uid
int64 1
4k
| MeSH
stringlengths 6
379
| Problems
stringlengths 4
196
| image
stringlengths 7
319
| indication
stringlengths 2
228
⌀ | comparison
stringlengths 1
330
⌀ | findings
stringlengths 33
1.05k
⌀ | impression
stringlengths 5
887
⌀ | img_frontal
unknown | img_lateral
unknown |
|---|---|---|---|---|---|---|---|---|---|
207 | normal | normal | Xray Chest PA and Lateral | XXXX, right sided rib pain after falling on the XXXX. | None. | Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. No acute bony abnormalities. | No acute cardiopulmonary process. No obvious rib fractures. . | null | null |
208 | normal | normal | PA and lateral chest, XXXX, XXXX XXXX PM | XXXX-year-old male with XXXX for 2 months unrelieved by conservative treatment. | None. | The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm. | 1. No acute radiographic cardiopulmonary process. | null | null |
209 | Aorta/tortuous/mild;Calcinosis/aorta/mild | Aorta;Calcinosis | PA and lateral chest XXXX, XXXX at XXXX | History of XXXX vehicle collision | null | null | Heart size normal. Slightly tortuous calcified aorta. No pneumothorax or effusion. No evidence of aortic transection. | null | null |
210 | Surgical Instruments/thorax;Cicatrix/lung/base/left/small | Surgical Instruments;Cicatrix | Xray Chest PA and Lateral | Vomiting beginning last XXXX. XXXX | null | There are numerous surgical clips at the thoracic inlet. Small areas of XXXX scarring are seen in the left base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. | No acute pulmonary disease. | null | null |
211 | normal | normal | Chest radiographs, 2 images. | XXXX-year-old woman with pain and decreased range of motion. | XXXX. | Normal heart size. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion. | No acute cardiopulmonary abnormality. | null | null |
212 | Lung, Hyperlucent/apex/bilateral;Fractures, Bone/ribs/left/healed | Lung, Hyperlucent;Fractures, Bone | PA AND LATERAL VIEWS OF THE CHEST, RIGHT SHOULDER 3 VIEWS dated XXXX at XXXX hours | XXXX, shoulder pain | AP chest dated XXXX | Chest: Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Hyperlucent apices. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Healed remote left 9th rib fracture. Right shoulder: Negative for fracture or dislocation. | Chest. Right shoulder. 1. No acute cardiopulmonary abnormality. 2. Negative for right shoulder fracture or dislocation. | null | null |
214 | Cardiomegaly/moderate;Implanted Medical Device/pulmonary artery | Cardiomegaly;Implanted Medical Device | Xray Chest PA and Lateral | D transposition of the great XXXX | XXXX, XXXX | null | The 3 XXXX XXXX remain intact, and the prosthetic pulmonic valve is unchanged in position. A fourth XXXX XXXX remains disrupted. There is persistent mild to moderate cardiomegaly. The lungs appear clear. | null | null |
215 | Cardiomegaly;Calcified Granuloma/lung/lingula;Calcified Granuloma/lung/upper lobe/left;Granulomatous Disease;Scoliosis/thoracic vertebrae/left/moderate;Scoliosis/lumbar vertebrae/right/mild;Scoliosis/thoracic vertebrae/right/mild | Cardiomegaly;Calcified Granuloma;Calcified Granuloma;Granulomatous Disease;Scoliosis;Scoliosis;Scoliosis | Xray Chest PA and Lateral | XXXX-year-old female with pulmonary regurgitation. | Chest x-XXXX XXXX and lateral from XXXX. | Stable cardiomegaly. XXXX sternotomy XXXX are intact. No pneumothorax or pleural effusion. XXXX calcific density in the left mid to upper lung XXXX represents old granulomatous disease. No focal consolidation. Stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis. | 1. Stable cardiomegaly with no focal airspace disease. 2. Stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis. . | null | null |
216 | Cardiac Shadow/enlarged;Pulmonary Atelectasis/base/bilateral/mild;Cardiomegaly | Cardiac Shadow;Pulmonary Atelectasis;Cardiomegaly | PA and lateral chest x-XXXX XXXX. | XXXX-year-old woman with XXXX onset of chest pain | null | The cardiac silhouette is enlarged and has a globular appearance. Mild bibasilar dependent atelectasis. No pneumothorax or large pleural effusion. No acute bone abnormality. | Cardiomegaly with globular appearance of the cardiac silhouette. Considerations would include pericardial effusion or dilated cardiomyopathy. | null | null |
217 | normal | normal | Radiographs of chest PA and lateral, two views. | XXXX. Dyspnea. | null | null | Normal heart size and normal mediastinal contours. Normal pulmonary vasculature. No XXXX of pleural effusions. No infiltrates. Normal X-XXXX of chest. | null | null |
218 | Calcinosis/aorta;Opacity/lung/bilateral;Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive | Calcinosis;Opacity;Lung;Pulmonary Disease, Chronic Obstructive | Xray Chest PA and Lateral | XXXX-year-old female with XXXX | null | Heart size is unchanged. Aortic calcification is noted. No pneumothorax. No large pleural effusions. There are unchanged XXXX opacities throughout the lungs which XXXX represent scarring. Lungs are hyperexpanded. | No acute cardiopulmonary abnormalities. Stable chronic lung disease. . | null | null |
