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MIMIC-CXR-JPG/2.0.0/files/p14682472/s53883776/2b2655f2-01fc2074-efa35201-29d0aa94-1c492921.jpg | low lung volumes are present. heart size is accentuated as a result, appearing borderline enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. patchy opacities in lung bases likely reflect areas of atelectasis in the setting of low lung volumes. no focal consolidation or pneumothorax is present. minimal blunting of the right costophrenic angle suggests a trace right pleural effusion. no acute osseous abnormalities demonstrated. pneumobilia is seen in the right upper quadrant of the abdomen. | history: <unk>f with hypoxia, altered mental status, sepsis |
MIMIC-CXR-JPG/2.0.0/files/p18096934/s56768841/354f4cf6-90523dd3-59982b4e-18327eeb-255783ed.jpg | compared with prior radiographs on <unk>, there is increased aeration at the left lung base, with persistent retrocardiac opacity and elevation of the left hemidiaphragm, and unchanged left pleural effusion. the right lung is clear. there is no new focal consolidation. there is no pneumothorax or edema. cardiomediastinal silhouette is unchanged. a left-sided picc line terminates in the lower svc. again seen is a right-sided tube crossing the right hemithorax and terminating above the carina. patient is status post tracheostomy. | <unk> year old man w/ scc s/p wide excision and flap coverage c/b afib, collapsed middle lobe, now with increasing white count // pneumonia v pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p19648564/s54586208/f2060853-42c3d692-81d5e313-7a6e5264-84ea6ec3.jpg | there is a small to moderate right pleural effusion with overlying atelectasis, which appears smaller in size as compared to the prior study given differences in technique. retrocardiac air-fluid level is most consistent with a hiatal hernia. there is adjacent bibasilar atelectasis. small scattered calcified nodular opacities in both lungs are likely due to prior granulomatous disease. core-valve placement. there is no overt pulmonary edema. the right aspect of the cardiac silhouette is difficult to assess due to the right base opacity. mediastinal contours are grossly stable. | shortness of breath post valve placement. |
MIMIC-CXR-JPG/2.0.0/files/p18002994/s50403288/6ffb212f-782b1f46-7a986ab6-34c314e8-ae075d8a.jpg | the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. clips in the right upper abdominal quadrant amenable to prior cholecystectomy. | <unk>-year-old female with chest pain and dyspnea on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p15048951/s56233988/b3d765f8-be13af9f-534110d8-ce505f53-b74d3ce1.jpg | the lung volumes are low, resulting in crowding of bronchovascular structures at the bases. given the low lung volumes, the cardiac silhouette and mediastinal structures are unremarkable. no definite focal consolidation is identified, though not entirely excluded given low lung volumes. there is no pleural effusion or pneumothorax. | history: <unk>m with cough // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13681703/s50225859/e7e37fee-61a2cb56-bb745e39-4b7cc5cb-8e39e6b1.jpg | the lungs are clear without evidence of consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. stable dextroscoliosis of the thoracic spine is present. no fracture is identified. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10377755/s58712339/384d0161-8ce5fc66-42306db7-19950fc6-71b376ff.jpg | pa and lateral views of the chest provided. clips in the right upper quadrant noted. 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 mvc // eval for trauma |
MIMIC-CXR-JPG/2.0.0/files/p15199994/s52012049/4abfbe1c-f05c4cfb-d7c4ff11-9feec8f9-594e7b0c.jpg | nasogastric tube courses into the stomach, curls back upon itself, and terminates in the proximal body. the lungs are well expanded with linear atelectasis, but no focal consolidation and perhaps trace pleural effusion on the left. the cardiomediastinal contours are unremarkable. multiple old rib fractures are seen bilaterally. | <unk>-year-old male with <unk>'s disease, seizures, and dysphagia with ng tube potentially out of place, assess position. |
MIMIC-CXR-JPG/2.0.0/files/p13852361/s52402402/5c60171f-884fbf3f-9c05efa5-23a6fc3d-f1ecbc11.jpg | cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is no acute osseous abnormality. | <unk> -year-old woman with productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p14531732/s57670598/65bab30d-cb7495b2-4262e796-fde8a734-8427a0b1.jpg | bilateral chest tubes project over the lower zones with interval improvement in bilateral pleural effusions. there are bilateral small apical pneumothoraces. no interval change in lungs bilaterally. extensive sclerotic bony metastases at again identified. there is stable cardiomegaly. | <unk> year old man with increased dyspnea, post <unk> and ct placement earlier today // f/u effusions, eval for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p10400308/s57380748/ae9fdf85-bdb9541b-48dadb1d-bdbf5ba5-41af0036.jpg | the tip of the feeding tube extends to the body of the stomach. a stent projects over the right upper quadrant. no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits. | <unk> year old woman with ngt placed - confirm position prior to ir advancement to njt position please |
MIMIC-CXR-JPG/2.0.0/files/p10591267/s50718037/ec694bf6-eb66f346-cf6576ba-b3da4f2e-25cdd6c6.jpg | few strands of atelectasis or fibrosis left lung base. right lung clear. no effusions. normal heart size, pulmonary vascularity. | <unk> year old man going to or tomorrow for aneurysm coiling. // pre-op chest xray surg: <unk> (aneurysm coiling) |
