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MIMIC-CXR-JPG/2.0.0/files/p19964690/s58935992/48ac51bd-2d31f911-e71fbd8b-fecd7697-621c9395.jpg | heart size is normal. the mediastinal and hilar contours are remarkable for tortuosity of the thoracic aorta. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no free intraperitoneal air identified in the visualized upper abdomen. | <unk>f with severe abd pain // free air? |
MIMIC-CXR-JPG/2.0.0/files/p16639135/s59725219/4f1a6280-eb0f95d3-26d470d4-d5410133-6fbee461.jpg | frontal and lateral views of the chest were obtained. right apical scarring is similar to the prior ct. left basilar opacity is new from <unk> and may represent atelectasis or infection. there is no pleural effusion or pneumothorax. heart size is normal. the aorta is tortuous with aortic knob calcifications. hilar contours are stable. | tia. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14638111/s54325009/8666fd48-709bf4af-693bde10-9506a239-254db50a.jpg | the lung apices are not included on the film. the previously seen right chest tube has been retracted somewhat. the tiny right apical pneumothorax is unchanged. mild basilar atelectasis is noted. the cardiac and mediastinal contours are stable. there is right chest wall subcutaneous air at chest tube insertion site. right rib fractures are better assessed on same day ct. | <unk>m with ptx s/p chest tube placement, repositioned // eval chest tube placement |
MIMIC-CXR-JPG/2.0.0/files/p10930646/s58722523/1b5f13d6-4a56e9c4-d33d172d-f5bdb5ff-7a531f92.jpg | ap upright and lateral views of the chest provided. left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. an aortic core valve is again seen. the heart size appears grossly stable though partially obscured. low lung volumes limits assessment. there are bilateral pleural effusions, left greater than right, similar to prior. hilar congestion is noted. mild interstitial edema is difficult to exclude. aortic calcifications noted. no pneumothorax. bony structures are intact though degenerative changes at the shoulders noted with calcific densities projecting over the right scapular neck. | <unk>f with shortness of breath // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p18256282/s52226242/fc32a7ba-a9bd005c-d6695b8a-d2a07dea-08156ce5.jpg | the heart is again moderately enlarged. the aortic arch is calcified. the interstitium is mildly prominent suggesting mild vascular congestion. there is no pleural effusion or pneumothorax. findings are similar to the prior study. | status post fall with injury. |
MIMIC-CXR-JPG/2.0.0/files/p15683514/s57216525/46a1df31-8ce82e5a-19cbed27-8cc1dfc4-4db7f085.jpg | moderate hydro pneumothorax on the right with atelectasis of the right lower lobe appears relatively unchanged compared to the previous study. the heart size remains moderately enlarged. mediastinal and hilar contours are unchanged. left lung is clear without focal consolidation. no pulmonary vascular congestion is identified. there are no acute osseous abnormalities detected. | history: <unk>f with known ptx/effusion on prior chest radiograph |
MIMIC-CXR-JPG/2.0.0/files/p11489099/s54196253/9831c9fa-da77f273-eab58e9b-b252cda0-39779e13.jpg | the nasogastric tip projects over the gastric fundus. the sidehole is not definitely seen, although likely beyond the gastroesophageal junction. cardiomediastinal silhouette is unchanged. lungs are well-expanded and clear. there are no focal consolidations. there are no pleural effusions or pneumothorax. | <unk>-year-old male patient with ng tube. study requested for assessment of placement. |
MIMIC-CXR-JPG/2.0.0/files/p19796330/s51132520/8af13c2d-a310abc0-d03c42e1-0b14588d-86ec04c8.jpg | pa and lateral views of the chest. the lungs are clear, without focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>-year-old male with history of bronchitis presents with dyspnea and productive cough, no fevers. |
MIMIC-CXR-JPG/2.0.0/files/p18079777/s54604647/c68377e0-c8ee8070-e552eb42-97395d76-8aa01e0e.jpg | portable ap upright chest radiograph <unk> <time> is submitted. | <unk> year old man with tachypnea transitioning off bipap // ? interval change ? interval change |
MIMIC-CXR-JPG/2.0.0/files/p15270435/s56244554/1fcbac3f-4f941b89-d15a5209-f2e30ead-dadf0550.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | history: <unk>m with ekg changes after cocaine ingestion // evaluate for acs |
MIMIC-CXR-JPG/2.0.0/files/p14687805/s51887738/299dd7d9-cb2779ea-57c9c8e5-8002d262-e44809ba.jpg | there is increased right mid lung infiltrate and increased volume loss/infiltrate in the left lower lobe. the right subclavian portacath is unchanged. | decreased breath sounds in the right base. |
MIMIC-CXR-JPG/2.0.0/files/p16297706/s50739917/7087fbb8-6b367647-762d778b-a0458247-6fdb8640.jpg | there has been interval removal of a previously identified right-sided picc line. median sternotomy wires and mediastinal clips are unchanged in position. a loculated right-sided pleural effusion has increased in size, now mild-moderate. additionally, a small right basilar pleural effusion is slightly larger. focal airspace in the right middle lobe has increased. no evidence of pneumothorax. the cardiac size is within normal limits. aortic knob calcifications are again noted. | history: <unk>m with fever // evidence of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16009405/s51674840/0828d6f3-ceb38d36-dc569b32-a14deac7-e415410c.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is normal. | <unk>f with chest tightness, dyspnea // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14744884/s57048625/a23f7cc0-2cc8da91-5f864f5b-6672534c-98f63cd8.jpg | lung volumes are low. no focal opacity to suggest pneumonia is seen. no pleural effusion, overt pulmonary edema or pneumothorax is present. the heart size is at the upper limits of normal, unchanged. a right-sided vascular stent is seen within the brachiocephalic vein. | multiple medical problems including end-stage renal disease on hemodialysis presenting with fever and low abdominal and back pain after dialysis. |
