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MIMIC-CXR-JPG/2.0.0/files/p13211631/s56762665/3a267d8d-9dc1da12-d03179b1-604b571b-f5fdbb75.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the pulmonary vasculature shows upper zone redistribution and mild fullness suggesting venous hypertension, but without interstitial abnormality. vessels are perhaps mildly indistinct. there is no pleural effusion or pneumothorax. | dizziness and bradycardia. |
MIMIC-CXR-JPG/2.0.0/files/p17475607/s53746434/109d3149-d60dacd1-50faa736-b5e02818-ff8dc2e1.jpg | enteric tube tip is below diaphragm, not included on the radiograph. endotracheal tube tip is in good position. mild vascular distribution, similar. linear atelectasis left mid lung. few bands of linear atelectasis left lower lobe medially, similar. normal heart size. | <unk> year old man with intracranial bleed // ogt placement |
MIMIC-CXR-JPG/2.0.0/files/p11260983/s59923808/5809ce36-843296cc-40aa907e-7804b14c-9d0c6b69.jpg | the lungs are clear without focal consolidation. lungs are hyperinflated. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. patient has known bilateral bochdalek hernias, better assessed on ct. | history: <unk>m with chest pain, r side, ? new r chest wall mass? // chest pain eval |
MIMIC-CXR-JPG/2.0.0/files/p15583423/s52803064/1f84eb08-06203efe-2f9f6336-36b21281-d953a1de.jpg | there has been interval improvement of bibasilar opacities since prior. there is no large effusion or pneumothorax. a right-sided central venous catheter seen with tip at the cavoatrial junction. the cardiomediastinal silhouette is within normal limits. | <unk>m with rij // rij placement |
MIMIC-CXR-JPG/2.0.0/files/p11554445/s56495839/203b6d0d-2190430c-dd830dfd-4cdb237f-19b318bc.jpg | right ij central venous catheter is unchanged with tip projecting over the cavoatrial junction. multiple median sternotomy wires are re- demonstrated. since the prior study, the enteric and endotracheal tubes have been removed. additionally, the midline mediastinal drain has been removed. there are low lung volumes. the cardiomediastinal silhouette is stable. the hila are within normal limits. left basilar atelectasis is minimally improved. there may be a trace left pleural effusion. there is no right pleural effusion. there is no focal lung consolidation, or pulmonary edema. there is no pneumothorax. | <unk>-year-old man status post aortic valve replacement and removal of a chest tube, rule out pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p15406688/s50479764/2977337c-4242b4a9-0177e69c-9ef5f6ea-49f539e1.jpg | compared to the study from the prior day is no significant interval change. | chf |
MIMIC-CXR-JPG/2.0.0/files/p16619623/s56817378/b1faf943-fbf3ff58-9cbbae3c-01886063-7063471f.jpg | ap single view of the chest has been obtained with patient in semi-upright position. patient is now intubated, the ett terminating in the trachea <num> cm above the level of the carina. an ng tube has been passed and reaches well below the diaphragm. the positions of the diaphragms is more elevated than before related to the recent surgery. this results in crowded appearance of the pulmonary vasculature and some degree of perivascular haze. however, no evidence of large pleural effusions as the lateral sinuses remain acute. also, there is no evidence of pneumothorax in the apical area. right internal jugular approach central venous line is seen to terminate in the right-sided mediastinum at the level of the carina. this corresponds to the mid portion of the svc. | <unk>-year-old male patient status post open aaa operation, evaluate line positions and effusions postoperative. |
MIMIC-CXR-JPG/2.0.0/files/p18161158/s57649327/d98c45be-c8bf48dc-9dc8457b-e4c8f68c-26166db7.jpg | comparison a chest radiograph from <unk>, there is little overall change. there is complete collapse of the left lung with leftward displacement of the mediastinum, unchanged. the right lung is clear. cardiopulmonary support devices unchanged in standard placements. | <unk>f w/lung mass please eval for interval change // <unk>f w/lung mass please eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p18272443/s51418588/dcfa247d-6fcf8f1e-82befb5b-9098cb93-2a27058b.jpg | exam is somewhat limited by motion. lung volumes are low. increased vascular markings are likely related to low lung volumes and patient body habitus. the asymmetric right upper lobe opacification is less apparent on the study. cardiac silhouette is enlarged. there is no pneumothorax or obvious pleural effusion. | <unk>m with sob, intermittent hypoxia (likely pickwickian, however would like to r/o new pathology). evaluate for progression of edema. |
MIMIC-CXR-JPG/2.0.0/files/p16070747/s59015663/2cba3328-58ec7cbe-ffa963c2-4c592924-55e1db24.jpg | the lungs are well-expanded and clear. no focal consolidations. no pulmonary edema. borderline cardiomegaly. no pleural effusion. no pneumothorax. | history: <unk>f with cough // cough |
MIMIC-CXR-JPG/2.0.0/files/p11689500/s54935009/307bae22-f573ba71-923d621b-403e9d35-ac951988.jpg | note is made of median sternotomy wires and surgical clips consistent with prior cardiac surgery. 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 is a <num> mm nodular opacity projected over the base of the right lung is calcified and consistent with a granuloma. | <unk>m with fall, slight hypoxia on single measurement // evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p13711009/s53208160/3e1ff5af-a2933b24-6be598d2-0824f17e-418e79ea.jpg | heart size and pulmonary vascularity are accentuated by shallow inspiration. mild interstitial prominence, likely edema, has worsened. probable mild basilar atelectasis. | <unk> year old woman with cad chf pvd dm<num> ckd on pd p/w worsening sob in setting of delayed pd. // c/f volume overload vs other pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p19244252/s53636955/f79e96c6-433222d8-56ecd387-ed440fd4-0fe75916.jpg | the lung volumes are normal. normal size of cardiac silhouette. no pneumonia, pleural effusions or pneumothorax. normal hilar and mediastinal contours. | <unk> year old woman with occass sharp, momentary chest pains and some cough. // ? pulm infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19826099/s59712849/5df8a54d-5dbcda00-0a0742ac-a4d5f98c-8accc751.jpg | the heart appears mild to moderately enlarged. diffuse opacification is mildly asymmetric, somewhat more prominent in the left mid lung than right, but most likely due overall to pulmonary edema. opacity also obscures the posterior left hemidiaphragm, which shows upward tenting. this type of appearance could be seen with atelectasis, although infection is not entirely excluded by this examination. fissures are thickened. there are no definite pleural effusions. | chest pain, edema and tachypnea. recent postpartum day #<num>. |
