotomy wires, mediastinal clips and an aortic valve prosthesis are constant. substantial infrahilar atelectasis has improved from <unk>. the small left pleural effusion is unchanged in volume. mild pulmonary edema and the right pleural effusion have resolved. the heart is borderline enlarged but unchanged, accounting for differences in technique. no pneumothorax.
aortic valve replacement and cabg. evaluate for pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11258297/s55470372/f58bcde3-d2d075b0-6337e7ff-06408fc8-a9b11918.jpg
upright portable view of the chest demonstrates increased lung volumes with attenuation of the pulmonary vascular markings, suggestive of underlying emphysema. there is a streaky right basilar opacity, which is unchanged since <unk>, likely atelectasis or scarring. there is no pleural effusion or pneumothorax. no pulmonary edema. hilar and mediastinal silhouettes are unchanged. heart size is normal. severe rotatory levoscoliosis is stable. round densities projecting over left upper abdomen reflect calcified splenic granulomas better seen on ct exam of <unk>. otherwise, partially imaged upper abdomen is unremarkable.
patient with shortness of breath and hemoptysis. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13453412/s59946240/720e4052-a552a4e2-162de4ac-b5d2549c-1ddbb0ae.jpg
the heart is mild to moderately enlarged. the vascular pedicle appears widened. there is an increasing pleural effusion on the left and a new suspected but small right-sided pleural effusion. there is no pneumothorax. upper zone redistribution of pulmonary vascularity and a moderate interstitial abnormality suggest mild to moderate pulmonary edema. the bones appear demineralized.
shortness of breath, lower extremity edema.
MIMIC-CXR-JPG/2.0.0/files/p16570780/s59289341/e4c11f2e-5a5fe18d-6fe151d1-352b46bf-cce34d3a.jpg
moderate cardiomegaly is stable. widening mediastinum has improved. bibasilar atelectasis have minimally improved. there is no evident pneumothorax. previously seen pneumoperitoneum is less conspicuous than before. left chest tube remains in place. sternal wires are aligned. patient is status post cabg and avr
<unk> year old man s/p cabg, tiss avr // please check at <num>am on <unk> for pneumothorax w/ctube on waterseal
MIMIC-CXR-JPG/2.0.0/files/p19139733/s53777954/e36ed345-f06234a9-8c25b3db-6f2f9f58-e226e528.jpg
pa and lateral chest radiographs are obtained. right apical chest tube is no longer visualized. no pneumothorax is identified. cardiomediastinal contours and lungs remain unchanged.
<unk>-year-old man, status post mie on <unk>, rule out pneumothorax post chest tube removal.
MIMIC-CXR-JPG/2.0.0/files/p17342222/s55078990/455de581-f559ca51-cc29ea34-9baa61fa-1dcfdb4a.jpg
cardiac and mediastinal silhouettes are grossly stable. serosa no focal consolidation is seen. there is no pleural effusion or pneumothorax. some degenerative changes seen along the spine.
history: <unk>f with headache, vomiting, abdominal pain, trouble swallowing, fevers. likely allergic to iv contrast // eval head bleed, abdominal mass/obstruction, pna
MIMIC-CXR-JPG/2.0.0/files/p13869899/s53230209/86a744a9-505bd65c-7ee279af-aad38146-aac8c313.jpg
a <num> mm benign calcification is again seen projecting at the level of the aortic arch. no focal consolidation, pleural effusion or pneumothorax is seen. the heart size is top normal. the hilar and mediastinal contours are unremarkable. the visualized osseous structures are normal.
history of fall with hypotension. please evaluate.
MIMIC-CXR-JPG/2.0.0/files/p16557454/s56260296/fc4cba2d-00b15278-95c48753-cff903f7-80f84e6c.jpg
pa and lateral chest radiographs demonstrate nodular opacities which project over the right mid to upper lung zone peripherally, not present on prior study. remaining lungs are clear. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are within normal limits.
<unk>f with cough, fever // presence of infiltrate
MIMIC-CXR-JPG/2.0.0/files/p12122921/s56752175/193a7ef0-b7025cb9-382bd1cc-416d0c7f-0520855d.jpg
mild cardiomegaly is unchanged <unk>. the central pulmonary vasculature is prominent, however, no edema is detected. there is no pneumothorax, focal consolidation, or pleural effusion.
cough.
MIMIC-CXR-JPG/2.0.0/files/p15589067/s52599473/b2aa2ed4-fadcb99e-3b163c7f-b210e92d-33343029.jpg
the right port is in appropriate positon. the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old woman with rectal cancer and neutropenic fever, please assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18598323/s54530356/402527a3-a4bf75e5-03cda2ba-68011d8e-b2ed0189.jpg
left mid to lower lung opacified is likely a combination of moderate right-sided pleural effusion with underlying atelectasis. the remainder of the lungs are clear. no left-sided pleural effusions. no pneumothorax. the visualized cardiomediastinal silhouette is normal.
