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MIMIC-CXR-JPG/2.0.0/files/p11761621/s51514003/c376f3c7-5ba3a375-651a470e-fde88c39-4a97e4b0.jpg | single portable view of the chest is compared to previous portable exam from <unk> and chest x-ray from <unk>. despite lower lung volumes, there are increased pulmonary vascular markings seen centrally with re-distribution. there is no confluent consolidation. cardiac silhouette is stable. | <unk>-year-old male with headache and nausea and vomiting since last night. |
MIMIC-CXR-JPG/2.0.0/files/p12455543/s55840711/b788d0a7-a4789846-19ae7cf0-a3ddd58e-9851e5bf.jpg | cardiomegaly is a stable. the there is no evident pneumothorax. thickening of the right pleural and a small right effusion are stable. patient has known emphysema and interstitial reticular are opacities in the lower lobes better seen in prior ct. new opacity in the periphery of the right upper lobe could represent atelectasis or aspiration attention on followup is recommended. biapical scarring with calcifications right greater than left is better evaluated in prior ct | <unk> year old woman with recurrent pneumothorax s/p mechanical pleurodesis now with chest tube removed; please schedule for <time> pm // interval change with chest tube removed; please schedule for <time>pm |
MIMIC-CXR-JPG/2.0.0/files/p16240736/s55089613/108742fd-b3c81a84-6a12bcda-650b8609-58cf9895.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 cough, fever, body aches // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p19643309/s51432244/f1c20725-17789db2-9ee66b57-d77e7666-97a158e8.jpg | median sternotomy wires are present. heart is mildly enlarged. lung volumes are low, but there is no focal consolidation. no overt pulmonary edema is present. views of the upper abdomen are normal. | <unk>m with paroxysmal a-fibrillation, evaluate for cardiomegaly, pulmonary edema, or pneumonia.. |
MIMIC-CXR-JPG/2.0.0/files/p18084545/s56789776/972aa2ec-f4c58797-d1b50aa7-b6b63679-23877fbc.jpg | there is blunting of the left lateral costophrenic angle thought to represent a small effusion. the lungs are clear without consolidation. cardiac silhouette is within normal limits. the thoracic aorta is aneurysmal and tortuous. the arch measures in the range of <num> cm. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy. | <unk>f with palpitations, jvd // ?cpd |
MIMIC-CXR-JPG/2.0.0/files/p13217384/s58460491/2aa3dfb6-998ca316-0be56dc7-f3248aed-665213b6.jpg | lung volumes are low. indistinct pulmonary vascular markings are likely due to low lung volumes and portable technique the cardiomediastinal silhouette is stable given rotation and portable technique. no acute osseous abnormalities. | single portable view of the chest. |
MIMIC-CXR-JPG/2.0.0/files/p18879099/s54200236/c589dbde-167182bb-28d24894-7034fe2e-c908913c.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>m with chest wall pain |
MIMIC-CXR-JPG/2.0.0/files/p11948471/s51662137/f48bf424-a6368c9e-0b419285-931237ba-f4e8094f.jpg | portable view of the chest shows interval removal of a feeding tube. the pigtail catheter, tracheostomy, and left picc are unchanged in position. the overall appearance of the lungs is unchanged. the cardiomediastinal and hilar contours are also stable. there is no detectable pneumothorax. | history pneumothorax, lung abscess sees, and trach, evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16353094/s58950277/c902cce8-4bd498db-62b47299-7a4b6bf8-effef13b.jpg | the lungs are well expanded and clear. the heart size is normal. the enlarged pulmonary vasculature likely accounts for the enlarged hilar contour, as previously seen on ct. no pleural abnormality is seen. | <unk> year old man with recurrent and persistent coughing and temp up to <unk> f. currently on bactrim ds for sinus infection. to have knee surgery tomorrow. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14203799/s55477858/bda62f61-09c38cac-446c105c-e90aee2d-ef5bb23b.jpg | the lungs are mildly hyperexpanded but clear bedsides biapical scarring. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is rightward curvature centered over the thoracolumbar spine. | <unk> year old woman with fatigue // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p10344594/s51796094/69f25094-119e7c05-62d480a6-497cf8de-da0f1fe8.jpg | ap portable upright view of the chest. the lung volumes are very low. previously seen right lung opacities on the <unk> examination appear resolved. there is no new focal consolidation, pneumothorax, or large pleural effusion. the aorta is moderately tortuous. | <unk> year old woman with new wheezes and upper airway congestion // new wheezing |
MIMIC-CXR-JPG/2.0.0/files/p17878731/s59445273/5094e145-fdd4ea5a-b7023510-6dfea37a-4839eef1.jpg | a port-a-cath terminates at the cavoatrial junction. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. | status post liver transplant with neutropenia. |
MIMIC-CXR-JPG/2.0.0/files/p16843636/s58417847/fda05a32-e4e28232-7ddbc15f-edd85b93-683426ae.jpg | frontal and lateral chest radiograph demonstrates the right middle lobe opacification concerning for pneumonia. the left lung is grossly clear. there is moderate cardiomegaly and mild pulmonary vascular congestion without overt pulmonary edema. there are no pleural effusions. there is no pneumothorax. | <unk>-year-old female with dyspnea and homogeneous cyst. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17051420/s50783845/51711c7e-fb5ee752-e916f7c0-f5cd3901-8c765a86.jpg | the heart continues to be markedly enlarged, and there is pulmonary vascular congestion with mild interstitial edema. no definite pleural effusions are seen. no displaced rib fractures are noted. | <unk> year old male with history of recent cpr, rib fractures, now presenting with chest pain, cough, hemoptysis. |
