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MIMIC-CXR-JPG/2.0.0/files/p13306109/s53042418/6ea24aa2-c6f304e5-1ba8fb6a-116fea12-f3a61c7b.jpg | prominent interstitial markings and engorgement of the pulmonary vasculature are consistent with mild edema. previously seen pleural effusions have decreased, now tiny. there is persistent bibasilar atelectasis. no pneumothorax. heart size is mildly enlarged and upper mediastinal contours are stable. left picc has been removed. | <unk> year old man with dyspnea, tachypnea // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13199697/s57652721/4aad5845-077be46d-a7dd0c66-382fcdcb-f2adcd9d.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk> year old man with severe pancreatitis, now febrile to <num> // please assess for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p14295250/s54774092/19dd59f1-12da251c-bf5cca5a-4ce1a628-70a4fdac.jpg | the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. | history: <unk>f with chest pain // evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p19638212/s58818616/8318ecf9-c2b1cbbb-c17b24a3-b69ad10a-f8c0d5e5.jpg | heart size is normal. the mediastinal and hilar contours are <unk> allowing for slight tortuosity and unfolding of the no chf, focal infiltrate or effusion is detected. no pneumothorax identified. there are no acute osseous abnormalities. | history: <unk>m with fevers // pna |
MIMIC-CXR-JPG/2.0.0/files/p10532853/s55156948/f08551d9-ff06cff3-ed11aa14-268f0ec9-ec2fd5dd.jpg | in comparison with the study of <unk>, there is minimal increase in the areas of pleural air and fluid loculations consistent with the known empyema. opacification along the right lateral chest wall is again seen. right chest tube at the base of the lung is again seen. the left lung is essentially clear. substantial enlargement of the cardiac silhouette persists, though there is no evidence of pulmonary vascular congestion. | <unk> year old man with cirrhosis, bilateral pe, empyema // evaluate chest tubes, empyema, pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p12578953/s54252184/0ac229a5-05fca976-966dfc22-e8ae3370-4bdb0874.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. diffusely distended loops of colon are noted within the upper abdomen. | history: <unk>f with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p13659261/s58253491/ab017f84-990ca54f-fc10af74-fa51fc26-39a6ce0a.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | cough and fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17227996/s52524466/948ea06f-4b26547e-2c8fb2ec-cd850558-09f91e44.jpg | the cardiomediastinal silhouette is normal. the lungs are clear. there is no pleural effusions or pneumothorax. no evidence of pulmonary vascular congestion. | cough, wheezing x<num> weeks to assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18052969/s50989416/fc6a590a-0a6e78b4-88984fb2-f85b74ec-031f65bc.jpg | cardiac silhouette size is mildly enlarged but unchanged. the mediastinal and hilar contours are similar with a right-sided aortic arch again demonstrated. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. . | history: <unk>f with chest pain and shortness of breath, sudden lightheadedness |
MIMIC-CXR-JPG/2.0.0/files/p11607177/s56595326/1b2b431e-8b2bdf7d-01e5a532-cc35ebe0-7a5bdb08.jpg | a right pulmonary arterial catheter is unchanged in position from yesterday morning, likely terminating within the main pulmonary artery. the left pectoral pacemaker with leads terminating in the right atrium and through the coronary sinus is unchanged. the degree of cardiac silhouette enlargement is similar to <unk>. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. no pulmonary edema. mediastinal and hilar structures are unremarkable. | heart failure requiring hemodynamic monitoring and placement of a pac. |
MIMIC-CXR-JPG/2.0.0/files/p12373624/s53811464/4dcb9e00-93fc9139-c8cd911c-796707ca-e36c490c.jpg | a right-sided chest port remains in stable position. the cardiac silhouette and pulmonary vasculature are stable since the prior exam. no focal consolidation is identified. there is no pleural effusion or pneumothorax. no definite foreign body is identified, though the neck and upper chest are obscured on the lateral view. | history: <unk>f with globus sensation // foreign body in throat? |
MIMIC-CXR-JPG/2.0.0/files/p19490192/s54160787/f955dbe7-c207c8af-f6a39a94-d3dd6795-75e4d2af.jpg | possible minimal left base atelectasis without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with <num> wk uri sxs, crackles on exam // eval ? r pna |
MIMIC-CXR-JPG/2.0.0/files/p18533354/s56188087/65a4b505-f78089aa-853053a4-3d025ef7-5122ed72.jpg | portable ap upright chest film dated <unk> at <time> is submitted. | <unk>f with cardiac amyloidosis admitted for iv diuresis for chf. she is s/p chest tube placement/removal for large r pleural effusion; yesterday's cxr/ct noted areas of consolidation concerning for pna, though she is af/asymptomatic. this morning, triggered for pox <unk>% on <num>l. exam notable for crackles diffusely. // worsening effusion or consolidation? worsening effusion or consolidation? |
MIMIC-CXR-JPG/2.0.0/files/p12057859/s54593377/33f8389b-34b10fbb-db855aeb-b2fbcf89-610d1e1b.jpg | the endotracheal tube ends <num> cm above the carina. a nasogastric tube ends in the intrathoracic stomach. the right lung is clear. opacity in the left retrocardiac space and obscuring the left heart border may be due to the large hiatal hernia however aspiration and infection cannot be excluded. there is no pleural effusion or pneumothorax. the cardiac size is likely normal. | <unk>f with intubation // proper ett position |