<unk> year old man with urothelial carcinoma presenting with pleuritic chest pain // please evaluate for pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p10736030/s58721817/7348d99b-321b8b21-899e37a5-912e413d-0358a4e3.jpg
frontal and lateral views of the chest demonstrate a transverse fracture involving the posterior aspect of the left fifth rib, which is minimally displaced. no additional fractures are identified. there is no pneumothorax. lungs appear well aerated without focal consolidation or pleural effusion. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. several surgical clips project over posterior elements of the spine on the lateral view.
patient with trauma, who now presents with left chest tenderness.
MIMIC-CXR-JPG/2.0.0/files/p19941474/s56336532/4946005d-79cd0492-3f181c6e-150c209f-9f096b60.jpg
there is a right port-a-cath, which terminates in the right atrium. total left chest tube has been removed. the left pleural effusion has decreased in size. the poorly defined left lower lobe opacity persists. the lungs are otherwise clear. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. lungs are clear. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with tpc removal // ? ptx
MIMIC-CXR-JPG/2.0.0/files/p15859508/s56351876/f52259f8-90b38c17-246eff61-279f3533-3e5e6ab9.jpg
the cardiomediastinal is enlarged and there is interval increase in size. interval increase in size of the left-sided pleural effusion, which extends into the oblique fissure. mild progression of the mediastinal shift to the right. postsurgical changes seen involving the left lung. the background pulmonary edema shows interval improvement. small right-sided pleural effusion. no new areas of airspace consolidation.
<unk> year old woman with pleural effusions, afib, ? pulmonary edema // pulmonary edema, consolidation, interval change
MIMIC-CXR-JPG/2.0.0/files/p18706896/s53193482/964d40c3-b942d0db-8e204875-677a108c-ecea2733.jpg
the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pneumothorax or large pleural effusion. there is unchanged, minimal blunting of the posterior costophrenic angles. again noted is moderate kyphosis of the thoracic spine, unchanged since prior examination.
<unk>f with fall, headstrike. feels weak // eval for bleed/fx/infection
MIMIC-CXR-JPG/2.0.0/files/p11386629/s57897732/b24697b1-906fb5e8-f09ac074-d7d37538-9ec825e3.jpg
frontal and lateral chest radiographs demonstrate unchanged moderate cardiomegaly and fairly well expanded lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for infiltrate or edema in a patient with dyspnea, chills, and cough.
MIMIC-CXR-JPG/2.0.0/files/p18018996/s55833027/bf1b5fe4-87ca6f85-c1a70e0b-a150d5f5-b51bf5f7.jpg
cardiac, mediastinal and hilar contours are normal. the lung volumes are low. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. multiple clips compatible with prior cholecystectomy are again seen in the upper abdomen.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p17818329/s52597567/bc52bf7b-775504d9-7251ea79-6cab3f16-a484f1cf.jpg
an endovascular aortic valve repair is noted in addition to a dual-lead pacemaker/icd device. the heart is again enlarged. the cardiac, mediastinal and hilar contours appear similar. in addition to small to moderate bilateral pleural effusions, which are probably unchanged, there is increased prominence of pulmonary vasculature. this suggests mild but worsening pulmonary edema. multiple vertebroplasty sites are again noted.
worsening dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p14190536/s56539677/a6100333-f64b2817-b47bd30e-3ae5e104-24833cc3.jpg
there is a moderate left apical pneumothorax that is increased in size compared to the study from the prior day. left subclavian line is again seen. there is volume loss at the bases but no definite infiltrate
<unk> year old man with myeloma here for auto bmt, ct today shows new pneumothorax // f/u pneumothorax compared to cxr <unk> (newly noted on ct today)
MIMIC-CXR-JPG/2.0.0/files/p19581563/s54616014/93c1a066-136f75d3-0064c5ff-ed0638ed-1b164201.jpg
there is no pneumothorax. there is no pleural effusion or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable.
pleuritic chest pain. evaluate for a pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10838380/s57245087/b77b3f59-cced13fb-bb25119c-19251a7c-0213dc14.jpg
the lung volumes are low. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. small osteophytes are noted along the lower thoracic spine.
point tenderness over the left anterior chest wall. question pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13437560/s51774039/98429d4f-1381c37b-949ff7c8-e9554fe5-050311d2.jpg
no focal consolidation is seen. punctate calcified nodular opacity projecting over the left lung apex most likely represents a granuloma. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // eval pna
MIMIC-CXR-JPG/2.0.0/files/p17116641/s52841834/18753440-302787c9-a99fa87e-8d1c60b4-daa2f751.jpg
pa and lateral chest radiographs. the lungs are hyperinflated and there are numerous paraseptal cystic lesions particularly in the right lung, most consistent with bullae. there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p12227650/s50151670/8d2e2b62-468236e2-ac2d6f41-6bc4c6f7-cf495679.jpg
the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with cough // eval for pnrumonia
MIMIC-CXR-JPG/2.0.0/files/p14161952/s51951893/804b7593-63a8a13d-0d534f69-db90b655-bb507332.jpg
evaluation is limited due to underpenetration of the film. compared to the prior radiograph, mild cardiomegaly is unchanged. no evidence of focal consolidation, pleural effusion, or pneumothorax. unchanged appearance of the known thoracic the lumbar spinal hardware.
