File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p16072940/s52131315/0113157e-91396395-3a9ac60b-7cf977f5-b1f5057d.jpg
pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
dyspnea, cough, wheezing.
MIMIC-CXR-JPG/2.0.0/files/p11818780/s59169184/b21b333f-1b53282b-3eac3858-e840987c-9672a691.jpg
heart size is top normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation. irregularity of the right posterior ribs <unk> be reflective of prior trauma. post cabg changes are noted with intact median sternotomy wires.
<unk>m with bilateral carotid stenosis, pre-op assessment
MIMIC-CXR-JPG/2.0.0/files/p18087801/s56490403/e02429e8-77f62104-296de387-d2be4169-ec03e848.jpg
pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
<unk>-year-old male with cough and fever.
MIMIC-CXR-JPG/2.0.0/files/p13063258/s53281565/7d490e42-745ec649-6030e112-0b0df792-038108d2.jpg
frontal and lateral chest radiographs demonstrate clear well-expanded lungs without pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal.
<unk>-year-old female with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11763439/s51571976/bdc8edb3-385cd68b-dad82e38-0721c05a-cf19a6fc.jpg
single portable view of the chest is compared to previous exam from <unk>. there are new increased parenchymal opacities bilaterally. cardiac silhouette is stable. there is blunting of the left lateral costophrenic angle, raising possibility of an effusion. prior proximal right humeral and right lower lateral rib fractures again noted.
<unk>-year-old female with shortness of breath and low oxygen saturation.
MIMIC-CXR-JPG/2.0.0/files/p12044400/s53967662/0ec5deb0-e97505f6-a1ccd1ec-016556ab-deaeb8ba.jpg
the lungs are clear. no pleural effusion or pneumothorax is identified. the cardiomediastinal and pleural surface contours are normal.
pleuritic chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11137560/s54521165/34e5af9d-ad6ccc6a-11077146-a11f967b-c6d7ab53.jpg
the left chest port-a-cath tip ends in the low svc. lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. there is mild left curvature of the thoracic spine. degenerative changes of thoracic spine are mild.
<unk>-year-old woman with a left-sided port. evaluate port placement.
MIMIC-CXR-JPG/2.0.0/files/p19648488/s52054492/185952d8-3fae705c-4b7375ad-bf65a6c1-5a30a29f.jpg
frontal and lateral views of the chest were obtained. the lungs are hyperinflated as described on the prior report. there is no focal consolidation or pneumothorax. tiny pleural effusions are noted. heart size is normal. mediastinal silhouette and hilar contours are normal.
fever.
MIMIC-CXR-JPG/2.0.0/files/p12757934/s50358021/05f9da91-396c5c32-8ebd8ef7-5689ac30-1de22321.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with cough x<num> days // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p18367177/s51603032/013a3aaa-1b9d5ff4-03412447-3d0d5aac-3e086327.jpg
in comparison with the study of <unk>, there are definite fractures of the sixth, eighth, and ninth posterior ribs on the right. however, no evidence of pneumothorax. continued hyperexpansion of the lungs with probable atelectatic changes at the bases. no evidence of vascular congestion or definite consolidation.
fall, to assess for rib fracture or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17685971/s57258916/6c57b68a-9ec28fd8-115cd840-f12bed70-b76ce66d.jpg
mild enlargement of the cardiac silhouette is unchanged. the aortic knob is calcified. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there is diffuse demineralization of the osseous structures. clips are noted in the right upper quadrant of the abdomen.
history: <unk>f with dyspnea
MIMIC-CXR-JPG/2.0.0/files/p12836605/s58329629/7bd9688f-eb2b567d-535373fc-a755853e-44b4bdcd.jpg
the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
shortness of breath. assess for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10594556/s52634790/697bae36-88e0fb98-5b129021-2291fad7-885e8138.jpg
pa and lateral views of the chest redemonstrate opacification of the left hemithorax, unchanged in appearance since the prior exam with air bronchograms and air-filled cystic structure adjacent to the left axilla. the right lung is grossly clear. clips are seen within the right axillary region and right upper quadrant. no focal consolidation, right pleural effusion or pulmonary edema is identified.
cough. evaluation for pneumonia. history of non-small cell lung carcinoma and multiple recent necrotic pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16479007/s57909910/47f944de-92996e32-8eadb7b4-4ceb5c96-b6691929.jpg
the lungs are clear. there is no effusion, consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with right chest pain after a fall // eval for pneumothorax, rib fracture
MIMIC-CXR-JPG/2.0.0/files/p13316974/s53270134/be7401ed-7a8f5ecd-1c1e46a8-ccf6b78a-cb3f8714.jpg
lung volumes are slightly lower compared to the previous exam. heart size is top normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. minimal patchy left lower lobe opacity likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen.
history: <unk>m with shortness of breath, elevated lactate
MIMIC-CXR-JPG/2.0.0/files/p15328565/s50093491/ff4feb71-092dee6a-86a1afc1-d482d872-30f6af6c.jpg
when compared to <unk> chest radiograph, lung volumes are low resulting in a suboptimal study. the previously seen small right apical and small right inferior pneumothorax are unchanged in size. bibasilar atelectasis, bilateral small pleural effusions, and subcutaneous emphysema are unchanged from prior study. there is stable mild cardiomegaly without overt pulmonary edema. the right chest tube is in stable position.
