File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p17387403/s53659962/80b8987f-374def78-3290d8d9-f4634209-08d5622c.jpg
heart size, mediastinal, and hilar contours are normal. lungs are clear without focal consolidation, pneumothorax, or pleural effusions. intact median sternotomy wires and mediastinal clips denote prior cabg. left clavicular hardware is identified.
<unk>m with chest pain. eval for pna.
MIMIC-CXR-JPG/2.0.0/files/p15689523/s55546989/67790e8d-f5fd9f93-a6758ec0-3eab76ad-aa114276.jpg
the patient is status post median sternotomy. cardiac silhouette size is mildly enlarged and unchanged in configuration. calcified mediastinal lymph nodes are re- demonstrated compatible prior granulomatous disease. calcification of the pericardium is also re- demonstrated. the mediastinum remains widened compatible with underlying lymphadenopathy and fluid. moderate pulmonary edema appears worse. moderate size bilateral pleural effusions appear slightly increased in size compared to the previous radiograph. consolidative opacities in the lung bases appear worse in the interval. a right sided chest tube is again noted with tip projecting over the medial aspect of the right mid lung. no pneumothorax is identified. multilevel degenerative changes are seen in the thoracic spine.
history: <unk>m with hypoxia, history of tb
MIMIC-CXR-JPG/2.0.0/files/p15245864/s56365551/7809bee4-f93c1f9a-dcf55d07-48c4715d-30b6262e.jpg
single portable chest radiograph was provided. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. there is bibasilar atelectasis. the cardiomediastinal silhouette is enlarged, likely due to tortuous aorta. the bones are intact.
<unk>-year-old with chest pain, evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p10744238/s56262386/d423746b-73de55c4-5241b071-eaf6af5e-e7732ea1.jpg
heart size is normal. mediastinal and hilar contours are unremarkable. lungs are hyperinflated but clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are mild degenerative changes in the thoracic spine.
intermittent chest tightness.
MIMIC-CXR-JPG/2.0.0/files/p15924426/s55195323/92c1d12a-757a42cf-288d4b48-36d526fb-b1a82738.jpg
there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
<unk>m with l chest pain, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10549546/s53397299/8a025ca4-9f3e3556-fb45993e-a20cb765-a1bf588f.jpg
the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
history: <unk>m with diabetes and history of cellulitis presents with sepsis , hyperglycemia
MIMIC-CXR-JPG/2.0.0/files/p13470381/s52062275/453e2fc5-37a30be7-804e3464-05a98981-5a75322d.jpg
the right-sided pleural effusion is smaller. platelike atelectasis at the right lung base again noted. tiny left pleural effusion. otherwise, no new pulmonary abnormalities since the last exam dated <unk>. the mediastinum is still wide, but decreased in size compared to prior radiograph.
<unk> year old man s/p mie // check interval change
MIMIC-CXR-JPG/2.0.0/files/p14346384/s50529695/f94ef771-d56d03c8-3b8237b1-43f7832c-5366e805.jpg
since prior exam, the lung volumes are lower. the chest remains hyperinflated with flattening of the diaphragms. there is a diffuse non-specific interstitial abnormality, not significantly changed from the prior exam. there is no focal air space opacity, pulmonary edema, pleural effusion, or pneumothorax. the mediastinal contours are normal. allowing for technique, the heart size is at the upper limits of normal.
history of copd with worsening shortness of breath and basilar crackles. evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p19774701/s59575644/6b8a3fa4-2eff5b16-579e7431-1ab973fb-030d10e2.jpg
the lungs are clear however hyperexpanded. suggestion of the right lower lobe nodule was better evaluated on the concurrently obtained ct. no evidence of pneumonia, pulmonary edema, effusions. no subdiaphragmatic free air.
history: <unk>m with progressive dysphagia // evidence of mass or blockage
MIMIC-CXR-JPG/2.0.0/files/p17357689/s52859956/e6eb7653-543a95af-d63aab7c-a8879e83-c196cddb.jpg
interval removal of the et tube, ng tube, mediastinal drain, and chest tube. no definite pneumothorax. cardiac size is normal and cardio mediastinal silhouette is unchanged. bilateral low lung volumes again noted. left mid lung and left lung base opacities likely reflect atelectasis. small left pleural effusion unchanged. again noted is the median sternotomy wires. right ij catheter tip terminates in the lower svc.
<unk> year old woman with cabg // r/o ptx, s/p ct d/c
MIMIC-CXR-JPG/2.0.0/files/p11722313/s56377969/9b3c9407-1f6db8e4-766f5440-bdcebaf4-780971d6.jpg
compared to the prior radiograph from noon, there has been interval removal of left chest tube with essentially unchanged degree of left apical pneumothorax, still moderate. unchanged cardiomediastinal contours and normal appearing right lung. branching density in the superior segment of the left lower lobe is still present. this could be further evaluated via ct.
<unk> year old man s/p left chest tube pull // ? interval change in pnx on left.
MIMIC-CXR-JPG/2.0.0/files/p16311983/s53854251/6ec4ef75-6e1a999b-602fdd32-de7e0cb6-8932fc13.jpg
the <unk> radiograph shows a single lead from a left pectoral pacemaker projecting over the right ventricle. there is no pneumothorax. a right picc line terminates in the upper right atrium near the cavoatrial junction. withdrawal by <num>-<num> cm would position its tip at the cavoatrial junction if desired. mild pulmonary edema has slightly increased. moderate cardiomegaly despite the projection is unchanged. a small left pleural effusion is likely present. increased retrocardiac airspace opacification may be due to atelectasis or infection. previous cervical spine fusion is partially imaged. the followup pa and lateral radiographs from <unk> confirm a left lower lobe airspace opacity, which is most likely due to pneumonia. there is also increased mild pulmonary edema.
