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MIMIC-CXR-JPG/2.0.0/files/p17769214/s54509178/9290a382-6c712878-f1720c17-86a3a293-e6d27976.jpg | ap portable upright view of the chest. endotracheal tube is seen with its tip located <num> cm above the carinal. the ng tube courses into the left upper quadrant. lung volumes are low. there may be mild pulmonary edema. bronchovascular crowding and atelectasis is noted at the lung bases. no large effusion or pneumothorax is seen. heart size cannot be accurately assessed. the hila appear mildly congested. mediastinal contour grossly unremarkable. no bony injuries. | <unk>f with new ett |
MIMIC-CXR-JPG/2.0.0/files/p15400654/s57658580/e42ccee8-8033cbfb-31d799fe-8d50eee2-e6329fd4.jpg | there is no focal consolidation, pleural effusion or pneumothorax. right apical calcifications are unchanged. the cardiomediastinal silhouette is unchanged. median sternotomy wires are intact. the aorta is tortuous. imaged upper abdomen is unremarkable. there are severe degenerative changes at the glenohumeral joints bilaterally. | history: <unk>f with r sided wakeness and ams. // ich, pna |
MIMIC-CXR-JPG/2.0.0/files/p15107848/s53938623/f00348e5-a3f24ef8-83317347-dd085e61-57af9257.jpg | all support devices have been removed. extensive bilateral airspace opacities have minimally improved since the study of <num> days prior, particularly in the left upper lobe. however, the background of fine reticular interstitial opacities is unchanged. lung volumes remain low. there is no pneumothorax. moderate cardiomegaly despite the projection is unchanged. small pleural effusions are unchanged. | <unk> year old man with ipf, distolic dysfunction, now with worsening sob, // ? worsening infiltrate, fluid |
MIMIC-CXR-JPG/2.0.0/files/p12656203/s56751175/8c8c06dc-ba1b212d-03569403-39fcf8d4-352cb397.jpg | pa and lateral views of the chest. the lungs are clear. there is no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old female with chest pain. question pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17165503/s56842078/6ac352bb-b36eab62-06e76a13-4f1c1482-7c49bfce.jpg | new transvenous pacemaker leads follow the expected courses to the right atrium and right ventricle. there is no pneumothorax, mediastinal widening or pleural effusion. a hazy opacity abutting the cardiac apex is larger today. lungs are otherwise clear. dilated main pulmonary artery is bigger, but, otherwise the cardiac configuration is normal. | <unk> year old woman with ps, paf, snd s/p pacemaker // lead position, pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p15649581/s58310023/45c6ee03-c5b093de-58698984-08090889-46ba978c.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. | pericarditis with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16233087/s52656542/09d27379-4608be89-4ade12f2-f840d2de-d1f5d71b.jpg | since the prior radiograph of earlier today, a moderate left pleural effusion has slightly has not significantly changed. no pneumothorax. no other relevant change. | <unk> year old man with s/p (l)thoracentesis // eval ptx |
MIMIC-CXR-JPG/2.0.0/files/p14246614/s54030823/71f23db7-1eed04ad-bec1030d-748b2c95-9f587f77.jpg | there is a new endotracheal tube with tip in the right mainstem bronchus. at the time of dictation this report on <unk> at <time> a.m. the et tube had already been withdrawn and was in a more appropriate position. there is moderate cardiomegaly right lower lung volume loss left retrocardiac opacity and pulmonary vascular redistribution. | hypoxemia |
MIMIC-CXR-JPG/2.0.0/files/p12003500/s51631715/511cd370-46c0aa25-76d25ee5-eebd8940-664e6636.jpg | low lung volumes bilaterally with interval increase in bibasilar plate-like atelectasis, right greater than left. no pneumothorax, pleural effusion or pulmonary edema. heart size, mediastinal contour and hila are normal. stable healed left lateral rib fracture with callus formation. no additional bony abnormality. | male with chest tube removal. assess for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18857002/s53927677/9b3743ad-edf6499e-1ad1f2c5-440a177d-4cfbf93e.jpg | no focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is a compression deformity of the t<num> vertebral body. | <unk>-year-old woman with chest pain. evaluate for aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p12726148/s54748603/43663bc2-f70db852-323e59a5-7c4b0c56-95fcb8c8.jpg | multi focal opacity is seen in the left upper lobe and lingula. the right lung is essentially clear. the cardiomediastinal silhouette is top-normal. there is no effusion. no acute osseous abnormalities identified. | <unk>f with cough and sob // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19391932/s59711783/22aa3fdb-630f200a-06e80967-f8b65a97-97843180.jpg | there are bibasilar opacities with silhouetting of the hemidiaphragms consistent with moderate bilateral pleural effusions with adjacent atelectasis, increased in comparison to prior study from <unk>. it is worth noting that an overlying developing pneumonia cannot be excluded. the cardiac silhouette also appears enlarged in comparison to prior study suggesting heart failure. otherwise, atherosclerotic calcifications are again noted at the aortic arch. known sclerotic focus in the t<num> vertebral body is not well evaluated on this study. | shortness of breath and crackles at bilateral bases. |
