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MIMIC-CXR-JPG/2.0.0/files/p13563768/s55554651/45492fd6-0c554120-294fcc82-b406ba30-d938d1ac.jpg | frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lung volumes are slightly decreased. there is no pneumothorax, vascular congestion, or pleural effusion. | <unk>-year-old male with recurrent hematemesis. question widened mediastinum or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12458552/s58637226/da4e819b-dce3d7ab-1d85e2b5-8b929923-77d352ca.jpg | the cardiomediastinal and hilar contours are unchanged. there has been resolution of the right basilar pleural effusion with no new left pleural effusion. previous right apical hydropneumothorax has been replaced entirely by fluid. emphysematous changes in the apices is noted. opacity within the medial right upper lung field is mostly resolved. left apical pleural scarring is again seen. left basilar atelectasis persists, and there is new right basilar atelectasis. calcified pleural plaques are seen in the right lung, consistent with prior asbestos exposure. | status post right upper lobe wedge resection. |
MIMIC-CXR-JPG/2.0.0/files/p13235049/s58366353/4ae29ace-461dc4c4-1303347b-f39c5042-620190c1.jpg | the endotracheal tube ends approximately <num> cm from the carina. a swan-ganz catheter overlies the expected area of the main pulmonary artery. the lung volumes have improved and there has been a decrease in the pulmonary edema. hazy opacification at the left base is likely atelectasis, although developing pneumonia cannot be excluded. there is no pleural effusion or pneumothorax. moderate enlargement of the cardiomediastinal silhouette is unchanged. a gastric tube and a coiled dobbhoff both end in the region of the pylorus. | liver and respiratory failure. evaluate endotracheal tube. |
MIMIC-CXR-JPG/2.0.0/files/p19486351/s54810204/98b0f854-2f8c7b87-0750ac8e-5001cfd3-4449e97b.jpg | no consolidation. left hilar and mediastinal regions have normal postoperative appearance unchanged from prior. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | <unk> year old man with lung cancer with esophageal involvement now with leukocytosis and mild fever // any evidence of pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p19025961/s52857542/4078c927-be109423-9625206f-e80017f6-013d2076.jpg | endotracheal tube is in unremarkable position. enteric tube tip passes below the diaphragm and out of view. there is no focal consolidation or pneumothorax. the cardiac silhouette is enlarged. there is pulmonary vascular congestion. there is moderate retrocardiac atelectasis and mild right basilar atelectasis. | history: <unk>m with ams apneic anticoagulated*** warning *** multiple patients with same last name! // bleed vs mass |
MIMIC-CXR-JPG/2.0.0/files/p18818975/s59147022/9b9e7076-12f7f488-698c7d23-e2e9cb00-d45f418c.jpg | an endotracheal tube terminates <num> cm above the carina. an enteric tube courses into the stomach and out of the field of view. a left subclavian catheter terminates in the right atrium and could be withdrawn <num>-<num> cm for positioning in the low svc, if desired. a right chest tube is unchanged in position and directed superiorly. there is no definite pneumothorax. in comparison to <num> hours prior, there has been collapse of the right upper lobe with superior displacement of the minor fissure. the right middle and lower lobes remain well-aerated. the left lung is clear. no pleural effusion. | right chest tube placed to water seal. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17905555/s53810373/40f8c994-60e6bb18-dabaf1ec-a801eb4a-c3824751.jpg | mild enlargement of the cardiac silhouette is demonstrated. mild atherosclerotic calcifications are noted within the aortic knob. hilar contours are normal. there is no pulmonary edema. small bilateral pleural effusions are noted. minimal streaky bibasilar airspace opacities could reflect atelectasis. no pneumothorax is identified. there are no acute osseous abnormalities. | fatigue, elevated white count. |
MIMIC-CXR-JPG/2.0.0/files/p13890409/s54716912/9cb4b17c-9ce8ea0e-c694d77c-eb8d8b21-d1dc71ae.jpg | ap upright and lateral chest radiographs demonstrate a large hiatal hernia and a probable small left pleural effusion. the thoracic spine demonstrates s-shaped scoliosis. the lungs are clear and there is no pneumothorax. the cardiac, hilar, and mediastinal contours are within normal limits. | fatigue and left-sided flank pain. |
MIMIC-CXR-JPG/2.0.0/files/p13990624/s59983950/cbf4f16a-f5585262-dd62fd44-a6a890d1-4fb13d3a.jpg | endotracheal tube tip projects <num> cm cephalad to the carina. left picc tip projects over the low superior vena cava. nasogastric tip projects below the diaphragm, however the side hole projects at the level of the gastroesophageal junction. layering left pleural effusion is unchanged. left mid and upper lung opacities have increased. diffuse interstitial markings throughout the remaining lungs are unchanged. heart size is not enlarged. mediastinal silhouette is not widened. | <unk> year old man with hypoxemia s/p bronch broad antibiotics persistent fevers. // fevers? fevers? |