<unk> year old man s/p r vats rll // check interval change with ct clamped for <num> hrs, please do around <num>am
MIMIC-CXR-JPG/2.0.0/files/p17454111/s52704816/a53a60ad-2be2e2d7-df229525-e7951ffa-468e204f.jpg
in comparison to <unk>, there is increased pulmonary vascular congestion bilaterally but no pulmonary edema, right greater than left. probable small pleural effusions. no pneumothorax. moderate cardiomegaly stable. mild retrocardiac opacity stable, probable atelectasis. .
<unk> year old man with chest pain // eval cp
MIMIC-CXR-JPG/2.0.0/files/p11167924/s53564850/c64b35bf-0e8267f3-a0f210a5-c2148983-e5824238.jpg
subsequent images in placement of a dobhoff tube with the final image demonstrating the tube in the stomach. the tip is not included on this film. pulmonary edema has improved. left basilar opacity persists. there is no pneumothorax.
<unk> year old man doboff placement
MIMIC-CXR-JPG/2.0.0/files/p18583455/s54371683/29bed2e2-23fac45c-8727d444-35f1c075-423738c9.jpg
frontal and lateral views of the chest demonstrate low lung volumes which accentuate bronchovascular markings. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart is mildly enlarged. there is no pulmonary edema. spinal stimulator device is stable in position. partially imaged upper abdomen is unremarkable.
confusion.
MIMIC-CXR-JPG/2.0.0/files/p11865423/s55944670/43d1ac51-75a8ac30-c55a0006-dcbf0072-bf681380.jpg
no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no the pulmonary edema is seen. no displaced fracture is seen although please note that this study is not optimal in assessing back pain. if there is high clinical concern for back injury, should consider cross-sectional imaging.
diffuse back pain.
MIMIC-CXR-JPG/2.0.0/files/p19649250/s56937863/5fc0b17d-5a1cca64-eb39e9e6-fc1e4878-1f0f46d8.jpg
pa and lateral views of the chest provided. left chest wall pacer is again noted with pacer lead extending to the region the right ventricle. avr and mvr replacements noted. cardiomegaly is again noted. suture is seen in the region of the left hilum. hila are engorged. no frank edema or pneumonia. no large effusion or pneumothorax. bony structures are intact. mediastinal contour is unchanged. no free air below the right hemidiaphragm.
<unk>f with avr/mvr and hx of endocarditis presenting with <num> month of cough, now cp and dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p17335826/s52965854/2f57fef9-e77ea2b9-1856dfd8-166ec0df-7ce4e911.jpg
the cardiac, mediastinal and hilar contours appear unchanged. a mild diffuse interstitial abnormality is unchanged in the background. the main change is that there is new mild elevation of the left hemidiaphragm with streaky retrocardiac opacities. it is difficult to exclude pleural effusions, although none are definitively shown. there is no pneumothorax.
declining mental status and cough.
MIMIC-CXR-JPG/2.0.0/files/p14326396/s56343141/254f794a-df92532b-f181b434-df55713f-8eb6aa5a.jpg
the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with fevers and productive cough // r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11665864/s57954934/38aa099e-e83eb6e8-2d008439-2f4b4a3f-9f571575.jpg
the cardiac and mediastinal silhouettes are stable. there relatively low lung volumes and possible minimal basilar atelectasis. no focal consolidation is seen. there is no large pleural effusion or pneumothorax. no pulmonary edema is seen.
history: <unk>m with fever, cough // acute process
MIMIC-CXR-JPG/2.0.0/files/p11297034/s52184632/961da488-db7813d7-cbe83780-76d67af4-c2edf666.jpg
frontal upright and lateral chest radiographs were obtained. the lungs are well expanded. cardiomediastinal silhouette is normal. lungs are clear without focal consolidation or edema. there is no pleural effusion and no pneumothorax.
chest pain, evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p16690867/s55560245/694455a2-d359a7c7-efdd8451-5efc8843-29b65f50.jpg
left pectoral pacemaker leads terminate in right atrium and right ventricle and coronary sinus. there is no consolidation, pneumothorax, or large pleural effusion. mildly enlarged cardiac silhouette is similar as before. pulmonary vessel congestion is mild.
pneumothorax <unk> year old woman with chf and lbbb s/<unk> crt-d via l axillary vein // pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p13786783/s55872864/4ba33c57-f3d82b72-d62db11d-60a34881-866826ed.jpg
heart size is top normal, unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities seen. cervical spinal fusion hardware is incompletely imaged.
history: <unk>m with cough, sore throat
MIMIC-CXR-JPG/2.0.0/files/p11033578/s50308432/d656ddb5-dec62b87-5cb24f84-34496f38-7d3322d0.jpg
the patient is status post left thoracotomy and pneumonectomy. pa and lateral radiographs demonstrate continued and expected leftward shift of the mediastinum and elevation of the left hemidiaphragm with a slight increase in the amount of pleural fluid. there is persistent air within the pleural space as well. a large amount of subcutaneous emphysema in the left hemithorax extending into the neck is also unchanged. the right lung remains clear and there is no right-sided pneumothorax or effusion.
evaluate for interval change in patient status post left thoracotomy and pneumonectomy.
MIMIC-CXR-JPG/2.0.0/files/p11144826/s54972147/8a34af8b-8529c82a-e7aa4a30-53cf5447-3b6b99c0.jpg
the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough and rhonchi for two weeks. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16517255/s52549424/ed106143-03f9d3f9-09de604e-5319eabc-7249bd27.jpg
left-sided pacemaker device is noted with single lead terminating in the right ventricle. moderate cardiomegaly is re- demonstrated. the aorta is mildly tortuous and demonstrates atherosclerotic calcifications particularly at the knob. hazy ill-defined opacities are noted within the left upper lobe. the right lung is grossly clear, and there is no pleural effusion or pneumothorax. degenerative changes of both acromioclavicular joints are noted.
left lung opacities seen on cervical spine ct.
