File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p16409714/s57449188/b56be907-f42ad1e6-6dcf0492-eda8f57e-d4132096.jpg
lung volumes are very low, exaggerating heart size and bronchovascular markings. interstitial prominence is nonspecific and may represent mild edema. retrocardiac opacity is new and may represent infection, aspiration, or atelectasis. no large pleural effusion or pneumothorax. left upper and right lower lung chain sutu...
history: <unk>m with confusion // ? pna
MIMIC-CXR-JPG/2.0.0/files/p12478288/s53231059/14cbca5b-031f5650-ef7bc9fb-06fb5e12-11e0f303.jpg
the request for pa and lateral chest examination had to be altered because of patient's limited clinical condition. she was examined in sitting position using ap frontal and left lateral views. comparison is made with the next preceding portable ap single view chest examination dated <unk>. previously described finding...
<unk>-year-old female patient with aspiration, contrast-induced nephropathy, worsening infiltrate following two aspirations?
MIMIC-CXR-JPG/2.0.0/files/p14155139/s57077793/32338dd4-f08d8bb2-17345dcd-8b6f6b75-e536652a.jpg
the patient is status post left upper lobectomy with appropriate position of the left-sided chest tube. there is a small left apical pneumothorax. no appreciable pleural effusion. expected volume loss and elevation of left hemidiaphragm. cardiomediastinal silhouette is normal.
<unk> year old woman s/p vats lul lobectomy // post-op. eval for ptx, chest tube placement
MIMIC-CXR-JPG/2.0.0/files/p19026820/s52713899/b8ed7429-5b871c2d-ae6db64f-407f11fe-71a225ee.jpg
unchanged position of a left-sided chest tube with tip projecting over the left apex. improvement in left lower lobe atelectasis with some residual. minimal right lower lobe atelectasis. stable cardiomediastinal silhouette. bony thorax is unchanged. upper abdomen is unremarkable. ekg leads overlie the anterior chest wa...
<unk> year old man hit by opponent during gaelic football, l rib fx (><num>), l ptx s/p l ct placement. // please assess interval change. please perform at <num>am <unk>
MIMIC-CXR-JPG/2.0.0/files/p17609702/s51125895/9ff1bd77-f08b2026-5a181745-8a9e9253-564c2c0c.jpg
the cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there is no acute osseous abnormality.
dyspnea, cough, back pain.
MIMIC-CXR-JPG/2.0.0/files/p19579086/s53414320/b7ccd824-0c35630b-4a3372d2-9ed49470-1509acbe.jpg
redemonstrated is the known large right lower lobe pulmonary metastasis. additional known smaller right pulmonary nodules as seen on the previous ct of the torso are not visualized on this radiograph. there is no evidence of pneumonia, pleural effusion or pneumothorax. cardiac, mediastinal, and hilar contours are uncha...
<unk>-year-old man with syncope, history of metastatic melanoma, please evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14222873/s56971056/e12a6d97-4f4300c0-37a5a54b-038436c3-3b2b6e00.jpg
lungs relatively hyperinflated peerbasilar atelectasis is seen without definite focal consolidation. there is slight blunting of the costophrenic angles on the frontal view which may be due to pleural thickening or trace pleural effusions. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. mil...
history: <unk>m with dyspnea // dyspnea
MIMIC-CXR-JPG/2.0.0/files/p15007487/s59034151/2acfc474-14dcc92e-4c225ec7-4451198e-601be5b0.jpg
frontal and lateral chest radiographs were obtained. exam is technically limited. extensive subcutaneous emphysema in the chest wall and neck is again demonstrated. a left chest tube tip remains in the apex. no pneumothorax is appreciated. pneumomediastinum and pneumopericardium are also present. the left basilar opaci...
the patient is status post fall with left rib fracture and pneumothorax. assess pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12135252/s57549373/9bc09b86-dcb9a1ed-5e94b0ad-3654b3f6-c1ce1508.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 weakness // pna?
MIMIC-CXR-JPG/2.0.0/files/p14680770/s56300509/02d569b5-027eae33-2423290e-2087519d-614bf095.jpg
cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. patchy left basilar opacity may reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is detected. there are no acute osseous abnormality is visualized.
history: <unk>m with chest pain
MIMIC-CXR-JPG/2.0.0/files/p18904237/s56452601/31b425cb-62a19b00-7408e909-2ab9844f-c4dbf3fb.jpg
lung volumes are slightly low. the heart size is mildly enlarged. mediastinal and hilar contours are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected. soft tissue calcification noted within the right proximal arm is possib...
chest pain and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p16046726/s50898175/54a959b8-2a238810-18daf79d-0dd41792-d201a46a.jpg
cardiomediastinal contours are normal. lungs and pleural surfaces are clear.