MIMIC-CXR-JPG/2.0.0/files/p19716634/s50226342/8a39639a-6b6cee85-95e7b1af-2a67ff64-848aaf43.jpg | cardiomediastinal contours are normal. lungs and pleural surfaces are clear. | history: <unk>m with cough, chest pain while coughing // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p10481236/s56108661/37fbef0f-bd6d8ce5-5edcbd33-dbc3930e-7900db10.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 fever, dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p19241228/s54758928/9858ee2b-584c2ba1-08e7605a-5d7b7059-3ab6e6db.jpg | low lung volumes are again noted with bibasilar atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. there are degenerative changes at the shoulders. | <unk>m with tachypnea sob fever // pna? ptx |
MIMIC-CXR-JPG/2.0.0/files/p13366982/s59255230/f51972ea-25c53272-81cb369e-bcfe691e-72b16a03.jpg | rotated positioning. compared to the prior film, the tracheostomy is no longer visualized. the cardiomediastinal silhouette is probably unchanged. there is upper zone redistribution, without overt chf. slight crowding of the vessels at both bases, similar to the prior film, may reflect atelectasis. no definite infiltrate is identified. no consolidation or gross effusion. | <unk> year old woman with r iph, leukocytosis // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p10705459/s59860588/9e2a7174-1e3a05bf-9ed0c56f-c69f6148-8f920872.jpg | pa and lateral views of the chest provided. lungs are hyperinflated. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. old right rib deformities are again seen. no free air below the right hemidiaphragm is seen. | <unk>m with food impaction // perforation? anatomical distortion? |
MIMIC-CXR-JPG/2.0.0/files/p11959747/s55891413/02d13b20-d1ea83f8-b7fd45dd-53c88075-46589c56.jpg | multiple nodules are again seen, some of which are calcified granulomas, and better assessed on ct chest from <unk>. mild left linear basilar atelectasis is seen. otherwise, the lungs are clear with normal volumes. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pneumothorax, pleural effusion, pulmonary edema, or pneumonia. note is made of an azygos fissure. | <unk> year old woman with sense of limited ability to take full breath and aching left back // r/o effusion/atelectasis/abnormality |
MIMIC-CXR-JPG/2.0.0/files/p17489307/s57236650/022ad6fc-72998782-a4288817-c24db988-bf2cc572.jpg | ap views taken at separate times. first image demonstrates the dobbhoff tube with tip in the stomach and a left picc ending in the low svc. the vp shunt is seen. second image demonstrates the enteric tube coiling in the esophagus. | dobbhoff tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13415723/s51208203/fd1871d2-4085fac1-ab2b68ea-d8758e42-0d22a394.jpg | the left-sided pacemaker leads are in the right atrium and apex of the right ventricle respectively. there is mild cardiomegaly, stable compared to multiple exams dated back to <unk>. no focal consolidations are identified. there is a small right pleural effusion. there is no pneumothorax. | <unk>-year-old female with a new pacemaker who presents for evaluation of lead position. |
MIMIC-CXR-JPG/2.0.0/files/p13539186/s59299273/9f1fab92-14cf642e-5e28b11b-f6a83f82-f079e0cb.jpg | cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is a small left pleural effusion. there is no pneumothorax. a small pneumoperitoneum is noted, expected postoperatively. dilated left colon is incompletely imaged. | crohn's disease, postop day #<num> from ileocecectomy with ileocolic anastomosis. |
MIMIC-CXR-JPG/2.0.0/files/p17560713/s52861690/e426411e-e1554b27-3cb71fab-c7d9895c-a021f30a.jpg | frontal and lateral views of the chest demonstrate unchanged marked elevation of the left hemidiaphragm with associated basilar atelectasis. the lungs are otherwise clear. there is no pneumothorax, vascular congestion, or pleural effusion. rightward cardiomediastinal shift due to left hemidiaphragmatic elevation is unchanged. a prominent calcified right suprahilar lymph node is re-demonstrated. | <unk>-year-old female with bilateral leg swelling. question acute process. |
MIMIC-CXR-JPG/2.0.0/files/p13308983/s50409281/7f4914b4-cb80392d-fddc4f2f-0f9bb04f-a22d98ad.jpg | single portable view of the chest is compared to previous exam from <unk>. hazy bibasilar opacities are seen, left greater than right. there is no large effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unchanged. | <unk>-year-old male with severe chest pain radiating to the back. |
MIMIC-CXR-JPG/2.0.0/files/p12106117/s51886766/dad49840-40eea4b5-66f0d482-39b94022-2b891c2b.jpg | the patient is status post drainage of a pericardial effusion with a chest tube in place. lung volumes remain low and there has been interval increase in vascular markings since prior, suggesting vascular congestion. additionally, there has been increased retrocardiac opacification and obscuration of the left hemidiaphragm which likely represents a component of pleural fluid and atelectasis. heart borders are difficult to identify, but the heart remains enlarged. there is no pneumothorax. | <unk> year old man with pericardial effusion s/p drainage, hypoxia and hypercarbia. |
MIMIC-CXR-JPG/2.0.0/files/p15099796/s59943967/6f5c1f0f-a1e3d041-77372afa-d05f96c9-89a6fde4.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>m with chest pain, nausea. |
