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MIMIC-CXR-JPG/2.0.0/files/p13270100/s54852754/63885392-1f0cd160-950b80b7-06e237d4-213520a1.jpg | the cardiomediastinal and hilar contours are normal. the lungs are clear but hyperexpanded suggesting emphysema or small airway disease. there is no pleural effusion or pneumothorax. | <unk>-year-old male with tia. |
MIMIC-CXR-JPG/2.0.0/files/p19728121/s56275077/86d63192-5b0d8a4c-514a5501-b0ff55bf-09640d0f.jpg | the heart size is normal. the cardiomediastinal silhouette is unremarkable. the lungs are clear without consolidations, effusions or pneumothorax. no acute bony abnormality. | left shoulder pain. |
MIMIC-CXR-JPG/2.0.0/files/p19101970/s56153030/adff2c88-4bb56e5a-00b9c0d5-009e591b-c54f97d8.jpg | the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. mild bronchial wall thickening. the cardiac and mediastinal contours are normal. | <unk>-year-old man with chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19458876/s54880807/595a15ef-a22ec35b-26a0e5a9-6ec909e9-5bd99457.jpg | known numerous small pulmonary nodules measuring up to <num> mm are better delineated on dedicated chest ct from <unk>. the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified. | fever and abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p13198693/s53919977/5f29de46-bb8dee27-6a8394d3-0596272d-6079a2fa.jpg | the right picc tip sits at the lower svc. the heart size is within normal limits. the mediastinal and hilar contours appear unremarkable. the patient is rotated to the right. the lung volumes are low but clear of lobar consolidation. minimal retrocardiac atelectasis is present. there is no large pleural effusion or pneumothorax. | <unk>-year-old male with fever. |
MIMIC-CXR-JPG/2.0.0/files/p12597602/s57140648/478acc08-98cd8369-8d54940e-1452e932-66d49ecf.jpg | endotracheal tube tip is <num> cm above carina, should be pulled back. very shallow inspiration accentuates heart size and pulmonary vascularity. bibasilar opacities may represent atelectasis, consider pneumonia if clinically appropriate, particularly on the left. there may be small left pleural effusion. no pneumothorax. moderate gastric distention. | <unk> year old man with abd pain via er to ercp // ? aspiration |
MIMIC-CXR-JPG/2.0.0/files/p15887506/s58466441/46a8ae1e-ad93fedb-dcabebf9-aaad0747-b5ff2f33.jpg | the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. there is no pleural effusion or pneumothorax. | new shortness of breath and lower extremity edema. rule out effusion or infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p13488637/s56064861/41cb582a-02365ee9-c916baf7-96e4ca68-d20f3f98.jpg | since the prior exam, the pulmonary edema has improved, and is now mild. bibasilar atelectasis, more pronounced on the left than the right, is not significantly changed. there is no new opacity to suggest pneumonia. there is no pleural effusion or pneumothorax. calcifications are noted at the aortic arch. moderate cardiomegaly is unchanged. there is no free air below the hemidiaphragms. | status post recent sphincterotomy with ercp. now with new hypoxemia. evaluate for pulmonary edema or pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p15826218/s51606838/9a29ed89-20ebb319-a2c468a4-2a122dfe-84f2e40c.jpg | the lungs are well inflated. slightly increased interstitial marking are seen but there is no confluent consolidation. there is a moderate cardiomegaly with a mildly prominent azygos vein. there is a small right sided pleural effusion. there is a tortuous aorta, but the mediastinal contour is unremarkable. there is no pneumothorax. degenerative changes are noted about the right ac joint. | <unk>-year-old female with recent chf and a diagnosis of amyloidosis on chemo with lethargy and generalized weakness. assess for evidence of pulmonary pathology. |
MIMIC-CXR-JPG/2.0.0/files/p13391297/s52745044/8dc64d24-fe0cda81-25c465ae-e3503a10-c181506a.jpg | frontal and lateral views of the chest were performed. the lung volumes are low, which does result in crowding of the bronchovascular structures. there is linear bibasilar atelectasis. there is no pleural effusion or pneumothorax. there is no focal airspace consolidation to suggest pneumonia. the cardiac and mediastinal contours, allowing for low lung volumes, are normal. clips are seen within the upper abdomen. left humeral and cervical hardware are partially imaged. | dyspnea, evaluate for heart failure or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17808483/s55343848/a7f26c74-84d16616-e79eba30-e3c7a268-2203f5bc.jpg | the lungs are clear. there is no pneumothorax or pleural effusion. cardiomediastinal contours are normal. mild spinal degenerative changes are present. | <unk> year old man with prolonged cough // ?consolidation |
MIMIC-CXR-JPG/2.0.0/files/p10681072/s51267558/8e0c974d-dab4709c-babde82b-eafaefaa-28a4306c.jpg | a left port is present with tip in the mid svc. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. surgical clips are seen projecting over the right upper quadrant. | fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p18841513/s54983505/e3752b65-ddd08a85-668a365d-477a1973-055a0cd9.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. a known opacity in the left lower lobe has resolved. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. | fever. question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p19878083/s50416492/95660111-3dcc6450-11626654-d9a21a82-70a197a3.jpg | <num> views of the chest. the lungs are well expanded with mild basal atelectasis. there is no pleural effusion or pneumothorax. the heart and mediastinal contours are unremarkable. no displaced rib fractures are identified. | right lower chest pain after mvc. |
