File_Path stringlengths 94 94 | Findings stringlengths 10 1.83k | Query stringlengths 4 830 |
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MIMIC-CXR-JPG/2.0.0/files/p19969737/s53836192/364be420-343c9605-94022205-c587d954-8b4e6d6b.jpg | again seen is mild volume loss in the right upper lobe with peribronchial consolidation in the right upper lobe which may correspond to consolidation and cavitation seen on prior ct. the cardiomediastinal silhouette is stable since the prior examination. the aorta is tortuous. there is no pleural effusion or pneumothorax. no focal consolidation is identified. there is evidence of healed left rib fractures. | history: <unk>f with ams // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14222873/s59699902/804762f5-cdf10c3f-af792490-955cdc01-fea5f1df.jpg | again seen right-sided picc terminates in the region of the mid svc without evidence of pneumothorax. re- demonstrated is mild coiling at the level the transition of the right subclavian vein into the svc.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. minimal vascular congestion is noted. | history: <unk>m with productive cough x <num> weeks- // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p12195690/s57414089/879047aa-f1744161-7346eeef-b7e4af87-c805c434.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | possible stroke, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15279517/s54160255/bdfae06a-d51d27c8-11140ca9-e6606446-54368fca.jpg | heart is upper limits of normal in size with left ventricular configuration. the aorta is calcified, indicating atherosclerosis. the aorta is tortuous. 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. | <unk>f with ataxia and right eye palsy. evaluate for ich, vessel occlusion |
MIMIC-CXR-JPG/2.0.0/files/p10149202/s55922015/f63cf9a5-7f679a8a-57a925ce-47a52671-1a3b0c1b.jpg | the heart size is top normal. the lungs, however, are clear with no focal consolidation. no pleural effusion, pulmonary edema, or pneumothorax is present. the pleural surface contours are normal. | atrial fibrillation. |
MIMIC-CXR-JPG/2.0.0/files/p19593575/s58455578/f6f3af5c-87f67be2-9f7f3b15-bce2601a-9b9e4bd1.jpg | unchanged masslike opacity in the left upper lobe. no discrete pneumothorax identified. no new consolidation or pleural effusion. the size of the cardiac silhouette is mildly enlarged but unchanged. degenerative changes of the both glenohumeral joints. | <unk> year old man with lul biopsy // r/o pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p14481207/s52097056/bc9a36f9-6302fae9-7f76bfb3-b2b3159f-55d9d1cc.jpg | pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old female with history of asthma with dyspnea for three days, preceded by uri. |
MIMIC-CXR-JPG/2.0.0/files/p14953390/s57706249/615d8264-0644b536-d6c5e32b-0af4e360-7e83dbca.jpg | right basilar consolidation has improved, with residual patchy opacities present. small pleural effusion has decreased. accentuated right diaphragmatic border and costophrenic angle, may represent tiny pneumothorax. radiographic follow-up is recommended. there is no apical pneumothorax. patchy nodular left basilar infiltrate is similar. central line in place. sternotomy. cardiac pacemaker. pulmonary vascularity has improved prominent cardiophrenic angle fat pads. | <unk> year old man with pna and lung collapse // eval for interval changes |
MIMIC-CXR-JPG/2.0.0/files/p16796371/s53686185/70cea66f-584d6ee2-0d04af7b-7bc21135-878f8021.jpg | ap portable semi upright view of the chest. endotracheal tube is seen with its tip residing <num> cm above the carinal. the ng tube courses into the low left upper quadrant. vp shunt tubing courses over the right hemi thorax mild perihilar opacities could represent subtle aspiration. otherwise the lungs are clear. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. | <unk> year old woman with sp sz remains in status // ett placement |
MIMIC-CXR-JPG/2.0.0/files/p13204588/s55076449/0a203aa4-26eef79a-4c6f4983-5b8d9086-96358b17.jpg | no pneumothorax. bilateral pleural effusions are moderate-to-large. the heart is enlarged. there is pulmonary vascular congestion and mild edema. median sternotomy wires appear intact. no focal consolidation. no evidence of fracture on this single frontal view with portions of the lower ribs excluded from the image. degenerative changes in the shoulder are moderate to severe. | history: <unk>m s/p fall // ?pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p10675468/s53845843/0adc29ae-f8b4c3ce-10e6bf3a-f68c102e-f2618d6d.jpg | a single lead pacemaker is seen with the lead terminating in the right ventricle there is no pneumothorax. top normal heart size without pleural effusions. no consolidation. chronic elevation of right diaphragmatic surface, stable since <unk>. calcified mitral annulus and atherosclerotic calcifications within the aortic knob are stable since <unk>. no evidence of pulmonary edema, which is improved from <unk>. | <unk> year old woman with sss status post ppm // eval for pneumothorax and lead placement |
