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MIMIC-CXR-JPG/2.0.0/files/p15353701/s57400692/ddde4be9-5f1f70c1-67692a37-0475796e-46d1abb5.jpg | heart is top normal size and mediastinal silhouette is stable. dense calcifications are present along the aortic arch and throughout the descending thoracic aorta. bilateral perihilar opacities with peribronchial cuffing and thickening of the minor fissure and areas of ground-glass opacification in the right upper and lower lung likely represent mild asymmetric pulmonary interstitial edema. hazy opacification in the right upper lung infectious in etiology or represent edema related to mitral regurgitation. small bilateral pleural effusions are present. no pneumothorax. | history: <unk>f with sob // evidence of fluid overload |
MIMIC-CXR-JPG/2.0.0/files/p10501256/s50253118/6ca13264-b8caa44c-668ee0e5-d19179c7-26f40caa.jpg | the lungs remain clear. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine. | <unk>m with cp // eval for cause of pain |
MIMIC-CXR-JPG/2.0.0/files/p16863940/s58430060/5979f799-a7ea6501-994cadbe-8128881d-c2ca0f72.jpg | the heart size is large but stable. the mediastinal and hilar contours are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old male with chills and right lower lung rales. |
MIMIC-CXR-JPG/2.0.0/files/p14727713/s59175536/9b45defc-252d511e-da48ff99-88439dbe-2d1081a7.jpg | right-sided port-a-cath tip terminates in the mid svc. there is evidence of volume loss in the right lung with a juxtaphrenic peak noted and chain sutures in the right suprahilar region, compatible with prior upper lobectomy. moderate cardiomegaly is demonstrated. aortic knob calcifications are present. the mediastinal and hilar contours are otherwise unremarkable. there is mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15373486/s55496555/4b76ed81-22d8fdec-f2c33a09-eda8bf26-5d225be7.jpg | the lungs appear slightly hyperinflated but are clear. no pneumothorax or pleural effusion is present. the cardiac silhouette is normal in size. the aorta is tortuous. | left upper extremity weakness with headache, evaluate for infiltrate. frontal and lateral views of the chest. |
MIMIC-CXR-JPG/2.0.0/files/p17062932/s58339341/3d3cf8d1-c6183165-fcab4ca1-47056e6a-99957269.jpg | redemonstrated is an et tube, right picc line, right ij line, right pigtail catheter, and two nasogastric tubes which are unchanged in position. there has been interval placement of a left-sided pigtail catheter, as well as significant interval decrease in the size of a now small left pleural effusion. the lung volumes are noted to be decreased. bibasilar atelectasis is noted. there is no focal consolidation, pneumothorax, or pulmonary edema identified. mediastinal contours are stable. | status post left pigtail catheter placement. |
MIMIC-CXR-JPG/2.0.0/files/p12475612/s54307584/94b95c11-aa8f5bee-704b2939-6a64b727-09697fcd.jpg | frontal and lateral views of the chest. relatively low lung volumes are noted with linear bibasilar opacities, most likely atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old male with cough. |
MIMIC-CXR-JPG/2.0.0/files/p13154176/s57042460/7255dc38-cfde98ba-700d29f1-e054346b-a6ae68e2.jpg | the endotracheal tube is slightly low, <num> cm above the carina. there is hazy alveolar infiltrate involving the left lower lobe there is volume loss in the right lower lobe the heart size continues to be mildly enlarged ng tube tip is in the stomach. | <unk> year old woman with pneumonia, intubated in icu // eval for interval changes from previous |
MIMIC-CXR-JPG/2.0.0/files/p14914707/s58794378/f3982b8a-330fcf8f-2d6cc498-b309e0fa-f1065b58.jpg | again seen are multifocal parenchymal opacities in both lungs similar in appearance to the prior exam. the cardiac silhouette is unchanged the hilar contours are stable. mild pulmonary edema is improved. there are no large pleural effusions identified. there is no pneumothorax. | <unk> year old woman with ams and pneumonia with new oxygen requirement this morning. // pulmonary edema? new foci of pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p12294892/s51927409/2deb882c-813da165-5c170739-861a3133-87af6490.jpg | left-sided pacemaker device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus, unchanged. right-sided port-a-cath tip terminates at the svc/right atrial junction. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is detected. cervical spinal fusion hardware is incompletely imaged. catheter tip terminating within the mid thoracic spine is unchanged. | history: <unk>m with chest pain and shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p16516267/s57947697/c4a41804-c05d6f61-e7dd2e58-49865d63-5a11995b.jpg | single portable view of the chest. there has been interval placement of an endotracheal tube whose tip is at the carina. a new ng tube tip passes below inferior field of view. right picc again seen in the region of the upper svc. the lungs remain clear and the cardiomediastinal silhouette is stable. | <unk>-year-old female intubated. |
MIMIC-CXR-JPG/2.0.0/files/p18366693/s57504772/ee25e674-55d14433-362d1df8-efc14617-a52fc6df.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with weakness and cough // pna |