219 | normal | normal | Xray Chest PA and Lateral | Melanoma | XXXX, XXXX | Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. | No x-XXXX evidence of pulmonary metastatic disease. Stable appearance of the chest. | null | null |
220 | Catheters, Indwelling;Nodule/lung/bilateral/multiple;Nodule/lung/lingula/prominent | Catheters, Indwelling;Nodule;Nodule | CHEST 2V FRONTAL/LATERAL | Metastatic colon cancer | XXXX, XXXX 10 | The heart is normal in size. The mediastinum is stable. Left-sided chest XXXX is again visualized with tip at cavoatrial junction. There is no pneumothorax. Numerous bilateral pulmonary nodules have increased in size and number XXXX compared to prior study. The dominant nodule/mass in the left midlung is also mildly increased. There is no pleural effusion. | Interval increase in size and number of innumerable bilateral pulmonary nodules consistent with worsening metastatic disease. | null | null |
221 | Atherosclerosis/aorta;Costophrenic Angle/left/blunted/mild;Spondylosis/thoracic vertebrae | Atherosclerosis;Costophrenic Angle;Spondylosis | Chest, 2 views, frontal and lateral | Preop lumbar spine surgery | None. | Cardiac and mediastinal contours are within normal limits. Atherosclerotic aorta. Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. No confluent lobar consolidation or large volume pleural effusion. Thoracic spondylosis. | Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. | null | null |
222 | normal | normal | Xray Chest PA and Lateral | Chronic XXXX. | null | The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. | 1. No evidence of active disease. | null | null |
223 | Markings/bronchovascular | Markings | Xray Chest PA and Lateral | XXXX-year-old female, short of breath, chest pain | null | Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema. | No acute findings | null | null |
224 | normal | normal | Chest radiographs, 2 images. | XXXX-year-old with dyspnea. | XXXX. | Clear lungs. Normal heart. No pneumothorax. No pleural effusion. Old right rib fractures. | No acute cardiopulmonary abnormality. | null | null |
225 | normal | normal | Xray Chest PA and Lateral | XXXX-year-old male with XXXX, shortness breath, and asthma. | None. | Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No acute bony abnormalities. | No acute cardiopulmonary abnormalities. . | null | null |
226 | normal | normal | Xray Chest PA and Lateral | Preop anesthesia XXXX | None. | The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. | No acute process. | null | null |
227 | Cardiomegaly;Pulmonary Congestion/prominent;Opacity/lung/base/bilateral/interstitial/diffuse/mild;Pulmonary Edema/interstitial;Pleural Effusion/bilateral | Cardiomegaly;Pulmonary Congestion;Opacity;Pulmonary Edema;Pleural Effusion | Xray Chest PA and Lateral | XXXX-year-old male with dyspnea, chest pain | Chest XXXX | Heart is enlarged. There is prominence of the central pulmonary vasculature. Mild diffuse interstitial opacities bilaterally, predominantly in the bases, with no focal consolidation, pleural effusion, or pneumothoraces. XXXX and soft tissues are unremarkable. | Cardiomegaly with pulmonary interstitial edema and XXXX bilateral pleural effusions. . | null | null |
228 | Subcutaneous Emphysema/neck/bilateral;Subcutaneous Emphysema/thorax/left;Subcutaneous Emphysema/abdomen/right;Surgical Instruments/right | Subcutaneous Emphysema;Subcutaneous Emphysema;Subcutaneous Emphysema;Surgical Instruments | Xray Chest PA and Lateral | XXXX-year-old male, status post pyeloplasty. | None available. | Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Surgical XXXX is noted in the right upper quadrant. Subcutaneous emphysema seen along the neck bilaterally, right lateral upper abdomen, and left chest. | 1. No acute cardiopulmonary abnormality. 2. Subcutaneous emphysema of the neck, left lateral chest, and right lateral abdominal soft tissues noted. . | null | null |
229 | Calcinosis/mediastinum;Nodule/lung/upper lobe/right | Calcinosis;Nodule | Xray Chest PA and Lateral | XXXX-year-old female, XXXX, XXXX of breath, chest pain | null | Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mediastinal calcification and dense right upper lung nodule suggest a previous granulomatous process. | No acute cardiopulmonary findings | null | null |
230 | Nodule/lung/lingula | Nodule | 2 VIEW CHEST: XXXX, XXXX at XXXX hours. | XXXX, dyspnea | XXXX, XXXX | null | Stable cardiomediastinal silhouette. Stable lingular nodule, presumably granuloma . No pleural effusion, pneumothorax or interval airspace consolidation to suggest pneumonia. | null | null |
