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MIMIC-CXR-JPG/2.0.0/files/p19563547/s55110077/5c3498df-cf2755c0-8a0a0e93-84f4bf8c-b33c2d43.jpg | ap portable upright view of the chest. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. | <unk>m with neutropenia and elevated glucose |
MIMIC-CXR-JPG/2.0.0/files/p15032149/s56139267/5bcaf44f-7788ad3b-05e6ac50-c3317aef-61842c39.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with wheezing // pna? pulmonary edema? |
MIMIC-CXR-JPG/2.0.0/files/p11373077/s54868578/34dfaaae-7cb6921f-976c5907-e887c599-03a842db.jpg | since the prior exam, there is new elevation of the right hemidiaphragm with associated volume loss in the right lower and mid lung zone. a component of a subpulmonic effusion with associated consolidation cannot be completely excluded. the right apex is clear. the left lung is clear. there is no left pleural effusion. there is no pneumothorax. the mediastinal contours are normal. the heart size is mildly enlarged, and stable from the prior exam. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p10745810/s56291826/381b1a5b-f16fa798-a8e6ce58-c9e6b218-58b5bdd3.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. aortic calcifications are seen. the cardiac silhouette is top-normal. ovoid right infrahilar density, stable, may represent calcified lymph node. severe compression of a mid thoracic vertebral body is stable since at least <unk>. . | history: <unk>f with cad, htn, severe valvular disease who presents with weakness. // evaluate for acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p19509694/s58155627/15daa044-a11d6e87-995309f0-ceaeb36c-8c2e1e52.jpg | the heart is mild-to-moderately enlarged. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. there are persistent reticular opacities with hazy background opacity within in the mid-to-lower lungs or perhaps recurring opacity that is relatively confluent more in the right lower lobe than elsewhere. much of this appearance is suggestive of vascular congestion including indistinct upper zone redistribution of pulmonary vascularity and thickening of fissures. a patchy focal right upper lobe opacity appears unchanged and is most suggestive of a form of prior scarring. | dyspnea and productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p10570398/s54168947/c15b8be5-74673f96-1a54f2a1-b747b275-a8c8ad04.jpg | since <num> p.m. there is no change in left lower lobe atelectasis and low lung volumes. the swan-ganz catheter, endotracheal tube, enteric catheter, chest and mediastinal drains are in unchanged positions. there is no pneumothorax or new consolidation. | <unk>-year-old man status post cabg, avr. |
MIMIC-CXR-JPG/2.0.0/files/p16078917/s58645655/6f0e2d1c-b59c7fc7-9dce499e-18d611c6-40d5617c.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen. some degenerative changes are seen along the spine. | confusion. |
MIMIC-CXR-JPG/2.0.0/files/p11696506/s51293135/a8eb739f-acfe05a3-3d1d7423-b8ceb12a-a96a3806.jpg | pa and lateral views of the chest provided. elevated right hemidiaphragm again noted with associated right basal atelectasis. there is no focal consolidation concerning for pneumonia. no edema, large effusion or pneumothorax. the overall cardiomediastinal silhouette appears unchanged though the right heart borders partially obscured. bony structures appear intact. anchors are seen imbedded within the right glenoid fossa. | <unk>m with elevated lactate, infectious workup |
MIMIC-CXR-JPG/2.0.0/files/p17894597/s59649831/8b056528-088635b7-ff3dba0b-1fe67d79-5e92d692.jpg | there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the heart is top-normal in size. intravenous contrast material seen within the renal collecting systems from preceding ct. | history: <unk>f with abdominal pain and elevated lactate // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18523218/s53802603/ba246725-6e25c85d-f0cf87bf-b19945ad-b81273d3.jpg | the right pneumothorax is no smaller, with the same subpulmonic component. the remainder of the exam is unchanged, including consolidations of the right lower lobe and left lower lung, as well as a left pleural effusion. | pneumothorax. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p11184533/s55576052/f64b2180-baf8dcb7-0880d7cc-945a4f4b-aba03dc7.jpg | pa and lateral views of the chest were reviewed and compared to the prior study. lung volumes have improved since <unk> and the lungs are clear. elevation of the left hemidiaphragm is unchanged since <unk>, small bilateral pleural effusions are also unchanged. there is prominence of the ascending aorta. the heart size is normal. multiple nondisplaced right posterior rib fractures and humeral head orthopedic hardware are unchanged. | assessment for interval change in left-sided chylothorax in a patient status post drainage. |
MIMIC-CXR-JPG/2.0.0/files/p18953418/s51292885/201714ea-d655f57e-d5cd3b92-09641714-65bab0f8.jpg | ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. allowing for this, the lungs appear clear. no large effusion or pneumothorax. no convincing signs of edema. the heart appears mildly prominent though this could in part reflect magnification given technique. tiny surgical clips are noted in the left axilla. the imaged bony structures are intact. no signs of free air below the right hemidiaphragm. | <unk>f with history of breast ca and hemochromatosis p/w weakness |
MIMIC-CXR-JPG/2.0.0/files/p16992256/s53488628/53091f7b-da30a681-ab906cc2-fe91f788-924d1577.jpg | the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour and hila are unremarkable. | <unk>f with anxiety, right flank pain. assess for infectious process |