MIMIC-CXR-JPG/2.0.0/files/p14913646/s57860012/e2ba3150-4fc80e9b-0908e1f4-fb6d25f8-39d295a8.jpg | the heart size is top normal. the mediastinal and hilar contours are unchanged. there is no pulmonary edema. minimal streaky bibasilar opacities likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. minimal degenerative spurring is noted within the thoracic spine. | cough for <num> week, clear sputum, history of aml. |
MIMIC-CXR-JPG/2.0.0/files/p13036184/s55560945/223e494c-4602f5b6-f356ae69-adf1f9dc-7a98d4fb.jpg | a chest tube has been advanced somewhat and projects over the right hemithorax appropriately. there is an abrupt turn at the side hole marker. this examination depicts a trace pleural effusion on the right, but a small pneumothorax is no longer apparent. a small quantity of subcutaneous emphysema is noted. the left lung remains clear. the cardiac, mediastinal and hilar contours appear stable. | right-sided chest tube placement for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18048557/s58301340/448bfe11-bffbf77d-9bdae138-b6a92368-313bc669.jpg | two portable ap views of the chest are compared to previous exam from <unk>. there has been no significant interval change. the lungs are clear of consolidation. cardiomediastinal silhouette is stable. osseous and soft tissue structures are grossly unremarkable noting degenerative changes at the glenohumeral joints bilaterally. | <unk>-year-old male with cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11236192/s59871438/23c1d90d-36db247f-ba9f989f-859c6717-a1341bd8.jpg | single portable frontal chest radiograph with the patient in semi upright position. there has been interval improvement in bibasilar atelectasis with mild increase in lung volumes. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart size is normal. there is stable widening of the right upper mediastinum , unchanged since studies dating back to <unk>, and likely represents an enlarged thyroid. | history of subarachnoid hemorrhage complicated by seizure disorder and altered mental status, rule out aspiration pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16807965/s56313205/24dd50d6-52178ecf-8d016bdb-ad2c7acf-cd8f29cf.jpg | lung volumes are low, accentuating the cardiomediastinal contours and resulting in crowding of bronchovascular structures. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size considering low lung volumes. | history: <unk>m with cp, sob, // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p12514413/s54029289/57ac4aef-052e3138-bd264625-7565cfdd-4c267926.jpg | ap and lateral views of the chest demonstrate mild cardiomegaly and a pacemaker with leads in the right ventricle and right atrium. new hazy right lower lobe opacity is likely a combination of effusion and atelectasis. there is also a small left pleural effusion and retrocardiac opacity most likely reflective of atelectasis. mild pulmonary edema is present. no focal consolidations worrisome for pneumonia. no free air. no displaced rib fractures. | <unk>-year-old male with hypoglycemia and altered mental status. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15154281/s51537676/405c64d9-2764c738-5d6c101d-4670fc09-119dbe6e.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. low lung volumes somewhat limit evaluation, resulting in bronchovascular crowding and bibasilar atelectasis without focal consolidation. no pleural effusion or pneumothorax is seen. marked degenerative changes of the thoracic spine are unchanged. | chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17517983/s58842532/0ce00ed8-b0722603-7b78b8ba-381162ab-9b394f23.jpg | the lungs appear well expanded without focal consolidation. there is no pleural effusion or pneumothorax. the heart is normal in size and normal mediastinal contours. | <unk>-year-old with chest pain, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10675719/s59761580/8f921f91-aa09e2ab-b8a4c174-ccfe182f-f3bc9b9a.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | <unk> year old woman with doe/chest pain // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p17705092/s57250389/3f8cb507-17f8d26f-53b74d45-0a076007-3657f678.jpg | right-sided port-a-cath tip terminates in the right atrium. diffuse parenchymal opacities have progressed when compared to the previous radiograph. no definite pleural effusion or pneumothorax is seen. heart size and hilar contours are difficult to assess given the extensive parenchymal opacities. mediastinal contour appears unchanged. known metastatic lesion within the t<num> vertebra is better demonstrated on the previous ct. | hypoxia, known mediastinal metastases. |
MIMIC-CXR-JPG/2.0.0/files/p14135313/s52603397/71c1933b-21e2e025-9373f069-441fa36d-3c85583b.jpg | portable ap chest radiograph was obtained with the patient in the semi-erect position. again, multiple fractures are noted on the right. cardiomediastinal contour is unchanged. there is persistence of right-sided opacifications, particularly in the mid right lung. left lung is clear. no significant pleural effusions and no pneumothorax. | <unk>-year-old man with suspected right pneumonia, evaluate for interval changes. |