<unk>m with chest pain. evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p17172702/s56024866/ab32f463-3473ddee-de925ce9-58261043-5d7e8dda.jpg
the left picc line terminates in the upper svc. diffuse bilateral parenchymal opacities have decreased, but are still moderate to severe. the left heart border is better delineated, and there is decreased hilar haze. cardiomegaly is slightly improved. there is no evidence of pneumothorax.
<unk> year old man with manual zone lymphoma, congestive heart failure and chronic kidney disease, with bilateral parenchymal opacities on prior chest radiograph. assess for progression or improvement.
MIMIC-CXR-JPG/2.0.0/files/p16578063/s55380599/486ecf42-8d8a9123-f05e3532-58152a6c-153f8347.jpg
cardiac, mediastinal and hilar contours appear stable. there is new slight blunting of each costophrenic sulcus so there may be very small new pleural effusions prior. however there is no evidence of parenchymal abnormality.
cough and decreased breath sounds.
MIMIC-CXR-JPG/2.0.0/files/p14300020/s57090708/527df2c5-85186282-3fb1e6e6-d1936528-b521b137.jpg
in comparison to the prior study there is no substantial change. heart is normal in size and cardiomediastinal contours stable. there is no focal consolidation, pleural effusion, or pneumothorax.
<unk> year old man with cough // r/o infiltrate
MIMIC-CXR-JPG/2.0.0/files/p12586818/s57888383/731792f3-c1776763-1c169579-7e39ef6d-df4fb83c.jpg
compared with the prior radiograph, the right middle lobe asymmetric opacity has improved, but is still persistent. prominence of the minor fissure has resolved. no new focal consolidation concerning for pneumonia or larger pleural effusions. the cardiomediastinal and hilar silhouettes are stable. no pneumothorax.
<unk> year old man with rml pna by xray <unk>, with recommended repeat in <num> weeks. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p14581261/s55109086/8294e9b8-a75e28a1-76dc8917-07531b07-6226e00d.jpg
mild pulmonary vascular congestion is stable since <unk>. there is no overt pulmonary edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. moderate cardiomegaly is stable. right shoulder arthroplasty again noted.
<unk>f with leg swelling, dyspnea, significant head pressure. says typical of chf exacerbations for her but with significant headache // evaluate for acute process, edema, fluid overload
MIMIC-CXR-JPG/2.0.0/files/p18350596/s53973457/592119df-ee5ef033-17ec7d33-760c3e27-05d99c88.jpg
frontal lateral chest radiographs demonstrate intact sternal wires and a right internal jugular catheter which terminates at the cavoatrial junction, unchanged. the cardiac silhouette remains enlarged, unchanged. bilateral small to moderate pleural effusions and retrocardiac opacity are unchanged. no new focal consolidation or pneumothorax is identified. the visualized upper abdomen is unremarkable.
evaluate for postoperative changes after mitral valve, tricuspid valve, and left ventricular repair.
MIMIC-CXR-JPG/2.0.0/files/p16011970/s53952315/0ebf2616-85e85aed-b264cb30-6300ab70-7bf3033c.jpg
frontal and lateral chest radiographs demonstrate well expanded and clear lungs. there is no focal consolidation. the cardiomediastinal and hilar contour is unremarkable. no findings to suggest lymphadenopathy. there is no pleural effusion or pneumothorax.
<unk>-year-old female with elevation of ckd. evaluate for lymphadenopathy.
MIMIC-CXR-JPG/2.0.0/files/p10318991/s58508854/ce7d0cc3-a77a9784-b2b90abf-df8c6dd9-fbfb76c7.jpg
single portable view of the chest. the lungs remain clear. elevation of the right hemidiaphragm is again seen. cardiomediastinal silhouette is normal. no acute osseous abnormality identified nor free air below the diaphragm.
<unk>-year-old female with epigastric pain and hemoptysis. question free air.
MIMIC-CXR-JPG/2.0.0/files/p18311244/s56125297/f71c8d6e-efe2782e-7c2dc4a2-121e9425-143d018c.jpg
pa and lateral views of the chest were provided. as compared with a prior chest radiograph from <unk>, there is slight upward retraction of the right pulmonary hilus which likely reflects postsurgical changes with chain sutures at this location. there is no evidence of pneumonia or chf. cardiomediastinal silhouette is stable. old left mid rib cage deformity noted.
<unk>-year-old man with lung cancer, fever, cough, assess pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13753787/s53101893/7f98e9a6-a154dd45-d28501ee-cb6ffe85-03898889.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p10877472/s53939201/e2c5e2a6-25c4177f-5b08633b-0d1afc68-82009033.jpg
as compared to the previous radiograph, the pneumothorax is again slightly increased in size. the newly developed small left pleural effusion is stable in size. stable left lower lung opacifications. apparent rightward shift of the heart is likely due to patient rotation. no evidence of tension.
status post robotic-assisted vats left lower lobectomy and regional lymphadenopathy, <unk>, for non-small cell lung cancer. dry cough on speaking since surgery. small left hydropneumothorax in <unk>. assess for interval change.
MIMIC-CXR-JPG/2.0.0/files/p13387485/s50462159/43497573-f497ef70-b8ef159c-10a03b77-b193146a.jpg
there is a dense left lower lobe consolidative opacity. there is no pneumothorax. there is a small left sided pleural effusion. hilar contours are prominent. cardiac silhouette is normal.