MIMIC-CXR-JPG/2.0.0/files/p19800005/s54297332/868095b7-c51745e6-461b2336-3c3e0f6c-f9625d08.jpg | a right chest tube is present. a stent graft projects between the clavicular heads. there is no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits. | <unk> year old woman with pericardial cyst s/p r vats excision // s/p pericardial cyst excision |
MIMIC-CXR-JPG/2.0.0/files/p16752029/s56656905/53268670-6281c04c-41b9432b-e2edd5f2-f06e2d62.jpg | the lungs are clear. the hila and pulmonary vasculature are normal. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is unchanged. | <unk> year old woman with <unk>f af (on coumadin), rectal ca s/p robotic lar (<unk>) p/w rlq pain ct shows <num>x<num> collection at anastomosis site s/p ir drainage with some shortness of breath // please evaluate for shortness of breath or pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p13515601/s54108055/acd85e0a-e0e97b35-e052bcbb-756858f5-064dd3aa.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax. | <unk> year old woman with a history of moderately severe bronchitis with persistent fever chills and cough despite antibiotic therapy // please evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18007190/s57159251/3b9866e6-ae20e3f8-4b854b7e-e29e66a4-4b5371bd.jpg | pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected. | <unk>-year-old female with lightheadedness and dizziness with episodes of near-syncope. |
MIMIC-CXR-JPG/2.0.0/files/p10634195/s51541310/c2bb8d8e-68341f39-64861f8c-82f3759a-00011df3.jpg | pa and lateral images of the chest demonstrate no evidence of pneumomediastinum or other complication associated with esophageal perforation. the lungs are well expanded. pulmonary and cardiac exam are unchanged from previous imaging. there is mild cardiomegaly again seen. there is no focal consolidation, pleural effusion, or pneumothorax. | <unk>-year-old female with concern for esophageal perforation status post food impaction and egd. |
MIMIC-CXR-JPG/2.0.0/files/p10509739/s50834652/c592b2fe-9d6787e4-a986c321-04c1a7ed-cfec3fcb.jpg | ap and lateral upright views of the chest were reviewed and compared to the prior studies. new small right pleural effusion and a new small to moderate left pleural effusion. lung volumes are low and there is bibasilar atelectasis; otherwise, the lungs are clear without pulmonary edema or pneumothorax. there are aortic calcifications and the heart size is top normal. degenerative changes in the spine are unchanged. | increasing oxygen requirement in a patient with a small bowel obstruction secondary to an incarcerated ventral hernia. |
MIMIC-CXR-JPG/2.0.0/files/p15176968/s59642952/5bf38a0d-d30e0de1-37c34461-92633fb0-d208538e.jpg | right and moderate bilateral pleural effusions, mild cardiomegaly, pulmonary vascular redistribution consistent with chf. compared to prior exam there is no significant interval change. | acute chf. |
MIMIC-CXR-JPG/2.0.0/files/p16052230/s55415252/ef33adbc-46a1a5a0-99040762-65c8060a-e53af2f9.jpg | the feeding tube has been advanced further into the stomach, distal tip not visualized. the moderate to large right pleural effusion is unchanged. the left lung remains clear. the heart and mediastinum are within normal limits despite the projection. there is no pneumothorax. right lower lobe atelectasis is unchanged. a right upper quadrant stent is incidentally noted. | <unk> year old man with right hepatic hydrothorax. evaluate for interval change in right pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p14281506/s53802945/2bab3275-abbacdc9-8b3145d4-fb620569-053f8b80.jpg | patient is status post median sternotomy, cabg, and coronary artery stenting. heart size is normal. mediastinal and hilar contours are unremarkable. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is present. no acute osseous abnormalities seen. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p12065121/s54080001/af086a82-e0aea14f-52a3b9fe-d278fea5-85c8a691.jpg | new retrocardiac opacities are seen on lateral view, corresponding to the left lower lobe, are likely due to atelectasis. mild pulmonary congestion is noted. the heart size is normal. no pulmonary edema or pneumothorax. | <unk> year old man s/p acdf, with new onset cough and elevated wbc // please look or pneumonia/infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p14744884/s52667466/1d30f209-052f6707-00f69616-22a83b3b-4c38cc05.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged. . the right subclavian/ brachiocephalic stent appears grossly unchanged. the bones are noted to be somewhat sclerotic ; on prior imaging, thought to be related to renal osteodystrophy. | history: <unk>f with chest pain // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p17453277/s58888105/edd260a9-d430cac9-45b97aa7-929df6ac-ef904fea.jpg | lung volumes are decreased compared to the prior exam. this results in accentuation of the cardiac silhouette size which is likely borderline enlarged. the aorta is mildly unfolded. pulmonary vascularity is normal. minimal left basilar streaky opacity likely reflects atelectasis. there is no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present. | flu-like symptoms, cough for <num> week. |