MIMIC-CXR-JPG/2.0.0/files/p16309092/s59319880/ca6667ee-e4577ee1-b46a10ad-9f1ab324-1b3cfc90.jpg | the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart size is normal, decreased from prior. the mediastinum is not widened. the pulmonary arteries are persistently enlarged. hilar contours are unchanged. no acute osseous abnormality. degenerative changes in the thoracic spine are mild. | history: <unk>f with chest pain please eval for pneumonia versus effusion // pneumonia versus effusion |
MIMIC-CXR-JPG/2.0.0/files/p12780512/s54134349/0907dc8f-97ff771f-e27330ab-c9e396b8-67501b82.jpg | compared to chest radiographs from <unk>, there are new moderate bilateral pleural effusions with associated bibasilar atelectasis. mild central vascular congestion without overt pulmonary edema. low lung volumes persist. no pneumothorax. mild cardiomegaly, though difficult to assess in the presence of effusions, has increased. nasogastric tube tip terminates in the distal stomach. | <unk> year old woman with sudden tachypnea // ?pulmonary edema, infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p14427347/s50458040/0e01f07b-6ab80154-881830d4-82194b55-fae00c8c.jpg | pa and lateral chest radiographs were obtained. cystic lucencies at both lung bases correspond to known severe bronchiectasis. a pattern of bibasilar opacity on top of this bronchiectasis is unchanged since <time> a.m., but has progressed since <unk>. an additional opacity in the left mid chest has improved. there are no new abnormal cardiac or mediastinal contours. there is no effusion or pneumothorax. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p13724605/s55116928/a174702e-b726134e-3a92023c-0c6bfbe5-55bb2b69.jpg | there is a new dense consolidation in the superior segment of the left lower lobe. the right lung is clear. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. mild anterior wedging in the mid thoracic vertebral bodies is unchanged from the prior exam. | cough and left lower lobe rhonchi. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11124859/s57088664/6569208d-8463df7a-9461a51f-1e3a7cd0-c7c5ea3e.jpg | portable erect chest radiograph <unk> <time> is submitted. | <unk> year old man s/p left pneumonectomy, take back for bleeding, now with l flank hematoma // assess for interval change assess for interval change |
MIMIC-CXR-JPG/2.0.0/files/p13696345/s51333750/873d9e2f-e11e7291-dbc1afc6-739dde94-86e02366.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 sob, pls eval for pna vs ptx |
MIMIC-CXR-JPG/2.0.0/files/p13273041/s51442393/3375ba4c-35fc4d0b-4de0795e-c421a3e0-5895475f.jpg | moderate cardiomegaly with pulmonary vascular congestion and moderate interstitial pulmonary edema. cardiomediastinal silhouette is otherwise unchanged with mild unfolding of the thoracic aorta. no dense consolidation suspicious for pneumonia. small bilateral pleural effusions. no pneumothorax. | shortness of breath and anemia on dialysis. evaluate for edema. |
MIMIC-CXR-JPG/2.0.0/files/p14462791/s57508626/44115978-c5350d95-730d1201-a7450286-df3403b6.jpg | low lung volumes. right ij central venous catheter tip overlies the upper svc. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | trauma |
MIMIC-CXR-JPG/2.0.0/files/p16672169/s58398852/425a4018-a6002311-621f7137-da104d26-c5964dde.jpg | a swan-ganz catheter tip is located in the main pulmonary artery, slightly pulled back from the prior study but in appropriate position. pacemaker leads in the right atrium, right ventricle and coronary sinus are unchanged. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the cardiac silhouette remains enlarged. the imaged upper abdomen is unremarkable. the bones are intact. | <unk>-year-old woman with swan in place for titration of milrinone drip. question swan placement. |
MIMIC-CXR-JPG/2.0.0/files/p13762178/s55513265/b0fe5bf3-36a25ff0-6143021b-dbbbf05b-81b10099.jpg | moderate right pleural effusion with associated relaxation atelectasis is again seen, mildly increased compared to ct from <unk> and radiograph from <unk>. no appreciable pleural effusion is seen on the left. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. enteric tube is seen below the diaphragm and out of view. left-sided picc terminates in upper to mid svc. | <unk> year old man with decreased breath sounds on right base, known effusion // is effusion enlarging? |
MIMIC-CXR-JPG/2.0.0/files/p16514571/s59348622/0f17d6a5-fe0f17f6-1648ab30-d64de9db-52c7d05c.jpg | compared to chest radiographs from <unk>, patient has undergone left lower lobectomy with placement of a left chest tube, terminating in the left medial lung base, likely posteriorly. volume loss in the left lung reflect left lower lobe resection. no pneumothorax, large effusion or focal consolidation. no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are stable. heart size is normal. mild left greater than right biapical pleural thickening. | <unk> year old woman s/p lll lobectomy |
MIMIC-CXR-JPG/2.0.0/files/p19917746/s54479798/5c295a8d-3c4c0f77-6edb5ec2-c4a81e94-7d44cd5a.jpg | there has been marked interval increase in the right pleural effusion which is now layering posteriorly and almost completely opacifies the right lung. there is a small amount of residual aerated right lung in the mid upper region. there is some volume loss in the left lung and calcified pleural plaques are again seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12811704/s56203474/1166e49b-835727dd-e66efbc0-3bff74ee-0f814278.jpg | there is interval worsening of right-sided pneumonia, predominantly within the superior segment of the right lower lobe as well as some involvement of the lateral basal segment. no pneumothorax or significant pleural effusion is seen. the heart size is normal. | recent diagnosis of pneumonia, returning with fever. |