<unk>-year-old man with hemoptysis, lives in shelter, evaluate for pneumonia or cavitary lesion.
MIMIC-CXR-JPG/2.0.0/files/p18844050/s57591035/1cebfb5b-f4d69a12-53a610ff-c39615d9-f19b3b4d.jpg
the heart size is normal. the mediastinal silhouette is unremarkable. a left lower lobe and left infrahilar opacity is seen with adjacent moderate atelectasis which may be concerning for pneumonia. there is a right lower lobe opacity that is more discrete but may be related to the same process. mild pulmonary vascular congestion without pulmonary edema is seen. no pleural effusions or pneumothorax are seen.
<unk> year old woman with productive cough, rule out infectious process // rule out pneumonia or other process
MIMIC-CXR-JPG/2.0.0/files/p15573438/s50669953/fbffb7a4-fef6dcfc-95058a1e-07be9b87-3f440cf6.jpg
as compared to the previous radiograph, there is a new parenchymal opacity in the right upper lobe and the right lower lobe. the right lower lobe opacity is better visualized on the lateral than on the frontal image. the patient shows no pleural effusions. no other changes are seen. known mild cardiomegaly, constant alignment of the sternal wires with a ruptured apical wire.
hemoptysis and right-sided crackles, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p19127408/s57633567/29e25d13-146acd7c-e0adedd2-73eac581-2d837b99.jpg
heart size remains mildly enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is detected. no acute osseous abnormality is visualized.
history: <unk>f with <num> days runny nose, sore throat, cough
MIMIC-CXR-JPG/2.0.0/files/p10990267/s50197162/f514c54f-38522160-41f727ce-e41cba92-79308c06.jpg
a tracheostomy is in-situ, unchanged in position compared to the prior study. the patient is somewhat rotated. lung volumes are within normal limits. patchy airspace opacities are noted at the left lung base, better appreciated on the ct chest. no pleural effusion seen. no pneumothorax seen.
<unk> year old woman with trach, acute hypoxia s/p lasix // interval assessment of pulm edema
MIMIC-CXR-JPG/2.0.0/files/p12431768/s52519129/45d51c3e-47f772fe-1c9575a0-1a04f467-e471df65.jpg
heart size is moderately enlarged but increased compared to the prior exam. aortic knob is calcified. there is mild interstitial pulmonary edema, new from the prior exam. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
fever.
MIMIC-CXR-JPG/2.0.0/files/p11620485/s56190409/bd40c70e-877472b1-11085a0f-9476a66b-427cbff8.jpg
there is a dual-lead pacemaker/icd device with leads again terminating in the right atrium and ventricle, respectively. the patient is status post sternotomy and aortic valve replacement. the cardiac, mediastinal and hilar contours appear unchanged. there is persistent extensive left lower lobe opacification which is not specific but could be seen with persistent, although somewhat improved, combination of atelectasis and pleural effusion. streaky right mid lung opacity was also present before and more suggestive of scarring or atelectasis. a small pleural effusion on the right may have decreased mildly.
chest pain status post aortic valve replacement.
MIMIC-CXR-JPG/2.0.0/files/p12904593/s58488225/2e8cc066-4f9fae91-642814aa-5b9fe761-f18c1454.jpg
compared with the prior film, i doubt significant interval change. multiple ekg leads overlie the chest. an ng tube is present, tip over fundus. a dual-lumen right ij catheter is present, unchanged. a left subclavian central line tip overlies the proximal/ mid svc, unchanged. again seen is cardiomegaly, upper zone redistribution and slight vascular plethora, bibasilar collapse and slight or consolidation, and small bilateral effusions. the left peritracheal density is again noted, unchanged.
<unk> year old woman with esrd, meseneteric ischemia // ? pna vs vol overload
MIMIC-CXR-JPG/2.0.0/files/p19994730/s56641472/6956ded5-b087c299-a3e2ec3b-b38d90bc-93cb8f57.jpg
pa and lateral chest radiographs are obtained. heart is normal size and cardiomediastinal contours are unchanged. lungs do not demonstrate significant changes compared to the prior radiograph. opacification of the left base represents atelectasis or consolidation. persistent small right pleural effusion with increased small left pleural effusion. no pneumothorax.
<unk>-year-old man with hodgkin's lymphoma and atrial fibrillation, status post diuresis, interval change in pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15443086/s58059208/74e89218-911cde4a-f1e97160-244d86c4-a98d563a.jpg
the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. right upper lobe chronic fibrotic changes and scarring are better seen on the concurrent ct and unchanged since <unk>.
<unk>-year-old with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11021643/s55924082/df31f801-dfeda199-c95fd464-687e2413-dad03111.jpg
pa and lateral views of the chest provided. midline sternotomy wires again noted. the heart remains mildly enlarged. the mediastinal contour is unchanged. the lungs are clear of focal consolidation, effusion or pneumothorax. no edema or congestion. bony structures are intact.