MIMIC-CXR-JPG/2.0.0/files/p16886430/s55860250/079eb6f7-bd5012d3-824e7eeb-a70629fa-2a3d581e.jpg | ap upright and lateral views of the chest provided. the heart appears mildly enlarged with curvilinear coarse calcification projecting over the left heart compatible with mitral annular calcification. the lungs are clear bilaterally without focal consolidation, large effusion or pneumothorax. mediastinal silhouette is unremarkable. bony structures appear intact. | <unk>f with <unk> swelling, sob // chf? |
MIMIC-CXR-JPG/2.0.0/files/p18292095/s52522789/0cf769b1-e405e258-21732366-3aca853b-c8106f95.jpg | ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. allowing for this, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. degenerative disease at the right glenohumeral joint noted. no free air below the right hemidiaphragm is seen. | <unk>f with sob // eval pneumonia vs chf |
MIMIC-CXR-JPG/2.0.0/files/p17356651/s51197074/085a1e22-2df49bec-00b006fe-e57de9d2-82419893.jpg | the lungs are clear bilaterally, without evidence of pneumonia, pleural effusions or pneumothorax. there is no pulmonary edema. cardiomediastinal silhouette is within normal limits. right mid-clavicular fracture unchanged since <unk>. | <unk>m w/ t cell lymphoma, new o<num> requirement // evaluate for edema or consolidation |
MIMIC-CXR-JPG/2.0.0/files/p10078115/s52365458/9804ebe9-94585e59-6a8ad2d7-fc266a94-78fcf349.jpg | portable upright chest radiograph demonstrates an endotracheal tube with its tip at the level of the clavicular heads. an ng tube passes through the stomach, and a right subclavian central venous catheter tip is at the cavoatrial junction. there is an interval decrease in lung volumes; small bilateral pleural effusions and bibasilar atelectasis is mild and increased. the cardiac silhouette is enlarged and unchanged. the mediastinal contours are little changed. pulmonary vasculature is normal and improved. | <unk>-year-old male with intracranial hemorrhage, now status post external ventricular drain placement. |
MIMIC-CXR-JPG/2.0.0/files/p14035614/s50464367/65bf4a89-1a493111-1c2139fe-369e2329-ea76e84a.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 appear within normal limits. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p17168714/s56489483/680fb962-05703a35-2d646575-934aa230-8930975a.jpg | pa and lateral views of the chest provided. dual lead pacemaker is unchanged in position with leads extending to the region of the right atrium and right ventricle. mild pulmonary edema is noted without large effusion or pneumothorax. heart size is top-normal. mediastinal contours unremarkable. bony structures are intact. no free air below the right hemidiaphragm. | <unk>m with h/o cad reporting dyspnea on exertion, bibasilar crackles |
MIMIC-CXR-JPG/2.0.0/files/p10348831/s59547296/85e9c097-5372e188-442af76e-ae4430d7-9b837153.jpg | the heart size is normal. the hilar and mediastinal contours are stable. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. | history of cirrhosis, please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14415891/s58281248/184da7ad-91a8a099-c77e8e92-3c665d37-b9255d5c.jpg | the lungs are well expanded and clear. there is no pleural effusion, pulmonary edema or pneumothorax. the cardiomediastinal and hilar contours are stable. | <unk>-year-old with history of copd and pneumonia with right-sided wheeze and decreased breath sounds. |
MIMIC-CXR-JPG/2.0.0/files/p16743897/s57268351/cc016f6a-e28f4b76-71354ecf-4288322c-ad53d197.jpg | bibasilar atelectatic changes. otherwise, the lungs are clear. the cardiomediastinal silhouette and hila are normal. there is a right port-a-cath ending at the cavoatrial junction. there is no pneumothorax. no pleural effusion. | <unk>-year-old with fever. |
MIMIC-CXR-JPG/2.0.0/files/p12340122/s58469159/622dfdc9-b08d9f69-73556c78-a8de26e4-9d1b957c.jpg | pa and lateral views of the chest were reviewed and compared to the prior study. linear opacities in the left lung represent atelectasis; otherwise, the lungs are clear without pulmonary edema, vascular congestion, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there are no concerning osseous or soft tissue lesions. | dyspnea on exertion, lower extremity edema and increased cough in a patient with history of copd and asthma. |
MIMIC-CXR-JPG/2.0.0/files/p18967941/s56395488/4fbb32f0-7a1a4fdd-c52a0a89-3c5d88de-23d46a10.jpg | a right internal jugular line has been removed. a left internal jugular line ends in the upper to mid superior vena cava. there is a moderate right pleural effusion has slightly increased and a small to moderate left pleural effusion has markedly increased in size compared to the prior chest radiograph performed <num> day prior. no pneumothorax is identified. there is pulmonary vascular congestion but no overt pulmonary edema. the lung volumes are low which causes crowding of the bronchovascular structures and widening of the mediastinal and cardiac contours. | <unk> year old man with sepsis, hypotension, growing s. pneumo bacteremia // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p11378369/s50429335/f89a195b-f470a2df-3bb9f3f5-c3f2ec6a-303bc59f.jpg | there are new bibasilar opacities likely representing a combination of moderate right and small left pleural effusions with adjacent lower lobe atelectasis. there is engorgement of the pulmonary vasculature with cephalization consistent with moderate pulmonary edema. additionally, cardiomediastinal silhouette is enlarged. atherosclerotic calcifications of the aortic arch are present. no pneumothorax. right upper lobe mass is again identified with fiducial seeds at the inferior border of this mass. previously noted <unk> in the supraclavicular region have been removed, but soft tissue prominence persists in this region. no acute fractures are identified. | evaluation of patient with history of metastatic melanoma with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p13804301/s52141833/434f01ee-71e18153-c43731ba-d62a2037-cceeae75.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 ? cva // eval for acute infectious process |