<unk> year old man s/p pacemaker extraction and implantation of a new vvi pacemaker via l subclavian. eval for ptx // <unk> year old man s/p pacemaker extraction and implantation of a new vvi pacemaker via l subclavian. eval for ptx ; <unk> year old man s/p pacemaker extraction and implantation of a new vvi pacemaker via l subclavian. // <unk> year old man s/p pacemaker extraction and implantation of a new vvi pacemaker via l subclavian. eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p18066780/s55270928/11a0865b-2254a47a-4b8507d1-b980d817-7f2aeddb.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/p17585916/s50163034/b653e81d-6625c1ef-c60932fe-77bb03e5-8253e22b.jpg
poor positioning of the head obscures the right upper lung field. heart size is top-normal. the mediastinal contours are unremarkable. a right pleural effusion is significantly increased in size compared to the prior exam. lung volumes are improved with bibasilar atelectasis. the right hemidiaphragm is markedly elevated. ett appears low, terminating near the level of the carina, but the head is also down, which causes caudal migration of ett. an enteric tube is noted with tip terminating in the stomach. a left axillary pacemaker is noted, but the pacemaker lead tip is not definitely visualized.
<unk> year old man with trauma, possible aspiration before intubated // please eval interval change
MIMIC-CXR-JPG/2.0.0/files/p11986315/s57751153/daa2d8ec-c72f6d6d-a74a7733-100bf51c-09c482f2.jpg
frontal and lateral views of the chest demonstrate a subtle opacity in the right infrahilar region. the lungs are otherwise clear. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk> year old man with <num> weeks of cough, diffuse rhonichi on exam, history of bronchietasis, assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18209384/s53937697/08101656-63cb2279-c63860ae-fdc82dcd-809ffb3f.jpg
the heart and great vessels are normal. the lungs are clear of an active portion well-expanded. there is no pleural effusion or pneumothorax.
<unk>-year-old male s/p l<num>-<num> fusion <unk>, bph, dm<num>, osteoarthritis, presenting with urinary retention for <num> day, and constipation. has leukocytosis. // evidence of infiltrate
MIMIC-CXR-JPG/2.0.0/files/p11411141/s52926518/f5917d84-9f4bca8a-e074013c-e1cebc4b-b86a6757.jpg
there is a patchy opacity in the right lower lobe also visible on the lateral projection that is concerning for pneumonia. there is a small right pleural effusion. no pneumothorax is identified the cardiomediastinal silhouette is mildly enlarged. the imaged upper abdomen is unremarkable.
history: <unk>m with dyspnea, chest pain last night // r/o pna, r/o chf
MIMIC-CXR-JPG/2.0.0/files/p15774521/s57200980/c38942b2-1bf88bda-56b8035a-c9ed46f8-4794cbf1.jpg
left chest wall biventricular aicd is present. no focal consolidation, pleural effusion or pneumothorax identified. there is mild vascular congestion as well as thickened interstitial (<unk> b) lines. the size of the cardiac silhouette is enlarged but unchanged.
<unk> year old man with ischemic cardiomyopathy ef <unk>% here with acute on chronic chf exacerbation // any evidence of pulmonary edema?
MIMIC-CXR-JPG/2.0.0/files/p14423621/s55579874/39701303-dc533f26-79aacfe2-f4ce641e-45e7c7f0.jpg
pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
syncope.
MIMIC-CXR-JPG/2.0.0/files/p18788141/s54558376/29fe068b-19249836-5b2f9808-e3aa75e9-8f471e06.jpg
there has been interval placement of a right picc line with tip terminating in the right ventricle. the cardiomediastinal and hilar contours are normal. increased interstitial markings are again noted, indicative of chronic lung disease. persistent lateral right base increased density may be slightly increased compared to prior, but a right mid lung density is new. additionally, vague increased density over the right upper lung is also new. there is no pneumothorax or pleural effusion.
right picc line placement.
MIMIC-CXR-JPG/2.0.0/files/p18821140/s57771713/178c790d-37b05b0f-dd24b8aa-9e759ee5-a16dd262.jpg
ap portable views of the chest demonstrates clear lungs. heart size is normal. no pleural effusion or pneumothorax. along the posterior <num>th rib there is slightly irregularity which may be due to a prior rib fracture, also present on priors. no new displaced fracture is seen. a right-sided port-a-cath terminates in unchanged position.
metastatic breast cancer status post mechanical fall. question fracture.