MIMIC-CXR-JPG/2.0.0/files/p19657562/s59429971/e4764f1e-84bed6fd-a62d11ff-f308107c-7495e07e.jpg | pulmonary vascular engorgement suggest mild cardiac decompensation. heart is top normal size. lungs are clear. no pleural effusion. | syncope and atrial fibrillation. |
MIMIC-CXR-JPG/2.0.0/files/p19441625/s52987078/4962301c-e830436a-80084598-9f5ed4df-f16df9fa.jpg | the lungs are clear, cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. | <unk>-year-old with fever and chills. |
MIMIC-CXR-JPG/2.0.0/files/p10181023/s52190316/4aebca7a-66dca0e4-10c8251b-4174356f-cca38227.jpg | expansile lesions anterior right fourth rib, posterior left seventh rib, stable. strand of linear fibrosis left lung base, stable. lungs otherwise clear. no pleural effusion. remainder normal. | <unk> year old man with multiple myeloma s/p allosct c/b gvhd on high-dose immunosuppression presented ill appearing with cough, rml rll rhonchi. // please evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12439188/s58228539/7eb631e4-562c4f3f-2c50935e-cc2824df-39e6ff43.jpg | the heart is mildly enlarged but this is decrease compared to prior. there is mild pulmonary vascular redistribution, however again this is decrease compared to prior. there is volume loss/ infiltrate in both lower lobes which is increased compared to prior | <unk> year old woman with ckd, hypoxia // hypoxia ? pulmonary edema or infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17077867/s51507536/a9451e80-3fb1675e-9e41ba88-aedf5858-26777667.jpg | lung volumes are low. heart size is normal. aortic knob calcifications are demonstrated. the mediastinal and hilar contours are otherwise unremarkable. diffuse coarse interstitial opacities are seen within both lungs, compatible with a chronic interstitial lung disease. patchy opacities within the lung bases are more pronounced compared to the prior exam, and could reflect progression of interstitial lung disease, but atelectasis or superimposed infection is not excluded. previously noted consolidative opacity in the right upper lobe has essentially resolved. no pulmonary edema is present. no pleural effusion, new focal consolidation or pneumothorax is identified. no acute osseous abnormality is seen. | history: <unk>m with palpitations // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p15337952/s55496143/9901a738-b71aa7bf-3d123047-db41f710-92d04fad.jpg | lungs are clear and well inflated. no focal consolidation, effusion or pneumothorax is seen. the cardiomediastinal silhouette is normal. the left humeral head fracture is incompletely imaged. no displaced rib fractures are seen. | <unk>f with fall yesterday with l humerus fx |
MIMIC-CXR-JPG/2.0.0/files/p17934671/s54384853/af856b43-d30f0015-d5e5481a-20dba71e-0c64e38e.jpg | the patient is status post median sternotomy and aortic valve replacement. heart size is borderline enlarged. the aorta is tortuous. mediastinal and hilar contours are unchanged. calcified granuloma within the left upper lobe is re- demonstrated. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated. | confusion, weakness, diarrhea, nausea. |
MIMIC-CXR-JPG/2.0.0/files/p16520522/s54619887/8b441603-58e297c3-725857d7-bbe97ca8-2f7ec7a3.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. cervical spinal hardware is partially imaged | <unk> year old man with chronic cough and weigh loss // please evaluate for any consolidation or mass |
MIMIC-CXR-JPG/2.0.0/files/p15634195/s53007126/f1b89d18-9690f50c-5fec9b4e-241ca892-60807d40.jpg | ap upright and lateral views of the chest provided. cardiomegaly is again seen with hilar congestion and mild edema. bilateral pleural effusions are noted, left greater than right. associated with the left pleural effusion is likely compressive lower lobe atelectasis, though difficult to exclude a pneumonia in the correct clinical setting. the aorta is calcified and unfolded. bony structures are unchanged with a chronic right seventh rib deformity. | <unk>m with cp, sob // ? chf |
MIMIC-CXR-JPG/2.0.0/files/p11744037/s52818272/f3384aad-37881153-414d68d9-2bda7c33-859fce76.jpg | assessment is limited due to positioning. allowing for this limitation, there is a vague focal opacity in the left lower lung which was not present in prior torso ct. no other focal opacities are identified. calcified lymph nodes are seen in the left hilum. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. please refer to recent ct for description of no thoracic spine fracture not appreciated in this exam. | <unk>-year-old female status post fall. evaluate for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p14977713/s50366776/08d8f663-b67128d7-7301ef1e-270a37be-f7817f0b.jpg | pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no focal consolidation concerning for pneumonia. no pleural effusion, pulmonary edema, or pneumothorax is present. | <unk>-year-old male with chest pain. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19174716/s54183879/72a86b37-d7aaad51-ab0f01e1-083bcbc7-87c7daba.jpg | the lung volume is low. there is bilateral diffuse interstitial opacities with no significant change from prior. definitive consolidation is difficult to exclude due to the diffuse interstitial lung disease. there is mild pleural effusion, unchanged from prior. no pneumothorax. the cardiomediastinal silhouette is normal. no fractures. | <unk> year old man with cough, doe hx of interstitial lung dx // ? pneumonia. hx of interstitial lung dx, pfts stable but worsening dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p13867951/s58771446/554576a4-e2b9941a-6c654965-43cc39ff-889de337.jpg | <num> views of the chest demonstrates clear lungs. the cardiac and mediastinal contours are normal. no pleural abnormality is seen. | cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11865292/s53212215/e500a2eb-010da392-4dff16e2-bdb06f15-aa42407a.jpg | compared to prior, the lung volumes have decreased. there is mild pulmonary edema. no significant pleural effusion is seen. moderate cardiomegaly and enlarged mediastinum are stable. the swan-ganz catheter is at the pulmonary outflow tract. no pneumothorax. | <unk> year old man with new pa catheter and central line // please eval line position |