MIMIC-CXR-JPG/2.0.0/files/p18428184/s54972928/32b9eab0-4fb61d66-520fa253-d6cff1bd-1b628ab1.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. | <unk>f with cough and shortness of breath, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18259436/s58854169/1391b7b6-9dbaf881-40a1dd5e-33401844-06ca1235.jpg | mildly enlarged heart is seen, and mild left hemidiaphragm elevation consistent with left basilar atelectasis. no focal consolidation, pleural effusion or pulmonary edema is seen, and the mediastinal contours are normal. | <unk>-year-old female status post sigmoidectomy pod #<num>, shortness of breath, evaluate for effusion versus pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13242049/s57703456/877bf4b4-621598da-56f19b3a-3de3162e-d1adc91d.jpg | new nodular opacity in the left upper lobe projecting over the fourth fifth rib interspace measuring <num> mm. there is also prominence of the right paratracheal stripe. the cardiomediastinal silhouette is otherwise unchanged with unfolding of the descending thoracic aorta. right hemidiaphragm is similar in appearance. no pleural effusions or pneumothorax. | <unk> year old man with hx stage iiib melanoma, now <unk> mos after surgery // rule out metastatic |
MIMIC-CXR-JPG/2.0.0/files/p14490642/s52961009/e5e57452-d7e2b620-d3551771-766b3e45-c1a82c09.jpg | the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes. | <unk> year old woman with new sob, h/o smoking, well controlled hiv, clear lungs on exam // r/o mass |
MIMIC-CXR-JPG/2.0.0/files/p13438658/s57268481/b267c4b8-f37ba376-b2791854-0fe26426-57705f6f.jpg | a large left pleural effusion appears slightly increased in size compared to the previous study. cardiac and mediastinal contours unchanged. there is continued left basilar opacification likely reflective of compressive atelectasis. mild pulmonary vascular congestion is present. patchy right basilar opacity may reflect atelectasis though infection is difficult to exclude. no right-sided focal consolidation, pleural effusion or pneumothorax is detected. no acute osseous abnormality is present. | <unk> year old woman with hepatic encephalopathy |
MIMIC-CXR-JPG/2.0.0/files/p17562969/s50240996/6577e655-11d3a792-3db3e963-c9ed28aa-b3d2c6e9.jpg | minimal bibasilar heterogeneous opacities are not significantly changed compared to radiographs from <unk>, likely atelectasis or scarring. the lungs are otherwise clear. marked tortuosity of the thoracic aorta is not significantly changed. aortic calcifications are noted. heart size is within normal limits. there are no pleural effusions. no pneumothorax is seen. multiple left-sided rib fractures are old. severe degenerative changes of both glenohumeral joints are again seen. | fever to <num> with confusion. patient is a poor historian. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14482820/s56986284/6df752dd-d96e8fa1-d902d33c-4797e505-97594e40.jpg | endotracheal tube terminates <num> cm above the level of the carina. enteric tube courses below the level of the diaphragm, terminating in the left abdomen, in the expected location of the stomach. no pneumothorax is seen. there is no focal consolidation or pleural effusion. the cardiac silhouette is top-normal. the aorta is calcified. no pulmonary edema is seen. degenerative changes are seen at the left glenohumeral and acromioclavicular joints. | history: <unk>f with intubation // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p15859508/s58054474/5db75fab-ecee7932-4444ea88-c1b74641-c75ef4fd.jpg | moderate left pleural effusion has increased in size since the prior radiograph with associated worsening adjacent atelectasis or consolidation at the left lung base. exam is otherwise unchanged in appearance since the recent study, with stable post treatment changes in the left hilar region and right lower lobe. please note that these areas have been more fully assessed by a recent chest ct <unk> and the that the right lower lobe findings are not well evaluated radiographically. | <unk> year old woman with sclc, known l pleural effusion, af with rvr, with increased sob // ?increased effusion ?chf |
MIMIC-CXR-JPG/2.0.0/files/p15357098/s52449751/0fef6484-c01dfac9-8ee17383-75dac23d-dbda7694.jpg | lung volumes related low. bibasilar opacities are likely due to atelectasis, but superimposed infection cannot be excluded. heart size appears normal, and there is no pulmonary vascular congestion. chronic left rib deformities, as seen on the prior ct and radiograph, are unchanged. | <unk>m with chf and renal failure. dyspnea, r/o chf. |
MIMIC-CXR-JPG/2.0.0/files/p18849061/s57571272/b03f756a-e3db6354-e797859d-2f344283-3dad4781.jpg | there are bibasilar opacities, possibly reflective of atelectasis. no pleural effusion, pulmonary edema or pneumothorax is noted. the heart is normal in size. there is a right picc which terminates in the distal svc. a tracheostomy tube appears in appropriate position. cervical spinal fusion hardware is noted, and midline cervical metallic densities are of unclear etiology. | <unk>-year-old male with chronic ventilation for paraplegia. evaluate for left port placement. |
MIMIC-CXR-JPG/2.0.0/files/p10275529/s56488676/f66c3c90-97c40a04-7026a920-7b743cdf-84add33b.jpg | dual lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. subtle slight prominence of the ascending aorta is similar compared to prior, likely relates to mild ascending aorta ectasia as seen on prior ct. | weakness. |
MIMIC-CXR-JPG/2.0.0/files/p16185669/s52170682/98e85553-ce4baa6f-de5425cc-8a78ff72-ebd353f9.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. | <unk> year old man with mild hypoxemia // ? aspiration, vs pna |