MIMIC-CXR-JPG/2.0.0/files/p19700882/s55432964/dbeacfaf-478937ab-2d5923e7-802dc990-f9bcb010.jpg
the lungs are hyperinflated. compared with the most recent examination there has been interval accumulation of a small to moderate right-sided pleural effusion. linear markings at the right lung base likely represent atelectasis versus scarring. a right small apical pneumothorax persists, with concurrent pleural thickening and pleural calcification likely sequela of prior insult. left apical calcification and scarring is also present, stable. the left lung is clear. there is no left-sided effusion. no pneumothorax. cardiac size is top-normal. the aortic valve is replaced. sternotomy wires are intact
<unk> year old man with pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15143186/s56488717/b73edad2-3bcef552-0a9167d7-2826cb36-6d2ff695.jpg
there is a large hiatal hernia with an air-fluid level, as seen previously. the chest is hyperinflated. the cardiac, mediastinal and hilar contours appear stable including calcification along the aortic arch. there is a suspected unchanged calcified right hilar lymph node. pulmonary edema has cleared. there are no pleural effusions or pneumothorax. a very small hyperdense focus projecting over the right upper lung is consistent with an unchanged granuloma. the bones appear demineralized. a mild-to-moderate lower thoracic compression deformity appears unchanged. suspected upper lumbar compression fractures appear mild, but were not imaged previously.
congestive heart failure, diarrhea and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p13224492/s58604458/30650be7-d57ecb0f-ae8139d5-ef8de370-cf4091e1.jpg
the heart is normal in size. there is a new moderate sized hiatal hernia with streaky opacities in the left lower lobe which can probably be attributed to associated atelectasis. in addition, there is a small left-sided pleural effusion. although a small portion of the right costophrenic sulcus is excluded, there is no evidence for pleural effusion on the right side. there is no free air.
vomiting and hematemesis.
MIMIC-CXR-JPG/2.0.0/files/p14368383/s59822347/9bcb86b8-5a7c20f4-202c4cda-d799c917-8fa67f80.jpg
in the interval since the prior study, the et tube has been retracted now sitting approximately <num> cm above the carina. a right-sided subclavian line has been inserted which is in the mid svc. no evidence of pneumothorax. the remainder of the exam including the right upper and left lower lobe opacities are unchanged.
<unk>f with r-subclavian // evaluate cvl placement
MIMIC-CXR-JPG/2.0.0/files/p18326267/s59471679/a7951c0b-ff5c3f55-2ff079e3-296a37bc-b9dbc1fc.jpg
frontal and lateral views of the chest demonstrate right pic catheter tip projecting over mid to distal svc, unchanged. lungs are hyperexpanded with flattening of the hemidiaphragms, suggestive of underlying chronic obstructive pulmonary disease. there is no pleural effusion, focal consolidation or pneumothorax. again noted a calcified lesion in the left upper lung with associated apical scarring, unchanged. calcified mediastinal nodes are re-demonstrated. there is no pulmonary edema. hilar and mediastinal silhouettes are unchanged. heart size is normal. partially imaged upper abdomen is unremarkable. a surgical clip in the right axilla is again noted.
assess for picc line placement.
MIMIC-CXR-JPG/2.0.0/files/p14155139/s59625977/42f174df-32977eb8-2e9cab22-4e51a8cd-a69d6ce0.jpg
the lungs are clear. no pneumothorax. the heart is normal in size. no mediastinal widening. the hilar contours are normal. there is minimal bilateral apical pleural thickening. no pleural effusion.
<unk> year old woman with l nodule now s/p bronch w/bx. // ptx
MIMIC-CXR-JPG/2.0.0/files/p19354520/s55714647/5126a109-f562a03f-7e458518-feda276e-f60a39f5.jpg
the ecmo cannula has a similar appearance compared to the prior exam the swan-ganz catheter tip is in the pulmonary outflow tract et tube is in good position left ij line tip is again seen in the mid svc. there continues to be dense right sided alveolar infiltrate and there has been some interval increase in the dense left alveolar infiltrate. there bilateral effusions layering posteriorly that appear larger than on the study from the prior day
<unk> year old man with ards/ecmo // eval for pleural effusions, consolidation
MIMIC-CXR-JPG/2.0.0/files/p18477317/s56672397/9d42ff4e-ff75cccf-ebcac345-9262ab17-5de1a010.jpg
dominant left upper lobe mass, peripheral right upper lobe mass-like opacity with adjacent pleural opacity, and scattered pulmonary nodules have been more fully assessed on concurrent chest cta along with extensive intrathoracic lymphadenopathy. small left pleural effusion is present with adjacent left basilar opacities.
history: <unk>f with tachycardia // ? infectious process
MIMIC-CXR-JPG/2.0.0/files/p17937834/s52626952/6876ee4f-f15434f3-2a2ddd95-fb16e294-7a0a34be.jpg
persistent elevation the right hemidiaphragm is seen. the lungs are clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable unremarkable. no pulmonary edema is seen. vascular stenting in the left axilla is stable in position and appearance.
<unk> year old man with type i dm and esrd dialysis dependent presenting with nausea/vomitting and abdominal pain. // evaluate for pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p10979912/s54792674/1a855322-15bc8ab4-d06228e4-5cc889ec-a9d82bd2.jpg
frontal and lateral views of the chest were obtained. the lungs are hyperinflated, consistent with copd. no focal consolidation, pleural effusion, or pneumothorax. heart size and mediastinal contours are normal.
shortness of breath and cough.
MIMIC-CXR-JPG/2.0.0/files/p15638163/s58293425/130ffd2b-fb12e6e1-7c1d808a-e71d5bbe-31c38f1c.jpg
the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures.
evaluation of patient with cough and congestion.
MIMIC-CXR-JPG/2.0.0/files/p18867885/s57207048/896a4d48-97292e5f-94647252-6bbf9c0d-703a435b.jpg
there is a moderate left pleural effusion with persistent left lower lobe atelectasis. the degree of aeration is similar when compared to the prior study. airspace opacity in the left lower lobe may be due to re-expansion pulmonary edema or residual a atelectasis. no pneumothorax seen. the right lung is grossly clear.