MIMIC-CXR-JPG/2.0.0/files/p16131676/s56538398/56eb8ba6-446d97aa-35d5bbb8-df8e85de-49ee72ea.jpg | a new left subclavian central venous catheter tip terminates in the upper svc. lung volumes are slightly low, but improved compared to the prior study. the heart size is likely mildly enlarged. the mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures likely due to low lung volumes, with cephalization and pulmonary vascular engorgement. no focal consolidation, pleural effusion or pneumothorax is identified. multiple old left-sided rib fractures are again noted. | hypotension and altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p19021076/s53784323/40b53a10-c0d97e64-0b098889-fd679666-34fb958d.jpg | the patient is status post median sternotomy and cabg. the heart size is top normal. mediastinal and hilar contours are unchanged. there is diffuse atherosclerotic calcification of the aorta. the lungs are clear. the pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is seen. there are mild degenerative changes within the thoracic spine. amorphous calcifications adjacent to the left humeral head superolaterally may reflect calcific tendinopathy. clips in the upper abdomen are again noted. | cardiac history with asthma and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p11865423/s56946313/d220f327-c0836042-483f74b1-19ef3f2c-cd32e7aa.jpg | heart size is mildly enlarged, but stable. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. | <unk>f with chest pain // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19921471/s57218624/851d19d2-d1da96ae-ee36150f-c427266c-f1668f69.jpg | heart size is normal. mediastinal and hilar contours are unchanged with rightward shift of mediastinal structures again noted. there is similar elevation of the left hemidiaphragm with mesh material projecting over the diaphragmatic contour. post thoracotomy changes are again noted on the left with chain sutures seen in both lung apices. the pulmonary vasculature is not engorged. bullous emphysematous changes are re- demonstrated, with the largest bulla seen at in the right lung base. unchanged linear opacities in both upper lobes likely reflect areas of scarring. no new focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>m with cough and mucous |
MIMIC-CXR-JPG/2.0.0/files/p13684190/s52222767/2e303047-6280c9a3-6b58c8af-17bdc0b1-a942e5b9.jpg | the heart size is mildly enlarged. the aorta remains tortuous. small hiatal hernia is noted. the pulmonary vasculature is normal. minimal peripheral opacity is seen within the left mid lung field, a nonspecific finding. no pleural effusion or pneumothorax is seen. there are degenerative changes noted in the thoracic spine. | sudden onset chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19443863/s52902579/6a4ad703-eb27d2e7-280874fe-20ccf361-aaea18f8.jpg | minor basilar atelectasis is seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with palpitations, chest pain // ? effusion, consolidation |
MIMIC-CXR-JPG/2.0.0/files/p14921607/s58060546/26fa3636-cbe08f88-17cd74f5-ef1cf38d-2a658048.jpg | ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the portable ap single view chest examinations are compared and no significant difference can be identified. thus, there remains extensive right-sided chest wall emphysema, two right-sided pleural drainage tubes unchanged in position, no new acute infiltrates, scattered patchy basal infiltrates are unchanged. | <unk>-year-old male patient with recurrent malignant pleural effusion, assess evolution of pneumothorax and effusion. |
MIMIC-CXR-JPG/2.0.0/files/p19542877/s58985629/eeb8f935-b476229a-08d8f8a9-7fee89f0-4ee6ebc9.jpg | there is rotated positioning. probable background copd. mild cardiomegaly, with calcified slightly unfolded aorta. there is slight upper zone redistribution, but i doubt overt chf. there is atelectasis the left lung base, without definite consolidation. no gross left effusion. there is hazy obscuration of the right lung base raising the question of a small effusion and/or atelectasis. no definite consolidation. due to patient rotation, the previously seen large right-sided thyroid mass, possibly a goiter, which compresses and displaces the trachea, is less well delineated, but probably similar to the prior study. known recent fracture of the left anterior second rib is not well depicted radiographically. | <unk> year old woman with advanced dementia now with new fever. concern for aspiration pna. // pls evaluate for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p10360407/s56040971/735350ed-6bef6bf6-6c126164-120fc651-8277438d.jpg | frontal and lateral views of the chest demonstrate top normal heart size, unchanged. there is unfolding of the thoracic aorta. mediastinal and hilar contours are otherwise unremarkable. the lungs are clear, with the exption of ill defined opacity in the right middle lobe, which appears long standing. there is no vascular congestion, pleural effusion, or pneumothorax. current exam is not tailored to assess for rib fractures; however, there is a minimally displaced fracture of the lateral right ninth rib. slight wedge deformity along the anterior aspect of t<num> vertebral body is unchanged since at least <unk>. | <unk>-year-old female with chest pain status post fall. question acute process or rib fracture. |