MIMIC-CXR-JPG/2.0.0/files/p15294749/s55906195/0c9fb4a0-de478ccd-78a2c70a-da7b2abe-99e7d842.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with dizzy with prior cva, infx w/u // stroke? pna? |
MIMIC-CXR-JPG/2.0.0/files/p11441654/s55541804/b285d401-2e147513-c7f21136-1f1e565f-6dd64dc9.jpg | the heart is borderline in size with a left ventricular configuration. mediastinal and hilar contours appear within normal limits. scarring and bullous changes are visible at the right lung apex greater than left. the lungs appear otherwise clear. there are no pleural effusions and pneumothorax. | stroke. |
MIMIC-CXR-JPG/2.0.0/files/p18001922/s51753105/c63f2835-f5b4d837-38859c6b-29602afd-b7716f14.jpg | the patient is status post median sternotomy and cabg. heart size is borderline enlarged. the mediastinal contours are unchanged. aortic knob calcifications are re- demonstrated. mild pulmonary vascular congestion is demonstrated. small bilateral pleural effusions are new in the interval. patchy bibasilar atelectasis is likely present. the lungs are hyperinflated suggestive of copd. no focal consolidation or pneumothorax is present. there are multilevel degenerative changes in the thoracic spine. | history: <unk>f with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p15705944/s51143248/85fa689b-bbbec305-891d0411-82689c86-7b5bb6eb.jpg | a frontal portable radiograph of the chest demonstrates a left subclavian central line in unchanged position in the low svc. a right subclavian central line ends in the upper right atrium. an weighted enteric tube has pulled back slightly but still ends within the stomach. normal heart size and mediastinal contours with persistent elevation of the right hemidiaphragm. no focal consolidation, pleural effusion or pneumothorax. | status post pea arrest now extubated with new right subclavian central line. |
MIMIC-CXR-JPG/2.0.0/files/p14322005/s51861917/2fb36559-0d6d6036-87bb8844-2dd3fe1c-be4df2eb.jpg | ap portable upright view of the chest. lungs are clear. cardiomediastinal silhouette appears stable. there is again noted to be extensive right upper rib cage deformity, chronic. fixation hardware again noted along the right clavicle. a clip projects over the right lung base as on prior. no free air below the right hemidiaphragm. | <unk>m with hx pud, w/ pain and upper gi bleed sx's // free air |
MIMIC-CXR-JPG/2.0.0/files/p15172735/s53083206/3381aece-4b86d1ed-02274bae-328d88e6-d420e450.jpg | a triangular opacity in the left lower lobe is likely a pneumonia in the current clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old woman with acute new congestion, wheezing > <num> week // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11277249/s53908404/54033093-24113cde-61ec3940-e2f9743a-17a12816.jpg | pa and lateral views of the chest <unk> at <time> are submitted. | <unk> year old woman with metastatic colon cancer and worsening abdominal distension // eval for intrathoracic process- please perform upright eval for intrathoracic process- please perform upright |
MIMIC-CXR-JPG/2.0.0/files/p18153920/s54296176/60c85820-f60b8bda-c74082e4-9f78082c-8d7445cd.jpg | portable semi-erect ap view of the chest was reviewed and compared to the prior studies. an endotracheal tube's tip ends <num>-<num> cm above the carina. a right-sided chest tube crosses the mid lung obliquely. a right-sided picc line ends in the upper right atrium. a dobbhoff tube ends in the upper stomach. opacification has increased in the right upper lobe. mild pulmonary edema is unchanged in the remainder of the lungs. minimal right apical pneumothorax, pulmonary venous engorgement and a moderate left pleural effusion are also unchanged. heart size is normal. | intubated with a poor neurologic exam. |
MIMIC-CXR-JPG/2.0.0/files/p16876952/s51511215/dfa1f912-e8af5e16-cde81d36-4e6dce54-a32d701c.jpg | the heart is of normal size with normal cardiomediastinal contours. linear opacities in the lung bases are compatible with plate-like atelectasis. no pleural effusion or pneumothorax. no radiopaque foreign body. osseous structures are unremarkable. | ekg changes and chest pain. evaluate for pneumonia or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13596460/s51285744/c8614193-24e699cc-4ea3e684-211849e1-558e5c43.jpg | the lungs are well expanded and clear. the aorta is mildly unfolded. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no foreign bodies are identified. | <unk>-year-old female status post fall with significant trauma and missing teeth. assess for foreign bodies in the thorax. |
MIMIC-CXR-JPG/2.0.0/files/p15418353/s51923457/451318ba-20dc658a-dc7bdc25-0133a539-5eeba283.jpg | frontal and lateral radiographs of the chest show development of a new right infrahilar opacity from <unk> localized within the right lower lobe on the corresponding lateral radiograph. no other focal consolidation, pleural effusion, or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. | <unk>-year-old female with lupus, now presenting with cough and fever, here to evaluate for pulmonary pathology. |
MIMIC-CXR-JPG/2.0.0/files/p15121841/s50508494/a441e795-a27f5ba5-81c107d7-1043fafe-11d78d87.jpg | frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or pneumothorax is seen. cardiomediastinal silhouettes are unremarkable. no displaced fracture is seen. | <unk>-year-old male with history of chest pain, dyspnea, coarse breath sounds. |