MIMIC-CXR-JPG/2.0.0/files/p18608684/s53582958/feb07c97-7cb959f4-3db8a1ca-a0f29437-f75bb4f1.jpg | no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no overt pulmonary edema is seen. | tachycardia, dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p11859945/s54601178/a8f5b42e-2bd038cf-5577a3a8-3936a001-d6274d95.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs without focal consolidation, pleural effusion, or pneumothorax. right apical scarring is again noted, likely on the basis of radiation therapy in the setting of previous right mastectomy. the visualized upper abdomen is unremarkable. | evaluate for infiltrate in a patient with weakness and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p10014610/s52971110/52fc3f2b-69a2b240-317815c6-e2fbaad8-5b949071.jpg | patient is status post median sternotomy. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are slightly less prominent compared to the prior study, likely due to differences in technique.. | history: <unk>m with left arm numbess s/p cabg // eval for ich nhcteval for pna cxr |
MIMIC-CXR-JPG/2.0.0/files/p16165828/s51107752/24338069-19e87de7-071eb914-8b69fc9c-cd34dc79.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette remains mildly enlarged. the aorta is slightly tortuous. there is no overt pulmonary edema. | cough and low-grade fever at triage. |
MIMIC-CXR-JPG/2.0.0/files/p10123997/s55167516/ef803aa5-18389cce-ba76372d-d7cd2985-dbe78ffa.jpg | since the prior exam performed after the earlier thoracentesis, there appears to have been a slight increase in the residual left pleural effusion. it remains small in size. again, some left basilar atelectasis persists. there are persistent fibrotic changes at the bases. no pneumothorax is identified. the cardiomediastinal silhouette is normal. | new chest pain after a left thoracentesis. |
MIMIC-CXR-JPG/2.0.0/files/p16571136/s53044230/2066fd42-47c30657-88261082-eedce3f4-bc147f50.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding portable single view chest examination of <unk>. heart size is unchanged and the same holds for the appearance of the thoracic aorta. previously described right-sided perihilar mass, grossly unchanged. within this density one can identify the metallic structures of the stent, which has been placed in the right-sided main bronchus partially seen to occupy portions of the carina. there is no evidence of any airway obstruction through the stent. there is no evidence of new atelectasis distal to the stent which ventilates the area of the right lower and middle lobes. comparison of the frontal views; however, suggests new local parenchymal density in the central portion of the right middle lobe as can be identified also on the lateral view. the previously identified increased interstitial markings in the left upper lobe persist and may have increased slightly. they are believed to represent interstitial carcinomatosis. the lateral and posterior pleural sinuses remain free, thus there is no evidence of significant pleural effusion. the on multiple previous examinations identified abnormalities and local pleural thickening in the right axillary area remain grossly unchanged. | <unk>-year-old male patient with metastatic renal cell carcinoma to lung and airways. metallic stent in place, evaluate stent placement. |
MIMIC-CXR-JPG/2.0.0/files/p15758721/s57787325/cbe7271d-e37c883f-921f2951-bd1cd3d9-89aa9f83.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. a perfectly round nodular opacity projecting just lateral to the right hilum is external. pleural surfaces are clear without effusion or pneumothorax. | chest pain, abdominal pain and presyncope. |
MIMIC-CXR-JPG/2.0.0/files/p10598199/s57995808/dab2a3ee-944719fa-40798c66-d27126ca-11e5fe59.jpg | since the inspiratory lung volumes are greatly decreased from the prior study, increased opacification of the lower lungs is probably atelectasis. the upper lungs are clear. the pleural space is probably normal. the pulmonary vasculature is not engorged and there is no pulmonary edema. cardiac size is exaggerated by low lung volumes. within this limitation, cardiomediastinal silhouette is normal and unchanged from the prior study. the trachea is midline. there are no displaced rib fractures, but since the conventional chest radiograph | right lower chest wall pain status post blunt injury, here to evaluate for displaced rib fracture, pneumothorax or pulmonary contusion. |
MIMIC-CXR-JPG/2.0.0/files/p12015787/s57951839/8d98fa61-b9cdd74a-600239e7-073d7083-077373d9.jpg | cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. minimal subsegmental atelectasis is seen in the lung bases. there are no acute osseous abnormalities. | history: <unk>f with cough |
MIMIC-CXR-JPG/2.0.0/files/p14630494/s52515225/a264bc50-8a769951-de0a8a40-1e2acfda-8f09819b.jpg | a right-sided subclavian line, endotracheal tube and ng tube terminate in appropriate positions. the chest tube has remained stable position. there is no evidence of recurrent pneumothorax, however chest wall emphysema is increasing. cardiac size is normal. right lower lobe atelectasis remains. | <unk> year old man with trauma, r chest tube placed to water seal at <num> am today // please perform cxr at <time> pm to evaluate for ? recurrent ptx //<unk> year old man with trauma, r chest tube placed to water seal at <num> am today |