MIMIC-CXR-JPG/2.0.0/files/p17582273/s54885104/77e2ae63-9f7f0951-8ccaddd6-8a07b2cc-f27adc3e.jpg | interval removal of a conventional tracheostomy tube placement of a t-tube, unremarkable in position. lungs are well-expanded without new focal opacity. trace right pleural effusion is possible. no left pleural effusion. no pneumothorax. heart size is top-normal. bilateral pulmonary arteries are prominent, but unchanged. a left subclavian port and central venous catheter is unchanged in position, terminating near the superior cavoatrial junction. | <unk> year old woman with idiopathic subglottic stenosis status post multiple balloon dilatations, hypertension,type <num> diabetes, hypothyroidism, colorectal cancer s/p resected liver mets on folfox c<num>d<num>, now s/p t-tubeplacement. // evaluate t-tube place |
MIMIC-CXR-JPG/2.0.0/files/p19612206/s57447997/bbec2729-6cfa4514-3a3f648a-30dc6ae2-83a2baab.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with cough and congestion // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17425647/s55169341/498ec5af-fd7f0cda-1b1bba3b-9fda3f5d-353d7be7.jpg | the lungs are hyperinflated. there is new patchy consolidation at the right lung base compatible with a right lower lobe pneumonia. volume loss in the right hemithorax from prior right upper lobectomy again seen with post-thoracotomy changes of the ribs on the right. there is chronic blunting of the left lateral costophrenic angle, potentially due to pleural thickening or scar. cardiac silhouette is enlarged but unchanged. median sternotomy wires and mediastinal clips and coronary artery stents again seen as well as atherosclerotic calcifications at the arch. hypertrophic changes noted in the spine. surgical clips identified in the upper abdomen. | <unk>-year-old male with nausea, weakness and history of cancer, status post resection with fever. |
MIMIC-CXR-JPG/2.0.0/files/p11124859/s59794837/f6976503-bca9421d-2511e904-578b24fa-3760bf85.jpg | a large left suprahilar mediastinal mass is unchanged in size and configuration since the prior study. small left pleural effusion with left lower lobe scarring is unchanged since the prior study. the right lung is clear. there is a new right chest wall port catheter tip terminating in the distal svc. there is no pneumothorax or focal consolidation. | <unk> year old man with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p13757356/s50636210/edd07512-203e20de-c90652ce-0058f684-ecca6a31.jpg | patient is status post median sternotomy and aortic valve replacement. heart size is normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is visualized. | history: <unk>m with syncope // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p18156009/s55698778/175ec5e5-61182693-b9afcea5-00e77f2f-f84ea268.jpg | frontal and lateral radiographs of the chest show hyperinflated and hyperlucent lungs with increased ap diameter of the chest consistent with severe copd/emphysema. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no pulmonary vascular congestion or edema is present. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits with a partially calcified aortic knob. moderate degenerative changes are noted in the thoracic spine. | <unk>-year-old female with history of severe copd, now with worsening dyspnea, here to evaluate for pneumonia or malignancy. |
MIMIC-CXR-JPG/2.0.0/files/p10667727/s51098376/7b3ab435-399698c4-d69e2786-ec70a301-45c1d2ee.jpg | compared with the prior radiograph, the ng tube, right picc line, and right pleural drain are unchanged in position. residual small right pleural effusion is unchanged. no left pleural effusion, pneumothorax, or new focal consolidation. moderate cardiomegaly is stable. | <unk>f with hx of schf (ef <unk>%), sss s/p ppm, htn, hld, dm who presents with worsening orthopnea, doe found to be in decompensated heart failure refractory to her home diuretic regimen, with new evidence of rv failure, with course c/b anuric renal failure with bilateral pleural effusions. evaluate pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p16141042/s57753151/67687c46-320f5941-8e16a69d-15a94c02-5781911d.jpg | in comparison to same day chest radiograph, a right-sided picc now terminates at the expected location of the superior cavoatrial junction. there is no pneumothorax or other complications. lungs are fully expanded and clear. heart size is normal. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. | <unk> year old man with r picc malpositioned // r picc repo attempted, <unk> <unk> <unk> |
MIMIC-CXR-JPG/2.0.0/files/p12078448/s55540855/4bbc5ac0-528eaa47-0f80e7c5-c66263cb-cea38862.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. the right costophrenic angle is not imaged. no left-sided pleural effusion is present. there is no pneumothorax. there are no acute osseous abnormalities. left shoulder arthroplasty is not completely assessed. | history: <unk>m with dislocated left hip. pre-op |
MIMIC-CXR-JPG/2.0.0/files/p13967837/s56157723/b5c2145d-04bdcd7b-d22e8aa5-884c7869-a30f15cc.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. | <unk>-year-old female with cough and hyperglycemia. |