MIMIC-CXR-JPG/2.0.0/files/p18202111/s53427589/6c75c7a9-3efbd77b-66928538-38a7a250-418f7f6f.jpg
pa and lateral views of the chest provided. the lungs are well-inflated. <num> cm nodule in the lingula was better evaluated on ct chest <unk>. a small left pleural effusion is decreased in size. the hilar and cardiomediastinal contours are normal.
<unk> year old woman with left pleural effusion s/p thoracentesis // r/o pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p15321234/s51352089/2e90dad8-47c66cd9-a116751a-80d23854-4b4e9a71.jpg
the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with vomiting, diarrhea // pneumonia
MIMIC-CXR-JPG/2.0.0/files/p14808031/s57473747/1fa94f49-e5a39398-472dcd76-d7ecfefe-c353143b.jpg
the examination is limited by patient positioning. a large left pleural effusion appears minimally changed since <unk>. the cardiac and mediastinal contours appears stable. a right picc terminates at the mid to lower svc. no pneumothorax is detected. esophageal stents within the stomach are unchanged in position. small foci of contrast material overlying the gastroesophageal junction are likely from the <unk> esophagram which had demonstrated leaks at this level. a left humerus prosthesis is demonstrated.
persistent esophageal leak.
MIMIC-CXR-JPG/2.0.0/files/p13864953/s53793649/8559b52b-88864d23-acc46430-32a9fc29-9701451f.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough for <num> month // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p11372027/s59185395/0e76da81-058a1bdb-3dfd1b3d-9bbd1ee5-81c078ed.jpg
redemonstrated is a right internal jugular central venous line, with the tip terminating in the proximal right atrium. there is no focal consolidation, pleural effusion, or pneumothorax. the heart is moderately enlarged. prominent hilar opacity is stable likely reflecting engorged hilar vessels, although lymphadenopathy can't be entirely excluded. there is mild perihilar and interstitial edema, not significantly changed from <unk>. calcifications are noted involving the aortic arch.
history: <unk>f with hypotension s/p dialysis // r/o pna, pulm edema
MIMIC-CXR-JPG/2.0.0/files/p13950979/s50022341/1401f7bf-a4c42f69-0e651d2e-ac8ffe3f-23223b23.jpg
ap portable upright view of the chest. a new left thoracostomy tube is present, resulting and improved aeration of the left lung and decreased left effusion. the right lung remains clear. there is no pneumothorax. multiple intact sternal wires, prosthetic valve, and a left pacemaker generator pack projecting leads into the right ventricle and atrium remain unchanged. a right ij catheter terminates at the cavoatrial junction.
<unk> year old man with l thorc // s/p ct placement, check effusion
MIMIC-CXR-JPG/2.0.0/files/p10858207/s57862507/4f67aafd-72c117f0-2925495d-dbe18a13-3f30920e.jpg
cardiac silhouette size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. streaky atelectasis is noted in both lung bases. there is a trace left pleural effusion, new in the interval. no focal consolidation or pneumothorax is present. there are no acute osseous abnormalities. no subdiaphragmatic free air is present.
history: <unk>m with chest pain status post ercp
MIMIC-CXR-JPG/2.0.0/files/p16956951/s50383921/ade45409-88086ad8-3b15e4ec-eec11e7b-c138cda0.jpg
bilateral breast prostheses are incidentally noted. the heart size is normal. the hilar mediastinal contours remain within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. mild left pleural thickening is better visualized on the recent ct from <unk>.
decreased breath sounds on left.
MIMIC-CXR-JPG/2.0.0/files/p14464333/s53592142/6d583a4c-09af92f8-965c1769-4ea20d01-a20f7dd1.jpg
a single frontal chest radiograph demonstrates a left chest port which terminates in the mid svc. apparent increase in size of the heart may be secondary to portable supine technique. right upper lobe and lower lobe opacities are consistent with lesion seen on recent ct chest. a retrocardiac opacity could be secondary to atelectatic change, but superimposed pneumonia can be considered. no pleural effusion or pneumothorax is seen.
trapped in o<num> saturation after bronchoscopy, associated with chills. evaluate for pneumothorax or infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p19234864/s52320752/e25557c0-6ab84d53-7ecd8a78-50ba3bd9-56239ac5.jpg
there has been interval removal of a left thoracostomy tube. no pneumothorax is identified. bilateral pleural effusions, right greater than left are unchanged in size from the prior study. the right pleural effusion is moderate. the heart is normal in size and less globular in appearance from the prior examination.
<unk> year old woman, likely pleural metastases // post chest tube removal
MIMIC-CXR-JPG/2.0.0/files/p15502171/s58185363/1c336aff-ef95b4ad-55d7c3bf-020f4e95-d9f31aad.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with cough
MIMIC-CXR-JPG/2.0.0/files/p13021036/s51420746/2ce7b1ab-68a694ef-5ea56368-d4185f26-689554c8.jpg
portable frontal radiograph of the chest demonstrates normal heart size and mediastinal contours. no focal consolidation, pleural effusion or pneumothorax. on the prior study a faint ovoid density projected over the right second anterior rib. it is not visualized on our study but could be masked by the difference in projection.
elevated lactate question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17467341/s54644591/ba54b1c7-a05774c6-7148f112-8663d5ac-beebc580.jpg
portable semi-upright radiograph of the chest demonstrates stable massive bilateral widespread parenchymal opacities. there is a new small right-sided pleural effusion with adjacent atelectasis. cardiomediastinal and hilar contours are unchanged. the endotracheal tube ends <num> cm from the carina. the right-sided subclavian central venous line ends at the cavoatrial junction. a nasogastric tube courses into the stomach and out of field of view.
