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MIMIC-CXR-JPG/2.0.0/files/p18688735/s57407067/2fd9e206-c9ba50c1-ea2179e7-9b423544-52e24985.jpg | the heart size is top normal. cardiomediastinal contours are stable. opacity at the left lung base is likely secondary to atelectasis. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of vertigo, leukocytosis. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p15939762/s53369518/a8dcbc4a-e953004a-147aeef5-64125ef1-eed2185c.jpg | there is streaky atelectasis at the lung bases. no focal consolidation is identified. spinal hardware appears in unchanged positions. the cardiomediastinal silhouette and hilar contours are stable. there is slight blunting of the costophrenic angles bilaterally, which may be related to chronic pleural thickening or tiny pleural effusions. a left chest battery device is again noted, likely a vagal nerve stimulator. | <unk>-year-old man with confusion. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13802162/s59130847/2d910380-7b130908-673e181e-5b102eaf-f20a14e8.jpg | there is new asymmetric elevation of the right hemidiaphragm, which is most consistent with volume loss in the right lower lobe. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | worsening confusion. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14614003/s51661181/8836c420-2a833310-e3915a15-ef0327fd-ac4b314b.jpg | as compared to prior chest radiograph from <unk>, there has been interval removal of a left chest tube. a right internal jugular venous catheter terminates in the mid svc. an endotracheal tube terminates <num> cm above the carina. a feeding tube projects over the gastric fundus, tip is not included in this examination. there is miniscule, if any, left apical pneumothorax. a left mid lung opacity is likely a chest tube artifact from continuing suction. increased densities along the periphery of the left mid lung are probably bone fragments from rib fractures and are stable. right lung is clear. there are no pleural effusions. the cardiomediastinal and hilar contours are within normal limits. | <unk>-year-old male patient with left chest tube recently removed. study requested for evaluation of interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16232950/s52054031/e86ea67d-81f03a4f-6592e633-46370ca8-91454687.jpg | an endotracheal tube terminates in the right mainstem bronchus. an orogastric tube courses into the stomach. lung volumes are low. within the limitations of technique there is no definite abnormality involving cardiac, mediastinal or hilar contours. there is pleural effusion or pneumothorax. there is mild leftward shift of mediastinal structures and vague asymmetric opacification of the left lung. streaky opacities at the right lung base suggest minor atelectasis. | status post endotracheal intubation. |
MIMIC-CXR-JPG/2.0.0/files/p11419565/s59063454/a8d43515-747d5d43-e18da561-0e33f3d3-ad6b8be5.jpg | po and lateral views of the chest demonstrate adequate lung volumes without pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. | poorly controlled blood sugar levels. |
MIMIC-CXR-JPG/2.0.0/files/p10194776/s55636822/d08cba0f-91e256a8-f822dae1-bc521463-20ce4f82.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the aorta is tortuous and calcified. the heart size is at the upper limits of normal. the left hemidiaphragm remains elevated in comparison to the right. multiple old rib fractures are unchanged. there is no new fracture. | history of multiple medical problems with new facial nerve palsy. evaluate for sarcoidosis. |
MIMIC-CXR-JPG/2.0.0/files/p12622030/s58743629/4f7e72dc-1ca4fff6-2857b310-20b64485-61558950.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | <unk>f with productive cough and fever/chills // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18295542/s58699405/2d71a819-417c9b0c-d37f7a18-052a4e51-80b2a2bb.jpg | a tracheostomy tube is in satisfactory position with the tip in the mid trachea. the lungs are hyperinflated with distortion of the pulmonary vasculature, most consistent with chronic changes of copd. there is an opacity with air bronchograms in the retrocardiac region. additionally, there is a focal opacity in the right lower lobe. a small left pleural effusion is present. there is no right pleural effusion, pulmonary edema, or pneumothorax. pleural calcifications are noted. allowing for technique, the cardiac size is at the upper limits of normal. the mediastinal contours are normal. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p10447634/s59199250/e15aefb9-0200faff-383173b7-7fa05231-378fd47e.jpg | frontal and lateral views of the chest demonstrate likely normal cardiomediastinal silhouette allowing for ap technique. current study is somewhat limited due to underpenetration. there is increased opacity in the left base with blunting of the posterior costophrenic angle which could represent atelectasis and small left pleural effusion, although early pneumonia in this location cannot be excluded. the upper left lung and right lung are well aerated. there is no pneumothorax or vascular congestion. | <unk>-year-old female with dyspnea. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19078613/s59047683/d0d71f98-4df878a6-f61d377a-47931958-ac8f4e24.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of chest pain. please evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12416498/s57899301/bd76f12b-20d55b88-6937df46-916a3dae-dc07951b.jpg | left picc line tip in the low svc. heart size, pulmonary vascularity at the upper limits of normal. improved bibasilar opacities since prior exam. there is new tiny right pleural effusion. there are no consolidations. | <unk> year old woman with hip fracture s/p repair on iv antibiotics now with persistent fever. // does this patient have pna? |