MIMIC-CXR-JPG/2.0.0/files/p13299672/s51348692/e32c1997-16513a91-0b5473e5-2f8e2f69-5809e339.jpg | compared with <unk> at <time>, i doubt significant interval change. an et tube tip lies approximately <num> cm above the carina. an ng tube is present, tip and side-port beneath diaphragm. left subclavian picc line tip lies at the svc/ra junction. cardiomediastinal silhouette is unchanged. there is upper zone redistribution and minimal bibasilar atelectasis, similar to the prior film. no pneumothorax detected. biapical pleural thickening again noted. lumbar spine fixation hardware is again noted . | <unk> year old woman intubated following pea arrest with heroin overdose. // interval change, new hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p15270043/s50900056/0045f059-da1df199-7eb9124c-41670fc6-4b70cf77.jpg | the patient is slightly rotated. the lungs are hyperinflated. subtle lingular opacity may be due to atelectasis versus consolidation. no large pleural effusion is seen. there are no findings to suggest pneumothorax. the cardiac silhouette is top-normal. the aorta is calcified. the bones are diffusely osteopenic, no gross acute fracture is identified. | history: <unk>f with fall, head strike // ? fx bleed |
MIMIC-CXR-JPG/2.0.0/files/p18464774/s54770770/e5eb1ba2-e5349f85-a14dca27-07e2097f-5372fc60.jpg | lungs are clear. cardiac size is normal. mediastinal contours are unremarkable. there is slight blunting of the left costophrenic angle which is a chronic appearance since <unk>. there is no evidence of pneumonia, or pulmonary edema or pneumothorax. no fractures are identified on these non-dedicated films. | injury from horse. |
MIMIC-CXR-JPG/2.0.0/files/p18179663/s57973212/039a7558-038df9f7-f41a94bd-9bb7fb38-bf27f99d.jpg | there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal and hilar contours are normal. | wheezing, decreased breath sounds on the right. |
MIMIC-CXR-JPG/2.0.0/files/p17834931/s51336359/3d08647e-213550f7-6760d22d-e0aa3036-963c8791.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. a faint linear density abuts the left heart border likely a small area of platelike atelectasis or scarring. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with cp |
MIMIC-CXR-JPG/2.0.0/files/p17116674/s52619079/dfadb232-60ba8b01-4a207753-a3fae76f-042dd3ee.jpg | heart size is moderately enlarged but unchanged. the mediastinal and hilar contours are similar. there is mild pulmonary edema, though not substantially changed from the previous exam. small bilateral pleural effusions are increased in size compared to the prior exam. bibasilar airspace opacities may reflect atelectasis. no pneumothorax is identified. no acute osseous abnormality is present. | history: <unk>f with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p18588825/s53747604/c9a52433-a0a27e56-9f3b12a3-ecd69b32-1d3438ee.jpg | lung volumes are low. a left chest tube is been removed. no pneumothorax is noted. there is interval decrease in left pleural fluid or redistribution to the left lung base. there is streaky density at the lung bases consistent with subsegmental atelectasis, worse on the left. the heart and mediastinal structures are unchanged. the patient has been extubated. a nasogastric tube and endotracheal tube is been removed. very right internal jugular catheter remains in place. | eval for effusion |
MIMIC-CXR-JPG/2.0.0/files/p17361989/s57268808/5e5ff471-3507bc3b-4cb58efc-3a018984-a3ae7618.jpg | patchy right upper lobe opacity could be chronic or due to infection. no priors available for comparison. there is subtle patchy opacity left upper lung, to a lesser extent. streaky left base opacity is seen. no pleural effusion or pneumothorax. the cardiac silhouette is not enlarged. there is subtle right paratracheal opacity which could be due to fat although lymphadenopathy is not excluded. | history: <unk>m with hiv infxn, recent pna, unknown cd<num>, low grade fever today // please evaluate for acute infectious process |
MIMIC-CXR-JPG/2.0.0/files/p17060478/s52728525/c65fe4cd-9d2bc2b5-723aa299-369de876-07c002ba.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with chest pain, foot pain |
MIMIC-CXR-JPG/2.0.0/files/p12440965/s57800351/04378d86-b0c4ad30-7d22128e-94dca181-6b706579.jpg | the lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. pleural effusion seen, best demonstrated on the lateral view. moderate pulmonary edema is re- demonstrated. the cardiac and mediastinal silhouettes are stable. no pneumothorax is seen. | history: <unk>m with cough // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18115438/s51676529/c312a909-1f2d8d59-05379ba6-f29c706b-ea33b41b.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. | history: <unk>f with chest pain // eval for pna, ptx |
MIMIC-CXR-JPG/2.0.0/files/p17890530/s59146212/34a9df19-5e4d2731-b685a3a8-a1c395c7-0dbfa6d5.jpg | the cardiac silhouette is markedly enlarged. there is no pleural effusion or pneumothorax. mediastinal contour is normal. there is no focal consolidation. | <unk>f with cough, chest pain, evaluate for pneumonia.. |