MIMIC-CXR-JPG/2.0.0/files/p11236474/s53375268/1c66ea1c-d4dbf99c-a0a2fa26-d00f3a73-8deb7002.jpg | frontal and lateral views of the chest were obtained. large bore central catheter terminates in the right atrium, in similar position to prior. ivc filter has a stable orientation. heart size and cardiomediastinal contours are normal. linear opacity in the right mid lung is unchanged and consistent with atelectasis. no focal consolidation, pneumothorax, or substantial pleural effusion. | <unk>-year-old female with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17340686/s55469953/6ff741e9-6ea01eef-1bf10153-d1b6beba-590b6620.jpg | compared to most recent prior exam, there has been little interval change. no new consolidation, pleural effusion, or pneumothorax is appreciated on this single frontal view. heart size is enlarged. the aorta is calcified. right-sided hemodialysis catheter terminates in the right atrium, as seen previously. | <unk>-year-old female with acute mental status change and history of end-stage renal disease, congestive heart failure, coronary artery disease, and diabetes mellitus. had dialysis today. |
MIMIC-CXR-JPG/2.0.0/files/p15768973/s55707014/de1b035e-58fc368b-e6e47082-5efc8c8f-1aeec39a.jpg | there is a <num> mm nodule projecting over the right upper lung partially overlying the anterior right third rib. biapical pleural based scarring is also noted. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. there is no free intra per air. | <unk>f with abd pain // eval free abdominal air |
MIMIC-CXR-JPG/2.0.0/files/p18377937/s59964962/ccb94d76-8ee1a821-b2bc57e5-6ed8f8d5-21ea1e0b.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 fever, leukocytosis // ?cpd |
MIMIC-CXR-JPG/2.0.0/files/p10016367/s58382768/6ffcc64f-fce64c2a-76e2327a-c16e57d3-f09642be.jpg | scarring at the right lung base is unchanged from the prior chest ct in <unk>. no new consolidation. no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. no subdiaphragmatic free air identified. no acute osseous abnormalities. | history: <unk>f with tenderness to r thoracic back // eval for pna or acute process |
MIMIC-CXR-JPG/2.0.0/files/p14394962/s52951722/621fbec6-80986c62-53a5b8b8-e1569a89-3b4af4ce.jpg | the lungs are well inflated and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal and unchanged. pleural surfaces are unremarkable. there has been interval placement of a right-sided port-a-cath terminating in the mid to low svc. | <unk>-year-old female with fap presents with hypotension and fevers. |
MIMIC-CXR-JPG/2.0.0/files/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg | one portable ap view of the chest. again seen is mild pulmonary edema, mostly on the right, with slight improvement compared to <unk>. right pleural thickening or loculated effusion is again seen and unchanged. there has been surgical removal of the right fourth rib posteriorly. | status post right thoracotomy and tracheal reconstruction. assess for fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p17815790/s59783042/460a5d35-0d6df519-6c479297-8cb3907d-2922dbf7.jpg | there is a left chest port-a-cath with distal tip projecting over the high right atrium. the cardiomediastinal silhouettes are stable, with nonvisualization of the lower right and left heart borders due to pleural effusions. the bilateral hila are within normal limits. an esophageal stent is seen in unchanged position. there is no pulmonary vascular congestion or pulmonary edema. there is no focal lung consolidation. again seen are bilateral at least moderate pleural effusions. there is no pneumothorax. | <unk>f with esophageal cancer on chemotherapy now with nausea and vomiting, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12844527/s52698052/eabbf2f9-8a72271c-0148bbb2-8ff5cfbb-9fc02e33.jpg | single frontal view of the chest demonstrates interval resolution of previously seen opacity in the left cardiophrenic angle, compatible with improved atelectasis. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. the cardiomediastinal silhouette is within normal limits. hardware related to prior posterior spinal fusion appears unchanged. | <unk>-year-old male with fever on chemotherapy without neutropenia. question persistence of a retrocardiac opacity seen on prior chest radiograph. |
MIMIC-CXR-JPG/2.0.0/files/p11451475/s55987960/eaacf951-7eb0f246-2f223df0-5e29d9b3-299fb9d3.jpg | pa and lateral views of the chest. there is subtle increased patchy opacity in the left mid to lower lung, which is seen posteriorly on the lateral view. lungs are otherwise clear. blunting of the left posterior costophrenic angle may represent small effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old female with thoracic pain and cough. |
MIMIC-CXR-JPG/2.0.0/files/p12462977/s50301006/34830b18-24084345-11093d21-881a01e6-74b18d74.jpg | since <unk>, the right middle lobe opacity is increased in density and the right hilum appears more prominent. unchanged mild cardiomegaly. no pneumothorax. mediastinal borders are normal. median sternotomy wires are in place. | <unk> year old man with recurrent cough after rx for hap // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15640564/s58954141/2d463e33-11332740-7b773b90-edcd92cb-96f36710.jpg | the cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique. there is predominantly perihilar opacification that is striking and new since the prior studies, suggesting pulmonary edema. there is also increasing right basilar opacification, which may reflect a coinciding pleural effusion, but is not well characterized versus elevation of the right hemidiaphragm, which could also be considered. the area is not completely imaged. there is no pneumothorax. | worsening shortness of breath and hemoptysis. |