<unk> year old man with fevers, cough, in the setting of long-term immunosuppression following kidney transplant <unk>yrs ago // intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p17036580/s58558907/ec444a35-5e83466d-cafb4b73-bc8ef375-0abab265.jpg
ap view of the chest demonstrates moderate left pleural effusion, unchanged since prior. left lung base consolidation is again noted. right pleural effusion has improved. right lung base opacities likely represent atelectasis. hilar and mediastinal silhouettes are unchanged. heart size is normal. there is no pulmonary ...
fever, labored breathing. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10697746/s50138866/84609d16-4384726a-3a6eb45a-a4648f49-39d0b454.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. clips in the upper abdomen noted.
<unk>f with chest pain // chf, pneumonia
MIMIC-CXR-JPG/2.0.0/files/p12964119/s58130685/a80f705a-1cf11e0a-71bb5917-ba74b116-cd2f5e89.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusions or pneumothorax. bony structures are unremarkable.
waxing and waning right upper quadrant pain, productive cough, and fever.
MIMIC-CXR-JPG/2.0.0/files/p18371155/s51054984/3966830b-118f1dd2-8a09eacd-bf30636a-24a2dc21.jpg
multiple clips are again demonstrated projecting over the mediastinum on the left. heart size is normal. a stent projecting over the heart is re- demonstrated. mediastinal and hilar contours are normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax present. no acute osseous abnormalities det...
history: <unk>f with cough
MIMIC-CXR-JPG/2.0.0/files/p15026114/s50921705/2e516527-096766ab-5e08fd75-9f6c26b4-489d9dbf.jpg
there is minor basilar atelectasis. no focal consolidation, pleural effusion, evidence of pneumothorax is seen. the aorta remains tortuous, similar dating back to <unk>. the cardiac silhouette is top-normal. no pulmonary edema is seen. degenerative changes are seen along the spine.
palpitations, shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p10933609/s50290463/000ffbff-3d93bcef-da8b17cd-fbcede53-51728df9.jpg
ap and lateral views of the chest were provided. lung volumes are low, similar to the prior study. the previously noted dense consolidation of the right upper lobe has improved with diffuse streaky opacities remaining. there are findings consistent with chronic lung disease such as sarcoidosis. prominence of the pulmon...
dizziness, nausea, vomiting. evaluate for cardiopulmonary disease or infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p18568661/s57431370/cd3a1e10-6b45c1c2-557a2833-4601eae1-9dbbd907.jpg
the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. tips is identified in the right upper quadrant.
<unk>m with abd distension, pain, hx of hematemesis // eval for intrapulmonary process
MIMIC-CXR-JPG/2.0.0/files/p19507787/s52921791/03a03a14-29020123-31a5c319-1b3d97a6-e0a86c6d.jpg
overlying ekg leads are present. lower lung opacities are predominantly linear and likely represent atelectasis though difficult to exclude an early pneumonia. no definite signs of congestion or edema. mild cardiomegaly is noted. mediastinal contour is normal. there are no acute osseous abnormalities.
<unk>-year-old woman with worsening shortness of breath, history polycythemia <unk> and history pe.
MIMIC-CXR-JPG/2.0.0/files/p17815068/s50084568/443954a4-99c6f33c-98e8472f-40fa9210-9ab0f199.jpg
ap portable upright view of the chest. lung volumes are low limiting assessment. subtle perihilar opacities likely represent bronchovascular crowding though difficult to exclude a component of mild congestion. no definite signs of pneumonia, effusion or pneumothorax. the heart size appears within normal limits. the med...
<unk>m with bradycardia and hypotension // eval for pneumonia, chf
MIMIC-CXR-JPG/2.0.0/files/p16465153/s53972798/725d41b8-adea38d1-bd88deeb-094afb6d-d94098be.jpg
frontal and lateral chest radiographs demonstrate a heart which is mildly enlarged. persistent opacity in the right lung base is again likely due to a chronic large hiatal hernia, likely with adjacent atelectasis. no definite focal consolidation, pleural effusion, or pneumothorax is visualized.
evaluate for pneumonia in a patient with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p17029854/s50333936/ec8cf586-496b41a2-f4bf5c52-b027dd94-a7bdafec.jpg
patient is status post median sternotomy and mitral valve replacement. mild cardiomegaly is decreased compared to the prior study. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with syncope
MIMIC-CXR-JPG/2.0.0/files/p15455844/s56055716/3e1d109a-6796d9a9-c0f8e576-a3bf116d-33093462.jpg
an enteric catheter crosses the diaphragm and extends inferiorly out of the field of view. assymetric right pulmonary vascular congestion has worsened since <num>am. layering right effusion and basilar atelectasis are similar. extensive subcutaneous emphysema along the right lateral chest wall extends up to the neck.
