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MIMIC-CXR-JPG/2.0.0/files/p15138859/s57470995/25c8f189-eec9b96b-fdfbffe8-86ee0bfe-0cf16266.jpg | ap upright and lateral views of the chest provided. lung volumes are low which limits evaluation. right basal atelectasis is noted an area of peripheral linear scarring is noted in the left mid lung. no large effusion or pneumothorax is seen. no convincing signs of pneumonia or edema. heart size cannot be reliably assessed. mediastinal contour appears normal. chronic left rib deformities are noted. no free air below the right hemidiaphragm. | <unk>m with shortness of breath // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p17152298/s51991875/c3458e10-8f3593d3-b42d6461-7944668d-34d30409.jpg | lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. prominent retrocardiac density is unchanged, possibly representing a large hiatal hernia. severe cardiomegaly is unchanged. there is mild unfolding of the thoracic aorta. hilar contours are unremarkable. lungs are clear. there is no large effusion or pneumothorax. multiple right-sided rib deformities are unchanged. | hypoxia. evaluate for edema or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13520909/s57676913/baeb35f7-865e55c7-1da53be9-bf5bce07-ee436efd.jpg | the cardiomediastinal and hilar contours are stable. moderate to large bilateral pleural effusions are increased from <unk>. there is mild to moderate pulmonary edema, which may be minimally increased from the prior study. no pneumothorax. | <unk> s/p sigmoidectomy and end colostomy (<unk>) c/b brief pea arrest, now presenting with fevers and leukocytosis // evaluate for interval change: effusions, bibasilar opacities |
MIMIC-CXR-JPG/2.0.0/files/p16346361/s55337770/938898f3-aff4535b-2ea38818-91e2eb40-caa6ba0c.jpg | frontal and lateral chest radiographs again demonstrate chronic right pleural thickening and volume loss. the patient is status post wedge resections in the left lung. there is scarring in the right mid-lung as well as atelectasis at the bilateral lung bases, without definite focal consolidation. the heart is mildly enlarged. no appreciable pleural fluid or pneumothorax is identified. the visualized upper abdomen is unremarkable. | evaluate for an acute cardiopulmonary process in a patient with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p10938464/s59120176/f0a1d15b-3efbe09b-b752e210-e0132432-89163b7d.jpg | left picc tip terminates in the mid svc. a moderate right pleural effusion appears slightly decreased in size compared to the prior exam, with associated right basilar atelectasis. no new focal consolidation is seen in the left lung. mild pulmonary vascular congestion seen previously appears slightly improved. cardiac and mediastinal contours are unchanged. no pneumothorax is present. | history: <unk>m with picc placement // please confirm picc placement |
MIMIC-CXR-JPG/2.0.0/files/p14913407/s56786534/6e354aae-2d214769-2db35829-6d7531e5-86ad70ac.jpg | the cardiomediastinal contours are within normal limits. the 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. | <unk>f with intermittent aching chest pain, evaluate for pneumonia or other acute process. |
MIMIC-CXR-JPG/2.0.0/files/p13076726/s51967212/1b5ea962-91da22ef-7ec2644a-119d3f3f-42a38925.jpg | the lungs are well aerated without focal consolidation, pleural effusion or pneumothorax. previously noted pulmonary nodules seen on the prior chest ct are not well evaluated on this radiograph. there is no pulmonary edema. there is a left-sided cardiac pacing device with its leads projecting over the appropriate position of the right atrium and right ventricle. the cardiac silhouette is normal in size. the mediastinal and hilar contours are normal. no acute osseous abnormality is seen. | <unk>-year-old female with altered mental status. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17613289/s52026596/bd3ef09c-356dd8b7-78fbf131-ef002c10-bec78e76.jpg | the lungs are well expanded and clear. no pleural abnormalities are seen. the cardiac and mediastinal silhouettes are normal. curvilinear calcifications in the neck of the right humerus likely represents benign enchondroma in unchanged from <unk>. | history: <unk>m with fall down approximately <unk> steps. no chest pain currently // rib fractures? |
MIMIC-CXR-JPG/2.0.0/files/p16260564/s50725147/aa25f54d-6eae7114-9a9b06e1-80f84c60-d2463c8c.jpg | there has been interval removal of the endotracheal tube. there is mild increase in bilateral pulmonary edema. there is a focal increase in consolidation at the left lower lung. the hilar and mediastinal contours are stable. the left heart border is obscured by the focal consolidation. there is no significant pleural effusion. there is no pneumothorax. the enteric tube terminates in the body of the stomach. | <unk>-year-old female with desaturation to the high <num>s who presents for evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p16634153/s57774330/af6e594f-8d36c1bf-bb8db1ad-a39e73a4-6e3503a3.jpg | the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal. thoracic vertebral body anterior wedging is stable. | <unk> year old woman with fever, productive cough and low o<num>. // ? right sided pna |
MIMIC-CXR-JPG/2.0.0/files/p18415857/s59418522/da1976b5-fba09b99-ae817a29-084c72e0-b9dec2d8.jpg | a frontal upright view of the chest was obtained portably. there is no focal consolidation, pleural effusion or pneumothorax. heart size is upper limits of normal. mediastinal silhouette and hilar contours are normal. | preoperative study for cabg. |
