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MIMIC-CXR-JPG/2.0.0/files/p11585206/s58958115/cab18152-d77cf36e-5fd2e03f-715d25cd-ec96e304.jpg | ap portable supine view of the chest. left pigtail chest tube is again seen with increased size of left pneumothorax now moderate. no convincing evidence for tension. endotracheal and orogastric tubes are unchanged. lower lung consolidations again noted. partially imaged left humeral shaft fracture, chronicity unknown. | <unk>m with resp distress hypotension s/p chest tube now on max pressors hypotensive // eval ? progression to tension pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p12460543/s52787160/1e9cfa6e-9bb505cc-0239b835-7d28c147-0143ecbf.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax is present. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19339132/s53907881/7947fbad-b2cbee26-e5efd942-be445e4c-5316b515.jpg | left-sided aicd is demonstrated with leads terminating in the regions of the right atrium and ventricle, unchanged. mild to moderate cardiomegaly is similar. mediastinal and hilar contours unchanged. there is mild upper zone vascular redistribution compatible with mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>m with dyspnea and orthopnea // ?pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p17968661/s50527144/d3630899-95e73d2a-97dfb849-237f7dbe-1b92c77a.jpg | since the chest radiograph obtained approximately <num> hours prior, substantial right middle lobe and right lower mr clearly apparent. a small, right pleural effusion is unchanged. severe cardiomegaly and moderate pulmonary vascular congestion without pulmonary edema are unchanged. thoracic aorta is very tortuous, but unchanged. the left lung is fully expanded and otherwise clear. | <unk> year old woman with new o<num> requirement and cough with portable cxr c/f pna // assess for pna |
MIMIC-CXR-JPG/2.0.0/files/p15918114/s57719532/45c63e7e-6f52630d-b4a16229-ab6d2dbb-f23e342e.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are clear. there are no new focal consolidations. there is no substantial pleural effusion or pneumothorax. | <unk>-year-old man status post distal pancreatectomy and splenectomy, now with fevers and rising white blood cell count. please evaluate for possible pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p17732633/s58406527/e0dcecc3-2c1bfed0-07cd2f8b-a2537095-4b33eef8.jpg | since the earlier same-day chest radiograph, the right apical pneumothorax is minimally worse but substantially improved compared to <unk> chest radiograph. the heart is now shifted back to the normal position following chest tube insertion. the right pigtail catheter position has been slightly moved. the left lung is clear without pneumothorax. the heart size is normal. no pulmonary edema or pleural effusion. | <unk> year old man with pneumothorax s/p pig tail placement // eval lung reexpansion |
MIMIC-CXR-JPG/2.0.0/files/p17649604/s52130993/f5a2340c-2d71f09e-c2d547c1-2d57228c-a7ccd7c9.jpg | a right ij central line terminates in the right atrium. this could be pulled back <num>-<num> cm to be at the superior cavoatrial junction. the lungs are hyperinflated and demonstrate emphysematous changes. a new opacity in the right lung base likely reflects atelectasis, but cannot exclude pneumonia or aspiration in the right clinical setting. there is possible small right pleural effusion. there is no pleural effusion. the cardiomediastinal silhouette is unremarkable. | history: <unk>f with hypotension now sp rij placement // adequate rij cvl placement |
MIMIC-CXR-JPG/2.0.0/files/p15933792/s52792549/ab8ff89e-d970a7dd-9c5922b0-e6c21d31-16734c0d.jpg | heart size is top-normal with trace tortuosity of the thoracic aorta demonstrating mild calcifications at the knob. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. mild compression deformity of a lower thoracic vertebral body is stable compared to prior ct. no overt acute traumatic findings. | hypoxia after a fall. |
MIMIC-CXR-JPG/2.0.0/files/p16487743/s52949451/8fc5ef96-d15b45b7-171b9520-a1b5e3e3-efd5920f.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>m with fever, cough // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p16500918/s53418440/961ed444-ab9b3c6f-cacc56ba-3384677c-d65db64d.jpg | the frontal and lateral chest radiograph demonstrates stable cardiomediastinal silhouette with mild prominence of the left atrium. pacemaker leads are well positioned. the lungs are clear. no pleural effusion or pneumothorax identified. multilevel degenerative changes are present. sternotomy sutures are midline and intact. | palpitations. assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15844687/s57335700/b03dc034-5943f356-3612f02e-9ce15cb2-70e51398.jpg | the lung volumes are low. this is accentuating the cardiomediastinal silhouette, although there is likely moderate-to-severe cardiomegaly. the mediastinum is prominent, which could be due to technique. a right internal jugular catheter is present with the tip in the low svc. there is no pneumothorax. the lungs are clear without consolidation or edema. there is no pleural effusion. | hypotension. evaluate right internal jugular catheter. |
MIMIC-CXR-JPG/2.0.0/files/p15068911/s51349144/71084f03-14130cef-04c4b1cb-0ee55596-3686d94d.jpg | patchy left lower lobe opacity could be due to atelectasis or pneumonia. subtle right apical opacity is stable to slightly decreased compared to the prior study. no right-sided consolidation is seen. incidental note is made of an azygos lobe. no pleural effusion or pneumothorax is seen. the mediastinal contours are stable. the cardiac silhouette is top-normal to mildly enlarged. | history: <unk>f with palpitations, positional headache // r/o infiltrate, mass |