233 | Density/lung/base/left;Opacity/lung/base/right/small;Pulmonary Atelectasis;Diaphragmatic Eventration/right;Technical Quality of Image Unsatisfactory ;Diaphragm/right/posterior/elevated;Markings/lung/apex/bilateral;Deformity/ribs/right/chronic;Costophrenic Angle/right/obscured | Density;Opacity;Pulmonary Atelectasis;Diaphragmatic Eventration;Technical Quality of Image Unsatisfactory ;Diaphragm;Markings;Deformity;Costophrenic Angle | PA and Lateral Chest | XXXX-year-old female, post XXXX closure | null | Atrial septal occluder artifact. Rotated frontal position, overall heart size within normal limits, no typical findings of pulmonary edema. XXXX densities in the left base, small focal XXXX opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic XXXX. Biapical pleuroparenchymal irregularities most compatible with scarring, chronic appearing right 5th rib contour deformity. No pneumothorax seen. | 1. XXXX densities in left base may be compatible with scarring or subsegmental atelectasis 2. Abnormal opacity in the right base XXXX due at XXXX in part to atelectasis with right hemidiaphragm eventration, question small right pleural effusion | null | null |
234 | normal | normal | Xray Chest PA and Lateral | The patient is a XXXX year-old male with left-sided chest pain. | Chest x-XXXX, 2 views PA and lateral from XXXX. | The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without focal consolidation or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. No layering pleural effusion or pneumothorax seen on decubitus exam. | Chest x-XXXX, lateral, and decubitus. 1. No acute cardiopulmonary abnormalities. 2. No evidence of pleural effusion. . | null | null |
235 | Implanted Medical Device/left;Cardiac Shadow/enlarged/mild;Opacity/lung/bilateral/interstitial/diffuse/mild;Opacity/lung/base/left;Cardiomegaly;Pulmonary Edema/interstitial/mild | Implanted Medical Device;Cardiac Shadow;Opacity;Opacity;Cardiomegaly;Pulmonary Edema | Xray Chest PA and Lateral | Status post pacemaker implantation | null | There is a left-sided biventricular pacemaker. Leads overlie the right ventricle and a lateral cardiac vein. The leads appear intact. The cardiac silhouette is mildly enlarged. There are mild diffuse bilateral interstitial opacities, XXXX pulmonary edema. There are XXXX opacities overlying the left lung base on the frontal view. No large pleural effusion is seen on the lateral view. No pneumothorax is identified. | 1. Left-sided biventricular cardiac pacemaker. Leads appear intact. No pneumothorax. 2. Cardiomegaly and mild interstitial pulmonary edema. 3. XXXX opacities overlying the left lung base on the frontal view, possibly lingular atelectasis or infiltrate. No large pleural effusion. | null | null |
236 | normal | normal | PA and lateral views of the chest. | XXXX-year-old female diffuse chest pain. | None available. | Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion. | No acute cardiopulmonary findings. | null | null |
237 | Calcified Granuloma/lung/hilum/right/multiple;Thoracic Vertebrae/degenerative/multiple | Calcified Granuloma;Thoracic Vertebrae | PA and lateral chest radiographs. | XXXX-year-old female with XXXX. | None. | The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are numerous calcified granuloma in the right perihilar region. There are multilevel degenerative changes in the thoracic spine. | No acute cardiopulmonary finding. | null | null |
238 | normal | normal | PA and Lateral Chest. XXXX, XXXX XXXX XXXX . | Shortness of breath. | XXXX. | Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. | No acute cardiopulmonary abnormality. | null | null |
239 | normal | normal | XXXX PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX | XXXX x1 XXXX | null | null | Heart upper limits normal. Lungs are clear. No effusions. No nodules masses or infiltrates. No bony abnormalities. | null | null |
240 | Cicatrix/lung/apex/right/streaky;Calcinosis/aorta | Cicatrix;Calcinosis | SPINE LUMBAR 2 OR 3 VIEWS; two-view chest. XXXX, XXXX XXXX PM | low back pn | XXXX, XXXX. | Chest. There is no change in the strandy scarring in the right apex. No XXXX infiltrates or masses in the lungs. Heart and mediastinum remain normal. Lumbosacral spine. disc spaces are old narrow, and large osteophytes present on the vertebral bodies, worst at L2-L3. XXXX elements from L4 through S1 are sclerotic. Sacrum and sacroiliac joints are normal. Calcific aortic disease is present. | 1. Chest. No change right upper lobe scar. No acute disease. 2. Lumbosacral spine. Multiple levels of advanced degenerative disc disease and XXXX arthritis. | null | null |
241 | normal | normal | CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM | chest pain | null | The trachea is midline. Cardiomediastinal silhouette is normal in size and contour. The lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. | No acute cardiopulmonary abnormalities. | null | null |
242 | normal | normal | Xray Chest PA and Lateral | XXXX-year-old female with syncope | null | Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable. | No acute cardiopulmonary findings. . | null | null |
243 | normal | normal | PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX | rule out infiltrates | null | null | Heart size normal and lungs are clear | null | null |