MIMIC-CXR-JPG/2.0.0/files/p14383658/s50323072/1d1504d2-0da5c8a7-008cd58b-2bffe28b-2a4fac2a.jpg | two frontal images of the chest demonstrate low lung volumes likely secondary to poor inspiration. there has been interval removal of a right ij central line and the chest tube overlying the heart shadow. there is no pneumothorax or other complication seen. pigtail chest tube remains in appropriate position in the left chest. right picc line is unchanged from prior exam. there is interval improvement in the left pleural effusion. the lungs are otherwise clear. cardiac silhouette is unchanged in size. | <unk>-year-old female with pericardial effusion and left chest tube, requiring assessment for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p10424284/s50359548/79e35193-9753ace7-24b75451-a4c3cec9-23176880.jpg | a left lower lungopacity is compatible with pneumonia within the lingula and lower lobe. the right lung is clear. cardiac size is normal. the aorta is normal. there is no pleural effusion or pneumothorax. apical scarring is noted in the right apex, stable from the prior exam. | cough and fever, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10642542/s51042439/19959e79-268a6f88-fb29e54c-728d231f-bc6184b5.jpg | lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10365038/s52268116/6f1f199c-f96a5327-e3bd4419-161b5e9d-5ae63d7c.jpg | frontal and lateral radiographs of the chest demonstrate clear lungs. the cardiac and mediastinal contours are normal. no pleural abnormality is detected. | cough and fever. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p17253295/s59596263/8acba90f-4ae14c06-0d44a04b-24ddcff0-0039414e.jpg | normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion, pulmonary edema or pneumothorax. | history: <unk>f with polyarthritic pain, hx of ra // please evaluate for infectious process |
MIMIC-CXR-JPG/2.0.0/files/p17794324/s57548211/9ca2d2f0-e62e8acf-ae8fc696-c8ddef02-3e012f86.jpg | as compared to prior chest radiograph from <unk>, there has been no significant change. lung volumes remain low. mild pulmonary edema and moderate bilateral pleural effusions are unchanged. moderate cardiomegaly is stable. et tube terminates <num> cm above the carina. right picc line tip terminates at the mid to lower svc. left pectoral pacemaker is in unchanged position. | <unk>-year-old male patient with afib on coumadin, pvd, diabetes type <num>, now with right temporal iph. study requested for evaluation of interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14279228/s51835014/7bc221fb-4e94d7aa-99712e9b-4d909679-34708144.jpg | in comparison with chest radiograph from <unk>, there is no significant change. lungs are hyperinflated. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. | history: <unk>f with epigastric pain // epigastric pain |
MIMIC-CXR-JPG/2.0.0/files/p19561931/s55353203/773cb5ca-640c7d9b-cc05e4df-aaff2276-2fbc6b4e.jpg | no change since <unk>, with a moderately calcified aortic arch, mild cardiomegaly, and a tortuous descending thoracic aorta. no pleural effusion or pneumothorax. no pneumonia. mild scoliosis of the thoracic spine. osseous structures are diffusely demineralized. | history: <unk>f with chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17446232/s57667695/9cbcaa4d-de1c194e-cf60f9c4-88e56667-87dada1d.jpg | the endotracheal tube is in proper position located <num> cm above the carina. the left lung is clear without focal opacity, consolidation or pleural effusion. there is right upper lobe collapse and the right hemidiaphragm is elevated secondary to volume loss. there is a nasogastric tube ending in the stomach. the proximal side port ends just beyond the gastroesophageal junction. there is no free air below the right hemidiaphragm. there are clips in the right upper quadrant. there are no bony or soft tissue abnormalities identified. | et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13736311/s57994730/62fea049-31d60ee2-03437dcf-6af80d30-9133ddaa.jpg | there is mild cardiomegaly stable compared to exams dating back to <unk>. the hilar and mediastinal contours are normal. severe underlying emphysema is unchanged compared to the prior exam and better evaluated on the ct cervical spine from <unk> and chest ct from <unk>. there has been interval worsening of the right lower lobe consolidation. no pleural effusion or pneumothorax is seen. | <unk>-year-old female with a history of altered mental status and known right lower lobe opacification, who presents for evaluation of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19432472/s59699910/b632f40f-445195d8-523bd54c-74f4ddec-6705b5c2.jpg | frontal and lateral chest radiographs were obtained. a right chest port-a-cath terminates in the cavoatrial junction. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. | patient with history of pancreatic cancer, treated for pneumonia two weeks ago, evaluate for resolution. |