<unk>-year-old man with nasogastric tube placement.
MIMIC-CXR-JPG/2.0.0/files/p14360457/s57978671/36c4cd59-f32e1173-84ee73aa-99a20a0b-8b9af715.jpg
frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. there is widening of the right upper mediastinal contour which may reflect venous distention and less likely lymph node enlargement. heart is mildly enlarged and has increased in size since the prior study. t...
cough, assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19068326/s57195886/31d3187b-b4f835eb-1fd40e0e-4cf90954-e7c81e1c.jpg
the heart size, mediastinal, and hilar contours are normal. the lungs demonstrate mild bibasilar atelectatic changes, although are without focal consolidation, pleural effusion, or pneumothorax. degenerative changes of the thoracic spine are seen.
<unk> year old man with esrd for pre kidney transplant eval. r/o infections, nodules, malignancy.
MIMIC-CXR-JPG/2.0.0/files/p13880706/s59809489/df8f58fd-887d502d-272d4637-b53a532d-957e4371.jpg
pa and lateral images of the chest. the lungs are hyperinflated and clear. the known right lower lobe nodule is again noted on the lateral view, increased in size from prior exam. there has been interval increase in lower paratrachal adenopathy in the mediastinum. there is no pleural effusion or pneumothorax. the cardi...
dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p16591395/s59958506/51a700fe-c5bf44a5-785dcac5-83ddfb4e-1c3687f8.jpg
pa and lateral views of the chest. the peribronchial streaky opacities in the left lower lobe are slightly decreased. band-like atelectasis in left lower lobe is unchanged. there is a possible new vague opacity in the right lower lobe; however, this may represent overlapping shadows from the anterior ribs and vessels. ...
previous left lower lobe pneumonia, question aspiration.
MIMIC-CXR-JPG/2.0.0/files/p19345192/s52718026/d02d7f2a-de4d72f0-d102ca34-2049c9fb-03e6b7d8.jpg
moderate to severe enlargement of the cardiac silhouette appears unchanged. mediastinal and hilar contours are similar. mild pulmonary edema may be slightly worse in the interval. minimal atelectasis is seen in the lung bases without focal consolidation. no pneumothorax is present. percutaneous catheter projects over t...
history: <unk>f with new onset back pain and fever, crackles
MIMIC-CXR-JPG/2.0.0/files/p18284271/s52129300/a16b0238-86de5368-648e9c22-eb71cf55-c1710fb3.jpg
previously seen right-sided picc is no longer seen. prominence of the hila is again seen, likely due to mild vascular congestion with engorgement. the cardiac silhouette is stable and appears mildly enlarged. mediastinal contours are stable. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen....
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11358644/s53669199/a1b1a617-4cdbe606-b6aba596-75b06797-3dfd15e8.jpg
spiculated lesion in the right upper lobe with a fudicial marker is compatible with known malignancy. new ill-defined opacification is seen primarily involving the right upper lobe and superior segment of the right lower lobe, concerning for infection. left lung is grossly clear. hyperinflation of the lungs with attenu...
cough and fevers.
MIMIC-CXR-JPG/2.0.0/files/p18036188/s54845348/bc95bc38-b6e2bcd8-0a651369-292eff22-13f5a8c3.jpg
a left-sided pigtail catheter terminates just below the level of the aortic knob. the endotracheal tube is covered by the enteric tube and its tip cannot be assessed. remaining lines and monitoring devices are in unchanged position. as compared to prior chest radiograph from <unk>, there has been significant improvemen...
<unk>-year-old woman with hepatorenal disease status post mvr. study requested for evaluation of pigtail catheter placement.
MIMIC-CXR-JPG/2.0.0/files/p19270225/s55144604/dbcab71a-b5b4da52-794bee4a-4c0f8622-0b38dc50.jpg
cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spine
<unk> year old man renal cell carcinoma s/p rad nephrectomy // pls evaluate for mets
MIMIC-CXR-JPG/2.0.0/files/p16157787/s51079578/3a1cdfb3-48b31330-6a5c56d8-b05ba0ba-df1c3a0b.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>f with asthma here with asthma exacerbation
MIMIC-CXR-JPG/2.0.0/files/p14831897/s54052034/75622906-c1e92fc1-e8083e4c-bdb1a95b-59297f8e.jpg
the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. mild calcification is noted in the right lower paratracheal station, likely representing a calcified lymph node. the aorta is tortuous. there is no pleural effusion. there is blunting of the left costophrenic angle which may r...