244 | normal | normal | Chest x-XXXX AP and lateral, 2 views. | Chest pain. | None. | Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. | No radiographic evidence of acute cardiopulmonary disease | null | null |
245 | Pneumonia/upper lobe/left;Airspace Disease/lung/upper lobe/left | Pneumonia;Airspace Disease | Chest PA and lateral views. XXXX, XXXX XXXX PM | XXXX with XXXX | none | XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate left upper lobe airspace disease most XXXX pneumonia. There is no effusion or pneumothorax. | 1. Left upper lobe pneumonia. | null | null |
246 | normal | normal | XR Chest PA and Lateral | Chest pain | null | The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. | No acute pulmonary disease. | null | null |
247 | normal | normal | PA and Lateral Chest: XXXX at XXXX hours. | Chest pain, dyspnea. | None. | The cardiomediastinal silhouette is normal in size and contour. Lungs are clear without focal areas of consolidation. No pneumothorax or large pleural effusion. No acute bone abnormality. | No acute cardiopulmonary process. | null | null |
248 | Calcified Granuloma/lung/middle lobe/right/small | Calcified Granuloma | Xray Chest PA and Lateral | The patient is a XXXX-year-old male with left upper abdominal pain. | None. | No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact. There is a small calcified granuloma in the right midlung. | No acute cardiopulmonary abnormality. . | null | null |
249 | Mass/lung/middle lobe/right | Mass | PA and Lateral Chest. XXXX, XXXX at XXXX | XXXX-year-old male, chest pain. | XXXX, XXXX. | Lobulated right middle lobe mass measuring 4.5 x 6.8 cm, increased in size compared to prior study, most compatible with neoplasm. Otherwise, the lungs are clear without focal consolidation. No pneumothorax or pleural effusion. Cardiomediastinal silhouette within normal limits. | 1. Interval enlargement of right middle lobe mass, highly suspicious for malignancy. Recommend CT of the chest/abdomen with intravenous contrast for further evaluation. 2. Otherwise clear lungs. Dr. XXXX XXXX notified of the critical results at XXXX on XXXX, XXXX by telephone and acknowledged receipt of these results. | null | null |
250 | Spine/degenerative/mild | Spine | Xray Chest PA and Lateral | XXXX-year-old female with persistent XXXX for 6 months. | null | The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are minimal degenerative changes of the spine. | No evidence of active disease. | null | null |
251 | Lung/hyperdistention/mild;Granulomatous Disease | Lung;Granulomatous Disease | CHEST 2V FRONTAL/LATERAL | Chest pain | null | The heart is normal in size. The mediastinum is unremarkable. Mild hyperinflation is noted. There are granulomatous sequela. No acute infiltrate or significant pleural effusion are noted. The costophrenic XXXX are excluded. | No acute disease. | null | null |
252 | normal | normal | Xray Chest PA and Lateral | XXXX year old chest pain, sent from XXXX Lab. | PA and lateral chest XXXX. | The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. | No acute cardiopulmonary disease. | null | null |
253 | Pneumothorax/left/moderate;Catheters, Indwelling/left | Pneumothorax;Catheters, Indwelling | PA and lateral chest x-XXXX XXXX. | XXXX-year-old male, status post chest tube with pneumothorax | XXXX, XXXX at XXXX hours | Redemonstration of moderate left pneumothorax which is unchanged from comparison. Left pleural catheter is again seen overlying the left upper lung at the level of the left 5th and 6th ribs. No focal consolidation. Cardiomediastinal silhouette is normal. | No change in moderate left pneumothorax with left pleural drainage catheter again seen overlying the left upper lung. | null | null |
254 | Osteophyte/thoracic vertebrae/scattered | Osteophyte | PA and lateral views of the chest XXXX hours <XXXX, XXXX>. | XXXX-year-old female MVA, chest pain | null | Lungs are clear. Heart size normal. Scattered thoracic spine spurring. | No acute cardiopulmonary finding. | null | null |
255 | normal | normal | PA AND LATERAL CHEST X-XXXX at XXXX XXXX/XXXX | Chest pain | null | Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact. | No acute cardiopulmonary disease. | null | null |
256 | Sutures/lung/upper lobe/left;Cicatrix/ribs/left | Sutures;Cicatrix | CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM | hx tumors removed lungs XXXX, possible nodular denisities at OSH | null | Postoperative changes are present in the left fifth rib. Residual radiopaque sutures are also present in the left upper lobe. The lungs are clear with no infiltrates or masses. Heart and mediastinum are normal. | Postoperative left upper lobe. No visible active cardiopulmonary disease. | null | null |
257 | Opacity/posterior | Opacity | PA and lateral chest radiographs. XXXX/XXXX at XXXX hours. | XXXX-year-old male with XXXX. | None. | Midline sternotomy XXXX identified. Heart size and cardiomediastinal silhouette are grossly normal. Airspace opacity in posterior segment on the lateral view. Osseous structures are grossly intact. | Posterior airspace opacity consistent with developing infection. | null | null |