MIMIC-CXR-JPG/2.0.0/files/p12008763/s53614948/8f56dc09-2cde4c6d-2d0b68e5-b29caf75-0bde76ee.jpg | interval removal of the endotracheal tube. right central venous catheter is unchanged. moderate pleural effusion on the left with surrounding atelectasis appears worse compared to the prior study. atelectatic changes seen within the right base are stable. lungs are otherwise clear with no evidence of focal consolidation. no pneumothorax. | <unk>-year-old man, evaluate effusion. |
MIMIC-CXR-JPG/2.0.0/files/p16993110/s58635613/02edb48c-0bf4feb6-83537d28-fa48ea9a-8bf98b14.jpg | ap and lateral views of the chest. left basilar opacity is identified which may be due to atelectasis versus infection. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. lucency below the right hemidiaphragm was subsequently shown to be free intraperitoneal air identified on chest ct. | <unk>-year-old female with altered mental status, cough, peg tube for poor gag reflex. |
MIMIC-CXR-JPG/2.0.0/files/p19397036/s51131892/be6f3c72-0f544408-f8ecf020-6f39291c-e3556f10.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. left sided paraspinal clips are again noted. no acute osseous abnormalities. | <unk> year old woman s/p liver transplant <unk> years ago, presenting w/malaise and evidence of infection. // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p18957045/s51510602/1c33279e-eea794c5-8fb4aebe-1234f08d-3763e6ce.jpg | the lungs are hyperinflated. there are diffuse interstitial opacities, markedly worse from earlier this morning. there is fullness of the perihilar vascular structures. there is no definite pleural effusion. no pneumothorax. heart size is normal. old appearing fractures of the right upper ribs and right clavicle are noted. | altered mental status, rule out cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p17486681/s51600548/ad0c23ef-a4fd4a5f-5239e17e-b0bd7dea-7d48a8e4.jpg | lung volumes are low. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the ascending thoracic aorta is chronically tortuous and/or dilated, unchanged since <unk>. the cardiomediastinal silhouette is otherwise within normal limits. | history: <unk>m with cough // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p10413821/s56301083/d35cfc54-0054903c-7ba4e9f9-572fa1ea-897c6b0c.jpg | lung volumes are low. this accentuates the size of the cardiac silhouette which is borderline enlarged. the mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures, but no overt pulmonary edema is demonstrated. minimal streaky opacities are seen in the lung bases likely reflective of atelectasis. no large pleural effusion, focal consolidation or pneumothorax is present. mild to moderate multilevel degenerative changes are noted in the thoracic spine. | history: <unk>m with cough, presenting status post syncope |
MIMIC-CXR-JPG/2.0.0/files/p11098660/s55506538/630469c1-605cf44d-dda842f3-25ed9b54-81df3674.jpg | there has been interval removal of an et tube. the swan-<unk> catheter is in appropriate position with the tip in the outflow tract. there is stable mild-to-moderate cardiomegaly with pulmonary vascular congestion and mild pulmonary edema. there appears to be a more crowded appearance to the bronchopulmonary vasculature compared to the prior exam, likely secondary to poor inspiratory effort. there is no pneumothorax. no large pleural effusion is seen. note is made of a prosthetic aortic valve and median sternotomy wires. | history of fevers and shortness of breath. please evaluate for an intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p12001659/s59843970/a7c8337f-3ebee98e-a9959fba-6051a323-ffa7b636.jpg | decreased lung volumes are noted with resultant crowding of the bronchovascular structures. redemonstrated is stable, mild to moderate cardiomegaly with associated small, bilateral pleural effusions. there is a subtle degree of left lower lobe volume loss, which likely represents atelectasis. a right-sided picc line is noted to terminate within the mid-lower svc. | wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p18863946/s51541697/39f26b39-438d3ae5-5c35f8a4-7dc11f08-e3f9a9ee.jpg | cardiac size is top-normal. left lower lobe pneumonia has markedly improved. severe s shaped scoliosis is again noted. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spine | <unk> year old woman with lll pna // f/u on lll pna |
MIMIC-CXR-JPG/2.0.0/files/p17484682/s52786999/39a0be80-22f2e994-2dc344e6-59235124-4afed7ac.jpg | linear band of atelectasis or fibrosis left lower lung, stable. new area of right basilar atelectasis or infiltrate. shallow inspiration. tortuous thoracic aorta. normal pulmonary vascularity | <unk> year old man with liver inujury, ascites, tachypnea, new fever // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10271581/s50628679/aa6c07a0-61cec782-84b17714-eb08301f-af6db86e.jpg | new left opacity is likely a pneumonia. previously seen right lower lobe opacity has resolved. lungs hyperinflated. cardiomediastinal contours are unremarkable. no pleural effusion or pneumothorax.chronic right sided rib fracture. | <unk> year old woman with h/o cryptogenic organizing pneumonia in <unk>, h/o smoking, c/o <num> days chest congestion, wheezing, and cough. no fever. o<num> sat <unk>% on room air. lungs clear. // r/o recurrent pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12400515/s57920569/aaf55863-c2a39868-48d582bd-3bd66257-2d931ce8.jpg | pa and lateral chest radiograph demonstrate no focal consolidation. streaky opacities at the bases bilaterally likely reflects sequela of atelectasis. minimal scarring is present at the right apex. heart size is normal. pulmonary vasculature is within normal limits. there is no pleural effusion or pneumothorax. no evidence of pulmonary edema. there is no air under the right hemidiaphragm. | <unk>m with bladder cancer and confusion. +cough // eval for pneumonia, intracranial hemorrhage/edema |