MIMIC-CXR-JPG/2.0.0/files/p12186666/s59377050/8fdebc02-611cfea7-ef11d93a-6e92f4dc-0a9db117.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. a linear right infrahilar opacity suggests minor atelectasis or scarring. otherwise, the lungs appear clear. bony structures are unremarkable. | shortness of breath and cough. |
MIMIC-CXR-JPG/2.0.0/files/p18446519/s53152610/fb148d2f-48d7392b-f8e74f4f-e42a80b6-190c3ce3.jpg | ap upright and lateral views of the chest provided. prominent right nipple shadow projects over the right lung base as on prior. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no displaced rib fracture. no free air below the right hemidiaphragm is seen. | <unk>m with left rib pain // r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p17294132/s58567308/e385f307-9f49038b-a286204e-f534de55-9dd16fef.jpg | there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal contours are within normal limits. no free subdiaphragmatic air is identified. | <unk>f with abdominal pain s/p egd and colonoscopy |
MIMIC-CXR-JPG/2.0.0/files/p17372169/s50876008/757dccc6-b4bca9fe-917f352f-0d81a06e-43830201.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities. | headache, nausea, tachycardia and chest pressure. |
MIMIC-CXR-JPG/2.0.0/files/p12232434/s50476716/d55cb19d-5dc73a94-f4c1c22a-3a9db528-a6d54455.jpg | pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. the aortic arch appears enlarged up to <num>cm in diameter. the size is similar to the appearance on chest x-ray <unk>. the subsequently acquired chest cta on <unk> showed a normal caliber aorta. there are no other abnormal cardiac and mediastinal contours. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14464902/s55486489/7ae8b817-711c9d48-15ae0ff1-2ed6cd54-5640c579.jpg | an endotracheal tube is approximately <num> cm from the carina. a feeding tube is in the stomach with the tip of of view. pacemaker leads are in the standard position. mild pulmonary edema is stable. there is no consolidation. small pleural effusions are presumed but not obvious. there is no pneumothorax. moderate enlargement of the cardiomediastinal silhouette is stable. | recurrent multidrug resistant uti. evaluate endotracheal tube. |
MIMIC-CXR-JPG/2.0.0/files/p16481877/s57475076/5e8d8c48-e0b26e8a-3674f9e1-bebd4961-6ffb09c3.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | pleuritic chest pain. evaluate for abnormality. |
MIMIC-CXR-JPG/2.0.0/files/p16610592/s50659147/657f247b-bdd92240-330d23cd-a8312714-7e3da85a.jpg | a portable frontal chest radiograph demonstrates low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. there are persistent bilateral opacities, consistent with pulmonary edema. there are likely unchanged bilateral pleural effusions. no pneumothorax is identified. a right picc again terminates within the upper right atrium. the patient has been extubated, with mild narrowing of the superior trachea. | stridor, in a patient recently extubated. |
MIMIC-CXR-JPG/2.0.0/files/p15029537/s59671397/bec5678b-a991a0eb-ac906c5e-01193a10-5594fd52.jpg | a single-lead pacemaker terminates in the right ventricle where it makes a single loop. the heart appears mildly enlarged. the aorta is calcified, particularly along the arch. there is no definite pleural effusion or pneumothorax. the chest is hyperinflated. there is upper zone redistribution of pulmonary vasculature. the vasculature is perhaps slightly indistinct, particularly in the right upper lung, where it is somewhat more prominent than the left. still, despite asymmetry, this appearance is suggestive of mild pulmonary vascular congestion and includes widespread bronchial cuffing, again somewhat more prominent in the right lung than left. a mild lower thoracic compression deformity with anterior wedging appears likely chronic. | shortness of breath. copd versus chf. |
MIMIC-CXR-JPG/2.0.0/files/p18918125/s57177125/a8c0ebd0-f2bfa3e1-b0c44bb8-9826dd16-c71f6490.jpg | pa and lateral views of the chest. the median sternotomy wires and mediastinal clips are stable. low lung volumes crowd the pulmonary vasculature. there is no focal consolidation, pleural effusion or pneumothorax identified. there is mild cardiomegaly. there are aortic knob calcifications. the mediastinal and hilar contours are normal. | recent admission for sepsis, low-grade fever. |
MIMIC-CXR-JPG/2.0.0/files/p19182153/s54854550/0f0f06ba-929af24c-7e614d1e-6fe697c1-328c4907.jpg | the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. this exam is not dedicated for imaging the ribs, but slight contour irregularity of the right lateral fifth and sixth ribs could indicate nondisplaced fractures or superimposed normal structures. | <unk>-year-old man presenting after fall with right rib pain. |