MIMIC-CXR-JPG/2.0.0/files/p14690648/s51367443/b9ee1a6e-042a1ecf-6cc3c394-d133a3bc-3cca40d4.jpg | pa and lateral views of the chest provided. the heart size is enlarged. vascular markings are more prominent compared to prior exam but this is thought to be technical/ positional. there is no overt pulmonary edema. there is no focal consolidation or pneumothorax. | <unk>-year-old female with dyspnea on exertion. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13520211/s56658888/a225bddf-1d74ea98-0c1d7dde-3d7dc383-0251988f.jpg | compared with prior radiographs, there is a new focal consolidation in the right middle lobe, concerning for pneumonia, likely aspiration given the clinical setting. central pulmonary vascular congestion, bilateral pleural effusions, and pulmonary edema are slightly increased. no pneumothorax. cardiomediastinal silhouette is difficult to evaluate due to underlying thoracic dextroscoliosis and suboptimal patient positioning. long tubular structure is noted to run across the entire field of view, presumably outside the patient. | <unk> year old woman with likely aspiration, respiratory distress. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12902262/s50289240/704c5648-82f41797-cc3e1f22-a9aa846d-279ebcb5.jpg | the appearance of the lungs is distorted by marked kyphosis of the thoracic spine.the heart is moderately enlarged, stable. moderate size hiatal hernia with air-fluid level is seen. opacification at the left lung base is likely a function of technique and patient positioning, rather than true pathology. no evidence of pneumonia or pleural effusion. | history: <unk>f with chest pain and bibasilar crackles. |
MIMIC-CXR-JPG/2.0.0/files/p17095601/s58229922/83d64089-ec0d9b31-8097d383-29284b6d-9e8efbcd.jpg | as compared to the prior examination, the right pleural effusion has increased in size and is now moderate-severe with adjacent atelectasis. bilateral pulmonary edema is now moderate-severe. the heart is enlarged and the aortic arch is heavily calcified. a large, calcified right goiter is again noted, deviating the trachea towards the left. | <unk> year old woman with stage <num> ckd and chf with increased dyspnea especially at night x <num> week // r/o worsening right pleural effusion versus chf |
MIMIC-CXR-JPG/2.0.0/files/p17779573/s59505925/42284e59-0b3d3806-dcde87b3-29bbfd8f-28aa6162.jpg | there are relatively low lung volumes, which accentuate the bronchovascular markings. given this, there may be mild pulmonary vascular congestion. no definite focal consolidation is seen. there is no pleural effusion or evidence of pneumothorax. the cardiac silhouette is top-normal. the aorta is slightly tortuous. | syncope versus seizure, vertigo. |
MIMIC-CXR-JPG/2.0.0/files/p14812282/s52504152/6e7a9c35-aed98455-43a5b61c-e4b66324-99988b49.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there is mild right base atelectasis, without concerning focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. | evaluate for infiltrate in a patient with cough, congestion, and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14786549/s55758996/0cd277e2-732c996f-9378d6ba-a61f65e4-3acbc298.jpg | right upper lobe consolidation consistent with cavitary necrotizing pneumonia better seen on recent ct, relatively unchanged compared to most recent prior images. no obvious pleural effusions. no pneumothorax. cardiac size is enlarged and unchanged. median sternotomy wires. right ij catheter ends in the mid svc. ett and enteric tube in unchanged positions. | <unk> year old man with rul pneumonia, septic shock. // ?interval change (now s/p <unk>cc thoracentesis) |
MIMIC-CXR-JPG/2.0.0/files/p17822730/s55627326/f55301aa-090cd2e4-073c9b63-084fa586-71ccb81b.jpg | the left-sided picc line is in stable position, with distal tip overlying the mid svc. the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. there is a confluent consolidation within the right middle lobe which is more apparent on lateral than on frontal view, consistent with right middle lobe pneumonia. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | a <unk>-year-old woman with a history of bladder cancer currently on chemotherapy, now with fever and cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11537996/s57558701/ced25e72-a2653674-365424aa-6cb482d9-531b5b1e.jpg | ap upright and lateral views of the chest provided. interval removal of picc line and dialysis catheter. extensive ground-glass opacity within both lungs is concerning for edema, less likely diffuse pneumonia. no large effusion is seen. heart size remains mildly prominent. mediastinal contour is unchanged. hila are congested. bony structures are intact. | <unk>f with new o<num> requirement and sob |
MIMIC-CXR-JPG/2.0.0/files/p13913059/s54165678/4c9dc00b-26efa075-b30e3530-7b187672-320f5656.jpg | pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. | <unk>-year-old female with chest discomfort. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10373725/s51005183/4f58467d-744f2e13-d641347a-c828af2f-2da707a8.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. there is patchy left infrahilar opacity with peribronchial cuffing. potentially, this may be at baseline but prior radiographs are not available for comparison. the possibility of lower airway infection or even early or mild bronchopneumonia should be considered. slight scarring is present at each lung apex. the osseous structures are unremarkable. | elevated white count and hypoxia. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10558515/s58879793/be66a2f1-baee0a10-fd6aea6a-8b7d052d-f4c33f10.jpg | the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk>-year-old woman with acute onset headache and left sided numbness, evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16920636/s57532187/91eff5a3-7ac75a9c-8f6902ad-00833d9a-e9b47caf.jpg | a left chest wall port-a-cath tip projects over the the right atrium. there are increasing bilateral pleural effusions with overlying atelectasis, greater on the right. no pneumothorax is identified. the size the cardiac silhouette is enlarged but unchanged. markedly calcified thoracic aorta. | <unk> year old woman with new onset chest pain // new onset chest pain |