MIMIC-CXR-JPG/2.0.0/files/p16052230/s59101518/5dd7d6eb-5e8110c8-0fe8394f-15321c37-882cf655.jpg | single ap view of the chest provided. a feeding tube passes into the proximal jejunum and then out of view. right lower lobe atelectasis and/or small to moderate right pleural effusion appear unchanged. the heart and left lung appear normal. imaged osseous structures are intact. | <unk> year old man with cryptogenic cirrhosis c/b portal hypertension, s/p tips, presenting for chronic malnourishment, requiring feeding tube replacement after pulled at rehab, course complicated by encephalopathy in setting of constipation. feeding tube now partially pulled. // assess placement of feeding tube |
MIMIC-CXR-JPG/2.0.0/files/p12487738/s59474628/c518d273-cdc52d4f-c3cf8ff4-8e9e27e7-718cc2ed.jpg | lung volumes are low, accentuating heart size and bronchovascular structures. subtle bibasilar opacities are identified. no pneumothorax, pleural effusions, or focal consolidation. | <unk>m with altered fall, unknown history. ? ptx |
MIMIC-CXR-JPG/2.0.0/files/p18869953/s55187309/27d03cdf-d43f71c4-7c4281e2-d7448b16-3568a169.jpg | semi upright portable ap view the chest. lung volumes are markedly low. there is no large consolidation or definite signs of effusion or pneumothorax. the heart size cannot be assessed. mediastinal contour appears grossly unremarkable allowing for slight leftward rotation. no acute osseous injury is detected. | <unk>m with s/p mvc // ?fracture or bleed |
MIMIC-CXR-JPG/2.0.0/files/p14385080/s57601753/f9e77f68-e4b4671a-18f9eacb-bae8e615-f4e42a2a.jpg | the lungs are mildly hyperinflated. a dual lead pacemaker is unchanged in position. the cardiomediastinal contour is within normal limits. the heart size is at the upper limits for normal. no consolidation, pneumothorax or pleural effusion seen. mild atherosclerotic calcification in the thoracic aorta. | <unk> year old woman with copd, increased sob // assess for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12757934/s51146523/1efb293a-f23c92bf-28848ecc-cefebab3-c4fafef1.jpg | right sided central venous catheter tip terminates in the low svc. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. lung volumes are low without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p17247002/s57462253/418206e6-ae5bce29-cf1a3755-8900e97b-0c445641.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | history of dvt. evaluate for signs of pulmonary embolism. |
MIMIC-CXR-JPG/2.0.0/files/p17817786/s52400094/c67a7ed9-8530a6f9-ae2a5b14-14aed1df-3d62305f.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. patient is status post right upper lobectomy. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. | <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p12126715/s54965874/18f64853-a384af2b-1c9e7e0f-32efea75-3438af0c.jpg | one portable ap supine view of the chest. slight mediastinal widening is due to fat deposition as was seen on prior radiographs and chest ct <unk>. the previously seen left lower lobe lingular consolidation has resolved. the right lung is clear. there are no new areas of consolidation. there is no pleural effusion or pneumothorax. heart size is normal. mediastinal and hilar contours are normal. no pulmonary vascular congestion. | psychosis and worsening mental status, elevated white blood cell count, history of pneumonia. evaluate for aspiration or infection. |
MIMIC-CXR-JPG/2.0.0/files/p16274426/s52171302/cff7fb49-82c87f61-1894a457-ec85ff73-536fe476.jpg | severe cardiomegaly is increased compared to the previous exam. mediastinal contours are unchanged. worsening diffuse interstitial opacities with associated ground-glass opacities in predominantly the perihilar and bibasilar regions are seen, with new bilateral small pleural effusions. more focal opacification in the retrocardiac region also is present. there is no pneumothorax. no acute osseous abnormalities are seen. | palpitations, atrial fibrillation. |
MIMIC-CXR-JPG/2.0.0/files/p11655031/s53149100/a45432be-836eb2d8-7db66861-0f4efa4a-3695c187.jpg | single frontal view of the chest demonstrates no evidence of pneumothorax. the cardiomediastinal silhouette is unremarkable. there is no vascular congestion or pleural effusion. no displaced osseous injury is evident. a <num>-mm well-circumscribed radiodensity projecting over the right humeral head may represent a bone island, but is not encompassed on preceding radiographs of the chest. | <unk>-year-old male, who sustained multiple epigastric stab wounds, now presenting with shortness of breath. question traumatic injury. |
MIMIC-CXR-JPG/2.0.0/files/p12784119/s50332332/065ddc36-40f0b34e-03c84b7c-c0faadfb-2e068bab.jpg | the lungs are well-expanded. subtle increased opacity in the right lower hemi thorax could represent an early bronchopneumonia. no edema, effusion, or pneumothorax. the heart size is normal. the mediastinum is not widened. prominent pulmonary arteries are similar to the prior exam and may suggest sequelae of chronic pulmonary hypertension. a left posterior a lateral rib fracture is old, unchanged. | history: <unk>m with chest pain // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p14232073/s59356890/7a6d11ab-81c4bdd2-27735b06-a30b5ac4-42a5314a.jpg | cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | two days of cough and pleuritic chest pain. history of hiv. |