MIMIC-CXR-JPG/2.0.0/files/p12838095/s53508745/15289166-f17bee66-6bd99376-41a8dbe9-140f2b57.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11850011/s50149027/2ea12b82-13325e38-9e1dcc87-caf8eb9f-fd1f6101.jpg | lung volumes are normal. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities identified. mild anterior wedge compression deformity in a midthoracic vertebral body is similar to <unk>. no subdiaphragmatic free air. | <unk>-year-old male presenting for evaluation after a fall with head strike |
MIMIC-CXR-JPG/2.0.0/files/p15625453/s53497922/7b62591a-0250a59b-78fcc464-756a72cb-30f2e466.jpg | pa and lateral images of the chest. there is slightly low lung volumes, but the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. a device likely representing a gastric stimulator is seen overlying the area of the stomach. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16392279/s57997172/ecc48325-60db0b52-8c486795-9179ea44-fc98431a.jpg | low inspiratory effort as well as ap view exaggerates the heart size and bronchovascular structures. the mediastinum is normal given the ap view. there is no pleural effusion, pneumonia or pneumothorax. | syncope, question widened mediastinum. |
MIMIC-CXR-JPG/2.0.0/files/p19679141/s50266460/282add49-aaa96f21-4c34f667-7eebebbf-4b8c4b47.jpg | the lungs are clear aside from minimal dependent atelectasis. there are no pleural effusions. no pneumothorax is seen. the heart size is within normal limits. the mediastinal contours are normal. note is made of a large hiatal hernia, as before. there is air under both hemidiaphragms, consistent with pneumoperitoneum, not unexpected in a post-operative patient. additionally, a small quantity of air seen within the mediastinum, also not unexpected post-operatively. | sharp left-sided chest pain with shortness of breath. evaluate for acute cardiac or pulmonary process. of note, the patient is status post attempted hiatal hernia repair/nissen fundoplication today. |
MIMIC-CXR-JPG/2.0.0/files/p11648387/s52986121/79686336-867b6ef0-60db64de-7d874292-8a6b7a80.jpg | the cardiomediastinal silhouettes are unchanged compared to multiple prior studies. there is a soft tissue density adjacent to the right heart border, seen on multiple prior studies and likely due to a prominent epicardial fat pad as seen on a prior ct. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | <unk>-year-old man with chest pain since <unk>:<num> this morning, evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p14832153/s55661969/03d770ae-a152b64b-0fa68ae7-8c60c20d-87f275a3.jpg | the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax. limited assessment of the abdomen is unremarkable. | history: <unk>m with chest pain // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16598252/s50783241/3e6549b3-0decca08-aa6e78eb-18717829-c860b951.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. the osseous structures are grossly unremarkable. | coughing and two days of shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14713334/s58757500/9c51ac5e-d28f6ea0-0bf4aa1f-4246f3e0-bdced8d9.jpg | the aortic valve replacement appears intact and overall unchanged in position. median sternotomy wires and left-sided pacemaker device also appear intact and unchanged with tip ending in the right ventricle. surgical clips are again noted in the left hilar region. stable appearance of the cardiomediastinal silhouette. mild pulmonary vascular congestion persists. no pleural effusion. no pneumothorax. no focal consolidation to suggest pneumonia. | <unk>-year-old man presenting with chest pain status post avr; evaluate cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p18284271/s50427735/23dae2bb-e7773927-2632a24c-c1d74676-319632da.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiac silhouette is mildly enlarged, similar to before. left pectoral pacemaker has <num> leads terminating right atrium and right ventricle. sternal hardware is intact. | history: <unk>f with l posterior crackles, malaise // eval ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12351520/s52623447/fc4ff7b7-e0bb3b82-ec5088da-65b8b12a-ed685326.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. no acute osseous abnormality is detected. | <unk>-year-old male with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15416852/s50210054/143c562c-21c3477f-f863b53f-95843f91-c6075b05.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. small anterior osteophytes are present along lower thoracic interspaces. surgical clips about the base of the neck suggest prior thyroidectomy. | chest pain and heroin use. |
MIMIC-CXR-JPG/2.0.0/files/p13614978/s59152734/eab4b3d4-14c944f2-0a21f786-cb51a61a-b993ad66.jpg | pa and lateral views of the chest provided. mild left basilar opacity is likely atelectatic. no definite signs of pneumonia, effusion, pneumothorax or edema. the cardiomediastinal silhouette is stable. mitral annular calcification is suspected. no bony abnormalities are detected. | <unk>f with fever // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p10011365/s53869555/afea1d4e-5402c28c-2aeb480f-c9d93494-7e04879d.jpg | enteric tube tip is in the proximal stomach, new since prior. more prominent right basilar opacity and adjacent right pleural effusion. otherwise stable. | <unk> year old woman s/p og tube placement // please evaluate tubes, lines, drains |
MIMIC-CXR-JPG/2.0.0/files/p10673457/s53060293/6867b617-019d0da3-e4362981-fb319ecc-7823601d.jpg | the lungs are clear. heart size is normal. there is mild central pulmonary vascular congestion but no interstitial edema. no pleural effusion. no pneumothorax. osseous structures appear intact. | <unk>m with asthma, shortness of breath. // pneumonia, pulm edema? |