MIMIC-CXR-JPG/2.0.0/files/p14517807/s55308205/5d16e77c-2f11db95-a7560198-109153c9-04cf4e8f.jpg | right port-a-cath tip terminates at the junction of the right atrium and svc. large right hydro pneumothorax is re- demonstrated with interval decrease in amount of fluid in the right hemi thorax. there is complete collapse of the right lung with continued leftward shift of mediastinal structures, as seen previously. heart size is difficult to assess given the presence of the large right pleural effusion. there continued diffuse streaky and patchy opacities within the left mid and lower lung fields, worse in the interval, suggestive of worsening aspiration pneumonia. no left-sided pneumothorax or large left pleural effusion is demonstrated however the left costophrenic angle is excluded from the field-of-view. a stent is noted within the splenic flexure with a narrowing of the stent lumen in the mid portion. | history: <unk>m with pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p16261397/s59815363/68171f36-6fa45c29-14eaf85c-0fafb2a7-555e30ec.jpg | the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. an old left third rib fracture and sixth rib fracture is seen. | <unk>-year-old with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13528817/s57265621/1cf663f3-1ccfda60-44f9a774-e39d3765-f5c29b6a.jpg | frontal and lateral views of the chest. the lungs remain clear without confluent consolidation. eventration of the right hemidiaphragm is again seen. there is no effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old male with cough and asthma. |
MIMIC-CXR-JPG/2.0.0/files/p14067088/s55681108/a1e744a3-9ab7e6ff-11c27240-185ea967-3e796c8c.jpg | the lungs are clear without infiltrate or effusion. the cardiac and mediastinal silhouettes are normal. the bony thorax is normal. | svt earlier today. |
MIMIC-CXR-JPG/2.0.0/files/p12843152/s56817573/541264f5-f2f43a36-f61f51aa-8d9138a5-5cc04b4b.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. new focal consolidative opacity is seen within the right lower lobe concerning for pneumonia. a trace right pleural effusion is likely present. the left lung is clear. no pneumothorax is identified. no acute osseous abnormality is present. | history: <unk>f with cough, chest pain and fever |
MIMIC-CXR-JPG/2.0.0/files/p19180042/s59226610/a0b7a32a-72452b4c-353134ac-5b116a5f-e5813a64.jpg | since prior, there has been interval placement of left-sided pigtail catheter projecting over the left costophrenic angle. there is no visualized pneumothorax on the current exam noting that the chin obscures portion of the lung apices bilaterally. left basilar opacity is at least partially due to atelectasis. fiducial marker now projects over the left mid upper lung focal opacity as seen on prior. known spiculated right upper lung nodule is also noted. cardiomediastinal silhouette is unchanged. | <unk> year old woman with hemopneumothorax s/p chest tube. currently in ed. // assess pneumo |
MIMIC-CXR-JPG/2.0.0/files/p10161682/s57893492/86f81b47-0bb47acd-38e7752b-5d62765e-baf15b34.jpg | focal consolidations are seen in the right lower lobe and the right upper lobe, with a small associated right pleural effusion. underlying pulmonary vascular congestion and pulmonary edema is mild. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. | <unk>-year-old male with shortness of breath, evaluate for chf or infection. |
MIMIC-CXR-JPG/2.0.0/files/p11137560/s53849896/73083cf8-3d5cccd3-7c4f2de1-18b24e29-2a126cf0.jpg | the left chest port-a-cath is unchanged in appearance from previous examination with distal tip terminating in the mid svc. the lungs are well expanded and clear. the mediastinal contours and hila are stable. no focal consolidation. no pleural effusions. | <unk> year old woman with low grade serous ovarian cancer // port a cath not working. please assess position. |
MIMIC-CXR-JPG/2.0.0/files/p18121111/s58427719/588dac74-f16864b1-9b66750f-f7992440-60454ec9.jpg | endotracheal tube in now terminates centrally in the trachea, approximately <num> cm from the carina. there is a right central venous line terminating in the lower svc. pulmonary opacities are unchanged including a right upper lobe cavity. the heart size is normal. | <unk> year old woman with hemoptysis, history of lung cancer in the right apical lung status post bronchoscopy and intubation. |
MIMIC-CXR-JPG/2.0.0/files/p14395025/s58931909/41784fb1-459981d2-49389b07-761a12b3-e2cf1095.jpg | ap portable upright view of the chest. patient is known to have severe emphysema. tiny nodular opacities are seen projecting over the mid to upper lungs, possibly representing calcified granulomas. there is a biapical irregular opacity likely scarring though on the right the overall opacity appears increased. no definite signs of pneumonia or overt chf. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm. | <unk>m with syncope dyspnea // eval for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p10945254/s59336087/ed5535e5-a168dcc0-aade8fc7-ae118150-a90c9bf7.jpg | there are innumerable nodules randomly distributed in both lungs, increased compared to prior study with increased interstitial changes in the lungs bilaterally. small right-sided pleural effusion is mildly increased. the cardiomediastinal silhouette appears similar. there is no focal consolidation. there is no pneumothorax. | metastatic adenocystic carcinoma with known metastasis to the lung, shortness of breath. productive cough, question of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13599784/s56578317/47641b9e-7b7f1638-757f4079-f1c4e7c2-35a76ea5.jpg | cardiomediastinal silhouette is normal. the lungs are clear. the hila and pleura are normal. no soft tissue injuries are seen. aside from chronic degenerative changes no obvious osseous abnormalities are seen. | <unk> year old woman s/p mva <num> weeks ago and fall yesterday, with left upper chest wall/clavicle pain worse with inspiration // evaluate for rib/clavicle fracture |