<unk> year old woman with pericardial and pleural effusion s/p <unk> for pleural biopsy and chest tube placement and removal on <unk> // assess for ptx or reaccumulation of pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p18504777/s57723906/f8dd5db0-56f800e7-231e72fc-d6d2c09b-bfc49c7e.jpg
frontal and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no displaced fractures identified on this nondedicated exam.
<unk>-year-old male with syncopal episode and head trauma. family history of sudden cardiac death.
MIMIC-CXR-JPG/2.0.0/files/p12907811/s50496966/d0c6c6a8-01205c2d-ae1742cf-5637913e-8f591268.jpg
there are worsening interstitial opacities in the left upper lobe with relatively stable left lower lobe pleural effusion and lung consolidation. the right lung is unchanged. the aorta is calcified and tortuous. the cardiomediastinal silhouette is stable. there is no pneumothorax.
history of lung cancer, complaining of worsening cough, hemoptysis and weakness. rule out acute process.
MIMIC-CXR-JPG/2.0.0/files/p14463099/s58238483/b5e46f61-f499525f-fe85669e-883c17d1-f12b6925.jpg
the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidation concerning for pneumonia. there is no pleural effusion or pneumothorax.
history of cough and hemoptysis. please rule out tuberculosis or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17533677/s53033613/7ebedcee-854b2477-40ee5e0a-5fca6e78-881b6275.jpg
frontal and lateral chest radiographdemonstrates mildly symmetrically hypoinflated lungs with crowding of vasculature. heterogeneous opacity in the right lower lobe is only seen on frontal projection. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
as per clinical history patient ate piece of chicken and then developed sensation in throat with shortness of breath. assess for foreign body and neck and cause of shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p14033331/s58978409/6ba96be0-d8aeba1d-cec4979c-b40cb8cf-e80b621a.jpg
pa and lateral radiographs of the chest demonstrate mild pulmonary vascular congestion without frank pulmonary edema. no focal infiltrate, pneumothorax or pleural effusion is detected. mild cardiomegaly is stable. median sternotomy wires and mediastinal surgical clips are noted.
epigastric abdominal pain, nausea, vomiting, and chest pain after dialysis.
MIMIC-CXR-JPG/2.0.0/files/p17220099/s58871110/6840e826-d2f7ac8a-53034e09-8b20e7e9-062800f3.jpg
there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
<unk>f with brain mass, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15349313/s50466910/80660d54-2320e549-25b0f5bb-6798f850-826c4965.jpg
the lungs are hyperinflated but clear. biapical pleural thickening is unchanged. horizontally oriented right perihilar scar or atelectasis is stable. there is no focal consolidation, pleural effusion, or pneumothorax. heart size and mediastinal contours are normal.
history: <unk>f with cough // pneumonia or other acute process?
MIMIC-CXR-JPG/2.0.0/files/p14187001/s54475003/bfb303ef-0f7830b6-49b7bda0-86088f36-4c72d235.jpg
a as compared to the previous radiograph, the left and right chest tube are in unchanged position. on the right, the amount of pleural effusion is constant and small. the tracheostomy tube and a left picc line are in normal position, the picc line projects over the mid svc. moderate cardiomegaly, and bilateral areas of atelectasis persist. the size of the cardiac silhouette is at the upper range of normal.
<unk> year old man with pleurex in left side // eval for hemothorax; pleurex placement in r side
MIMIC-CXR-JPG/2.0.0/files/p17385589/s51350705/4b57a0d8-5fc2b414-5aae9ed6-937a23f5-c672f0c4.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. minimal atelectasis is noted in the right lung base. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with ams, fall after seizure
MIMIC-CXR-JPG/2.0.0/files/p14734080/s50836816/a0e0efce-8aaa2f56-021751d5-57601dbb-68abc385.jpg
the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. the left clavicle appears intact.
<unk>-year-old man with left mid clavicular chest pain, tender to palpation, evaluate for fracture or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15489083/s57613708/3ef37da6-74f9a4b0-3adb8f48-3f36d6f7-b45c290b.jpg
mild opacity in the left lower lobe retrocardiac region may reflect atelectasis, however pneumonia is possible in correct clinical setting. enlarged cardiac and bilateral pulmonary artery silhouette is similar to before. there is increased vascular congestion. pleural scarring at the right lung apex is unchanged.
history: <unk>f with sob // eval for infiltrates
MIMIC-CXR-JPG/2.0.0/files/p15418457/s56925854/f38e27f5-7a970586-68280ff1-04fa8c34-a4e55606.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with amnesia // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p13333552/s54681873/361c1328-5b9e3e59-083ff5d8-04e7506c-04e0953d.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. recently reported right middle lobe pneumonia has nearly resolved with only a residual linear opacity in this region. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
recent pna // f/up pna
MIMIC-CXR-JPG/2.0.0/files/p13475033/s53354417/3851190a-af79fb41-4c2b3b1e-b4269325-f8a2fb78.jpg
the heart continues to be enlarged, and there are chronic interstitial markings. no focal consolidation, pleural effusion or overt pulmonary edema is seen. there is leftward scoliosis of the thoracic spine.