MIMIC-CXR-JPG/2.0.0/files/p13718173/s58242241/d459dfec-57c56ada-16c83391-5675ecb4-0185eb3e.jpg | a single portable frontal chest radiograph was obtained. a left lower lobe collapse is new since <unk>. there is no pneumothorax. a left pleural effusion cannot be excluded. severe cardiomegaly may have slightly worsened since of <unk>. median sternotomy wires and valve prosthesis are unchanged. | palpitations |
MIMIC-CXR-JPG/2.0.0/files/p11783844/s59970861/0e0ec4a4-e36c7f54-4006e360-23f93b22-2eea8b9a.jpg | the ett terminates approximately <num> cm above the carina. there is increasing consolidation within the right middle, right lower, and left lower lobe, consistent with multifocal pneumonia. the pulmonary vasculature is normal. the cardiomediastinal silhouette stable. there is no large pleural effusion. there is no pneumothorax. | <unk> year old woman with respiratory failure s/p intubation // please eval ett plcement |
MIMIC-CXR-JPG/2.0.0/files/p14308360/s58166195/7437de53-539f8fb5-a86b8279-463715f1-5fabbec0.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limites. there is no pleural effusion or pneumothorax. osseous structures demonstrate no acute abnormality. | <unk> year old female with abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p10336412/s56059027/893e7b7a-003c0462-92e5791a-b39f4828-267a0dab.jpg | the lungs are well inflated. there has been significant interval improvement in the diffuse alveolar opacities previously seen. there are no focal consolidations. however, a minimal amount of fluid is still seen in the minor fissure, and there appears to be some right hilar engorgement with upper retraction which appears new compared with <unk>. there is no pleural effusion or pneumothorax. stable mild cardiomegaly. | <unk>-year-old male with end-stage renal disease status post transplant, hypertension wit recent episode of pulmonary edema. evaluate for change. |
MIMIC-CXR-JPG/2.0.0/files/p14566045/s57369044/110825a1-5ddb0b73-71e608b1-b2c7dbd8-acb8b914.jpg | ap portable upright view of the chest. lung volumes are low. there is mild interstitial edema. the heart size is borderline enlarged. the mediastinal contour is slightly prominent likely reflective of an unfolded thoracic aorta and appearing unchanged. mild hilar congestion is noted. there is vague increased opacity in the right upper <unk> which is indeterminate though consideration for dedicated pa and lateral views to better assess this area would be advisable. bony structures appear intact. no free air below the right hemidiaphragm. | <unk>m with abdominal pain and fullness // r/o free air |
MIMIC-CXR-JPG/2.0.0/files/p12137085/s50807815/c538e3ab-c6d08269-0292d5b1-bfbc2a92-65aa673f.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | history: <unk>f with right upper quadrant pain. |
MIMIC-CXR-JPG/2.0.0/files/p19936193/s59977322/4e06822d-a194227d-c4c07510-12bec410-a24a8c22.jpg | heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is chronic. linear opacities in the lung bases likely reflect areas of subsegmental atelectasis or scarring. no focal consolidation, pleural effusion or pneumothorax is identified. moderate to severe multilevel degenerative changes are again seen in the thoracic spine. | history: <unk>m with shortness of breath with exertion |
MIMIC-CXR-JPG/2.0.0/files/p11834165/s53070209/a6f83e19-245c2487-a0062a8e-770580a0-490955b3.jpg | there is elevation of the left hemidiaphragm with overlying atelectasis, underlying subpulmonic effusion is not excluded. no definite focal consolidation is seen. lung volumes are relatively low. there is no right pleural effusion. no evidence of pneumothorax is seen. the patient is status post median sternotomy and cabg. | chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15311289/s57719754/01d28294-7b9c7c3f-8be0ffe6-6d11da18-b9cf8897.jpg | frontal and lateral chest radiographs demonstrate clear, well-expanded lungs. a fiducial and nodular opacity is again seen in the left mid lung. minimal left base atelectasis is minimally increased. cardiac silhouette remains moderately enlargedgoiter is again noted. there is no edema. | increased work of breathing. |
MIMIC-CXR-JPG/2.0.0/files/p17434024/s57620028/3a34a724-027ea075-e5e44b35-59aa4eee-187cf2c7.jpg | since <unk>, improved pulmonary edema. linear tubular opacity that loops at the level of the transverse arch of the aorta and tips superiorly. left retrocardiac opacity is unchanged. moderate cardiomegaly is unchanged. right jugular catheter ends in the lower svc. there is no pneumothorax. | <unk> year old man. // assess probe position |
MIMIC-CXR-JPG/2.0.0/files/p15640404/s51743501/d9e136f5-fe683375-ebbd065f-4a9f9c88-7872e299.jpg | ap view of the chest provided. vague opacities are seen in the left upper lobe, likely postoperative. there is a small left apical pneumothorax, again expected in the immediate postoperative setting. left-sided chest tube is noted. there is bibasilar atelectasis. there is no large pleural effusion. | <unk> year old woman postop day <num> status post left upper lobe wedge resection for spiculated mass. s |
MIMIC-CXR-JPG/2.0.0/files/p18754905/s59594766/dc008efb-0e79e8cf-132a4be3-25ac1121-c199b588.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. there is linear atelectasis as well as a subtle opacity in the left lung base. the lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax. | post-operative fever. |