MIMIC-CXR-JPG/2.0.0/files/p11891010/s54628748/0f68910e-f54945f4-f599c142-7ccb8c00-0143bb0f.jpg | lung volumes are low. no focal consolidations. no pleural effusion or pneumothorax. rightward mediastinal widening is to some extent a function of lower lung volumes and positioning, but raises concern for new mediastinal fluid collection, or even dilatation of the aorta. lungs are clear. there is no pleural abnormality. misalignment of the sternal wires now involves the lowest wire. | <unk> year old man with chest pain/dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p14222981/s59492247/1ae5366a-ff6e9f79-8c8477cc-1735531d-fdcf2765.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with resp insufficiency s/p r knee revision // eval for pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p10868254/s55148524/e41f013e-8e8a2512-dc758223-d7e4b2b4-393379be.jpg | pa and lateral views the chest were provided. opacities within the lower lungs likely reflect acute on chronic aspiration/pneumonia. apical scarring is again noted bilaterally. no large effusion or pneumothorax is seen. overall cardiomediastinal silhouette is grossly unchanged. the imaged bony structures are intact. there is a chronic sternal deformity. | <unk>m with cough // pna |
MIMIC-CXR-JPG/2.0.0/files/p12651945/s56631236/c08ea5f6-114d61bf-6a4ac892-c515b11f-875c4eb6.jpg | low lung volumes. mild pulmonary edema. no focal consolidations to suggest pneumonia. stable enlargement of the cardiomediastinal silhouette. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with stroke // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p15148888/s53965852/a93f10fa-dffeb728-e96d7121-fde6f1c9-5c2c076e.jpg | the heart is moderately enlarged. the aorta is tortuous and shows mural calcification at its arch. lung volumes are low which accentuate bronchovascular markings. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. a right third rib fracture is unchanged in appearance. of note, there are low lung volumes on the frontal view which accentuates the transverse diameter of the heart and bronchovascular markings. bibasilar opacities on the frontal view are most likely due to atelectasis, and are not demonstrated on the lateral view with a better inspiration. | <unk> year old man with chest pain left lower pectoral // left lower pectoral chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15147534/s54600776/93a4a57f-782f723f-85c85508-9e966b82-adda6c5b.jpg | the lungs are grossly clear. there is no visualized pneumothorax or large effusion. relative elevation of the left hemidiaphragm is noted with distention of the stomach. cardiomediastinal silhouette is grossly within normal limits given projection in ap technique. tortuosity of the descending thoracic aorta is noted with atherosclerotic calcifications. no displaced fractures identified, hypertrophic changes are noted in the spine. | <unk>m with recent fall // rib fracture.head bleed. |
MIMIC-CXR-JPG/2.0.0/files/p10507647/s52844232/d80a4e2b-fd801f39-edbf2040-3b8dc43e-1cdca434.jpg | double-lumen port-a-cath terminates in the right atrium. lung volumes are low. multiple lung nodules and masses, better depicted on prior cta of the chest may have grown since <unk>. there is no new focal opacity to suggest pneumonia. heart size normal. there is no large pleural effusion or pneumothorax. | right thigh pain and metastatic sarcoma. |
MIMIC-CXR-JPG/2.0.0/files/p17182076/s53775968/0db3d791-a63a6055-fa761d3e-01a83258-bb16dae3.jpg | the lungs are hyperinflated but clear without consolidation. there is mild biapical scarring. the cardiomediastinal silhouette is within normal limits. sclerotic focus seen in the proximal left humerus, potentially an infarct or enchondroma. no visualized acute fracture. the bones are diffusely demineralized. peg tube partially visualized in the left upper quadrant. | <unk>f with l sided lateral chest wall pain around rib <unk> // rib fracture? |
MIMIC-CXR-JPG/2.0.0/files/p15758721/s57738329/2f11a951-a2ffaafb-553d91a2-ca3a6ad6-dd08aaca.jpg | there is streaky retrocardiac opacity, potentially atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with fever cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p12888412/s52238770/009d18a9-36155a5b-e1cb2647-7c8aee74-e20626d0.jpg | moderate stable retrocardiac opacity with left pleural effusion, atelectasis, and likely pneumonia. low lung volumes are unchanged. no pneumothorax or right pleural effusion. minimal improvement in pulmonary edema with mildly enlarged heart, mediastinum vein dilatation, air bronchograms and cephalization. no bony abnormality. | female with chf, presents with fever and somnolence. assess for worsening pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p13586204/s54073075/60d7e9dc-0844bc57-9783ac54-f69362d7-bdf20205.jpg | since the previous radiograph, there has been continued improvement in the previously described pulmonary edema. there are moderate bilateral effusions, which are unchanged. there are small bibasilar hazy opacities consistent with atelectasis. the cardiomediastinal silhouette is normal. cervical hardware is again noted. | mvc with rib fractures. evaluate pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p15203792/s56867525/66992c60-5e6ff718-8ace6acb-4bf30175-e55b883f.jpg | there is an ng tube which terminates likely in the body of the stomach. there is stable mild cardiomegaly. note again is made of mild bilateral pulmonary edema as well as mild pulmonary vascular congestion. however, the extensive bilateral pulmonary consolidation, left greater than right, appears unchanged compared to the prior exam. small-to-moderate left pleural effusion and small right pleural effusion are stable. | history of ng tube placement. please confirm. |
MIMIC-CXR-JPG/2.0.0/files/p17288749/s51254912/adaad01a-173c2792-a5c0e087-180d32ad-bba101be.jpg | lung volumes remain low, particularly on the right however there is improved aeration of the right lung base with partial resolution of the airspace opacities. there is persistent prominence of the pulmonary vasculature. right basilar atelectasis is unchanged. no pneumothorax or pleural effusion seen. the cardiomediastinal contour is unchanged. | <unk> year old man with chf, chronic trach presents with sob, pulm edema. now s/p ventilation and lasix // please assess for interval change |
MIMIC-CXR-JPG/2.0.0/files/p18527192/s55748934/acdc5190-170114ee-8da597b8-d827eab6-5d55fe8e.jpg | new small bilateral pleural effusions. clear lungs bilaterally without pneumothorax. heart size, mediastinal contour and hila are normal without lymphadenopathy. no bony abnormality. | male with night sweats. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14667804/s52637218/077a0d98-d017e2d1-ee5103f3-e69d7077-9ebd9071.jpg | pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no free air is seen below the diaphragm. no acute osseous abnormality is identified. | <unk>-year-old female with epigastric pain. |