MIMIC-CXR-JPG/2.0.0/files/p17013671/s57002637/c7781dd4-6da31969-28e34c44-7235af81-a07d6eed.jpg | there is a nodular opacity projecting over the right lung base which is felt most likely to be a nipple shadow. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. there is no radiopaque foreign body nor may pneumomediastinum. exuberant anterior osteophytes seen at the mid to lower thoracic spine. | <unk>m with <num> days of inability to swallow solids // evaluate for foreign body in esophagus |
MIMIC-CXR-JPG/2.0.0/files/p10641947/s59262108/0fbe2b15-4ef38d70-caf664d9-9f92f80d-99092ad5.jpg | lung volumes are low, resulting in bronchovascular crowding. there is a small left pleural effusion. bibasilar heterogeneous opacities likely reflect atelectasis. no pneumothorax. cardiac silhouette is unchanged. a cutaneous pacer pad is seen overlying the right hemithorax. there has been interval placement of a right-sided internal jugular transvenous pacer, with its tip ultimately ending in the right atrium. | hypertension. evaluate for line placement. |
MIMIC-CXR-JPG/2.0.0/files/p19692222/s51206219/ac1d3527-a8605a5c-db2b8e09-2a6a0a6d-23d93be4.jpg | there is interval increase in right lower lobe airspace opacity and small right pleural effusion. there is no pneumothorax. the cardiac silhouette remains moderately enlarged, the mediastinal contours are normal. the pulmonary vasculature is mildly engorged with mild edema. | <unk>-year-old male with recent pneumonia, question resolution. |
MIMIC-CXR-JPG/2.0.0/files/p14886262/s57634370/bfbac659-1f518e0b-a9385bad-27037b27-adf83659.jpg | since the prior radiograph of <unk>, there has been interval improvement in pulmonary vascular congestion, as are the with stable moderate cardiomegaly. no evidence for pneumonia. no pleural effusion or pneumothorax. | <unk>f with hx chf, mca stroke and aphasia, dyspnea and hypoxia, left wrist pain, lue swelling // r/o chf/pneumonia, |
MIMIC-CXR-JPG/2.0.0/files/p10035780/s53087369/b872a0c8-1a7c1ded-43ff067d-47d52e47-3fa5e874.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. slight prominence of the right hilum is stable, since at least <unk>. | history: <unk>f with fever // pna |
MIMIC-CXR-JPG/2.0.0/files/p17988232/s57509567/1b57c3cb-72475624-963bbc1d-7bba6679-a8f2c8f1.jpg | there is an increase in lower lobe opacity seen best on the lateral view. the upper lung zones are clear. cardiac, mediastinal and hilar contours are normal. | <unk> y/o with history of fever, cough, diabetic, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19409565/s51956307/a3c82619-b1ad7621-426a03e7-ded29ded-607c26cb.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. bony structures appear normal. | chest pressure and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p10466167/s59001088/8381c0b3-054da26e-91647819-89ccf782-8f96bafc.jpg | compared with the prior study the left mid lung has cleared. there is persistent elevation of the right hemidiaphragm and retrocardiac opacity which appears chronic. small right pleural effusion. no pneumothorax stable cardiomediastinal silhouette | history: <unk>m with cold symptoms recent // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p10405281/s58984730/2ad00ec6-6b25ec83-a4c5fe2c-fd856cb7-47dffca8.jpg | cardiac silhouette size is normal. the aorta remains mildly tortuous. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities. | <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p12323516/s56484693/aea5e0a4-34b84f85-deed7869-d68b5b11-267d3706.jpg | portable semi-upright radiograph of the chest demonstrates low lung volumes with slight interval improvement of widespread pulmonary opacification, most notable in the right lung. persistent opacification of the left lower lung represents a combination of pleural effusion and consolidation. mild cardiomegaly is unchanged. et tube is <num> cm above the carina. right-sided central venous line ends in the distal svc. nasogastric tube is in the stomach and off the image. no pneumothorax. | <unk>-year-old female with cough and fever. evaluate placement of nasogastric tube. |
MIMIC-CXR-JPG/2.0.0/files/p15362885/s50942712/042a2b1a-caa2a002-daf29d56-ff8de567-bb2840a9.jpg | blunting of left costophrenic angle is unchanged since <unk> and may be due to scarring. the lungs are clear without focal opacity. there is no pneumothorax. the cardiac and mediastinal contours are normal. | <unk>-year-old woman with pleuritic chest pain after smoking crack. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14586789/s53386112/bb1a9da0-31ec90d6-409743fc-0d3e54ae-2837ec53.jpg | there is a left-sided picc line seen terminating within the lower svc. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p12565496/s50878496/b81158e3-486767ff-27dca07d-01375c4c-9375e21f.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. | dyspnea on exertion and chest pain on the left side. |
MIMIC-CXR-JPG/2.0.0/files/p10553084/s53090003/9f71a52b-d6e673f8-c63ccfbd-0f23eb45-f093c78b.jpg | pa and lateral views of the chest provided. left upper extremity picc line again seen with its tip in the mid svc region. there is mild elevation of the left hemidiaphragm again noted. subtle haziness of the left lung base likely reflects the presence of a small pleural effusion. there is hilar congestion which is new from prior. right lung is clear. heart size is difficult to assess. mediastinal contour is unchanged. tracheobronchial tree calcifications noted. bony structures are intact. | <unk>f with lung ca, recent worsening cough, fever, fatigue |