MIMIC-CXR-JPG/2.0.0/files/p18396526/s50844138/6040067c-2572f89a-0259ef91-485ed339-7b41f389.jpg | there has been interval placement of right base chest tube without evidence of pneumothorax and there has been near-complete resolution of the large right pleural effusion. left pleural effusion is also greatly improved with small to moderate amount of remnant fluid. pulmonary edema is improved. bibasilar atelectasis is noted. right internal jugular catheter, upper enteric tube and left pectoral pacer are unchanged in position. | sepsis and right pleural effusion status post tube placement, evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11573679/s58412814/cb5df734-34c3d486-3ff136b4-40474967-d3ddb9ea.jpg | compared to the prior study there is no significant interval change. there continues to be ill definition of the right hemidiaphragm compatible with volume loss/infiltrate | <unk> year old woman with hx of sle c/b apls and cerebritis now with worsening tachypnea. // source of tachypnea |
MIMIC-CXR-JPG/2.0.0/files/p10206528/s51280154/45c882d6-5ca6851e-6d8cc063-89dfbfb1-06a87b6d.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. previously seen right upper and right lower lobe pulmonary nodules on pet-ct are not seen on this radiograph. | <unk>-year-old female with palpitations. |
MIMIC-CXR-JPG/2.0.0/files/p12271405/s54072959/0f367e25-cc51e5da-067e4a78-90cc75d5-5877f281.jpg | right ij catheter ends in the mid svc. stable, moderate cardiomegaly. normal mediastinal and hilar contours. low lung volumes. unchanged, mild pulmonary edema. chronic right pleural thickening and unchanged linear atelectasis in the right mid lung. | <unk>-year-old man with a history of diastolic heart failure, now with urosepsis. clinical concern for volume overload. |
MIMIC-CXR-JPG/2.0.0/files/p10213338/s51687394/e27d85c5-4b34b365-23049da6-a1aad98d-a6e59336.jpg | <num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart size is unchanged with normal cardiomediastinal contours. | fever and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17527515/s53553018/2e835f31-abdb4527-e7504c19-8c6ef6e0-766a08b4.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | history: <unk>f with back pain and dyspnea // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p17135687/s53967627/438b3b41-2df8c9a5-25cb0d8d-4d965596-eb2ee324.jpg | there has been interval partial re-expansion of the right lung. there is still a residual pneumothorax was much smaller than on the prior study. the <num> right chest tubes and a single left chest tube are again seen. the bullet fragments are again visualized. tracheostomy tube is seen. the feeding tube tip is off the film, at least in the stomach. there is volume loss in the retrocardiac region obscuring the left hemidiaphragm | <unk> year old man with b/l chest tubes, l now water sealed. please do at <time> // lung up? please do at <time> |
MIMIC-CXR-JPG/2.0.0/files/p12294892/s51290047/bc733de4-ce95a61d-2984c939-d27d3dec-74d01cd7.jpg | left chest wall pacing leads ending in the left atrium and left ventricle, with a third lead in the coronary sinus. a a right chest wall port-a-cath ends in the low svc. cardiomediastinal silhouette is unchanged. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | dyspnea and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13139184/s58108126/543a3eaa-ae0d23f7-9191e41a-a48e678c-d8e5b5cb.jpg | there is a three-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively, as well as a third lead in the coronary sinus. the heart appears again mild-to-moderately enlarged. there is bilateral perihilar enlargement with indistinctness central pulmonary vasculature. heterogeneous opacities seem to affect both lower lungs. lateral views suggest trace pleural effusions. fissures are also thickened. bony structures are unremarkable. | shortness of breath and history of congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p13594409/s55917784/6c9af4a0-a5f6322c-0c7f4853-938aa2e5-d9ee716d.jpg | the heart size is mildly enlarged. the left hemidiaphragm is mildly obscured, which is likely due to left lower lobe atelectasis or pleural effusion. dextro convex scoliosis is unchanged. left-sided picc appears to terminate in the low svc. enteric tube has an unremarkable course down the mid thorax below the left hemidiaphragm, past the ge junction and terminating in the stomach. there is no evidence of pulmonary edema, consolidation or pneumothorax. | <unk> year old woman with intra abdominal abscess, sob. please evaluate for chf, pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14513596/s54610653/e52b9f4a-14d2f6e0-97c01256-5cac599a-1a920f0d.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. focal bulge along the posterior left diaphragmatic contour is noted, corresponding to a small fat-containing left diaphragmatic hernia as seen on the ct performed the same day. no acute osseous abnormalities seen. there is no subdiaphragmatic free air. | history: <unk>m with nausea, vomiting and epigastric pain (resolved) |
MIMIC-CXR-JPG/2.0.0/files/p15858244/s59872190/de666a4c-bf604609-84334915-c2b45700-234999dc.jpg | heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. linear opacities within the right middle lobe and lingula likely reflect areas of scarring. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected. | history: <unk>f with asthma exacerbation |