MIMIC-CXR-JPG/2.0.0/files/p19797689/s54497309/bbf856a4-9d3a49ad-f1181d67-784ecd57-d305973a.jpg | lower lung volumes are seen on the current exam and the lateral view is also limited by motion. linear left basilar opacity is likely atelectasis. there is no definite consolidation or effusion. cardiac silhouette is enlarged but grossly unchanged. aortic arch calcifications are noted. | <unk>f with sob, hypoxia // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14960335/s50085860/764f18c5-f7a4213b-9a952ff7-009ce177-821a6596.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is visualized. there are no displaced rib fractures identified. | right chest pain after fall. |
MIMIC-CXR-JPG/2.0.0/files/p16203726/s56306685/d4a27a48-de489ed5-5783ce2c-cff83511-4b1cfd77.jpg | there has been interval placement of a tracheal stent which appears appropriately positioned. cervical fusion hardware is noted. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is slightly enlarged. imaged upper abdomen is unremarkable. | history: <unk>f with shortness of breath // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p10850734/s57108168/ff98e14f-2b6524e7-3e5a42ff-230ccff5-f2867a78.jpg | 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. there are moderate degenerative changes in the thoracic spine. | history: <unk>m with chest pain, dyspnea // pneumothorax, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14378941/s57648690/73fd329e-1d45e453-8d0c2218-76cb6235-def5cd2e.jpg | lung volumes are somewhat low. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is top-normal in size with left ventricular configuration of the heart and mild tortuosity of the thoracic aorta. | history: <unk>f with dyspnea // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p13994738/s52622537/d4bfd4b5-98efe0cc-9754aa99-9445de16-aa2827a1.jpg | the lungs are clear. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. there is no free air under the right hemidiaphragm. | chest, abdominal, and back pain. |
MIMIC-CXR-JPG/2.0.0/files/p19240268/s57116251/b56c7b1c-464a5929-62ebde07-68235117-baca49b7.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. no free air is seen below the diaphragm. | <unk>-year-old female with right flank pain. |
MIMIC-CXR-JPG/2.0.0/files/p16403708/s54034627/3de5c545-3c97b6d3-e3adcbe8-ccf467e1-ad723602.jpg | there is a focal consolidations involving the posterior basal left lower lobe. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. surgical clips are noted over the visualized portions of the abdomen. | chronic intermittent cough for four to six weeks with new onset fevers past few days. the methotrexate was started four to five weeks ago. |
MIMIC-CXR-JPG/2.0.0/files/p16946732/s57205982/f2067659-268bc35d-4d96149d-70b53a86-c1d8e3ce.jpg | right-sided port-a-cath in situ with tip in the mid svc. ett in situ with the tip <num> mm proximal to the carina. nasogastric tube in situ projecting over the stomach. ecg leads on the chest. surgical clips in relation to the right axilla. no airspace consolidation. no pleural effusions. no pneumothorax. the heart size is at the upper limits of normal. unfolding of the thoracic aorta with associated atherosclerotic calcifications. diffuse bony sclerosis consistent with an osseous metastasis. | <unk> year old woman respiratory insufficiency // interval change |
MIMIC-CXR-JPG/2.0.0/files/p15485706/s51573114/844306a6-4ab9c1cd-d99409ca-c1b70cab-dd204430.jpg | patient is slightly rightward rotated. the lungs are clear. an nasogastric tube is seen descending along the thoracic midline and coiled within the stomach. the heart size is normal. there is mild blunting of the right costophrenic angle, which may be due to a tiny pleural effusion or mild pleural thickening. no pneumothorax, pulmonary edema, or pneumonia. | <unk>m with ng tube placed. |
MIMIC-CXR-JPG/2.0.0/files/p15644864/s58040440/5b4af3aa-03e32881-482dc57b-b92f9161-56e0b045.jpg | heart size is normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. on lateral view a roughly <num> cm extrapleural density is seen immediately posterior to the sternal angle. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17813713/s51493023/db68320d-ee5399ff-0130acfa-e4f9ad57-79e53b22.jpg | ap and lateral views of the chest were compared to previous exam from <unk>. the lungs are clear of focal consolidation. calcified right mid lung granuloma is again noted. retrocardiac opacity is compatible with a large hiatal hernia. the cardiomediastinal silhouette is stable as are the osseous and soft tissue structures. | <unk>-year-old female with weakness. |