258 | Lung/hyperdistention;Diaphragm/flattened;Pulmonary Disease, Chronic Obstructive;Spine/degenerative | Lung;Diaphragm;Pulmonary Disease, Chronic Obstructive;Spine | PA and lateral views of the chest XXXX | pt is a XXXX who presents with fatigue | null | Overall hyperexpanded lungs with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine. | Hyperexpanded but clear lungs. | null | null |
259 | normal | normal | PA and lateral chest radiographs. | XXXX-year-old male with history of prolonged intubation and XXXX XXXX anesthesia induction. | CT thorax with intravenous contrast XXXX. | The heart and cardiomediastinal silhouette or normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact. | No acute cardiopulmonary finding. | null | null |
260 | Medical Device/thorax/left;Lucency/humerus/right;Sclerosis/humerus/right;Cysts/humerus/right/large | Medical Device;Lucency;Sclerosis;Cysts | PA and lateral chest radiograph (2 views) (2 images) | Hypertension | XXXX, XXXX. | Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. There is a stable the electronic device any left anterior chest wall. There are advanced degenerative changes in the XXXX bilaterally. There is a 38 mm lucency in the right humeral head with geographic 1A margins. | 1. No acute cardiopulmonary abnormality. 2. Lucent lesion with thin sclerotic margin in the right humeral head. Considering the associated degenerative changes, a large geode is most XXXX. If further imaging is desired, dedicated views of the shoulder may be helpful for further characterization. | null | null |
261 | normal | normal | Xray Chest PA and Lateral | XXXX-year-old male, dyspnea. | Chest x-XXXX dated XXXX. | No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact. | No acute cardiopulmonary abnormality. . | null | null |
262 | normal | normal | Xray Chest PA and Lateral | Preop evaluation for surgery. | None. | The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine. | No evidence of active disease. | null | null |
263 | normal | normal | PA and lateral views of the chest XXXX hours XXXX, XXXX. | Chest pain | XXXX, XXXX | Lungs are clear. Heart size normal. The XXXX are unremarkable. | No acute cardiopulmonary finding. | null | null |
264 | normal | normal | Chest x-XXXX AP and lateral, 2 views. | Productive XXXX | XXXX | Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. No significant interval change compared to prior study, no XXXX infiltrates noted. | No radiographic evidence of acute cardiopulmonary disease | null | null |
266 | Cardiomegaly/mild;Atherosclerosis/aorta | Cardiomegaly;Atherosclerosis | 2 views Chest: XXXX | Hypertension, dizzy | None. | The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits. Atherosclerotic calcifications are present in the aortic XXXX. | 1. No acute pulmonary abnormality. 2. Mild cardiomegaly, atherosclerotic disease. | null | null |
267 | Airspace Disease/lung/bilateral/scattered/patchy/multiple/mild;Pleural Effusion/bilateral/small;Spine/degenerative | Airspace Disease;Pleural Effusion;Spine | PA and lateral views of the chest XXXX, XXXX XXXX PM | pt with XXXX.please XXXX for infiltrates | XXXX | Endotracheal tube and NG tube have been removed. Mild patchy bilateral airspace disease. There are small bilateral pleural effusions. No pneumothorax. Heart and mediastinum are stable with normal size heart. Degenerative changes in the spine. | Small bilateral pleural effusions with a few scattered areas of patchy bilateral airspace disease. | null | null |
268 | Opacity/lung/upper lobe/right;Pneumonia/upper lobe/right | Opacity;Pneumonia | Chest radiograph, frontal and lateral views | null | null | There is a right upper lobe opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. Osseous structures and soft tissues are normal. | Right upper lobe pneumonia. | null | null |
269 | normal | normal | Xray Chest PA and Lateral | Difficulty breathing and XXXX | null | The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. | No acute cardiopulmonary disease. . | null | null |
270 | normal | normal | Xray Chest PA and Lateral | Chest pain, renal failure. Anterior chest pain. Dehydrated, EtOH. | None. | The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. | No acute cardiopulmonary findings. . | null | null |
271 | normal | normal | Radiographs of the chest, 2 views, PA and lateral views. | XXXX-year-old male. Left chest pain. Alleged physical assault. | None. | The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. | Negative for acute abnormality. | null | null |
272 | normal | normal | Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM | XXXX-year-old male with XXXX | null | The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. | No evidence of active disease. | null | null |