<unk>-year-old female with generalized weakness and near syncope. evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p14560708/s50493301/68f4e34b-c5eccf83-b0990947-a88b6522-3c7a0874.jpg
compared to prior, there has been interval improvement of the pulmonary edema which has nearly resolved. the lungs are hyperinflated. effusions have essentially resolved. cardiac silhouette is enlarged but stable in configuration. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is ...
<unk>f with h/o afib not anticoagulated presenting s/p fall // please eval for pneumonia, fractures, other pulmonary processes
MIMIC-CXR-JPG/2.0.0/files/p12532271/s50356625/9428163e-2c2175c1-a6427572-b38e8df4-633f34d3.jpg
the patient remains intubated. an orogastric tube courses into the stomach, its inferior extent not imaged. the cardiac, mediastinal and hilar contours appears stable. lung volumes are low. there is no pleural effusion or pneumothorax. what is new is extensive opacification of the right upper lung worrisome for aspirat...
left middle cerebral artery thrombectomy.
MIMIC-CXR-JPG/2.0.0/files/p13485127/s52676044/aebdaad6-b1d94686-82f798f2-8b95b3e1-fab80c2d.jpg
the patient is status post median sternotomy and cabg. the aorta remains calcified and tortuous. the cardiac silhouette is top-normal. mediastinal contours are stable. hilar contours are relatively stable. prominence of the right hilum is again seen, seen dating back to at least <unk>. findings may be due to pulmonary ...
history: <unk>f with afib // eval for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p19598291/s56956522/9608f14c-a323fb20-bba5d3cd-452cd634-4d5f3e77.jpg
the heart is mildly enlarged. the aorta is mildly tortuous. hilar contours are unremarkable. the lungs are slightly hyperinflated. there is no evidence for pulmonary edema or pulmonary consolidation. the right costophrenic angle is sharp. the left costophrenic angle is relatively sharp posteriorly the less than the rig...
fever and cough <num> days. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18469619/s55448768/31f54a05-ab5ba1ae-4d1700d4-4bb12664-96c9ee98.jpg
no focal consolidation is seen. there is minimal left base atelectasis. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with fever/couch // ? pna
MIMIC-CXR-JPG/2.0.0/files/p16171124/s57972102/ba0bb35d-1c5b4051-9ce1aa85-5d4e892e-b063ed14.jpg
the lung volumes are somewhat low. the left hemidiaphragm is mildly elevated. there is streaky density bilaterally most consistent with subsegmental atelectasis or scarring. bronchovascular markings are prominent. there is no focal consolidation. the heart and mediastinal structures are unremarkable for technique. the ...
r/o pna
MIMIC-CXR-JPG/2.0.0/files/p14462350/s56970800/44b8d2eb-2b1d4883-3bbc9911-34b6177a-ad43f995.jpg
pa and lateral views of the chest were obtained. a right-sided picc is present with tip at the origin of the right brachiocephalic vein. a portion of the picc is seen to take a turn in the axilla. heart is top normal in size, and cardiomediastinal contour is unchanged. lungs are symmetrically expanded and clear. there ...
<unk>-year-old woman with nonfunctional picc line, evaluate placement.
MIMIC-CXR-JPG/2.0.0/files/p14717002/s54617596/a5446d7b-78c33893-e948f602-dd5905c1-7b2e5ec2.jpg
clear lungs bilaterally without pneumothorax. small right pleural effusion. heart size, mediastinal contour and hila are normal. no bony abnormality.
<unk>-year-old male with new hiv diagnosis. initial workup.
MIMIC-CXR-JPG/2.0.0/files/p11815252/s55916036/4228302a-9ccf608a-30805b69-7c6acd88-7fea700b.jpg
pa and lateral views of the chest were reviewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well expanded and clear. pulmonary vasculature is within normal limits.
shortness of breath, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17680808/s58708687/6dc230b1-a4cef58d-1894ecc5-da5872cc-9a1794c0.jpg
the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified. right hemidiaphragmatic elevation is again noted.
right-sided chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11652381/s57963616/9f9b47ae-31368454-2dd77339-71baf832-178d438c.jpg
new focal consolidative opacity is noted within the left upper lobe and lingula compatible with pneumonia. heart size is unchanged. the mediastinal and hilar contours are similar with diffuse atherosclerotic calcifications of the aorta again noted. lungs are hyperinflated with chronic pleural calcifications noted at th...
history: <unk>f with shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p11965254/s56851024/13f38746-01752f57-a7e7d4c3-5c16eb8f-6c3be34f.jpg
cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. s-shaped scoliosis is again noted.