MIMIC-CXR-JPG/2.0.0/files/p10866343/s58160293/8e711871-fc195d3e-49d1687b-08fd1240-b509417e.jpg | the lungs are clear of focal consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified, old left lateral rib fractures are noted. | <unk>m with sob // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p16603630/s50628417/5d3032cb-11bee7ee-b7763033-ac8923b2-3302a65b.jpg | cardiomediastinal and hilar contours are within normal limits without change. <num> mm nodular opacity in the left apex partially is partially obscured by left clavicle and is not clearly localized on the lateral view. lungs are otherwise clear and there are no pleural effusions. | <unk> year old man with left ant chest pain, dec breath sounds // ?lll infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12862888/s53540398/895d5558-9966c8d4-f517f553-f99b7f1b-950bceec.jpg | a linear streaky opacity at the left base is most consistent with plate-like atelectasis. in comparison to the prior exam, bilateral atelectasis is improved and the lung volumes have increased. there is no dense consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. surgical clips are noted in the left upper quadrant. | history of rheumatoid arthritis. severe fatigue. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19297337/s57832645/a8cbb5b2-b38dc14d-526ff923-a9f66e78-b27c5215.jpg | the lungs are hyperinflated compatible with known emphysema. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are stable. there is mild scarring at the right lung apex. a left chest tube terminates at the apex without residual pneumothorax. osseous structures are grossly intact. | left-sided chest tube, tachycardia, tachypnea, evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13340566/s59351357/64afc130-0ea6a703-68fd55d6-652fbee4-a42a5ded.jpg | the cardiac, mediastinal and hilar contours appear stable. the lungs appear clear. trace pleural effusions are suspected bilaterally. there is no pneumothorax. narrowing among mid thoracic interspaces appears unchanged. | worsening bilateral lower extremity edema. status post liver transplant. |
MIMIC-CXR-JPG/2.0.0/files/p14307251/s53983448/f94d8507-bfa32314-7254f467-36cbbf50-bcc04512.jpg | there is mild cardiomegaly, overall improved compared to the prior exam. there has been overall interval improvement of the diffuse bilateral pulmonary edema with no residual edema seen. no new focal consolidations concerning for infection are identified. there is a small left pleural effusion. no pneumothoraces are seen. note is made of a small left pleural effusion. there are stable compression deformities of the mid thoracic vertebral bodies compared to the prior study. | history of chf and increased interstitial markings. please evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p17405329/s58207738/eeb8570c-117a11c6-3a0c818f-644a03d1-79dbccb5.jpg | the patient is status post median sternotomy, and mitral and tricuspid valve replacements. the heart size is normal. the main pulmonary artery is dilated. mediastinal and hilar contours are otherwise unchanged. there has been interval improvement in the previous pattern of pulmonary edema, with only mild pulmonary vascular engorgement remaining. minimal right pleural effusion is similar. no left-sided pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen. | fall on coumadin. |
MIMIC-CXR-JPG/2.0.0/files/p12969820/s58975818/612e1018-5a2ab63b-43c8c8d5-1906e4dd-5f491fa6.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p17860462/s53689384/45c9266d-70fad8ee-818e046d-980625cf-8ec62ba8.jpg | the lungs are noted to be slightly hyperinflated with associated flattening of the hemidiaphragms. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal. | history of severe asthma, now with dyspnea and cough. |
MIMIC-CXR-JPG/2.0.0/files/p18267359/s58504972/3c69f2b4-fc1d8c28-a3d9818a-5d13def6-efadd550.jpg | the lungs are clear but hyperinflated.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | <unk> year old man with h/o recurrent infiltrate and concern for aspiration with subjective fever // assess for infiltrate, ? aspiration |
MIMIC-CXR-JPG/2.0.0/files/p12002285/s51228072/015362bf-994d2e47-274511bf-2ee86caf-33775bb4.jpg | patient is status post median sternotomy and cabg. mild enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob. pulmonary vasculature is not engorged. patchy atelectasis is seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. bilateral shoulder arthroplasties are incompletely imaged. | history: <unk>f with chest pain, dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p14062629/s55022040/4c0bf2b4-865ec6fb-0ca68b4f-e959b88b-95c29073.jpg | the lungs are clear besides mild left basilar atelectasis. there is no consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. there is tortuosity of the descending thoracic aorta. median sternotomy wires and prosthetic aortic fall from noted. there is leftward deviation of the trachea at the thoracic inlet as on prior, likely due to right-sided thyroid enlargement. | <unk>m with cough // sob |
MIMIC-CXR-JPG/2.0.0/files/p18932912/s56428381/f8af92cf-745f7288-e201e9cd-cbead78a-972e656b.jpg | single view of the chest provided demonstrates a right arm access picc line with its tip in the low svc. no pneumothorax. lungs are clear. cardiomediastinal silhouette unchanged. | <unk>m with picc placement confirmation |