MIMIC-CXR-JPG/2.0.0/files/p13279033/s59169739/3c0dfb24-556da6c2-97bfeccc-1cd6df1c-3465dece.jpg | the heart size is normal. the cardiomediastinal silhouette and hilar contours are stable. the lungs are clear without focal consolidation, effusion or pneumothorax. no acute bony abnormality is identified. there are bilateral degenerative changes of the acromioclavicular and glenohumeral joints. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p14320109/s59353036/7b478da2-a10e922c-e2426723-4bcc8137-bd4303ea.jpg | cardiomegaly is mild. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax. | <unk> year old woman from <unk> with first positive ppd, no symptoms. // assess for active vs latent tb |
MIMIC-CXR-JPG/2.0.0/files/p11652296/s53087896/a6148f9e-498af69b-06e8643c-37ade6f4-ee15914a.jpg | heart size is top normal with minimal tortuosity of the thoracic aorta. hilar contours are unremarkable. bibasilar atelectasis and small. the lungs are otherwise clear. a wide bore right internal jugular central venous catheter terminates <num> cm caudal to the carina likely within the high right atrium. there is no pleural effusion or pneumothorax. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p18446548/s55318226/dc047c97-72e72847-b634a680-9a7247cd-d4086522.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. | cough and body aches. evaluate for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17013919/s50951239/ce39da9c-2535d9e7-edede2e5-5c84ef51-b69e2533.jpg | the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. | history: <unk>m with hiv, not on meds for <num> months // pcp <unk>? tb? |
MIMIC-CXR-JPG/2.0.0/files/p13105954/s55897913/35af96e3-bf097715-7f5b0b81-08a914bb-3bc44634.jpg | the previously seen right upper to mid lung large consolidation has resolved in the interval. patchy bibasilar opacities persist, could be due to atelectasis or scarring however, residual mild consolidation from pneumonia not entirely excluded. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with cp // cp |
MIMIC-CXR-JPG/2.0.0/files/p19296173/s58999630/7c39e7d5-1f5e3239-d197cf65-b31bd4b4-ebcc2305.jpg | <num> x <num> cm hyperdensity along the right upper hemi thorax is most consistent with known lung lesion seen on <unk> ct. a heterogeneous right lower lobe opacity is only seen on frontal projection. plate like opacity along the left lower lobe is most consistent with atelectasis. the lungs are otherwise well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. aortic arch calcifications are present. | <unk>f with nausea vomiting and diarrhea x <num>h. vomitus is bilious in er. ruq tenderness. known cad, rales on exam. assess for acute biliary pathology, acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p10517964/s57989366/d6023b22-481ba603-e213e5b5-17d942bf-f3664247.jpg | frontal and lateral radiographs of the chest demonstrate areas of increased opacification of the right mid and lower lung, with effacement of the right heart border, concerning for right middle lobe and lower lobe pneumonia. however, underlying mass cannot be excluded. there is a probable right-sided pleural effusion. increased opacification of the left lung base probably represents atelectasis, although superimposed infection cannot be excluded. | chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15094914/s50089048/56ed2a0c-2acf1df6-160cf289-d0589e5d-da224fe3.jpg | the heart size is normal. the hilar and mediastinal contours are unremarkable. previously described left lower lung <num>-mm lung nodule is not well visualized on the prior exam. no focal consolidations concerning for infection, right pleural effusion, or pneumothoraces are identified. minimal blunting of the left costophrenic angle may suggest a trace pleural effusion. there is mild stable biapical scarring, overall unchanged compared to the prior exam. there is also a cylindrical radiodense structure projecting over the right upper abdomen, likely external to the patient. | history of chest pain and new-onset afib. please evaluate for cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p18583079/s52969508/81eeceee-f4a07a79-d26fc895-06df5f41-41bdebce.jpg | frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>f with dyspnea, cough // pna |
MIMIC-CXR-JPG/2.0.0/files/p10449408/s55013844/c667ff3f-083681db-f3671e5f-bccecc2d-8d11e74a.jpg | right central venous line ends at the mid-to-lower svc, and the left hemodialysis catheter ends at the mid-to-upper svc. the endotracheal tube ends in the trachea approximately <num> cm above the carina. bilateral pulmonary opacification, consistent with pulmonary edema, is mildly improved. nasogastric tube is in the stomach and ends outside the view of the radiograph. cardiomegaly continues to be seen. | <unk>-year-old woman with volume overload and renal failure, now on cvvh. please evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p13047066/s51970194/22d330c1-246a8016-c485555f-0749750c-e1422341.jpg | there is significant bilateral hilar fullness and mediastinal enlargement, without mass effect on the trachea. the heart appears top normal in size. the lungs are otherwise clear without focal consolidation or pleural effusion. | <unk> year old man with morbid obesity and sensory loss. h/o cardiomegaly, would like initial imaging of cardiac size. |
MIMIC-CXR-JPG/2.0.0/files/p18778431/s59340602/623cd20e-c4a7810b-5ea3d85b-1c7e7f45-81acbac0.jpg | pa and lateral chest radiographs demonstrate no radiopaque foreign body. the lungs are clear. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. | swallowed porcelain/metal crown at the dentist. |