<unk>-year-old female pedestrian struck, status post-intubation with large volume aspiration. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p17001006/s57119603/0fcfe412-f14ee41b-daf2d72c-072b02f2-bbc77988.jpg
mediastinal fat partially obscures the apex of a mildly to moderately enlarged heart. . atherosclerotic calcification is present in the knob and descending regions of a normal size thoracic aorta. there is no pneumothorax or pleural effusion. the lungs are well-expanded and essentially clear, aside from right apical scarring. cephalization of pulmonary vasculature reflects elevated left atrial pressure.
a sign report <unk>f with wheezing and hypoxia, pls eval for pna.
MIMIC-CXR-JPG/2.0.0/files/p11226572/s59178330/a2c7838e-c081e69b-ecdee541-780db068-00b5fd81.jpg
there is o pacitiy at the left lung base, but is unchanged since <unk> when patient was asymptomatic. this suggests chronic scarring. otherwise, there are no focal consolidations, pleural effusions or pneumothorax. no evidence of hilar lymphadenopathy. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with history of sarcoidosis, on chronic prednisone and worsening cough // evaluate for infiltrates, adenopathy
MIMIC-CXR-JPG/2.0.0/files/p16060683/s58624757/7f4d6836-05260fd1-e056be3e-7b114485-00050209.jpg
left ij line is seen with tip horizontally oriented in the region of the upper svc/distal left brachiocephalic vein. appearance of the lungs is not significantly changed, noting bibasilar but more confluent left basilar opacity and probable mild pulmonary vascular congestion. there is no pneumothorax.
<unk>-year-old male with new central line placement. question pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15289580/s52939806/4686735a-874489d6-b4199e64-53104f95-4eea184a.jpg
there has been interval development of an opacity at the left lung base concerning for pneumonia. the cardiomediastinal silhouette and hilar contours are stable. a right chest port-a-cath terminates at the lower svc. there is no pleural effusion or pneumothorax.
<unk> year old man with myeloma day +<num> auto transplant w/ severe neutropenia and cough, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13806563/s53433371/be5b9200-18d7c1dc-39b46f5c-fa472162-31e713c9.jpg
the heart appears mildly enlarged. there are mild congestive changes bilaterally. there is somewhat more prominent opacity in the right lower lung than elsewhere but this is suspected to be due to low lung volumes and mild fluid overload with doubt concerning development of pneumonia. there is no pleural effusion or pneumothorax.
cough and fever.
MIMIC-CXR-JPG/2.0.0/files/p18104765/s58604162/1d1f92a6-b6dd4c03-8f45abd0-72200a64-56360d74.jpg
there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged with tortuous aorta, hiatal hernia and mild cardiomegaly. linear opacity in the right lung base is similar to the remote prior study and likely represents atelectasis or scarring. . blunting of the left posterior costophrenic sulcus likely represents a bochdalek's hernia. multiple chronic appearing rib fractures are unchanged from the prior study. hyperinflation suggests copd.
<unk>m with altered mental status, slurred speech evaluate for pneumonia or bleed.
MIMIC-CXR-JPG/2.0.0/files/p19378228/s55346303/2fa3f3bd-5399ae1c-cace605b-99cebcfa-40fb3c4b.jpg
portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old man osh transfer w r ij and right fem hd line. // confirm r ij placement confirm r ij placement
MIMIC-CXR-JPG/2.0.0/files/p12349882/s55150203/8ea24f50-fa9f7c5f-36f3a722-ee20d2c2-fbd39d93.jpg
the lungs are clear without infiltrate. there is some crowding at the bases, but no definite consolidation. there is no effusion. cardiac and mediastinal silhouettes are normal.
possible aspiration during seizure.
MIMIC-CXR-JPG/2.0.0/files/p11934843/s58529556/19374d5a-1bffd163-a497063b-b0abd553-ccc5e801.jpg
lung volumes are lower compared to the previous exam which accentuates the size of the cardiac silhouette which is mildly enlarged. mediastinal and hilar contours are unremarkable. crowding of the bronchovascular structures is demonstrated without overt pulmonary edema. patchy opacities are noted in the lung bases, potentially atelectasis but infection is not excluded. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen.
history: <unk>f with seizure
MIMIC-CXR-JPG/2.0.0/files/p19676133/s52934265/7aa27d8d-55d9528e-7fd7eb9b-e836f4c2-1e3d883c.jpg
there is a <num> mm rounded opacity projecting over the right anterior <num>th rib, which may represent a nipple shadow. <num> mm granuloma is noted in the right upper lung. otherwise no consolidation, effusion or pneumothorax. cardiomediastinal contours are normal. no subdiaphragmatic free air.
<unk>-year-old male with chest pain
MIMIC-CXR-JPG/2.0.0/files/p10407582/s57081381/0081cac2-b6176e15-e50b0dae-5cecc854-cc3e584a.jpg
as compared to prior chest radiograph from <unk>, there has been interval removal of a right-sided pigtail catheter. miniscule collection of right apical air is identified. there are no pleural effusions. cardiomediastinal and hilar contours are within normal limits. there is calicifaction of the mitral annulus. fiducial markers are again noted.
<unk>-year-old male patient with right pneumothorax, status post pigtail removal.