MIMIC-CXR-JPG/2.0.0/files/p13700707/s50528937/589a7fe4-c052396c-09955066-5964d9cf-1785ae01.jpg | pa and lateral views of the chest provided. airspace consolidation in the right lower lobe is compatible with pneumonia. left lung is clear. no pleural effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. | <unk>m with dyspnea // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13894867/s56468493/a3927a50-176bceb4-39690a18-ddf185a7-ba6d023c.jpg | endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube terminates in the distal esophagus and should be advanced so that it is well within the stomach. subtle medial right base opacity persists, again could be due to infection, aspiration, or atelectasis. no focal consolidation is seen on the left. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with ett repositioning // acute process |
MIMIC-CXR-JPG/2.0.0/files/p13151205/s51380581/be3c95b9-c769c6b6-baa6c9ef-cc7e5ddd-2bdacbc8.jpg | as compared to chest radiograph from the same day, swan-ganz catheter has been removed. right ij catheter remains in the low svc. endotracheal tube is in good position. the nasogastric tube is not included in the field of view. slight increase in bibasilar opacities likely worsening atelectasis. no pulmonary edema. no pneumothorax. | <unk> year old man s/p liver transplant // <unk>/pa catheter removed, <unk> replaced over the wire with cvl |
MIMIC-CXR-JPG/2.0.0/files/p12042716/s55673212/4470ac64-b4d63d59-318dcd23-e32dbf5e-55855522.jpg | pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old male with coronary artery disease with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19972786/s54945860/d23c08a2-a1046652-955f66d5-e4b87ccd-717a73e8.jpg | median sternotomy wires are intact. mild to moderate cardiomegaly is unchanged. there is no overt pulmonary edema. mild pulmonary vascular congestion has improved from <unk>. there are small bilateral pleural effusions, larger on the left, not changed from prior exam. there is no pneumothorax. there is platelike left basilar atelectasis. | <unk>-year-old woman with a history of congestive heart failure, evaluate for volume overload. |
MIMIC-CXR-JPG/2.0.0/files/p19499595/s59685259/553f6199-37bc0e92-8f246bbd-f36f847e-8d0c8e14.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear and well expanded without effusion or focal consolidation. no acute rib fractures are seen. several fractured sternotomy wires are unchanged. | <unk> year old woman with s/p fall, hit left side of chest, has rales and decreased bs on left. rule out effusion. |
MIMIC-CXR-JPG/2.0.0/files/p15936063/s54480667/f63c68e5-e49ded7b-cc583a46-dec271d2-9c03e03e.jpg | there is no appreciable interval change in the loculated right hydropneumothorax other than a slight increase in the fluid component. the right basilar pigtail catheter is unchanged in position. the left lung is clear. a small left pleural effusion is unchanged. the heart and mediastinum cannot be accurately assessed on this projection. | <unk> year old man with hydropneumothorax, just put to waterseal at <time>am. please do at <unk> // ?improvement in hydropneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p12200218/s51213820/0973c048-89d8b5ff-d63d15fb-effd2ada-b9d28a4a.jpg | interval placement of endotracheal tube with tip <num> cm above carina. enteric tube tip within left upper quadrant, in the proximal stomach, possibly within a hernia. improved lung aeration. increased heart size, pulmonary vascularity. pleural effusions. pulmonary edema. bibasilar consolidations, likely atelectasis, consider pneumonia clinically appropriate. no pneumothorax. | <unk> year old man s/p intubation // evaluate ett |
MIMIC-CXR-JPG/2.0.0/files/p14065514/s53562294/92727b63-f1b93a9e-610e0f66-f76158d5-f6e17ed4.jpg | lungs are clear. cardiac silhouette is normal in size. no pleural effusion or pneumothorax. central venous catheter in unchanged position. mild relative elevation of the right hemidiaphragm. | <unk>-year-old male with fever. recent chemotherapy. |
MIMIC-CXR-JPG/2.0.0/files/p10258434/s51514041/ec36d87f-324b0f75-70e330e2-9a688147-f69a1ebd.jpg | pa and lateral views of the chest. low lung volumes crowd the pulmonary vasculature and exaggerate the heart size. no focal consolidation, pleural effusion or pneumothorax. the mediastinal and hilar contours otherwise are normal. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16971742/s57609244/f5e80aa3-f4101cfc-5d33d70c-8d4f25ca-c717a4ff.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. there are no pleural effusions or pneumothoraces. no acute osseous abnormality is seen. pulmonary vascularity is normal. | tachycardia and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p17846379/s57878069/af4fe45a-09e6abf8-4717c8c1-f322894e-5d427f93.jpg | a right picc ends in the mid svc. a moderate right pleural effusion has slightly decreased in size. a persistent consolidation at the right base is likely atelectasis, although an underlying infectious process cannot be excluded. at the left base, there is new decreased lung transparency, particularly adjacent to the heart border. this likely represents new pneumonia or atelectasis. would recommend short term follow up with repeat radiographs. there is no pneumothorax. the cardiomediastinal silhouette is normal. | history of pneumonia and chf. now with desaturation. |
MIMIC-CXR-JPG/2.0.0/files/p11279026/s55956658/dfa866bd-5ca9806c-8512cfe3-4e8681f0-ec3a8447.jpg | the endotracheal tube terminates approximately <num> cm above the level of the carina. lung volumes are extremely low leading to crowding of the bronchovascular structures. multiple airspace opacities overlying the right mid and lower lung correlate with consolidation seen on recent ct. no large pleural effusion or pneumothorax. the cardiac size is difficult to assess given low lung volumes and patient positioning, but appears mildly enlarged. | history: <unk>m with intubation, need to assess tube placement after transport. // eval tube placement |