MIMIC-CXR-JPG/2.0.0/files/p11818101/s54241352/a0e559d0-407c4fb1-a900a3ef-7f583365-42988510.jpg | pa and lateral views of the chest provided. left chest wall pacer is seen with leads extending to the region the right atrium and right ventricle. mild left basal atelectasis is noted. otherwise lungs are clear. no large effusion or pneumothorax. no convincing signs of pneumonia or edema. cardiomediastinal silhouette is stable. bony structures are intact. | <unk>m with sob // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p17798591/s56592236/259e79f8-c65abcab-8dc10cfb-7ec6ea32-07e1324f.jpg | pa and lateral views of the chest provided. lungs are clear. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. there is probable mild hilar congestion without frank edema. cardiomediastinal silhouette is unchanged. a retrocardiac opacity represents known hiatal hernia. dish related changes of the t-spine noted. no acute bony injury. | <unk>f with hfpef, afib, ckd, p/w abdominal pain and fever; infectious work-up |
MIMIC-CXR-JPG/2.0.0/files/p10167784/s51610178/dcf0f26b-1ba082eb-e16430e8-dbf35ebd-8dc550b3.jpg | moderately well inflated lungs with improvement in patchy opacities noted in the left lower lobe with new linear and patchy opacities in the right lower lobe likely subsegmental atelectasis. improvement in bilateral layering pleural effusions. cardiomediastinal silhouette appears normal. right picc terminates slightly beyond the cavoatrial junction, as before. et tube tip terminates <num> cm above the carina in the midtrachea. ekg leads overlie the chest wall. enteric tube traverses below the diaphragm, distal tip not visualized. visualized bones are unremarkable. | <unk> year old woman with iph // interval changes |
MIMIC-CXR-JPG/2.0.0/files/p14997223/s53145668/981d9ee3-3b85337d-6f63bcca-5d1cbd93-67fda8b2.jpg | stable mild blunting of the right costophrenic angle. otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified. | numbness, tingling, double vision. |
MIMIC-CXR-JPG/2.0.0/files/p13762730/s50664785/db39cf32-d22fb990-e46ba7c8-c73f9b0b-c77db2a1.jpg | the heart is markedly enlarged, as seen on prior radiographs from <unk>. there is haziness of the hila with diffuse, but predominantly mid and lower lung heterogeneous opacities, consistent with moderate pulmonary edema, likely with both interstitial and alveolar components. the descending thoracic aorta is slightly tortuous, as before. there may be small bilateral pleural effusions. no pneumothorax. | bradycardia, evaluate for acute intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p19040164/s50167544/f9b516e2-41bd01ae-fe4fd680-3ed79903-4a683386.jpg | pa and lateral chest radiographs are provided. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures are unremarkable. | <unk>-year-old female with chest pain x<num> weeks. evaluate for pneumothorax or other acute intracranial process. |
MIMIC-CXR-JPG/2.0.0/files/p10047172/s51954960/1ab174bb-de7675fd-7d4319f0-32136bc3-fc3a96eb.jpg | left picc tip terminates in the low svc. right-sided central venous catheter tip terminates in the low svc. low lung volumes are present. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. patchy opacities within the lung bases likely reflect areas of atelectasis, with no focal consolidation identified. small bilateral pleural effusions, more pronounced on the right, are new in the interval. no pneumothorax is present. no acute osseous abnormality is seen. | history: <unk>m with pancreatic cancer, abd distention // picc line position |
MIMIC-CXR-JPG/2.0.0/files/p19733783/s50337742/0563ed89-55aeb32a-e7bfce34-c510d6bf-32a161ee.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 of <unk>. the heart size remains normal and unchanged appearance of the moderately widened and elongated thoracic aorta. the pulmonary vasculature is not congested. there are chronic interstitial abnormalities and pleural scar formations coinciding with low positioned and flattened diaphragms, all rather typical for copd. patient has been evaluated for suspicious lesion in the right apical area and a transthoracic needle biopsy resulted in an apical pneumothorax which was followed on multiple examinations. ohe last preceding of <unk>, the apical pneumothorax was minimal and on today's examination no pneumothorax can be identified anymore. instead, there is now a local pleural apical density, probably a scar formation. mild blunting of the right lateral pleural sinus persists. there is no evidence of significant pleural effusion on the bases as the diaphragms are flattened. no new pulmonary abnormalities are identified. | <unk>-year-old female patient with right pneumothorax post-needle biopsy, check for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p13134704/s51924972/4e1cbff5-c9cefb54-b149ddd2-e0e834da-c2c9cc1d.jpg | compared with prior radiographs on <unk>, there is very minimal increase in aeration in the bilateral lungs. large bilateral pleural effusions and atelectasis are unchanged, with continued low lung volumes. the heart border is again obscured. there is a left-sided picc line which terminates in the upper svc. the right-sided dialysis catheter terminates at the cavoatrial junction. | <unk> year old man with new bilateral pleural effusions // change in pleural effusions? other acute change |
MIMIC-CXR-JPG/2.0.0/files/p14894374/s57364692/809a2501-fe64c3b5-3713e350-ff272b18-6878b943.jpg | the aorta shows mild tortuosity and calcification. the heart is normal in size allowing for technique. there is no definite pleural effusion or pneumothorax. the lungs appear clear. vague retrocardiac opacity is most likely due to minor atelectasis. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p13356071/s50760246/5ba8222b-2b6946a1-7fcd05c0-b4f8ac70-47ae8885.jpg | the lungs are well expanded. a retrocardiac opacity obscures the left hemidiaphragm. there may be bilateral small pleural effusions. no pneumothorax is visualized. cardiomegaly is moderate-to-severe. dual-chamber pacing leads project over the expected positions of the right atrium and right ventricle. | shortness of breath, hypertension. |
MIMIC-CXR-JPG/2.0.0/files/p13949924/s58590038/30e21ca8-cf2c1ba2-f1173bad-4f2d72df-40f8d4d2.jpg | pa and lateral views of the chest provided. there is right middle lobe consolidation, concerning for pneumonia. heart size is top normal. there is no pleural effusion. | <unk> year old woman with cough and chest congestion |