273 | Cardiomegaly/moderate;Diaphragm/right/elevated/mild;Pulmonary Congestion;Markings/bilateral/bronchovascular/mild | Cardiomegaly;Diaphragm;Pulmonary Congestion;Markings | PA and Lateral Chest | XXXX-year-old female, chest pain | null | Heart size mildly to moderately enlarged. Mild right hemidiaphragm elevation with mild bronchovascular crowding, right greater than left, indistinct vascular margination. No definite focal alveolar consolidation, no pleural effusion XXXX demonstrated. | 1. Cardiomegaly 2. Indistinct vascular margination which may be secondary to bronchovascular crowding however differential diagnosis includes mild pulmonary edema, atypical infection, inflammation | null | null |
274 | Aorta, Thoracic/tortuous;Calcinosis/aorta, thoracic;Thoracic Vertebrae/degenerative;Deformity/thoracic vertebrae/mild | Aorta, Thoracic;Calcinosis;Thoracic Vertebrae;Deformity | Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. | XXXX-year-old male with XXXX. | None. | The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Degenerative endplate changes of the thoracic spine with an age-indeterminate, mild wedge XXXX deformity of a midthoracic vertebral body. | 1. No acute cardiopulmonary process. 2., Mild, age-indeterminate wedge XXXX deformity of a midthoracic vertebral body. | null | null |
275 | normal | normal | Chest 2 views PA and lateral XXXX, XXXX XXXX a.m. | Chest pain, dyspnea | Chest 2 views PA and lateral XXXX, XXXX a.m. | Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable. | No acute cardiopulmonary abnormality. | null | null |
276 | normal | normal | PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. | XXXX-year-old XXXX, XXXX, preop.. | Two-view chest radiograph dated XXXX, XXXX.. | The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. | No acute cardiopulmonary abnormality. | null | null |
277 | Cicatrix/lung/apex/bilateral/mild;Granuloma/lung/middle lobe/right;Density/lung/upper lobe/right/round;Density/lung/middle lobe/right/round | Cicatrix;Granuloma;Density;Density | Xray Chest PA and Lateral | Breast cancer, XXXX r/o XXXX | null | The heart is normal in size. The mediastinum is stable. Mild biapical scarring is identified. There is a nodular density in the right midlung which is stable from prior studies and noted to represent a granuloma on XXXX of XXXX. However, additional foci in the right upper lung are questioned. There is no acute infiltrate or pleural effusion. | No acute disease. Vague right upper/mid lung nodular densities versus scarring and superimposed structures. CT may be warranted given patient's history. | null | null |
278 | Opacity;Granulomatous Disease;Nodule | Opacity;Granulomatous Disease;Nodule | Chest XXXX and lateral | XXXX-year-old female with XXXX | XXXX | No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Stable cardiomediastinal silhouette. Nodular opacities consistent with chronic granulomatous disease. Bony structures intact. | Negative for acute cardiopulmonary disease. | null | null |
279 | normal | normal | Xray Chest PA and Lateral | XXXX XXXX. Swimmer. | None. | The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. | 1. No evidence of active disease. | null | null |
280 | No Indexing | No Indexing | CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX | chest pain | XXXX, XXXX. | The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. | No active disease. | null | null |
281 | normal | normal | CHEST 2V FRONTAL/LATERAL | dyspnea | None. | Both lungs are clear and expanded. Heart and mediastinum normal. | No active disease. | null | null |
282 | normal | normal | PA and lateral views of the chest, 3 images. | Preop hernia repair, asthma. | None. | Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. | No acute cardiopulmonary abnormality. | null | null |
283 | normal | normal | CHEST- PA AND LATERAL | Palpitations | Radiograph from XXXX | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified. | Normal chest film. | null | null |
284 | normal | normal | Radiographs of the chest, 2 views, AP and lateral views. | XXXX-year-old male. Gunshot wound. | None. | The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. No discrete XXXX projectile visualized. Contrast within the bilateral renal collecting systems. Contrast also probably within the left colon. | Negative for acute abnormality. Discrete XXXX projectile not seen. | null | null |
285 | Aorta/tortuous;Pulmonary Atelectasis/left/patchy;Pulmonary Atelectasis/upper lobe/right;Pulmonary Atelectasis/base/right;Surgical Instruments/lung/hilum/right | Aorta;Pulmonary Atelectasis;Pulmonary Atelectasis;Pulmonary Atelectasis;Surgical Instruments | Xray Chest PA and Lateral | Altered mental status | null | null | Heart size is top normal. Tortuous aorta. No edema. Patchy left upper right basilar atelectasis. No pneumothorax. Right hilar surgical clips. | null | null |
286 | Calcinosis/lung/hilum/left | Calcinosis | Chest x-XXXX. XXXX | XXXX | XXXX | Lungs are clear. There is no pneumothorax or pleural effusion. Calcified left suprahilar XXXX. The heart and mediastinum are within normal limits. Bony structures are intact. | No acute cardiopulmonary process. | null | null |