MIMIC-CXR-JPG/2.0.0/files/p14149697/s54685713/1d3694bc-60a20d0e-8f0a54c6-072eb32e-8ab61378.jpg | cardiac silhouette size is normal. the aorta is mildly unfolded. the mediastinal and hilar contours are otherwise within normal limits. the pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18471732/s59068699/f637967d-66947513-61c8ea42-df3ece80-8f064825.jpg | cardiomediastinal contour for is unchanged. elevation of the right hemidiaphragm is also stable and a long-standing finding. the lungs are clear. there is no pneumothorax or pleural effusion. multiple healed rib fractures are again seen. | <unk>-year-old man with right-sided chest pain, evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11610027/s59901885/b0aca04e-654db156-15ce802f-5c98d77a-1d373865.jpg | a right picc is present with the tip in the right atrium. it could be pulled back <num> to <num> cm to be at the cavoatrial junction. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | repositioned right picc. evaluate placement. |
MIMIC-CXR-JPG/2.0.0/files/p17293172/s52067145/858dc76b-afa48050-71f929ce-ae59404d-e5fb4813.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. a ventriculoperitoneal shunt is partially visualized coursing over the right hemithorax. | chest pain, dyspnea, history of pneumothorax, evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12897175/s54593248/84d0eee8-97e2ca26-bc875348-5229ec4b-70170b57.jpg | heart size and cardiomediastinal contours are normal. interstitial markings have slightly improved since the prior exam, but right lower lobe opacity now silhouettes the right hemidiaphragm. no substantial pleural effusion or pneumothorax. | history: <unk>f with s/p compressions, please do at <num>am // ? pul edema |
MIMIC-CXR-JPG/2.0.0/files/p18666022/s52179935/bfce96ef-aa7a780b-e1599961-e42aadb2-c5d5d700.jpg | pa and lateral views of the chest provided. lungs are grossly clear. the volume of air in the large, persistent hydropneumoperitoneum has decreased. no pneumothorax. small, bilateral pleural effusions are unchanged. there is no pneumothorax. hilar and cardiomediastinal contours are normal. | <unk> year old man with cirrhosis, recent umbilical hernia repair // assess change in free air |
MIMIC-CXR-JPG/2.0.0/files/p11528715/s58202391/46381132-5152d423-e10729c4-58dd85a0-56f3997b.jpg | the patient is status post left vat s pleural biopsy and previous breast reconstruction surgery. cardiomediastinal contours are normal. lungs are clear except for focal scarring at the left base. left pleural effusion has nearly resolved since the previous radiograph with only minimal residual fluid or thickening. . | <unk> year old woman with l posterior back pain // please evalute for parenchymal or pleural abnormalities |
MIMIC-CXR-JPG/2.0.0/files/p12623286/s57216148/20e7aab4-229140c1-91d40250-4a286fcf-62ba57f0.jpg | right ij central venous catheter is seen with its tip in the low svc region. lungs are clear. cardiomediastinal silhouette is somewhat prominent likely due to technique. no pneumothorax. | central venous catheter placement assess line position. |
MIMIC-CXR-JPG/2.0.0/files/p12862888/s53880246/cc6bb1da-9ad5a5b5-c9718d70-8a78b64e-ec290ae3.jpg | the right ij central line terminates in the low svc. there has been interval removal of the enteric tube since the radiograph in <unk>. postsurgical clips in the abdomen are again noted. the heart is mildly enlarged. the mediastinal silhouette is unchanged. a <num> cm opacity projecting over the left mid lung was not seen on multiple recent prior chest radiographs. the lung volumes are low. mild bibasilar atelectasis. small bilateral pleural effusions are likely present. no pneumothorax is present. | <unk> year old woman with dysphagia s/p aspiration event // pt feels like something is stuck, eval for for aspirate |
MIMIC-CXR-JPG/2.0.0/files/p18919972/s51062936/3fb6ec1f-a0c6dc3f-38cd9ded-129bee5b-b877062f.jpg | normal cardiomediastinal shadow. no airspace consolidation. no suspicious pulmonary nodules or masses. no pulmonary edema. no pleural effusions. spondylotic changes of the thoracic spine. no hyperinflation. | <unk> year old woman with shortness of breath, hypertension // ? etiology of sob |
MIMIC-CXR-JPG/2.0.0/files/p11845452/s58796764/9d70aa7c-3c791216-745e034c-2d902a40-80d8cc0e.jpg | normal heart, lungs, pleura and mediastinal surfaces. | <unk>-year-old man with chest pain. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17809917/s55892166/7524f02c-cb550b48-a4842edd-9b36ee7a-9b97416b.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. no subdiaphragmatic free air is present. | history: <unk>m with severe chest pain and vomiting |
MIMIC-CXR-JPG/2.0.0/files/p11648387/s53914683/89ac24a6-366b2359-2ff3b5c8-44ea2f07-457f7f6d.jpg | cardiomediastinal silhouette is within normal limits. mild scarring at the right base is unchanged. there is no focal consolidation, pleural effusion, or pneumothorax. pulmonary vasculature is within normal limits. | history: <unk>m with h/o mild cf diagnosed at late age who p/w fever to <num> at home, <unk> min of right sided chest pain, and tachycardia. concern for infectious process, please r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12349083/s52683720/2cc43521-0755661e-55c398ef-5af80400-64b430bd.jpg | mild pulmonary edema has improved. mild cardiomegaly despite the projection is stable. there is no pneumothorax. bones and soft tissues are unremarkable. | <unk> year old woman with thyroid storm // ? interval improvement |