MIMIC-CXR-JPG/2.0.0/files/p15610009/s57304974/47c9f14f-6a153c2b-68889d95-fe40849e-76349c45.jpg | redemonstrated is stable mild to moderate cardiomegaly, with interval improvement in the patient's now mild pulmonary edema. right middle lobe and bibasilar opacities are essentially unchanged from the prior examination, and may be consistent with multifocal infection versus atelectasis. | hypoxemia, evaluate for fluid overload versus pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11512096/s59767791/40c5f0d3-e1b2548b-f51b0fc7-e58144e7-da14652c.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f no pmh p/w fevers // ? pna / infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13559600/s59903670/e14e3c0b-a94e2f54-3d5cd3da-cb82af9c-4321abee.jpg | frontal and lateral views of the chest. there has been interval resolution of the right basilar parenchymal opacities. the lungs are now clear without consolidation or effusion. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are again noted. no acute osseous abnormality is detected. | <unk>-year-old male with past medical history of coronary artery disease and aaa with dissection diabetes and hypertension presents with weakness. |
MIMIC-CXR-JPG/2.0.0/files/p11711526/s56993703/1a389f08-a0dcbacd-5f41f14a-db2d2bf3-cf0557df.jpg | there is a new et tube with tip <num> cm above the carina. there is increase hazy alveolar infiltrate right greater than left compatible with asymmetric pulmonary edema. this is increased compared to the study from earlier the same day. the left effusion and retrocardiac opacity compatible with volume loss/infiltrate/ effusion is again visualized. right ij line with tip at the cavoatrial junction is again seen. there is a <unk> right axillary line with tip in the axilla | <unk>m s/p ett // tube position |
MIMIC-CXR-JPG/2.0.0/files/p16625317/s57244858/07fe070e-de60f9d3-3738d620-5d991378-93c0b6d8.jpg | mild cardiomegaly is stable. mediastinal contours are otherwise unremarkable. there is mild pulmonary edema with small bilateral pleural effusions and bibasilar and perihilar opacities. no pneumothorax. | history: <unk>f s/p fall. has diffuse crackles in lungs // |
MIMIC-CXR-JPG/2.0.0/files/p15682302/s55691275/fd2c505a-152c0cee-f6c3f6af-bd0a23c0-844a52fd.jpg | frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. | <unk>-year-old female with flu-like illness. |
MIMIC-CXR-JPG/2.0.0/files/p13085066/s56269189/73fbb13d-4d444693-b514c96b-68a607e8-dc31f85d.jpg | lung volumes are low. heart size is top normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen. | history: <unk>f with tachycardia, epigastric and left upper quadrant abdominal pain, dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p12918438/s56071333/f7d86ec4-1b7c1df9-174ff01a-c3ee8bf0-1926f17a.jpg | cardiac, mediastinal and hilar contours are unchanged with the heart size appearing borderline enlarged. coronary artery stent is re- demonstrated. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15334868/s52808854/d2bedb97-6b5bacc0-f060c161-575c9626-177cef58.jpg | cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk>f with acute onset left facial heaviness and left arm heaviness concerning for tia vs cardiac cause, evaluate for any cardiac abnormalities . |
MIMIC-CXR-JPG/2.0.0/files/p11319259/s57219669/75fcddfa-deb02faa-9c6ba5d1-aa5d46a7-9fc82c57.jpg | the heart size is normal. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. there is no evidence of focal consolidations. visualized osseous structures are unremarkable. | <unk>-year-old female with a history of shortness of breath and pleuritic left-sided chest pain, who presents for evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p10804747/s55767957/c75fb30d-47949949-c76cf956-e278f8ee-9ef4fc1f.jpg | the endotracheal tube tip sits <num> cm above the carina. compared to the prior exam, there has been improvement in pulmonary edema. the heart size and mediastinal contours are stable. there is no large pleural effusion or pneumothorax. | <unk>-year-old female with pulmonary edema, requiring intubation. |
MIMIC-CXR-JPG/2.0.0/files/p15326361/s59549220/e24159b1-375bd2c8-fc3a4029-aa6467d7-08d614f9.jpg | frontal and lateral views of the chest. heterogeneous right lung base opacity has increased since <unk> and is consistent with infection in the appropriate clinical setting. subtle opacity overlying the right mid and upper lobes could represent additional foci of pneumonia or atelectasis in setting of low lung volumes. the left lung is essentially clear. no pneumothorax. the heart size and cardiomediastinal contours are stable. | <unk>-year-old man with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15049237/s58758172/c93e1e15-dbc8b2a8-75271a86-8f950401-b86e9cfd.jpg | cardiomediastinal silhouette is stable. however, in comparison to the prior study there is interval development of diffuse bilateral interstitial opacities with perihilar predominance and small bilateral pleural effusions. there is an area of more confluent opacification at the right base. no pneumothorax. | history: <unk>f with cough and fever // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11665864/s59094204/9f52ed0e-9799f4f3-720c6598-a8cedfbd-adf01ffa.jpg | the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. aside from minimal atelectasis at each lung base, the lungs appear clear. there is no pleural effusion or pneumothorax. | hyperglycemia, upper respiratory infectious symptoms and foot ulcer. |