MIMIC-CXR-JPG/2.0.0/files/p15095611/s56317369/0197c109-85bd95a9-a07d7e37-948d1b06-d48ef1c3.jpg | endotracheal tube is in appropriate position <num> cm above the carina. low lung volumes are noted. nasogastric tube is not well assessed on the current study, though concurrently obtained abdominal radiograph demonstrates that it terminates in the proximal stomach. intervally developed right basal opacity is likely atelectasis. the heart is mildly enlarged with normal cardiomediastinal silhouette. left subclavian catheter terminates in the upper svc. | intubated and ventilated with cuff leak improving after advancing the tube. assess endotracheal tube placement |
MIMIC-CXR-JPG/2.0.0/files/p14937314/s58292533/e48e21b0-01864f28-b5f99e44-17676a56-44cae94b.jpg | flattening of the diaphragms and prominent interstitial markings at the bases are compatible with copd. heart and mediastinal contours are normal. no consolidation, effusion, or pneumothorax is identified. | <unk>-year-old man with cough, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14123834/s54673755/0ecf99d8-e209e947-c1ef9226-e6ebddbd-ceb7e389.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. there is again mild reversed s-shaped curvature to the thoracolumbar spine. | chest pain, shortness breath, and altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p15603760/s57096459/4dc9d10c-b3107fa7-b6581f20-81b7d735-48e6f79c.jpg | lungs are clear aside from minimal basal atelectasis/scarring. no pleural effusion. no focal consolidations concerning for pneumonia. normal heart size. no pneumothorax. | history: <unk>m with sob // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13301995/s57033319/50f6ab16-c4821891-25dcabd1-9ae0f90f-bf3e4aea.jpg | postsurgical changes in the right chest including prior thoracotomy and rib resection with associated volume loss. no pulmonary edema or glass consolidation. no pleural effusion or pneumothorax. prior left axilla lymph node dissection and left mastectomy. | <unk> year old woman with shortness of breath, cough // effusion, edema |
MIMIC-CXR-JPG/2.0.0/files/p12851357/s59098701/12fc3bfd-fa1343c5-8a1a0e86-c5ad453a-9f72b334.jpg | the tip of an ng tube terminates below the diaphragm in expected position of the stomach. the side hole is near the gej a right sided internal jugular catheter remains in the low svc. a right infrahilar opacity is has slightly increased. there is no new pneumothorax or effusion. | <unk>-year-old man with new ng tube. |
MIMIC-CXR-JPG/2.0.0/files/p11552479/s52883608/7c7dda42-0cade6b0-42807462-ef81e723-f3150275.jpg | in comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion. persistent elevation of the right hemidiaphragm, most likely reflecting an eventration. evidence of apparent interbody spacers in the cervical spine. | prolonged cough. |
MIMIC-CXR-JPG/2.0.0/files/p16751019/s56399809/ba07c1e7-4a848a68-50b45dc5-ef8444b7-a4062c37.jpg | ap and lateral radiographs of the chest again demonstrate a large right pleural effusion with adjacent atelectasis. the left costal phrenic angle is blunted and an effusion is likely. partial collapse of the left lower lobe is redemonstrated, although superimposed infection is not excluded. compared to the prior radiograph from <unk>, there is more vascular congestion, especially in the left hilum. | endstage renal disease on hemodialysis, atrial fibrillation on coumadin. systolic heart failure. dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p16816345/s52324788/862d788f-37cbe708-38da1c26-802bb5c9-923b684b.jpg | cardiac size is normal. the aorta is tortuous. . the lungs are clear. there is no pleural effusion or pneumothorax. there are moderate degenerative changes in the thoracic spine | history: <unk>f with acute onset cp, sob, decreased breath sounds left lower lung field // any consolidation |
MIMIC-CXR-JPG/2.0.0/files/p14852646/s54663387/5ae85ad7-17c8d720-a07b3f51-d1010832-8462e41d.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. patchy and linear opacity within the right lung base is unchanged, likely scarring. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p11400418/s58227946/ad4381f4-b633d5c4-48116605-48f99c68-c27f4fa0.jpg | the lungs are well inflated and clear. heart size mediastinal contours are normal. no pleural effusion or pneumothorax. osseous structures are intact. | <unk>f with retrosternal cp x<num> days, radiates to back, mild doe // eval for acute process, mediastinum widening, pna, ptx |
MIMIC-CXR-JPG/2.0.0/files/p11765161/s50604600/e06e8d79-afbdff1a-b84754db-acad95c0-f242156f.jpg | an enteric tube courses below the diaphragm and terminates in the left upper quadrant in the stomach. the inspiratory lung volumes are decreased. the cardiac silhouette is incompletely evaluated. the thoracic aorta is tortuous with prominence of the ascending aorta. no infiltrate, effusion, or pneumothorax is identified. surgical clips in the right upper quadrant are compatible with prior cholecystectomy. spiral tacks overlying the mid abdomen are compatible with prior ventral hernia repair. no acute osseous abnormalities detected. | history: <unk>f with sbo sp ngt // ngt placement ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p13029332/s50176632/faad78b1-7492d61f-75a19164-7d351f4f-69306323.jpg | pa and lateral views of the chest <unk> at <time> are submitted. | <unk> year old man pod<num> avr // effusion effusion |
MIMIC-CXR-JPG/2.0.0/files/p18949021/s50140415/e00196a1-e43c8d21-42f2453d-e8936622-972f9c6e.jpg | again, low lung volumes are seen and there is elevation of the left hemidiaphragm, similar to prior. the cardiac, mediastinal, hilar contours are stable. no focal consolidation is seen. there is slight blunting of the left costophrenic angle, similar to prior. no pneumothorax. air distended bowel in the left upper quadrant is not fully evaluated on this study. | worsening bilateral leg swelling, chest tightness. |