MIMIC-CXR-JPG/2.0.0/files/p18230098/s52303389/6dbb396a-9af2341b-d6c85a86-70fb5aae-73193e1e.jpg | frontal and lateral views of the chest were performed. moderate cardiomegaly is unchanged. there is central vascular congestion, slightly worse from <unk>, without overt signs of pulmonary edema. there is no pneumothorax or focal airspace consolidation. the mediastinal contours are unchanged. the hilar and pleural structures are unremarkable. | coronary disease presenting with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13496169/s58654265/35732802-18d83da4-f67bd826-d93f3d6f-fa74ae78.jpg | frontal and lateral views of the chest demonstrate stable mild cardiomegaly. the mediastinal and hilar contours are within normal limits. the lungs are hyperexpanded with diaphragmatic flattening, consistent with emphysema. moderate atherosclerotic calcifications are seen along the entire extent of thoracic aorta, involving the arch. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. there is no appreciable compression deformity in the thoracic spine. | <unk>-year-old female with right flank/back pain. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13864769/s59818288/a479577a-976b031f-fb8887ba-baa66893-b5b04665.jpg | frontal and lateral radiographs of the chest show no focal consolidation, unchanged from the preceding radiograph. the lungs are clear without pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged from <unk>. | <unk>-year-old female with persistent cough and dyspnea with clinical concern for right lower lobe pneumonia, but negative chest radiograph, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13526418/s57122389/8093935c-aa57e498-6f63d38a-4782cde3-e86593e9.jpg | portable trauma radiograph of the chest. the patient is on a trauma board, which obscures fine bony detail. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no displaced fracture is seen. | motor vehicle collision. |
MIMIC-CXR-JPG/2.0.0/files/p14849149/s54527418/70dc8b3b-bacd3d1e-c985498d-73c77934-74382f2a.jpg | frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are normal. there is no pleural effusion, consolidation, or pneumothorax. | right-sided chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17021453/s56903858/a84f29ac-f1cc6b0c-f71367a0-e553aeca-e1918ee9.jpg | the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | <unk> year old man with cough, malaise // cough triggered by move to new apartment <num> months ago; apparent mold reaction --> r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19829170/s54349661/09179a6c-63a0d9fa-e5416bef-77f7c8b4-bdb6f8d3.jpg | a small focal opacity is seen in the right lower lung, concerning for pneumonia. the cardiomediastinal silhouette and pleural surfaces are normal. no pneumothorax or pleural effusion. | <unk> year old woman smoker with baseline chronic cough now w/ congested cough, right sided rhonchi // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13822053/s59273079/6fd47c98-d5bebcc4-11ca63f6-d11acbe2-9e08bbcf.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 chest pain and cough // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12293903/s50649402/ebd5b298-90877303-6055614e-69fb72c5-7c6f10ab.jpg | the endotracheal tube and nasogastric tube are unchanged in position. there is worsening congestive heart failure and pulmonary edema. there are small bilateral pleural effusions. the heart remains enlarged. | intraparenchymal bleed |
MIMIC-CXR-JPG/2.0.0/files/p19767548/s53458503/58f45956-f260b9a6-520c9a39-4cb6920c-83791efd.jpg | frontal and lateral radiographs of the chest were acquired. there has been interval removal of a left tunneled dialysis catheter with interval placement of a right tunneled dialysis catheter, with its tip ending in the high right atrium. there is engorgement of the pulmonary vasculature without frank interstitial pulmonary edema. there is no focal consolidation. the heart size is top normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. there is increased sclerosis of the vertebral body endplates throughout the thoracic spine, best appreciated on the lateral projection, suggestive of renal osteodystrophy. | bacteremia. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10922531/s59319810/ad42f6d0-30ea2d5a-4a57d2e7-c27f13b3-f53fb097.jpg | compared to the prior exam, lung volumes have decreased. the large right pneumothorax appears to have increased in size with focal decreased aeration of the lung what particular and right lower lobe with the pigtail catheter clamped. otherwise, no significant interval change. no left pneumothorax or effusion. | this is an <unk> m with asthma, afib on pradaxa, chf (ef unknown), prostate cancer in remission with recent chf exacerbation at <unk> c/b diagnostic/therapeutic thoracentesis resulting in pneumothorax which had been stable, noted to have enlarged ptx in<unk> clinic for which pigtail was placed now admitted for persistent airleak. // pelase perform at <unk>. eval interval change while chest tube clamped |
MIMIC-CXR-JPG/2.0.0/files/p14683340/s57794201/87c4c022-e1880e6d-86104673-015cfa9b-15efda00.jpg | mild degenerative changes noted at the left ac joint. the heart size is within normal limits. there is no pleural effusion. no displaced rib fractures are seen. no focal opacity is seen. | history: <unk>f with syncope and head trauma // ptx, sdh, fx |
MIMIC-CXR-JPG/2.0.0/files/p16317401/s52329707/4b50fa97-493f772c-90f8c345-6c044506-50356eaf.jpg | left lower lung atelectasis is mild. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality. | <unk>-year-old man presenting with a productive cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17687050/s53630066/5f12d53c-4abf80e3-3990f547-cd78271d-5240ce5a.jpg | the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, mid thoracic dextroscoliosis is noted. | <unk>f with chest pain // evaluate for ptx, pneumonia, volume status, effusion |