MIMIC-CXR-JPG/2.0.0/files/p11811818/s50905732/5038c28f-da443325-7208f64c-2037657d-cc87d775.jpg | lung volumes are low. no focal consolidation, pleural effusion, or pneumothorax is detected on this single view. heart and mediastinal contours are within normal limits. | <unk>-year-old female with aspirin overdose. |
MIMIC-CXR-JPG/2.0.0/files/p16130929/s57607156/7f68ea0d-ff89f662-40f862ef-4a177114-ff0a293a.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. | <unk> year old man from <unk> with +ppd, evaluate for tuberculosis |
MIMIC-CXR-JPG/2.0.0/files/p14289415/s56452502/52f4ccd9-6239ab2a-a735c177-51a2fa46-cdf810c0.jpg | pa and lateral views of the chest were reviewed. heart size is mildly enlarged. mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. pulmonary vasculature is within normal limits. | vomiting with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18279807/s59539928/ed11574f-bdf4a12c-805756ef-9c55287f-839da556.jpg | there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | history: <unk>m with c/o cp and sob after fall // ? fx |
MIMIC-CXR-JPG/2.0.0/files/p14095687/s54343578/c6b9c1f3-1256d21c-bf576305-8d899aac-1203e5cd.jpg | the lungs are well expanded and clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with fever // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15362836/s57100738/b597af6a-25339b69-c512251d-df2622ec-f717ad1b.jpg | mild left base atelectasis is seen without definite focal consolidation. the lungs are relatively hyperinflated with flattening of the diaphragms and biapical scarring suggesting chronic obstructive pulmonary disease. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. | history: <unk>m with new rbbb, sob // sob with activity, fa |
MIMIC-CXR-JPG/2.0.0/files/p12226432/s59816698/3eaad498-801306b8-8057d011-92edf6e8-e10fb136.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable, aside from scoliosis of the spine. | history of right upper quadrant pain. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p17631528/s59487565/bc22bdbb-ad30b01a-fa7480d4-008be1f5-5f8f9e52.jpg | left-sided port-a-cath tip terminates in the low svc. heart size is normal. mediastinal and hilar contours are unremarkable. innumerable bilateral pulmonary nodules have progressed since the previous chest radiograph, and allowing for differences in technique, are not substantially changed from the previous ct where many were shown to be centrally cavitating. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. | history: <unk>m with metastatic rectal cancer status post radiation therapy on <unk> now with fever to <num> |
MIMIC-CXR-JPG/2.0.0/files/p15850909/s51149045/fc0692b1-34ecc900-0a39d00a-65eca53b-e54253f2.jpg | there are no significant changes since the prior radiograph on <unk>. the right port-a-cath terminates at the cavoatrial junction. there is an area of nodularity that obscures the distal right paratracheal stripe, which may be due to lymphadenopathy or other soft tissue lesion. it is unchanged since the <unk> cxr, and likely corresponds to the focus of fdg avidity on the <unk> pet-ct. no significant change in small right pleural effusion and adjacent atelectasis. the left lung is essentially clear. no pneumothorax or pneumomediastinum. stable cardiomediastinal silhouette. no free air under the diaphragms. | <unk> year old woman with esoph cancer, s/p neoadjuvant chemorads then <unk> esophagectomy and j tube placement. // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p10900387/s55761207/8b3b43f7-d05c6358-c2cf9f85-aa941725-f38d668c.jpg | an endotracheal tube tip terminates approximately <num> cm from the carina. an orogastric tube tip terminates in the distal esophagus with side port in the upper/mid esophagus. there is persistent left hemithorax opacification with leftward shift of mediastinal structures indicative of left lung collapse. probable small left pleural effusion is likely present. as noted previously there is a abrupt cut off of visualization of the distal left mainstem bronchus. right picc tip remains in unchanged position within the lower svc. remainder of the right lung is unchanged. punctate radiopaque densities in the left upper quadrant of the abdomen likely reflect ingested material within the bowel. | history: <unk>m with shortness of breath s/p intubation // et placement |
MIMIC-CXR-JPG/2.0.0/files/p19082355/s53848303/9204e3dd-07571a2d-756c09bf-671431ae-76ded767.jpg | a portable frontal chest radiograph demonstrate the nasogastric tube extending at least into the stomach. low lung volumes emphasize the cardiac silhouette, with the heart likely top normal in size. there is bibasilar linear atelectasis, right greater than left. there is no large pleural effusion, and no pneumothorax. a skin fold overlying the right upper lung should not be confused for a pneumothorax. | status post nasogastric tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13293211/s56384790/44ef9bde-0e5abc07-f274e7ca-68784377-ca368a6a.jpg | the cardiac silhouette size is borderline enlarged. thoracic aorta is diffusely calcified. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is seen. previously noted right peribronchial opacification has improved. there are multilevel degenerative changes in the thoracic spine. | hypertension and cough. |