MIMIC-CXR-JPG/2.0.0/files/p11128113/s56681396/c054433b-1cca8dd5-e86b6293-2bad6358-9d9a3a71.jpg | single portable frontal view of the chest shows new moderate pulmonary edema. there are small bilateral pleural effusions. no pneumothorax. cardiac silhouette is mildly enlarged. mediastinal contours and hilar structures are unremarkable. | stemi. rule out infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p16834871/s50323350/490acfd3-a49a2ec2-7d25e4f3-8d2e98ad-6fbdad1c.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. remote fracture deformity of the right clavicle is re- demonstrated. | history: <unk>m with seizure |
MIMIC-CXR-JPG/2.0.0/files/p14983081/s56899955/e60043ef-8ff2d36c-73fbbe22-96c1eeda-493f7e98.jpg | lung volumes are low, which leads to bronchovascular crowding. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no free air under the diaphragm. | <unk>f s/p vaginal delivery <num> wks ago, preeclampsia, coming in w/sudden onset abd pain, positive peritoneal signs, rule out intra-abdominal free air. |
MIMIC-CXR-JPG/2.0.0/files/p15454391/s51520070/45b38f6a-df13cf2a-f2d1e5e4-7a0c8dfc-8955826a.jpg | compared to the prior study there is no significant interval change. | <unk> year old man s/p r tka; with fevers and tachycardia // evaluate for fever source |
MIMIC-CXR-JPG/2.0.0/files/p17959674/s50517865/6dafc8c0-be6b31bc-ba2758bd-dce1aaf1-cdd97a5b.jpg | compared to the prior study, opacities at the right and left base are slightly improved. otherwise, i doubt significant interval change. no new focal infiltrate frank consolidation, gross effusion or pneumothorax is detected. heart size remains borderline enlarged. minimal thickening of the minor fissure again noted. again seen is a right-sided picc line with tip over distal svc. probable old healed fractures of the right mid clavicle fracture and lateral left sixth rib. | <unk> year old man with hairy cell leukemia, <unk>, fever, eval for new infiltrate/edema // for new infiltrate/edema |
MIMIC-CXR-JPG/2.0.0/files/p10221805/s56643945/5cd64c54-234d6457-075eb47d-e96a840d-3aae41f6.jpg | heart size is moderately enlarged. the aorta is tortuous and mildly calcified. mild pulmonary edema is present. no focal consolidation, pleural effusion or pneumothorax is seen. streaky atelectasis is also demonstrated in the lower lobes. multilevel degenerative changes are noted in the thoracic spine with anterior bridging osteophytes. | history: <unk>m with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p16249969/s55781587/ec1f3ad5-943c8a60-534f4991-56f871f8-f9168452.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13704347/s54863652/78e94ea1-d7fe8bdf-e45da1d5-c755a3b3-3937e964.jpg | there is a <num> x <num> cm rounded mass in the left upper lobe adjacent to the left hilus concerning for malignancy. normal heart size. no pleural effusion or pneumothorax. | <unk> year old woman with cough for <num> week, tobacco use r/o infiltrate // cough, tobacco use |
MIMIC-CXR-JPG/2.0.0/files/p13565877/s56299234/0c59944b-dbd8302b-4562d004-5868ec7a-d84395ad.jpg | lung volumes are lower compared to the prior study. this accentuates the size of the cardiac silhouette which is likely mildly enlarged. the aorta is slightly tortuous. there is crowding of the bronchovascular structures, with mild possible mild pulmonary vascular engorgement likely present. diffuse calcified pleural plaques limits assessment of the pulmonary parenchyma. there are likely patchy opacities in the lung bases reflective of atelectasis. minimal blunting of the right costophrenic angle appears new compared to the prior study and may be due to a small pleural effusion. no pneumothorax is identified. no acute osseous abnormalities seen. | history: <unk>m with dyspnea and epigastric pain // evaluate heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p15649581/s55706958/93357da3-9a86902c-c67b2c23-1126acb0-e486a99e.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with hyperglycemia, chest pain // please evaluate for acute cp process |
MIMIC-CXR-JPG/2.0.0/files/p13332861/s53011946/a1cea75b-e94bd593-94df2a0c-41fe66bb-c16e41cd.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen. | atypical chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16954175/s59936391/85f1f9f1-72010e55-e8bd94ac-3dcd98ff-340cad34.jpg | pa and lateral views of the chest provided. left chest wall aicd is unchanged with leads extending to the region the right atrium, right ventricle, and coronary sinus. the heart remains mildly enlarged. 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 cp/sob. // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p18039147/s50477249/0f93fc95-2d922934-e9348be1-069afecc-62214454.jpg | ap and lateral radiographs of the chest demonstrate postoperative appearance of the right lower lobe with some scarring. there has been interval increase in the right lung volume characterized by relative flattening of the right hemidiaphragm compared to the prior radiograph. no focal consolidation, pleural effusion, or pneumothorax is identified. the cardiac silhouette is normal appearing. | right lower lobe vats for lung cancer. now with <num> week of subjective fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17523255/s56062051/72dc1912-40a2ec39-16c46695-ebd5e331-dac29b40.jpg | upright ap view 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 dka, evaluate for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18656167/s53961840/7e174686-9b8c101b-65b518a2-9f232013-2e1aeb29.jpg | the cardiac, mediastinal and hilar contours appear unchanged. an opacity in the medial right lower lung has essentially resolved, using the earlier radiographs as a baseline reference. the lateral view best depicts minimal residual opacification in the right middle lobe but nearly resolved. mild hyperinflation is present. there is no pleural effusion or pneumothorax. mild degenerative changes are similar along the thoracic spine. | difficulty swallowing. |