MIMIC-CXR-JPG/2.0.0/files/p19495617/s55826370/de1e57ed-2ccc0a0e-5f0557ee-86da52e0-a6d8f4ff.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. degenerative change at the right acromioclavicular joint. | history: <unk>f with afib on coumadin, hx of visual hallucinations and sundowning which has acutely worsened over last <num> weeks // eval for source of possible encephalopathy |
MIMIC-CXR-JPG/2.0.0/files/p18248631/s50631784/ad16feab-e681b4b4-3c62cad6-33be2d9e-cc4e559a.jpg | left chest wall defibrillator has a single lead terminating in the right ventricle. there is atelectasis in the right middle lobe as seen on ct in <unk>. the heart is top normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema. | <unk> yo male with cough, sob, ? decreased lung sounds left r/o pneumonia // <unk> yo male with cough, sob, ? decreased lung sounds left r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13794644/s58976486/84c652b9-78526a43-f31d1f59-873a708e-95fc5328.jpg | <num> frontal view chest radiographs show subsequent steps in dobhoff tube placement. early images show dobhoff tube entering the right mainstem bronchus and terminating at lateral right lung base, which is removed in the subsequent image. final image shows the tube coursing below the diaphragm and out of view. no pneumothorax is identified. right picc terminates at mid svc. endotracheal tube terminates <num> mm above the carina. right lung base opacity is similar as before. left lung base opacity appears to have increased. | <unk>m s/p mcc with c<num>-<num> cord injury reintubated for respiratory distress // ett placement; and dobhoff placement |
MIMIC-CXR-JPG/2.0.0/files/p11532659/s53670809/2e01214f-77d7dc24-57ad8bb9-49f4332b-c28b9c67.jpg | significant decrease in pleural effusions with decrease in pleural fluid seen in the major fissure on the lateral view. there is possible residual opacity in the lower lobe seen on the lateral view consistent with pneumonia. no pneumothorax. the cardiac and mediastinal silhouettes are unchanged. | <unk> year old woman with recent x-ray showing ?pna in lll on lateral view, and pleural effusions, now s/p <num> week of increased diuresis with persistent cough. no fever // eval for interval changes, signs of infection |
MIMIC-CXR-JPG/2.0.0/files/p12601552/s58661345/f6e43f21-c5d43f84-dd2da450-6520c3dd-b7a49290.jpg | there is a round density measuring approximately <num> cm projecting over the left mid lung, which was not visualized on the prior radiograph in <unk>. the lungs are otherwise clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old man with hiv // r/o infection |
MIMIC-CXR-JPG/2.0.0/files/p12011160/s54932624/34925ff6-98d433ca-af6b0a47-5eb6c8ba-814d6f35.jpg | lung volumes are low. heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. left proximal humeral fracture is incompletely imaged on this exam. | history: <unk>f status post fall with left shoulder pain, asymmetry. |
MIMIC-CXR-JPG/2.0.0/files/p19750812/s54869958/fa992360-e39c9d65-899ee824-a813a69f-daf99a33.jpg | the cardiomediastinal silhouette and hilar contours are within normal limits. there is persistence of low lung volumes without acute consolidation. there is no pneumothorax or pulmonary edema. dextroconvex scoliosis is unchanged. | history: <unk>m with copd, rhonchi r lung fields // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14786403/s52899066/c159f37c-1631106d-c6a15198-13aa83e2-32173164.jpg | frontal and lateral radiographs of the chest demonstrate obscuration of the right heart border secondary to mild pectus excavatum. the lungs are clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>f with cough, fever // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13949763/s54337674/adffe6d9-3b33ab21-71d16666-df0ded89-40d8bd8d.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with chest pain // assess for pna |
MIMIC-CXR-JPG/2.0.0/files/p16384274/s53185092/074d3676-8bc002df-b3e47b13-8b1d8bcd-9ad75580.jpg | there are relatively low lung volumes, which accentuate the bronchovascular markings. given this, there may be mild interstitial edema. no pleural effusion is seen. there is no focal consolidation. the cardiac and mediastinal silhouettes are unremarkable. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18003081/s50577366/46832657-3814a832-38e37180-09a09102-9f88c5a0.jpg | evaluation is limited due to the patient's head obscuring the lung apices. the visualized lungs are clear without focal consolidation, pleural effusion or pneumothorax. the heart is normal in size, and there is no pulmonary edema. the mediastinal contours are normal. | <unk> year old man with recent pneumonia. follow-up chest radiograph for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17782175/s50662159/78fff626-1b5a1687-d7c415f3-67d3d228-07191929.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old male with shortness of breath for the last week. evaluate for evidence of pneumonia versus bronchitis. |
MIMIC-CXR-JPG/2.0.0/files/p16044547/s58156833/57d9612f-9817824c-80c11c97-72af03c0-e47b57a5.jpg | portable upright chest radiograph <unk> at <time> is submitted. | <unk> year old woman with ms now with leukopenia, hypothermia. eval for infectious process. // eval for infectious process eval for infectious process |
MIMIC-CXR-JPG/2.0.0/files/p14497721/s52951566/8d66b7cf-8abf1da4-4537aa26-8124c585-511fe86f.jpg | pa and lateral views of the chest provided. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with palpitations, cad // ?pna, consolidation |