MIMIC-CXR-JPG/2.0.0/files/p19088387/s54466702/97dbf971-8a01cc13-a1c4b642-a6f4fe05-1e43a10d.jpg | stable, moderate cardiomegaly. mediastinal and hilar contours are unchanged. interval increase in bilateral interstitial markings and central ill-defined opacities, more pronounced on the right, suggests worsening, moderate to severe pulmonary edema. increased, focal opacity in the right apex with silhouetting of the right paratracheal stripe may represent pneumonia or alveolar edema in the right upper lobe. right upper lobe alveolar edema can be seen in severe mitral regurgitation. consider echocardiographic evaluation if clinically indicated. new, small, bilateral pleural effusions with increasing atelectasis at the left base. | <unk>-year-old woman with a history of diabetes and heart failure, now with worsening hypoxia. evaluate for an acute pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p12522883/s52491824/c7600022-f13f3eeb-dcb7b88e-1a44e846-f15f8211.jpg | study is slightly limited by lordotic positioning. heart size remains moderately enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. apart from minimal atelectasis in the left lung base, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | <unk>m with symptomatic bradycardia, shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p13719696/s59043105/d3011199-13a3a2d7-891fd52f-a9063e5d-aa66d94e.jpg | frontal, lateral, and oblique views of the chest demonstrate a left picc line, which terminates in the superior-to-mid portion of the svc. otherwise, there is no relevant change from the prior radiograph. degenerative changes of the thoracic spine are noted. increased ap diameter and flattening of the diaphragms also noted, consistent with chronic obstructive pulmonary disease. | picc line confirmation. |
MIMIC-CXR-JPG/2.0.0/files/p19348906/s53400581/840f3a06-1ee09af8-023fc538-623f5baf-b2e4b40e.jpg | cardiomediastinal contours are unchanged. cardiac size is normal. patient has known large hiatal hernia. bibasilar atelectasis have markedly improved. bilateral effusions are small. there is no pneumothorax. the upper lungs are clear. sternal wires are aligned. patient is status post avr | <unk> year old woman with s/p cabg/avr // eval postop changes |
MIMIC-CXR-JPG/2.0.0/files/p15848239/s53869017/c2c2e218-32ecc2d9-b1dac746-d5e99060-47265468.jpg | the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized. no free air is noted under the diaphragms. | abdominal pain compatible with prior gastroparesis and diabetic ketoacidosis. |
MIMIC-CXR-JPG/2.0.0/files/p12002285/s51668897/addd05d0-11be1f0f-c7502029-5002e3ce-d7763ed7.jpg | the lungs are grossly clear. there is no definite focal consolidation. cardiomediastinal silhouette is stable. median sternotomy wires and mediastinal clips are again noted. bilateral shoulder arthroplasties are again seen. | <unk>f with fall, head strike, on coumadin // any e/o trauma, pna? |
MIMIC-CXR-JPG/2.0.0/files/p12529299/s58719458/40bf323c-cd1c7868-f86a0256-a9a79a9a-b840abee.jpg | endotracheal tube terminates approximately <num> cm above the level of the carina. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac silhouette is top-normal. mediastinal contours are unremarkable. gaseous distention of the partially imaged stomach is noted. | history: <unk>m with s/p intubated right left *** warning *** multiple patients with same last name! // eval worsening nchct eval for tube placemenr |
MIMIC-CXR-JPG/2.0.0/files/p14300020/s54585158/85ae9a6a-9e6fa83c-7cb89b9a-9a5ac497-e4da4eb4.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is stable. | <unk> year old man with shortness of breath, evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p18815090/s51273405/ef0b9864-dcaf9760-f303d780-a25936c3-154368e0.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified. | thoracic back pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16988043/s58319728/d4387ec6-f081eac1-4ccadbd5-654ff9d7-82776f54.jpg | left-sided port-a-cath tip terminates in the mid svc. heart size is normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. | history: <unk>f with fever/ cold symptoms |
MIMIC-CXR-JPG/2.0.0/files/p19607985/s50194420/c3ad0d6f-503e1d14-a7315137-db3f5ac1-7e44e849.jpg | the endotracheal tube terminates at the level of the clavicles. a nasogastric tube coils in the stomach, tip not visualized. minimal retrocardiac atelectasis is unchanged. small bilateral layering pleural effusions are unchanged, right greater than left. there is no pneumothorax. the heart and mediastinum are within normal limits despite the projection. | <unk> year old man with fevers, intubated // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p15023390/s54951120/7541868b-33ee4fb3-b8fb0035-ee959439-0a775a71.jpg | a right picc is in the mid svc at the level of the carina, slightly retracted since the prior study. there is no focal consolidation, pleural effusion or pneumothorax. subsegmental atelectasis in the left lower lung is noted. there is severe dextroscoliosis of the thoracic spine. the cardiomediastinal silhouette is unchanged. a rounded calcified structure in the left upper abdomen likely represents the calcified splenic artery aneurysm seen on the prior chest ct. | <unk> year old woman with possible pneumonia, picc in place // ? picc placement-- pt reports it has pulled out several inches overnight |