<unk> yo woman with chronic crohn's disease s/p multiple intra-abdominal surgeries, recurrent hospitalizations for obstructions and ostomy revisions, dvt (on coumadin), and cdiff. she is now p/w <num> week of nausea, vomiting, luq pain, and po intolerance. we are investigating potential infectious etiologies with cdif...
MIMIC-CXR-JPG/2.0.0/files/p12128727/s58565075/6e1076f2-20e52eec-b82897f8-b8bcf48a-b7d382d3.jpg
there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. the right picc has been removed.
<unk> year old man with aplastic anemia, with new cold symptoms, please evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p18348334/s56613573/9f12bd4c-28b787be-aec990a4-d7737646-a4a3f4e0.jpg
the heart is normal in size. there is mild unfolding along the thoracic aorta. patchy calcification is noted along the aortic arch. the cardiac, mediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. small-to-moderate anterior partly flowing ante...
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14037785/s52038519/2ea2ca9e-995e083a-487b3c3b-2f4c25ae-4a79fe2b.jpg
a new left subclavian central venous catheter terminates at the mid svc. the tip of the endotracheal tube remains situated <num> cm above the carina. an enteric tube is again seen with the side port canal above the ge junction and should be advanced by at least <num> cm to place the side port below the ge junction. lun...
<unk>m with left subclavian, evaluate for line placement.
MIMIC-CXR-JPG/2.0.0/files/p14180468/s56305947/64e7101d-12c15949-47fabfa9-ad9493d6-0ae88064.jpg
a single portable ap view of the chest was obtained. a chest tube is again noted on the right in a slightly different configuration but still directed towards the right apex. moderate right pneumothorax persists. right mid/lower lung opacification from contusions have slightly improved. the left lung is well expanded a...
<unk>-year-old man status post chest tube placement, evaluate.
MIMIC-CXR-JPG/2.0.0/files/p15649581/s54722267/935b9d7e-4feff16f-2901ccda-7cf156c7-25f0aaac.jpg
frontal and lateral views of the chest demonstrate well expanded, clear lungs. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion, consolidation, or pneumothorax.
chest pain. evaluate for widened mediastinum.
MIMIC-CXR-JPG/2.0.0/files/p10249325/s51118248/dad2404b-ef91fc35-fa658fdb-6b872485-9042be65.jpg
no focal consolidation is seen. no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever and cough // r/o infiltrate
MIMIC-CXR-JPG/2.0.0/files/p17113838/s55597958/2b08cde7-b8b4ea5b-f3f60bf2-f22b5a70-ca880866.jpg
there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. the patient is status post fusion of multiple lower thoracic and lumbar vertebral bodies with intact <unk> rods and fixation screws.
history: <unk>f with tib/fib fracture plan for operative repair. // eval for cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p15184836/s59382057/00046130-fd952ef0-57f2948d-491a16b4-5db3a18c.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>m with hypoxia // pna?
MIMIC-CXR-JPG/2.0.0/files/p17981107/s51969152/19f75de4-a2a30518-e725768a-4b414b5d-cc65f99d.jpg
there is no focal consolidation, pleural effusion or pneumothorax. linear-appearing opacity in the left mid lung zone corresponds to mass seen on ct. the cardiomediastinal silhouette is normal. bony structures are unremarkable. <num>
<unk>-year-old woman with left lung mass status post bronchoscopy and biopsy, rule out pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15467182/s53811745/90d4e9a6-ce6ea20a-f40aedf5-79d089b4-e4a184dd.jpg
the heart size is normal. the hilar and mediastinal contours are normal. consolidation at the left lung base is concerning for pneumonia. there is a small left pleural effusion. there is no pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>m with cough, fevers // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19617321/s58621895/e101da25-f438f87e-7ba2e9ba-b3af68f8-b9e7c7c8.jpg
the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk> year old woman with chest pain and shortness of breath, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12454874/s52614065/d0214a50-94a45eaf-aed09d30-2ae4abf0-a6c7fda9.jpg
opacity in right middle lobe is new since <unk> and concerning for pneumonia. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pulmonary edema. no pleural effusions.
<unk> year old man with multiple sclerosis with persistent cough // infection
MIMIC-CXR-JPG/2.0.0/files/p13800192/s58496119/2c28fec2-e8de0175-fc89c18f-53c9c65b-1e30a735.jpg
cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
assault.
MIMIC-CXR-JPG/2.0.0/files/p15158455/s51885987/ff301850-8c1935d9-d812d528-81a759a3-e2097a2d.jpg
cardiac silhouette size is normal. the aorta is tortuous. mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. previously noted small right apical pneumothorax is not clearly visible on the current exam. patchy opacity within the right lower lobe corresponds to the known lesion which...