MIMIC-CXR-JPG/2.0.0/files/p13181125/s55891368/94f28548-a7c6804d-edf4a85c-5c90f7bb-7ecd060f.jpg | pa and lateral views of the chest. there are bilateral mainly central opacities, greater at the bases, with small bilateral pleural effusions. there is fluid in the right or left major fissure, best seen on the lateral view. there are no focal parenchymal opacities concerning for pneumonia. no pneumothorax. the cardiac, mediastinal, and hilar contours are normal. the left pacemaker lead ends in the right ventricle. | shortness of breath, hypoxia, and cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10035631/s51304196/94900eb9-0f1e9e84-46c5d3ec-a5b746f2-9f965dc7.jpg | ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. on the single ap view chest examination, the heart size remains unchanged and is within normal limits. the pulmonary vasculature is not congested. no signs of acute new infiltrates in comparison with the previous study obtained four days earlier. no evidence of pleural effusion as the lateral pleural sinuses are free. a previously existing right internal jugular approach central venous line has been removed. there is no evidence of pneumothorax in the apical area. | <unk>-year-old male patient with acute myelocytic leukemia, now neutropenic with new cough, evaluate for possible new pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15131736/s57124801/c2b22508-19420edd-b20d6189-f63a4ebf-54d99e64.jpg | cardiomegaly is stable. pulmonary edema is improved and is now moderate. there is no new focal consolidation or pneumothorax. | history: <unk>f with acute dyspnea/hypoxia // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p15959372/s57841359/179a6d43-1855a2d3-61656db5-385066fc-d184ffc7.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old female with cough and fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10965697/s56394278/982e87c6-4acf4243-12207c85-54c8fbc7-8d35598e.jpg | the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. previously seen right middle lobe opacity on ct is not well seen on the current exam. the pulmonary vasculature is not engorged, and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. trace of calcification of the aortic knob is re-demonstrated. no acute osseous abnormality is detected. | history of aml with recent relapse, on chemotherapy currently, now with dizziness and fall, here to evaluate for underlying infection. |
MIMIC-CXR-JPG/2.0.0/files/p16447197/s54538654/1d502b40-2f0d2e67-9e8d9da4-c04d78a2-a8096e3a.jpg | no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours. there is minimal elevation of the left hemidiaphragm with gaseous distention of the stomach and or bowel beneath, not fully imaged. there is subtle deformity of the lateral left seventh rib of indeterminate age | history: <unk>f with h/o mva on <unk> and rib pain worsening with pressure and inspiration // rib fractures |
MIMIC-CXR-JPG/2.0.0/files/p12885435/s52184642/1f943381-0f0c08d9-54b163e7-78862872-ff57cdb4.jpg | nasogastric tube tip terminates within the stomach. heart size is normal. aorta remains mildly tortuous and diffusely calcified. hilar contours are stable. chronic interstitial abnormality is demonstrated within the lung bases. previously noted more focal opacities in the lung bases appear improved, likely reflective of resolved infection or inflammation. emphysema is again seen. no pneumothorax or pleural effusion is identified. dilated loops of small bowel are noted within the imaged portion of the upper abdomen. there are no acute osseous abnormalities. | nausea, vomiting, decreased bowel movements and diffuse abdominal pain with possible aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p18557848/s51498929/b032e35a-ca9a451e-642a74c2-1057ee3c-7e0c0291.jpg | left anterior chest wall dual lead pacer is unchanged. median sternotomy wires are intact. moderate cardiomegaly is unchanged with unfolding of the thoracic aortic arch. aortic knob calcifications are unchanged. there is mild pulmonary vascular congestion. there are moderate bilateral pleural effusions with bibasilar atelectasis. there is no pneumothorax. | hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p11140716/s54237132/50642733-85d79dcd-b368dcee-4ff4db7d-dccd39ed.jpg | there is a new moderate right pleural effusion and small left pleural effusion. the cardiac size cannot be assessed due to these pleural effusions. there is no pneumothorax. linear opacities in both mid lungs are likely atelectasis. median sternotomy wires are present. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19657904/s56461899/1838eb9b-87d2aaf7-a8a30ce7-a25be706-782ed797.jpg | lung volumes are low. the lungs are clear without a focal consolidation, effusion, or pneumothorax. moderate cardiomegaly is stable. descending thoracic aorta remains mildly tortuous. no acute fractures are identified. | cough and wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p15143445/s59430783/4719081a-45ee7f86-9716cc2e-0233d04b-f1a1f58b.jpg | the lungs are clear without focal consolidation. pleural thickening seen along the left lung laterally. there is no effusion. cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is noted. there are no acute osseous abnormalities. partially fused mid thoracic vertebral bodies may be congenital, unchanged. | <unk>f with abdominal pain // eval for signs of volvulus |