287 | normal | normal | Frontal and lateral views of the chest dated XXXX | Dyspnea, nausea and vomiting, XXXX | XXXX, XXXX | Heart size is normal. The lungs are grossly clear. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Normal pulmonary vascularity. No overt edema. | No acute abnormality. | null | null |
288 | Hernia, Hiatal;Density/thorax | Hernia, Hiatal;Density | PA and Lateral Chest. XXXX, XXXX. >] | XXXX. | None. | Heart size appears within normal limits. Pulmonary vasculature appears within normal limits. Radiodensity overlying the middle cardiac silhouette, XXXX representing a hiatal hernia. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality. | 1. No acute cardiopulmonary abnormality. | null | null |
289 | Catheters, Indwelling;Medical Device | Catheters, Indwelling;Medical Device | Xray Chest PA and Lateral | XXXX-year-old female, infection, XXXX | null | Heart size within normal limits, stable mediastinal and hilar contours, right chest XXXX tip in the low SVC. Monitoring device artifacts. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. | No acute findings | null | null |
290 | Surgical Instruments/shoulder/right;Surgical Instruments/thorax/bilateral;Surgical Instruments/cervical vertebrae | Surgical Instruments;Surgical Instruments;Surgical Instruments | XXXX and lateral chest XXXX, XXXX at XXXX hours. | Occasional chest pain and shortness of breath. | null | The lungs are clear. There are multiple surgical XXXX seen near the apical regions and lower cervical region bilaterally. The heart and mediastinum are normal. There is a screw in the right shoulder. The soft tissues are normal. | 1. No active disease. 2. There are numerous small surgical clips seen overlying the upper thorax bilaterally and the lower cervical region of uncertain significance. | null | null |
291 | normal | normal | PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. | XXXX-year-old woman with chest pain. | Two-view chest radiograph dated XXXX, XXXX. | The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. | No acute cardiopulmonary abnormality. | null | null |
292 | Airspace Disease/lung/middle lobe/right/focal | Airspace Disease | Xray Chest PA and Lateral | XXXX year old XXXX and sore throat. | None. | The heart is normal in size and contour. There is a vague area of airspace disease identified within the right midlung on the PA view. This is not well-demonstrated on the lateral view. There is no pneumothorax or effusion. | Vague area of focal airspace disease within the right midlung. There is raises concern for pneumonia. Recommend followup after appropriate treatment to document complete resolution. | null | null |
293 | Surgical Instruments/mediastinum;Deformity/thoracic vertebrae | Surgical Instruments;Deformity | Xray Chest PA and Lateral | XXXX-year-old XXXX with history of prostate cancer | None. | Sternotomy XXXX mediastinal clips noted. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is XXXX deformity of T6, XXXX since X-XXXX thoracic spine XXXX, XXXX. Mild XXXX deformity of T12, stable. Prior cholecystectomy. | 1. No definite evidence of metastatic disease. 2. Age-indeterminate XXXX deformity of T6, XXXX since study dated XXXX, XXXX. . | null | null |
294 | Emphysema | Emphysema | CHEST 2V FRONTAL/LATERAL | Shortness of breath | null | The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Underlying emphysematous changes are noted. | Emphysema without acute disease. | null | null |
295 | Fractures, Bone/clavicle/left/healed | Fractures, Bone | PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. | XXXX-year-old XXXX, EtOH abuse. | None. | Limited lateral projection. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Healed distal left clavicular fracture noted. | No acute cardiopulmonary abnormality. | null | null |
296 | Hernia, Hiatal | Hernia, Hiatal | PA and lateral chest XXXX, XXXX at XXXX with comparison 12 XXXX | XXXX and right-sided chest pain | null | null | Heart size normal. Lungs clear. Hiatal hernia. No effusion the or pneumothorax. No pneumonia | null | null |
297 | Lung/hypoinflation;Markings/bronchovascular/mild;Opacity/lung/base/left/mild;Diaphragm/left/obscured;Thoracic Vertebrae/degenerative;Lung/hypoinflation;Pulmonary Atelectasis/base/left/mild | Lung;Markings;Opacity;Diaphragm;Thoracic Vertebrae;Lung;Pulmonary Atelectasis | Xray Chest PA and Lateral | Chest pain, dyspnea. | XXXX, XXXX. | Cardiac silhouette is within normal limits in size. The lungs are hypoinflated with mild bronchovascular crowding. There is mild, XXXX opacity projected over the left lung base. This is partly due to overlying soft tissues, however, there is partial obscuration of the lateral left hemidiaphragm. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion. There are no acute bony findings. There are degenerative endplate changes throughout the thoracic spine. | Low lung volumes with mild, XXXX left basilar opacity, atelectasis versus infiltrate. . | null | null |