MIMIC-CXR-JPG/2.0.0/files/p11617122/s52883529/be889e88-e70708f8-7e7f8c15-eb76093f-a136ce48.jpg | single frontal radiograph of the chest demonstrates top normal heart size. a left internal jugular venous catheter is noted terminating in the midline in the region of the left brachiocephalic vein. a metallic density foreign body is again noted projecting over the left upper quadrant. otherwise, no significant change from prior study. no pneumothorax or pleural effusion. clear lungs. | left ij central line, evaluate for placement. |
MIMIC-CXR-JPG/2.0.0/files/p15571243/s58785133/633ecece-65c894f1-7f79517f-c14cdb7a-d5595f39.jpg | known right hilar mass is re- demonstrated. there are faintly visualized right bronchial stents. there is increasing thickening of the lateral pleura in the right mid lung, likely pleural fluid. there is worsening right pleural effusion and probable associated atelectasis. atelectasis at the left base is mild. the heart is obscured along its right border limiting evaluation. there is no pneumothorax. known nodules in the left lung are better seen on prior chest ct. | history: <unk>f with hypoxia hx b/l pe // eval for pe, pna |
MIMIC-CXR-JPG/2.0.0/files/p14504982/s54977387/f267c2a4-ac498107-fc04b38c-0dfcb176-4e82a18c.jpg | the patient is status post median sternotomy and cabg. heart size is mildly enlarged. mediastinal contours are unchanged. pulmonary vasculature is not engorged. linear opacities are noted in the lung bases, more pronounced on left, likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. degenerative changes are noted in the left glenohumeral joint. | hypertension, recent left carotid endarterectomy presenting with acute sharp left back pain, chest pain and large left flank hematoma. |
MIMIC-CXR-JPG/2.0.0/files/p18749946/s58786961/94eb1740-6ae08634-d25ccaa8-58510046-f17ecc0f.jpg | left chest wall single chamber icd is in standard position. the heart is enlarged, stable from <unk>. the lungs demonstrate chronic pleural and parenchymal scarring in the lower lung bilaterally. no evidence of pneumonia. there is no evidence for pulmonary edema. | history: <unk>m with intermittent substernal chest pressure x <num> day and difficulty breathing // eval for cardiomegaly / consolidation / cephalization |
MIMIC-CXR-JPG/2.0.0/files/p18676748/s57705132/410ac744-4baad59d-6d2c97c0-8234456c-fc2c9053.jpg | pa and lateral chest radiographs were provided. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the heart size is top normal. a pacemaker is in place with leads in the right atrium and right ventricle. the imaged upper abdomen is unremarkable. bones are intact. | <unk>-year-old with cough, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17798911/s58708997/e2dfcbd7-e6f49245-c2a83ed7-4cdc2824-8211a9d2.jpg | there is mild bibasilar opacification which could be atelectasis, however pneumonia is possible in correct clinical setting. pleural effusion is minimal, if any. cardiac silhouette is top normal in size. | <unk> year old man s/p laminectomy now with desats and fever and persistent o<num> requirement // r/o infection vs atelectasis |
MIMIC-CXR-JPG/2.0.0/files/p11323336/s52135185/56fe8f10-8ebfebac-05dc7841-6db19fa5-f436e664.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 cough // cough |
MIMIC-CXR-JPG/2.0.0/files/p18323186/s58909882/3394fb3d-9ac4a62c-1dedfbdf-e78adc4c-0f0e223b.jpg | the right hickman catheter terminates at the proximal right atrium, in unchanged position. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is mildly enlarged, as before. | <unk> year old man with hx of aml, s/p allo transplant. hickman line not functioning. please further assess line placement. |
MIMIC-CXR-JPG/2.0.0/files/p10272619/s50037656/6410c62c-d94098fb-8b675813-11f510af-fd8a96bb.jpg | single ap portable view of the chest was obtained. there are slightly low lung volumes. bibasilar atelectasis is seen. relative opacity projecting over the costophrenic angles most likely relates to overlying soft tissue. no radiopaque foreign body is seen. cardiac and mediastinal silhouettes are unremarkable. | foreign body. |
MIMIC-CXR-JPG/2.0.0/files/p16600050/s57066075/dda51226-cefe6b59-86e7b9ae-85666d83-2cc7b885.jpg | a right-sided picc is again seen, unchanged, terminating at the svc/cavoatrial junction. there are low lung volumes. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | reason fever. |
MIMIC-CXR-JPG/2.0.0/files/p13890200/s52849997/bd9db1a2-423af2ac-ae9a9807-e39833db-685f0492.jpg | the tip of the et tube is slightly high, <num> cm above the carina. remainder the appearance of the chest, dual lead pacemaker, valve replacements common mild cardiomegaly are unchanged. | <unk> year old man with large hemorrhagic stroke // ett position |
MIMIC-CXR-JPG/2.0.0/files/p10598816/s54615111/f54cc3ae-ed0d423c-7e5e3082-32a28ed4-7b55b962.jpg | ap and lateral views of the chest. left chest wall port is seen with catheter unchanged in position. given positioning and rotation to the left, there has been no significant interval change. there is no consolidation or effusion. the cardiomediastinal silhouette is unchanged. no acute osseous abnormality is identified. | <unk>-year-old male with vomiting and recent subdural hematoma. colon cancer. |
MIMIC-CXR-JPG/2.0.0/files/p11242742/s50345380/6a7b0abe-4cafc8cd-d7d7e137-aa244a2e-cbdbf147.jpg | the cardiac and mediastinal silhouettes are stable. slight prominence of the central pulmonary vasculature suggests pulmonary vascular engorgement. no discrete focal consolidation is seen. there is no pleural effusion or pneumothorax. no overt pulmonary edema is seen. . | history: <unk>f with progressive sob, crackles on exam // pulmonary edema? pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p16568680/s57150756/05bc2e26-efaa42ed-700ada4f-7a52a39b-5f8b59bb.jpg | pa and lateral views of the chest provided. the heart appears top-normal in size. there is subtle prominence of the main pulmonary artery contour. the hila appear minimally congested. the lungs are clear. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. mediastinal contour is normal. bony structures are intact. | <unk>f with dyspnea // acute process |