MIMIC-CXR-JPG/2.0.0/files/p15028625/s50745833/d71c0c6b-b0d0b7a5-67d6177a-c7a6f022-989e6ec9.jpg | a portable frontal chest radiograph demonstrates mildly low lung volumes with exaggeration of the cardiac silhouette. even allowing for this, the heart is moderately enlarged. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. a displaced fracture of the posterolateral left ninth rib is is visualized. known nondisplaced fractures of the seventh and tenth left ribs are better evaluated on ct chest from the same day. | evaluate for rib fractures in a patient status post fall. |
MIMIC-CXR-JPG/2.0.0/files/p10781718/s58092305/e1c1ecfb-90c14ff1-6731e332-aaf710d5-53379dba.jpg | pa and lateral views of the chest provided. lung volumes somewhat low though allowing for this, 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 cough |
MIMIC-CXR-JPG/2.0.0/files/p12384056/s50002711/1b0f314e-6ba7b4c9-0e35012e-6ee23a76-a6ef1142.jpg | since the prior radiograph, there has been no significant change. interstitial opacities, worse in the right lung, are stable. increased haziness may suggest small layering pleural effusions bilaterally. cardiomediastinal silhouette is unchanged. right ij central catheter terminates in the lower svc. there is no pneumothorax. | <unk>-year-old woman with aml, status post allo-transplant and cmv pneumonitis. assess for interval change, question bronchiectasis. |
MIMIC-CXR-JPG/2.0.0/files/p12345895/s53098530/01df3431-2a990f9c-20d19bc9-8e51e659-4df2220d.jpg | heart size is normal. mediastinal and hilar contours are unremarkable. there are increased interstitial markings within the lung bases, with a more focal opacity in the right lung base. the pulmonary vascularity appears not engorged. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present. | feeling unwell with low oxygen saturation. |
MIMIC-CXR-JPG/2.0.0/files/p11109792/s58149882/09048175-316497a8-5f7aff11-e6bb09f6-3fb42543.jpg | cardiac, mediastinal, and hilar contours are within normal limits. the lungs appear clear. there is no pleural effusion. mild levoconvex curvature of the thoracic spine is noted. | history: <unk>f with cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14984982/s50374359/38f2c9f9-e05203d1-d8c9db6b-f2361d79-e0f9485d.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are mild multilevel degenerative changes in the thoracic spine. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12547073/s57068661/f7fa2d61-d5ffa810-29dc0343-4554bb52-d99c4602.jpg | patient is status post median sternotomy, cabg, and mitral valve replacement. mild enlargement of cardiac silhouette is unchanged. patient is also status post right lower lobe wedge resection as well as right mastectomy with soft tissue density projecting over the right chest wall re- demonstrated. lungs remain hyperinflated with attenuation of the pulmonary vascular markings towards the upper lobes compatible with emphysema. pulmonary vasculature is not engorged. mediastinal and hilar contours are similar with atherosclerotic calcification of the aorta again noted. linear opacities in both lung bases likely reflect areas of atelectasis or scarring. no focal consolidation, pleural effusion or pneumothorax is present. right basolateral pleural thickening is again demonstrated along with multiple prior right-sided rib deformities. | history: <unk>f with cough, chest pain |
MIMIC-CXR-JPG/2.0.0/files/p11004622/s52378924/a4698beb-76692f02-bfeaba56-1a2f7592-cefae20e.jpg | the lungs are clear. cardiomediastinal silhouette is stable. coronary artery stents are identified. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities identified. | <unk>f with altered mental status // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p11222855/s54593804/8890c209-d6762871-56a9f21d-b8457fd8-0584841b.jpg | heart size is top normal. mediastinal and hilar contours within normal limits. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. | history: <unk>f with abdominal pain and fever |
MIMIC-CXR-JPG/2.0.0/files/p14946255/s52935029/7641b8f1-f2db4ff7-50d3493e-c65ca24d-5daa794a.jpg | increased subpleural reticular markings throughout the lungs, most extensive on the left are again seen. there is no superimposed consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with hypoxia prior to arrival // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p11296133/s54922141/f619ac0a-c013c7ed-4976049c-38b08dc8-f86916a5.jpg | moderate hyperexpansion is stable from prior studies. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is stable. a small left-sided bochdalek's hernia is unchanged. scoliosis is stable. leftward deviation of the trachea suggests an enlarged right thyroid lobe. diffuse demineralization is unchanged. | <unk>f with generalized weakness, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12781031/s59514247/e92b226d-5f7627f3-7e2b187d-330e6ac4-cbf837e0.jpg | newly placed endotracheal tube ends approximately <num> cm above the carina. a nasoenteric tube enters the stomach with the tip not visualized. again seen is moderate cardiomegaly. there is no focal consolidation. there is no pleural effusion or pneumothorax. | <unk>-year-old man with recent intubation, evaluate endotracheal tube position |
MIMIC-CXR-JPG/2.0.0/files/p16057835/s55798033/ccccd88c-1afaef38-0de8f3ad-646ba187-70001290.jpg | there are new regions of consolidation in the left lung, particularly over the left lung apex and left midlung. linear streaky bibasilar opacities may be secondary to atelectasis. the cardiomediastinal silhouette is unchanged, atherosclerotic calcifications again noted at the aortic arch. vertebroplasty changes are noted in the mid thoracic spine. | <unk>f with hypoxia // acute cardiopulmonary disease |