<unk> year old woman with chest pain status post lung biopsy
MIMIC-CXR-JPG/2.0.0/files/p12455618/s54942199/64a0e500-686b08b3-7672cfeb-72c9f0fb-7fc72419.jpg
the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. there are mild degenerative changes in the thoracic spine.
history of diabetes, hyperlipidemia presenting with dyspnea on exertion.
MIMIC-CXR-JPG/2.0.0/files/p15680945/s57439783/6e8b0eb2-a7aaf74c-a7b868d7-f518275c-60f2837d.jpg
a port-a-cath terminates in the lower superior vena cava, as before. a stent is present in the left main stem bronchus. cholecystectomy clips project over the right upper quadrant. a gastrostomy tube projects over the left upper quadrant. the cardiac, mediastinal and hilar contours appear unchanged including rightward ...
rapid heart rate and palpitations.
MIMIC-CXR-JPG/2.0.0/files/p10881485/s51544150/19e0b189-f369ecca-31d6e076-d129546a-bfd67315.jpg
single portable view of the chest. the lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. biapical scarring is noted with superior retraction of the hila, particularly on the right. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with fever and altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p12027869/s50892864/7e4bc2ce-a7bc5eb0-68b03548-e5bf0891-a51566d0.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. no evidence for an interstitial abnormality is seen. the lungs appear clear. bony structures are unremarkable aside from incompletely characterized lower cervical fusion.
uveitis. question tuberculosis or evidence for sarcoid.
MIMIC-CXR-JPG/2.0.0/files/p12629934/s53405358/eed78bf4-3272bb1d-e220bb5d-bc82b1f4-bd34ec55.jpg
there has been interval removal of a left-sided chest tube with a persistent tiny left apical pneumothorax. . the cardiomediastinal and hilar contours are stable from the prior exam. streaky bibasilar opacities are most consistent with atelectasis. in a oval lucent area seen at the base of the left lung likely represen...
<unk> year old man l vats blebectomy and pleurodesis // eval pneumothorax after ct removed.please complete test by <time>pm
MIMIC-CXR-JPG/2.0.0/files/p10451611/s58334260/fe0e5a8f-446281f5-9d364510-af65c46c-72551712.jpg
ap portable upright view of the chest. bibasilar atelectasis again noted. no large effusion or pneumothorax. cardiomediastinal silhouette stable. bony structures are intact.
<unk>f with altered mental status // eval for cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p16069646/s58725699/b130b719-8b6f2ea5-eb96e8bc-d7cb1a0a-15e1cd0a.jpg
compared to the prior study the right hemidiaphragm continues to be elevated an aortic continues to be tortuous with mild cardiomegaly. new on today's study is elevation of the left hemidiaphragm with a small left effusion. given that there is only a supine portable film, an infiltrate in the left lower lobe cannot be ...
<unk> year old woman with renal transplant on immunosuppression, with tachyarrhythmia and febrile to <num> // ?pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11524047/s58872754/2cf717d2-9314f52f-734d718b-2a600f6c-3ed5999a.jpg
the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. atherosclerotic calcifications are noted along the aortic arch. no displaced rib fractures are seen. opacification of multiple interverteb...
<unk>-year-old female with acute onset right sided chest pain. eval for rib fractures.
MIMIC-CXR-JPG/2.0.0/files/p15067927/s50143966/533bd71f-d1ed1d47-335bd8d8-be67a3de-b76c7499.jpg
heart size is mild to moderately enlarged, as seen previously. the mediastinal and hilar contours are relatively unchanged. pulmonary vasculature is not engorged. focal opacity is demonstrated within the right middle lobe concerning for pneumonia. no pleural effusion or pneumothorax is seen. the vagus nerve stimulator ...
history: <unk>f with chest pain, epigastric pain
MIMIC-CXR-JPG/2.0.0/files/p16936839/s54386733/1830873f-c3b872d6-4c89f9c4-449736af-b6de06c6.jpg
mild bibasilar atelectasis is increased. indistinct confluent opacities with the faint air bronchogram in the mid right lung are new. trace right pleural effusion is new. moderate cardiomegaly is unchanged. cardiomediastinal hilar silhouettes are unremarkable. median sternotomy wires are intact.
<unk> year old man with hx of afib on coumadin s/p pacemaker now with tachypnea // pneumonia? worsening pleural fluid
MIMIC-CXR-JPG/2.0.0/files/p10505267/s58045105/b100c1de-0207cbe0-d4218f12-95197110-7724c89f.jpg
a tracheostomy tube is present with the tip approximately <num> cm from the carina. this is similar to the prior exam. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no rib fracture is identified.
status post trauma. evaluate for infection.