MIMIC-CXR-JPG/2.0.0/files/p13945721/s57225690/9c1f2b06-117aacd7-cf2c13c2-cf2cf055-903cf128.jpg | pa and lateral views of the chest provided. in the left lung base, there is a small to moderate amount of loculated pleural effusion, which is stable to possibly minimally decreased in size since prior study. air is seen within this loculated collection,better seen on ct, which may be due to recent pleurx catheter removal. in addition, there is increased opacity in the left upper hemithorax, which is not well seen in the prior study and could reflect additional loculated fluid collection. no free air below the right hemidiaphragm is seen. | <unk>f abdominal pain, evaluate for pleural effusion s/p left plurex removal |
MIMIC-CXR-JPG/2.0.0/files/p16566006/s59589786/948f946f-b250af47-cb743a86-d5549bab-9ed9edd9.jpg | frontal and lateral views of the chest. blunting of the left lateral costophrenic angle is unchanged, potentially due to atelectasis. posterior costophrenic angles are sharp without evidence of effusion. the lungs are otherwise clear without focal consolidation. the right apical pleural-based thickening is again seen. the cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are identified as well as possible coronary artery stent. no acute osseous abnormalities. | <unk>-year-old male with fevers and dysphagia. |
MIMIC-CXR-JPG/2.0.0/files/p16088589/s53939537/d97c7cbe-7cf71c59-f7fdab3e-75ca3ec6-4215d133.jpg | there has been interval removal of a right-sided chest strain. no pneumothorax seen. lung volumes remain low particularly on the right. no consolidation or pneumothorax seen. tiny right pleural effusion. previous median sternotomy and coronary artery bypass graft noted. old fracture of the right surgical neck of humerus is again seen. | <unk> year old man with pleural effusion s/p chest tube removal // ct out, please evaluate for interval change. please perform exam at <unk> on <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p19205951/s57050097/9662a7f4-3ff6f6c0-2a1571dc-d5cb3de0-7dee0ea9.jpg | heart size is normal. the mediastinal contour is normal. lungs are clear without focal consolidation. there is no effusion or pneumothorax. there is no evidence of pulmonary vascular congestion. surgical clips are noted in the right upper abdomen. | cough for <num> weeks on deep inspiration. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14489728/s50549185/51db7fb7-b60fa5ed-cd813c92-a2c327be-51427cbc.jpg | the lungs are otherwise clear. the heart size is normal. no pneumothorax, pleural effusions, or pulmonary edema. currently, no pneumonia is seen on this exam. | <unk> year old woman with low grade fever; patchy density on recent <unk> cxr // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p14856000/s58203969/255434f2-fbde7912-23c3a51b-2d04934a-c692b839.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs. there is a small to moderate right pleural effusion. no appreciable pleural fluid is seen on the left. diffusely increased opacity bilaterally likely reflects mild pulmonary edema. slightly increased opacity in the right mid lung may reflect atelectasis related to the pleural effusion, but an infectious process cannot be excluded. there is no appreciable pneumothorax. the visualized upper abdomen is unremarkable. | evaluate for pneumonia in a patient with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13950510/s53417962/80d9037e-fda9ac34-f678fb2f-17f97802-535f1b61.jpg | cardiomediastinal contours are normal. the lungs are clear. small right pneumothorax is stable. right pigtail catheter is in place. there is no pleural effusion. the osseous structures are unremarkable | <unk> year old woman with r ptx, ct to ws // please eval for interval change would like to d/c ct please perform prior to <num>am |
MIMIC-CXR-JPG/2.0.0/files/p10772360/s58384371/fef58e8f-2da4419f-052c83f1-89f1e547-9ea594c3.jpg | there is mild interstitial edema. lung volumes are low without pleural effusion or focal consolidation. the heart is top-normal in size. the mediastinal contours are normal. | <unk>-year-old female with recurrent falls. evaluate for pneumonia or congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p11996658/s55707280/2c216d7f-2af06f59-ae8afbc4-4de032fb-b429d277.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | cough and fever |
MIMIC-CXR-JPG/2.0.0/files/p11171383/s59491494/81006ea4-785d6677-288ed8fd-dd8a4e62-82acd043.jpg | compared to the prior study the heart size is enlarged and there is increase in the vascular engorgement. there small right effusion. there is volume loss at both bases. | <unk> year old woman with systolic murmur // eval for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p14542181/s56309102/861e010c-88dbfc86-adb963a8-4b3f0b0a-880afbc0.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | cough. rule out an acute process. |