MIMIC-CXR-JPG/2.0.0/files/p14651521/s57948530/a13b0b05-b3495f64-cd391e75-b59a0d54-2e11d78c.jpg | lungs are fully expanded and clear. no pleural abnormalities. moderate cardiomegaly is unchanged since at least <unk>. no pulmonary vascular congestion or pulmonary edema. cardiomediastinal and hilar silhouettes are normal. | <unk> year old woman with stroke, desats with activity // ?edema |
MIMIC-CXR-JPG/2.0.0/files/p12860444/s56129420/e55ef95e-bd4726d4-ae173a9a-98f20fd6-0780fbd5.jpg | surgical drains project over the left hemithorax. no focal consolidation, pleural effusion or pneumothorax identified. unchanged atelectasis in the left medial lung zone. the size of the cardiac silhouette is within normal limits. the tip of the endotracheal tube projects <num> cm in the carina. | <unk> year old woman s/p l breast excision s/p hematoma evacuation // please assess for acute changes |
MIMIC-CXR-JPG/2.0.0/files/p11976185/s57013436/63256000-73d5131c-8e94e9ef-32e0002c-69b92464.jpg | the heart is mildly enlarged. the mediastinal and hilar contours appear within normal limits. a small hyperdense nodule projecting over the right upper lobe appears unchanged, probably calcified. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax. minimal degenerative changes are noted along the mid thoracic spine. | question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10024331/s57724025/17da8d5f-20eebb6e-cf8b33eb-e314536d-75e8897b.jpg | the heart size is normal. the mediastinal and hilar contours are unchanged, and the pulmonary vascularity is normal. leftward deviation of the upper trachea is due to a right thyroid nodule and is unchanged. streaky opacities in the lung bases are unchanged, and likely reflects chronic aspiration and scarring. additionally, blunting of the right costophrenic sulcus on the frontal view is unchanged from the prior exam and likely reflects pleural thickening. no new focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p16142940/s51625976/ce7d144a-a25d1ffe-15d7e41a-43d29356-d22d4ebc.jpg | again seen is the right pleurx catheter. the small right-sided pleural effusion is stable. the pneumothorax is stable. the heart remains enlarged. there is linear lingular atelectasis. | pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16952127/s58287899/d6356b39-ddaaaf29-9543c846-f9579416-3fc10fb9.jpg | moderate enlargement of the cardiac silhouette is re- demonstrated. the mediastinal contour is unchanged with atherosclerotic calcifications noted at the aortic knob. moderate to severe pulmonary edema appears minimally worse compared to the previous study with continued small bilateral pleural effusions. more focal opacities at the lung bases may reflect areas of atelectasis. no pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>m with dyspnea, hypoxia, aortic stenosis |
MIMIC-CXR-JPG/2.0.0/files/p12265028/s55007015/1dcceb34-f2f80b45-56873fe5-d5e98e3a-6281139e.jpg | the cardiomediastinal silhouettes are stable since the prior chest x-ray, and conform with the chest ct findings of <unk>. no definite new focal consolidation, effusion, or pneumothorax. | history: <unk>m with dyspnea, hypoxia, fevers. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17554575/s52332954/b11e9f65-3c35f990-2e8518fe-747ce0db-c939a354.jpg | again seen is a very large hiatal hernia, unchanged in configuration since <unk>. no superimposed pulmonary consolidation, pleural effusion, or pneumothorax is detected. the heart size remains normal. there is moderate tortuosity of the thoracic aorta. calcifications are again seen throughout the trachea and proximal bronchi. | history: <unk>f with recent pneumonia, treated one month ago, here for followup for resolution // eval for pneumonina |
MIMIC-CXR-JPG/2.0.0/files/p14385319/s57774141/3d957c23-1e68bd53-2aa716b7-167a79ea-2125fa2f.jpg | pa and lateral radiographs of the chest demonstrate slightly decreased inspiratory lung volumes. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. slightly increased opacification of the right heart border is consistent with mild atelectasis. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. | <unk>-year-old male with shortness of breath and cough, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17736320/s52575191/8cc12630-eafb4bc0-294d6ea7-deae4fce-74cda03d.jpg | there is diffuse reticular interstitial changes suspicious of underlying interstitial lung disease. superimposed pulmonary edema is unchanged since <unk>. considering the extensive underlying pulmonary disease, it is difficult exclude pneumonia. cardiomediastinal silhouette is unchanged. | <unk> year old man with heart failure, chf, dvt, ? underlying fibrosi vs infiltrate seen on previous cxr // please evaluate interval change in edema, and question of underlying fibrosis / infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15765403/s57714998/60a8a123-069a5b0f-4ce46e37-eaabde38-0c9e78d9.jpg | pulmonary vascular congestion and mild pulmonary edema have improved compared with the prior study. marked cardiomegaly is persistent but likely slightly improved as well. bibasilar opacities likely represent atelectasis, however superimposed consolidation cannot be excluded. tracheostomy tube is unchanged. left picc terminates at the origin of the svc. | <unk>f with shortness of breath, evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p14952873/s51394333/52e32f36-f735572e-42d3fcb8-e5d65622-a9d953c7.jpg | ap upright and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip extending to the low svc. there is mild elevation of the right hemidiaphragm. mild bibasilar atelectasis is noted without definite signs