MIMIC-CXR-JPG/2.0.0/files/p17491268/s58900630/0f9a485d-8ea70971-6aa8a6fd-b5902431-ea5eb7c9.jpg | in comparison to <unk> radiograph, cardiomediastinal contours are stable in appearance this patient status post median sternotomy and aortic valve replacement. mild elevation of the left hemidiaphragm is new with adjacent left lower lobe atelectasis and small pleural effusion. small right pleural effusion is also new as well as a vague opacity in the right juxta hilar region. left picc terminates in the left axilla. | <unk> year old man with cholangitis, decreased breath sounds on the left. // evaluate for left sided effusion, atelectasis |
MIMIC-CXR-JPG/2.0.0/files/p19249697/s53996176/534f2801-cfbb2d6f-4e957cfc-8de09905-45485d3c.jpg | linear anterior mid lung opacity seen on the lateral view most likely represents atelectasis or scarring. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. mild biapical pleural thickening is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with sob // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p13549706/s58187460/a9538213-4c68a073-3b22220e-aed295b1-847b0644.jpg | lung volumes remain low with persistent left lower lobe atelectasis, similar in appearance when compared to the prior study. no new areas of consolidation seen. no pleural effusion seen. the cardiomediastinal contour is unchanged. | <unk> year old man with cholecystitis, slight tachypnea // ? pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p19167364/s59700103/60c5853e-bcf24f20-c0ddabfb-65a09584-22275211.jpg | there is no focal consolidation. an ivc filter is partially imaged. the osseous structures are demineralized. the cardiomediastinal silhouette, including mild cardiomegaly, is stable. there has been interval removal of right approach picc. | <unk>f with abdominal pain, lll crackles on exam, evaluate for evidence of pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p18867885/s58629715/53b7ee73-f25a778a-f39649d0-d1b89ffc-6e83887f.jpg | there is a large left-sided pleural effusion with associated atelectasis. the right lung remains clear. cardiac silhouette cannot be accurately assessed. no acute osseous abnormalities. | <unk>f with pleural effusion at osh pls eval interval change // history: <unk>f with pleural effusion at osh pls eval interval change |
MIMIC-CXR-JPG/2.0.0/files/p11251632/s55296918/5a7d65e9-1b99e891-e99618ad-af4a22a8-30f391f8.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. heart size and mediastinal structures remain unchanged. no evidence of pulmonary vascular congestion. seen on previous examination, residual air-fluid level in the upper pleural space has disappeared and apparently has been replaced by local minor pleural thickening in the apical area. it is noted that the previously identified pulmonary abnormality presenting left upper lobe carcinoma has not progressed significantly. on the lateral view, we can identify that the previously existing extensive pleural density in the dorsal pleural compartment has regressed and almost disappeared. there is no evidence of any new left-sided pulmonary parenchymal abnormality. the right-sided hemithorax remains unremarkable as before. | <unk>-year-old male patient with lung carcinoma, evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p16717658/s57084033/5bb8a155-001e01ff-3a02d512-4bb24a13-afe2a865.jpg | ap portable view of the chest demonstrates interval placement of the left pleural drain, which projects over lateral left chest. left pleural effusion has decreased in size, now small-to-moderate. no pneumothorax. right lung is essentially clear. there is no right pleural effusion. hilar and mediastinal silhouettes are unchanged. heart size is top normal. there is no pulmonary edema. retrocardiac consolidation is noted, which most likely represents volume loss. | patient with left pleural effusion, status post chest tube placement. assess for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16560117/s54798309/f5ba49e8-f24f5f54-5c567e2c-e42d53b6-48dab51d.jpg | <num> views were obtained of the chest. the lungs are mildly hyperexpanded but clear. there is no pleural effusion or pneumothorax. the heart is moderately enlarged with post cabg changes. | infection. |
MIMIC-CXR-JPG/2.0.0/files/p11901870/s58331724/149ed6b9-ddb232cf-beb21047-77a50f84-ed0868e9.jpg | no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is identified. note is made of a small amount of fluid along the right minor fissure. there is eventration of the right hemidiaphragm and air-filled large bowel abuts the right infradiaphragmatic surface, as seen on the subsequent ct. there is a small amount of atelectasis at the right base. there is mild cardiomegaly and tortuosity of the aorta. | hyperkalemia. |
MIMIC-CXR-JPG/2.0.0/files/p15942634/s50505889/807fb544-f5e88e7a-151f29fe-25bf31d3-44850968.jpg | the ng tube terminates in no further than the upper stomach, which suggests that the sideport is within the distal esophagus. the right subclavian line terminates in the mid-svc. otherwise no significant interval change compared to yesterday's cxr. | <unk> year old man with cirrhosis s/p ngt // ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p18458646/s50166380/cc3569eb-90e5e64f-be15cb5e-1e9b2929-b7408be4.jpg | slight coarsening of the interstitial markings and hyperinflation are likely due to emphysema. there is no focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac contours are normal. prominence of the right hilus is unchanged over multiple prior studies dating back to <unk>. there is no free air beneath the right hemidiaphragm. | <unk> year old man with a history of cll now with increased sob please evaluate for new pathology. // <unk> year old man with a history of cll now with increased sob please evaluate for new pathology. |