MIMIC-CXR-JPG/2.0.0/files/p15644237/s59377164/436e11f5-169b1b5b-8533c6ed-cb413fce-a3c58b97.jpg | asymmetric increased opacity in the right lower lung. bilateral lung volumes. mild plate-like atelectasis in the left lung. the cardiomediastinal silhouette and hila are normal. no pulmonary edema, pleural effusion, or pneumothorax. | <unk> year old woman with fever, diffuse coarse breath sounds on the right // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p10971699/s58335283/509c1fe0-6f5071ff-4dc99eae-f6bfbfb4-331abe66.jpg | left-sided dual-chamber aicd/ pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle, unchanged. moderate cardiomegaly is unchanged. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is present. calcifications adjacent to the right superolateral humeral head may reflect calcific tendinopathy. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18329914/s54788630/035f510d-8da98a3c-339259f5-ad379533-a9ff2311.jpg | the cardiomediastinal and hilar contours are within normal limits. there are peribronchial opacities, particularly in the right lower lobe and there is haziness of the left mid lung adjacent to hilum. lungs are otherwise clear. there is no pleural effusion or pneumothorax. | fever, productive cough for <num> days. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14241385/s59459295/0ee2c150-d70fdbbf-d2fd0d2c-c6c8ec3d-0d8a9a84.jpg | the cardiac silhouette is not enlarged. the lungs are clear without evidence of effusion. soft tissues and osseous structures are normal. | severe cough and congestion with fever and chills. |
MIMIC-CXR-JPG/2.0.0/files/p11816365/s50046214/30ac7be4-d356c807-2c8fca03-bcb3c568-d57cb71a.jpg | the cardiomediastinal and hilar contours are within normal limits. as compared to prior chest radiograph from <unk>, there is persistent mild left lung base opacity best seen on the lateral view, which appears slightly less conspicuous. there is no pneumothorax or pleural effusion. | productive cough. rule out worsening pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13844364/s54297727/e270403e-8ba97284-3444c28c-c91f0d9b-9026e13f.jpg | the cardiomediastinal and hilar contours are normal. there is no pneumothorax or pleural effusion. lung volumes are low, and there is bibasilar atelectasis. there is no focal consolidation concerning for pneumonia. interstitial markings are likely accentuated by low lung volumes. | history: <unk>f with syncope // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p13997063/s54200615/4f4e79e4-edccda8b-0f66288b-63c6357b-da1d16ae.jpg | the lung volumes are low, but the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiac silhouette is moderately enlarged and unchanged from prior exams. | history of hiv with lower extremity swelling and o<num> saturation of <num>%. evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p10791857/s55080751/7cb68288-ac52b930-9ef05ff9-71369db5-e9ee3288.jpg | lung volumes are low. there are heterogeneous bilateral lower lobe opacities which possibly represent pneumonia. cardiomediastinal and hilar contours are unchanged. no pneumothorax or pleural effusion. | history: <unk>f with high wbc, intoxicated // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p18498678/s58544718/6c690c4b-0780bf15-ea920456-7f5f5849-4484ea47.jpg | there has been interval removal of a previously seen right-sided picc. the cardiac silhouette is mild to markedly enlarged. mediastinal contours are stable. there are the small bilateral pleural effusions. mild pulmonary vascular congestion is seen. no frank focal consolidation. no pneumothorax is seen. | shortness of breath, crackles. |
MIMIC-CXR-JPG/2.0.0/files/p13179092/s51203749/66a46a3b-99c5bd4d-cefde53b-6281d6c6-67cc5f9f.jpg | left ij catheter ends in the upper svc. visualized upper segment of the posterior spinal fusion hardware is intact, but study is not designed for adequate assessment of hardware. interval removal of endotracheal and nasogastric tubes. normal cardiomediastinal and hilar contours. normal pleural surfaces. lungs are clear. no pneumonia or pleural effusion. | <unk>-year-old man with a history of trauma now pod#<num> status post posterior fusion with new fever. |
MIMIC-CXR-JPG/2.0.0/files/p13667686/s58649987/b9309fe0-5cc8124b-a79fa22b-c9a97453-fe74d8fb.jpg | portable upright chest radiograph <unk> at <time> is submitted. | <unk> year old man with ugib s/p egd and extubation, with widened mediastinum on prior cxr // repeat at inspiration to reevaluate mediastinum repeat at inspiration to reevaluate mediastinum |
MIMIC-CXR-JPG/2.0.0/files/p11155222/s54941510/bd9c6b97-f1a886a2-cbb9100c-8df17fc1-0de7eb08.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p13933674/s56420567/ea3380ff-0828f394-83d0f0b7-357e6ae2-e4ba7f82.jpg | ap single view of the chest has been obtained with patient in semi-upright position. there is moderate cardiac enlargement. no typical configurational abnormalities identified. the pulmonary vasculature appears somewhat increased, but this is probably the result of a poor inspirational effort and crowded appearance of the vascular structures. the diaphragms are relatively high positioned indicative of poor inspirational effort. hazy density on the bases probably mostly related to patient's rather prominent adiposity. no conclusive evidence for pleural effusion or new acute infiltrates. no pneumothorax. | <unk>-year-old male patient, status post left partial nephrectomy, chest tube, ng tube. check. |