MIMIC-CXR-JPG/2.0.0/files/p11382883/s58047440/e80d8ca3-d2534d02-ff002634-0064141f-2409ff4d.jpg | mild pulmonary vascular congestion new since <unk>. there is no focal opacity, over pulmonary edema, pleural effusion or pneumothorax. the heart size is normal. there are aortic knob calcifications. there degenerative changes in the bilateral glenohumeral joints. | <unk>-year-old female with to tachypnea. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17389339/s50861151/0c1c5b1f-788010b9-1e77d875-9ae19f1c-c96b249a.jpg | no significant interval change. no focal pneumonia, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality. | <unk>-year-old man with dka. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16721186/s59296792/c027a88e-69aae42a-5ed19302-bd021252-6c02741f.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>f with ams, fever // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15245632/s51633656/80717def-7554e7fd-00909aac-68d788c5-99c5b07c.jpg | pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity. | <unk>-year-old female with weakness. evaluation for cardiomegaly, edema, or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10187009/s51254079/17b2bfb9-407b3bc2-bf007f47-f9e8f912-f6c7d156.jpg | the heart is normal in size. there is minimal calcification along the aortic arch. the mediastinal and hilar contours appear within normal limits. the chest is hyperinflated. there is no pleural effusion or pneumothorax. the lungs appear clear. several upper through mid thoracic interspaces are mild to moderately narrowed. | abdominal aortic thrombus. |
MIMIC-CXR-JPG/2.0.0/files/p15723886/s56453545/8625b441-9db24936-bc0d75a7-17a4b45c-15332c0a.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the heart size is top-normal is unremarkable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with slurred speech // ? stroke |
MIMIC-CXR-JPG/2.0.0/files/p14092441/s53664617/06d060a1-3fd256f8-60b94ab6-2f72cc99-603ce658.jpg | et and ng tubes are in standard, unchanged positions. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax or large pleural effusion. lung volumes remain low, and there is a new right basilar opacity which may represent atelectasis, aspiration, or pneumonia. there is no evidence for pneumonia or edema in the upper lungs. | <unk> year old woman with intubated // new pathology |
MIMIC-CXR-JPG/2.0.0/files/p13140362/s52031476/1985cd53-8216c5c9-3eace612-44c9e800-7866caaa.jpg | the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with cp // eval for cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p14479686/s59916347/ca2a73af-3e1f536e-99f1ddce-e6644240-7611b78e.jpg | no pneumonia. the hila are normal. there are subtle <unk> b-lines and pulmonary venous congestion. small bilateral pleural effusion and basilar atelectasis. no pneumothorax. the cardiomediastinal silhouette is normal. | <unk> year old woman with dka, cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12502618/s51389473/16238d89-58968b0f-5673acd0-1ebef29e-4d339d87.jpg | sternal wires are intact except for the inferior most wire. heart size is normal. the lungs are clear and there is no pleural effusion or pneumothorax. aortic valve replacement is noted. central venous stent is noted. | <unk>m with esrd on home hd, multiple endocarditis/bsi presents with flu like illness <num> week // evaluation for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13528240/s57524808/3669a910-3d19e4fd-ec30a60a-ab34f8c6-55b51678.jpg | ap portable semi upright view of the chest. the heart is mildly enlarged. lung volumes are low. there is mild basal atelectasis without definite signs of pneumonia or edema. no large effusion or pneumothorax is seen. the mediastinal contour appears normal. imaged bony structures are intact. | <unk> year old man brought into the ed unresponsive. // pna? |
MIMIC-CXR-JPG/2.0.0/files/p11863318/s59743257/7e0069e5-a4fe7ec3-79a5f34d-ca80f1c6-0e9a2c81.jpg | this study is essentially unchanged from prior. the lung volumes are stably low. there are no pleural effusions. there is stable mild-to-moderate pulmonary edema. no evidence of pneumonia. ng tube is observed again in place and unchanged in position. | a <unk>-year-old male admitted for cirrhosis, acute kidney injury, and symptoms suspicious for sepsis. |
MIMIC-CXR-JPG/2.0.0/files/p19343022/s50398670/96a182e2-b9abb7c3-1f727219-3b19bf41-f5380906.jpg | there is a subtle opacity in the left lung base which may represent a developing consolidation. the right lung is clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is no free air under the diaphragm. | <unk>m with luq pain and chest pain. evaluate for pneumonia, free abdominal air. |
MIMIC-CXR-JPG/2.0.0/files/p18834000/s50799252/fdc1f423-601fee31-4c7b8e51-cb9e04a6-89533cca.jpg | nodular opacities projecting over the bilateral lower chest bilaterally, symmetric, are most consistent with nipple shadows. subtle medial right basilar patchy opacity likely relates to atelectasis, given that is more conspicuous than the prior exam earlier today, however, in the appropriate clinical setting, early consolidation is not excluded. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal and hilar contours are stable. | history: <unk>f with sob, ams // pna? |
MIMIC-CXR-JPG/2.0.0/files/p11830616/s55132125/0896c204-4da0e8f7-149f684c-9305af33-ffb9b88e.jpg | pa and lateral views of the chest demonstrate no focal consolidation, effusion, or pneumothorax. the heart and mediastinal contours are normal. the imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>-year-old woman with ataxia, question acute intrathoracic process |