MIMIC-CXR-JPG/2.0.0/files/p14089164/s53537031/2fda2d79-60c9ca7c-51ebb98e-931784a9-ea2bb96e.jpg | pa and lateral chest radiographs. the left-sided pigtail catheter is in stable position. moderate left pleural effusion is unchanged. mild right basilar atelectasis is still apparent. there is no pneumothorax. | large left pleural effusion and suspected pneumonia. patient had a pigtail catheter placed. evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p12463286/s58525057/48cecf3b-da28f0f4-5c872bb7-7598636b-0c25b302.jpg | there is no significant interval change in the appearance of the lungs. asymmetric bibasilar opacity, right greater than left, is similar, possibly due to scarring. right apical pleural thickening is re- demonstrated, stable in appearance. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with chest tightness, dyspnea on exertion // eval cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p14357506/s53469764/84b6bed3-5fca9fd7-d08583fc-11b1522d-4f3af0eb.jpg | moderate loculated right-sided effusion has slightly increased. adjacent opacities have not substantially changed. the known pulmonary metastases in the right upper lobe and left lower lobe are again seen and the size are grossly comparable. no pneumothorax. | <unk> year old man with rcc // assess for recurrence of pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p13896515/s50498379/6a7ae1e7-25818d8d-e2aaca48-19d5034e-df932bae.jpg | appearance of the median sternotomy wires are unchanged. again noted is the biventricular icd implant; one lead is seen in the right atrium, a second lead within the right ventricle but the tip of the third lead is not well visualized. there is slight improvement of underlying pulmonary edema compared to <unk>. again noted is a small left pleural effusion. the heart is enlarged. no evidence of pneumothorax. | <unk> year old man with new bivicd implant // evaluate for lead placement and pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p12615775/s55511611/aba85c30-8ebb3545-cb9ae1c0-32c7b96d-95ec0d8c.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | right-sided weakness. |
MIMIC-CXR-JPG/2.0.0/files/p11565193/s53295695/e0111d51-519de2ad-659d62bd-f996f2ac-f4288f33.jpg | a right picc terminates in the distal svc. dobbhoff tube is present, terminating in the proximal duodenum. an ivc filter is constant. the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the previously seen opacity overlying the left hemidiaphragm have resolved. the cardiac and mediastinal contours are unchanged. the hilar structures are unremarkable. | cml with a cough. |
MIMIC-CXR-JPG/2.0.0/files/p15228243/s58625170/46830006-775db7fc-cc32aff3-88017965-4e4fcc8e.jpg | compared with the prior study and allowing for differences in technique, i doubt significant interval change. again seen is chest tube at the right lung base, with a small effusion and underlying atelectasis. no pneumothorax is detected. the tip of a presumed ng tube overlies the medial right lung inferiorly, in this patient with a neo esophagus. minimal atelectasis and mild patchy retrocardiac opacity are similar to the prior film. | <unk> year old man with ? empyema // resolution of effusion, worsening? |
MIMIC-CXR-JPG/2.0.0/files/p10278306/s57720181/3a9d18fa-d0569771-ad3e002e-94d84d8d-270c54b2.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | history: <unk>f with weakness // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13325402/s53420046/d7a477c0-054dc480-77a5550a-2a314a44-c0bade78.jpg | heart size remains moderate enlarged. the mediastinal and hilar contours are grossly unchanged. there is mild pulmonary vascular congestion without focal consolidation. small bilateral pleural effusions are present. no pneumothorax noted. marked narrowing of the right acromiohumeral interval indicates underlying rotator cuff disease. | history: <unk>f with chest pain, dyspnea, history of congestive heart failure |
MIMIC-CXR-JPG/2.0.0/files/p15806029/s57715947/d7ce140f-08f08a30-72f4fb58-fecaf452-5c15f0b5.jpg | pa and lateral radiographs of the chest demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. | cough, history of hiv. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14497007/s51487459/4ab0b990-78a3775e-cb803449-f3b60a0f-8cee5afc.jpg | right-sided port-a-cath terminates in the low svc. no focal consolidation. there is a small amount of pleural fluid, best appreciated on the lateral view. no pneumothorax. cardiomediastinal contours are normal. spinal fusion rods are grossly unremarkable in appearance. | history: <unk>f with fevers, sob // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17329809/s59505299/8adbee74-164b5fcf-54271aff-8d486209-e9e427f0.jpg | the endotracheal tube is been removed. in the mid trachea there is a <num> mm area of extreme lucency. this could be due to a tortuous trachea being seen on end. the patient has a large hiatal hernia and the feeding tube is coiled in the hernia with the tip above the diaphragms. there are large bilateral pleural effusions. there is ill-defined vasculature and diffuse hazy alveolar infiltrate | <unk> year old woman, recently extubated, now w diminished lll sounds. treating pneumonia. // ? lll mucus plugging |
MIMIC-CXR-JPG/2.0.0/files/p12953164/s52896384/033ccd80-2df3b478-4ad2c414-4faf42c6-0bd43b01.jpg | heart size is normal. mediastinal and hilar contours are unchanged, with atherosclerotic calcification of the thoracic aorta noted diffusely. pulmonary vasculature is normal. lungs are clear without focal consolidation. minimal scarring is noted within the lung apices. no pleural effusion or pneumothorax is demonstrated. multilevel degenerative changes with calcification of the intervertebral discs and mild compression deformities within the mid thoracic spine redemonstrated. | slurred speech. |