MIMIC-CXR-JPG/2.0.0/files/p18565134/s58715338/2e00a865-20dd53b1-7e075f37-17002821-b6cb2c83.jpg | ap upright and lateral views of the chest provided. the lungs are clear without focal consolidation, large effusion or pneumothorax. the heart is mildly enlarged. the mediastinal contours unremarkable. bony structures are intact. no free air below the right hemidiaphragm. | <unk>f with confusion // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p17214442/s53715530/0b0c4bcd-480d3b6b-cb88d6ff-e9f0334e-1e7976e8.jpg | previously seen right picc is no longer visualized. basilar consolidations on prior have also resolved. the lungs are clear. there is no large effusion or vascular congestion. the cardiomediastinal silhouette is within normal limits. | <unk>m with tachycardia // overload? |
MIMIC-CXR-JPG/2.0.0/files/p10101795/s54300643/2ba60b60-19b1de98-238969af-47dcb3a3-1835ec98.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. overall, no significant change in radiographic appearance since <unk>. | history: <unk>m with fever, chills. eval for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15031358/s57418931/9b4b4223-33697fa0-6752bbec-55b65d4a-ce67c0aa.jpg | lung volume is low. airspace opacities are identified in bilateral lungs with lower lobe and central predominance. there is no pleural effusion or pneumothorax. cardiac silhouette is exaggerated by low lung volumes. | history: <unk>f with cough, sob, hypoxia. // assess for pneumonia, pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p10620872/s58636858/57663f82-58df304c-0c240cc6-f260c017-30c1c97e.jpg | left chest wall cardiac pacer with leads terminating in the apparent expected locations of the right atrium and right ventricle. there is no pleural effusion or pneumothorax. mild prominence of the central vascular structures may reflect mild fluid overload. | <unk>m with hx of complete heart block complaining of chest pain. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18098547/s57766997/b53ba8fc-b7f6b723-6518ef86-1f3f0934-1f5b5c7b.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 shortness of breath // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10938950/s50142033/608def48-0e6c10ba-20fd1547-4a2d4554-a8915f49.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with cp // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p15409487/s53441006/e0be2ded-fef12a6e-34c20df0-8b008ab9-dd3b81cc.jpg | heart size is normal. the mediastinal and hilar contours are remarkable for a tortuous thoracic aorta. lungs are clear except for linear bibasilar opacities. small pleural effusions are present bilaterally. multilevel degenerative changes are present in the spine. there are no acute osseous abnormalities. | <unk> year old woman presenting with cholangitis, now with productive cough. // evaluate for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p13060513/s56731099/ac35b68f-ebf5c192-39f1a6f6-b906ddef-f70a9985.jpg | enteric tube courses below the level the diaphragm, out of the field of view. there is free air beneath the right hemidiaphragm. bibasilar atelectasis is seen. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. | history: <unk>f with ? free air pls eval // free air |
MIMIC-CXR-JPG/2.0.0/files/p17281190/s53018222/50b5b883-a6ec20d7-bb20d997-7fb2c3ea-cce4242f.jpg | there is a right picc, which terminates in the lower svc. the cardiac silhouette continues to be enlarged without pulmonary edema. there is no focal consolidation, pleural effusion or pneumothorax. | <unk>-year-old male with picc line. please evaluate placement of picc. |
MIMIC-CXR-JPG/2.0.0/files/p12838416/s58937723/8b63cbdd-f43f5c18-834fcb21-2a09b399-60a0854b.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study <unk> <unk>. the heart size remains unchanged and is within normal limits. no typical configurational abnormality is seen. mild widening and elongation of the thoracic aorta is noted as before. no local contour abnormalities are seen. the pulmonary vasculature is not congested. there is now a sizable parenchymal infiltrate occupying the left upper lobe as seen on the frontal view. the lateral view discloses its location in the posterior apical segment of the left upper lobe sparing; however, the lingula. no other pulmonary acute processes are seen and the right and left lateral as well as posterior pleural sinuses are free from any fluid accumulation. similar as on the preceding examination, the general configuration of pulmonary vasculature and thorax with increased depth diameter and low positioned diaphragms is consistent with copd. | <unk>-year-old female patient with cough and malaise, history of copd, any pulmonary infiltrates? |
MIMIC-CXR-JPG/2.0.0/files/p14679670/s59237267/133946e2-8ae0084a-b47508ee-6c658493-f69ce935.jpg | there is no focal consolidation, effusion, or pneumothorax. cardiomegaly is mild. the mediastinal silhouette is normal. there is mild biapical pleural thickening. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | history: <unk>f with dysequilibrium // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19279626/s50618811/8fca332a-736c50cd-760d6499-29b4bdd0-2dfe3ec2.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with back pain and sob // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15175883/s57698298/e0f060fd-48f99877-e59be55f-f3ff2bba-0228b638.jpg | frontal and lateral chest radiograph demonstrates hypoinflated lungs with crowding of vasculature and bilateral lower lobe atelectasis. no pleural effusion or pneumothorax. no pneumomediastinum. subtle blunting of the left cardiophrenic angle is most consistent with scarring. prosthetic valves are noted, most likely mitral and aortic. intact median sternotomy wires. a mildly calcified, tortuous aorta is present. the heart is mildly enlarged. limited assessment of the upper abdomen is within normal limits. | patient with egd gastric cautery <num> hr prior. now with chest pain. assess for pneumomediastinum or free air under diaphragm. |