MIMIC-CXR-JPG/2.0.0/files/p13313907/s54756384/2b3d386b-1186ec5d-6128016d-e71d515b-7b18f7e6.jpg
interval removal of the right-sided chest tube with suggestion of right apical line just below two overlapping ribs and difficulty determining whether vessels extend beyond it. a small right apical pneumothorax could be present. extensive bibasilar atelectasis and small left-sided pleural effusion persist. the cardiac and mediastinal contours are stable.
<unk> year old man s/p r vats wedge // r/o ptx post ct removal
MIMIC-CXR-JPG/2.0.0/files/p12477707/s54155353/47697af7-34ec07d0-47adaf2c-a85ed4c5-6aad6714.jpg
pa and lateral views of the chest provided. low lung volumes limits assessment. there is mild basal atelectasis. no focal consolidation concerning for pneumonia. no effusion or pneumothorax. no edema. cardiomediastinal silhouette appears grossly unremarkable though given low lung volumes heart size is suboptimally assessed. bony structures appear intact.
<unk>m with tachycardia, st, cough x several days
MIMIC-CXR-JPG/2.0.0/files/p17148302/s59907802/39d88d01-3aa7a133-6af84fce-c786e8c1-e3c2ef49.jpg
the heart is normal in size and cardiomediastinal contours are unremarkable. the position of central venous catheter is unchanged. abdominal drain noted. increased opacification adjacent to the right heart border reflects consolidation within the right middle lobe. there is also a small left pleural effusion along with patchy opacifications of the lingula. in the appropriate clinical context, this represents right middle lobe pneumonia as well as possibly developing pneumonia within the lingula. no pneumothorax.
<unk>-year-old man with new pulmonary nodules and orthopnea, clear lung exam and no cough, ? interval change, ? etiology of dyspnea/orthopnea.
MIMIC-CXR-JPG/2.0.0/files/p16917373/s53642689/434b168e-ea8e8c5f-892f7b36-0eb387cc-b84d7b35.jpg
ap portable upright view of the chest. subtle opacity in the left lung base could represent pneumonia with probable subjacent small pleural effusion. right lung is clear. cardiomediastinal silhouette is unchanged. no acute osseous abnormality.
<unk>f with fever // please evaluate for acute cp abnormality
MIMIC-CXR-JPG/2.0.0/files/p11974183/s58774508/19c25f82-1d089044-674cc8a1-935e51cc-c7d3b866.jpg
frontal and lateral views of the chest demonstrate a right-sided central venous catheter with tip terminating in the mid-to-lower svc. the cardiomediastinal silhouette is unremarkable. there is laminar calcification along the aortic arch. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with borderline neutropenia and fever. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11203575/s59316086/d5321967-92c0f961-126957fd-58b40ed7-822d5bfe.jpg
lungs are clear without focal consolidation, effusion, or edema. incidentally noted is an azygos fissure. the cardiomediastinal silhouette is within normal limits and unchanged. no acute osseous abnormalities.
<unk>f with sjogrens p/w palpitations, sob and chest pain in the absence of fevers // eval heart size, lung fields
MIMIC-CXR-JPG/2.0.0/files/p10820114/s56710847/87dd1ad8-b320c0c5-3ee975aa-5de6206f-edf71cbf.jpg
the cardiomediastinal and hilar contours are stable. there are new small bilateral pleural effusions with basilar consolidations, which may represent pulmonary edema or pneumonia. there are no other signs of pulmonary edema, such as engorgement of the mediastinal vessels or change in the size of the cardiac silhouette.
follicular lymphoma status post chemotherapy, presenting with fevers and cough.
MIMIC-CXR-JPG/2.0.0/files/p10001217/s52067803/a917c883-720a5bbf-02c84fc6-98ad00ac-c562ff80.jpg
there is mild left base atelectasis seen on the frontal view without clear correlate on the lateral view. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta is slightly tortuous. the cardiac silhouette is not enlarged. there is no overt pulmonary edema.
multiple sclerosis, presenting with flaring fever.
MIMIC-CXR-JPG/2.0.0/files/p19848307/s56934906/676effd3-810a4d76-e88e60c4-0a6ca548-63676b61.jpg
pa and lateral views of the chest. no prior. there is patchy opacity identified at the left lung base, in the lower lobe. elsewhere, the lungs are clear. there is no pleural effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever and cough.
MIMIC-CXR-JPG/2.0.0/files/p18572587/s54869122/97ba0f06-8d8a96a7-9dce0ab3-4a7ca861-c476bb0c.jpg
endotracheal tube terminates approximately <num> cm above the carina. an enteric tube extends to the body of the stomach. lung volumes are normal. there is suggestion of hazy bibasilar opacities, which may represent atelectasis. however, aspiration should also be considered in the appropriate clinical setting. there is otherwise no focal consolidation, sizeable pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with a history of ptsd and substance abuse, evaluate after intubation
MIMIC-CXR-JPG/2.0.0/files/p17170377/s58608868/dd4d7696-77d458f7-884cd94b-4ec58c03-970e8c34.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with seizure like episode today
MIMIC-CXR-JPG/2.0.0/files/p17453847/s52771190/d31a0eaa-6c3eff53-02184e86-42fb68eb-f950c978.jpg
left pectoral transvenous pacer is unchanged in position. the heart is mildly enlarged with persistent pulmonary vascular congestion. there is a persistent small right pleural effusion with increased small left pleural effusion. bibasilar atelectasis is also present. there is no pneumothorax.