MIMIC-CXR-JPG/2.0.0/files/p13921670/s54339561/45fda3af-d75563a6-6d72ef81-c0237c8a-813d9443.jpg | ap and lateral chest radiographs were obtained. groundglass opacities are seen diffusely through the entire right lower lobe. the left lung is clear. cardiomegaly is mild. there is no effusion or pneumothorax. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18970536/s59294032/758c97f2-065c6a3f-ca14afaf-322debf6-de7993dd.jpg | the patient is status post median sternotomy and mitral valve replacement. heart size is difficult to assess given the presence of moderate bilateral pleural effusions which are relatively unchanged compared to the prior exam. the mediastinal contour appears unchanged, and no overt pulmonary edema is demonstrated. there are bibasilar compressive atelectatic changes noted. no pneumothorax is seen. no acute osseous abnormalities present. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13194123/s55067161/5231898a-ed6f9bf5-b8ed5b84-87f15cb2-0ce39ad6.jpg | the heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vascularity is normal. patchy opacity in the medial right lung base is concerning for an area of infection. no pleural effusion or pneumothorax is identified. punctate radiopaque density projecting over the left lateral inferior chest is unchanged. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p19216528/s59868365/0fbb161e-e11746b3-f9326f5b-bd1220f2-8c493075.jpg | in comparison with chest radiograph from <unk>, there is little overall change. sternal alignment is maintained and there is no evidence of hardware loosening or failure. lungs are clear without focal consolidation, pleural effusion or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. | <unk> year old woman with chest wall clicking // hardware <unk> chest wall clicking |
MIMIC-CXR-JPG/2.0.0/files/p15115014/s56269474/5426ebff-bbaa0246-703a9a3c-279b4a29-0b80e647.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal except for a distended azygos vein, likely secondary to known svc thrombus on recent ct of same date. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | history: <unk>f with recent chemo and shocky // infectious workup |
MIMIC-CXR-JPG/2.0.0/files/p12612379/s56806053/c50b6aa2-d944ca6e-34875e2e-ec6857cb-98e8d590.jpg | a right-sided chest tube is seen entering the inferior lateral aspect of the chest wall and terminating in the right upper lung, unchanged in position. as compared to prior chest examination, there is a new right basal opacity which is concerning for an infectious process. there is also a component of pleural effusion which appears increased in size since prior examination. the left lung is essentially clear. there is no pneumothorax. the cardiomediastinal and hilar contours are stable. | dyspnea, fevers. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15962057/s55427646/96755337-b80923d3-d93716ee-eb90e40a-6ba2b844.jpg | pa and lateral views of the chest provided. minimal scarring is seen anteriorly on the lateral projection. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with r lower rib pain // eval for fx, infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19595757/s54057318/6cf92894-2c50d0ed-d9ef3f71-365e5754-13fe4748.jpg | frontal and lateral radiographs of the chest show persistent low inspiratory lung volumes with increased size of small bilateral pleural effusions from <unk>. mild pulmonary edema bilaterally is improved from the preceding radiograph. the pulmonary vasculature is not engorged. no focal consolidation or pneumothorax is present. a tiny calcified nodule in the periphery of the left upper lobe is stable from <unk>. the patient is status post median sternotomy and cabg with preserved alignment. the cardiac silhouette is unchanged. the mediastinal and hilar contours are stable. no prominence of the azygos vein is seen. | <unk>-year-old male with history of chf, status post cabg, now with worsening dyspnea on exertion, here to evaluate for evidence of heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p12410764/s58672238/5c537a37-5d872217-ef9592a6-ec20fa26-d6ae1080.jpg | lung volumes are low. heart size is mildly enlarged. the aorta remains tortuous. mediastinal and hilar contours are otherwise stable. pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is unchanged. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. | <unk> year old woman with chest pressure and shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p19404187/s50682888/847237ae-40229169-b1a8c3fd-04d45b62-fc0cee14.jpg | chest pa and lateral radiograph demonstrates decreased size of the left upper lobe opacity possibly due to resolution of hemorrhage, now measuring <num> in the craniocaudal dimension compared to <num> cm on prior study. there is persisitent if not increased streaky retrocardiac opacities, possibly related to aspiration. no definitive opacification concerning for pneumonia. minimal left costophrenic angle blunting, likely represents small left pleural effusion. no osseous abnormalities identified. | patient with known left upper lobe mass, hemoptysis. please evaluate for pleural effusion, empyema, interval change of tumor. |
MIMIC-CXR-JPG/2.0.0/files/p15973805/s54516781/1c184f9c-fbefd353-d40e242a-29cce610-09b9af66.jpg | ap upright and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are stable in appearance. there is no pleural effusion or pneumothorax. re- demonstration of a vascular stent in stable position. osteal lysis involving part of the distal right clavicle is noted. a metallic anchor is noted within the right humeral head. | <unk>f with cp and ha. |