MIMIC-CXR-JPG/2.0.0/files/p16157787/s53877860/b226f498-feb88c32-8c529468-56054779-ef4789d0.jpg | the lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>f with asthma, previous intubation p/w dyspnea // inciting pna vs uncomplicated asthma flare |
MIMIC-CXR-JPG/2.0.0/files/p16073738/s55064942/ac64ab12-db75080e-6c4e16cf-cf3460b3-e1d7630d.jpg | the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable. | history: <unk>f with chest pain // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14042163/s56980916/b8d88094-fb813a66-1e4d801c-074a38b7-8cb8d491.jpg | right hydro pneumothorax is re- demonstrated, similar in appearance as compared to the prior study. bilateral pleural effusions with overlying atelectasis appear similar compared to the prior study. the mediastinum is stable. | <unk>f s/p r thoracentesis, cervical med; now w r basilar ptx; pls perform xr at <time> <unk> // eval r basilar ptx; prior cxr at <time>; pls perform at <time> <unk> |
MIMIC-CXR-JPG/2.0.0/files/p13860232/s53192464/323575be-8e229e2c-56d6446a-69f07b72-cebd3747.jpg | the heart size, mediastinal, and hilar contours are normal. there is an opacity in the left lower lung, extending into the left retrocardiac region. given the patient's clinical history, this is concerning for pneumonia. there is no pleural effusion or pneumothorax. | <unk> year old man with fever, altered mental status. r/o pna. |
MIMIC-CXR-JPG/2.0.0/files/p17032851/s51506504/c7e19f6d-d429fcb7-48176b37-301f7b34-26972fac.jpg | there has been interval removal of the endotracheal tube. lung volumes are grossly unchanged. knee chest tube projects over the mediastinum. a right internal jugular catheter terminates in the proximal svc. the swan-ganz catheter has been removed. there is persistent widening of the mediastinum, unchanged compared to the prior study. slight interval improvement in the right pleural effusion. persistent left lower lobe atelectasis. there are bilateral airspace opacities in the mid lungs which may reflect pulmonary edema versus infection. no pneumothorax seen. | <unk> year old man s/p type a dissection repair and ct removal-still has left pleural // r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p15852685/s52875391/592322c2-823b5631-ddeee788-cd492599-185ef4c6.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11642460/s51174628/5b82849c-c10656bd-94c08045-1db3b479-3b8362f5.jpg | there is marked lucency along the left heart border likely representing some mediastinal air. this is increased compared to prior. the remainder the appearance of the chest is unchanged. there is bilateral lower lobe volume loss/infiltrate | <unk> year old man with s/p bentall // s/p mt removal |
MIMIC-CXR-JPG/2.0.0/files/p10407730/s55195498/305f78d2-95f3bf3f-0c0e4fee-2c759e37-f196e91a.jpg | ap supine and lateral views of the chest provided. dialysis catheter and pacemaker appear unchanged. midline sternotomy wires and mediastinal clips again noted. there is a moderate degree of pulmonary edema with stable mild cardiomegaly and small bilateral pleural effusions. there is no supine evidence for pneumothorax. aortic atherosclerotic calcifications are noted. imaged bony structures appear grossly intact. | <unk>f with sob, last dialysis stopped early // eval for fluid overload vs pna |
MIMIC-CXR-JPG/2.0.0/files/p16438215/s50279458/cf31ebb6-6782c9db-268da450-6c70d259-1d52fbb3.jpg | pa and lateral views of the chest demonstrate the lungs are well expanded and clear. there is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. dextroscoliosis of the thoracic spine is unchanged. the cardiomediastinal silhouette is unremarkable. | <unk>-year-old female with confusion. evaluation for infection. |
MIMIC-CXR-JPG/2.0.0/files/p11135350/s57437729/0a7b4797-26061ea5-69f731ec-a45b9e8e-b4a66113.jpg | et tube is seen with tip approximately <num> cm from the carina. enteric tube seen passing below the inferior field of view. lower lung volumes are noted on the current exam with bilateral parenchymal opacities which could be due to edema or infection. prominence of the right hilum is again noted. moderate cardiomegaly and appears to have progressed since prior could potentially be in part due to changes in positioning. no acute osseous abnormalities. surgical clips project over the left chest wall/axilla. | <unk>f with dyspnea // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p19616950/s58850156/93c1c6d2-aabb32f4-7ba4419f-4b4a40f4-0f016daa.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with dyspnea*** // ptx |
MIMIC-CXR-JPG/2.0.0/files/p13984508/s52470820/46c8629a-b137f32a-cd6e2c76-d013bf4a-1be948be.jpg | as compared to prior chest radiograph from <unk>, there has been no significant change. there is a persistent right moderate basilar pneumothorax. right upper lobe consolidation remains unchanged. vascular branching pattern on the left suggests emphysema. the cardiomediastinal and hilar contours are within normal limits. support and monitoring devices are in unchanged position. | <unk>-year-old female patient status post v-fib arrest, right upper lobe infiltrate. study requested for evaluation of interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14232268/s53188873/0d8d7969-1f4dd012-a483f3a3-9c6f9448-3299a95c.jpg | pa and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and low lung volumes without definite focal consolidation. there is mild bibasilar atelectasis. no pleural effusion or pneumothorax is seen. | chest pain. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15619201/s54096573/34fba0b9-d6c63abd-bf39247b-bda2d07e-12b80c7d.jpg | no change in appearance of the lungs, no acute consolidation, interstitial edema or effusions. the is unfolding of the thoracic aorta. | <unk> year old woman with brain lesion. pre-operative planning. // pre-operative planning. surg: <unk> (brain tumor resection) |