MIMIC-CXR-JPG/2.0.0/files/p17629565/s58446590/fc45f708-70391393-897950a1-466c299d-a655f620.jpg | there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. diaphragms appear slightly flattened possibly due to hyperinflation. there are no acute skeletal abnormalities. | <unk>-year-old woman with hemoptysis, long history of smoking, rule out pulmonary pathology. |
MIMIC-CXR-JPG/2.0.0/files/p19997367/s55871455/95e0d765-6f99aff8-f618fe8a-1c6f51d5-24bb3d0f.jpg | a portable frontal chest radiograph demonstrates a decreased right pleural effusion after thoracentesis. the small left pleural effusion is unchanged. there is no pneumothorax. the remainder of the exam is unchanged. | right pleural effusion status post thoracentesis. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11325470/s56866252/01a5249f-2232f9dc-b181df8e-c3fb1f5b-c14dcb46.jpg | there is no focal consolidation, pleural effusion or pneumothorax. heart size remains mildly enlarged. no acute osseous abnormalities identified. | history: <unk>m with ? tia/stroke // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p18358382/s54987116/beed13f4-e70db8db-224c0adc-73480e60-88082455.jpg | the lungs are clear. there is no focal consolidation, effusion, or edema. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities. | <unk>m with cp // eval fopr pulm edema/ptx |
MIMIC-CXR-JPG/2.0.0/files/p12408912/s57146637/33c870a4-330639da-f9a04d67-791ee1e3-3585759a.jpg | tracheostomy tube is in the midline, unchanged from prior. the right picc line has been repositioned, looping in the internal jugular vein and terminating in the right brachiocephalic vein. diffuse opacification in the right hemithorax is unchanged. the left mid lung opacity obscuring the left heart border is more prominent. this is partially due to the lung lesion seen on recent ct, but postobstructive pneumonia cannot be ruled out. small pleural effusion on the right is unchanged. no pneumothorax. the cardiomediastinal silhouette is stable. | <unk> year old man with hx lung cancer s/p stent with ?post obstructive pna // iinterval change |
MIMIC-CXR-JPG/2.0.0/files/p16284575/s54310489/9ce7f745-5b70941e-b9cacd45-89614e3d-33e227e7.jpg | there is focal opacity at the right lateral costophrenic angle. there may be an associated small right pleural effusion as well. left lung is clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with r chest wall pain, sickle cell // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15006090/s52745190/0dcc12ec-6e05dc80-5b6057c8-8ee114b2-f6f2d5b0.jpg | lungs are fully expanded and clear. heart size is normal. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. | <unk> year old man with cough, sore throat // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14591676/s57398662/f2bc60a3-06aaa87d-d3101e2f-caddfadf-146711cb.jpg | mild left pleural effusion, mildly improved. improved left perihilar opacity, likely improving atelectasis. stable left basilar consolidation, likely atelectasis. right lung clear. cardiac pacemaker. no pneumothorax. surgical clips right upper quadrant. | <unk> year old woman with chf and lt pleural effusion now after <unk> thoracentesis // ptx? residual fluid |
MIMIC-CXR-JPG/2.0.0/files/p18323186/s51163960/11e3e599-f29ce456-2ed98822-6146a930-fcc6c0e4.jpg | a portable frontal chest radiograph again demonstrates a picc with the tip in the middle low svc, unchanged in position. the heart is top normal in size. the lungs are relatively well aerated. there is no focal consolidation, pleural effusion, or pneumothorax. | evaluate for in new infiltrate or interval change in a patient with aml presenting with febrile neutropenia. |
MIMIC-CXR-JPG/2.0.0/files/p13042075/s55405053/c85981ed-6c85e842-6dda1a50-cc780383-7a5d3245.jpg | pa and lateral radiographs of the chest demonstrate a small amount of pleural fluid tracking into the right major and minor fissures. multifocal consolidations have improved from <unk>, but some residual opacities, particularly in the right upper lobe, persist. a possible left upper lobe nodular opacity also remains. bilateral, right greater than left apical pleural thickening is seen. the hilar and cardiomediastinal contours are normal. pulmonary vascularity is normal. there is no pneumothorax. | evaluate interval change in pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p19245176/s56550918/b60cf83e-aca4aed5-36741207-e5d3d87b-10a8155e.jpg | multiple right rib fractures are identified as seen on prior ct. small pneumothorax seen on prior ct is not appreciated on this study. no consolidation or pleural effusion is identified. cardiomediastinal and hilar silhouette are normal size. | <unk> year old man with rib fxs // rib fxs surg: <unk> (tib/fib) |
MIMIC-CXR-JPG/2.0.0/files/p12489165/s55321706/2783f4e7-cde82176-2001fff5-92829fb8-61e0842c.jpg | no obvious pneumothorax identified on the current film. interval improvement in previously seen subcutaneous emphysema in the lower neck/ upper chest. changes at the right and left lung bases, likely a combination of a small amount of pleural fluid and atelectasis, are similar to the prior study. no new infiltrate is identified. no overt chf. cardiomediastinal silhouette is grossly unchanged. | <unk> year old woman with s/p asd repair/<unk> ligation/(l)ptx // eval ptx ****ct clamped**** at <unk> please |