MIMIC-CXR-JPG/2.0.0/files/p16532278/s51298825/98175728-d90c2734-f214444e-d44bb893-c9a251c6.jpg | no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top normal. the mediastinal contours are unremarkable. | cough and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11014367/s51003101/e417dbad-4218e771-91c4c89e-e1cff860-fbb9b365.jpg | cardiomediastinal silhouette stable. left internal jugular central venous catheter in stable position. right basilar opacity has improved. there is no pleural effusion or pneumothorax. | <unk> year old man with renal transplant. has likely nocardia skin infection and pna. please eval for cavitary lesions. // any pulmonary cavitary lesions? |
MIMIC-CXR-JPG/2.0.0/files/p11901665/s58403588/145ea433-6e7e3d88-45acf0ce-d2da9a4a-74b1cd80.jpg | pa and lateral images of the chest were obtained. the lungs are clear bilaterally with no focal consolidation or congestive heart failure. there is no pneumothorax or pleural effusions. the cardiomediastinal silhouette is normal. there are no bony abnormalities. there is no free air below the right hemidiaphragm. clips are seen within the upper abdomen. | chest pain radiating to the back. |
MIMIC-CXR-JPG/2.0.0/files/p13577485/s56995421/d824c669-0d4ffdbd-134ffc4b-e2b7b3c6-7bdbf7ab.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> days left sided chest pain associated with shortness of breath, non-radiating |
MIMIC-CXR-JPG/2.0.0/files/p12599627/s58263309/72231588-4d7ce1c0-93aa308c-22031cba-253bb7c4.jpg | ap portable upright view of the chest. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. | <unk>f with vascular dementia s/p fall and rll crackles on exam, daughter reports cough with eating. |
MIMIC-CXR-JPG/2.0.0/files/p14864471/s55592622/05a7891f-621f173c-9657d976-34d0607d-297968e1.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10286521/s56655147/8b085e27-6b13c8fe-3b13f95d-2b22e43a-217ff997.jpg | the cardiomediastinal silhouette and pulmonary vasculature are unchanged and unremarkable. endobronchial valves are again seen, projecting over the left hilar region. again seen is left upper lobe atelectasis. no definite focal consolidation, pleural effusion, or pneumothorax is identified. again noted is vertebral body height loss in the mid thoracic spine. | history: <unk>f with chest pain // eval for ptx, pna |
MIMIC-CXR-JPG/2.0.0/files/p18950783/s54690994/101c7def-7cefb98a-f4edefef-3d846ffd-b8e5aa88.jpg | cardiac, mediastinal, and hilar contours are within normal limits. there is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. visualized bones appear unremarkable. | cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15958024/s53023266/2d8d53be-6b0d2060-c7ab9279-d54f34ab-60d618b4.jpg | the a small left pleural effusion with associated compressive atelectasis is unchanged compared with the immediate prior study of <unk>. a superimposed left lower lobe pneumonia is possible in the proper clinical setting. there is no pneumothorax or pulmonary edema. the heart size is top normal. | <unk> year old man with cough and sob // r/o infiltrate or recurrent pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p16011891/s53566226/ea0446b3-3618d5ff-77e441b5-c33fd4b2-e0b156c4.jpg | heart size is normal with mild tortuosity of the thoracic aorta unchanged from prior study. hilar contours are unremarkable. lungs are clear. there is no evidence of volume overload or interstitial edema. there is no pleural effusion or pneumothorax. | nightsweats. |
MIMIC-CXR-JPG/2.0.0/files/p14474735/s54085668/afacdf5d-d5f4432d-dc5dcefb-5127c3a3-7b8cfa4c.jpg | the inspiratory lung volumes are decreased. the lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. linear opacification of the right mid lung likely reflects fluid within the fissure or plate-like atelectasis. the cardiomediastinal silhouette is accentuated due to low lung volumes but otherwise within normal limits and unchanged. a lucency projecting over the left upper mediastinum on the frontal view is concerning for a new focus of air but not corroborated on the lateral view. a repeat study is recommended. the hilar contours are stable and within normal limits. the visualized upper abdomen is unremarkable. | status post tracheal resection, here to evaluate for interval changes. |
MIMIC-CXR-JPG/2.0.0/files/p19401744/s57787097/e0173cdd-898714d7-64dd89d5-3188e38f-bd3ed338.jpg | there is a subtle increase of opacities on the right side which is confirmed on the lateral view. cardiac silhouette is normal in size. there is no pleural effusion or pneumothorax. | hyperglycemia. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17728504/s50072463/2cbd50ee-2a28daef-b49e92e5-5856d644-cac59ee8.jpg | the cardiomediastinal and hilar contours are stable with severe cardiomegaly. there is no pleural effusion or pneumothorax. lungs are well-expanded. mild pulmonary edema is slightly worsened compared to the prior study. a more confluent opacity at the right lung base may indicate developing pneumonia in the correct clinical setting. a left pectoral single lead pacemaker is present with tip terminating in the right ventricle as expected. | <unk>f with cough, dyspnea and leg swelling. |