MIMIC-CXR-JPG/2.0.0/files/p11467523/s50151580/9545701b-84604870-1e208675-66a5c3f6-e3909e15.jpg | a single portable chest radiograph was obtained. bilateral pleural effusions and mild atelectasis have increased since <unk>. cardiomegaly is unchanged. there is no consolidation or pneumothorax. pacing leads, sternotomy wires, vascular clips, and abdominal surgical clips are unchanged. | <unk>-year-old man with copd, pneumonia, and acute respiratory failure. |
MIMIC-CXR-JPG/2.0.0/files/p10873606/s50656059/4487789b-4d6b4e88-dc056b47-73bdedd8-0d554d59.jpg | the lungs are clear of consolidation, effusion, or pneumothorax. calcified left base granuloma is again noted. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with cough and chills // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19323815/s57591627/5cc0f75c-893377ae-91af53d4-8a173418-885b615f.jpg | pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old female with sudden onset of left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11654223/s55652182/f0bfbfe1-74b30093-5c49edbb-91686953-d00f3224.jpg | pa and lateral views of the chest. the lungs are clear. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. no pleural effusion. no evidence of pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19300236/s58403401/923f69d0-27a09410-3d5084f9-f88ea39a-b96ce480.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | history: <unk>m with dyspnea s/p smoke inhalation // eval for edema |
MIMIC-CXR-JPG/2.0.0/files/p18407701/s55851667/1299d2e4-0bdbfd97-781945b6-13bd6942-07dab088.jpg | there is subtle patchy opacity projecting over the spine on the lateral view, likely localizing to the left based on the frontal view. the lungs are otherwise clear and there is no effusion. cardiomediastinal silhouette is within normal limits. deformity of the posterior left and probable right ribs is seen compatible with prior healed fractures. compression deformities also seen in the upper to mid thoracic spine with associated kyphosis. | <unk>-year-old man with cough. recently treated for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12487705/s59647932/f27727fd-37f21e92-5274a768-b7fdb6bb-7e48d7e9.jpg | frontal and lateral chest radiographs demonstrate unchanged exam with unremarkable cardiomediastinal and hilar contours. stable linear opacifications noted in the bilateral lung bases, left greater than right, likely representing atelectasis. stable blunting of the left costophrenic angle may represent small effusion versus atelectasis. lungs are clear without evidence of septic emboli or pneumonia. | gpc bacteremia and new hypoxia. assess for septic emboli versus pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10459104/s51992175/e8d6b901-6252b8f1-35340ee6-15c88794-f5189e98.jpg | there is minimal bibasilar atelectasis. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. no displaced rib fractures or other bony abnormality detected. | status post fall with head striking, evaluate for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p17147107/s52168301/ee2de8a8-b734874f-7ab7cc59-6d408daf-d0cf0d08.jpg | ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. heart size is top-normal though unchanged. aortic calcifications are noted. overall cardiomediastinal silhouette is stable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. fusion hardware in the cervical spine noted. | <unk>f with hfpef, cad, ckd presenting with weakness and somnolence // c/f pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p18793288/s59001131/f101f141-c4f323c7-9ada319d-5517b1f4-cc5fb356.jpg | right chest wall port catheter terminates at the superior cavoatrial junction. the lungs are clear and the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. | <unk>m with colon cancer on chemotherapy, with new leukocytosis. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12123658/s55436529/bbf02e85-b44bd0a0-c177d496-ef045523-4b079158.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. | history: <unk>f with shortness of breath. // please evaluate for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p17117476/s57163838/06c81f5e-74cfd893-262e8968-a1a7c476-ee271e95.jpg | subtle opacity at the left lower lung may be due to atelectasis, however, early consolidation due to infection or aspiration is not excluded. no pulmonary edema is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with bradycardia // ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13777833/s58633604/30939686-b22793a3-4285e926-f7a7b61b-4bd7af25.jpg | lung volumes are extremely low with moderate to severe cardiomegaly, unchanged from prior. again seen is a large hiatal hernia. no definite focal consolidation. there is no pneumothorax or pleural effusion. | <unk>f with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p13594409/s57102079/f8b573e7-1ad617eb-cb968398-ff979303-1c3e256c.jpg | the left picc line terminates in lower svc. the lungs are clear. the pulmonary vasculature and hila are normal. no pleural effusion or pneumothorax. the cardiac silhouette is enlarged but unchanged. the mediastinum is unchanged. | <unk> year old woman pre op // confirm picc placement surg: <unk> (insertion of tissue expander) |
MIMIC-CXR-JPG/2.0.0/files/p10098519/s58798512/16b2c610-28e9a780-a60b2879-7733b0e7-6824aba0.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 confusion // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p16849836/s55919867/e313b39a-936f6fc1-945ca639-5eb9d9d8-2508d2a9.jpg | lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with persitant productive cough // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p14230571/s53585617/af0112d6-29071478-8cf101de-f5927cec-2d4fd753.jpg | pa and lateral views of the chest provided. perihilar, <unk>-<unk> thickening is seen without definite focal consolidation. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. multiple wedge-shaped deformities of the lower thoracic spine are again seen. | <unk>m with sob |