MIMIC-CXR-JPG/2.0.0/files/p18828209/s52060441/2fdcf192-d042418c-ff3cbe78-155e0750-1e3e2943.jpg | the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. | <unk>m with weakness // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p17971371/s50645768/a8a092ee-5b9dcbdd-caf4d51e-c9b867c4-83a026f4.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with one week of dyspnea, subjective fevers // pna? or other process to explain dyspnea? |
MIMIC-CXR-JPG/2.0.0/files/p12896985/s50942857/debddc0f-ea30c45c-3a0fc109-24be54e0-2b9cc34c.jpg | the exam was limited by technique and body habitus. within the limitation, the lungs are clear without a focal airspace consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart size is slightly enlarged. the azygous vein is prominent. | bilateral lower extremity swelling. evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p12532170/s55518500/a4751311-7c393b91-8a07abb6-94ba40ab-b47997c4.jpg | frontal and lateral chest radiographs again demonstrate a mildly enlarged heart with normal mediastinal contours and a lobulated appearance of the mediastinum and hila, consistent with known lymphadenopathy. there is no focal opacity concerning for pneumonia. no pleural effusion or pneumothorax is seen. | pre v/q scan evaluation in a patient with shortness of breath, likely secondary to sarcoid. |
MIMIC-CXR-JPG/2.0.0/files/p15358593/s52491716/3ba0c301-57a39838-e9cf379d-398b3cbe-52952bc3.jpg | ap portable upright view of the chest. bibasilar atelectasis is better assessed on same-day ct abdomen pelvis. no large effusion or pneumothorax. no overt signs of edema. the heart size is within normal limits. the thoracic aorta appears unfolded. no bony injuries. | <unk>f with seizure // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15138810/s56561752/9b154a87-8f8a8f99-7f6863dc-2575efe9-1a7b847f.jpg | a right-sided picc remains in stable position terminating in the distal svc. the aorta remains tortuous. cardiac silhouette is normal in size. there is no pleural effusion, pneumothorax or evidence of pneumonia. | cough and fever, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14880550/s52043841/2af78c4c-487d0394-5423a7b1-f5332d8d-3b6d34b4.jpg | the lung volumes are low. allowing for differences in technique, the cardiac, mediastinal and hilar contours are probably unchanged. there is similar mild relative elevation of the left hemidiaphragm compared to the right. although there are patchy opacities at the left lung base, these are not probably out of proportion to what could be expected with post-operative volume loss. it is difficult to exclude pleural effusions, particularly on the left. there is no pneumothorax. | low-grade fever following recent right total knee replacement. |
MIMIC-CXR-JPG/2.0.0/files/p13154176/s51902000/f6d1fd39-b40f4490-4181166e-4717d037-1f1c3ec5.jpg | low lung volumes are noted with secondary crowding of the bronchovascular markings. there is no confluent consolidation, effusion, or overt pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. | <unk>f with episode of unresponsiveness, ? acute infectious process // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p12471831/s54892027/19758dff-1965e60f-e3604b49-4ed3a874-811f16eb.jpg | heart size is top normal, exaggerated by low lung volumes. cardiomediastinal contours are stable. increased retrocardiac opacity may represent atelectasis, but is compatible with infection in the appropriate clinical setting. no substantial pleural effusion or pneumothorax. right picc terminates in the upper svc. left humeral head screws are in stable position. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p14395025/s51710615/5510730f-4ef49593-68e39424-ecc7ad0d-3d2a4873.jpg | there has been interval placement of an endotracheal tube, terminating approximately <num> cm above the level of the carina. the lungs remain hyperinflated. there has been interval development of patchy opacity at the left lung base which may be due to atelectasis or aspiration, giving short-term interval. patchy lateral right apical opacity is again seen, more prominent as compared to chest radiograph from <unk>, and while could theoretically be related to scarring, given patient is underlying emphysema and copd and again, nonemergent chest ct recommended to further assess. right infrahilar opacity may relate to confluence of vascular structures although consolidation underlying pulmonary nodule not excluded. slight blunting of the left costophrenic angle. mediastinal contours are stable. hilar contours are stable. cardiac silhouette is top-normal. | <unk> year old man with hypercapneic resp failure s/p intubation // eval tube placement |
MIMIC-CXR-JPG/2.0.0/files/p13291370/s53461201/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg | pa and lateral views of the chest. left-sided pacemaker is unchanged in position. sternotomy wires and upper mediastinal clips are stable. right mid to upper lung opacity have decreased significantly. no pleural effusion or pneumothorax. no new consolidations. | bibasilar rales and productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p14799071/s52221832/745345ec-d9007430-0bfdb2f3-79c771ec-d6816cdb.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>m with no pmh presenting with <num>weeks of cough // ?<num>weeks of productive cough? |