MIMIC-CXR-JPG/2.0.0/files/p12418065/s54678640/51099224-5664031d-72fbd589-f902fb1d-0c017a52.jpg
there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. no evidence of a radiopaque foreign body.
history: <unk>m with esophageal strictures that presents with foreign body sensation in esophagus // eval for foreign body in esophagus
MIMIC-CXR-JPG/2.0.0/files/p11191438/s55800222/a8fe5940-cc140f32-d200d4b6-9a1bbd00-41ae0c10.jpg
no lung volumes are stable. no evidence of appreciable vascular congestion. the cardiomediastinal and hilar contours are stable. a moderate-to-large hiatal hernia is present. the pleural surfaces are normal. interval removal of right ij catheter. no evidence of pneumothorax.
<unk> is a <unk> y/o <unk> speaking f hx of chf, dm, ckd (born w/one kidney), htn, hld, hx of lung cancer s/p bilateral upper lobectomies and copd who presents with chest pain x<num> days and found to have nstemi taken to the cath lab found to have <unk>% left main disease. // pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p18587352/s50206733/0990621f-4a9982f3-e139cd61-8cebe958-7ff4bf70.jpg
the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. bilateral densities projecting over the breasts are likely nipple shadows. there is however a calcific density projecting over the left hilum which is of nonspecific etiology. the cardiomediastinal silhouette is otherwise normal. the aort...
evaluation of patient with decreased breath sounds on the left.
MIMIC-CXR-JPG/2.0.0/files/p18148694/s59941766/012a1ec4-253378cf-e7471010-962e474c-bd0d1139.jpg
venous catheter tip low svc. postoperative changes spine. new bilateral pleural effusions. increased pulmonary vascularity, heart size, new. bilateral perihilar opacities, likely edema. consider pneumonitis in the appropriate clinical setting. left lower lobe consolidation, likely atelectasis. old rib fractures. .
<unk>m w/extended medical stay w/worsening hypoxia, coarse breath sounds in rll // interval changes, signs of pna
MIMIC-CXR-JPG/2.0.0/files/p16940449/s54049532/98ae00fc-b9c7f064-b189d601-2f735e42-c4becb96.jpg
frontal ap and lateral views of the chest were obtained. the right lower lobe opacity has resolved. there is no new opacity. no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.
pneumonia last month. evaluate for interval resolution.
MIMIC-CXR-JPG/2.0.0/files/p13141357/s53392918/82bcd0e0-12212bab-e75daebd-6d39be05-b94ae7d7.jpg
previous bilateral perihilar parenchymal opacities that were concerning for an infectious process have cleared. no focal consolidation or pleural effusion is seen. the cardiac and mediastinal contours are unchanged from previous radiograph.
<unk>-year-old male with alcoholic hepatitis, possible pneumonia on broad spectrum antibiotics. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p10970781/s56087557/781ce326-69a6ecbb-378ec75e-f462fd1c-2ee38a6c.jpg
patient is status post median sternotomy. a left-sided pacer device is noted with lead terminating in the right ventricle. mild enlargement of the cardiac silhouette is similar to the previous study. the aorta remains tortuous. mediastinal and hilar contours are otherwise unremarkable, and the pulmonary vasculature is ...
history: <unk>m with dyspnea, history of chf
MIMIC-CXR-JPG/2.0.0/files/p15957987/s54982456/55646f78-f90c8a7d-e3723e7a-745dca59-bb6d21ae.jpg
cardiac size is unchanged. the mediastinum is widened and appears unchanged from prior. there are large pleural effusions bilaterally with atelectasis at the lung bases. there is a consolidation in the left perihilar region which has markedly worsened when compared to prior examination and is likely due to worsening pn...
<unk>-year-old male patient with right-sided pneumonia, shock. study requested for evaluation of infiltrates.
MIMIC-CXR-JPG/2.0.0/files/p10686970/s56694478/86594c50-7a1ee4f9-be1113cf-be77c045-b02849e3.jpg
evaluation is limited due to patient's rotation and low lung volumes. the heart size is difficult to assess given the degree of rotation but may be mildly enlarged. the aortic knob is calcified. assessment of the mediastinal and hilar contours is limited. there are low lung volumes with crowding of the bronchovascular ...
altered mental status, here to evaluate for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12394964/s59007262/59ddf46d-bccfc0ba-15ef4185-6581b093-864220d3.jpg
pa and lateral views of the chest provided. interval removal of the endotracheal and nasogastric tube. there is persistent consolidation in the left lower lobe which is concerning for pneumonia. small pleural effusions bilaterally are noted, left greater than right. heart size appears unchanged. mediastinal contour is ...