MIMIC-CXR-JPG/2.0.0/files/p13976907/s53095741/e2a09f70-436f81df-407645f3-260966ef-e607d77d.jpg | the patient is status post median sternotomy and mitral valve replacement. the heart size is normal. dense coronary arterial calcifications are seen. mediastinal and hilar contours are unchanged. chain sutures within the right mid lung field are unchanged. calcified pleural plaques are again demonstrated. no new areas of focal consolidation, pleural effusion or pneumothorax are visualized. no acute osseous abnormalities detected. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p12135022/s57333932/8b2f225e-60ade0e5-0c78ba0d-6383c907-aa939586.jpg | ap single view of the chest has been obtained with patient in supine position. analysis is performed in direct comparison with the next preceding similar study obtained nine hours earlier during the same day. the patient is intubated and the ett remains in unchanged position terminating in the trachea some <num> cm above the level of the carina. still present are the previously described right internal jugular central venous lines and a right-sided picc line, both terminating in the mid portion of the svc. no pneumothorax can be seen. an ng tube is identified, seen to terminate well below the diaphragm. the line reaches below image field. the presence of an ng tube was already observed on the preceding examination obtained earlier during the day. | <unk>-year-old male patient with orogastric tube placed, check position. |
MIMIC-CXR-JPG/2.0.0/files/p16872031/s50810395/627a0721-3f4774e1-aef250ca-f694ff89-71cd2b58.jpg | pa and lateral chest radiographs. left-sided pleurx catheter is in stable position. small bilateral pleural effusions are greater on the left with adjacent atelectasis. there is no pneumothorax. the cardiomediastinal silhouette is stable. deformities of the right posterior ribs are from remote fractures. | bilateral pleural effusions in the setting of ovarian cancer. evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p12285052/s54188893/7f173c80-341cb8a2-c555205a-9732efba-a39e6d37.jpg | the cardiomediastinal silhouette is unchanged. there is no concerning focal consolidation. there is no pleural effusion or pneumothorax. | <unk>f with fever, tachycardia, r llb ronchi // evaluate for fluid, pneumonia, pe. |
MIMIC-CXR-JPG/2.0.0/files/p16228838/s57031493/ff403b09-2bfaa805-5a304112-111bd0e1-38d205f3.jpg | no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there may be minimal pulmonary vascular congestion. | history: <unk>f with ili, myalgias // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p16503323/s51317744/261535ae-ff1deb5c-21b41b28-e92cca71-580bc82d.jpg | there is minimal left base atelectasis. no focal consolidation, pleural effusion, evidence of pneumothorax is seen. the aorta is calcified and tortuous. the cardiac silhouette is not enlarged. the bones are diffusely osteopenic, making evaluation for subtle fractures suboptimal, although no definite acute fractures seen. mild anterior wedging of a mid thoracic vertebral body is grossly stable. right upper quadrant surgical clips are again seen. | status post fall, injury. |
MIMIC-CXR-JPG/2.0.0/files/p12452180/s57779221/3058975c-64bc786f-f1878951-29e20ab5-243a0b90.jpg | moderately displaced fractures of the ninth and tenth right-sided ribs are better evaluated by recent rib series. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. the aorta is tortuous. | <unk>m with rib pain status post fall, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p19229852/s54686092/7307340f-b44fd8eb-19498e05-fcfa4acb-57f2f905.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 rib fractures are identified. minimal degenerative changes are seen in the thoracic spine. | history: <unk>f with history of rib fracture // assess healing |
MIMIC-CXR-JPG/2.0.0/files/p18712065/s58624059/ddc7af40-68aa5c56-a421805e-73324700-74b709f8.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 free air is seen beneath the diaphragms. | history: <unk>f with history of functional bowel disease p/w acute onset of epigastric pain // eval for ptx vs pna |
MIMIC-CXR-JPG/2.0.0/files/p14333801/s54786425/a7c9522c-2a0ff226-3f54c1c7-aabf3b85-f9385886.jpg | cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. | headache, productive cough, congestion. |