of pneumonia. cardiomediastinal silhouette is stable. no pneumothorax or large effusion. bony structures appear intact. | <unk>m with cough, confusion // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg | the three chest tubes remain stable in position compared to the prior study. the appearance of the right hemithorax including the clips is unchanged as compared to the previous examination; however, it appears that the soft tissue collection of air has increased in size. there is increased gas filling of colon interposed between the chest wall and the liver, and continued elevation of the right hemidiaphragm. unchanged normal appearance of the cardiac silhouette and the left lung. no current evidence of pneumothorax. | <unk>-year-old man status post right thoracotomy, decortication, now with chest tube x <num> to water seal. |
MIMIC-CXR-JPG/2.0.0/files/p16586450/s57985867/bd95d6d9-1ff983e8-0b8a594c-91922606-93647900.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 chest pain // r/o pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p15426827/s52387103/6a7089b3-3c2ed6fc-3b870f23-e69f26ee-a06dc829.jpg | pa and lateral views of the chest. no prior. the lungs are clear. there is no evidence of overt volume overload. costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with cirrhosis and ascites, malaise. question volume overload or occult pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19753816/s57924286/282bb9a3-28235c83-a89466bf-b2dbc649-ed8bc3c2.jpg | lung volumes are low, resulting in bronchovascular crowding. the cardiac silhouette is unchanged with mils cardiomegaly. no pneumothorax, pleural effusion, or consolidation. | history: <unk>f with sob // ?acuter cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p12096587/s54070528/2d968b1c-ce5016a7-7efcb27e-ae0fd919-9e2efefa.jpg | the cardiac silhouette is stably enlarged. again seen is pulmonary vascular congestion, possibly mildly improved since most recent examination. again noted is retrocardiac opacity, which may represent atelectasis. small, bilateral pleural effusions are present. no pneumothorax identified. | <unk>f w/ hx of atrial fibrillation, alzheimer's dementia, htn, gerd, cad, dm, diastolic chf who is brought here (via osh) from nursing home, where she developed respiratory distress and bradycardia to the <num>s. // has pulmonary edema resolved? |
MIMIC-CXR-JPG/2.0.0/files/p16560392/s54019845/f0257854-e90a281b-9cf3bd92-98e45bd6-ffeab8c8.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. | polyarthritis on prednisone, presenting with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15273049/s57538075/fe99195c-f5e33e07-afa85c6b-f73daf63-fcb38220.jpg | the cardiomediastinal silhouette is stable. there is minimal bibasilar atelectasis. no focal consolidation is seen. there is no pleural effusion or pneumothorax. subtle right paratracheal opacity is likely due to overlapping structures and is stable since at least <unk>. | productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p16366239/s51715470/e10082e7-12f0b018-13fae9c6-b2dde160-c08cb88a.jpg | the patient is rotated somewhat to the right. lung volumes are low. there is basilar atelectasis. left base opacity could be due to atelectasis or pneumonia. no pleural effusion is seen. there is no pneumothorax. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable given differences in technique and inspiration.. | history: <unk>f with doe // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p13121952/s53942419/f9150c3d-b5cc0e6b-792e0b70-7b4bd0e9-cea46bff.jpg | patient is status post median sternotomy and cabg.no focal consolidation is seen. there is no pleural effusion or pneumothorax the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. | history: <unk>f post fall, no focal neuro deficits, alert and oriented // <unk> yo female seen post fall, evaluate for chest infection |
MIMIC-CXR-JPG/2.0.0/files/p17703217/s58107309/9124fd6b-75bfb618-675072c4-e0948fa4-e7b9e4a8.jpg | frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no displaced rib fracture identified. | right-sided chest pain. evaluate for pneumothorax, pneumonia, or rib fracture. |
MIMIC-CXR-JPG/2.0.0/files/p15481590/s54132667/ffeedc7f-ab3cea3b-89dbe21a-a9379563-2a6466a2.jpg | frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are again noted at the aortic arch. degenerative changes are seen at the right shoulder. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19743084/s52053888/4a172081-96c5586b-6f27bd7a-e4537978-6a0fc327.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is no free air under the diaphragm. | <unk>-year-old male with right upper quadrant versus right lower chest pain for <num> days. evaluate for subcutaneous air or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16078742/s52971735/0ec1d7c9-9d3557ac-7254f2d3-cdfffbe3-07a446be.jpg | 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. bony structures are unremarkable. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19021087/s50640829/f8a2d4b3-186460bd-f590a071-d593d8d2-886ebba5.jpg | the ng tube tip is difficult to visualize. is probably just at the ge junction, too high. again seen are dilated loops of small bowel compatible with patient's known small bowel obstruction. the visualized portions of the lungs show no new infiltrate. the known lingular granuloma is again visualized. | <unk> year old man with ngt placement // placement of ngt |