MIMIC-CXR-JPG/2.0.0/files/p17451713/s59536167/f9217fc2-f04c6978-65225f34-05dbf384-c4958ce8.jpg | frontal and lateral views of the chest demonstrate hyperinflated lungs and flattening of hemidiaphragms. there is no focal consolidation or pleural effusion. there is no pulmonary edema. biapical scarring persists. hilar and cardiomediastinal silhouette are unchanged. the heart size is top normal. multiple surgical clips project over right lower hemithorax. moderate dextroscoliosis of the thoracic spine is unchanged. partially imaged upper abdomen is unremarkable. | patient with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19050940/s50261681/31edfe92-12f0e9e3-4f6351ce-f79b98dc-9d488336.jpg | lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact. | <unk>f with l upper flank pain // eval for infiltrate, pneumo |
MIMIC-CXR-JPG/2.0.0/files/p13202007/s57052446/2a86bec4-56e343d5-15247abd-ca4875d0-93ae6929.jpg | the heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. no pulmonary edema is present. mild patchy bibasilar opacities likely reflect atelectasis. no focal consolidation or pneumothorax is seen. scarring within the lung apices appears unchanged. minimal blunting of the costophrenic angles posteriorly suggest trace bilateral pleural effusions. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17238544/s58799413/11e6836f-1c580a60-46238657-4f52085c-f2b960fd.jpg | pa and lateral upright views of the chest. allowing for technical considerations there is no focal consolidation or congestive heart failure. no pleural effusions. left costophrenic angle cleared on the frontal view. no pneumothroax. the cardiomediastinal silhouette is normal. no bony abnormalities. no free air below the right hemidiaphragm. | evaluation for pneumonia in a <unk> year old man with hypoglycemia. |
MIMIC-CXR-JPG/2.0.0/files/p19793548/s55960876/b4546fe4-1d449ed4-f7948e16-10e1ef37-89120e66.jpg | single ap upright image through the chest demonstrates clear lungs bilaterally. patient is rotated to her right. allowing for this, the cardiomediastinal and hilar contours appear within normal limits. there is no large pleural effusion. there is no pneumothorax. surgical clips are noted in the lower neck in the anticipated location of the thyroid bed. | <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p14009508/s53809077/bb1eef1c-b27f2c87-1264e52f-2d88f2c3-f6a38c86.jpg | the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk> year old man with cp and sob // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p16989180/s55404864/ca064433-1cacc711-42eba001-5645b885-438030e3.jpg | there has been interval placement of a right pleural catheter, and there has been interval inflation of the right lung compared to the earlier radiograph at <time>. there is a small residual right apical pneumothorax. no focal consolidation, pleural effusion or pulmonary edema is seen. the heart is normal size and the previously noted mediastinal shift has resolved. | <unk>-year-old male with right catheter placed and previous tension pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11607177/s55843267/032295b3-3cc8b64d-cc8c9f56-5be66e38-bf8fb817.jpg | severe cardiomegaly is unchanged. left axillary device with associated leads is unchanged in position. the left ventricular assist device is partly imaged. there is a small left pleural effusion but no right pleural effusion or pneumothorax. mild pulmonary edema is present. there is no focal consolidation concerning for pneumonia. | history: <unk>m with cough, lvad // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11102426/s55362902/cae4c63a-09f3ac2e-871e96d7-66753d74-a9cff983.jpg | <num> views were obtained of the chest. the patient is rotated. accounting for this, the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. | fever and hypotension. |
MIMIC-CXR-JPG/2.0.0/files/p16994391/s59097455/1a70c452-fadf0a5d-aef99d4c-ae1b1595-63e45073.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11966980/s58824221/32430ffd-f7f38d15-26b33a1e-6461f076-72d7e397.jpg | single frontal view of the chest shows an et tube whose tip terminates <num> cm at the carina. a feeding tube and abdominal drain are satisfactory in position. a right ij catheter tip terminates in the mid svc. again seen are bilateral small pleural effusions with resultant atelectasis. the cardiomediastinal, pleural and pulmonary structures are unremarkable. there is no evidence of a new consolidation. | status post abdominal closure, evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p19366448/s56614916/4c21d27a-14b093bd-9c833943-ccdfb838-1b72eec0.jpg | lung volumes remain low. there is continued evidence of mild pulmonary edema mediastinal structures are unchanged. an endotracheal tube, nasogastric tube and left internal jugular catheter remain in place. there is no significant change. | interval evaluation |
MIMIC-CXR-JPG/2.0.0/files/p13405890/s51428518/94ae3b5e-06408e3c-79110381-2814ec58-637d1d7f.jpg | the lungs are well expanded. moderate pulmonary edema is new, with left lower lobe airspace opacity which obscures the left hemidiaphragm. cardiomegaly is moderate to severe. aortic arch calcifications are mild. small bilateral pleural effusions are present. no pneumothorax is detected. | chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18304185/s53822967/2bf02fc4-f6de008a-554101c9-bf978912-6b496105.jpg | a left pigtail catheter is present, located along the left lateral chest wall around the midaxillary line. a tiny left apical pneumothorax persists. no focal consolidation or pleural effusion. the size of the cardiac silhouette is within normal limits. | <unk> year old man with l tension ptx, s/p pigtail placement, pigtail not tidaling, difficult to locate pigtail positioning on previous portable cxr // ? pigtail placement/positioning |
MIMIC-CXR-JPG/2.0.0/files/p11604900/s50560989/62160e37-399a04cf-0ae29893-670cf68c-f2b2f02f.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | history: <unk>f with cough, decreased breath sounds on left // evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p19631540/s54153884/f2e41c30-ef283310-1d70c5dd-68c8f985-571a4128.jpg | there is intra-aortic balloon pump, appropriately positioned <num> cm below superior aspect of the aortic arch. bilateral lung bases are not fully included on the radiograph. minimal new right basilar atelectasis. mild interstitial prominence in the lower lungs, may represent developing edema, clinically correlate. otherwise no change. | <unk> year old man with inferior stemi, now w/ iabp // iabp positioning, r/o any abnl |