MIMIC-CXR-JPG/2.0.0/files/p19483762/s51794821/6616cbbb-45745f62-292d47ac-a514b629-5b825a80.jpg | there increased areas of patchy opacity in both lower lungs with ill definition of the left hemidiaphragm compatible with volume loss/ infiltrate/effusion. the appearance of the picc line is unchanged | <unk> year old woman with aspiration and hx of asp // aspiration pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16604754/s58451780/a9af51ab-47588895-617bae1a-b4c41b1c-8cbdffac.jpg | frontal and lateral chest radiograph demonstrates new left pectorally placed dual chamber pacemaker with intact leads following the expected course to the right atrium and ventricle in appropriate position. there is no pneumothorax. the lungs are well expanded and clear. there is no pleural effusion. the cardiomediastinal and hilar contours are within normal limits. | <unk>-year-old male with recent dual-chamber pacemaker. |
MIMIC-CXR-JPG/2.0.0/files/p17006856/s55709551/f875b149-035345e0-4205a41c-cb926103-dca85d76.jpg | there are low lung volumes and bibasilar atelectasis. right base opacity may be due to atelectasis although consolidation is not excluded. no large pleural effusion is seen. there is no pneumothorax. the aorta is somewhat tortuous. the cardiac silhouette is top-normal. there is partially imaged prominent gaseous distension of the bowel underlying the diaphragms and in the remainder of the abdomen. | history: <unk>f with fever // pna |
MIMIC-CXR-JPG/2.0.0/files/p16460117/s55348241/ff3365d6-7482ee11-0f0aa799-eda7c0bd-4082da54.jpg | ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. there may be chronic interstitial abnormality, similar to prior. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | history: <unk>f with dyspnea // pna? |
MIMIC-CXR-JPG/2.0.0/files/p10956814/s56015713/c33a79f8-6647af0a-bd7cbf9d-410a5c0f-6301c015.jpg | improved aeration of the left lower lobe as compared to prior. the remainder of the lungs are hyperexpanded bilaterally, and without additional focal consolidation. bibasilar scarring is noted. small-moderate, bilateral pleural effusions are slightly increased as compared to the prior examination. the cardiomediastinal silhouette remains mildly enlarged without overt pulmonary vascular congestion. unchanged compression deformity of an upper thoracic vertebral body. | <unk>f with chest pain // acute cardiopulmonary disease |
MIMIC-CXR-JPG/2.0.0/files/p13166511/s59662776/ad03420d-de2cbe11-5c31025a-6675d5fa-346ca1eb.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. | <unk> year old woman with s/p l tkr w/ fevers // s/p l tkr w/ fevers |
MIMIC-CXR-JPG/2.0.0/files/p12966418/s51763583/ab15b46d-159923a8-87de5c85-eaa6c189-e51ab2d8.jpg | the lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance. there are mild degenerative changes of the thoracic spine. | history: <unk>m with syncope flu like symptoms // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p12750613/s54406048/74bce057-35ea2f27-3aa79fc8-5edbcc9c-3da5cbe6.jpg | no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. no cavitations or calcified granulomas are seen. | <unk>-year-old woman with positive ppd, evaluate for active tb. |
MIMIC-CXR-JPG/2.0.0/files/p12109786/s53138540/b8d4c54a-98211388-792a2446-66e02e7d-b0a7fc74.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. | vomiting and abdominal pain in the right upper quadrant. question intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p10642869/s57441817/43fd26b8-8a90110c-754a1047-9c13b014-6c8510eb.jpg | there is a well-circumscribed, circular, <num> cm calcified mass present in the left upper quadrant. this may represent a calcified splenic lesion/cyst, versus a large pancreatic pseudocyst, and less likely a calcified splenic artery aneurysm. the location of the lesion makes this less likely a pancreatic pseudocyst. correlation with an abdominal ultrasound is recommended if this is not a previously known finding. the mediastinal structures are within normal limits. there is no cardiomegaly. the hila are unremarkable. the lung fields are clear without evidence of focal consolidation. there are no pneumothoraces or effusions apparent. | <unk> year old man with dyspnea, wheezing, and productive cough when running x <unk> year, history of prostate ca // r/o mass |
MIMIC-CXR-JPG/2.0.0/files/p17033197/s53890361/bf7423b0-f57dc7e6-66035e85-0853a815-d116c1d7.jpg | significant thoracolumbar scoliosis is seen which distorts and otherwise normal cardiomediastinal silhouette. the lungs are well expanded. mild left lower lobe atelectasis is seen. no focal consolidations, pleural effusions, or pneumothorax is seen. | <unk> year old woman s/p lumbar fusion now pod#<num> with fever to <num> overnight // r/o infectious process vs atelectasis |