<unk>f with s/p fall, persistent headache
MIMIC-CXR-JPG/2.0.0/files/p15544660/s54415712/58c847b7-79d35ad8-4e30979b-f2daf2e6-ed244cd0.jpg
endotracheal tube tip lies <num> cm above the carina with the patient's neck flexed and is appropriate. right internal jugular line tip is at lower svc. right lower lung opacities concerning for aspiration have worsened over the last <num> hours. increased retrocardiac opacity reflecting left lower lung volume loss is unchanged. upper lungs are clear.
<unk>-year-old man with possible aspiration, to look for interval changes.
MIMIC-CXR-JPG/2.0.0/files/p14746989/s59280838/4a192bca-f85fdf83-3302b78d-297e5314-63f049ee.jpg
wires of a left chest wall pacer terminate over the right atrium and right ventricle, similar to prior. the heart is normal size with stable cardiomediastinal contours. the aortic knob calcification is similar to prior. blunting of the right costophrenic angle and elevation of the apparent right hemidiaphragm is compatible with a moderate-sized pleural effusion, not appreciably changed since the prior exam, allowing for difference in patient position. adjacent opacity is compatible with atelectasis, but underlying consolidation cannot be excluded. pulmonary vascular markings are unremarkable.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p15211526/s59942182/221dd704-ed4f0955-91d2d91b-d88d63f5-4ce0da19.jpg
pa and lateral views of the chest provided. low lung volumes. right hilar opacity is again noted consistent with treated malignancy. overall appearance of the chest is not significantly changed from chest ct from <unk>. there is no new consolidation, large effusion or pneumothorax. the overall heart size is unchanged. bony structures are intact.
<unk>f with pmh lung ca, presents with substernal cp after finishing chemo tx this pm.
MIMIC-CXR-JPG/2.0.0/files/p15562455/s56872177/80570fa2-60fccb45-0e26d9e9-494ed502-3e8e5e46.jpg
the inspiratory lung volumes are appropriate. patchy opacity in the right middle is better seen on the lateral view. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air beneath the right hemidiaphragm. no acute osseous abnormality is detected.
dyspnea and chest pain, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18343472/s52304196/0ce32439-b9f401a6-3c5acf2f-c4f93886-728d236f.jpg
heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
shortness of breath and chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14065514/s50566751/ecd74755-fe31d326-c860a6a0-7de8a856-1c029d11.jpg
pa and lateral views of the chest are compared to previous exam from <unk>. right chest wall port is again seen. previously identified right apical pneumothorax is no longer seen. low lung volumes are noted. right basilar linear opacities have partially cleared. the lungs are otherwise clear, noting blunting of the right lateral costophrenic angle, unchanged, potentially due to scarring or small effusion. prominent soft tissue density in the region of the right paratracheal stripe inferiorly is again noted, potentially related to postoperative changes of gastric pull-through. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cough and shortness of breath. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10960817/s56979516/f16c00c0-2f6a83f4-ae72fd2f-35fe393c-71907bcc.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no definite focal consolidation. streaky opacities in the lingula are most suggestive of minor atelectasis. there are small bilateral pleural effusions, new since the prior study. there is no pneumothorax. bony structures are unremarkable.
confusion. history of hepatitis c cirrhosis.
MIMIC-CXR-JPG/2.0.0/files/p14912307/s54367108/92290488-543315bc-50132a8b-ca9175fd-f12a2903.jpg
single portable ap view of the chest demonstrates clear lungs. cardiac silhouette is unchanged. no pleural effusion or pneumothorax. no signs of edema.
fever.
MIMIC-CXR-JPG/2.0.0/files/p18236201/s58388235/59d65e5d-3c98ea49-0a9bc93e-b9bf9695-a2c9b9b8.jpg
there is overall stable appearance of the chest with top normal heart size and mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax. bilateral healed rib fractures with adjacent scarring are again noted.
history: <unk>f with leg swelling, chf hx //
MIMIC-CXR-JPG/2.0.0/files/p11452018/s53031686/88979da6-abf82642-c3f4c151-48c56d22-a681a141.jpg
lung volumes are normal. there is no consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities identified. there is no subdiaphragmatic free air.
history: <unk>f with sob, pleuritis chest pain <num> day post surgery // eval for pna or other cause of dyspnea
MIMIC-CXR-JPG/2.0.0/files/p11965254/s59181155/9b8cbacd-e6f15d6a-e2817a16-7357d18e-7cb2cacf.jpg
as compared to <unk>, left-sided picc terminates in the mid svc. the lungs are clear. no pleural effusion or pneumothorax. heart size is normal. interval decompression of the gastric bubble.
<unk> year old woman with crohn's disease c/b splenic abscess // assess for picc position
MIMIC-CXR-JPG/2.0.0/files/p17172316/s59334749/c07fbbc5-df148703-051afa7e-026d47e4-87f1655c.jpg
interval placement a right pigtail catheter projecting over the right lower hemithorax and a left pigtail catheter projecting over the left lower hemithorax. bilateral small pleural effusions, greater on the left, are new. small left apical pneumothorax (approximately <num> cm) and tiny right apical pneumothorax are new. no evidence of tension. lung volumes remain low, with probable reduced aeration of the lungs compared to the prior exam. the heart is normal in size. increased interstitial markings bilaterally likely reflect mild edema, overall similar to the prior exam. right picc line ends in the low svc. enteric feeding tube traverses the diaphragm and ends in the stomach. median sternotomy wires appear intact and unchanged. replaced valve is intact.