MIMIC-CXR-JPG/2.0.0/files/p14461680/s54588328/0dfa362c-d137f52a-5e1ae45a-330b9034-799e4187.jpg | frontal and lateral views of the chest. severe pulmonary edema is present with moderate sized bilateral pleural effusions and adjacent lower lobe opacities which could represent either infection or atelectasis. effusions obscure the cardiac borders but there is at least mild cardiomegaly. no pneumothorax. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15653234/s51479846/50562a75-0d62dac9-3887c321-0d548f80-48586eae.jpg | ap portable upright view of the chest. overlying ekg leads are present. cardiomegaly is mild and unchanged. hila are congested and there is mild pulmonary edema evidenced by diffuse mild ground-glass opacities. no large effusion is seen. subtle left basal opacity may represent atelectasis, difficult to exclude a component of pneumonia. no pneumothorax. mediastinal contour is stable. bony structures are intact. | <unk>m with resp distress |
MIMIC-CXR-JPG/2.0.0/files/p13083369/s51795605/78300393-073c39bf-2bf5aa34-2df4f1b3-592f7c86.jpg | previously reported asymmetrical density in the left mid and lower hemi thorax is no longer evident and is probably technical in nature. cardiomediastinal contours are remarkable for mild cardiomegaly and indwelling biventricular icd pacing device. lungs are clear except for minimal linear stir atelectasis at the right base. there are no pleural effusions. | <unk> year old man with pmhx copd/chf presents with ?greater radiodensity over the left lower hemithorax as well as in the retrocardiac region // further characterization of radiodensity |
MIMIC-CXR-JPG/2.0.0/files/p18809301/s51181702/3221bb81-77fd6466-dafb8024-34277e5b-40a523e1.jpg | pa and lateral chest radiographs were obtained. the lungs are well expanded. atelectasis at the left costophrenic angle is new. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. there is no pneumoperitoneum. thoracic degenerative changes are mild. | abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p15092875/s57299949/1f99a5c7-4b8b443a-3f65f9ac-be43fafa-9034393c.jpg | the patient is status post median sternotomy and cabg. heart size is top normal. mediastinal and hilar contours are stable. there is hyperinflation of the lungs with emphysematous changes again noted, most pronounced in the lung apices. streaky linear opacities within the lung bases likely reflect the patient's known bronchiectasis. linear scarring is also seen within the periphery of the right lung base. no focal consolidation, pleural effusion or pneumothorax is identified. there are multilevel mild degenerative changes noted within the thoracic spine. | multiple falls. |
MIMIC-CXR-JPG/2.0.0/files/p19176727/s56623693/4824845c-49068ab0-dbb84af6-b137ba32-7d19dd0c.jpg | single portable view of the chest is compared to previous exam from <unk>. lungs are notable for bibasilar atelectasis, but are otherwise clear. cardiomediastinal silhouette is stable. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with desaturation, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11106524/s50308327/56e861f2-eb1d5c23-72c3180e-b6d81c65-5e405d66.jpg | endotracheal tube tip in good position. enteric tube tip is probably in the mid stomach, well below diaphragm. right ij central line tip in the low svc. trace right pleural effusion or thickening, probably similar. new right basilar opacities, probable nodular components, consider infection. retrocardiac opacity, likely atelectasis. shallow inspiration accentuates heart size. normal pulmonary vascularity. no pneumothorax. | <unk> year old man inbubated with c/f pneumonia // concern for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17769704/s50590109/33fc033e-1bf597b9-c61521fa-a0c76d55-d351c27e.jpg | ap portable upright view of the chest. increased opacity at the left lung base is concerning for atelectasis and effusion. the right lung appears grossly clear. heart size is within normal limits. mediastinal contour is unremarkable. no free air seen below the right hemidiaphragm. | <unk>m with hypoxia // ? fluid |
MIMIC-CXR-JPG/2.0.0/files/p13660676/s54664969/463443e5-ace59ef2-441e4f0c-ff2a8787-4673b7f7.jpg | the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. | <unk>-year-old male with chest pressure. please evaluate for cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p18755176/s54916306/f0017c78-ca369a37-52f29adc-5c0d95a0-4b057b46.jpg | the heart is normal in size. the left hilum shows a round structure in both views although possibly explained by vascular structures. the lungs appear clear. there is no pleural effusion or pneumothorax. | fever and chemotherapy. |
MIMIC-CXR-JPG/2.0.0/files/p11938146/s55309359/565cc0d6-ca64cb01-a921d765-d28500d6-073f521a.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with hemoptysis, fever |
MIMIC-CXR-JPG/2.0.0/files/p17970081/s52170247/9b7bc1c8-03815641-7a98a586-21c8b17b-ce799ade.jpg | the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs are clear of consolidation, although they demonstrate moderate emphysematous change. there is no pleural effusion or pneumothorax. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16048931/s59969718/2cdeef29-6fc861e4-eea35edf-0c22efde-927631de.jpg | heart size is mildly enlarged with tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are otherwise clear without dense consolidation. pleural surfaces are clear without effusion or pneumothorax. lungs are mildly hyperinflated. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p16733321/s58354519/7cb20676-fa2f9668-25f845dd-5bd2b34a-4240d426.jpg | no significant interval change other than a small focal opacity in the right upper lobe which could represent a focal consolidation, mucous plugging, or areas of superimposed normal structures. no pleural effusion, edema, or pneumothorax. cardiomediastinal silhouette is unchanged. descending thoracic aorta calcifications are unchanged. mild dextroconvex scoliosis of the thoracic spine is also unchanged. moderate anterior osteophytes in the lower thoracic vertebral bodies are unchanged. an incidental azygous fissure is again noted. there is pectus excavatum. | <unk>-year-old man presenting with chest pain. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p19454512/s51721652/c77858c0-91740c94-636f9cce-c6fa9c83-e4354fc7.jpg | the heart is mild-to-moderately enlarged, as before. the aortic arch is calcified. there is similar marked relative elevation of the right hemidiaphragm compared to the left side. there are mild interstitial changes which suggest slight fluid overload or pulmonary congestion. particularly evident on the lateral view are posterior opacities along the elevated right hemidiaphragm which are suggestive of associated atelectasis. it is difficult to exclude trace pleural effusions. there is no pneumothorax. surgical clips project over the right upper quadrant. multiple air-fluid levels are seen within bowel including the colon but without dilatation. vague opacity in the left mid lung appears unchanged and suggests minor atelectasis or scarring. there is mild rightward convex curvature along the thoracic spine. the bones may be demineralized to some degree. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12921066/s52153352/6005f73f-c04df422-621df48c-1e48b59b-f251b691.jpg | single portable supine frontal image of the chest. the right ij central line is seen terminating in the mid svc. the lungs are hyperinflated. there is vascular engorgement without pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | right ij placement. |
MIMIC-CXR-JPG/2.0.0/files/p18616369/s55235519/0dd53444-c4fad95b-5a4d59e6-ee6940f5-5f196710.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. | <unk> year old woman with cough and dyspnea. // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p16773746/s53948355/603e0348-d21e9b3b-eeb0a90c-e853e7f9-6cd63527.jpg | mild enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are still stable. pulmonary vasculature is normal. minimal atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is identified. | history: <unk>m with fevers |
MIMIC-CXR-JPG/2.0.0/files/p12330994/s53600453/01e8189c-5a789958-78cdf43b-53b260c8-785b513a.jpg | minimal left base scarring/atelectatics, stable from prior. lungs are otherwise clear cardiomediastinal silhouette is normal this preliminary report was reviewed with dr. <unk>, <unk> radiologist. | <unk> year old man with cirrhosis, rll crackles, encephalopathy, <unk> // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15319814/s55741324/053a0efd-7bd49fd5-e3a29748-d731745a-59862a79.jpg | the right upper extremity picc has been removed in the interim. the lungs remain well expanded and clear, with the exception of <num>minimal left basilar atelectasis and effusion, unchanged. the cardiac silhouette is top normal, and the mediastinal contours are unchanged with slight tortuosity of the aorta and calcification of the knob. | <unk>-year-old male admitted with pelvic abscess, status post drainage, now with shortness of breath, desaturation, and tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p14396488/s54759246/d134c791-b2e32ddc-5b6c2244-741a4bb3-b18e0e39.jpg | pa and lateral views of the chest provided. lung volumes are low. there is no focal consolidation, effusion, or pneumothorax. the heart appears mildly enlarged. mediastinal contours unremarkable. subtle perihilar linear opacity in the right mid lung likely represents mild subsegmental atelectasis. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with cad s/p stent w/ dizziness, nausea |
MIMIC-CXR-JPG/2.0.0/files/p11642214/s59665371/cf16c7bd-5c4d0407-1336145e-41647dd6-17938eba.jpg | portable upright radiograph of the chest demonstrates low lung volumes. there is probable left basilar atelectasis. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p13152570/s55968802/04869b4e-5909f3f6-8d593bdf-03fdb98e-f4aa337e.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded. there is no pleural effusion, large focal consolidation or pneumothorax. there is redemonstration of bilateral linear opacities not significantly changed since at least <unk>, likely due to scarring. | intermittent fevers. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12948423/s52528325/5c2cc071-ece60942-4985e95b-561d7b25-f64495fd.jpg | no enteric tube is identified. clinical correlation is recommended as the tube may be coiled outside of the field of view, possibly in the oropharynx. the heart size is top normal. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. | <unk> year old woman with sbo // eval for proper nasogastric tube placement |
MIMIC-CXR-JPG/2.0.0/files/p18194653/s52866452/6c4c47ee-b61a6f27-9a5a714f-f08d5104-6a52ca9d.jpg | the lung apices are not included on this study. a large diameter right-sided central catheter terminates in the right atrium. a left-sided central catheter terminates in the mid svc. an ng tube has its side port terminating in stomach however the tip travels inferiorly terminating out of few. low lung volumes are unchanged. there is bilateral mild to moderate pulmonary edema. cardiomediastinal contours are unchanged. the small left pleural effusion is improved. the right hemidiaphragm is obscured suggesting layering pleural effusion, atelectasis, or pulmonary infarct. there are no new focal opacities. incompletely visualized coiled tubular structure in the upper esophagus is redemonstrated, and was previously described to be a temperature probe. | massive pe on ecmo. interval change. |