MIMIC-CXR-JPG/2.0.0/files/p18975148/s51358266/fa7127ce-82840885-23c76618-8d3870cf-29b3cbd4.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. somewhat linear opacity in the right upper lobe is most suggestive of scarring and is unchanged from prior. biapical scarring is also noted. there is no superimposed new region of consolidation nor effusion. cardiomediastinal silhouette is unchanged. right hilum is tented superiorly likely from scarring detailed above. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with hyperglycemia, no obvious signs of infection. |
MIMIC-CXR-JPG/2.0.0/files/p13391297/s59110316/fd9dfecb-ff7730f2-4160a1cc-2c1a48ee-624a7aaf.jpg | in comparison with chest radiographs from <unk>, lung volumes remain low. predominantly linear bibasilar opacities are unchanged and likely reflect atelectasis. there is no focal consolidation, effusion, or pneumothorax. there is no central vascular congestion or overt pulmonary edema. the cardiomediastinal silhouette is normal. cholecystectomy clips are seen in the right upper quadrant. surgical hardware from prior posterior fusion surgery in the cervical spine is noted. | <unk> year old man with copd exacerbation, cough, shortness of breath // any infiltrate or edema |
MIMIC-CXR-JPG/2.0.0/files/p12657350/s53633070/6bde95f8-a9c90417-55df2cf8-886315b8-87b3d11c.jpg | portable upright chest radiograph <unk> at <num> is submitted. | <unk> year old woman with nsclc, now with tachypnea and progressive o<num> requirement. also with svt // eval pulm edema/fluid status. eval pulm edema/fluid status. |
MIMIC-CXR-JPG/2.0.0/files/p13502902/s56895764/8f0abb94-d30087ef-bbc1bfe1-d881ad60-8c4bf9f0.jpg | there has been interval development of relatively extensive airspace opacity in the left mid lung. no silhouetting of the left heart border likely reflecting left lower lobe consolidation. there is a probable small left pleural effusion. the right lung appears grossly clear. the cardiomediastinal contour is unchanged compared to the prior study allowing for differences in imaging technique. no pneumothorax seen. | <unk> year old woman with sah , new hypoxia. // cxr to evaluate hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p19935359/s56599533/16804a1f-b1a01734-58100477-70156a3f-b13d0e2b.jpg | frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is normal. there is no pulmonary edema. a port-a-cath tip projects over distal svc. | patient with metastatic esophageal cancer, now with recurrent coughing and vomiting. |
MIMIC-CXR-JPG/2.0.0/files/p14037785/s56102513/951a7888-80b282d8-37f62095-3e3f5445-3bdee702.jpg | the tip of the endotracheal tube is situated <num> cm above the carina. an enteric tube is also identified with the tip projecting over the body year of the stomach but the side port is at the ge junction. lung volumes are low with moderate to severe pulmonary edema. there is also atelectasis at the left lung base. there is no large pleural effusion or pneumothorax. | <unk>m with s/p arrest, intubated, evaluate for tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p18829315/s59086591/d8142af6-0be1bde4-59d6f9fa-64bac3f6-e92b38ce.jpg | there are low lung volumes, leading to the appearance of increased heart size and interstitial lung markings. there is increased opacification at both bases with blunting of both costophrenic sulci, indicating pleural effusion and atelectasis. there is no pneumothorax. there is evidence of prior spinal surgery. | <unk>-year-old male with fever. |
MIMIC-CXR-JPG/2.0.0/files/p11902171/s54894832/1fe9522b-9c516593-7cec3f5d-3f321d3b-111854e6.jpg | relative linear right basilar opacity is most suggestive of atelectasis. elsewhere, the lungs are clear. cardiomediastinal silhouette is within normal limits. right humeral head is relatively inferiorly positioned with respect to the glenoid as seen on recent shoulder films. | <unk>m with r shoulder joint infection // pre-op |
MIMIC-CXR-JPG/2.0.0/files/p17648953/s50870749/db2fafd0-547e4e98-5196583b-18ebdbe3-1ed81b57.jpg | the right chest port-a-cath terminates in the right atrium, stable from <unk>. right lower lung opacity obscures the right heart border and right hemidiaphragm, with corresponding opacities on lateral view. this is new since prior study. mediastinal contours, hila, and cardiac silhouette are otherwise normal. no pulmonary edema, pleural effusion, or pneumothorax. | <unk>f with fever cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12238440/s55024354/f522c05b-97dc1b8c-4783add0-2dadc0ca-ae3eb8c3.jpg | pa and lateral upright views of the chest were obtained. the lungs are clear bilaterally with no focal areas of consolidation, pleural effusion or pneumothorax. the heart and mediastinal contours appear normal. the visualized osseous structures and soft tissues appear intact. | evaluation for pneumonia in a patient status post splenectomy with polycythemia <unk> and a history of follicular thyroid cancer. |
MIMIC-CXR-JPG/2.0.0/files/p13045791/s59229694/47eedb9a-9fe4a087-bba97f19-63de86e6-a964318f.jpg | frontal and lateral radiographs of the chest demonstrate stable post-operative changes of the left hemithorax, consistent with recent left upper lobectomy. no pneumothorax is seen. there has been decrease in the amount of subcutaneous emphysema. the right lung is clear. | <unk>-year-old man status post left upper lobectomy. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p17180496/s52643362/ce8c5d6b-8a0543ab-1564b038-29f58ad1-6ee41192.jpg | the lungs are well expanded and grossly clear. there is a large hiatal hernia with stable appearance compared to prior. there is no pulmonary edema, pleural effusion or calcifications, or pneumothorax. the cardiac size cannot be assessed. the mediastinal and hilar contours are normal. there is marked scoliosis. | <unk>-year-old, rule out signs of tb. |