<unk> year old man with history of fungal endocarditis, admitted with fevers. now s/p bilateral thoracenteses and bilateral chest tube placement // please eval placement of bilateral chest tubes
MIMIC-CXR-JPG/2.0.0/files/p14809981/s52900415/ee476e95-399acb10-d4f045ca-a45db3af-7f1fa4c3.jpg
a large right pleural effusion displaces the lower mediastinum to the left. bulging contour of the anterior aspect of the hilar structures on the lateral radiograph raises concern for central adenopathy, which may be substantial. the left lung is clear. there is no pneumothorax.
<unk> year old woman with r lower chest pain and decreased breath sounds on r, egophony; ? pleural effusion. evaluate for possible r pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p14148768/s57640705/4636905b-1e9a8619-feacec46-ecf23be7-826b8bda.jpg
the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. again seen is a gastric band within the left upper quadrant with similar morphology to prior examination.
<unk>f with cough fever. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16811614/s52423166/472c238f-5ce93e6e-5079204e-314f1566-43b51ff3.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 cough, chills
MIMIC-CXR-JPG/2.0.0/files/p15929083/s54793526/2f87c8fd-e21a2365-c7e68e69-896fee6b-7d1fa276.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
MIMIC-CXR-JPG/2.0.0/files/p10192471/s58228475/735ceeb9-3cf688a4-b4094362-619165d8-32b7e10d.jpg
cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p13067703/s57241942/72173005-a21c911f-2db2f17d-033364e2-aaee101d.jpg
single frontal view of the chest demonstrates interval placement of a right subclavian approach central venous catheter with tip in the lower svc. there is no pneumothorax. a left pectoral cardiac pacer is stable in location with the leads terminating in the right atrium and right ventricle. the lung volumes are low, accentuating mild pulmonary edema. there is retrocardiac opacity and blunting in the left costophrenic angle which may reflect atelectasis and a small effusion.
<unk>-year-old male status post right subclavian line positioning.
MIMIC-CXR-JPG/2.0.0/files/p16720509/s59778180/27e00d3f-fe3c2f0a-d8cfa281-d23b0e42-5c7860fb.jpg
the heart is enlarged as previously. bilateral patchy opacities seen especially in the right lung with no interval change. et tube is above the carina. ng tube is in the fundus of the stomach.
<unk> year old woman with vent // ett placement, r/o aspiration/pna
MIMIC-CXR-JPG/2.0.0/files/p15130525/s58758433/61e9a434-6f0a07e8-e7d8fe7c-46256153-9b965042.jpg
right-sided chest tube is unchanged in position. endotracheal and enteric tubes have been removed.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old man with chest tube s/p needle decompression in the field. evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15288753/s59753165/4feebf1b-7177a2cf-528cc0ef-789eed3c-2fa9ad28.jpg
heart size is normal. the mediastinal and hilar contours are remarkable for unchanged mild tortuosity of the thoracic aorta with. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with sob, pain with deep insp. // please evaluate, thank you
MIMIC-CXR-JPG/2.0.0/files/p19893114/s51824449/f2dce796-69b445d6-07af047f-93456d7e-74d362a4.jpg
ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk> yo woman w/ esrd s/p kidney transplant <unk> (on tacrolimis and mmf, px w/ bactrim stopped <unk>), recent bx w/ fsgs, cholecystectomy <unk> yrs ago p/w ruq pain and ili. pt has been feeling fevers and chills at home for <num> days (no temp measured), night sweats and myalgias.
MIMIC-CXR-JPG/2.0.0/files/p11482582/s57532102/5353271b-67a37557-fd105505-c8330a13-08d95809.jpg
portable upright view of the chest demonstrates tracheostomy tube unchanged in position. patient's body habitus limits evaluation. within this limitation, right lower lobe opacity is new since prior exam. hilar and mediastinal silhouettes are unchanged. heart is moderately enlarged. left costophrenic angle is slightly obscured, suggestive of possible pleural effusion. no appreciable pneumothorax. no right pleural effusion.
patient with recent hypoxemic episode and reported emesis.
MIMIC-CXR-JPG/2.0.0/files/p14637100/s57169863/8b2b7cbc-d6f3dd00-acd1236c-93869124-613fe99a.jpg
single portable supine chest radiograph is provided. lung volumes are low. there is a small left pleural effusion, new since most recent prior study. there is mild prominence of the pulmonary interstitium which is likely due to pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette is notable for a tortuous and calcified aorta and mitral annular calcifications. the bones are mildly osteopenic. the imaged upper abdomen is unremarkable. there are multilevel degenerative changes in the thoracic spine.