<unk> year old man with cad status post des to ramus in <unk>, osa on cpap, cardiogenic shock, vf arrest, biv icd, afib with complete heart block and infarct-related cardiomyopathy with ef of <num>% from <unk>, previously on home dobutamine gtt titrated off in <unk>, now wit hfpef (lvef ><unk>%), who presented with generalized weakness. // please evaluate for acute process, infection
MIMIC-CXR-JPG/2.0.0/files/p15405052/s51455078/b56d02b5-e119cbb1-af03f25b-2a396765-10e41f0d.jpg
the lungs are clear without consolidation or edema. the mediastinum is unremarkable. no pneumomediastinum is detected. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the osseous structures are unremarkable.
chronic pancreatitis and intractable vomiting.
MIMIC-CXR-JPG/2.0.0/files/p18343484/s53615059/35007142-d25a1165-18f1ec6a-8825e866-2c38410c.jpg
the heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. right-sided port-a-cath tip terminates at the cavoatrial junction, unchanged. no acute osseous abnormalities are seen.
fever and neutropenia.
MIMIC-CXR-JPG/2.0.0/files/p10906447/s56711859/3528f0f1-d14845c5-8d381021-d6c7df4d-12db181b.jpg
as compared to chest radiograph from <num> day prior, mild pulmonary vascular congestion has slightly increased. basilar opacities, can represent mild edema or pneumonia, have not substantially changed. retrocardiac opacity has slightly increased and likely worsening atelectasis. right-sided ij catheter at the cavoatrial junction. endotracheal tube <num> cm from the carina and partially visualized nasogastric tube is well within the stomach.
<unk> year old man with ?ards pleased eval for interval change // intevral change
MIMIC-CXR-JPG/2.0.0/files/p14348068/s51128935/fcb884e5-fba81f4d-9823e94b-b8b51975-4ae91110.jpg
there is moderate enlargement of the cardiac silhouette. mediastinal contours are unremarkable. there is central pulmonary vascular engorgement. no definite focal consolidation is seen to suggest pneumonia. there is no large pleural effusion or pneumothorax.
history: <unk>f with worsening respiratory status // ? acute cardipulm process
MIMIC-CXR-JPG/2.0.0/files/p12643870/s55149654/697bbcb4-6f35236e-121342d1-e35840d0-e8e5381e.jpg
the patient is status post median sternotomy and aortic valve replacement. right-sided picc terminates in the mid svc. the heart remains mildly enlarged. the mediastinal and hilar contours are unchanged. there is no pulmonary edema. apart from minimal atelectasis in the right lung base, no focal consolidation, pleural effusion or pneumothorax is visualized. assessment of the medial aspects of both lung apices is obscured by the patient's chin and neck projecting over these regions. moderate to severe degenerative changes are seen in both glenohumeral joints.
altered mental status, recent aortic valve replacement.
MIMIC-CXR-JPG/2.0.0/files/p11811412/s56465111/4da71975-dacb109d-eeff0c27-5f34c823-d5fb84d7.jpg
lung volumes are low. the cardiac silhouette is unremarkable. the mediastinal silhouette is somewhat prominent. there is no pneumothorax or pleural effusion. no definite consolidation is identified. evaluation for rib fractures is limited on this examination. lower thoracic vertebral compression deformities are age indeterminate and incompletely evaluated on this examination.
history: <unk>f with fall out of bed // eval for traumatic injury
MIMIC-CXR-JPG/2.0.0/files/p16057607/s52278065/26bbf370-042c3bec-441e6311-e44273a2-5caf73f2.jpg
there has been interval placement of a left-sided chest tube with the pigtail projecting over the medial aspect of the left upper lung field with essentially near complete resolution of the left pneumothorax on this supine exam, and re-expansion of the left lung. streaky opacities within the left mid lung field may reflect areas of atelectasis. cardiac and mediastinal contours are unchanged. mild emphysematous changes are noted in the right lung. numerous fractures of the left fifth through tenth ribs are again noted, as seen previously, with associated subcutaneous emphysema in the left chest wall. contrast from recent ct exam is seen within the collecting systems bilaterally.
<unk> year old man with left pneumothorax status post pigtail placement
MIMIC-CXR-JPG/2.0.0/files/p19127408/s50057809/c2540985-50a31b64-f3dff583-6110da00-5cd85061.jpg
frontal and lateral chest radiograph demonstrate mildly hypoinflated clear lungs. no focal opacity seen. no pleural effusion or pneumothorax. persistent mild cardiomegaly is again noted and slightly decreased from previous examination. tortuous aorta is similar to prior. mediastinal contour and hila are otherwise unremarkable. limited assessment of the upper abdomen is within normal limits.
chest pain. assess for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16462525/s56743979/6d561046-097cd2d8-caf7b3cf-6f6efd90-97cfb6a1.jpg
right-sided port-a-cath tip terminates in the mid svc. heart size is mildly enlarged but unchanged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with fevers, cough
MIMIC-CXR-JPG/2.0.0/files/p15759474/s51505586/f26d65c6-84e828e9-67287c4f-01760217-8dd8759d.jpg
there is a faint opacity overlying the left lower lobe which is likely representative of atelectasis. otherwise, the remainder of the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. there is dextroscoliosis of the mid thoracic spine. no acute fractures are identified.
cough and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p13602608/s50927603/c6d3da64-b1d858ef-1279ad39-e9c59364-8617d973.jpg
there is an opacity in the mid right perihilar region, overall similar to the prior exam. the heart size is normal. mild prominence of the hila, is suggestive of lymphadenopathy. the mediastinal contours are unremarkable. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>f with tachypnea and chest pain // eval heart and lungs
MIMIC-CXR-JPG/2.0.0/files/p17145854/s51188206/ab7c63cf-3e826d7c-ba5c1b82-641b8fde-6c0b6ee4.jpg
frontal and lateral views of the chest were obtained. the patient is status post cabg with median sternotomy and intact sternal wires. mild enlargement of the cardiac silhouette is similar to the prior study. since the prior study, there is improved aeration of the lungs with mild bibasilar atelectasis. no overt pulmonary edema. aortic tortuosity is unchanged.
dyspnea, history of chf.