MIMIC-CXR-JPG/2.0.0/files/p18824198/s59327031/68481bd3-40b7f2e0-18018788-1e04ef65-653a851c.jpg | pa and lateral views of the chest demonstrate interval removal of right-sided picc, and placement of new left-sided picc, terminating at the cavoatrial junction. the cardiomediastinal silhouette is unchanged. there is no evidence of pneumothorax. there are persistent small bilateral pleural effusions, right greater than left, unchanged in extent since the prior study. there is no focal pneumonia. a surgical drain is seen projecting over the mid abdomen, as before. | picc placement. |
MIMIC-CXR-JPG/2.0.0/files/p19080918/s58895400/87ad15ce-267f98ce-35e68205-cea3be89-c7896cc0.jpg | frontal lateral chest radiographs demonstrate low lung volumes. cardiomediastinal silhouette is normal. the lungs are clear. there is no pleural effusion or pneumothorax. | chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13690559/s57792988/059c7138-cdacf845-f1603248-d3f5a4b1-0cf42a0f.jpg | severe cardiomegaly is unchanged. there is mild pulmonary edema which is relatively asymmetric and worse at the right lung base, unchanged. small bilateral pleural effusions.hyperinflation of the lungs is noted. | history: <unk>f with sob // eval for infiltrate, chf |
MIMIC-CXR-JPG/2.0.0/files/p15154231/s54969292/72b1dff5-37254a3a-4d60a750-7cba15e3-0a416643.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with fall at home. low back pan and right subscapular pain and abrasions |
MIMIC-CXR-JPG/2.0.0/files/p14196367/s56041052/28f2290f-e59a7ef9-2143b996-9b1bd43b-cfb38330.jpg | pa and lateral images of the chest demonstrate well-expanded lungs which are clear. there is no evidence of pulmonary mass on this exam. since prior examination, the cardiomediastinal silhouette has normalized in size. there is moderate elongation and widening of the thoracic aorta. there are no calcifications in the wall of the aorta visualized. previously seen pulmonary congestion and pleural effusions have resolved. lumbar spinal orthopedic hardware is again noted. there are no other abnormalities or evidence of acute cardiac or pulmonary processes. | <unk>-year-old male with history of smoking with last chest radiograph in <unk> showing pneumonia with no followup since, now requiring followup to evaluate for underlying malignancy. |
MIMIC-CXR-JPG/2.0.0/files/p12177257/s52379911/88e1fbff-f17ecc68-65e4e209-94678730-9eac8285.jpg | frontal and lateral chest radiographs demonstrate prominence of the main pulmonary and right pulmonary artery, unchanged compared to <unk>, suggestive of underlying pulmonary arterial hypertension. visualized cardiac contour appears unchanged. lung volumes are low, but otherwise clear. no pleural effusion or pneumothorax identified. | altered mental status, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13294123/s54033748/dd395057-2d6d36cd-aec6df04-ebf8c076-10466140.jpg | left perihilar opacity is worrisome for pneumonia. mild right base opacity is similar to prior, but increased compared <unk>, and could represent additional site of infection. no pleural effusion or pneumothorax is seen. the cardiac silhouette size is grossly stable. mediastinum is grossly stable. | history: <unk>m with sob/cough/tachycardia // acute process |
MIMIC-CXR-JPG/2.0.0/files/p17358740/s56051366/42142602-beca02e2-575beb78-e8392051-1f6b38af.jpg | portable ap chest radiograph. right picc terminates in the mid svc. moderate cardiomegaly and interstitial pulmonary edema are seen in the setting of low lung volumes. there is no pneumothorax or pleural effusion. | shortness of breath and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12039417/s58266483/312415d0-f5bfcfa5-9c8b1c3b-c6ace4d0-78f3fb93.jpg | the lung volumes are present. the cardiac, hilar, and mediastinal contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14896868/s52408691/55f17b5f-799f3968-065b6581-56d7f932-12780d79.jpg | the left-sided picc has been repositioned, with tip now at the cavoatrial junction. bilateral low opacities, are unchanged in appearance. trace right-sided effusion. the cardio mediastinal silhouette is compatible. no pneumothorax. | <unk> year old woman with malpositioned picc // rue picc malpositioed ? tip post power flush - <unk> <unk> |
MIMIC-CXR-JPG/2.0.0/files/p16034229/s52558489/5beaa69b-554d8eab-1c468667-c5201fad-6d17960c.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. a right upper extremity picc terminates at the cavoatrial junction. | <unk>-year-old woman with <num> pound weight gain over the past week wall on tpn, evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p18985055/s56741395/cdbf7019-bf043a96-c3680efc-056e0fb2-03d550b4.jpg | frontal and lateral views of the chest demonstrate low lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11865363/s58111194/17989d61-41752589-450083f2-c75e4a72-4e59e40c.jpg | the heart size is large. the mediastinal and hilar contours are normal and stable. subtle bibasilar opacities likely represent under-inspiration as opposed to an actual consolidation. there is no pleural effusion or pneumothorax. | <unk>-year-old male with productive cough and shortness of breath; hypertension. |