MIMIC-CXR-JPG/2.0.0/files/p12287487/s53368145/f7fc9508-026af2b1-ab717d41-90fd89dc-35cf5912.jpg | the heart is moderately enlarged. there small bilateral pleural effusions, left greater than right that have increased compared to the prior exam. there is volume loss at the bases with dense retrocardiac opacification compatible with volume loss/infiltrate/ effusion. | <unk> year old man with history of recent fall presents from outside hospital for evaluation of t<num> compression fx on ct, found to have uti, and murmur and splenic infarcts concern for endocarditis. today having persistent productive cough and malaise, and with elevated troponin and bnp c/f chf // please evaluate for pneumonia and/or pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p17322685/s56792343/a029233a-25e1adc1-ed80e527-f1df910c-160498cb.jpg | shallow inspiration. left chest wall subcutaneous emphysema has improved. left chest tube in place. there is tiny left apical pneumothorax. stable fractures, better seen on ct <unk>. mild bibasilar atelectasis. mild elevation right hemidiaphragm. tiny lucency about the right diaphragm may represent tiny pneumothorax or free abdominal air. decubitus radiograph recommended. stable tortuous ascending aorta. | <unk> year old man with left chest tube for ptx, now on water seal // ? ptx |
MIMIC-CXR-JPG/2.0.0/files/p19340790/s59560594/c73ef12e-9e866156-d3ac2346-f7e81863-ebb32096.jpg | heart size is normal. symmetric mild widening of the superior mediastinum without tracheal deviation may be due to mediastinal fat or enlarged thyroid gland. the 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 loss of height of a mid thoracic vertebral body is of indeterminate age. for mild degenerative changes seen in the thoracic spine. | history: <unk>m with anxiety, t<num>dm, presenting with weakness, found to have apparent new rbbb, tachycardic and hypoxic to low <unk>'s on ra // assess for etiology of hypoxia, weakness |
MIMIC-CXR-JPG/2.0.0/files/p18412600/s53654406/2b51a376-b7b0f51a-36b65402-55eb8cfd-6235a76b.jpg | frontal and lateral radiographs of the chest were acquired. lung volumes are low, causing accentuation of the pulmonary vasculature. there is subsegmental bilateral lower lobe atelectasis. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. an enteric catheter courses below the level of the diaphragm, curving superiorly to end in the gastric fundus. | small-bowel obstruction. evaluate position of nasogastric tube. |
MIMIC-CXR-JPG/2.0.0/files/p10326773/s53247576/fa31aff9-67d5930d-5e4cb9e4-840362a2-e24e812c.jpg | the left ij central venous catheter and nasogastric tube are unchanged. there is no pneumothorax. small bilateral pleural effusions are stable, but bibasilar subsegmental atelectasis has increased. small bilateral pleural effusions are new. the cardiomediastinal silhouette is stable. | <unk>f presented to osh with ams and seizure, acomm aneurysm rupture now s/p coiling <unk>. course complicated by increased intracranial pressures. // evaluate interval change |
MIMIC-CXR-JPG/2.0.0/files/p12600024/s58898778/0953a81d-ca76ba44-93fb40ac-aefbaa00-d4dc616e.jpg | post-operative changes are seen at the right lung base, including pleural thickening and surgical clips. there is minimal left lower lung atelectasis. streaky opacities in the lateral right mid lung could be areas of scarring. the heart size is normal. the mediastinal contours are normal. there is no pneumothorax. multilevel degenerative changes of the thoracolumbar spine are seen. | chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18648878/s54849261/fcf56c9b-8fc89662-f88e8828-eca7f79f-f83f9844.jpg | heart size is normal. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. patchy right lower lobe opacity is concerning for pneumonia. minimal streaky opacities also seen in the retrocardiac region. no pleural effusion or pneumothorax is detected. there are no acute osseous abnormalities. | history: <unk>f with back pain and fever, incidental mri finding, sent for brain mri // cerebellar enhancement. pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p18939911/s53705165/fc8812d2-b4d7f764-5b62d884-5f8447b2-aa3475d0.jpg | the patient is status post coronary artery bypass graft surgery as well as mitral valve replacement. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. there is a mild prominence to the pulmonary interstitium which is a stable finding with no superimposed acute disease. surgical clips project over the right upper quadrant. mild-to-moderate degenerative changes are noted along the lower thoracic spine. | acute onset of left upper extremity weakness. |
MIMIC-CXR-JPG/2.0.0/files/p19481032/s52080407/8c5309b5-5b5d3639-c3c60df6-bbe31b27-69768c4e.jpg | pa and lateral views of the chest provided. overlying ekg leads are present. 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 angina-type chest pain symptoms and concerning ekg |
MIMIC-CXR-JPG/2.0.0/files/p18248250/s52976831/2009744c-b605a53b-393afe3a-0f03f1e3-debd5e7a.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is stable. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities. | <unk>f with chest pain // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p18404625/s50489844/6605cfff-98d22b0a-3e44221c-49274138-556d6dd3.jpg | pa and lateral views of the chest are compared to the previous exam from <unk>. lungs remain clear, costophrenic angles are sharp. cardiomediastinal silhouette is stable. high-density material seen in the nondistended colon. soft tissue and osseous structures are otherwise unremarkable. | <unk>-year-old male with increased shortness of breath. question chf or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14642114/s51554394/cfce3383-bff292d5-a15f0ead-cb3ef301-7e94d5a0.jpg | the lungs are poorly expanded accounting for vascular crowding. there is increased interstitial thickening bilateral, with upper vascular redistribution but no focal opacities. moderate-to-severe cardiomegaly is not significantly changed compared with prior exam. there is no evidence of pleural effusion or pneumothorax. multiple thoracic surgical clips are noted. sternotomy wires are intact. leads from a pacemaker in the right hemithorax end in the right atrium and right ventricle in unchanged position compared with prior exam. | <unk>-year-old female with cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10957591/s53115101/6fb74615-408ca515-394306ee-e346310e-4a62e754.jpg | moderate to large bilateral pleural effusions are again noted. there is likely adjacent atelectasis. superiorly, the lungs are clear. cardiac silhouette is not well assessed due to silhouetting. median sternotomy wires are noted with a fracture through the inferior most wire. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities. | <unk>m w/ chest pain, dyspnea, cough, eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16383592/s50581836/d4c2275c-8d1c8a32-9016b449-5c950cae-bcf27f1b.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 left chest pain, pleuritic // ptx |
MIMIC-CXR-JPG/2.0.0/files/p14565211/s57852648/d4979bd3-518de229-4c7a1b09-35648a87-99b587bb.jpg | a frontal view of the chest was obtained portably. the lungs are well expanded without focal consolidation, pleural effusion or pneumothorax. prominent pulmonary vasculature is similar to <unk>, suggesting pulmonary vascular congestion without overt pulmonary edema. the heart is mildly enlarged, unchanged. mediastinal silhouette is stable. there is severe degenerative change in the shoulder girdles bilaterally. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p11922120/s54588054/5a5d205a-27e8019a-435358a9-a1200221-a573d01e.jpg | pa and lateral views of the chest. previously seen left picc is no longer visualized. the lungs are clear of focal consolidation. linear left basilar opacities most suggestive of atelectasis. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. | <unk>-year-old male with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19843082/s56847332/2338f912-126912e7-4a91a89d-2d2e8a8d-d195b62b.jpg | the previously seen left picc has been removed. the heart and mediastinal contours appear normal. there is been marked interval improvement in the previously described left basal opacity and in the right perihilar and lower lobe opacities. no pleural effusion or pneumothorax. | <unk>-year-old woman with recent pneumonia. evaluation for improvement. |
MIMIC-CXR-JPG/2.0.0/files/p18335227/s56148949/5b08df7d-12db0afc-75044049-e115bf06-d285b866.jpg | og tube with tip in the stomach. interval improvement in lung volumes since <time> image. otherwise, no significant change. | pneumonia status post og tube placement. confirm og tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p19113552/s54847926/d7176dfb-f0f103ad-8bfcb0c5-2b604669-22992279.jpg | pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10718501/s56453130/efd4e544-f3f1c2a6-0e346fee-3a91aac0-e6a31fc8.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 fever, diabetes, no obvious source |
MIMIC-CXR-JPG/2.0.0/files/p12405648/s59250513/2b0daa01-e69219b8-079c7b2a-cb090f49-0037b788.jpg | the tip of the feeding tube projects over the in proximal stomach. the tip of the endotracheal tube lies <num> cm from the carina. no focal consolidation, pleural effusion or pneumothorax identified. minimal left basilar atelectasis. the size of the cardiomediastinal silhouette is enlarged but unchanged. | <unk> year old woman with et tube and ng tube, now advanced. // ?placement of ng tube. |
MIMIC-CXR-JPG/2.0.0/files/p17176962/s54006945/14235f6c-6dd91f87-9b81fdbf-da3697c1-16a305ab.jpg | the heart size is normal. the hilar and mediastinal contours demonstrate vascular congestion, there is mild pulmonary edema. there is a moderate right pneumothorax that is new compared to the prior exam. there is a small left pleural effusion, new compared to the prior exam. note is made of intra-abdominal catheters. | history of right nephrectomy. please evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11552741/s58203669/cc3bdc47-b0aeb0d6-de8e7f02-a7f56ee7-555d1944.jpg | the previously seen right apical pneumothorax has decreased significantly in size. a tiny residual right apical pneumothorax remains present. chf findings are slightly improved. otherwise, i doubt significant interval change. catheters or leads are seen adjacent to the lower portion of both right and left hemithorax these. clinical correlation requested for further assessment. | <unk> year old man with r ptx, follow up // progression of pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p11798500/s56662873/d13db8e5-42de4c73-c23f9c86-b56c8a06-f4a991a7.jpg | endotracheal tube, nasogastric tube and left picc are in stable position. there has been interval worsening of the diffuse bilateral pulmonary opacities. small bilateral pleural effusions are again noted. | <unk> year old man with hypoxic respiratory failure, intubated, subcutaneous air. // interval change |