MIMIC-CXR-JPG/2.0.0/files/p19183589/s50903183/0452bb76-42c03bc3-59bff1c3-83d8b5f5-28a137f9.jpg | there is minimal bibasilar atelectasis. the heart size is moderately enlarged. mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. | chest pain. assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17744732/s55397287/55e4f7ab-c5636456-c8dda0f1-f62dd2d6-8c3e779d.jpg | since the prior exam, an orogastric tube has been placed. the tip is in the stomach. an endotracheal tube is in satisfactory position <num> cm from the carina. unchanged retrocardiac and left basilar opacities are most consistent with atelectasis. the lung volumes are low. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the apparent widening of the mediastinum is due to prominent mediastinal fat. | new og-tube. evaluate placement. |
MIMIC-CXR-JPG/2.0.0/files/p14486034/s58685970/4c98e769-64dc0ee0-198d4211-756d1630-4def507c.jpg | the lungs are clear. there is no evidence of pneumonia, pneumothorax or pulmonary edema. there are however small bilateral pleural effusions. cardiac size is normal. | <unk>f with fever, recent surgery // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p14530102/s53054271/97208776-6c97a2f8-f938b1d4-0125ad10-47aab842.jpg | lower lung volumes seen on the current exam. there is blunting of left lateral and posterior costophrenic angles suggestive of a small effusion. linear bibasilar opacities are most suggestive of atelectasis. left apical <num> mm nodule is unchanged dating back to <unk>. the cardiomediastinal silhouette is unchanged though given lower lung volumes. no acute osseous abnormalities. | <unk>m with chest pain // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p12855476/s54598099/2830faec-4f8795f0-de3280bc-475a9270-0652b049.jpg | there is new retrocardiac opacity and a moderate left effusion. there is a small right effusion and some <unk> b-lines seen on the right. the endotracheal tube tip is <num> cm above the carina. the ng tube tip is in the stomach with the proximal port at the ge junction. heart were seen projecting over the cervical spine. | <unk> year old woman with intubation post-op for c-spine injury // presence of interval change |
MIMIC-CXR-JPG/2.0.0/files/p10590326/s56465554/4759586f-61345df2-4a11b5ad-632b1a1b-82924f14.jpg | frontal and lateral views of the chest were obtained. there is no focal consolidation or pneumothorax. small bilateral pleural effusions, left larger than right, are seen. the moderate pericardial effusion is better seen on the lateral view. mediastinal silhouette and hilar contours are normal. | hiv, complaining of chest and back pain. |
MIMIC-CXR-JPG/2.0.0/files/p11018127/s51755936/57e2ae94-60a8aa1b-caee3128-da37f238-6b2bb436.jpg | relatively low lung volumes are noted. streaky retrocardiac opacity is noted, potentially atelectasis. median sternotomy wires are identified. cervical and lumbar spine fixation hardware is partially imaged. no acute osseous abnormalities. | <unk>f with pneumonia seen on osh cxr // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13080214/s58011092/79d95931-e8920d05-b2ac8aec-65de0269-4e1fae19.jpg | in comparison to the chest radiograph obtained <num> day prior, there is pain decreased, now tiny, residual, right apical pneumothorax. a right-sided pigtail catheter is essentially unchanged in position. there is a linear focus of atelectasis in the mid to upper right lung. lungs are otherwise fully expanded and clear without focal consolidation. no pleural effusions. heart size is normal. cardiomediastinal and hilar silhouettes are normal. | <unk> year old man with spontaneous ptx s/p chest tube placement // ? ptx/interval change |
MIMIC-CXR-JPG/2.0.0/files/p16951663/s53526929/2f5f9e5e-9d7da6f3-add6f5f2-87013f43-60e74f47.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.within the limitations of chest radiography, no definite evidence of rib fractures. | <unk>m with right sided chest pain. eval for pneumothorax vs right sided rib fracture. |
MIMIC-CXR-JPG/2.0.0/files/p13637699/s59021077/0433aeeb-8387021f-e830ff88-bbfafbf7-199243a6.jpg | there has been interval placement of a nasogastric tube which enters the stomach, tip not visualized. bilateral subclavian intravenous catheters, including a partially imaged right-sided picco<num> monitor, remain in satisfactory position. small layering right pleural effusion is unchanged. the left lung is clear. there is no pneumothorax. the heart and mediastinum are within normal limits despite the projection. | ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p16969269/s51470276/b05a8f9d-27c83b20-5802aa96-a1f696cb-bb8d77a9.jpg | cardiac silhouette size is normal. the mediastinal and hilar contours unremarkable. pulmonary vasculature is not engorged. consolidative opacity within the medial aspect right lower lobe is concerning for pneumonia. left lung is clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected. | history: <unk>f with cough, fevers, shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p12670557/s58617133/4b8d46af-cfc5aea9-ebb735db-8b5d2b50-fa6106b1.jpg | the cardiac, mediastinal and hilar contours appear stable. there is persistent mild relative elevation of the right hemidiaphragm. there are probably small bilateral pleural effusions. minimal vague opacity projects over the right upper lung, similar to the prior appearance, although more generalized opacification was present on the prior examination. compared to earlier radiographs, this area of opacity is similar and so may be a more chronic process. lines, tubes and drains have been removed. | hypotension. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10858283/s54904567/25554b18-2e10b998-b92cc262-c87d8682-abdde654.jpg | cardiomediastinal silhouette is unremarkable. there is no pleural effusion or pneumothorax. there is no concerning focal parenchymal consolidation. the imaged bony structures are unremarkable. | <unk>f s/p mechanical fall down <unk> flight of stairs, complains on pain in r shoulder, r hip, r knee, l foot, discomfort in neck |