<unk>-year-old female with bilateral wheezing, question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14619966/s59697975/c04df475-2ac8c552-963a869c-7c7e9922-25e8d85d.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are noted in the thoracic spine.
history: <unk>f with chest tightness, chest pain // evaluate for infection, cardiomegaly
MIMIC-CXR-JPG/2.0.0/files/p17304014/s55559597/c327c272-f2af1349-23af0a7e-e1dbd994-ef5e6c42.jpg
pa and lateral views of the chest provided. overlying ekg leads are present. 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 chest pain // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p19626923/s54663245/482b0ae5-acd55de0-891f0da8-f8d79444-d415be9f.jpg
lungs appear clear. cardiac silhouette is normal in size. no pleural effusion, pneumothorax, or pulmonary edema is present.
chest pain, question pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15311289/s57201418/23634d18-0b466ecd-eb11293d-8b5cd898-fa26907a.jpg
lung volumes remain low. slight interval improvement in left lower lobe atelectasis compared to the prior exam. heart size is probably mildly enlarged with mild central pulmonary vascular congestion and minimal edema, also probably slightly better from the prior exam. no pleural effusion or pneumothorax. mediastinal clip projects over the left mid hemithorax, unchanged.
<unk> year old woman with shortness of breath and pleurtic chest pain worse after appropriate treatment of copd. // please evaluate for worsening shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p10327156/s59737138/7acae0b0-0ec3252a-652318e3-6afa0388-99d33887.jpg
there is biapical and upper paramediastinal scarring compatible with prior radiation. there are small bilateral pleural effusions, similar to prior. there is no superimposed consolidation or edema. cardiac silhouette is top-normal, similar to prior. no acute osseous abnormalities.
<unk>m with sob // consolidatin, effusion
MIMIC-CXR-JPG/2.0.0/files/p17699587/s50562552/1d237de3-6baed728-55f39ea9-781a7975-0864bf0d.jpg
again, there is volume loss in the right lung as compared to the left. right cardiophrenic angle haziness is stable. relative haziness of the right lung as compared to the left likely relates to volume loss. no large pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. partially imaged left humeral prosthesis is noted.
history: <unk>m with weakness
MIMIC-CXR-JPG/2.0.0/files/p13112524/s59007057/16072eb2-bd9e0d86-4d35d7b0-41ac0218-2f5c1e79.jpg
frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax is present.
chest pain
MIMIC-CXR-JPG/2.0.0/files/p16953986/s52745020/c3dcb403-f591e71d-c0dc73f3-fd664943-f8b8a29e.jpg
pa and lateral views of the chest provided. low lung volumes limits assessment. 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 c/o cough ili sx // ? pna
MIMIC-CXR-JPG/2.0.0/files/p14930522/s58448421/84c25f5a-2298f09f-44d8f4e8-fa3ae484-5951b79e.jpg
moderate to large right pleural effusion appears relatively unchanged compared to the most recent radiograph. right basilar opacity likely reflective of atelectasis appears slightly worse in the interval. heart size is difficult to assess, but appears grossly unchanged as are the mediastinal and hilar contours. left lung is clear. there is no left-sided pleural effusion. no pneumothorax or pulmonary vascular congestion is identified. there are no acute osseous abnormalities.
history: <unk>f with dyspnea, cough, and <num> days of left calf pain and swelling
MIMIC-CXR-JPG/2.0.0/files/p13091743/s56124505/2678e894-36734860-544b656c-cdea57a7-08e72d94.jpg
ap and lateral chest radiographs demonstrate clear hyperinflated lungs. a tortuous aorta is noted. cardiomediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. multi-level degenerative changes are noted throughout the thoracic spine. numerous metallic biliary stents in the right upper quadrant are related to known cholangiocarcinoma.
<unk>-year-old male with cough.
MIMIC-CXR-JPG/2.0.0/files/p12375699/s55917093/6e8a0f03-068c02a9-e71fb8fa-332902e5-a56192ca.jpg
the lungs are hyperinflated suggesting copd. there has been improvement in the left retrocardiac opacity, however there is persistent ill-defined opacification at the right base. there are no new focal consolidations. the pulmonary vasculature is normal. the heart is enlarged, but stable. there are no pleural effusions. there is no pneumothorax.
<unk>-year-old female with cough and fever.
MIMIC-CXR-JPG/2.0.0/files/p12546874/s58737158/f4ed46af-ff2980dc-aa8a6e2a-9b3105e3-29bc988d.jpg
the inspiratory lung volumes are decreased with mild bibasilar atelectasis. no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. no acute osseous abnormality is detected.
dyspnea, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18322831/s50046534/e9fe461d-ed58452e-0b625c4c-123007fd-97f8fa8e.jpg
mild right lung base opacity and small right pleural effusion are unchanged. there is no new consolidation. there is no pulmonary edema. cardiomediastinal silhouette is normal size. small right pleural effusion is slightly more.
<unk> year old man with dka and concern for pneumonia. // please eval for consolidation and interval change.