MIMIC-CXR-JPG/2.0.0/files/p14133567/s54576695/033c946e-616b971c-e94ee2b5-6b200a7a-e0f3f857.jpg | bilateral perihilar interstitial and alveolar opacities are noted. an approximately <num> cm opacity projecting of the left hemi thorax knee be pleural-based. no pneumothorax detected. minimal blunting of the left costophrenic angle could reflect a small left pleural effusion. heart size and mediastinal contour are grossly unremarkable for age, but the right and question left hila are prominent. | <unk>f with shortness of breath. assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10792935/s51963205/5b962c4b-5411e5db-7092ef5c-b72c17ab-77f43dbd.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. | history: <unk>m with palpitations // ? cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p19496875/s58937813/8fb0bc6c-528e61f3-44663e17-b14d63c6-71604694.jpg | the cardiac silhouette size is mildly enlarged but unchanged. the mediastinal and hilar contours are stable. pulmonary vasculature is normal. subsegmental atelectasis is demonstrated within the left lung base. no focal consolidation, pleural effusion or pneumothorax is demonstrated. mild degenerative changes are noted in the thoracic spine. clips are demonstrated within the upper abdomen compatible with prior cholecystectomy. | acute psychotic state. |
MIMIC-CXR-JPG/2.0.0/files/p10791857/s55859494/0ec43e87-a871525f-9fd8b73d-ef80e875-aeef9563.jpg | there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is largely unchanged from the prior examination. moderate dextroscoliosis is again noted centered in the lower thoracic spine. | history: <unk>f with cough; // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p11608914/s57684286/63a686fd-45cebfc8-1ea2fbc7-75c2372b-092420c1.jpg | the lungs are clear. heart size is mildly enlarged, unchanged. the aorta remains tortuous. the mediastinal, hilar contours, and pleural surfaces are otherwise unremarkable. no pulmonary edema, pleural effusion, or pneumothorax. no focal consolidations are seen. | history: <unk>m with chest pain radiating to shoulders and back. |
MIMIC-CXR-JPG/2.0.0/files/p19692527/s51872107/d38abff5-dfb3213d-7ac9fbb9-90a92ea4-a228dfbe.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | history: <unk>m with etoh liver failure, pending admission to hepatology; no respiratory or infection sxs, standard hepatology workup // r/o infection |
MIMIC-CXR-JPG/2.0.0/files/p19777911/s57088604/f9026658-bf34bd83-f097db47-685a5de1-8753f93d.jpg | pa and lateral radiographs of the chest demonstrate clear lungs. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. the hilar and cardiomediastinal contours are normal. the hickman catheter positioning is unchanged, with the catheter tip terminating in mid svc. | cough and low-grade fever in patient with history of aml, status post cord blood transplant. |
MIMIC-CXR-JPG/2.0.0/files/p19034608/s50601595/05636b77-33b08cd9-ff011dc6-975bf77a-9bd3febc.jpg | the lungs are hyperinflated. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with chest pain, shortness of breath // eval heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p18304185/s56119885/925ea240-a8d343c7-4455033e-96aa8c5a-de880ed3.jpg | minimal left basilar pneumothorax, decrease. left chest tube, new since prior exam. new left perihilar, basilar opacity. trace pleural effusions. right lung clear. mild gastric distention. postoperative change left lung. | <unk> year old man with spontaneous ptx x<num>, now s/p vats l apical bullectomy, l apical blebectomy x <num> // please evaluate for interval change post-op |
MIMIC-CXR-JPG/2.0.0/files/p11929269/s56573578/60aa1cc6-27adde40-5d0fdc8c-34682e1a-537ef4c8.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no displaced fracture is seen. | <unk> year old man with mechanical chest pain after fall // eval for acute rib fracture |
MIMIC-CXR-JPG/2.0.0/files/p19109226/s51222047/fb4be3d7-5bb20e2f-c699f622-cdd493b6-cfa23c07.jpg | frontal view of the chest was obtained. the heart is mildly enlarged, similar to prior. cardiomediastinal contours are stable. left pleural effusion is similar to prior. bibasilar opacities likely represent collapse of both lower lobes. consolidation of left upper lobe is unchanged. right subclavian central venous catheter terminates in the lower svc. tracheostomy tube, og tube, and wires of the left chest wall pacer are in stable position. | <unk>-year-old male with pneumonia. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p18834094/s50048810/8f0fa0d7-de795864-79b85438-f2db99bb-51a5117a.jpg | there are new opacities projecting over the bilateral lower lungs, greater on the right than the left. there is unchanged elevation of the right hemidiaphragm. stable cardiomediastinal silhouette. no large pleural effusion or pneumothorax. | history: <unk>f with fever // eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p16144406/s52673412/0898eac4-d00b2a8a-5a7339d4-dc8857f8-33357e34.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are unchanged. | chronic neck pain, status post mvc today, evaluate for new pathology. |