MIMIC-CXR-JPG/2.0.0/files/p18520455/s54632507/4f2fac4b-e2ed0ab2-bd9937b0-082ed754-16d84aec.jpg | the small left apical pneumothorax has decreased slightly. other findings are unchanged. | follow-up of left pneumothorax. status post lvad insertion. |
MIMIC-CXR-JPG/2.0.0/files/p19638212/s54548193/13edae7f-a145a67f-7111fc88-87de082b-2a8b611e.jpg | heart size is normal. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are noted in the mid thoracic spine. | history: <unk>m with fever, malaise |
MIMIC-CXR-JPG/2.0.0/files/p14484324/s57918392/d28e0d94-afd08c02-ed8b61f2-5d8a5d89-0ca35044.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with chest pain // chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15495545/s56370956/b6c05d0b-38bae784-55e561d5-a34c62cb-fce3dff1.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the aorta remains quite tortuous. the cardiac silhouette is top-normal to mildly enlarged. an azygos lobe is again incidentally noted. | history: <unk>m with near syncope // acute cardiopulm disease |
MIMIC-CXR-JPG/2.0.0/files/p14993789/s54883189/22f65bc4-9abb0095-525a67e6-2273c0f6-49e1b7df.jpg | as compared to the previous radiograph no relevant change is seen. moderate cardiomegaly, mild pulmonary edema, minimal atelectasis at both the left and right lung bases. unchanged course of the nasogastric tube. no new parenchymal opacities. no larger pleural effusions. | <unk> year old woman with worsening tachypnea with recent basal ganglia hemorrhage // r/o acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p16760768/s51329430/1651275e-afc91702-5b8ba26f-4877bb85-74d6d819.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is top normal. mediastinal contours are normal. | contusion. |
MIMIC-CXR-JPG/2.0.0/files/p17066802/s56021701/c0b15405-d57e5d4c-ff1db604-96f0566c-efea2cc8.jpg | portable ap upright chest radiograph. dobbhoff tube is repositioned with tip in the stomach slightly obscured by the previously administered enteric contrast. internal jugular central venous catheter is unchanged. dense left basilar consolidation and mild right basilar opacities are minimally improved from the most recent examination, resembling the examinations from yesterday. there is no pneumothorax with mild to moderate left pleural effusion. heart and mediastinal contours and reveale moderate descending aortic atherosclerotic calcification. | left hiatal hernia repair status post dobbhoff repositioning. |
MIMIC-CXR-JPG/2.0.0/files/p16093185/s51144915/27bfcb62-33e768ea-3b4476d0-933de800-16673abf.jpg | there is increased left pleural effusion and pleural thickening. there is minimal right pleural effusion. diffuse nodular opacities are unchanged. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. right-sided port-a-cath terminates in the right atrium. | <unk> year old woman with met breast ca // numerous pulm mets. compare to prior serial cxrs |
MIMIC-CXR-JPG/2.0.0/files/p10259262/s52327983/fca35f83-392dc4f5-a40f6210-8c843150-8b55453e.jpg | the heart is at the upper limits of normal size. the aortic arch is partly calcified. there is mild unfolding along the lower descending thoracic aorta. slight biapical pleural scarring is stable. the lungs appear otherwise clear. there is no pleural effusion or pneumothorax. mild degenerative changes are similar along the mid-to-lower thoracic spine. a pectus deformity is present. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p16335352/s56556983/59ddf90d-739c740e-c2d93bb5-10a0bbc6-afd596f5.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. heart size is enlarged. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. vascular coils in the upper abdomen likely from prior embolization. | <unk>m with cough |
MIMIC-CXR-JPG/2.0.0/files/p17095377/s54760524/2571d2f8-292b4505-ddefdce0-c68b7c01-d6c886a0.jpg | portable ap chest radiograph demonstrates a right picc terminating in the mid to lower svc. nasogastric tube tip is in the antrum of the stomach. right basilar opacification may be atelectasis, but has been present on radiographs dating back to <unk>. the lungs are otherwise clear. trace pleural effusion is seen on the right. there is no pneumothorax. the cardiomediastinal silhouette is normal. | evaluation of picc line and dobbhoff feeding tube position. |
MIMIC-CXR-JPG/2.0.0/files/p11356876/s56998147/e4fd1eb4-05e868ab-634d6330-c801772f-4b9ebfcb.jpg | endotracheal tube tip <num> cm above carina. new mild to moderate left pleural effusion. worsened left lower lobe consolidation, likely atelectasis. left perihilar atelectasis versus infiltrate. worsened platelike atelectasis right lower lung. shallow inspiration. | <unk> year old woman with cirrhosis, hematemesis now s/p intubation // please eval ett placement |
MIMIC-CXR-JPG/2.0.0/files/p19257145/s55086505/0b53b489-fddc678a-c7bc88ae-03cec9ca-141528cc.jpg | ap and lateral views of the chest. lower lung volume is seen on the frontal exam with secondary crowding of the bronchovascular markings. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is unchanged. hypertrophic changes are noted in the spine. left vagal nerve stimulator device is again seen. | <unk>-year-old male with increased seizures. |