MIMIC-CXR-JPG/2.0.0/files/p13719517/s50850476/54a8f9e3-07e565e9-0084e997-01b8c8b4-e3e78daa.jpg | compared to the prior exam, there has been no significant interval change. cardiomegaly persists. aortic calcification is noted. pacing hardware appears appropriately positioned. no focal consolidation, pleural effusion, or pneumothorax is detected on this single frontal view. | <unk>-year-old female with hypoxia and presyncope. |
MIMIC-CXR-JPG/2.0.0/files/p19028690/s57456610/51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a.jpg | single portable view of the chest. there is a new right ij central line with tip in the mid svc. there is no pneumothorax. the lungs remain clear. azygous fissure again noted. cardiomediastinal silhouette is stable noting prominence of the upper mediastinum due to fat, unchanged. | <unk>-year-old male with altered mental status with new right ij line. |
MIMIC-CXR-JPG/2.0.0/files/p19083272/s54122764/08131efc-67325bae-4ca341b9-639e41cc-cc647add.jpg | aeration of both lungs has significantly improved in the preceding <num> hours due to resolution of moderately severe pulmonary edema. moderate right and smaller left pleural effusions are present. no pneumothorax is present. mild cardiomegaly is unchanged. a left subclavian catheter tip terminates in the upper svc. | <unk>-year-old man with leukocytosis, aortic stenosis, closed loop small-bowel obstruction and ischemic bowel, status post exploratory laparotomy and small bowel obstruction. |
MIMIC-CXR-JPG/2.0.0/files/p12433486/s59746372/fbbd87d1-2f742693-ae2a9f30-75af42a2-ae1410ef.jpg | the patient is status post median sternotomy and cabg. cardiac, mediastinal and hilar contours are unchanged and within normal limits. calcified bilateral pleural plaques are re- demonstrated. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is identified diffuse idiopathic skeletal hyperostosis is again noted within the thoracic spine. | <unk> year old man with stroke |
MIMIC-CXR-JPG/2.0.0/files/p19584791/s53435883/dedd46e4-8160e7fe-4540215e-fb633083-ba0c2b32.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of pneumomediastinum is seen. | history: <unk>m with gastritis type pain, now <num>d dry heaving, severe epig pain // eval ? acute chest process, free air, infiltrate, pneumomediastinum |
MIMIC-CXR-JPG/2.0.0/files/p16109387/s50680550/aa552d08-8c9e30f0-f899acc4-fd1080ff-37f0b044.jpg | no consolidation. no pulmonary edema or pulmonary venous congestion. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is normal. | <unk> year old woman with thyroid cancer s/p iodine treatment // evaluate for other sites of disease |
MIMIC-CXR-JPG/2.0.0/files/p16993562/s50305623/1c373e0f-41864b10-bc7668fd-5089604f-0bd41077.jpg | two views of the chest were obtained. left-sided dialysis catheter is unchanged in position. large right pleural effusion is unchanged with interval slight increase in small left pleural effusion. the remainder of the lungs are clear. cardiomediastinal contours are unchanged. | <unk>-year-old woman with pleural effusion, for followup. |
MIMIC-CXR-JPG/2.0.0/files/p13391049/s52903291/c8f8993a-efc7b1f0-7eb1e69a-7185437f-243a482c.jpg | the lung volume is low. there is an ill-defined hazy opacity with uniform density obscuring the left heart border concerning for infarction versus infection in the left upper lobe. however, the appearance is not typical of pneumonia. atelectasis in the left lung is also appreciated. the pulmonary venous congestion is unchanged from prior.there is also bilateral diffuse interstitial opacities, not fully explained by pulmonary venous congestion. there is minimal pleural effusion bilaterally. no pneumothorax. the cardiomediastinal silhouette is normal. no fractures. the right port-a-cath terminates at cavoatrial junction. | <unk> year old man with hx aml s/p <unk> chemotherapy p/w cough while neutropenic // pneumonia, evidence of infection |
MIMIC-CXR-JPG/2.0.0/files/p19343087/s57908472/6e5ae92c-0f97e8d9-64746a4c-5515e3bd-6bdf4727.jpg | the cardiomediastinal and hilar contours are unchanged. small bilateral pleural effusions are similar in size to the prior chest radiograph on <unk>. bibasilar opacities, greater on the left, appear minimally increased which may reflect atelectasis or infection. of note there is engorgement of the azygos vein, increased from the prior examination. no pneumothorax. | <unk> year old man with resting tachycardia, o<num> sat <unk>% at rest, recent hospitalizations in <unk> and again in <unk> for pericarditis with tamponade s/p paracardiocentesis, and bilateral pleural effusion s/p drainage with chest tubes (removed). // please compare with latest cxr from <unk> |
MIMIC-CXR-JPG/2.0.0/files/p12410764/s53416746/f1da592c-92a04fbb-ae722e77-3c532a16-72c7faa1.jpg | mild cardiomegaly is unchanged. thoracic aorta is generally tortuous and the ascending portion, either tortuous or dilated is unchanged since <unk>. lungs are clear. there is no pleural effusion or pneumothorax. there is a mild levoconvex scoliosis of the thoracic lumbar spine | <unk>-year-old woman with palpitations. |
MIMIC-CXR-JPG/2.0.0/files/p15051804/s56870153/b2d5d5d0-0f2ce3c9-7c098cea-a08ae5c5-c4c9c1c1.jpg | cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized. | chest pain. |
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