MIMIC-CXR-JPG/2.0.0/files/p17640750/s59827278/f7719840-5f7e5131-c50dc889-75611a60-4f2c4d93.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with cough and leukocytosis // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p11256730/s50431824/bb5d5c55-4977af22-363eea49-d48a075f-5d23cf51.jpg | moderate cardiomegaly, perihilar opacities and prominence of the pulmonary vasculature is new. no pleural effusion or pneumothorax. | history: <unk>m with concern for stroke // ? infectious process |
MIMIC-CXR-JPG/2.0.0/files/p17317600/s54148601/96d0d38c-7b483924-bc0fa860-8cca4df9-770d259b.jpg | the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unremarkable. there is patchy opacification of the left costophrenic sulcus suggesting a small pleural effusion. there may be a small pleural effusion on the right side, but not definite. the lungs appear clear aside from patchy left basilar opacities suggesting minor atelectasis. there is no pneumothorax. mild degenerative changes are noted along the thoracic spine. | prominent murmur and ascites. question pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p10213742/s54744078/d03e9030-0f7f9dc6-b5191cd4-2475a31b-247409cc.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected. | fevers, cough. |
MIMIC-CXR-JPG/2.0.0/files/p18935324/s59998127/a9f78e93-47a890b0-3bb3c5f8-a548685b-0570a129.jpg | tracheostomy tube has been removed. heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. left lower lobe collapse has developed in the interval with small left pleural effusion. minimal atelectasis is noted in the right lower lobe. no pneumothorax is identified. multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent schmorl nodes and mild loss of vertebral height. remote left-sided rib fractures are re- demonstrated. | history: <unk>m with cough, hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p14910623/s59953605/fdf4b8e6-e4ecf4d9-baf6fc1f-640810c7-0aadd5a9.jpg | in the left upper lobe there are new opacities concerning for an infectious process. the right lung is clear. there is no cardiomediastinal silhouette and hilar contours are unremarkable. no pleural effusion or pneumothorax. | <unk>-year-old woman with fever and cough, question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p15775528/s56448753/90a5c65b-f24f733d-04217f0f-66b95bc4-51a39540.jpg | the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>f with new afib. ?pna // eval for new onset afib |
MIMIC-CXR-JPG/2.0.0/files/p16405850/s56600938/86a473c5-52ffe95f-3edfbfa1-03ea10e0-1a07c581.jpg | pa and lateral chest radiographs. there are streaky bibasilar opacities compatible with atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. | fevers after surgery on the right foot. |
MIMIC-CXR-JPG/2.0.0/files/p12380407/s52759927/5b1e915d-682466ce-01b18b44-b7ea0558-0095e10e.jpg | pa and lateral views of the chest. compared to prior, there has been interval resolution of the previously seen pleural effusions. the lungs are clear of consolidation, pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits but notable for coronary artery stents. osseous structures demonstrate no acute abnormality. | <unk>-year-old female with shortness of breath and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17668126/s52560367/601fc3d5-553a9265-25254eee-6fc44462-b7e16934.jpg | no acute focal consolidation, pleural effusion or pulmonary edema is seen. the cardiac and mediastinal contours are normal. | <unk>-year-old with chronic <num> week cough, evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11916232/s52819503/9854a228-9364e304-fba87feb-1f83e268-650d5816.jpg | pa and lateral views of the chest. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected. | <unk>-year-old female with wheezing and cough. |
MIMIC-CXR-JPG/2.0.0/files/p15084126/s59139296/a68af45f-701cd45a-f58203c9-380422b1-e239de7b.jpg | mild cardiomegaly is stable. right ij catheter tip is in the cavoatrial junction. there is no pneumothorax. small bilateral effusions larger on the left are more conspicuous than before. right lower lobe the opacity likely atelectasis has improved. left lower lobe opacities could be atelectasis but superimposed infection cannot be excluded. mild vascular congestion has resolved | <unk> year old woman s/p autotransplant with leukocytosis and cough. // evaluate for pneumonia vs. pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p18671596/s51769144/19962f9f-360a4066-b4d57925-586480fd-7db716eb.jpg | the lungs are hyperinflated, compatible with copd. otherwise, lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. the mediastinal and hilar structures are unremarkable. cervical fusion hardware and a lumboperitoneal shunt are partially evaluated. | dyspnea on exertion. evaluate heart and lungs. |