MIMIC-CXR-JPG/2.0.0/files/p15941958/s51666365/7f165586-92e3220b-5fceaff1-653e4fdf-2f200330.jpg | lung volumes are slightly low, accentuating the cardiac silhouette and resulting in crowding of bronchovascular structures. no definite focal consolidation is identified. there is no pleural effusion or pneumothorax. | history: <unk>f with sob // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p13452052/s51952816/447ce6bf-59b8e5ad-2b73cb5f-89219327-30137da5.jpg | lung volumes are low. the cardiac silhouette is mildly enlarged. the pulmonary vasculature is mildly indistinct in comparison to the most recent exam, which may be suggestive of developing edema. bibasilar opacities are noted, most consistent with atelectasis. no definite large pneumothorax or pleural effusion is present. | <unk> year old man with decompensated cirrhosis, encephalopathy, <unk> // please eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15275011/s51399175/c52fa620-10514389-82999ceb-3996b48e-b273fd7a.jpg | cystic air-containing structures in the right lung base represent known loops of colon in the anterior diaphragmatic hernia. the cardiomediastinal silhouette is otherwise unremarkable. no focal consolidation concerning for pneumonia. bibasilar atelectasis is present, and pleural effusions are trace, if any. previous pulmonary vascular congestion has improved. | <unk>m with borderline fever, hypoxia, known morgnani hernia. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15912324/s51215554/3122ef12-c7d23858-ae3d87fe-854a9556-c09df97e.jpg | heart size is normal. the aorta is diffusely calcified. a small hiatal hernia is again noted. pulmonary vasculature is normal. lungs are slightly hyperinflated. blunting of the right costophrenic angle is relatively unchanged, and could reflect a trace right pleural effusion or pleural thickening. no focal consolidation, left pleural effusion or pneumothorax is present. minimal scarring is noted in the lung apices. extensive fusion hardware within the thoracolumbar spine is noted. multiple sutures are seen within the right lateral abdomen. | history: <unk>f with cancer, hypoxia, and shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p14177219/s52589781/11f9c16d-c60a6b46-3ec2ba36-c76fcdca-0d9f54b0.jpg | pa and lateral views of the chest. there is stable mild pulmonary vascular engorgement. no evidence of pulmonary edema. there are no focal consolidations. no pneumothorax or pleural effusion. heart size is top normal. | <unk>-year-old male with hcv and esrd and chronic dyspnea presents with worsening shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18549637/s58333921/ae4bf5e4-0264c31a-24eeb0d8-90cbad73-211bf6f3.jpg | as seen on recent portable film, there is increased opacity projecting over the right hilum which is more than expected for simply hilar structures alone and is worrisome for underlying adenopathy or mass lesion. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. | <unk>m with dyspnea and cp // eval pna, mass |
MIMIC-CXR-JPG/2.0.0/files/p19140989/s54498457/6dc309f4-8d813ac4-844ebffa-42b69195-b3f57a7a.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are remarkable for near complete resolution of previously identified left basilar abnormality. near resolution of left lower lobe opacity. .no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old man with minimal cough, ams, lll opacity // please evlauate for improvement or change in lll opacity |
MIMIC-CXR-JPG/2.0.0/files/p18951565/s58050688/e90c5fde-dbaea005-ebbd5a54-547f7407-eacb4756.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15500891/s58672058/c9db8a76-64a1034d-7bfca34c-7205b109-cb04158d.jpg | frontal lateral chest radiographs demonstrate multiple intact sternal wires. a fiducial marker in a known right lower lobe nodule is again seen, not well evaluated on chest radiograph. cardiac size is normal and the lungs hyperinflated. the descending aorta appears slightly larger in caliber compared to <unk>. a retrocardiac opacity with obscuration of the lateral left hemidiaphragm may be secondary to overlapping hilar structures, given slight patient rotation. however, pneumonia is also a consideration. there is no pleural effusion or pneumothorax. | evaluate for pneumonia in a patient with a history of emphysema, now presenting with dyspnea on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p11077662/s57601984/a066eb1f-42502bf3-cbc33fc0-d3012d55-a43aefd5.jpg | the cardiac, mediastinal and hilar contours appear unchanged. within the limitations of technique, the lungs appear clear aside from questionable vague increased posterior density suggesting minor atelectasis or crowding of bronchovascular structures. evaluation is somewhat limited, however, by low lung volumes. | hypoxia. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15786954/s54726709/a38118e1-aea0b524-6ed77830-994e65c8-68f98003.jpg | an accessed right pectoral mediport extends into the upper right atrium. a left basilar drainage catheter is unchanged in position. the right pleural effusion has substantially decreased post thoracentesis. bandlike opacities at the right lung base are likely due to atelectasis. the small left pleural effusion is not appreciably changed. however, retrocardiac opacification of the left lung base has increased. mild pulmonary edema has also slightly increased. there is no pneumothorax. mild cardiomegaly is unchanged. | <unk> year old woman with malignant pleural fluid s/p <unk> // r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p15252037/s51237649/80d82812-69c61b5e-2306d42a-f38c3600-978b6af3.jpg | cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. patchy opacities are demonstrated in the lung bases, findings which may reflect atelectasis, but infection or aspiration are not excluded in the correct clinical setting. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p10543835/s57035131/c3c3956c-de8c07fc-4203b120-ba72707d-f11c3827.jpg | lung volumes are low with secondary bronchovascular crowding. there is retrocardiac opacity, more conspicuous on the current exam, potentially atelectasis. cardiac silhouette grossly stable given technique. no acute osseous abnormalities. | <unk>f with failure to thrive, hypotensive. // r/o infection |