MIMIC-CXR-JPG/2.0.0/files/p15082258/s58650563/be86f4a7-ea8542b5-1c60e9c0-9b913aa8-869daaca.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. compression deformity of the lower thoracic spine is unchanged from prior. | <unk>f with cough sob fever // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19875621/s54550485/208bb4c3-11e9d9b1-2d30a870-3fe0399d-65784a13.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with cough, asthma // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p16997599/s50954973/4caf41c9-adc9cc60-3cb69ae8-9dcd5ea5-21897893.jpg | pa and lateral views of the chest. the lungs are clear of consolidation. there is no effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected. | <unk>-year-old male with cough and red streaks in sputum. fever. |
MIMIC-CXR-JPG/2.0.0/files/p11201842/s51316403/83953bd4-02bc6e63-87f3ed19-7b602cee-b937fd95.jpg | lung volumes are low, resulting in bronchovascular crowding. an area of density with a corresponding clip is seen in the right mid lung, consistent with the region of recent lung biopsy. there is mild bibasilar atelectasis. a small right apical pneumothorax, may be slightly larger than at <time>, with an anterior component seen only on the lateral view the heart is not enlarged. there is no pleural effusion. | <unk> year old woman with small r apical pneumothorax after ir guided fiducial placement // interval change in right apical pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p13616235/s54132923/5dc37377-1950342b-8b5ebb9e-ab607930-465c469e.jpg | cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. calcified granuloma identified at the right lung base as on prior. | <unk>-year-old man with chest pain and night sweats evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14460836/s51794429/a4752bff-0d3d8b3d-b3f53d84-36081922-7ba6a058.jpg | the cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities seen. right-sided cervical rib is re- demonstrated. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10750810/s59664475/1007fb72-cfa947d2-0a30b222-ff790f95-a1214fe5.jpg | pa and lateral views of the chest provided. lung volumes are low limiting evaluation. there is pleural thickening along the lateral right mid lung. there is bibasilar atelectasis without convincing evidence for pneumonia. a retrocardiac opacity may reflect the presence of a hiatal hernia. the heart is mildly enlarged. no large effusion is seen. no pneumothorax. no edema or congestion. bony structures are intact. | <unk>m with chest pain, recent stent placement // ?cause of chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13021836/s53024083/4d8c33b2-04bc4891-eb7b278d-cca0fb4c-c8826893.jpg | as compared to prior chest radiograph from <unk>, there is no pulmonary edema. there is stable mild cardiomegaly. there is a small left pleural effusion. there are no focal consolidations or pneumothorax. | <unk>-year-old female patient with <unk>'s and chf, now with one day of shortness of breath. study requested for evaluation of signs of chf and/or infiltrates. |
MIMIC-CXR-JPG/2.0.0/files/p16257001/s53768690/70a781b5-aeadb488-497aa683-0124b7ae-1fa76732.jpg | interval placement of endotracheal tube with the tip positioned <num> cm above the carina. interval placement of nasogastric tube terminating in the fundus of the stomach. cardiomediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is evident. no osseous abnormality. | status post intubation. |
MIMIC-CXR-JPG/2.0.0/files/p15960934/s52383242/014c6a75-e99d37f1-63e17e77-83c84220-c4d6e946.jpg | the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable. | history: <unk>f with cough, fever // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12427592/s50819505/02326b75-ef42801d-d8846d1c-9760461d-b4365d0e.jpg | the patient is status post median sternotomy and cabg. heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are relatively stable. there is mild pulmonary edema. patchy opacities in the lung bases may be a reflection of dependent pulmonary edema, though atelectasis is not excluded. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>m with shortness of breath, cough, fever |
MIMIC-CXR-JPG/2.0.0/files/p12572933/s54499931/27992d90-8bbd11ea-7a9e22f7-713e8a07-89ca56be.jpg | pa and lateral views of the chest provided. there is mild elevation of the right hemidiaphragm. clips are noted in the right upper quadrant. 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 l-sided chest pain, dyspnea, <unk> mins-<num> hour today |
MIMIC-CXR-JPG/2.0.0/files/p19491045/s51745265/ae7c48ec-46dff31f-cc060ee3-d6f7ecac-7c936584.jpg | ap and lateral radiographs obtained. examination is limited by motion and body habitus. within this limitation, cardiomediastinal and hilar contours are unchanged. dense calcifications are noted within the aortic arch. limited assessment of the lung bases due to body habitus on the frontal view. there is no definite opacification evident on the motion-degraded lateral views. no pleural effusion or pneumothorax is present. a wedge deformity of the mid thoracic, age indeterminate. | altered mental status, weakness, and decreased p.o. intake for one week. assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p12457153/s50887457/fed77f74-ef528822-ab229abe-2dcaffe8-dcc18c1b.jpg | pa and lateral views of chest demonstrate clear lungs. the aorta is very tortuous. there is no pneumothorax or pleural effusion. there is no pulmonary edema. lung volumes are lower today and then <num> days prior. minimal left lower lobe atelectasis is again present. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p10743215/s56378379/9f24f883-58565683-00a8d7fa-29d6f3eb-134fa907.jpg | since the prior study there has been resolution of right lower lobe posterior basal pneumonia. currently the lung is well aerated with no evidence of consolidation or atelectasis. left lung is clear as well. there is no pleural effusion or pneumothorax. | followup of right lower lobe pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10384095/s58589339/29e81970-99ec818a-c9561cea-b1d38fc5-172b9d99.jpg | thumb the act enlargement is accompanied by a tortuosity of the thoracic aorta a. lung volumes are slightly low, and the lateral radiograph is further limited by respiratory motion. lungs are clear except for a nonspecific patchy opacity at the right lung base. no pleural effusion. multilevel degenerative changes are present in the spine. | <unk> year old woman with cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19732617/s53078866/31712a19-58853133-46928095-9ad51c30-65dadf33.jpg | portable ap upright chest <unk> at <time> is submitted. | <unk> year old man s/p cabg/ avr with right pigtail in place // eval for effusion eval for effusion |
MIMIC-CXR-JPG/2.0.0/files/p13369944/s59136721/6b9a0cc8-037d3ddd-b822681e-fded90a8-bc000892.jpg | there is significant rightward rotation of the patient on the current radiograph. allowing for changes due to this, and low lung volumes, the cardiomediastinal silhouettes are within normal limits. the bilateral hila are within normal limits. there is mild elevation of the right hemidiaphragm. diffuse increased opacity in the right lung, centered in the right mid and upper lung, is concerning for pneumonia or sequelae of aspiration pneumonitis in the appropriate clinical setting. the left lung is clear. there is no left pleural effusion. it would be difficult to exclude a trace right pleural effusion. there is no pneumothorax. | <unk>m with cough, hypoxia, hypotension, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12038385/s50192510/8dc6b246-10ed41a0-0a61ddd1-6b0ed856-4557364f.jpg | the cardiac, mediastinal and hilar contours appear stable including mild cardiomegaly. the aorta is again mild-to-moderately tortuous. there is no pleural effusion or pneumothorax. a dense opacity in the posterior lower lobes on the lateral view is probably in the right lower lobe, suggesting pneumonia. | weakness and hypoglycemia. |
MIMIC-CXR-JPG/2.0.0/files/p14630089/s58903658/79ac39c4-443ca82a-faf5675c-d0a879ce-7a560427.jpg | there is mild peribronchial cuffing suggesting bronchitis. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. | <unk>f with ms <unk>/w presyncope, evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p16275728/s56221641/7ca5be66-75500201-d24f7e64-8665732a-a6d3784a.jpg | pa and lateral views of the chest. no prior. the lungs are hyperinflated but clear of consolidation or large effusion. the cardiomediastinal silhouette is within normal limits noting a slightly tortuous aorta. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16090439/s54589025/d7b5a990-bfee8731-4eab2ae2-481fce31-aba9dfca.jpg | portable erect chest film <unk> at <time> is submitted. | <unk> year old man with rcc effusions s/p pleurodesis chest-tubes // interval change. interval change. |
MIMIC-CXR-JPG/2.0.0/files/p11368650/s56969521/186e4d67-1d03be85-c94e32f3-7c9690e3-9813aa89.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18799312/s59533553/c2b94cfb-16f730ad-d8e814c9-f4dc478e-92eda872.jpg | the lung volumes slightly low. the cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination. no definite focal consolidation is identified. linear bibasilar opacities are most consistent with atelectasis. there is no pleural effusion or pneumothorax. the left-sided venous catheter terminate at the cavoatrial junction. | <unk>f with shortness of breath // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15330926/s50518009/3a4db875-6b0e7c6b-4db0ad1a-7452bdcf-7f7c0f63.jpg | dual lead left-sided aicd is again seen, similar position. the lungs remain hyperinflated with relative lucency of the upper lobes, consistent with chronic obstructive pulmonary disease and pulmonary emphysema. cardiac and mediastinal silhouettes are stable. there is no focal consolidation, pleural effusion, or evidence of pneumothorax. | history: <unk>m with chest pain //pna |
MIMIC-CXR-JPG/2.0.0/files/p16090882/s50739016/ba0fff2a-88f03209-e678abd8-800c4a98-0b002dc8.jpg | pa and lateral radiographs of the chest re- demonstrate linear opacities in the bilateral lung bases greater on the right than the left, which are stable dating back to <unk> and may reflect changes associated with chronic bronchiectasis, atelectasis and/or scarring. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. biapical scarring appear symmetrical. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air beneath the right hemidiaphragm. no acute osseous abnormality is detected. | chest pain and shortness of breath, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16995942/s57310452/7b95d78f-cac65834-3fa2ced7-2462f42f-b143a85c.jpg | the patient is status post median sternotomy, cabg, and mitral valve replacement. heart size remains moderate to severely enlarged. coronary artery calcifications are re- demonstrated. aorta is tortuous and diffusely calcified. mild pulmonary vascular edema with cephalization of the pulmonary vascular markings is demonstrated, slightly improved compared to the prior exam. lungs remain hyperinflated with flattening of the diaphragms. no definite focal consolidation, pleural effusion or pneumothorax is clearly present. the osseous structures are diffusely demineralized without acute abnormality. multiple clips are noted in the right upper quadrant of the abdomen. | history: <unk>f with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p17138402/s51572682/128db6a6-33043ad9-bc1bee3e-d177b1f1-79f19f3a.jpg | ap portable supine view of the chest. there is no focal consolidation or supine evidence for effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. | status post mva, question internal injury |