MIMIC-CXR-JPG/2.0.0/files/p12009886/s55681321/eecba5d6-e05638f9-f1b91c55-08a29d77-cec5e57d.jpg | normal heart, lungs, pleura and mediastinal surfaces. | history: <unk>m with mva, slight upper abdominal pain // eval for injury |
MIMIC-CXR-JPG/2.0.0/files/p17254052/s54977589/b0f92801-21620d37-2cb3745f-9aa7e646-ee14be5b.jpg | compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old woman with cough x <num> weeks // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17135354/s59460323/5250a7e7-1c306824-07a1d25e-a71868e3-7da166da.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | syncope x<num>, palpitations. |
MIMIC-CXR-JPG/2.0.0/files/p14520814/s57368771/7d492623-b78d34e7-110287ca-e4c9eb78-27dc053a.jpg | lung volumes are low. heart size remains moderately enlarged. there is persistent pulmonary edema, moderate to severe, and slightly worse compared to the prior exam. probable small bilateral pleural effusions are present. no pneumothorax is identified. posterior fusion rods and cerclage wires are seen throughout the thoracolumbar spine, unchanged, with an s-shaped scoliosis re- demonstrated. | shortness of breath and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p11581370/s55561210/c021632b-f7513582-1293c8f9-2667eecb-6fbdf2d1.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. the osseous structures are grossly unremarkable. | atrial fibrillation. |
MIMIC-CXR-JPG/2.0.0/files/p10602633/s51969232/34d89f3d-a8e43e76-2d702042-b1f6c56b-23e39b1f.jpg | the lungs are clear. the cardiomediastinal silhouette is mildly enlarged. the hilar contours are within normal limits. the pleural surfaces are clear without effusion or pneumothorax. there is evidence of diffuse idiopathic skeletal hyperostosis (dish) of the thoracic spine. | history of cough and increasing shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11360891/s56652229/e4bd338d-393099f8-4f2e2a93-7ed3ed91-83f2a85b.jpg | since the prior study, there has been interval placement of a right internal jugular central venous catheter, which terminates in the mid svc. additionally, a new orogastric tube has been placed, which is not well seen below the level of the midesophagus. otherwise, the endotracheal tube is unchanged, and in appropriate position. the appearance of the chest is otherwise stable since the prior study, with persistent perihilar airspace opacities and obscuration of the left hemidiaphragm. there is no pneumothorax. cardiac enlargement is stable. | history: <unk>m with new right ij and ogt // eval new right ij and ogt |
MIMIC-CXR-JPG/2.0.0/files/p15099554/s54827461/50425f0e-d8f75123-631f39ed-987871ea-8edc5a5b.jpg | the lungs are low in volume which gives an appearance of bronchovascular crowding. despite this, an increase in pulmonary markings could reflect mild pulmonary edema. linear opacities in the left lower lobe may reflect linear atelectasis without definite findings of pneumonia. no pleural effusion or pneumothorax is identified. heart size is top normal. marked upper mediastinal widening is due to chronic adenopathy and thymic enlargement, documented on chest cta <unk>. | shortness of breath. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11084812/s55038356/3f3824fd-d3abe1b3-3b3bdf31-86c31751-0343387c.jpg | ap and lateral views of the chest are compared to previous exam from <unk>. exam is again limited secondary to patient body habitus. there is no definite confluent consolidation. increased interstitial markings are likely in part technical in nature. there is no effusion. cardiomediastinal silhouette is unremarkable as are the osseous and soft tissue structures. | <unk>-year-old female with shortness of breath and productive cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p19933827/s54404548/58ddfb9d-7481d8ff-b610f08f-5aeeda20-01810eb2.jpg | moderate enlargement of the cardiac silhouette. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. | <unk> year old woman with cough chronic // interstial lung disease. |
MIMIC-CXR-JPG/2.0.0/files/p19150392/s59665112/ed906cdb-10b7217c-0ebb8416-d95c1bda-af5d8c48.jpg | there are bibasilar opacities which may be secondary to atelectasis given slightly lower lung volumes. there is no effusion. superiorly the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>f with confusion on immunosuppression // r/o infiltate |