MIMIC-CXR-JPG/2.0.0/files/p16266508/s52047364/551aedc6-15b26cfc-2394f4e9-8105b5c5-d62df5d4.jpg | the cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. the left hemidiaphragm is mildly elevated. | posterior chest discomfort. |
MIMIC-CXR-JPG/2.0.0/files/p16603183/s51249548/da009f23-791ba0c5-a0a1539e-66b5db23-095bb073.jpg | pa and lateral views of the chest provided. there is a new lingular opacity compared to <unk>, which could represent atelectasis or pneumonia. no pleural effusion or pneumothorax. heart size is normal. mediastinal and hilar contours are normal. | <unk> year old woman with asthma and dx of cap at osh <unk>. // f/u xray to access for residual opacity. |
MIMIC-CXR-JPG/2.0.0/files/p17724257/s52022473/2cc6b7c5-5ea2df0b-949dea96-09ef21a8-7e139d05.jpg | ap upright and lateral views of the chest provided. midline sternotomy wires are again noted as well as mediastinal clips. linear densities in the left lower lung likely reflect atelectasis. there may be mild pulmonary edema. the heart size is difficult to assess but appears grossly stable. the mediastinal contour is unremarkable. no large effusions are seen. bony structures are intact. | <unk>m with renal transplant, fever // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p19632296/s52679896/985fe650-5ac2aeb1-9a4eb257-d4103930-7da7c5c8.jpg | the patient is status post median sternotomy and mitral valve prosthesis. left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and likely within the outflow tract of the right ventricle, unchanged. the heart remains moderately enlarged with right ventricular and left atrial enlargement. the mediastinal and hilar contours are stable. mild pulmonary vascular congestion is noted, slightly worse when compared to the prior study. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | atrial fibrillation with rapid ventricular rate. |
MIMIC-CXR-JPG/2.0.0/files/p19071904/s57426935/1c8e4b7f-61497a04-5fac644e-36429c93-40072d42.jpg | single portable semi-upright chest radiograph demonstrates a dobbhoff catheter with tip in the fundus of the stomach just beyond the ge junction. a wire is still in place. recommend advancing several centimeters to secure access. no other enteric catheter or central venous line identified. electronic pack projects over the right upper chest with leads coursing upward, possibly a deep brain stimulator. minimal atelectatic changes are noted in the lung bases, left greater than right. no pneumothorax or pleural effusion identified. | nasogastric feeding tube. please assess position. |
MIMIC-CXR-JPG/2.0.0/files/p15346117/s50757923/81efea13-cd5a6d35-fb07541f-7f4a17c9-87e2984c.jpg | right-sided picc is seen, low in position, appears to terminate in the deep right atrium, possibly extending into the ivc. the cardiac and mediastinal silhouettes are stable. there is moderate pulmonary edema. scattered areas of atelectasis are noted including in the left mid lung and right lung base. no large pleural effusion is seen. no evidence of pneumothorax. | history: <unk>m with <unk> edema and elevated jvp. // volume overload? |
MIMIC-CXR-JPG/2.0.0/files/p16345916/s50375662/a5344792-44bd963a-5b1e85d6-1efb11b0-9de2b2d0.jpg | the lungs remain relatively hyperinflated. bilateral pulmonary opacities has significantly improved in the interval ; however, subtle left base retrocardiac patchy opacities be due to atelectasis or aspiration. no definite pneumonia is identified. no pleural effusion or pneumothorax is seen. saccular outpouchings along the descending aorta seen on prior chest ct from <unk> better assessed on ct. the aortic knob appears larger on the current study as compared to <unk>, however, this could relate to differences in patient position, the patient was rotated in the opposite direction ; the aortic knob appears more similar, if not smaller, compared to chest radiograph from <unk>. . the bones are diffusely osteopenic. thoracic dish is noted. | history: <unk>f with fall from standing <num> days ago p/w slurred speech x <num> days, left knee and left ankle pain // eval for fracture/dislocation, ich, pneumonia, chf |
MIMIC-CXR-JPG/2.0.0/files/p10542352/s57406492/542930cf-a1cf395d-c0088c9d-fe15495d-5b6adaf3.jpg | lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with fever // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17600453/s55727325/20e46512-66ef8025-5a78afd4-2ceaeac3-3dc43ed6.jpg | single portable semi supine ap radiograph demonstrates abnormal contour involving the pulmonary arterial window either enlarged left pulmonary artery or adenopathy. heart size is upper limits of normal. no evidence of pulmonary edema. no focal consolidation convincing for pneumonia is present. there is no pleural effusion or evidence of pneumothorax. imaged osseous structures and upper abdomen are without an acute abnormality. | history: <unk>f with weakness // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p17760190/s59266901/04b68598-aaa783d7-92251988-499b67c6-a411452c.jpg | et tube is <num> cm above the carina. right ij swan-ganz catheter with tip in the right pulmonary artery. chronic severe cardiomegaly unchanged. mild pulmonary edema is new since <unk> particularly in the right lung. moderate pleural effusion right greater than left has also increased since <unk>. moderate bibasilar atelectasis mildly increased. | <unk> year old man with swan ganz catheter // <unk> position |