MIMIC-CXR-JPG/2.0.0/files/p18655303/s52508205/77ed551a-da15a8e3-3b36b414-0e4dc06b-b744a82d.jpg | frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is normal. there is no pericardial effusion. sternotomy wires appear intact. multiple surgical clips project over cardiomediastinal silhouette. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p15743456/s59089321/353f49ec-65b43add-7bafedc0-3adf4e2e-ff56aa0c.jpg | ap view of the chest provided. as compared to prior study, there is no significant change with the degree of pulmonary edema. bibasilar atelectasis has mildly improved. there is no new parenchymal consolidation. right pleural effusion is resolving. cardiomediastinal and hilar contours are stable. there are no large pleural effusions | <unk> year old man with flu and chf, evaluate for interval change in pulmonary edema, new consolidation to suggest pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p17641105/s58882230/11db8643-70c3bc70-69a97c1e-2bc40f90-3375c89a.jpg | the heart size is mildly enlarged but unchanged. mediastinal and hilar contours are stable, with mild calcification of the aortic arch. mild pulmonary edema is improved compared to the prior study. minimal patchy opacities in the lung bases may reflect atelectasis. small bilateral pleural effusions are noted, not significantly changed from the prior exam. there is no pneumothorax. no acute osseous abnormality is seen. deformity of the sternum on the lateral view suggests an old healed fracture. | exertional dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p18090640/s55215555/73d47742-9db0f4ec-7872b23f-c9cbee27-0c5708a9.jpg | ap and apical lordotic views are provided. right apical opacity seen on <unk> exam is not seen on the ap view. a small stellate scar is noted in the right apex on the lordotic view. lung volumes are normal. no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are normal. no pulmonary edema. heart size is normal. partially imaged upper abdomen is unremarkable. | patient with right lung findings on <unk> radiograph, who presents for further evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p18532641/s50343436/c67020b6-7cdd64b4-6b056907-8425a9ff-ed733044.jpg | the heart size is normal. the cardiomediastinal silhouette and hilar contours are unremarkable. the lungs are clear without focal consolidation, pneumothorax or effusion. no acute bony abnormality is identified. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11775739/s50557549/ab8236b9-57d19e55-d31ffb8f-afa77eda-9f192992.jpg | the right central venous catheter is stable in position. there are new focal parenchymal opacities bilaterally, predominantly in the lower lobes, worrisome for multifocal pneumonia. there may also be underlying pulmonary edema. mild cardiomegaly. small bilateral pleural effusions. | history: <unk>m with exp // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p13662737/s53346594/6e313ccf-066ed3b4-b9255efb-568529ba-a5613b44.jpg | there has been placement of a dobbhoff tube that is coiled in the stomach and that has not passed the pylorus. otherwise, there has been no significant interval change and no new parenchymal infiltrates. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. | <unk>-year-old woman with right mca infarct on ct, evaluate for post-pyloric placement of dobbhoff tube. |
MIMIC-CXR-JPG/2.0.0/files/p16292028/s58279581/14b7d4f4-98bcc8e2-d4731199-5f920fd3-8f17240b.jpg | lung volumes are low. the heart size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. there is no focal consolidation, pleural effusion or pneumothorax identified. minimal retrocardiac atelectasis is demonstrated. there are no acute osseous abnormalities. | <num> week of cough and nasal congestion. |
MIMIC-CXR-JPG/2.0.0/files/p11936963/s50289351/d52bd49a-50cb0a28-4e23bd0f-c8246a53-92c19ede.jpg | the cardiac, mediastinal and hilar contours are normal. the lungs are clear. the pulmonary vascularity is normal. no pleural effusion or pneumothorax is identified. there are mild degenerative changes in the thoracic spine. no acute osseous abnormalities are visualized. | <num> weeks of right-sided chest pain after motor vehicle collision. |
MIMIC-CXR-JPG/2.0.0/files/p11170345/s50629327/86b5c922-fc72f64f-3a8554d7-9b13d41c-e6b1eb6e.jpg | left-sided pacemaker/ aicd device is again noted with leads terminating in the right atrium and right ventricle, unchanged. mild to moderate cardiomegaly is re- demonstrated. mediastinal and hilar contours are unchanged. mild atherosclerotic calcifications are noted at the aortic knob. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities seen. | history: <unk>m with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p17055460/s55758528/aa015f20-2ca6c771-7e7d2a71-141af719-40d5ba5a.jpg | right-sided vascular stent is re- demonstrated. there has been interval removal of left-sided central venous catheter. there has been interval placement of a catheter extending from the abdomen into the chest, terminating at the low svc/ cavoatrial junction. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette top-normal to mildly enlarged in the aorta tortuous. | history: <unk>m with cough // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p10108435/s59276548/e845bc77-155da1f6-d964514c-51b7d352-5c37ae30.jpg | lung volumes are slightly lower than on the prior exam. there compressive changes at the bases versus early infiltrates. otherwise the appearance of the lungs are unchanged | <unk> year old man with h/o copd now with increased sputum production, sob, and general malaise. afebrile // pneumonia v copd exacerbation |
MIMIC-CXR-JPG/2.0.0/files/p16848442/s52026203/fbe10a78-aba111b9-232fd31d-79d4cc19-e0777ea9.jpg | frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. | patient with stroke, rule out aspiration versus other process. |
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