MIMIC-CXR-JPG/2.0.0/files/p15810543/s59479813/367fa9fe-8f3600d2-d12f420f-6645d477-942c36f9.jpg | frontal and lateral views of the chest. no prior. low lung volumes are noted. lungs are clear without consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18875742/s58188286/3a645bb8-3f618006-9070da1b-9f01bb1b-9bc64fd0.jpg | in the interval since the most recent chest radiograph, as there is been removal of the et tube and nasogastric tube. left chest tube in standard position. left subclavian catheter terminates in expected region of left brachiocephalic vein. mediastinal and extensive left lung injury including small left pneumothorax is best evaluated on the same day ct. the right lung appears unremarkable. gastric distension. | patient with stabbed wound to chest. chest tube to water seal. |
MIMIC-CXR-JPG/2.0.0/files/p15482819/s57558629/d24525e0-4e6ff3df-6cb418df-64aed171-48076f92.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the aortic knob is calcified. the aorta is mildly tortuous, similar to prior. the lungs are clear. no pleural effusion or pneumothorax. eventration of left hemidiaphragm is similar to prior. no radiopaque foreign body. | <unk>-year-old male with vascular dementia, hypertension, hyperlipidemia, presenting with elevated blood sugars. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17181387/s58103251/8bbd57a7-45189bb5-bffccafa-da8ca144-07bad9ea.jpg | pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar and pleural surfaces are normal. the osseous structures are intact. | <unk>-year-old female with chest pain after mvc. |
MIMIC-CXR-JPG/2.0.0/files/p17033324/s53537307/211e2aed-af0df813-48da7247-e97ab7b4-087ec338.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is a subtle opacity at the right base which could represent atelectasis or infection in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. | history: <unk>m with cough, sob // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13045153/s51843331/abaeb16b-e922d8c6-cd03fc29-01463a9e-0d84b2fa.jpg | ap upright and lateral views of the chest provided. low lung volumes significantly limit the assessment. the lungs appear grossly clear though volumes are quite low. heart size cannot be assessed. mediastinal contour appears normal. there is relative prominence of the left pulmonary hilum though may reflect bronchovascular crowding in the setting of poor inspiratory effort. no pneumothorax or large effusion. bony structures are intact. | <unk>m with huntingtons, ?aspiration pna // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p12018057/s50316029/9399eace-ef329988-7da2e226-77901d2a-c612d003.jpg | the lungs are hyperinflated but clear. the heart size is normal. the superior aspect of the right hilus is asymmetrically enlarged, possibly secondary to bronchovascular structures versus mild lymphadenopathy. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. | chest tightness. evaluate for acute intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p10370587/s57501047/fd37b789-f1aac683-ecb33bfa-17726582-7aa171f7.jpg | heart size is normal with a mildly tortuous thoracic aorta. hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. | worsening seizures. |
MIMIC-CXR-JPG/2.0.0/files/p17801811/s54439746/ad413f20-c6e3b9c0-636e63e9-ef5c0222-dc9a4388.jpg | cardiomediastinal and hilar contours are within normal limits. comparison is made with prior study dated <unk>. again identified within the right lung apex is a persistent streaky density most compatible with parenchymal scarring. bi-apical pleural thickening as well as subtle streaky densities and subsegmental atelectasis is again identified. there is no pleural effusion. there is no pneumothorax. osseous structures demonstrate no acute abnormality. | <unk>-year-old male status post mvc. |
MIMIC-CXR-JPG/2.0.0/files/p12186927/s56202487/c80a6f50-b3e2b7f4-293cbff9-948c319e-3b17c1ba.jpg | there are mild bibasilar opacities, potentially due to atelectasis. there is no effusion or edema. the cardiomediastinal silhouette is within normal limits. mild atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities. | <unk>m with sensation that he is drowning // ?pnuemonia |