MIMIC-CXR-JPG/2.0.0/files/p15494627/s56983653/0dac4f0c-dc290359-cc43abb1-97bb32df-bcc445c2.jpg | there is consolidation in the right lower lobe which may represent loss of volume; however, superimposed infection cannot be excluded. the left lung is clear. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is unremarkable and unchanged. osseous structures are unremarkable. | <unk>-year-old woman with fever, postop, question atelectasis versus consolidation at the right base. |
MIMIC-CXR-JPG/2.0.0/files/p11295854/s52583510/5ef4f392-86892f96-7196ca02-bb743c7b-9a6b8432.jpg | the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are well expanded and clear. there is no pneumothorax or pleural effusion. the visualized osseous structures are unremarkable. | <unk>-year-old female with a history of hodgkin's disease who presents for evaluation of several weeks of coughing and wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p19493497/s53367135/5ea0685e-0ba7873f-520cc45d-fc198590-b892b6df.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with c/o cough and hx hiv+ // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p19539625/s59814323/fd62fea6-58f368dc-2548982e-5acc9598-9da553e2.jpg | the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes. | <unk> year old woman with <num> months of night sweats // assess for abnormality |
MIMIC-CXR-JPG/2.0.0/files/p16169165/s55652612/7799de08-87b80b40-433f74a5-89762287-b04eef9e.jpg | there is a left lower lobe opacity concerning for pneumonia. lung volumes are including moderately severe atelectasis in the lingula. no pneumothorax or pleural effusion. the stomach is very distended. | history: <unk>m with fever and confusion // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p14354835/s54412785/f9f3f7ee-2fe340ea-fb0d670f-1f351280-9a44a2ca.jpg | since the chest radiograph obtained approximately <num> hours prior, there has been interval improvement in the large, now moderate, right pleural effusion and an interval increase in pulmonary edema, most evident looking at the left lung fields. moderate left pleural effusion unchanged. heart size and cardiomediastinal silhouette unchanged. interval placement of ng right-sided picc, which terminates in the lower svc. the et tube terminates <num> cm above the carina. enteric tube is in the stomach and terminates outside the field of view. | <unk> year old woman with malignany, effusion, now intubated // et placement, acute change |
MIMIC-CXR-JPG/2.0.0/files/p16566006/s59203467/e6cfffc5-11ef88c1-906bccc0-ab17a8f3-8070529e.jpg | evaluation of the left hemithorax is slightly limited due to patient positioning. cardiomediastinal silhouette appears mildly enlarged. post-cabg changes are noted with intact median sternotomy wires. the lungs are clear and without a focal consolidation, effusion, or pneumothorax. no acute fractures are identified. | fall. |
MIMIC-CXR-JPG/2.0.0/files/p10978131/s59970126/658f2be4-31632bf7-ecae0ca8-7e71e638-66cdb1c3.jpg | heart size is normal. mediastinal and hilar contours are unchanged. patchy opacities in the lung bases are re- demonstrated along with a more consolidative opacity within the right upper lobe, findings worrisome for multifocal pneumonia. previously demonstrated suspicious nodule within the left mid lung field is better assessed on the previous ct. no pleural effusion, pneumothorax, or pulmonary vascular congestion is demonstrated. there are no acute osseous abnormalities. | history: <unk>f with shortness of breath. assess for progressive pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11389075/s56638025/cdb711cd-7baf76b2-1b4087cb-2ec40043-30613122.jpg | the picc ends in the right atrium. the moderate-to-large right pleural effusion is decreased from prior study. right lung is clear. no consolidation in the left lung. no pneumothorax. | hepatic hydrothorax, pigtail removed. |
MIMIC-CXR-JPG/2.0.0/files/p10033552/s56920846/df36cfc8-d9443493-6ba076ab-1a49111b-4eb4cfbe.jpg | frontal and lateral radiographs of the chest demonstrate low lung volumes which results in bronchovascular crowding. the cardiomediastinal and hilar contours are gross unchanged. the heart is top normal in size. there is slight upper zone redistribution, improved compared with the <unk> radiograph, but no overt chf there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>f with left shoulder pain, doe, chest discomfort // eval for widened mediastinum or pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p14092804/s57365227/94d2f0bd-2026307f-d3d78642-f697082c-49b1b4cd.jpg | heart size is mildly enlarged but unchanged. the mediastinal hilar contours are similar. pulmonary vasculature is normal. retrocardiac streaky opacity is not substantially changed, likely atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. lateral pleural thickening versus extrapleural fat is noted bilaterally, unchanged. mild degenerative changes are noted in the thoracic spine. | history: <unk>m with confusion // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15813980/s56854314/9c7ba4c1-5b4fdec0-bdbab2ec-8cfecdc7-6d881efd.jpg | the heart is borderline in size. aside from dextropositioning, the mediastinal and hilar contours are otherwise unremarkable. incidental note is made of an azygos fissure which is consistent with a normal variant. mild biapical pleural thickening is consistent with minor scarring at each lung apex. the lungs appear otherwise clear. there is no pleural effusion or pneumothorax. | seizure. |