MIMIC-CXR-JPG/2.0.0/files/p15712308/s57010889/686f5ba1-bf77d10f-c5b4a50e-f3759012-df333605.jpg | ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar study of <unk>. the right-sided chest tube remains in unchanged position. no pneumothorax has developed. no new chest abnormalities are seen. | <unk>-year-old male patient with rib fracture status post chest tube connected to waterseal. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16246903/s58083743/09a2d9c1-e7106684-2854d289-ab118bf2-1549a01c.jpg | endotracheal tube tip is approximately <num> cm from the carina. enteric tube passes below the inferior field of view. layering right-sided pleural effusion is noted. there is also pulmonary edema without definite focal consolidation. there is mild cardiomegaly. atherosclerotic calcifications noted at the aortic arch. median sternotomy wires are intact. no displaced fractures. | <unk>f with // ett |
MIMIC-CXR-JPG/2.0.0/files/p15546486/s52393726/3a94b46f-3fb170f6-3097af4d-ca09f6d4-5e95424a.jpg | the lungs are well expanded. the area of chronic right upper lobe bronchiectatic change is again noted, similar prior exam. there has been interval increase in the right pleural effusion from prior exam. no new mass or consolidation is seen. there is no left effusion or pneumothorax the cardiomediastinal silhouette is unremarkable. | <unk> year old woman with collapsed lung, increasing cough. // any changes in pleural effusion since last month? |
MIMIC-CXR-JPG/2.0.0/files/p17026871/s52409026/c555b0e3-6c7852e5-d340258a-16d04f17-7457bcc5.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old woman with productive cough, fever and diffuse wheezing on exam // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p13465746/s54920201/073e6528-3eeab02b-ad2ed3b5-42c750f9-89b6b849.jpg | there is biapical scarring and mild atelectasis, with superior retraction of the minor fissure due to right upper lobe volume loss, all of which is similar in appearance compared to prior ct from <unk>. tenting of the left hemidiaphragm relates to left lung volume loss and associated upward tension on the inferior ligament. there is no focal consolidation. the heart is normal in size. bulging of the left superior mediastinal contour with associated rightward displacement of the trachea is secondary to a known mediastinal mass, better evaluated on prior ct from <unk>. the only change is reduced left apical thickening suggesting decreased pleural effusion. no pneumothorax is seen. | shortness of breath with known chest mass. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16321205/s50789607/ef994aa7-af2bd191-bba99887-c5ebccd8-e1c8863f.jpg | there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is top-normal in size. and aicd is present with leads within the right atrium, right ventricle and coronary sinus. median sternotomy wires are intact. the imaged upper abdomen is unremarkable. the bones are intact. | history: <unk>m with chest pain // eval for pna, chf |
MIMIC-CXR-JPG/2.0.0/files/p15963174/s53194159/49b60d75-85899dd0-ca52018a-a73d57e7-f2c4ddb2.jpg | there is no focal consolidation, pleural effusion or pneumothorax. mild cardiomegaly has developed. otherwise the cardiomediastinal and hilar contours are normal. minimal bronchial cuffing is new, could be inflammatory or mild edema. | history: <unk>f with chest pain // cardiopulm process? |
MIMIC-CXR-JPG/2.0.0/files/p19292638/s58773014/131a593d-f7754840-2a3671c2-f5316285-a6bde2ca.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old woman with episodes of dyspnea on exertion and chest pressure, no fever/chills/productive cough // ?acute process |
MIMIC-CXR-JPG/2.0.0/files/p18465154/s55230073/65336844-70747b93-deca5a89-8ce13d36-53217149.jpg | pa and lateral views of the chest provided. apical pleural thickening is again noted, grossly unchanged from prior study. lungs are hyperinflated with prominent retrosternal clear space, likely due to underlying copd. 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. again seen is a mild anterior wedge deformity in the mid thoracic spine, grossly unchanged from comparison study. | <unk>m with productive cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p17449089/s59045212/f7e329a8-9b5ebc44-36696a5b-a3739d90-10652f8d.jpg | new, prosthetic aortic valve projects over the heart. again seen are surgical clips overlying the right lateral chest wall, hemithorax, and neck. cardiomediastinal and hilar contours are normal. increased retrocardiac opacity likely reflects atelectasis. there is no pneumothorax. blunting of the left costophrenic angle may suggest a small pleural effusion. | <unk>-year-old woman with a history of critical as status post tavr. |
MIMIC-CXR-JPG/2.0.0/files/p12978544/s50032778/9ae4c7a5-447400bb-8643b681-c8fcb0eb-84d96393.jpg | compare to <unk>, lung volumes are low, accentuating the heart size and interstitial opacities. bibasilar opacities obscuring the diaphragms are likely due to atelectasis, though pneumonia cannot be excluded. small left pleural effusion is likely. the mediastinum and the hilar contours are unremarkable. left-sided vp shunt is seen. | <unk> year old woman with cough, leukocytosis. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14676958/s55457510/c80885ac-0c582aac-73ccac03-9d471c25-4c6b5d6f.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with chest discomfort and nausea. // evidence of acute process evidence of acute process |
MIMIC-CXR-JPG/2.0.0/files/p15696304/s57162320/5a47c45f-f7b06ae2-5f6afe31-d4a00674-0e0a3d78.jpg | paired with chest radiograph performed earlier on same day, a right ij central venous catheter has been pulled back, and now terminates in the distal svc. cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. | history: <unk>f with hypotension // please eval for line placement |
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