MIMIC-CXR-JPG/2.0.0/files/p18305899/s51206826/723b9f9b-1af43826-56b8f971-e91879a6-8b19bae9.jpg | again noted are bilateral calcified pleural plaques. right basilar opacity silhouetting the hemidiaphragm is compatible with probable rounded atelectasis. there are however probable new underlying interstitial markings as well small bilateral pleural effusions. small hiatal hernia is noted. cardiomediastinal silhouette is enlarged but grossly unchanged. no acute osseous abnormalities. | <unk>m with sob, ekg changes, and b/l crackles to half-way up lungs // evaluate for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p11165613/s54988635/c096d9b2-fff471b9-b9b8c852-0ff732c3-89127b46.jpg | the endotracheal tube is low lying, terminating <num> cm from the carina. an enteric tube is noted with tip in the stomach. heart size is normal. the aortic knob is calcified. the mediastinal contours are unremarkable. there is no pulmonary edema demonstrated. streaky bibasilar airspace opacities are concerning for aspiration or pneumonia. no pleural effusion or pneumothorax is seen. remote fracture of the left humeral surgical neck is demonstrated. remote bilateral rib fractures also are noted. partially imaged is fusion hardware within the lumbar spine. embolization coils are noted within the left upper quadrant of the abdomen. | hypoxia, now intubated. |
MIMIC-CXR-JPG/2.0.0/files/p19425944/s52739145/be9c2eaa-65a383aa-b776713b-245f08ae-771338ee.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 chest pain |
MIMIC-CXR-JPG/2.0.0/files/p10585182/s56669745/edeec580-e8606cba-aa510902-8baaee95-4d81a674.jpg | previously seen opacity in the right upper lobe is decreased and left perihilar opacity unchanged compared to prior study from <unk>. no pleural effusion or pneumothorax is seen. moderate cardiomegaly is unchanged. the aorta is tortuous. postsurgical clips are noted. | <unk> year old woman with severe asthma, chf with ef <unk>%, h/o breast cancer s/p radiation <unk>, with recent pneumonia vs. cop, now completed steroids and feeling better. ? new baseline // any change in infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p13185559/s55723917/e868ec06-f9d5e1fa-c6223b44-2bd5ff0b-974f3d7d.jpg | the heart size is normal. a moderate size hiatal hernia is visualized. the hilar contours are normal. no pulmonary vascular engorgement is seen. asymmetric patchy opacity is noted within the left lung base. somewhat linear and reticular opacities in the right mid lung field may reflect scarring. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | new onset atrial fibrillation. |
MIMIC-CXR-JPG/2.0.0/files/p16901707/s54982619/ba3fe99d-64f00300-95284272-20b328d0-21cd83c3.jpg | left hemodialysis catheter ends in the right atrium. mediastinal clips and sternotomy wires are in appropriate position. mild-to-moderate cardiomegaly is unchanged. mild pulmonary vascular congestion is unchanged. mild left basilar atelectasis with likely tiny left pleural effusion. right lung is clear. no evidence of pneumonia. | fall and rib fracture, now fever, evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p15150922/s56316163/559f22fd-cc3136c9-60156b3e-e5e4f3fb-2e2f512e.jpg | pa and lateral chest radiographs were obtained. the lungs are well inflated and clear. no focal consolidation, nodule, effusion, or pneumothorax is present. the heart and mediastinal contours are normal. | <unk>-year-old man with worsening dyspnea on exertion, rule out acute pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p15102449/s53461818/dc0bc102-4f10d7d5-39d848be-9b4bcbca-6b9283ce.jpg | frontal and lateral chest radiographs demonstrate a tortuous descending aorta. otherwise, the cardiomediastinal and hilar contours are unremarkable. the lungs are somewhat hyperexpanded, but clear. no pleural effusion or pneumothorax evident. no osseous abnormality identified. | syncope. heart rate in the <num>s. please evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p19569832/s57506649/ea4b3749-22efc459-c7d6ce86-025ee06d-0c077546.jpg | the ng tube is seen within the stomach. a left subclavian central venous catheter ends in the upper svc. there has been removal of the endotracheal tube. in comparison to the prior radiograph, there are lower lung volumes with new mild hazy bibasilar opacities consistent with atelectasis. the cardiomediastinal silhouette appears slightly larger, likely due to the lower lung volumes. there is no pleural effusion or pneumothorax. an ivc filter is seen within the abdomen. | history of subdural hematoma status post evacuation. evaluate placement of ng tube. |
MIMIC-CXR-JPG/2.0.0/files/p15069333/s54028459/9787f0fd-3c3f26bc-71de17c5-f12c4b4f-5182c589.jpg | exam is limited secondary to patient positioning. her head and face obscure the upper lungs. small to moderate bilateral pleural effusions are noted with superimposed pulmonary vascular congestion. no definite superimposed focal consolidation identified. degree of cardiomegaly is similar compared to prior. left chest wall dual lead pacing device is noted. s shaped thoracolumbar scoliosis is noted as well as mild small height loss of <num> thoracic and lumbar vertebral bodies, age indeterminate. | <unk>f with pericardial effusion, dyspnea // evaluate for pulmonary congestion, cardiomegaly |
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