MIMIC-CXR-JPG/2.0.0/files/p13860785/s58561900/143cdf42-c1e4358f-1f1c74c9-0f3d0f63-965ff813.jpg | ap portable view of the chest. a right pigtail catheter is in place in the right pleural space. there is decrease in right hydropneumothorax. a small right pleural effusion persists. the left lung is clear. sternotomy wires and mediastinal clips are seen. additional opacities in the right lower lobe may represent pneumonia or atelectasis. | right hydropneumothorax, status post chest tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p19101100/s55061035/1082a3cd-2c151d23-32bd7323-5f64fef7-3564e120.jpg | pa and lateral image of the chest demonstrates significantly improved right pleural effusion suggests a repeat successful thoracocentesis. the lungs are well expanded and clear. there is no pneumothorax or other complication seen. otherwise, there is no change in the chest radiograph from previous imaging. the appearance of the left lung is unchanged. | <unk>-year-old male with pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p17255314/s56881391/9329dcd1-a714ee06-f38b1dff-44b10537-4bdb2f1e.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. left-sided port-a-cath is again seen, terminating in the mid to lower svc. | history: <unk>f with chemo, general malaise // eval pna |
MIMIC-CXR-JPG/2.0.0/files/p17767787/s59416836/c54c8827-13a7548c-1da96344-e3dc39c2-c42151af.jpg | the the tip of the gastric tube extends into the stomach. the tip the endotracheal tube projects over the mid thoracic trachea. an external aicd is present. the at the left costophrenic angles not included on this radiograph. there is no visualized focal consolidation, pleural effusion or pneumothorax. left mid and lower lung zone atelectasis is present. the size of the cardiac silhouette is enlarged but unchanged. | <unk> year old man with new og tube // og tube evaluation |
MIMIC-CXR-JPG/2.0.0/files/p18583455/s58575521/a59b6fc3-018109fa-fb63e454-eb31cc49-b6790bbd.jpg | the lung volumes are low, but the lungs are clear of focal opacities, pleural effusions or pneumothorax. there has been interval removal of a right ij central venous line and cardiac pacemaker. the cardiomediastinal silhouette is stable and mildly enlarged. | <unk>f with recent spine surgery with back pain and hypotension, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16043637/s54793306/694f4d8b-a3f0bd59-596ca105-6de49d58-7de152c6.jpg | patient is status post median sternotomy and cardiac valve replacement. dual lead left-sided pacemaker stable in position. a right port-a-cath terminates in the low svc without evidence of pneumothorax. no focal consolidation or pleural effusion is seen. there is minimal lateral right basilar atelectasis/scarring. no pulmonary edema is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with sob // evidence of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17504528/s53146038/ad5a9902-55935722-7273e0ef-33a25d23-c8f0ab47.jpg | median sternotomy wires appear intact and appropriately aligned. the patient is status post mitral valve replacement. abdominal surgical clips are re-demonstrated. the moderate-sized left pleural effusion is essentially unchanged in size. the right lung is clear. the cardiomediastinal silhouette is stable. multiple calcified mediastinal lymph nodes are again visualized. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old woman with recurrent l effusion, inc sob // f/u effusion |
MIMIC-CXR-JPG/2.0.0/files/p16850130/s58651792/40ef6e96-ed28ede8-e0ffaeb2-131f8b5f-6fdba393.jpg | the lungs are well expanded and clear. there is no evidence of pneumonia. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal with no evidence of effusion or pneumothorax. there are surgical clips seen in the left axilla consistent with prior lymph node dissection. | persistent cough and low-grade fever. |
MIMIC-CXR-JPG/2.0.0/files/p15939466/s52988419/59728b99-9d25b400-00d819e3-7d07847f-d874a408.jpg | there is a small to moderate right apical pneumothorax which has not changed since recent outside exam. the lungs are clear of consolidation. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk> year old man with spontaneous pnx // interval changeplease take <unk> at <num>pm |
MIMIC-CXR-JPG/2.0.0/files/p15484734/s50155875/69a88a52-cb9801cc-b3f0a949-189f6561-29e6b722.jpg | there is a small right apical pneumothorax, not significantly changed from prior. there are small bilateral pleural effusions and bibasilar atelectasis, as well as right basal consolidation. left paracardiac hernia containing large bowel wall is re- demonstrated. heart size is stable. right chest wall pacemaker is unchanged position, with leads terminating in the right atrium and right ventricle. | history: <unk>m with pleuritic cp // ptx? |
MIMIC-CXR-JPG/2.0.0/files/p10458472/s59392229/6fe8965d-6e730e61-1d516d91-066c0af8-a7f6d222.jpg | the heart is normal in size. there is similar mild unfolding along the descending thoracic aorta. the mediastinal and hilar contours appear unchanged. the chest is hyperinflated. there is no pleural effusion or pneumothorax. the lungs appear clear. there has been no significant change. | new onset of atrial fibrillation and oxygen requirement. |
MIMIC-CXR-JPG/2.0.0/files/p10386925/s52197280/72e0d672-10a9acb7-03c63403-25dd22e9-bc6efc76.jpg | elevation of the right hemidiaphragm is re- demonstrated, with the previously noted subpulmonic pleural effusion decreased in size. previously seen small left pleural effusion appears resolved. cardiac, mediastinal and hilar contours are unchanged. right picc has been removed. streaky bibasilar airspace opacities are relatively unchanged. there is no new focal consolidation, pulmonary edema or pneumothorax identified. biliary stents are again seen within the right upper quadrant of the abdomen. | fever to <num>. |
MIMIC-CXR-JPG/2.0.0/files/p13999982/s56562065/e651d8c7-a52470c2-c7c95ca1-cca1274e-18337512.jpg | pa and lateral radiographs of the chest demonstrate clear lungs. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. cervical fusion hardware is incompletely imaged. | fever and cough in patient with psoriatic arthritis, on remicade, prednisone, and methotrexate. |