MIMIC-CXR-JPG/2.0.0/files/p16048733/s54238601/9a4f4699-4831d78d-e9a021a6-93beb3ce-fa4824ae.jpg | pa and lateral views of the chest provided. lungs are hyperinflated and clear without evidence of pneumonia edema effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with chest discomfort congestion // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p12766917/s55264567/6a0f2557-8c063bd6-6abe80e8-6eb6bfd0-271fa63e.jpg | since prior study, there has been interval improvement in interstitial pulmonary edema, which is now minimal. the cardiomediastinal silhouette is stable. there is no pleural effusion, pneumothorax, or focal airspace opacity. | <unk> year old man with acute myocardial infarction // hypoxia and interval change of pulmonary edema from <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p15499838/s57199859/0c21e2a9-ceb51e3a-f311e4a8-e55e568d-7254bc73.jpg | the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. an inferior vena cava filter appears unchanged. there is a vague lingular opacity but similar to prior studies, suggesting minor chronic scarring. | confusion. recent history of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14009236/s51646167/73b5623c-217d0117-5db4d82c-decf3e8e-d59981ba.jpg | on the frontal view, <unk> with <num> mm wide rounded opacity projects over the cardiac silhouette and the medial left ninth posterior interspace. this might correspond to a <num> cm elliptical opacity which on the lateral view projects over the aortic root placing the lesion in the lingula, <num>, instead it may correspond to a <num> cm wide opacity projecting over the lower thoracic spine. a dedicated chest ct is warranted for further evaluation. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. the | <unk> year old woman with cough, fever and bloody sputum. // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p10620423/s51193705/db4b169a-96ecceb0-ef981342-178aacd4-316a5455.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and there are no findings suggestive of pneumonia. increased intersitial markings are likely related to chronic changes. no pleural effusion or pneumothorax. there is a rounded focal density at the right lung base which may represent an overlying nipple shadow. further evaluation is recommended with nipple markers. | <unk>-year-old woman with cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18786508/s57403992/b7bae798-e63221f2-16302944-6b9f273b-5810980f.jpg | no focal consolidation is seen. lung volumes are improved from prior. cardiomediastinal contours are normal. no pleural abnormality is seen. | fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13971613/s59538680/a619576c-bad23e8e-61c34c55-e8cf1714-61d91d84.jpg | the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. | history: <unk>f with epigastric pain, reflux, chest pain along entire sternum // pna |
MIMIC-CXR-JPG/2.0.0/files/p19880967/s59881553/775aa894-d2988fdf-986789a9-8cd24075-93ee8e9f.jpg | compared with the immediate prior study there is new right lower lobe airspace opacity consistent with pneumonia. there is no pleural effusion, pneumothorax, or significant pulmonary edema. the cardiomediastinal silhouette is stable. a right picc terminates in the cavoatrial junction. | <unk>f with aml p/w syncope, fever and tachycardia evaluate for consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p14244566/s58222601/d20398f8-36949d75-1686869d-703dc263-89b49ffa.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>m with sob // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p14216621/s55163417/2080e6b7-cd32649c-64740d19-8397df9a-2ec463e6.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with cough // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18417736/s57167140/f81d34b5-0c74ae9c-d38f0071-a59c07a0-1e912efc.jpg | the patient is status post median sternotomy and coronary artery stenting. heart size is normal. mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted involving the aortic knob. pulmonary vasculature is normal. hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. moderate degenerative changes are noted in the thoracic spine | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p12009813/s56595611/9adb7e32-9cec7e89-41aa460b-a0f7b9b4-5a53f20b.jpg | pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation or effusion. the mediastinal silhouette is within normal limits. the osseous and soft tissue structures are unremarkable. | <unk>-year-old male with cough and leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p12001183/s57446332/2d884459-ba443103-ad258800-2135b252-651723f9.jpg | lung volumes are low, but there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal. | <unk>-year-old woman with pleuritic chest pain and fever. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p16436084/s52064941/b8723ea7-556d890f-7af153cd-413d198f-f0d0d5a9.jpg | the heart is mildly enlarged. the aortic arch is calcified. the mediastinal and hilar contours appear unchanged including a convex contour to the right upper mediastinal contour, which is stable and most often associated with tortuosity of the great vessels. there is a new moderate interstitial abnormality most suggestive of interstitial pulmonary edema. the central airways are cuffed. there is probably a trace pleural effusion on each side. degenerative changes and suspected bony demineralization along the thoracic spine are similar. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p12763939/s51033589/4764ebc0-df4ccc05-b89a1234-6f768a5e-a964248c.jpg | the tracheostomy appears in standard position. there is a left-sided chest tube which abuts the mediastinum. again noted is the feeding tube looped in the hypopharynx, yet extending down below the diaphragm with the tip out of view of the film. the right subclavian catheter ends in the low svc. again seen is bilateral perihilar opacification which could be secondary to atelectasis or pneumonia, unchanged compared to the prior exam. no new focal consolidations are seen. there is no pneumothorax or pleural effusions. the heart size is normal. | <unk>-year-old man status post motor vehicle accident. history of diaphragmatic rupture who presents for evaluation after left chest tube was placed on waterseal. |