MIMIC-CXR-JPG/2.0.0/files/p13854740/s50713842/ec1e0391-b18ddd0c-bcd5e90b-93c3cbf8-f8d98c33.jpg | cardiomediastinal contours are normal. the lungs are hyperinflated and clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> year old woman with cough // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg | there is notable interval improvement in the right pleural effusion. there is a dense opacification with a rounded contour below the aerated right residual lung. though the contour has the appearance of an elevated right hemidiaphragm, this appears to represent a large subpulmonic effusion when compared to <unk> chest ct. there is improved aeration of the right lung with residual opacifications likely representing combination of atelectasis and known malignancy; cannot exclude superimposed infectious process. atelectatic changes are noted within the left lower lung with a slightly greater degree of collapse in the posterior medial subsegment. small left pleural effusion identified. abnormal contour of the right upper mediastinum is consistent with known malignancy. left-sided cardiomediastinal borders are unremarkable. | copd, status post right upper lobectomy for lung cancer presenting with recurrent pneumonia, evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p12962115/s54824199/6a4cdccb-b961f2c1-6c16fa7a-04f9442c-ec611c7a.jpg | pa and lateral views of the chest were reviewed and compared to prior studies. pacemaker leads from a left pectoral bielectrode pacer pass through the svc and end in the upper atrium and the right ventricle respectively. precise location is only possible with ultrasound correlation with the patient's complex cardiac anatomy. moderate cardiomegaly is unchanged. small sternotomy wires suggest prior corrective surgery in childhood. focal round opacity containing two linear radiodense lines and calcification over the left cardiac contour are likely from the patient's prior mitral valve and patch leak repair respectively. fragments of four implantable pacer leads project over the lower midline. normal pleural and mediastinal surfaces. | assessment of percutaneous pacemaker position. |
MIMIC-CXR-JPG/2.0.0/files/p18754359/s51004569/3e4ad228-1fc16c3c-5b6dbd7a-fc35f765-d6027e39.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with schizoaffective disorder esrd on dialysis, had a recent episode of nausea, emesis and now sob. // aspiration |
MIMIC-CXR-JPG/2.0.0/files/p13930464/s54841659/3b61fb34-04210edf-2e4339ec-1b53674f-9e0041e1.jpg | there relatively low lung volumes. elevation the right hemidiaphragm is seen, with overlying atelectasis. there is minor left base atelectasis. no definite focal consolidation is seen. there is no pleural effusion or evidence of pneumothorax. cardiac and mediastinal silhouettes are unremarkable. surgical screw is seen projecting over the right humeral head. | history: <unk>m with rotator cuff surgery <num> weeks ago p/w <unk> days of sob, orthopnea, cough. cta on <unk> showing ?pna. dec breathsounds right base // ?pna or effusion |
MIMIC-CXR-JPG/2.0.0/files/p14285661/s51637082/1b209d10-18a73bda-91a3596c-9d7485ba-ed4f97d7.jpg | there is mild interstitial edema. heart size is within normal limits. there is mild prominence the pulmonary arteries, bilaterally. probable trace bilateral pleural effusions. osseous structures are unremarkable. | history: <unk>m with ?<unk> time seizure // please evaluate for acute abnormality |
MIMIC-CXR-JPG/2.0.0/files/p10123063/s53896508/23671954-75ab4ffb-28a5af25-81fb43e4-922f5773.jpg | patchy right base opacity is worrisome for pneumonia. more subtle left base opacity is seen which could be due to atelectasis although infectious process or aspiration not excluded in the appropriate clinical setting. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are grossly unremarkable. multiple old bilateral rib fractures/deformities are seen. | <unk>m w/intermittent hypoxia, wheezing, please eval for pna // <unk>m w/intermittent hypoxia, wheezing, please eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13734226/s51388347/1171ffac-f52bbe0f-23b0be82-50678cb5-9ddb8f75.jpg | again seen are small bilateral pleural effusions. bibasilar opacities left greater than right could be due to atelectasis although superimposed infection is not excluded. the appearance is similar compared to prior. superiorly, the lungs are clear. the cardiomediastinal silhouette is stable. left chest wall dual lead pacing device and median sternotomy wires are again noted. no acute osseous abnormalities. | <unk>m s/p avr <unk>, presenting with fever to <unk>f today. please evaluate for cardiopulmonary change since cxr performed this morning when the patient was d/c'd from bi |
MIMIC-CXR-JPG/2.0.0/files/p17277521/s59139098/a27b8aa3-9b333dd8-367abb0e-b83a549f-e58228ae.jpg | moderate cardiomegaly is overall unchanged compared to the prior exam from <unk>. low lung volumes result in mild bibasilar atelectasis. no effusions are detected. there is no pneumothorax. | history: <unk>m with confusion // eval for pna. |
MIMIC-CXR-JPG/2.0.0/files/p14669484/s50310051/84c91410-ee8700d5-17348e99-23315b9e-cef7a80f.jpg | heart size is normal. enlargement of the right paratracheal stripe and left hilus is compatible with lymphadenopathy as detected on the prior ct. emphysematous changes are most pronounced within the upper lobes. numerous calcified small pulmonary nodules are again seen bilaterally, likely due to prior granulomatous disease or previous varicella infection. new opacification of the right lower lobe with small right pleural effusion is concerning for pneumonia. no pneumothorax is identified. there is no pulmonary vascular congestion. partially imaged is cervical spinal fusion hardware and laminectomies. no acute osseous abnormality seen. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13872936/s53699229/f80c4bff-d0aa68f3-8098a228-60bf4cac-903ecc89.jpg | there are low lung volumes. new small to moderate bilateral pleural effusions are present with likely adjacent atelectasis. the cardiomediastinal silhouette is unchanged. there is no pneumothorax. subcutaneous emphysema in the left chest wall is unchanged from prior exam. dilated bowel loops with air-fluid levels are seen in the upper abdomen. | supplemental oxygen requirement. rule out acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18448597/s58360065/290c6cfa-43c0533f-c4b78c0a-502836e5-028287fd.jpg | lung volumes are low and there is crowding at the bases. even allowing for this there is increased opacity at the left base that likely represents a developing infiltrate there is pulmonary vascular redistribution and mild cardiomegaly the et tube tip is <num> cm above the carina. ng tube tip is off the film, at least in the stomach | <unk> year old man with desaturation // r/o pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p19836795/s53480212/de313196-1b8085bc-3ec47e94-b41346df-dc99e3f9.jpg | et tube is in unchanged position. left picc terminates in lower svc. right internal jugular swan-ganz catheter terminates at the proximal right pulmonary artery. a transesophageal tube terminates in the stomach. a feeding tube courses below the diaphragm and out of view. sternotomy wires are intact. pulmonary edema is resolved in the right lung. left lung pulmonary edema is persistent. left lung base opacities increased, likely reflecting increased atelectasis and pleural effusion. small right pleural effusion is stable. mildly enlarged cardiac silhouette is stable. | <unk> year old woman s/p mvr, cabg // follow up edema |