MIMIC-CXR-JPG/2.0.0/files/p15002645/s52689877/8ee24bdf-f32d274f-3580c18a-3a34417c-a817808f.jpg | cardiac silhouette size is top normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified. | history: <unk>m with cognitive impairment, chest pain and dry cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19933827/s54792788/30c0c008-72b247cc-8a1dfed3-20237862-a6ba78aa.jpg | low lung volumes are again noted. the lungs are grossly clear without confluent consolidation or large effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. | <unk>f with fevers, tachypnea, tachycardia // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18060672/s58828901/e54409a9-a94d89f9-86d419a4-4c0e6fab-976bb88e.jpg | rounded right upper lobe pulmonary mass is again seen which measures approximately <num> cm. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with sob and back pain // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11953959/s54878948/8ba7f3d7-b396c2ce-a0b5bb49-0399f0fe-c83061f5.jpg | ap portable upright view of the chest. a pigtail chest tube projects over the right upper lung. there is decreased right pleural effusion. no pneumothorax. suture projects over the left lung. postsurgical changes to the right rib cage again noted. | <unk>f s/p chest tube |
MIMIC-CXR-JPG/2.0.0/files/p13130441/s53375569/da9cf9ec-f4fac83d-424e663d-163c5191-85f62d66.jpg | since <unk>, there is interval resolution of small right apical pneumothorax and right pleural effusion. lungs are hyperinflated but clear. cardiomediastinal silhouette is normal. | <unk> year old woman with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p14061397/s56134612/df09c6b4-043614ca-901d624a-6f3ea511-5fa9fe93.jpg | moderate to severe cardiomegaly and widened mediastinum are stable. enlargement of the pulmonary arteries is unchanged. there is no pneumothorax. left hd catheter is in standard position. left venous stent is again noted. bibasilar atelectasis have minimally increased on the left. if any there is a small left effusion. | <unk> year old man with hypoxia // pna? |
MIMIC-CXR-JPG/2.0.0/files/p19942800/s50630608/e26ea312-1d3f8b77-85aeb9c4-e4294c71-c72c2d70.jpg | single frontal view of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, pneumothorax. mid thoracic scoliosis is not accompanied by obvious vertebral body or disc space abnormality. clinical evaluation recommended. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p11747893/s52834302/23f81875-2bd6dc04-14b3f37e-5ce0601f-c3fb329a.jpg | in the first of <num> serial images, the enteric tube terminates in the stomach. a in the second image, the enteric tube was advanced across midline likely in the post pyloric position. mild cardiomegaly is stable. the left hemidiaphragm is elevated as seen on prior. left basilar atelectasis has significantly improved. there is no pneumothorax or pleural effusion. | <unk> year old man with dophoff placement // please assess for placement, step <num> of <num> part advancement. |
MIMIC-CXR-JPG/2.0.0/files/p18874154/s50734942/90a06557-717b4645-306886f8-105c8977-f6b2464a.jpg | frontal lateral chest radiographs demonstrate unchanged moderate cardiomegaly. the lungs are well aerated and clear, with interval resolution of multifocal opacities seen on chest radiograph in <unk>. no new focal consolidation, pleural effusion, or pneumothorax is present. the visualized upper abdomen is unremarkable. | evaluate for interval change in a patient with multiple airspace opacities in the right upper and bilateral lower lobes, consistent with pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16784327/s51345337/c37d68e0-8145a2f7-09ffa5f4-a4099bd1-3dcbfd2b.jpg | the cardiac silhouette size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. increased interstitial opacities are most pronounced at the lung bases, suggestive of a chronic interstitial lung disease. no focal consolidation or pleural effusion is present. mild scarring is seen within the lung apices. there is no pneumothorax. no acute osseous abnormality seen. | weight loss, malaise. |
MIMIC-CXR-JPG/2.0.0/files/p17596853/s59381250/8f715f7a-d9a854f1-2f2c8308-aeb43a25-8d20e5e8.jpg | the lung volumes are very low which causes crowding of the bronchovascular structures. bibasilar opacities could represent aspiration or infection. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. | <unk>m with ams // r/o infection |
MIMIC-CXR-JPG/2.0.0/files/p19023092/s50974021/f9a512ff-0a11bd33-fc234a17-b615d565-912a6f98.jpg | the right-sided pigtail catheter is again visualized. the right effusion is decreased. there continues to be a right pneumothorax most apparent on the current study medially with sharp margins of the right heart border and right medial lung. there is small left greater than right pleural effusions. volume loss is present in both lower lungs. mediastinal clips and sternal wires are again visualized. | status post thoracentesis question resolution of diffusion. |
MIMIC-CXR-JPG/2.0.0/files/p18170845/s55210473/06747b96-f3a14e5f-03cc7eb6-1e7124c7-7724c17b.jpg | lungs are well inflated and clear aside from minimal bibasilar atelectasis. the cardiac silhouette is mildly enlarged. there is no pleural effusion or pneumothorax. cholecystectomy clips project over the right upper quadrant. | <unk> year old man with cirrhosis, hepatic encephalopathy. evaluate for signs of infection. |
MIMIC-CXR-JPG/2.0.0/files/p17514642/s52160648/e4463f28-a601c963-c6f86d75-ce35c78c-41763000.jpg | portable ap chest radiograph is nearly an apical lordotic projection. hyperexpanded lungs are presumably related to emphysema. pericardial fibrosis at the right heart border is better seen on prior cta. there is no pleural effusion or pneumothorax. the heart size is normal. | copd exacerbation. |
MIMIC-CXR-JPG/2.0.0/files/p17384776/s50349581/3b09b7f7-da2907cc-0fa20963-7a1b78cd-07fbd612.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, fevers |