MIMIC-CXR-JPG/2.0.0/files/p12584492/s53519482/e62ab07c-2f01e850-bbf92137-8930d9d4-ee46a39b.jpg | sternotomy. right ij central line tip near cavoatrial junction. worsened left basilar opacity, atelectasis versus infiltrate. there may be small left pleural effusion. prominent lucency left upper quadrant, likely mildly distended stomach, decubitus radiograph may be helpful if clinically indicated. epicardial pacer wires. right lung clear | <unk> year old man with s/p cabg // please do at <unk> dropped hct |
MIMIC-CXR-JPG/2.0.0/files/p17254594/s51916128/e3c60302-6a863a08-ddb22d82-99f3459a-51fda033.jpg | the heart size appears mildly enlarged, unchanged. mediastinal contours are unremarkable. perihilar haziness is noted with mild pulmonary vascular congestion. focal patchy opacity within the right upper to mid lung field is again noted. patchy opacity is also demonstrated within the left lung base. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities. bilateral breast implants are re- demonstrated. | copd, increased sputum, wheezing throughout, elevated bnp and possible nstemi. |
MIMIC-CXR-JPG/2.0.0/files/p10044189/s56174180/0dde8483-1089d72c-53a3b810-2fb8aa09-5d1cd449.jpg | frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. apparent widening of the mediastinum is felt to be secondary to rotation of the patient. the cardiac silhouette is normal in size. | syncope or seizure. |
MIMIC-CXR-JPG/2.0.0/files/p19466506/s56081305/0a379ab4-5cf0de86-61ceb790-8d76da7f-63687d5b.jpg | new left-sided pleurx catheter has a medial course. right sided port-a-cath remains in the right atrium. right-sided pleural catheter is medial superior coarse unchanged in appearance. new opacification in the right lower lung may reflect pleural fluid versus airspace consolidation. small right-sided pleural effusion. mild cardiomegaly unchanged. no pneumothorax. | <unk> year old man with pancreatic cancer s/p l pleurx // assess for ptx |
MIMIC-CXR-JPG/2.0.0/files/p14674146/s50493057/809176a3-7ba4bef1-edc391aa-9509e7f1-59f1e584.jpg | pa and lateral chest radiographs. bony bridging of the posterior sixth through ninth ribs has occured since prior radiograph five months ago. however, the fractures have not fused. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is stable. | cough and history of rib fractures. |
MIMIC-CXR-JPG/2.0.0/files/p17391981/s55094499/028926fe-66fc25ba-c5963159-fc10f22f-9b7471f9.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is identified. degenerative changes are noted at the thoracolumbar junction with mild focal kyphosis and slight loss of height of a vertebral body. | history: <unk>f with cough and fever |
MIMIC-CXR-JPG/2.0.0/files/p13674013/s55037553/4b7a2202-23701c39-32a68d7d-88dbe22f-27b30339.jpg | the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact. | <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16055868/s54499294/6da8d0b0-1c4035b9-e1eabf86-d26312bb-a00e867b.jpg | the lungs are well expanded and clear. cardiac size top normal. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | patient with chest pain radiating to the back. |
MIMIC-CXR-JPG/2.0.0/files/p16517854/s56858001/af765717-0a6ccf74-911c1254-a45cc96c-10a1315b.jpg | the lungs are mildly hypoinflated. mild vascular congestion. no pleural effusion or pneumothorax. heart is mildly enlarged. mediastinal contour and hila are otherwise unremarkable. a rectangular opacity is seen projecting along the left heart border. | <unk>m with w/ chest pain, fevers. assess for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p15397038/s57460536/869b7e02-94978ce1-1a9bebcc-83956c80-0c722af6.jpg | ap and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are acutely intact. proximal portion of healing humerus fracture noted with plate and screw fixation. no free air below the right hemidiaphragm is seen. | <unk>f with seizure, evaluate for infection // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16943681/s58075964/fe3f8d3c-82ebb631-a7ddae28-0bdefd58-31f5c816.jpg | patient is status post median sternotomy and cabg. moderate cardiomegaly has increased compared to the previous examination. the aortic knob is densely calcified. moderate pulmonary edema is worse in the interval. more focal opacification in the right lung base could reflect an area of infection. small right pleural effusion appears new. no pneumothorax is present. punctate calcifications in the right apex appear unchanged. mild degenerative changes are noted in the thoracic spine. | history: <unk>f with shortness of breath, congestive heart failure |