MIMIC-CXR-JPG/2.0.0/files/p13996386/s59424898/d0d67dc6-c15aaec3-878ab97b-71d5e315-fe2dbe97.jpg | since the examination from <unk> a left upper lobe pneumonia has completely resolved. there are no new focally occurring opacities. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is normal. | <unk>-year-old female with left lower lobe pneumonia. for interval followup. |
MIMIC-CXR-JPG/2.0.0/files/p18877062/s50909688/5678f058-16e4ee44-5e6704bc-b8b2f7df-ce4686d8.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. | history: <unk>m with sdh // pre op |
MIMIC-CXR-JPG/2.0.0/files/p19047476/s55860869/ec7b4999-261c4347-1c5c15b4-081f30c7-dba6fcda.jpg | ap and lateral views of the chest demonstrates a tortuous aorta with calcified aortic knob, as well as dilatation of the ascending aorta. bibasilar atelectasis is present. multiple tiny nodules verses vessels on end appear to be present in the lungs all sub <num> mm and benign appearing on this radiograph. cardiac size is normal. no pleural effusion or pneumothorax. a veterbra plana deformity of the mid thoracic veterbral body is noted, age indeterminate. | <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p11289411/s53903859/bd2dd09f-6df1800e-b440185b-db935f8d-49fe6cf0.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified. | sudden onset left-sided chest pain after being in a fight. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13031024/s54508657/d04ff05f-24a66f52-071be533-1de31464-f04d4922.jpg | the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with cough, chest pain // please eval for any evidence of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14210409/s55434846/fee54f5a-2a02731d-c0ea6d58-6d6052d5-6aad6334.jpg | in comparison the prior study there is slight enlargement of the left pleural effusion. there is also a small right pleural effusion, slightly larger. the lungs appear clear. the cardiac size is stable. there is no pulmonary edema. there is no pneumothorax. | evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p19252194/s51378096/373cc86a-7c87a465-aca795d0-36f15120-dcefa593.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. | <unk>-year-old female with code stroke |
MIMIC-CXR-JPG/2.0.0/files/p18406108/s56520027/cd6e6103-d070e14d-fc27fe6a-11498de0-1c2a601a.jpg | moderate cardiomegaly is re- demonstrated. the aorta remains tortuous. there is mild central pulmonary vascular congestion without pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality is visualized. | <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p14103762/s54967825/c0ca8031-693af192-e23b1643-50a88f33-41822901.jpg | pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no typical configurational abnormality is identified. thoracic aorta unremarkable, but follows the course of a moderate s-shaped scoliosis in the mid and lower thoracic spine. no local contour abnormalities are seen. a permanent pacer capsule is noted in left anterior axillary chest wall position being connected to one intracavitary electrode having the distal typical appearance of an icd. the tip of the line is in a position compatible with the apical portion of the right ventricle. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. mild elevation of the left-sided diaphragm is noted, apparently related to moderately gas-distended left-sided colonic bowel flexure. on the lateral view, the patient was able to elevate the left arm (related to recent pacer placement), but the cardiac area and diaphragmatic contours still remain well visible. our records do not include a previous chest examination available for comparison. | <unk>-year-old female patient status post single-chamber icc placement. confirm lead position. |
MIMIC-CXR-JPG/2.0.0/files/p15307141/s59650930/a351fbf6-70bd0002-68f86d8c-245fc203-78a0dc59.jpg | lordotic positioning. heart size is at the upper limits of normal or slightly enlarged, likely accentuated by low inspiratory volumes. there is some patchy opacity there is multifocal patchy opacity notably at the right mid zone laterally, right base, left mid zone laterally and possibly also at the left base. there is blunting of the right costophrenic angle. no definite left-sided effusion. there is slight increased retrocardiac opacity. there is upper zone redistribution no definite chf. | history: <unk>m with hypoxia. s/p fall yesterday on anticoag // ?bleed on ct head or pneumonia on cxr . note is made that the the patient's ct from <unk> referred to mild diffuse subpleural ground-glass opacities and interlobular septal thickening that might indicate nsip. |
MIMIC-CXR-JPG/2.0.0/files/p18109635/s53965105/3ca01c30-56fda833-ccefcac7-70225f26-43698e25.jpg | ap portable supine view of the chest. there has been interval intubation with the tip of the endotracheal tube located <num> cm above the carinal. the orogastric tube extends into the left upper quadrant. airspace consolidation is slightly increased in the right mid and lower lung which is concerning for pneumonia versus aspiration. the left lung appears relatively clear. | <unk>m with intubation // intubation |
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