MIMIC-CXR-JPG/2.0.0/files/p15745543/s59537186/29befdab-5218fca3-3e432d78-e4ee2224-90867f13.jpg | the lungs are relatively hyperinflated. there is chronic blunting of the costophrenic angles, similar to prior. no new focal consolidation is seen. no large pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen. | <unk>m w/sob, please eval for pna, pulm edema // <unk>m w/sob, please eval for pna, pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p18609004/s59285924/053597f6-d6a9b7bd-336e54f7-4e95d4b0-e101fd30.jpg | heart size is normal. the aorta remains tortuous. mediastinal contours are otherwise unremarkable. there is mild pulmonary vascular congestion. minimal bibasilar streaky opacities could reflect atelectasis. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized. | recent renal transplant with abdominal pain primarily at graft site. |
MIMIC-CXR-JPG/2.0.0/files/p15795685/s52805760/09202320-05683a65-7c536bd4-976a5081-42353848.jpg | the lungs are clear. there is leftward deviation the cardiomediastinal silhouette and obscuration of the right heart border compatible with pectus deformity as seen on prior pet-ct. no acute osseous abnormalities identified. | <unk>f with chest pain, dyspnea // acute cardiopulm disease |
MIMIC-CXR-JPG/2.0.0/files/p17079601/s57951229/d7fd7a69-bacb9330-d5a3dadc-ae21257f-5210aabb.jpg | frontal and lateral views of the chest demonstrate increased ap diameter of the chest and flattened hemidiaphragms, suggestive of underlying chronic lung disease. linear opacities in the lung bases are stable and likely represent areas of scarring. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is top normal. no pulmonary edema. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p14734731/s57489068/532e83ce-283b08c4-73f4975e-355ffa77-48f70022.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. there are mild degenerative changes in the thoracic spine. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p12567919/s58717213/4c2a279f-ab5ea160-9d2a7e54-29f794da-8aa57f31.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there similar mild relative elevation of the right hemidiaphragm. | tachycardia and altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p12938496/s50015887/e2abe9f6-9399a97c-fc995370-221c7d08-0e19e503.jpg | frontal and lateral views of the chest were performed. a right subclavian catheter terminates within the right atrium. there is no pleural effusion, pneumothorax or focal airspace consolidation. moderate pulmonary vascular congestion has persisted or recurred. atelectasis is again seen at the left lung base. the cardiac silhouette is moderately enlarged, unchanged from the prior study. the mediastinal contours are normal. | chest pain, evaluate for a cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p10137553/s50351797/519eefb1-e684edc4-1ac13828-3b1d63cb-5aa218bc.jpg | frontal and lateral chest radiographs demonstrate stable hyperinflation of the lungs with relative lucency of the bilateral upper lungs consistent with emphysema. no focal opacification concerning for pneumonia. cardiomediastinal and hilar contours are unremarkable. aortic arch vascular calcifications evident. no pleural effusion or pneumothorax identified. | shortness of breath in setting of hypertension. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p13762730/s52603243/1122a7e9-32e0350f-1a87fedd-c85128f3-4e2d23f4.jpg | there is new mild interstitial edema. lateral view is suboptimal, but no focal consolidation or pneumothorax is appreciated. there is possibly a small left-sided pleural effusion. cardiomegaly and aortic tortuosity are again noted. pacing hardware is in similar position. | <unk>-year-old male with cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17551659/s58265042/b6025131-21e5e818-298ae59d-2e8be367-2f32402a.jpg | the heart is unchanged in size. there is moderate residual of the right pleural effusion, unchanged when compared to prior examination. left lung is clear. there is no pneumothorax. | <unk>-year-old male patient with mpe status post talc pleurodesis. study requested for evaluation of reaccumulation of effusion. |
MIMIC-CXR-JPG/2.0.0/files/p10882203/s55057963/d296bb4b-7a397ecc-758c8cda-0cd9b50d-11445d48.jpg | lungs are well aerated and clear, without pleural effusion or pneumothorax. the heart is normal in size. normal mediastinal contours. no displaced rib fractures are identified though a possible fracture is seen posteriorly at the left eighth and ninth ribs, though this may be artifactual due to crossing vessels or reflect prior injury. | status post mvc with increasing pain in the chest, assess for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p16434143/s55322181/00e91ee3-9274684b-3f55e1d7-f99e446f-41bd458a.jpg | moderate cardiomegaly appears slightly increased when compared to the prior exam. the aorta remains tortuous, with atherosclerotic calcification again demonstrated at the aortic arch. mild pulmonary edema is new compared to the prior exam. small bilateral pleural effusions are also new. evaluation of the lung apices is somewhat obscured by the patient's chin. no focal consolidation or pneumothorax is identified. there are multilevel degenerative changes in the thoracic spine. | shortness of breath and left leg pain. |
MIMIC-CXR-JPG/2.0.0/files/p17239145/s55216042/57a54160-cd0ca11e-5adfcf63-a83e2e48-34565413.jpg | lung volumes are low, causing bronchovascular crowding. no focal opacity to suggest pneumonia is seen. no pleural effusion, pneumothorax, or overt pulmonary edema is seen. a known <num>-mm right lower lobe pulmonary nodule seen by ct is not well evaluated on this exam. the heart size is normal. | chest pain for one hour. |