MIMIC-CXR-JPG/2.0.0/files/p16293344/s59760228/0a322829-81436c51-17875034-05a1b827-e3c687d1.jpg | additional history that was not provided is the patient was re-operated on the evening of <unk> for postoperative persistent graft-related bleeding. endotracheal tube position is somewhat obscured by the linear dense likely packing material endotracheal tube appears to be <num> cm above the carina. nasogastric tube courses into the stomach likely terminating in the proximal stomach. swan-ganz catheter is in the pulmonary outflow tract. the patient's sternal wound is open with removal of sternotomy wires. bilateral chest tubes are new with unchanged mediastinal drains. swan-ganz catheter terminates just proximal to the pulmonic valve. postoperative mediastinal widening is slightly increased from the prior compatible with repeat procedure. a trace right and small left pleural effusions are likely present along with dense left basal atelectasis. | status post aortic dissection and repair. assess for effusion or pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p14910766/s58926224/ef5bfb95-df0428dc-3a388cec-ad9f6176-712595ee.jpg | the lungs are well expanded. there is a hazy opacity in the base of the right lung, raising concern for aspiration or infection vs atelectasis. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. | weakness. |
MIMIC-CXR-JPG/2.0.0/files/p16973789/s55304214/14ac91c9-75ca9aeb-8674dd77-98bdd014-e85f0528.jpg | the previously described nodular opacity is possibly seen projecting at the level of the first right rib on the lpo view, and not seen on the <unk> view. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes. | <unk> year old woman with possible rul nodule. // re-eval <num> cm nodular opacity in right upper lung seen <unk>, please do shallow oblique radiographs to differentiate superimposition of normal structures from true nodule. |
MIMIC-CXR-JPG/2.0.0/files/p15852625/s59721808/847c0749-1097dbc8-2ac5e715-b141a971-e69d2128.jpg | pa and lateral views of the chest were obtained. the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. | cough for <num> month, malaise. |
MIMIC-CXR-JPG/2.0.0/files/p19785672/s52627121/9e0ba992-e5e557f8-d74f09d9-9d401143-8274c678.jpg | left pleural thickening and narrowing of the intercostal spaces are again noted, consistent with trapped lung. there is persistent medial left upper lobe consolidation and small left pleural effusion. nodular opacity projecting over the left mid lung appears similar and may correspond to the pleural mass seen on chest ct. no new focal consolidation, right pleural effusion, or pneumothorax is detected. there has been interval resolution of radiographically detectable pneumoperitoneum. | <unk>-year-old female, status post left vats and pleural biopsy on <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p13192224/s57683891/a83e8c4a-4c6a7b81-63acc8d5-c0c7634d-bbf51e0e.jpg | relatively low lung volumes are noted with streaky left basilar including retrocardiac opacity which is likely atelectasis. elsewhere, lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with p/w with hypoxia and altered mental status // head ct: ? |
MIMIC-CXR-JPG/2.0.0/files/p18251767/s52489765/fef31852-a10b2c28-3b657a7e-4543cb7e-98bbce9f.jpg | the mediastinal contours are within normal limits. heart size is top-normal. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | <unk> year old man with chest pain, evaluate for acute pathology. |
MIMIC-CXR-JPG/2.0.0/files/p12606543/s57058623/225d951a-ee96e6a9-e4dcf453-5aaccc5e-a245323f.jpg | a frontal upright view of the chest was obtained portably. a tracheostomy is in standard position. low lung volumes result in bronchovascular crowding. vessels are more numerous and dilated than yesterday, suggesting mild edema. mild cardiac enlargement is unchanged. bibasilar and left upper lobe inear atelectasis are unchanged. there is no focal consolidation, pleural effusion or pneumothorax. | dyspnea, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12220452/s57802131/231244b5-fab7a22a-5d8fc2f0-31616432-f3cf6591.jpg | pa and lateral chest radiographs. the lungs are mildly hyperexpanded. however, there is no focal consolidation, pleural effusion, or pneumothorax. moderate cardiomegaly, notably involving the left atrium, is unchanged from <unk>. there is no evidence of pulmonary edema. | right-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12246674/s57115124/bd16e0f3-b33f4af5-a64a103b-60a563dd-ec171b93.jpg | no significant change from the prior exam. the lungs are clear. no focal consolidation to suggest pneumonia. no pleural effusion. no pneumothorax. the cardiomediastinal silhouette, hila, and pleura are unremarkable. no acute osseous abnormality. | <unk>-year-old man presenting with fever; evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14774019/s58918164/2e800cd8-67b95b3d-60f0c95b-39d8c8ec-4c84e395.jpg | tip of the endotracheal tube projects over the mid thoracic trachea, approximately <num> cm from the carina. enteric tube courses beyond the diaphragm, tip not visualized. heart size is normal. the lungs are essentially clear. no pleural effusion or pneumothorax. | history: <unk>m with intubation. evaluate tube position. |
MIMIC-CXR-JPG/2.0.0/files/p14663313/s51614141/fb1ce4ef-4e089899-1b9473bf-05078606-4d638fc3.jpg | minor bibasilar atelectasis is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. some degenerative changes are seen along the spine. | history: <unk>m with bilateral crackles, wheezing and dysnpnea. // ?pneumonia |
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