MIMIC-CXR-JPG/2.0.0/files/p16120216/s54359478/ba86733f-022dc291-793e635a-29727e1e-9dad7179.jpg | the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. | epigastric discomfort radiating to the back. evaluate for mediastinal widening. |
MIMIC-CXR-JPG/2.0.0/files/p13180277/s56722049/e1c6d331-09305ea2-49191d97-165caa2e-ca32c045.jpg | the lung volumes are low. the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions. bony structures are unremarkable. | left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17756198/s53155374/01ce86a4-1dfc96d7-5504e0a6-6de4a05f-4149c647.jpg | the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | <unk>-year-old man with altered mental status, st depression on lateral leads, evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p13606683/s56272498/67e8e551-3fb614a6-58610388-c92da136-a8d32ff8.jpg | chest pa and lateral radiograph demonstrates mild linear atelectasis and associated volume loss in the left lower lung base. no focal opacifications concerning for pneumonia identified.stable blunting noted of the left costophrenic angle is likely due to pleural thickening and scarring. no definite pleural effusions evident. interval development of a fracture of the most inferior sternotomy suture. | copd, question dyspnea or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14508231/s59066450/750c3459-1ba85760-454e745e-1ad1e099-c3503046.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. | <unk>f with abdominal, chest pain n/v // evaluate chest pain |
MIMIC-CXR-JPG/2.0.0/files/p17527515/s51372107/f0faa426-9b85f7da-7710af0f-f10a62c3-99dc70eb.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with dyspnea // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p16939016/s50875409/13c791f8-489a6900-2817184b-b8f012df-0b03c75d.jpg | in comparison with the chest radiograph obtained <num> hours earlier, there has been no clear change in dobhoff tube positioning - it passes into the distal stomach and outside the field of view. there is increased bibasilar atelectasis. pleural effusions are small, if any. severe cardiomegaly and postoperative mediastinal widening are unchanged. no pneumothorax. a left-sided ij central venous catheter terminates at the origin of the svc and a right-sided ij central venous catheter terminates in the right atrium. | <unk> year old man with as above // check dht placement |
MIMIC-CXR-JPG/2.0.0/files/p19839145/s56288823/ed4d02a0-590758c2-7cb56357-84aeeb6c-f1aedd3c.jpg | portable upright chest radiograph <unk> at <time> is submitted. | <unk> year old woman with sob, chf // interval change interval change |
MIMIC-CXR-JPG/2.0.0/files/p17886980/s59139363/8fb12537-82ea00b3-13c85e89-3f01cd79-f9101576.jpg | there are multiple healed rib fractures bilaterally involving the right posterolateral seventh-tenth ribs and the left lateral ninth and tenth ribs with evidence of callus formation. there is also evidence of healing of a right lateral tenth rib fracture. no acute displaced rib fractures are identified. there is prominence of the pulmonary interstitium bilaterally, suggesting chronic interstitial lung disease, worse on the right compared to the left. there is no focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature and cardiomediastinal and hilar contours are within normal limits. the trachea is midline. | <unk>-year-old woman with left-sided rib pain status post assault, here to evaluate for rib fracture or evidence of pulmonary contusion. |
MIMIC-CXR-JPG/2.0.0/files/p15303946/s58260659/80f32732-c4e17034-9fe190c0-896f089f-8158d2ea.jpg | heart size is normal with mild tortuosity of the thoracic aorta. mediastinal silhouette and hilar contours are unremarkable. the lungs are mildly hyperinflated with flattening of the hemidiaphragms suggestive of copd. lungs are clear. there is no pleural effusion or pneumothorax. | elbow fracture. preoperative evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p18237131/s59581534/af2ccaac-517c5b1e-7adc0a6a-10aefe63-df3e3efc.jpg | the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. | <unk>-year-old with breast cancer and left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11382339/s56461814/075a3743-220b0db4-1ca09131-a675c137-c809e328.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with ili/cough // acute process |
MIMIC-CXR-JPG/2.0.0/files/p10497097/s52140907/db57af01-963dd924-09ad621d-a39a1294-a27d158d.jpg | deformities from prior fractures of the right fourth through ninth ribs are again noted. hyperexpansion and flattened hemidiaphragms suggest copd. there is no focal consolidation, pleural effusion or pneumothorax. pleural parenchymal scarring in the lung apices is unchanged. the cardiomediastinal silhouette is within normal limits. there is a linear atelectasis at the left lung base. | cough and dyspnea on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p19432635/s51009903/de0c9133-52735d21-08817736-a5aced75-3fa77d03.jpg | lungs are well expanded and clear bilaterally with no evidence of focal consolidation, mass lesions or pleural effusion. there is no pneumothorax. the aorta is slightly tortuous; otherwise, the cardiomediastinal silhouette is within normal limits. the pleural surfaces are unremarkable. | <unk>-year-old female with rcc. study is to evaluate for possible bone mets. comparison pa & lateral chest radiograph <unk>. |
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