MIMIC-CXR-JPG/2.0.0/files/p15574754/s52953679/c5d57d92-e44dbe94-e921fc96-fafa8e76-3251d7d6.jpg | right-sided dual-lumen central venous catheter tip terminates within the proximal right atrium and at the junction of the svc and right atrium. moderate cardiomegaly is re- demonstrated. the mediastinal and hilar contours are unremarkable. no definite pulmonary edema is present. moderate size left pleural effusion and small right pleural effusion appear increased compared to the previous study. left basilar compressive atelectasis is noted. no pneumothorax is detected. percutaneous gastrostomy catheter is noted within the left upper quadrant of the abdomen. | history: <unk>m with shortness of breath, likely fluid overload |
MIMIC-CXR-JPG/2.0.0/files/p12476737/s57866108/0e629de0-1e7d00b3-6b59f8c3-e002898b-3b11b215.jpg | the heart size is normal. mediastinal and hilar contours are stable with the thoracic aorta appearing mildly tortuous. pulmonary vasculature is normal. atelectasis or scar in the right lung base is unchanged, and the remainder of the lungs are clear. no pleural effusion or pneumothorax is seen. eventration of the right hemidiaphragm is unchanged. marked degenerative changes of the left glenohumeral and ac joints are noted. old right-sided rib fractures are again seen. | productive cough times fevers with chills. |
MIMIC-CXR-JPG/2.0.0/files/p11101319/s53319951/f4999775-960cf824-ffcf9f38-f819b040-ab7f1d28.jpg | ng tube extends into the stomach but the location of the tip and side port cannot be determined on this radiograph. heart size is normal. the mediastinal and hilar contours are normal. mild elevation of pulmonary venous pressure. no focal consolidation, pleural effusion, or pneumothorax. bibasilar atelectasis is increased. | <unk> year old man with ng tube placed for meds // eval ng tube position |
MIMIC-CXR-JPG/2.0.0/files/p12377862/s58719049/c8700d03-b98e10c1-d02921ce-4a8a18ca-b2d13189.jpg | the cardiac, mediastinal and hilar contours appear unchanged. the pulmonary architecture is irregular and attenuated, particularly in the right upper lobe, suggesting emphysema. there is no pleural effusion or pneumothorax. there are patchy new opacities in both lower lungs, more confluent on the right than left side, worrisome for pneumonia, which can have an atypical appearance in the setting of emphysema. the appearance includes a nodular focus projecting over the right lower lung of about a centimeter in diameter, although possibly a nipple shadow superimposed on a background opacification in the lower lungs. projecting over the medial left lung apex is a newly apparent pleural thickening, which was not seen before and raises potential concern for malignancy at that site. it is noted that the prior radiographs were obtained with a very similar orientation and the opacity appears new. | severe dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p19151600/s51009901/786426df-398e13e1-7800c45f-84b030b7-8c0e95db.jpg | moderate size right and large left pneumothoraces are present with bibasilar opacities likely reflective of atelectasis. there is no substantial shift of mediastinal structures. extensive pneumomediastinum and subcutaneous emphysema is present within the neck and chest wall bilaterally. large amount of free intraperitoneal air is also noted as well as retroperitoneal air within the upper abdomen. enteric tube is seen with tip in the stomach. heart size is normal. mild atherosclerotic calcifications are noted within the aortic knob. no acute osseous abnormalities demonstrated. | history: <unk>f with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p11040709/s56130198/331e9a91-1b58bd2a-3ad3705c-daa302cf-da3f1a6e.jpg | a left subclavian central venous catheter ends in the mid svc. an endotracheal tube ends in the mid-trachea. a nasogastric tube extends into the stomach, distal tip not visualized. moderate layering bilateral pleural effusions with associated bibasilar subsegmental atelectasis are unchanged. the heart and mediastinum are within normal limits despite the projection. there is no pneumothorax. | <unk> year old woman with sah; ?stability |
MIMIC-CXR-JPG/2.0.0/files/p15812482/s50791521/1f07dbec-5d472c10-2992c69c-fa13f8c3-f6cccc1d.jpg | the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. a right basilar opacity is unchanged, likely representing subsegmental atelectasis or chronic scarring. there is no focal consolidation. | <unk> year old man with shortness of breath, evaluate for pneumonia.. |
MIMIC-CXR-JPG/2.0.0/files/p18607304/s56183624/619583c5-318c70f2-4e5c043e-ed937e58-efac3d9a.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | <unk>m w/ chest pain. please eval cardiopulm change // <unk>m w/ chest pain. please eval cardiopulm change |
MIMIC-CXR-JPG/2.0.0/files/p13209155/s59312657/1e756b64-7d0e1dec-9ddc53d8-57dc1ac2-c8bf5aa9.jpg | ap upright and lateral views of the chest provided. there are streaky bibasilar opacities and patchy retrocardiac opacity. there is mild pulmonary vascular congestion and a trace left pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is normal. compression deformity of t<num> appears similar to <unk>. compression deformity of l<num> is age-indeterminate. no free air below the right hemidiaphragm is seen. surgical clips are again seen in the right upper quadrant. | <unk> year old woman with productive cough (would cancel the prior pa/ lateral one but not available as option) // r/o pneumonia |
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