MIMIC-CXR-JPG/2.0.0/files/p17254742/s52277159/22f72ad0-c19bfbcf-7c0ecab9-78da97c1-c6aeb7c3.jpg | multiple nodular pulmonary opacities measuring up to <num> mm are seen on the frontal and lateral radiograph. a <num> cm nodular opacity along the right hilum concerning for lymphadenopathy. there is mild left basilar atelectasis. no pleural effusion or pneumothorax is seen. heart is not enlarged. | history: <unk>f with chest pain n/v // assess for pna |
MIMIC-CXR-JPG/2.0.0/files/p18765564/s59974606/e45b5340-939c0081-4b89ccb7-bd4f3f12-0e314aa6.jpg | pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with fever to <num>. |
MIMIC-CXR-JPG/2.0.0/files/p10757917/s52515461/18667d37-0f54f0b5-253a4876-c90fea94-2f6f43d8.jpg | left-sided port-a-cath tip terminates in the right atrium. mild enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted in the thoracic spine. | history: <unk>f with fall/facial trauma/head strike |
MIMIC-CXR-JPG/2.0.0/files/p13040343/s58556284/226734d9-5ff6b033-14010c4c-7dfa9cc9-52566dc5.jpg | new right lower lobe opacity with associated small bilateral pleural effusions. chronic scarring and right apical thickening are stable. heart size is normal. | <unk> year old man with <num> week cough and pna exposure // pna? |
MIMIC-CXR-JPG/2.0.0/files/p19042495/s58856486/f47f29a6-7411c226-0eaf66ec-f1daa4e8-d229e81a.jpg | a dual lead left anterior chest wall pacer is again noted and is unchanged in position. moderate cardiomegaly is unchanged from prior study. atherosclerotic calcifications are noted along the aortic arch. subtle increased density is noted in the right middle lobe with questionable lateral correlate in the posterior lower lung fields. there is no pleural effusion or pneumothorax. a right humeral head replacement is incompletely imaged. the osseous structures are otherwise grossly unremarkable. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p13675896/s54430591/fc99372f-ab96803d-351a891a-36ac0478-1c2392e7.jpg | the heart size is normal. mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. no pulmonary vascular congestion is identified. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16142940/s52639018/9dfad0d4-eecd3ff6-cb2bda62-617a4d0b-efa6aab7.jpg | pa and lateral views of the chest provided. as compared to prior study from <unk>, the extent of right pleural effusion has substantially increased with perhaps a loculated component. right pleural catheter position is grossly unchanged. right lung is compressed. left lung is clear. cardiac silhouette is stably enlarged. mediastinal contour is normal. there is no pneumothorax. | history: <unk>m with dyspnea // eval for effusion pna |
MIMIC-CXR-JPG/2.0.0/files/p12264993/s55992264/c3112c20-a56b8786-6de8e652-89f6a0e2-c4fb57b1.jpg | the heart is borderline enlarged. the aortic arch is calcified. there is no pleural effusion or pneumothorax. a mild interstitial abnormality could be seen with pulmonary edema or atypical infection. | generalized weakness and cough. |
MIMIC-CXR-JPG/2.0.0/files/p12228452/s59301161/e6246822-4ffaf4a1-027ea92c-f8f82c28-e159477a.jpg | frontal and lateral views of the chest were obtained. mild cardiomegaly and cardiomediastinal contours are stable. lung volumes are low. there is persistent elevation of the right hemidiaphragm. no focal consolidation, substantial pleural effusion, or pneumothorax. | <unk>-year-old female with nausea, palpitations, and leukocytosis. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16421543/s54611243/68ff0055-b2cdc92c-0fb3fadd-669c17af-dc8b6687.jpg | heart size is normal. atherosclerotic calcifications are seen within the aortic knob. mediastinal contour is unchanged. enlargement of the right hilum is new in the interval and an underlying hilar mass is suspected. pulmonary vasculature is not engorged. multiple nodular opacities are seen within the right mid lung field, new in the interval. minimal atelectasis is noted in the lung bases. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with report of pulmonary nodules from outside hospital |
MIMIC-CXR-JPG/2.0.0/files/p10515313/s55128169/b34d05c1-90d28fbe-b62c5524-0133892f-fb0b83c0.jpg | a portable frontal chest radiograph again demonstrates a right internal jugular catheter terminating in the low svc, unchanged in position. the cardiomediastinal silhouette remains normal. there has been interval resolution of left perihilar and basal consolidation compared to <unk>. however, there is new right base consolidation which could a reflect an infectious process. there is no significant pulmonary edema, pleural effusion, or pneumothorax. | evaluate for infection in a patient with up trending white count and cough, status post small bowel resection and primary anastomosis after small bowel obstruction. |
MIMIC-CXR-JPG/2.0.0/files/p11328158/s56135279/0564faee-b8997c42-27bc2144-43250674-b2ea9c20.jpg | pa and lateral chest radiographs are obtained. extensive pulmonary fibrosis and bronchiectasis is grossly similar to the prior exams. there is no suggestion of a new consolidation. there is no effusion or pneumothorax. moderate cardiomegaly is unchanged. enlargement of the aortic arch continues to deviate the calcified trachea rightward. there is a large hiatal hernia. severe degenerative changes of the left shoulder are again seen. the chest wall remains deformed. | fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p12342431/s51911769/8e1a9911-eb1aefd2-a2289618-6cc3aacd-ebb6bd4b.jpg | pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | dyspnea and chest pressure in a patient with systemic lupus erythematosus. |