<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11967908/s51649994/46d15888-3a3c70b1-955a0e7f-903e7e76-0b013f43.jpg
cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. calcifications projecting over the right mid and upper lung fields are similar compared to the previous exam, reflecting a combination of pleural calcifications and chest wall calcifications. scarring with bronchiectasis is again noted in the right apex. no new focal consolidation, pleural effusion or pneumothorax is visualized. multiple clips are again seen in the right axillary region as well as overlying the right hemidiaphragm. no acute osseous abnormality is identified. remote right proximal humeral fracture is again noted.
history: <unk>f with fevers/chills
MIMIC-CXR-JPG/2.0.0/files/p13928077/s56527954/c7727ad3-2f536e7d-2ae4cb75-f60291ec-c561e51e.jpg
the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. surgical clips are noted overlying the lower right hemithorax.
dizziness. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18252941/s54017028/9b9a1a5c-acc3c6d9-f39d746b-02da9c4f-ee47d7b0.jpg
the lung volumes remain low with small left-sided pleural effusion and retrocardiac opacity. there is also mild right lower lobe opacity. mild cardiomegaly. no overt interstitial edema. no pneumothorax. multiple rib fractures on the left.
<unk> year old man s/p bike accident w/ small l pneumothorax on osh ct // interval change
MIMIC-CXR-JPG/2.0.0/files/p14395869/s55602709/4c402b4d-6d6626dc-7ed83c29-12071a13-551894d1.jpg
pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no pneumothorax. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p17710775/s56352638/566db63c-120a7a19-a76bbd14-8b345ab2-e4d7ef2d.jpg
frontal and lateral chest radiographdemonstrates well expanded lungs. mild right lower lobe plate like atelectasis is present. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
immunosuppression with kidney transplant. admitted last month for cmv infection, now with high fevers and tachycardia. assess for pneumonia or cmv lung infection.
MIMIC-CXR-JPG/2.0.0/files/p17069014/s51276856/405e671b-0bf747cf-0e80a043-8e1a3357-b5c2a073.jpg
the heart is again moderately enlarged. prominence of the right hilum suggests mild prominence of central pulmonary arteries. the aorta is slightly tortuous. there is a slightly prominent pulmonary vascularity but without frank edema. slight new blunting of the posterior right costophrenic sulcus suggests a trace pleural effusion. bones appear slightly sclerotic although not definitely abnormal.
palpitations and atrial fibrillation.
MIMIC-CXR-JPG/2.0.0/files/p15245907/s58995740/937dbe36-5166e05c-c5c42194-ad585161-cbe75187.jpg
portable upright chest film <unk> at <time> is submitted.
<unk>f w/ <unk>'s, copd, cad, esophageal webs, hx of aspiration s/p open cholecystectomy, diaphragamatic hernia, g-tube resiting w/ abdominal collection // eval pneumonia/aspiration eval pneumonia/aspiration
MIMIC-CXR-JPG/2.0.0/files/p18019939/s57529991/646ddc13-55b7a2a4-d4bf15c2-bae09630-61325c25.jpg
no focal consolidation is seen. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal. mediastinal contours are unremarkable. no evidence of pneumomediastinum is seen.
<unk>f with globus sensation, impacted cervical food bolus // please evaluate for evience of mediastinal free air
MIMIC-CXR-JPG/2.0.0/files/p11969219/s58442504/9561da11-4b083a54-9852e0b3-17375fb5-f0d9026a.jpg
cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old woman with chest pain
MIMIC-CXR-JPG/2.0.0/files/p17608894/s53581482/2b153e7f-467adc03-04db2427-8525377b-d16b4cd1.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. visualized portions of both scapula appear intact.
<unk>m with scapula pain and sob // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p11822738/s53926875/0a4645e7-1138be52-b63c3401-75afebb1-562f9269.jpg
the heart appears mildly enlarged. the aorta is mildly tortuous. there is no pleural effusion or pneumothorax. at the left lung base there is minor volume loss with streaky opacities, probably minor atelectasis. the right lung appears clear. there is no pneumothorax. no rib fracture is identified.
right-sided rib and back pain.
MIMIC-CXR-JPG/2.0.0/files/p15469243/s50808641/9a4ee882-e76acd6c-cd0627ae-126f1170-4a7842ec.jpg
the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are hyperinflated, consistent with copd. there is no focal consolidation concerning for pneumonia. biapical scarring is present. surgical clips in right upper quadrant are noted. mild anterior wedging of a mid thoracic vertebral body is present.
<unk>f w/fevers and cough, please eval for occult pna.
MIMIC-CXR-JPG/2.0.0/files/p13103745/s55166013/65c3046a-d1b2d6fe-0c314f8b-9d658e2a-465e1c72.jpg
the lungs are well-expanded. the known right upper lobe lung mass is unchanged. the mediastinal contour is stable. stable mild cardiomegaly. no pneumothorax or pneumomediastinum. no pleural effusion. no acute osseous abnormality.
<unk>-year-old man with lymphadenopathy and known lung nodules. status-post bronch biopsies; evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14396063/s56026690/4b7cbee4-ae2085df-4423323d-9623104b-898c119a.jpg
soft tissue attenuation bilaterally along the mid to lower lung fields is consistent with dense breast tissue. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk>f with cough, sob // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17767787/s52583609/f8fc0f9c-cbdc2dae-2f41c4c2-5ad39bb7-e8283ce0.jpg
pa and lateral views of the chest provided. hilar congestion is again noted with improvement in pulmonary edema. bilateral pleural effusions are small and appears slightly improved. basilar compressive atelectasis is present. heart size is top-normal. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with dyspnea // ?pna
MIMIC-CXR-JPG/2.0.0/files/p14246614/s52721368/242fdf22-469c2d9a-4f3eb9d5-35bbc580-c1149283.jpg
frontal and lateral views of the chest are compared to previous exam from <unk>. there is increased opacity at the left posterior costophrenic angle, potentially due to atelectasis or small effusion. mildly indistinct pulmonary vascular markings are seen, which could be due to combination of significant overlying soft tissues and mild pulmonary vascular congestion. cardiac silhouette is enlarged, but unchanged. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath and cough.