MIMIC-CXR-JPG/2.0.0/files/p12651069/s50785913/712315e3-7968e4d3-34166423-dd41c1fd-8c1b5518.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. pulmonary vasculature is within normal limits. | status post renal transplant, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18448597/s59080057/0bb8f81e-9e05759c-3f4df901-6d8326a7-03d1f6af.jpg | tracheostomy tube with overlying oxygen mass is noted. right sided picc tip seen within the lower svc. low lung volumes are seen with right basilar atelectasis. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with cough // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p10429629/s53473341/4087312c-bff95ba7-64189da4-22b0bfa0-44c8b6ab.jpg | lung volumes are low. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. apart from minimal atelectasis in the lung bases, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>f with lithium toxicity, altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p17774681/s50455995/e08ed545-fa8f26d2-5f30fd9c-fe0b9437-aefd3d30.jpg | the lungs are hyperinflated. no consolidation. there is asymmetric right apical pleural nodular thickening which could be due to history of tb. the pulmonary vasculature and hila are normal. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is normal. no fractures. | <unk> year old woman with h/o positive quant gold // evidence of active tb |
MIMIC-CXR-JPG/2.0.0/files/p18192009/s56719837/51ef2673-845555ce-b7ce83bf-01f55c62-e6eab0c9.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with c/o cp // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p10007928/s54272065/5e8c440b-a194c578-461921ce-35871c9c-0ca6e8d6.jpg | the lung apices are not depicted. ng tube ends in the gastric antrum in appropriate position. the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. partially visualized abdomen shows normal bowel gas pattern. | <unk>-year-old woman with upper gi bleeding, please assess ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p18189951/s51140567/f77c78f6-906ea98a-32a674f4-412cb512-93de86cb.jpg | chest pa and lateral radiographs demonstrates increased bibasilar opacities, particularly on the left, concerning for multifocal pneumonia, possibly aspiration given distribution. slight decrease in right previously noted right pleural effusion. stable atelectasis/scarring noted in the right lower lung. patient is status post cabg with midline intact sternotomy sutures and surgical clips. pacemaker leads are positioned in the right atrium and right ventricle. minimal degenerative changes are noted in the thoracic spine with anterior osteophyte formation. no compression fractures identified. | worsening shortness of breath, wheezing, please evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11837162/s50985829/067ffa4f-aaa0efa6-6135bd6b-8bf71b5e-deca59b6.jpg | no acute focal consolidation. marked hyperinflation of the lungs in keeping with history of copd. the cardiomediastinal silhouette is unremarkable. large bochdalek hernia on the right is stable. no pleural effusions or pneumothorax. | <unk> year old man with asthma and history of cop; persistent sxs // lung stability since prior imaging |
MIMIC-CXR-JPG/2.0.0/files/p18455402/s56767377/ec341d94-fe84595b-fa146c33-5fe0aacc-92852bf8.jpg | a dual-lead pacemaker/icd device appears unchanged with leads terminating in the right atrium and ventricle, respectively. the cardiac, mediastinal and hilar contours appear stable. the chest is hyperinflated. there are no pleural effusions or pneumothorax. streaky opacities at both lung bases suggest dependent atelectasis, greater on the right than left, but appear somewhat striking on the lateral view and compared with the prior lateral scout view. | dyspnea on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p15672471/s50502107/4ce603ad-3389cafb-47d1fdcb-a52bd7d4-6e77d5b1.jpg | normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. evidence of prior mastectomy. | history: <unk>f with malaise. general infectious w/u. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p12673148/s56646223/b4ffa72a-0d7bb24f-a8970b60-71a3b028-928dc66f.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac silhouette is top-normal, likely exaggerated by ap portable technique. mediastinal contours unremarkable. no pulmonary edema is seen. there is no evidence of free air beneath the diaphragms. | history: <unk>m with stab wound to abdomen // assess for free air |
MIMIC-CXR-JPG/2.0.0/files/p18174697/s52863792/0493935e-49465a8a-1d5eb91f-b9d811e2-932186bc.jpg | cardiomediastinal silhouette is unremarkable. a right hilar opacity could be due to pneumonia, however it could also be due to bronchovascular crowding from elevation of the right hemidiaphragm. no pneumothorax or effusions. | <unk> year old man with cough, transfer from osh. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13080214/s58656160/ec653e4e-a107c87c-2ef289ce-4276c0ff-e9a4bb12.jpg | there has been interval placement of a right-sided chest tube with some expansion of the right lung with a moderate pneumothorax remaining at this time. no pleural effusion or focal consolidation is seen. the cardiac and mediastinal contours are unremarkable. | history: <unk>m with ptx // confirm pigtail placement |
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