MIMIC-CXR-JPG/2.0.0/files/p16048964/s51879304/7694ea8e-00f414dd-490d7d61-ea479ae0-e2d6116a.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with cp // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13009683/s52707482/7228c8ca-51e25bfb-71334f3f-d776a3ae-47402b02.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | shortness of breath and dyspnea on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p19963038/s59649877/16b7f0f9-180d2da5-3d3d3682-67b3c215-ac1698a7.jpg | in comparison to the prior chest radiographs, no significant change is appreciated. diffuse interstitial opacities appear unchanged. obscuration of the right heart border also appears unchanged compared to many prior chest radiographs, likely due to adjacent pericardial fat silhouetting the diaphragm. lungs are otherwise clear without focal consolidation. moderate cardiomegaly is unchanged without pulmonary vascular congestion or pulmonary edema. a right-sided port-a-cath terminates in the lower svc. median sternotomy wires are midline and intact. | cough, chest congestion // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p13637802/s54068391/7bb87909-1ab3f78c-f559e2ec-027d6f1e-0e2848cb.jpg | frontal and lateral views of the chest were obtained. heart size and cardiomediastinal contours are normal. lung volumes are low. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. | <unk>-year-old female with uri symptoms now with fever, productive cough, and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17607747/s50291168/2a3d0ce1-b83a8496-7e67c565-fc645968-d4f65e65.jpg | the lungs remain hyperinflated consistent with emphysema. nonspecific bibasilar opacities, right greater than left are again noted and appear similar in comparison to multiple prior studies, with the most recent from <unk>. there are no new opacities. there are no pleural effusions or pneumothoraces. cardiomediastinal and hilar contours are stable with stable tortuosity of the aorta and with atherosclerotic calcifications. heart size is normal. pulmonary vasculature is normal. | evaluation of patient with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p17782175/s57520267/9c7984d4-6590b453-7f7dd450-a3192c26-6cd0c63e.jpg | as compared to the previous radiograph, there is no relevant change. no evidence of pneumonia. no pulmonary edema. no pleural effusions. normal size of the cardiac silhouette. normal hilar or mediastinal structures. | dyspnea, history of asthma, questionable pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12185775/s54133721/91ba091c-cee12c63-ff22dde9-147ea7bb-418900c4.jpg | ap and lateral views of the chest. low lung volumes. two calcified granulomas in the left lung are unchanged. no focal consolidation or pneumothorax. there are small bilateral pleural effusions. cardiomediastinal and hilar contours are stable. degenerative changes are again seen in the spine. | desaturations, congestion, evaluate for pneumonia or fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p12029365/s54330687/6f9d29ba-f32b5f51-f58e14be-3e877329-b10386a7.jpg | a left-sided pacer/ defibrillator and dual leads are in unchanged position. the heart is enlarged but stable in size from the prior examination on <unk>. lung volumes are low. bilateral pulmonary opacities are increased from the prior examination and asymmetrically involve the right lung. there is mild pulmonary vascular congestion there is elevation of the right hemidiaphragm, as before. there is no definite pleural effusion or pneumothorax. persistent right apical opacity likely represents a small, resolving hematoma associated with prior chest tube placement, which is decreased in size from multiple prior exams. | history: <unk>m with hypoxia // eval for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p16299919/s56713256/19ed6e66-f52f31fb-e80d5a7e-78029e04-c37e1458.jpg | perihilar and bibasilar alveolar opacity, right greater than left, is new since <unk>. there are bilateral pleural effusions. there is no pneumothorax. there are aortic knob calcifications. the heart is enlarged. | <unk>-year-old woman with shortness of breath. evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p17434024/s56570132/0fe4b955-0e8fda01-394a5b8c-1692db94-ed0debcc.jpg | lower lung volumes seen on the current exam. there is patchy bibasilar right greater than left opacity which could be subsequent to atelectasis although infection is not excluded. superiorly the lungs are clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. | <unk>m with fever <num>, pls eval for pna // history: <unk>m with fever <num>, pls eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19187816/s52196115/79f4848d-24dcfb6e-5d643605-00ad4d8c-070366b3.jpg | a tracheal stent projects over the the thoracic inlet, higher in position than on the prior radiograph. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is within normal limits. | <unk> year old man with esophageal mass, s/p stent revision and external fixation // tracheal placement |