MIMIC-CXR-JPG/2.0.0/files/p17781441/s56782534/d7a7052c-437da6d1-19d8e0b3-3d6b458b-69c6882d.jpg | portable semi-upright radiograph of the chest demonstrates interval increase in retrocardiac opacity consistent with left lower lobe volume loss and small left-sided pleural effusion. right lung is unchanged. stable cardiomegaly. endotracheal tube is again somewhat obscured by the spinal fixation device, but appears to be in unchanged position. a chest tube is seen projecting over the left hemithorax. nasogastric tube is seen with the tip terminating in the stomach. | <unk>-year-old female with respiratory failure. evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p15149227/s51563604/ccea976c-f54c192a-0249b1f1-8eb53052-165fcbd7.jpg | tracheostomy tube remains in place in standard position. cardiomediastinal silhouette is unchanged. lung volumes remain low which exaggerates the heart size and pulmonary vasculature although there appears to be residual mild pulmonary edema. there is focal consolidation in the extreme right lung base which may be secondary to atelectasis however infection cannot be excluded. there is no large pleural effusion. there is no pneumothorax. an upper enteric tube remains in position with the tip excluded from imaging. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p15517352/s55880510/e8481706-abeee89d-d8667373-695de9db-5d118dbd.jpg | portable semi-upright radiograph of the chest demonstrates a normal cardiomediastinal silhouette and pulmonary vasculature. small lucency is seen along the left heart border, which may represent pneumopericardium. there is no pleural effusion or pneumothorax. no focal consolidation is seen. | history: <unk>m with shortness of breath // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14088217/s56027103/b3f46dc9-d51caaa5-22ebd453-c44f6281-a6eb1a42.jpg | there relatively low lung volumes and mild right base atelectasis.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with central chest pain // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12344761/s53854309/4843a3e7-3bec9e09-84cc1dd1-6db5262b-8297c8f8.jpg | in comparison to the recent chest radiograph on <unk>, the lungs appear overall better aerated. post-cabg changes are present. bibasilar opacities are re-demonstrated, which likely represent small pleural effusions with adjacent atelectasis. no new areas of focal consolidation. no pneumothorax. heart size is top-normal. a catheter is seen projecting over the medial portion of the right hemithorax entering the peritoneal cavity, which may represent a ventriculoperitoneal shunt. no acute osseous abnormalities identified. | <unk>m with chest pain // rule out acs |
MIMIC-CXR-JPG/2.0.0/files/p17209226/s56576018/66f9179a-bad89960-fcb94faa-c11760cf-2782640a.jpg | there is moderate cardiomegaly which appears to have progressed but this is likely in part due projection and lower lung volumes. atherosclerotic calcifications are seen in the aorta which is tortuous. enlarged hila are compatible with enlarged pulmonary arteries in the setting of pulmonary hypertension. indistinct pulmonary vascular markings are seen but there is no confluent consolidation or effusion. | <unk>f with cough, ams // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16112144/s54960453/85adb86f-ec845e30-7e8f6553-f8aefd7f-c2fbc8bd.jpg | streaky left basilar opacity is most compatible with atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with dyspnea, hyperglycemia x <num> wks., s/p renal xplant // eval ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18796093/s56742519/f0e8b58c-279ca4f7-1264c712-cf9eb830-5af5b514.jpg | right pleural catheter appears in place with slight interval decrease in size of the fluid component of the right loculated hydropneumothorax. cardiomediastinal contours are stable. bilateral pulmonary nodules are again identified and consistent with metastatic disease. destructive right rib lesions are better evaluated on dedicated ct chest from <unk>. | evaluation of patient with metastatic renal cell carcinoma with bilateral pleural effusion, status post chest tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p17991099/s59634718/5fee7a23-61267d46-c5711da8-6f4ac16b-96a171bb.jpg | the heart size remains moderately enlarged. the mediastinal contours are stable with calcification of the aortic arch again noted. the hilar contours are unremarkable. no pulmonary edema or focal consolidation is demonstrated. no pleural effusion or pneumothorax is seen. attenuation of the pulmonary vasculature towards the apices may reflect emphysema. there are no acute osseous abnormalities. | copd with weakness and light-headedness. |
MIMIC-CXR-JPG/2.0.0/files/p16630823/s59193312/dd1bd044-b505214e-575a31e9-0599e462-f0ac8266.jpg | there is no hilar lymphadenopathy. the lungs are clear. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. | cervical lymphadenopathy. concern for chest adenopathy. |
MIMIC-CXR-JPG/2.0.0/files/p11754849/s57559110/dde4ee9b-a0473d90-daabe2d6-13f5c683-faa14ced.jpg | right lower lobe collapse. bilateral lower lobe consolidation. no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. | history: <unk>f with ?aspiration pna // eval for aspiration |
MIMIC-CXR-JPG/2.0.0/files/p19410886/s55350686/62d8e0a3-65348b49-369072ad-0f4a85e8-720de6ec.jpg | lung volumes are persistently low. this accentuates the size of the cardiac silhouette which appears at least moderately enlarged but unchanged. widening of the mediastinal contour is likely reflective of the low inspiratory lung volumes and is similar to the prior study. mediastinal and hilar contours are otherwise unremarkable. there is crowding of the bronchovascular structures without overt pulmonary edema. patchy opacities in the lung bases likely reflect areas of atelectasis though infection is not completely excluded. no large pleural effusion or pneumothorax is identified. marked degenerative changes are again noted throughout the imaged thoracolumbar spine without a definite acute abnormality. | history: <unk>m with confusion/ altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p16477848/s57154028/28fbacfe-47abaa99-62090d09-cb80ac93-5c1c6622.jpg | moderate to severe enlargement of the cardiac silhouette is unchanged. the aorta remains tortuous. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. patchy opacities are again noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. remote right-sided rib fractures are re- demonstrated. | history: <unk>f with copd presenting with chest pain, shortness of breath, cough // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p16209051/s57221268/c7a11fd1-d96187fa-9a700d6f-3ceee508-cfcc1051.jpg | mildly hypoinflated lungs with vascular crowding. no pleural effusion or pneumothorax. no focal opacity. mild prominence of the heart is due to low lung volumes. mediastinal contour and hila are unremarkable. visualized upper abdomen is unremarkable. | <unk>f with depression, si, elevated wbc. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12655864/s54217514/3ac5c055-73bb6462-97ecc78d-b925cd5e-b338e9ac.jpg | the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the ascending aorta is mildly tortuous. there is no pleural effusion or pneumothorax. the lungs are clear. | history: <unk>f with cough, sob // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11586698/s54613663/735a5215-76d7c728-cde44d1c-a575d4c5-3bcdc3fd.jpg | there are low lung volumes, which results in bronchovascular crowding. the degree of interstitial prominence, bronchiectasis, and opacification is grossly unchanged. there is no focal consolidation concerning for pneumonia. the cardiac and mediastinal contours are normal. no pleural effusion or pneumothorax. | history: <unk>m with ild and vasculitis presenting with fevers, chills and cough for past <num> days // evidence of infection |
MIMIC-CXR-JPG/2.0.0/files/p17828566/s52997719/e896448c-b705cba3-b7b72b15-e34320cf-97839c8e.jpg | ap and lateral views of the chest demonstrates low lung volumes. the heart is normal in size, and the mediastinal contours are unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation. mild peribronchial cuffing is noted, particularly on the right. | <unk>-year-old male with fever. |
MIMIC-CXR-JPG/2.0.0/files/p14841692/s59270373/ede5130f-90e3eda9-4bdd5b39-d3e5bfc9-005a3115.jpg | cardiac size is normal. the lungs are clear and retrospectively comparing with chest radiograph performed earlier on the same day, there is resolution of previous mild pulmonary edema. no pneumothorax or pleural effusion. | <unk> year old woman with brain lesion who will undergo surgical resection. cxr for pre-operative clearance. // chest x-ray for pre-operative clearance. surg: <unk> (craniotomy and resection of brain lesion) |
MIMIC-CXR-JPG/2.0.0/files/p18655629/s55928951/3212546d-fb55c7e3-63d76388-072aef51-2f648dc4.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with dizziness, ?stroke // evidence of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11426151/s52978127/8939e59f-2739f10c-a38c475d-0b55aa58-7f8e10f3.jpg | of note, this exam is limited by low lung volumes and the patient's body habitus. metallic hardware from posterior fixation of the thoracic spine is present and unchanged. again, lung volumes are low. the cardiac size is not well evaluated due to ap projection. there is no focal consolidation identified in the lungs. there is no large pleural effusion. there is no pneumothorax. | <unk>f with fever and sob // eval pna |
MIMIC-CXR-JPG/2.0.0/files/p14233331/s51708303/6e016195-4c3c1eb0-1ade7522-48941590-afaf7067.jpg | there is no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged. | <unk> year old woman with l<num>/l<num> discitis, unknown source, no pulmonary symptoms // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14876557/s58550381/5e2ba34e-bfdb7c00-0718e2fe-b20cca3a-d59e7cde.jpg | there has been interval removal of the left-sided picc. subtle patchy left mid to lower lung opacities are seen, best seen on the frontal view, new since the prior study, concerning for infection, less likely atelectasis. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | cough post were put status post liver transplant. |
MIMIC-CXR-JPG/2.0.0/files/p10803232/s50777464/4e649ce6-b48444d9-a3602849-ce6112f1-bb021ad3.jpg | compared to the prior film, there is a new or significantly increased small to moderate left effusion, with underlying left base collapse and/or consolidation. small right effusion and patchy right base opacity is similar to the prior film. overall chf findings appear slightly worse, with increased vascular plethora and slight vascular blurring. vague opacity in the right mid zone is similar to the prior film. the cardiomediastinal silhouette appears somewhat larger. while this may in part be accentuated by a technique, i suspect that there has been some interval cardiac enlargement. no obvious pneumothorax, but the possibility of a tiny right apical pneumothorax cannot be entirely excluded. | <unk> year old woman with right sided chest pain, post-thoracentesis // pneumo? |
MIMIC-CXR-JPG/2.0.0/files/p11459120/s51203386/f70041a1-ac158fe0-0f1825ec-8b30d266-b2fdcdb1.jpg | as compared with the prior chest radiograph, there is a new airspace opacity in the inferior right upper lobe abutting the minor fissure. the more superior right upper lobe also appears somewhat increased in density. otherwise, there has been no significant change. there is no evidence of pleural effusion, pneumothorax, or overt pulmonary edema. the heart size is top normal. mediastinal contours are unchanged. aortic knob calcifications are present. a left pectoral pacemaker is noted with humeral head with two intact leads seen terminating in the expected locationd. partially imaged orthopedic hardware is seen in the region of the left humeral head. | dyspnea. |
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