MIMIC-CXR-JPG/2.0.0/files/p11869721/s50994884/41fb34df-751de498-c889702a-02136ed7-2f792b3f.jpg
frontal and lateral radiographs of the chest. the tip of the central venous catheter projects over the lower svc. the lungs are clear. no pleural abnormality is identified. the cardiac silhouette and mediastinum are normal appearing.
fever and generalized aches for <num> day. evaluate for acute infectious process. evaluate location of line tip.
MIMIC-CXR-JPG/2.0.0/files/p14853657/s58130121/58b5686a-9b3001bb-5e83b000-358cc174-f87d7371.jpg
heart is normal size and cardiomediastinal silhouette is stable. lungs are symmetrically expanded and clear. there is no pleural effusion or pneumothorax. no pulmonary edema.
<unk>f with shortness of breath last night // r/o ptx, pneumomediastinum
MIMIC-CXR-JPG/2.0.0/files/p16698639/s58714054/b66ee6cb-50e9ed2c-7e60ea92-dbb92dea-9463b07d.jpg
pa and lateral views of the chest. no prior. the lungs are clear of consolidation. nodular opacity projecting over the right lung base is most suggestive of a nipple shadow. there is no effusion. cardiomediastinal silhouette is within normal limits. hypertrophic changes are seen in the spine. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with c<num>-<num> disc herniation, preop.
MIMIC-CXR-JPG/2.0.0/files/p18038079/s51674696/90cdfdbb-e8336a2e-12565713-5ad13e8a-83979bb9.jpg
diffusely increased interstitial markings, right overall greater than left, are overall stable as compared to the prior study. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no findings to suggest pneumothorax are seen. degenerative changes at the right shoulder are again noted but not well assessed.
history: <unk>f with chronic cough, n // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p14635841/s54918636/bddc82d3-5fbdb00c-fa71ca38-74b59180-313787af.jpg
pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. osseous structures demonstrates no acute abnormality.
<unk>-year-old male with worsening chest pain.
MIMIC-CXR-JPG/2.0.0/files/p12986731/s54187749/7ad4dbcb-436698e2-aad62c5a-6f9f61c3-5585e75b.jpg
endotracheal tube terminates in the right mainstem bronchus. right ij line has been pulled back and is now in the proximal right atrium. enteric tube is in the stomach. cardiomediastinal silhouette and low volume lungs are unchanged. no large pleural effusion or pneumothorax
<unk> year old woman with stemi, esrd in ccu with hypotension // pulled back on ij - eval change
MIMIC-CXR-JPG/2.0.0/files/p19674244/s52089831/d014e17d-527711b9-c0e0de7b-135cd1d1-868369e8.jpg
portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with copd, cad, influenza positive presenting with dyspnea // evaluate for consolidation/pulm edema evaluate for consolidation/pulm edema
MIMIC-CXR-JPG/2.0.0/files/p18194315/s55893076/054fccce-d8a08ea2-f0b6a4d1-07c8b118-15f43e00.jpg
lung volumes are low. heart size remains mildly enlarged. mediastinal and hilar contours are unremarkable. crowding of bronchovascular structures is present without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. mild loss of height of a vertebral body at the thoracolumbar junction appears similar to the previous radiograph.
history: <unk>f with high blood pressure, limited history
MIMIC-CXR-JPG/2.0.0/files/p12408654/s50482098/83a82c9e-3583ccd8-ea5c72ab-eaa3c67c-c03e5219.jpg
<num> serial radiographs of the chest demonstrate placement of a dobbhoff tube with the <unk> image showing the dobbhoff tube in the mid-esophagus and the <unk> image demonstrating the dobbhoff tube positioned in the stomach. as compared to the previous radiograph, there is no relevant change. signs of mild to moderate pulmonary edema persist. there is mild blunting of the left costophrenic angle. no focal consolidation is identified. borderline enlargement of the cardiac silhouette is again seen.
placement of a dobbhoff tube.
MIMIC-CXR-JPG/2.0.0/files/p15629679/s52795708/a64d5b92-da90d881-a8da0752-2c297758-cb69643c.jpg
endotracheal tube in situ with the tip <num> mm proximal to the carina. swan-ganz catheter in situ in the appropriate position. right-sided ijv sheath in situ with the tip in the proximal svc. the cardiomediastinal shadow is normal. no pulmonary edema. no pneumothorax. no pleural effusion. no airspace consolidation. ng tube in situ coursing out of sight inferiorly. abdominal <unk>-<unk> drain in situ.
<unk> s/p dd liver transplant admitted to sicu // pls assess for ptx, fluid status, any acute abnormalities
MIMIC-CXR-JPG/2.0.0/files/p16086325/s55946437/abcf1bb3-3f9155d9-de456a8b-c5ba5fb7-019dfdad.jpg
the inspiratory lung volumes are low. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. there is a tortuous thoracic aorta. the mediastinal and hilar contours are within normal limits. there is slight elevation of the left hemidiaphragm. degenerative changes are noted in the thoracic spine. there is internal spinal fixation hardware in the cervical spine.