298 | normal | normal | Xray Chest PA and Lateral | XXXX for one XXXX with vomiting | XXXX, XXXX | The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. | No acute pulmonary disease. | null | null |
299 | Hernia, Hiatal/small | Hernia, Hiatal | Chest, 2 views, frontal and lateral | Preop bariatric surgery. | None. | Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. Small hiatal hernia. | No acute findings. Small hiatal hernia. | null | null |
300 | Lung/hyperdistention/mild;Funnel Chest/mild;Calcified Granuloma/lung/lingula;Pulmonary Disease, Chronic Obstructive | Lung;Funnel Chest;Calcified Granuloma;Pulmonary Disease, Chronic Obstructive | PA and lateral views of the chest. | XXXX-year-old male with XXXX. | Two-view chest from XXXX. | Heart size within normal limits. Mild hyperinflation of the lungs. Mild pectus excavatum deformity. Stable left mid lung calcified granuloma. No focal airspace disease. No pneumothorax or effusions. | Changes of chronic lung disease with no acute cardiopulmonary finding. | null | null |
301 | normal | normal | Chest x-XXXX, 2 views, XXXX, XXXX XXXX PM | XXXX | XXXX | Normal cardiomediastinal contours. Clear lungs bilaterally. No pneumothorax or large effusion. | No acute cardiopulmonary abnormality. | null | null |
302 | Scoliosis/mild | Scoliosis | Xray Chest PA and Lateral | XXXX-year-old male, pain | null | Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild spine curvature again noted. | No acute findings | null | null |
303 | Lung/hypoinflation/mild;Diaphragmatic Eventration;Thickening/pleura/bilateral;Opacity/lung/base/bilateral/streaky/mild;Pulmonary Atelectasis/chronic | Lung;Diaphragmatic Eventration;Thickening;Opacity;Pulmonary Atelectasis | CHEST 2V FRONTAL/LATERAL | XXXX, asthma, preop hip replacement | XXXX | The heart is normal in size. The mediastinum is Stable. Rectal balloon is noted. Lungs are mildly hypoinflated. There is again eventration of the hemidiaphragms/ Bochdalek hernia, posteriorly as seen on the lateral projection. Bilateral pleural thickening is noted. There are streaky opacities in the lung bases unchanged, XXXX chronic atelectasis. | Mild bilateral streaky opacities, XXXX atelectasis. No acute infiltrate. | null | null |
304 | Technical Quality of Image Unsatisfactory ;Lung/hypoinflation;Calcinosis/lung/hilum/lymph nodes/right;Spinal Fusion/cervical vertebrae;Pulmonary Atelectasis | Technical Quality of Image Unsatisfactory ;Lung;Calcinosis;Spinal Fusion;Pulmonary Atelectasis | Xray Chest PA and Lateral | Chest pain and shortness of breath x1 hour. | null | The XXXX examination consists of frontal and lateral radiographs of the chest. A total of 3 images were obtained. The cardiomediastinal contours are within normal limits allowing for low lung volumes and patient rotation. There is XXXX XXXX atelectasis. No consolidation, pleural effusion or pneumothorax. Calcified right infrahilar lymph XXXX again seen. Partially visualized lower cervical spine fusion XXXX. | Lung lines without evidence of acute cardiopulmonary process. | null | null |
305 | Cardiomegaly/mild | Cardiomegaly | Xray Chest PA and Lateral | XXXX-year-old with chest pain on and XXXX since having stent placed last XXXX. | Two views of the chest dated XXXX. | Heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. | No acute cardiopulmonary disease. | null | null |
306 | normal | normal | Xray Chest PA and Lateral | null | None. | The lungs are clear. Heart size is normal. No pneumothorax. | Clear lungs. No acute cardiopulmonary abnormality. . | null | null |
307 | normal | normal | Xray Chest PA and Lateral | 786.59. c/o focal chest pain around heart that lasts for few XXXX. occurs approx. once a month. | None available. | The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. | Negative chest radiographs. | null | null |
308 | Diaphragm/right/elevated;Cicatrix/right/chronic;Opacity/right | Diaphragm;Cicatrix;Opacity | PA and lateral chest radiograph (2 views) (2 images) | XXXX | PA and lateral views of the chest on XXXX. | Stable appearing right-sided XXXX the opacities. There is persistent elevation of the right hemidiaphragm. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. | Stable right-sided chronic lung scarring otherwise no acute cardiopulmonary disease. | null | null |
309 | normal | normal | Chest x-XXXX, 2 views, XXXX, XXXX at XXXX PM | XXXX. | XXXX. | Normal and stable cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation. | No acute cardiopulmonary abnormality. | null | null |
310 | normal | normal | Xray Chest PA and Lateral | XXXX, pain. | None. | Chest. The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable. Thoracic spine. The XXXX examination consists of frontal, lateral and swimmers lateral radiographs of the thoracic spine. There is no evidence of fracture or malalignment. The vertebral body XXXX and disc spaces are maintained. Sternum. The XXXX examination consists of 2 oblique and one lateral radiograph of the sternum. No displaced XXXX fracture demonstrated. | 1. No radiographic evidence of acute thoracic XXXX. | null | null |