MIMIC-CXR-JPG/2.0.0/files/p15194760/s56892164/09febaa8-2b8631ad-372f4951-7b31ea7a-9c1667da.jpg | pa and lateral views of the chest provided. the lungs appear hyperinflated. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p12486000/s59843577/752aeb1d-de97103f-335d3023-6563bdf2-f3344bff.jpg | the lungs are clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is top-normal in size. the mediastinum is not widened. no acute osseous abnormality. | history: <unk>m with hiv here after fall; evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13483910/s58553231/d0a33f43-a72d8533-a28d210c-1c85b6c3-8681396a.jpg | the lungs are well inflated and clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact. | <unk>f with shortness of breath and left anterior chest pain. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13573483/s59846925/a1ac9301-ceecb9fb-c4e5127f-40764a60-45b375e3.jpg | bibasilar atelectasis are increased compared to <unk>. cardiac silhouette is obscured by low lung volumes. no evidence of pulmonary edema. there is no large pleural effusion. | <unk> year old woman with new oxygen requirement of <num> l // r/o acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p14845249/s59526217/071c23b3-4c853361-2ee49a74-f452a298-bcaa1952.jpg | the posterior costophrenic angles are incompletely imaged on lateral view. no focal consolidation, pleural effusion, or pneumothorax is seen. the cardiac silhouette appears unchanged. sternal wires appear intact. | <unk>-year-old male with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16944208/s54113706/c62e22ef-45a668f5-eab7cd77-aba4b420-8dd7adf1.jpg | lung volumes are unchanged compared to the prior study. slight interval improvement in the left lower lobe atelectasis. a nasogastric tube terminates below the left hemidiaphragm in the expected location of the stomach. unchanged mild vascular congestion and small bilateral pleural effusions. an airspace opacity in the left mid lung may reflect atelectasis versus consolidation. continued attention on followup recommended. | <unk> year old woman with ngt. came untaped so was pushed back into place. evaluate for placement. thank you // evaluate ngt placement. |
MIMIC-CXR-JPG/2.0.0/files/p12741009/s56713084/34a3773e-31ce50f4-5b60448a-8e1a9d88-6c4cb5b9.jpg | the cardiac silhouette size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. pleural parenchymal scarring is seen within the lung apices, more so on the right. no focal consolidation, pleural effusion or pneumothorax is demonstrated. <num> mm nodular opacity projecting over the eighth posterior rib on the left could reflect a pulmonary nodule or osseous lesion. mild dextroscoliosis of the thoracic spine is present. no acute osseous abnormalities detected. | <num> episodes of syncope today. |
MIMIC-CXR-JPG/2.0.0/files/p14908513/s57890446/75d60b27-094df956-3246b51c-723687df-2e1a1884.jpg | the lungs are hyperinflated. calcified granulomas project over the upper lungs. there is dextroscoliosis of the thoracic spine. there is no displaced rib fracture. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | <unk>-year-old female with l shoulder pain, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17340658/s50991732/f7d84801-ec8689e3-b9e7b573-09223e83-8f5f6eca.jpg | there is a linear opacity in the right midlung laterally. the lungs are otherwise clear. there is no effusion or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with recent pe, lle dvt // please evaluate for acute abnormality |
MIMIC-CXR-JPG/2.0.0/files/p15341255/s50940228/a0d86ece-f134548d-ed9bc681-ad8dcbbc-8fecb5b8.jpg | multifocal consolidation on the right appears unchanged with possible mildly increased right pleural effusion. there is increased opacity in the left lung base, given patient's clinical history may suggest worsening pneumonia. mild vascular congestion bilaterally. no pneumothorax. tip of the right picc ends in the mid svc. median sternotomy wires again seen. cardiomegaly cannot be assessed. | <unk> year old man with htn, hld, cad s/p cabg, afib ,and ckd admitted with hypoxic respiratory failure <unk> legionella pna. still with persistent leukocytosis and volume overload. // ?pulmonary edema, any interval change in pna |
MIMIC-CXR-JPG/2.0.0/files/p15195362/s54361158/5263c774-bd943d9d-39084c4d-3d5086bc-c97651b7.jpg | a tracheostomy tube terminates within the mid trachea. a feeding tube courses along the esophagus and terminates out of the field of view, likely within the stomach. the lung volumes are low, which limits evaluation. opacities are seen at the right lung base with some appearing linear and others containing air bronchograms. no pneumothorax or definite pleural effusion. there is prominence of the central vasculature without evidence for pulmonary edema. the cardiac contour is normal. prominence of the mediastinum may reflect the presence of an azygous fissure, especially in the absence of symptoms from pathologic widening. | ventilator dependent with known tracheal stenosis. evaluate for pneumothorax or infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p19401346/s56158037/f3550d01-88c52c1a-1c38a806-564ecf9e-672f7413.jpg | a left-sided pectoral pacer and dual leads are in expected position. the cardiomediastinal and hilar contours are within normal limits. the lungs are minimally hyperexpanded but clear. no focal consolidation, pleural effusion or pneumothorax is seen. | <unk> year old woman with cough, abnormal lung exam // cough- left worse than right coarse ronchi |
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