MIMIC-CXR-JPG/2.0.0/files/p12602264/s54869738/b9e166eb-c5fc3ae7-7d179094-b281dfb0-f01a29ea.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. a moderate-sized hiatal hernia contains an air-fluid level. lungs are hyperinflated. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax. numerous chronic appearing right rib fractures are again seen. thoracolumbar spine fusion construct with vertical fusion rods and pedicle screws appears similar in position to prior without evidence of hardware complication. compression deformities of the thoracolumbar junction are similar to the prior exam. | vague abdominal pain and crackles on lung exam. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p10004235/s58604118/c24939ff-cf96a7e2-dcc4a608-a9f63b02-2b64eca1.jpg | compared to the prior study, the right ij line may have been exchanged. the tip overlies the proximal svc. the et tube, left ij line and ng type tube appear unchanged. no pneumothorax is detected. there is some new subtle confluent opacity in the right perihilar region. otherwise, i doubt significant interval change. prominent cardiomediastinal silhouette is unchanged. upper zone redistribution and diffuse vascular blurring is similar to the prior film, allowing for technique. increased retrocardiac density with air bronchograms is also unchanged. no gross effusion. | <unk> year old man s/p cardiac arrest // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p19552898/s56902116/6d991d3c-f9e8ca58-c4cae00e-0fb6b638-b9e58f59.jpg | the endotracheal tube has been removed. <num> right-sided chest tubes are unchanged in position. the pneumothorax on the right is slightly increased in size. volume loss at the bases is slightly increased. no change in the <num> lead pacemaker | <unk> year old woman with chest tube, now to water seal // presence of interval change, ptx |
MIMIC-CXR-JPG/2.0.0/files/p12261049/s59333664/0e729a67-9bd6b6aa-6b6feb3e-1632d1b1-7e05f7e6.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. there is no focal consolidation, pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable. | evaluate for pneumonia in a patient with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18994071/s55780500/e3a00272-1bb7666b-9a4b9e6a-1d9c3915-eacfa6e2.jpg | frontal and lateral chest radiographs demonstrate pulmonary hyperexpansion with relative lucency in the apices consistent with emphysema. mild to chronic cardiomegaly is chronic, pulmonary vasculature is engorged and mild interstitial edema, though not as severe as on <unk> was not present on <unk>. the mediastinal contours are normal. | <unk>-year-old female with a "shaky sensation" in her chest. |
MIMIC-CXR-JPG/2.0.0/files/p10587706/s58478829/56bb0c84-cf2d9279-8e2f5dc5-a97e36f8-523ddb0e.jpg | the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. | coughing with shortness of breath and fatigue. possible crackles at the right lung base. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11226572/s53764194/c7524a34-034ad3d1-e934a59f-85f18631-6f81adad.jpg | previously seen focal consolidation at the lingula is resolved and there is only minimal residual interstitial thickening. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouette are normal size and unchanged. there is no radiographic findings that suggests sarcoidosis. the lungs are mildly hyperinflated. | cough, h/o sarcoidosis, ?sweats r/o penumonia call wet read to dr.<unk> <unk> <unk> year old woman with sarcoidosis, worse cough. // <unk> y/o woman with cough, h/o sarcidosis, ? sweats. r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11658675/s53352159/91178d51-fa533c88-4b666934-89a729a4-103560bd.jpg | there are low lung volumes, which accentuate the bronchovascular markings. given this, there bibasilar atelectasis. hilar and perihilar opacities may be due to a mild pulmonary edema, again exaggerated by the low lung volumes. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable. | history: <unk>m with cough/+ bc // r/p pna |
MIMIC-CXR-JPG/2.0.0/files/p16172946/s57765274/b1a51422-c32df2a1-e5b24bde-9f54ede5-40a179b4.jpg | low lung volumes cause bronchovascular crowding. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is stable. diffuse moderate to severe gaseous distention of multiple loops of large and small bowel is seen in the partially imaged abdomen, consider dedicated abdominal imaging for further evaluation of possible bowel obstruction. | <unk>m with infectious work-up, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17434758/s50945184/ca5ae4d2-913e3ac7-62f44eca-afd7da6a-b45134ca.jpg | heart is normal size and mediastinal contours are unremarkable. new since <unk> is extensive consolidation in the right mid lung, obscuring the right heart border, but affecting more than the right middle lobe. this is either developing pneumonia or traumatic pulmonary hemorrhage, depending upon clinical history. the left lung is generally clear, and there is no appreciable pleural abnormality, either effusion or pneumothorax. although no acute fracture or other chest wall lesion is seen, conventional chest radiographs are not sufficient for detection or characterization of most such abnormalities. if the demonstration of trauma to the chest wall is clinically warranted, the location of any referrable focal findings should be clearly marked and imaged with either bone detail radiographs or chest ct scanning. stomach and splenic flexure are moderately distended. | <unk>m with hypoxia, dyspnea, evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19553158/s55346484/75bcf9d8-833c0966-dc0b6f6d-fb7da0b2-e9b5620e.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. anterior cervical fixation hardware it is partially visualized. | <unk> year old man with htn presenting with new afib , right neck pain, brain fogginess, disequilibrium. // eval for infection as precipitant for afib? |
MIMIC-CXR-JPG/2.0.0/files/p13526309/s50888034/9a0afed9-11af9130-f9ed7a95-55cfaad6-143eaeff.jpg | there is an increasing pleural effusion on the right, now at least moderate size, and probably a trace one on the left side. associated opacity can probably be explained by atelectasis in the right lower and middle lobes. projecting over the right mid lung is a rounded mass-like opacity measuring about <num> cm in diameter, possibly an increasing metastatic nodule. patchy opacity at the left lung base is probably due to minor atelectasis. compression deformities along the lower thoracic and upper lumbar spines are probably unchanged allowing for differences in technique. known metastases into the bones are not well demonstrated on this study. | shortness of breath and decreased breath sounds at the left base. question metastatic renal cell carcinoma. |
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