MIMIC-CXR-JPG/2.0.0/files/p12510643/s50749727/4c0fbf50-bfe6d157-eb3e772b-32cd8a09-fbc59eb9.jpg | ap portable supine view of the chest. evaluation is markedly limited due to patient's rightward rotation and low lung volumes. allowing for these limitations, the lungs appear relatively clear. cardiomediastinal silhouette difficult to assess. no acute osseous abnormality. overlying ekg leads are also present. | <unk>f with ams // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19405596/s50384927/8e6f86a6-c0fbf692-b2d8a616-cea4ef15-290e6fd7.jpg | pa and lateral views of the chest provided. cardiomegaly is moderate to severe. there is mild interstitial pulmonary edema. tiny bilateral pleural effusions noted. no evidence of pneumonia. no pneumothorax. hilar congestion is noted. mediastinal contour is normal. bony structures are intact. dish related changes of the t-spine noted. | <unk>m with cough, sob, and new atrial flutter |
MIMIC-CXR-JPG/2.0.0/files/p11601553/s55973080/9b608269-0f67fb13-e0166bb9-f34f14bd-1044bad7.jpg | feeding tube tip is not included on the radiograph, is distal to the mid stomach. thoracolumbar curve convex to the right, with degenerative changes. mildly improved left basilar opacity. interstitial prominence in bilateral lungs has improved. improved pulmonary vascularity. normal heart size. there is tiny right pleural effusion or thickening, similar. mild scarring in the lung bases, best seen in the right costophrenic angle is similar. | <unk> year old woman with ngt placement. // evaluate ngt placement. stat to ensure did not go into lungs. |
MIMIC-CXR-JPG/2.0.0/files/p14829501/s56292317/76061004-bcffaa5c-bf947441-9df35d38-d12dce32.jpg | mild linear left basilar atelectasis/scarring is seen. no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema. no significant change since the prior study. | history: <unk>m with hiv, crackles rll // acute process |
MIMIC-CXR-JPG/2.0.0/files/p19713183/s52696900/2a1f7630-900dd6cc-de1db57e-ef6a6d3f-4a6ca4c6.jpg | the heart size is normal. the mediastinal and hilar contours are unchanged, with aorta appearing tortuous and diffusely calcified. the hilar contours are normal, and the pulmonary vasculature is not engorged. blunting of the costophrenic angles posteriorly on the lateral view suggests trace bilateral pleural effusions. minimal streaky opacities in the lung bases may also reflect atelectasis. there is no pneumothorax. there are mild degenerative changes noted in the thoracic spine. | dyspnea and chest pressure. |
MIMIC-CXR-JPG/2.0.0/files/p13973556/s56248160/30b28707-d13bfeb5-11f9064e-ee220038-d773ca44.jpg | possible lung nodules project over the left third anterior (<num>mm) and right fourth anterior (<num>mm) ribs. lung volumes are normal. heart size is normal and there is no edema or pleural abnormality. | <unk>-year-old female with epigastric pain, evaluate for acute intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p13443536/s54416932/155b2ec7-334b494d-86efa751-7dc88a32-eba32035.jpg | there are prominent interstitial markings compatible with known pulmonary fibrosis. widening of the mediastinum is due to mediastinal fat, as demonstrated on subsequent chest ct. mild cardiomegaly is noted. no focal consolidation or pulmonary edema is present. there is no pleural effusion or pneumothorax. | history: <unk>m with pulmonary fibrosis p/w pain in his back and below his rib cage, evaluate for right lower lung pathology |
MIMIC-CXR-JPG/2.0.0/files/p11950373/s58062686/c2bf7939-323209ad-5932e90c-596ad4dd-d90dea00.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities. | <unk>f with cp // evidence of effusion or cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p16344412/s53196013/c9c823fe-cbc14735-f36f37a1-857217bb-f46993f9.jpg | single frontal view of the chest was obtained. interstitial edema is mild, with kerley b lines, and has increased since the prior exam. coarse interstitial lung markings are consistent with chronic mycobacterium avium intracellulare infection and emphysema. no pleural effusion, pneumothorax, or focal consolidation. mild cardiomegaly and cardiomediastinal contours are stable. no radiopaque foreign body. | <unk>-year-old female with acute shortness of breath. evaluate for volume overload. |
MIMIC-CXR-JPG/2.0.0/files/p10691024/s53201316/cfd2fbf8-75f9cc1d-8dd1e877-5eb750b8-45093afa.jpg | lung volumes are low. heart size is accentuated, but appears mild to moderately enlarged. the aorta is unfolded. the mediastinal contours otherwise unremarkable. crowding of the bronchovascular structures is present due to low lung volumes, but no overt pulmonary edema is present. bibasilar airspace opacities are more pronounced in the retrocardiac region, and could reflect areas of atelectasis but infection or aspiration cannot be excluded. previously noted small bilateral pleural effusions appear nearly resolved, and no pneumothorax is present. no acute osseous abnormalities are seen. | new cough, fever. |