MIMIC-CXR-JPG/2.0.0/files/p18214183/s54116508/8a5c11bd-c3516626-f98b7e74-e45cfb56-e0e6e38d.jpg | there has been slight interval increase in the right basal pneumothorax as compared to the earlier exam. aeration at the left base has improved, and there is decreased left basilar subsegmental atelectasis. the left lung remains clear. sternotomy wires are intact and aligned. the patient has had prior valve replacement and right shoulder repair. multiple acute right-sided rib fractures are unchanged. | <unk> year old man with multiple rib fractures s/p bicycle accident with hydropneumothorax and chest tube currently to water seal. // ?interval change in hydropneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p13041840/s50814324/0437cb59-14194f35-22ea25fc-828539a7-06ea27ea.jpg | linear opacity extending laterally from the left hilum is likely atelectasis versus scarring. new compared to most recent exam are subtle areas opacity at the lung bases, likely in part within the right middle lobe. bibasilar regions of bronchiectasis were better seen on prior ct scan. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with recurrent pneumonia, dyspnea // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p12645334/s53217479/e1f1eed1-7ef826ab-986cba7f-d3c32e68-57e02753.jpg | appropriate placement of dobbhoff tube post-pyloric. low lung volumes continue to be seen, and mild fluid overload has improved. mild to moderate cardiomegaly is again seen. no consolidation or pleural effusions are seen. | <unk>-year-old male, placement of dobbhoff. patient has ng tube in place as well. evaluate placement. |
MIMIC-CXR-JPG/2.0.0/files/p18696543/s56547012/4573b53a-9c015f82-882033d5-c9426ec1-f2a38d1b.jpg | as compared with the prior examination, there has been no significant interval change. redemonstrated is scarring within the right upper lobe, compatible with the patient's previous granulomatous disease. the previously identified right middle lobe nodule is not well visualized on the current exam. there is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the heart size is normal. mediastinal contours are normal. | history of treated tb, now with chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13573314/s54379632/17e4c8ba-b8317c76-a44a3e75-e80f9b28-bc98f517.jpg | enteric tube tip in the distal stomach. shallow inspiration accentuates heart size, pulmonary vascularity. prominent right hilum, likely overlap of hilar structures and possibly ectatic ascending aorta. bilateral pleural effusions. bibasilar opacities, likely atelectasis, consider pneumonitis in the appropriate clinical setting. there is no mid and upper lung opacities. no evidence of ards. heart size is difficult to estimate given basilar opacities. , appears at the upper limits are normal on ct abdomen pelvis <unk> at <time>. no pneumothorax. thoracolumbar curve. | <unk> year old woman with pancreatitis and worsening hypoxia. // please evaluate volume status and assess for concern for ards. |
MIMIC-CXR-JPG/2.0.0/files/p17521365/s58574365/9e5ca25a-ef5d42dc-c1738e6d-43ddb3ab-073469ce.jpg | compared to the prior study there is no significant interval change. | <unk> year old man who yesterday required reintubation for respiratory distress, now with fevers // pneumonia? other intrapulm process? |
MIMIC-CXR-JPG/2.0.0/files/p13885044/s59329433/9b1d0d8d-d958bef8-4f7d4869-9dcc4781-56462a94.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 w/fevers, please eval for occult pna |
MIMIC-CXR-JPG/2.0.0/files/p14901563/s53318243/e1117ffb-10fe0dbb-1abe3c92-47d11bf6-539f0983.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk>f w/seizures, neuro requesting cxr, ?aspiration? // <unk>f w/seizures, neuro requesting cxr, ?aspiration? |
MIMIC-CXR-JPG/2.0.0/files/p13417435/s50213871/68388007-ad3a762c-5784bfcf-bbd9131e-6aac29c8.jpg | heart size is borderline enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is present. no acute osseous abnormality is visualized | history: <unk>f with cough + wheezing |
MIMIC-CXR-JPG/2.0.0/files/p13425612/s53886054/0800c4d5-8a0a5d2d-d6b0e35f-e10612da-c1d5a8f0.jpg | increased retrocardiac density and a cardiomegaly as previously. improved aeration of the right lower lobe. tortuous aorta. right internal jugular sheath in place with no change. sternal wires unchanged. mediastinal drainage tubes have been removed and there is no increase in the mediastinal widening. | <unk> year old woman with s/p cabg // evaluate bleeding |
MIMIC-CXR-JPG/2.0.0/files/p10345356/s59465728/97a8b056-7495eb91-26a6e013-ae98b4ee-9d397f4b.jpg | lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with asthma exac // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14123702/s56540162/11314a53-dba9572f-9872ead6-8ee73340-fac11065.jpg | two frontal radiographs of the abdomen and chest demonstrate a nasogastric tube with the tip terminating in the region of the stomach and the last side port at the level of the ge junction. | <unk>-year-old female status post laparoscopic roux-en-y gastric bypass. evaluate for position of ng tube. |
MIMIC-CXR-JPG/2.0.0/files/p17724257/s58804377/1d152169-5f55707f-75ad7112-a337c6ca-e32a6412.jpg | linear left basilar opacities likely atelectasis versus scarring. the lungs are otherwise clear noting relatively low lung volumes. there is no overt pulmonary edema. the cardiomediastinal silhouette is accentuated by low lung volumes. median sternotomy wires and mediastinal clips are noted. | <unk>m with hx schf, esrd s/p transplant with worsening renal function. no contrast // ? fluid overload, pna |
MIMIC-CXR-JPG/2.0.0/files/p19370314/s57731446/1086c877-786e6ac2-8a103cb0-ff0487da-340a024d.jpg | pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. | productive cough and shortness of breath. evaluation for pneumonia. |
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