MIMIC-CXR-JPG/2.0.0/files/p16573207/s57617999/f0e70587-67371f3a-dfdcbedb-a01856b9-30a22fa0.jpg
single supine view of the chest is compared to previous exam from <unk>. endotracheal tube is seen with tip <num> cm from the carina. ng tube seen with tip in the gastric body, side port past the ge junction. lower lung volumes are seen on the current exam and there is secondary crowding of the bronchovascular markings. more confluent bibasilar opacities are seen projecting in the retrocardiac region. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with altered mental status. question aspiration pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10900906/s58077092/6863162a-472b1d96-faaef275-cc0405d4-af6500b1.jpg
the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. there are streaky basilar opacities most suggestive of minor atelectasis; otherwise the lungs appear clear. bony structures are unremarkable.
left-sided chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16334734/s50027248/a850ca6f-84679691-8cad079d-c1b23bf1-ea9cc368.jpg
ap portable upright view of the chest. airspace consolidation is noted in the right lung base concerning for pneumonia. cardiomegaly is unchanged. lungs appear hyperinflated which may reflect emphysema. no large effusion is seen though a small right effusion is difficult to exclude. aorta is unfolded and calcified. no pneumothorax. bony structures are intact.
<unk>f with dyspnea, altered ms // ? chf vs. pna
MIMIC-CXR-JPG/2.0.0/files/p19538920/s59470740/c3de7fde-bbd45658-d5f6b9b7-e4d76898-10181ca6.jpg
stable slight bilateral lower lung volumes. mild pulmonary vascular congestion that appears slightly increased from the prior exam. stable appearance of the cardiomediastinal silhouette with mild cardiomegaly. stable appearance of the hila. no pleural effusion, focal consolidation, overt pulmonary edema, or pneumothorax. post-median sternotomy changes are stable. no evidence of pneumoperitoneum.
<unk>-year-old woman with esrd on dialysis here with abdominal pain and hypoxia; evaluate for pulm edema or free air.
MIMIC-CXR-JPG/2.0.0/files/p14644122/s50101266/c38740ba-a594f12f-e758c064-3bfe0748-47538c6b.jpg
no displaced rib fracture is seen. 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 pain after fall from third rung of ladder.
MIMIC-CXR-JPG/2.0.0/files/p10699336/s52917066/81b33a4b-3fd96cc6-f3e8f708-d9a78496-bf1ab828.jpg
the left picc remains in the azygos vein. the posterior spinal air in the upper thoracic and lower cervical spine are stable. interval worsening of the bilateral central opacities. there also bilateral moderate pleural effusions and stable retrocardiac opacity. the visualized cardiopericardial silhouette is stable. no pneumothorax.
<unk>m s/p mcc, arrest x <num> w/ rosc, s/p cric w/ tbi, c<num>-<unk> fxs with vert dissection, t<num> vertebral fx, mediastinal hematoma, r <unk>, <unk> and l <unk> rib fxs, b/l hemothoraces, r orbital frx, r zygomatic frx s/p c<num>-t<num> fusion (<unk>) s/p trach (<unk>) and peg (<unk>) now s/p r craniotomy for decompression of sdh. // interval change
MIMIC-CXR-JPG/2.0.0/files/p19485534/s57950739/088a1375-3f1dd50a-6d3ff131-8aa7dfbe-95ebb4ee.jpg
relatively linear left mid to lower lung opacity is again seen, potentially scarring from prior infection. linear right mid lung opacities are likely atelectasis versus scarring is well. biapical scarring is also noted. the lungs are without new consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with l sided cp x <num> days // r/o infection
MIMIC-CXR-JPG/2.0.0/files/p12412776/s52915949/16f471ae-1b110486-144b30aa-77a241c7-4c43b37a.jpg
the lungs are clear besides linear left basilar opacity which is likely atelectasis versus scarring,. there is no focal consolidation or effusion. the cardiomediastinal silhouette is stable. tortuosity of the descending thoracic aorta is again noted. no acute osseous abnormalities, degenerative changes seen at the acromioclavicular joints. median sternotomy wires are noted.
<unk>f with cough // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p15769492/s53710115/e7cdbd07-ae889764-b9449801-cdbeeaf6-6e773e36.jpg
ap and lateral chest radiographs were obtained. evaluation is limited by oblique patient positioning. within these limitations, the lungs are clear. there is no consolidation, effusion, or pneumothorax. there is no displaced rib fracture.
seizure.
MIMIC-CXR-JPG/2.0.0/files/p10070592/s58936443/5f9db800-c6efaf30-5bdcd51d-f74f5a75-8ec0cf48.jpg
pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and mediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15608106/s57925023/5b989edb-63926e74-f5c93b3d-0fe4c9b3-6ee48dda.jpg
ap portable supine view of the chest. et tube tip located <num> cm above the carinal. the orogastric tube extends inferiorly towards the diaphragm though the tip is not within the imaged field. right chest wall subcutaneous emphysema is noted along the right rib cage raising potential concern for underlying rib fractures in the setting of prolonged cpr. no large right pneumothorax is seen. cardiomediastinal silhouette is grossly unremarkable aside from calcified thoracic aorta. lungs appear relatively clear.
<unk>m with arrest s/p cpr intubation
MIMIC-CXR-JPG/2.0.0/files/p13863107/s56419986/046d7beb-6966b2c3-cb8a9154-7fa69c12-c4c9ffbe.jpg
bibasilar opacities demonstrated on the next most recent chest radiograph are no longer appreciated. the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. there is no pleural effusion or pneumothorax.
evaluate for pneumonia. cough, and shortness of breath x<num> month.