<unk>-year-old male with two-week history of cough, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13192224/s50254061/ce7a58db-6eaf6df3-40ff0920-f7162dff-2509a937.jpg
there relatively low lung volumes. no definite focal space is seen. there is no pleural effusion or pneumothorax. cardiac mediastinal silhouettes are stable. of note, the patient is rotated to the left.
history: <unk>m with hypoxia // acuteprocess
MIMIC-CXR-JPG/2.0.0/files/p16306505/s51445878/54a288f5-443d4573-2ec05a9b-dc3df033-56d12fa4.jpg
heart size is normal. the hilar contours are unremarkable. mild tortuosity of the thoracic aorta is noted. 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 dyspnea on exertion
MIMIC-CXR-JPG/2.0.0/files/p17989618/s57027637/80838393-ca209ea9-db502522-970ea643-ffbb62e3.jpg
the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with epigastric pain.
MIMIC-CXR-JPG/2.0.0/files/p18424041/s56843295/1f7d989f-b4eb03c3-39f0d17a-3e8583a8-efe3c379.jpg
the lungs are clear without a consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified.
back pain after motor vehicle crash. evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18901084/s56392359/2d2d90cd-6aed61c2-a23f4e4a-f706f89b-5e3f9e56.jpg
pa and lateral chest radiographs demonstrate a right port-a-cath tip terminating in mid svc. there is persistent elevation of the right hemidiaphragm and plate-like atelectasis at the right base. subtle opacity in periphey of right lung may represent pneumonia in the proper clinical setting. there is a small right pleural effusion and a moderate pericardial effusion is seen on subsequent ct. calcifications of the aortic arch are noted. the cardiomediastinal silhouette is otherwise unremarkable.
right upper quadrant pain. evaluate for pneumothorax or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13243522/s51262201/edafb1e0-c0ccfe14-cc35c42a-ffc5ba18-fdded984.jpg
as compared to prior chest radiograph from <unk>, there has been interval removal of a right-sided ij central venous catheter. there is redemonstration of chronic changes of distortion and opacification of both lungs. increased opacity in the right upper lobe is stable and likely relates to chronically collapsed right upper lobe and bronchiectasis as seen on prior chest ct. opacities along the left mid lung field have slightly improved. there is no new focal consolidation. cardiomediastinal and hilar contours are stable. there is no large pleural effusion or pneumothorax.
shortness of breath. evaluate for pneumonia, pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18240149/s54738174/d3800599-45b3b210-45e5eb96-d1cd457e-631ba139.jpg
the cardiac, mediastinal and hilar contours are normal. mild atherosclerotic calcifications are noted at the aortic knob. the pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
history: <unk>m with cough
MIMIC-CXR-JPG/2.0.0/files/p10556676/s50028529/84bd29d7-7da97da8-fec410cd-0a752fd0-143b1042.jpg
an ng tube remains in unchanged position overlying the proximal jejunum. the left picc line has been removed. there has been interval improvement in mild pulmonary vascular congestion. bibasilar atelectasis is unchanged. no focal consolidation or pneumothorax is present. the cardiomediastinal silhouette is unchanged.
variceal bleed, now with worsening shortness of breath. assess for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16679304/s57033741/8f588bce-a3c6ff44-fbffae98-c5988517-ffc7c11a.jpg
the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
<unk> year old man with left lower chets pain // r/o pna, fracture
MIMIC-CXR-JPG/2.0.0/files/p13166078/s55667614/4ff9302c-2ca9171e-1fc154b6-a821c452-0b1400ed.jpg
the patient is status post median sternotomy and cabg. multiple sternotomy wires are broken, with the appearances remaining unchanged compared to previous exam. the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. there are moderate degenerative changes within the thoracic spine with anterior osteophytic spurring and intervertebral disc height loss.
bradycardia.
MIMIC-CXR-JPG/2.0.0/files/p14337110/s51952413/c9406864-355a0f7c-061fdfa3-2ffe5502-93a88243.jpg
frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax is present. osseous structures are unremarkable. no radiopaque foreign bodies. there has been interval removal of a picc.
<unk>-year-old female with renal transplant, presenting with fever. evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p15719632/s50325656/cb723c6a-3cfc0b92-85fbcec2-01968e60-eb100820.jpg
cortical deformity along the anterolateral right second rib may represent a chronic rib fracture. no evidence of acute rib fracture. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the heart is top-normal in size. the mediastinal silhouette is unremarkable.
<unk> w/left lower rib cage pain, please eval for rib fx
MIMIC-CXR-JPG/2.0.0/files/p18897036/s54679449/4adf35d4-6d5066ff-1cdadf7d-298d69ac-1ac22a8a.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 sob // eval pneumothorax, pneumonia, other acute process
MIMIC-CXR-JPG/2.0.0/files/p19807025/s51054600/2e4a9872-335967a2-f02e2631-66c45194-109de974.jpg
a single portable frontal view of the chest was obtained. the patient is status post endotracheal tube placement with tip approximately <num> cm above the carina. enteric tube is subdiaphragmatic but the tip is excluded from the image. lung volumes remain low. increased bilateral opacities likely reflect pulmonary vascular crowding and mild edema. pulmonary edema has improved. cardiomediastinal silhouette is stable. there is no large effusion or pneumothorax.
<unk>-year-old man with endotracheal tube placement.