MIMIC-CXR-JPG/2.0.0/files/p17822730/s50819188/c52ea55b-b441cbc0-f6cefe33-49e825bb-b92fd20e.jpg
there are patchy opacities in the left lung base in the retrocardiac region as well as in the right lung base, obscuring the right heart margin consistent with right middle lobe opacity. mild congestive changes are also present. no pleural effusion is identified. heart size is normal. a right-sided central line ends in the mid svc.
<unk>-year-old female with fever and neutropenia.
MIMIC-CXR-JPG/2.0.0/files/p13596275/s51318687/3ae3ba10-e6b20fd1-d0e2ff10-9aa2b113-01afb031.jpg
ap portable semi supine view of the chest. an endotracheal tube is seen within the trachea with its tip positioned <num> cm above the carina. lungs are clear. cardiomediastinal silhouette appears normal. bony structures are grossly intact.
<unk>m with s/p intubation// assess ett placement
MIMIC-CXR-JPG/2.0.0/files/p14530732/s55077419/7582c438-08de936e-ae285b1e-57937686-5f9a6273.jpg
the previously identified opacity projecting over the mid thorax is no longer present, confirming that this was external to the patient. otherwise, the tracheal stent is in unchanged position and there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable.
one day status post endobronchial stent placement for dynamic tracheal obstruction. question left upper lobe opacity.
MIMIC-CXR-JPG/2.0.0/files/p15857729/s52057634/d01b1c8a-5e5fa2ea-a11bdb6b-851bbf73-ce6e2ce8.jpg
<num> views of the chest. right picc has been removed. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal mediastinal contours.
leukocytosis assess for infection.
MIMIC-CXR-JPG/2.0.0/files/p10533554/s53893735/ff3ede1c-9c622094-187d159e-09ea9362-c7be1b6b.jpg
as compared to the prior examination dated <unk>, there has been an interval increase in size of the right pleural effusion, now moderate to severe in size. the right upper lung field and left lung are grossly unremarkable without focal consolidation, pneumothorax, or pulmonary edema. there is stable, mild cardiomegaly. mediastinal contours are normal. the left-sided central venous line remains in an unchanged position, seen terminating in the lower svc.
chylothorax, assess for interval change.
MIMIC-CXR-JPG/2.0.0/files/p17800278/s59714706/5ca29a89-7ccb8ff2-fde5236a-11bd9e6a-11cbcbb2.jpg
ap upright and lateral views of the chest provided. airspace opacity in the lower lobes concerning for multifocal pneumonia. trace pleural fluid tracks along the fissural surfaces. no pneumothorax. mild congestion difficult to exclude though there is no overt edema. mild cardiomegaly again noted. mediastinal contour is normal. bony structures are intact.
<unk>m with productive cough and fever // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p16948106/s50712266/bc87e0f1-da1420aa-49c725fb-194b8ac8-944aab73.jpg
the et tube continues to be slightly low with the tip <num> cm above the carina and pointed towards the right mainstem bronchus. the right-sided picc line tip is in the mid svc. there is increase in bilateral hazy alveolar infiltrate in indistinct vascularity with increased cardiomegaly and small to moderate bilateral pleural effusions compatible with fluid overload.
<unk> year old woman s/p loa for sbo // interval change
MIMIC-CXR-JPG/2.0.0/files/p18532830/s58245628/b9cac423-7598abfd-68d8d20f-c252a37a-3aa44b74.jpg
normal cardiomediastinal and hilar contours. fully expanded, clear lungs. no evidence of pneumonia, pneumothorax, or pleural effusion. no definite soft tissue or osseous abnormalities.
<unk>-year-old woman with a history of persistent cough status post azithromycin treatment. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15650383/s58599535/032d7467-2181756f-a433ece1-40b80440-6507fc7c.jpg
compared with the prior radiograph, the heart is more enlarged and increased bilateral parenchymal opacity with a dilated azygos vein are concerning for pulmonary edema. underlying infections would be obscured by the edema. no pneumothorax.
<unk> year old woman with acute shortness of breath, mm, influenza and pna. please evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p17139582/s56011284/2c845b4b-197aba11-0a88d306-8f1838ce-11c980f5.jpg
ap upright and lateral views of the chest provided. there is subtle linear opacity abutting the left heart border which could represent atelectasis versus in early inferior lingular pneumonia. otherwise the lungs are clear. the heart is mildly enlarged. mediastinal contour is normal. bony structures are intact.
<unk>m with increasing lft's
MIMIC-CXR-JPG/2.0.0/files/p12958083/s51996844/ce24c6c4-c6da15bb-279c43e0-638c34a7-cf190b28.jpg
ap upright and lateral views of the chest provided. right chest wall port-a-cath is noted with catheter tip in the region of the low svc. tiny surgical clips project over the right breast. 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> year old woman with gastric adenocarcinoma and chest pain
MIMIC-CXR-JPG/2.0.0/files/p14349552/s58399458/c63238e9-fd5f8446-5bc09cb0-09705b27-45d1104d.jpg
ap upright and lateral views of the chest provided. the heart is moderately enlarged with mitral annular calcification again noted. there is hilar congestion and mild pulmonary edema. left mid lung linear density is most compatible with platelike atelectasis. no large pleural effusion or pneumothorax is seen. no convincing signs of pneumonia. the imaged bony structures are intact.