MIMIC-CXR-JPG/2.0.0/files/p15534164/s51091753/9e40418b-cf5c48cc-88d733dc-db666e3b-09f46e67.jpg | unchanged elevation of the left hemidiaphragm with mildly increased overlying atelectasis and possible trace left pleural effusion. no pneumothorax identified. mildly increased pulmonary vascular congestion. the size and appearance of the cardiac silhouette is unchanged. | <unk> year old man with multiple myeloma // intermittently worsening hypoxia and new crackles on rul, please re-evaluate |
MIMIC-CXR-JPG/2.0.0/files/p13421525/s56715780/8e8d324a-05036e4f-30c7592f-2057d077-3d65642c.jpg | there is no significant change from the prior examination done at <time>. a left basal opacity persists and is unchanged. tracheostomy is demonstrated in similar position. | history: <unk>f with trach // eval for trach placement |
MIMIC-CXR-JPG/2.0.0/files/p10928511/s52566729/77fffd2a-a83cf93c-134b8a2d-92f0cc04-18b0ea56.jpg | study is from <unk> and radiograph was presented for review on <unk>. pacemaker projects over the left pectoral region with lead tip in the right atrium and apex of the right ventricle. clear lungs bilaterally without pleural effusion or pneumothorax. heart size is top normal with normal mediastinal contour and hila. no bony abnormality. post-surgical change of the right humerus is again noted without additional bony abnormality. | <unk>-year-old female with increased congestion after recent bronchitis. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14589196/s51195526/6630320f-5dae4542-cd9aba40-4f1b6f1a-3de808cb.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with epilepsy s/p thoracic mass resection from t<num>-t<num> // interval change |
MIMIC-CXR-JPG/2.0.0/files/p12543455/s55232733/b04f9d4e-bd07898d-2a321044-c73085b5-c985fb94.jpg | pa and lateral views of the chest demonstrate the lungs are well expanded and clear. there is no pleural effusion, pulmonary edema, or pneumothorax. subtle left base opacity is likely due to combination of minor atelectasis and overlapping vascular structures. no definite focal consolidation is seen. the cardiomediastinal silhouette is unremarkable. | seizure. |
MIMIC-CXR-JPG/2.0.0/files/p15581272/s52597570/532f9f6f-8be722ed-58ab6a30-9068d8e2-41e8a101.jpg | pa and lateral views of the chest <unk> at <time> are submitted. | <unk> year old man with airway obstruction s/p trach with increased sputum production and cough // ?pna ?pna |
MIMIC-CXR-JPG/2.0.0/files/p12711845/s50412805/64844b54-ccfd10f0-f924795c-fb99f4cd-964ae0d6.jpg | et tube in situ with the tip at the level of the medial clavicles approximately <num> mm proximal to the carina. background right middle and lower lobe airspace opacification with an associated effusion unchanged. ng tube in situ. | <unk> year old woman with et tube which has now been pulled back <num>cm. // positioning of et tube |
MIMIC-CXR-JPG/2.0.0/files/p12321369/s59808245/7d04dc37-9ecbc027-d71b4d93-784a06b4-c36bbe30.jpg | there is mild interstitial pulmonary edema, new compared to the prior radiographs from <unk>. <unk>-to-moderate cardiomegaly has increased. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. | weakness and cough. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11042662/s57880554/c2f77f5e-adbbd589-8126d7c7-a494e7fa-83548f9f.jpg | in comparison to the chest radiograph from yesterday, there is increased vascular congestion with mild-to-moderate pulmonary edema. increased hazy opacification at the right base is likely due to asymmetric edema. there is no definite pleural effusion. there is no pneumothorax. the aorta is calcified and tortuous, and stable. the cardiac size is at the upper limits of normal. | abdominal pain with heavy iv fluid resuscitation. evaluate for overload. |
MIMIC-CXR-JPG/2.0.0/files/p11173810/s56985015/11b33232-86068f6d-79e3a552-96454552-4c6a426e.jpg | sternotomy. lvad in place. cardiac pacemaker. cardiac enlargement. stable small bilateral pleural effusions or thickening. normal pulmonary vascularity. no infiltrates. no pneumothorax. | <unk> year old man with lvad, nausea, dizziness, fatigue, r/o pulm edema vs pna // r/u pulm edema vs pna |
MIMIC-CXR-JPG/2.0.0/files/p17126857/s57267834/071f152f-38e4127f-8089e173-cf9d74f7-a8c99d84.jpg | heart size is normal. the aorta is tortuous. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. subtle opacity over the right heart border is similar appearing to <unk> and may represent a focal infection. no pleural effusion or pneumothorax is seen. | <unk> year old woman with improving cough, lll rales // ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p16015533/s57908107/a44ddc20-b8520eab-e25a3222-4a0d65e8-b52b2549.jpg | an nasogastric tube again terminates in the stomach where it makes a single loop. the cardiac, mediastinal and hilar contours appear stable. there is vague diffuse increase in opacity in the right lung compared to the left, particularly involving the lower part of the lung, raising suspicion for developing pneumonia. there is no pleural effusion or pneumothorax. | increasing total <unk> <unk>. question infection. |
MIMIC-CXR-JPG/2.0.0/files/p18649193/s52401472/93e8214e-3dbf2a7a-b3014085-b212ef89-776a9ce2.jpg | endotracheal tube terminates <num> cm from the carina. og tube courses into the stomach and off the view of the film. the lungs are clear of opacities concerning for infection, however, retrocardiac atelectasis is present. there is no large pleural effusion or pneumothorax. | <unk>-year-old man status post intubation. |
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