MIMIC-CXR-JPG/2.0.0/files/p18837272/s53328156/2254f1fc-3f76efd8-78c617b6-06591083-724bfc9d.jpg
<num> views of the chest demonstrate clear lungs. the cardiac, hilar and mediastinal contours are normal. no pleural abnormality is seen.
left-sided chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16632275/s52990341/f99e952b-82deccda-c2a0be27-63a409ab-a2c7d1ca.jpg
lung volumes are low. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. there is crowding of bronchovascular structures without overt pulmonary edema. patchy opacities in the lung bases are compatible with areas of subsegmental atelectasis. previously noted tiny left pneumothorax is not clearly visualized on the current radiograph. minimal left pleural effusion is re- demonstrated. there is residual oral contrast material within the stomach. no acute osseous abnormality is seen.
history: <unk>f with trace pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p17182700/s50868481/d253a1a6-6e1786da-7b134dff-2267ca0f-6c36b23c.jpg
pa and lateral chest radiographs were obtained. a large left pleural effusion has reaccumulated since <unk>. right lower lobe opacity consistent with post-radiation change is stable. surgical clips overlying the right hilus chest wall, posterior left upper abdomen are unchanged. a right-sided chest wall port tip terminates at the cavoatrial junction.
<unk>-year-old woman with ovarian cancer, cough, question fluid accumulation.
MIMIC-CXR-JPG/2.0.0/files/p11681010/s54400170/07287ed7-529ef588-fcff09c8-9c396786-85a513e1.jpg
endotracheal tube tip terminates <num> cm from the carina. an enteric tube tip is within the stomach. left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. moderate enlargement of cardiac silhouette persists. mediastinal contour is unchanged with atherosclerotic calcifications noted at the aortic knob. there is mild pulmonary vascular congestion. hazy opacity within the right hemithorax is compatible with a layering right pleural effusion. bibasilar atelectasis is demonstrated. no pneumothorax is visualized on this supine exam.
history: <unk>m with intubation
MIMIC-CXR-JPG/2.0.0/files/p19895478/s51035869/577e83cf-0ea140de-6d24fe9e-cdc2ba22-3bced250.jpg
there is a <num> mm round opacity projecting over the left lower lung, which likely represents a nipple shadow. otherwise, the lungs are hyperinflated but clear. no focal consolidations. no pulmonary edema. normal appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax. degenerative changes are seen within the right shoulder. there is pectus excavatum.
history: <unk>m with chest pain // ?pneumonia
MIMIC-CXR-JPG/2.0.0/files/p13818168/s57409056/22928632-72e8ae31-70c8cbe9-489874d1-9caecbd9.jpg
the lungs are clear without consolidation, effusion, or edema. opacity projecting over the anterior right fourth and fifth ribs are likely due to callus formation from prior fractures. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no free intraperitoneal air.
<unk>f with cough x<num> days with n/v/d. // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p14634306/s55623673/1df9b287-1eded8dc-a32c0fea-188baa5e-6b1746b1.jpg
the patient is rotated. but could not be moved for additional imaging. the endotracheal tube terminates <num> cm above the level the carina. a right internal jugular catheter terminates in the proximal svc. a nasogastric tube terminates in the stomach. there is unchanged cardiac enlargement and pulmonary vascular congestion. the degree is broadly similar when compared to the prior study. no free air seen under the diaphragm.
<unk> m in shock, rising lactate // pls eval for free air
MIMIC-CXR-JPG/2.0.0/files/p16600484/s56045135/688ec9db-5b9d026f-65fb6cab-b265b0f3-72ce94e1.jpg
the heart size is within normal limits. the mediastinal and hilar contours are normal. there is no pneumothorax. the lungs are clear of consolidation; right apical suture material is present. small right-sided pleural effusion is present, similar in extent to prior study.
<unk>-year-old male with history of spontaneous pneumothorax two weeks ago, now experiencing a gurgling sound/sensation.
MIMIC-CXR-JPG/2.0.0/files/p13050816/s52590995/03d7e849-9abb6690-7e5c1371-cccdbe8e-b36cf298.jpg
the lungs are clear, the cardiomediastinal silhouette is normal, and there is no pleural effusion or pneumothorax.
history: <unk>m with chest pain, came in intoxicated // ? pna, consolidation
MIMIC-CXR-JPG/2.0.0/files/p18446519/s51635368/1fd50190-bbf8c84e-0bc03ecb-dedcf225-9bfd3db7.jpg
the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.
history: <unk>m with l flank pain*** warning *** multiple patients with same last name! // assault, l flank pain
MIMIC-CXR-JPG/2.0.0/files/p12935888/s51370110/d1f86128-9f95ddd3-75a29810-2552e3ad-36bbf236.jpg
there is no consolidation, pleural effusion, or pneumothorax. there is no pulmonary edema. mildly enlarged cardiac silhouette is not changed.
<unk> year old woman with asthma, ra on several immunosuppressants, with now cough, wheezing, and slight hypoxemia // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p16219890/s50324402/fc964cd5-4756c04e-b27ff442-b365ad2f-5f0aa6b8.jpg
right middle lobe and lower lobe pneumonia is more consolidated compared to <unk> concerning for progression of pneumonia. there is no pleural effusion or pneumothorax. there is no pulmonary edema. there is right hilar fullness, which could be reactive adenopathy. there is a <num> mm nodular opacity in the right midlung, which was not seen on prior exam. cardiomediastinal silhouette is normal size.
<unk> year old woman with pneumonia, pleurisy, persistent fever and now dry cough // pneumonia getting worse, pleural effusion