<unk>f with chest pain
MIMIC-CXR-JPG/2.0.0/files/p13438772/s54342356/db79c849-f6ba8a02-2c4f9387-112c3d25-bda9fa3a.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is slight subpleural scarring at each lung apex. otherwise, lung fields appear clear. there is no pleural effusion or pneumothorax. bony structures appear within normal limits. there are a number of small air-fluid levels projecting over the left upper quadrant including within the stomach, but no evidence for free air or bowel dilatation on limited visualization of the epigastric region. surgical clips project over the right upper quadrant.
epigastric pain and ekg changes.
MIMIC-CXR-JPG/2.0.0/files/p18304932/s51022940/d65f3109-97dbd60d-93c88eb9-c4203585-1ab6fb12.jpg
pa and lateral radiographs of the chest demonstrate slightly decreased inspiratory lung volumes with lower lobe opacification likely related to bronchovascular crowding, greater on the right than the left. no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette appears increased in size compared to the prior radiograph of <unk>, which may be related in part to low inspiratory lung volumes. the mediastinal contours are within normal limits. the trachea is midline. the visualized upper abdomen is unremarkable.
shakiness and shortness of breath, here to evaluate for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12106911/s59552225/48e06adb-ad117a49-cdd4c9ca-4dcfd3f2-4a785a85.jpg
portable ap upright chest radiograph shows a right hilar/ infrahilar mass and bilateral streaky bibasilar consolidation with an appearance suggesting subsegmental atelectasis. on the right this involves the middle lobe and a radiodense, well-expanded stent is identified overlying the middle lobe bronchus. no pneumothorax or pneumomediastinum is seen. calcified atherosclerotic plaque is seen in the arch of the thoracic aorta.
<unk> year old woman with stent placement // stent follow up
MIMIC-CXR-JPG/2.0.0/files/p16575856/s52671055/773429d7-650c6f87-7bfbc2b4-e58a3cdd-c250d99b.jpg
there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with <num> week hx of cough, severe nausea, intermittent sob // evaluate for pneumonia, cause of sob
MIMIC-CXR-JPG/2.0.0/files/p10180419/s59836580/527bab22-51ba92f8-8603d589-2891c2b4-0b0d0f6c.jpg
the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs are clear; triangular-shaped opacity at the left lung base is anteriorly situated and is compatible with a prominent epicardial fat pad. there is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16845760/s50164973/85e7dd32-339bec41-78539937-6819a540-a73e6679.jpg
one ap single chest view has been obtained with patient in upright position. comparison is made to the next preceding similar study of <unk>. findings are grossly unchanged demonstrating again markedly reduced lung volume in the left hemithorax with marked shift of the mediastinal structures towards the left, indicating volume reduction, probably caused by chronic infections with large bronchiectatic changes on the bases as well as in the apical left upper lobe area. the right lung is hyperinflated. a previous preoperative chest examination of <unk> is reviewed, compared with today's findings. the dense bronchiectatic changes and scarring in the left hemithorax is grossly unaltered. when comparing the hyperinflated right lung, comparison demonstrates that there exists some new mostly linear changes in the right lung base that did not exist previously. comparison with the next preceding single view chest examination of <unk> demonstrates grossly unchanged findings as these linear densities existed already on the right base at that time.
<unk>-year-old male patient status post cysto-prostatectomy with ileal loop diversion, not able to wean to room air. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17169478/s55820009/e40e9a39-14c9defa-6cec06c6-2e98582b-aeca15d6.jpg
there is complete resolution of a previously seen right pleural effusion with re-expansion of the right lower lobe. no pneumothorax is seen. small left pleural effusion and left basal atelectasis is unchanged. moderate cardiomegaly are unchanged. the hilar and mediastinal contours are stable. a right internal jugular approach dialysis catheter terminates in the lower svc.
<unk>-year-old man status post right thoracentesis, to rule out pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19466866/s54496758/8b360f76-e7b6a171-97427f6a-9c5ace5b-62abb328.jpg
pneumoperitoneum is new compared to the prior exam. the heart size is top normal. the mediastinal and hilar contours are unchanged, with multiple calcified lymph nodes again demonstrated within the mediastinum and hilar regions. numerous nodules are seen within both lungs, <num> of which is cavitating and located within the left upper lobe, as demonstrated on the prior chest ct. no pneumothorax or pleural effusion is noted. increased interstitial markings within the lung bases may reflect mild pulmonary edema. no acute osseous abnormalities are detected. cervical spinal fusion hardware is partially imaged.
metastatic melanoma to the lungs, liver, brain with leukocytosis.
MIMIC-CXR-JPG/2.0.0/files/p14717859/s55776167/c11901a5-3144ce95-42bcd344-8f4a3594-405431b6.jpg
consolidation obscuring the right heart border is new since <unk>. otherwise, there is interval improvement in interstitial edema and vascular cephalization although moderate cardiomegaly and mild vascular congestion are still observed. right hilar enlargement due to adenopathy and a large left pleural effusion are not significantly changed. a small right pleural effusion is new.
<unk>-year-old female with cough and chills. evaluate for evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13204581/s54070906/96269c87-3f1e3e2d-0f8743c7-946ad1f3-b476d007.jpg
no significant change. the right chest tube and right ng tube in place. widened mediastinum from previous the esophagectomy. increased left effusion and left lower lobe atelectasis. probable increased right effusion.
<unk> year old woman s/p esophagectomy (abdominal and thoracic approach) // tube placement; appearance of gastric conduit