<unk>f with wheezing, copd // eval for pna, pulm edema
MIMIC-CXR-JPG/2.0.0/files/p16830390/s59373992/fa342f55-5c72e058-e39180f1-c9f23020-34602e03.jpg
pa and lateral views of the chest provided. there is significant improvement in bilateral pleural effusions with only trace residual pleural effusions noted bilaterally associated with mild left basal atelectasis. tiny clips project over the lower thoracic midline. subtle nodularity in the right mid lung is noted which...
<unk>f with chest pain
MIMIC-CXR-JPG/2.0.0/files/p15633967/s51208038/c62ed5e0-52272f60-00cae16c-27f5a367-6dd70d8d.jpg
heart size is normal. aorta is tortuous. the mediastinal and hilar contours are otherwise unremarkable. lungs are clear. no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormality is seen including no displaced rib fractures.
history: <unk>m with chest pain after coughing and moving furniture
MIMIC-CXR-JPG/2.0.0/files/p10602633/s54489949/a90789aa-aeb8be5f-53744b6d-febc80c4-02f80a43.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.
history of shortness of breath. please evaluate heart and lungs.
MIMIC-CXR-JPG/2.0.0/files/p11123840/s51812182/42262174-03506e33-d4434ba6-f679b4e9-acda80ee.jpg
lung volumes are slightly lower compared to the prior radiograph. there is mild pulmonary vascular congestion and enlargement of the central pulmonary vasculature. moderate cardiomegaly is noted. there is no focal consolidation, pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>m with chest pain // eval for ptx or pna
MIMIC-CXR-JPG/2.0.0/files/p17536303/s55145910/efd089d5-d596a56b-4c5ad148-762ef734-f68d10fe.jpg
the cardiac silhouette is top-normal. the mediastinum is not widened. there is minimal right lung base atelectasis. the lungs are otherwise clear without consolidation, effusion or pneumothorax. again appreciated is a transvenous right atrial pacer, along with two right ventricular intracardiac leads in unchanged posit...
chest and back pain.
MIMIC-CXR-JPG/2.0.0/files/p17048458/s50018447/0779793f-c9434899-dc0a6eb5-4d7230ae-25fcd82e.jpg
the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>m with symptomatic bradycardia, hr <num>s-<num>s, presyncope, dizziness. assess for cardiomegaly or edema.
MIMIC-CXR-JPG/2.0.0/files/p15139505/s59108893/3d7bd041-8fd7f7fc-d4ff74d7-add297a3-f6c2b6c9.jpg
status post left pectoral dual-chamber pacemaker with leads in the right atrium and right ventricle. blunting of the left costophrenic angle likely due to atelectasis rather than effusion. no pneumothorax.no focal consolidation. cardiac size is top normal. mediastinal contours unchanged. median sternotomy wires again n...
<unk> year old man s/p dual chamber pm implantation // check for lead position and pnx, thanks
MIMIC-CXR-JPG/2.0.0/files/p12881887/s53923867/af6b034d-11efac9e-6bffe0d5-eb38df22-d4b98c35.jpg
the cardiac, mediastinal and hilar contours appear unchanged. lung volumes are low. previously, the left hemidiaphragm was slightly depressed compared to the right, but now with mild relative elevation instead. particularly that setting, streaky basilar opacities suggest atelectasis with volume loss. trace pleural effu...
bilateral basilar crackles and worsening ascites.
MIMIC-CXR-JPG/2.0.0/files/p18247220/s50957428/2d3cab73-18a0452c-fec484bd-19e19c3f-bff3d526.jpg
the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with fever.
MIMIC-CXR-JPG/2.0.0/files/p17598702/s55069662/dd94ec39-5fc44bed-b3eb65ad-80245416-e806fbd9.jpg
severe cardiomegaly is re- demonstrated with dense mitral annular calcifications. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. there is minimal patchy opacity in the retrocardiac region. no pleural effusion or pneumothorax is present. mild degenerative changes are noted in the lower th...
history: <unk>f with cough, subjective fevers
MIMIC-CXR-JPG/2.0.0/files/p11177533/s55633399/1c917586-39dcc1bd-5e1d7544-ba9c1777-623f239c.jpg
no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there may be subtle, slight interstitial edema.
history: <unk>m with l<num> burst fracture. here for pre-op workup // ? pneumonia or acute cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p16462601/s54685930/a1d8eae8-b1b495c0-95d1c681-a55f999b-353a7fda.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 man with hx of lymphoma, colon cancer and hx of thrombosis in arm with <num> week of dyspnea. // pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p10848070/s56288384/2cc28c59-4e129a32-caad0153-c3391406-050cb8d7.jpg
the cardiac, mediastinal and hilar contours appearance change. there is no pleural effusion or pneumothorax. only slightly more prominent than before is bilateral widespread mild airway thickening suggesting inflammatory process involving lower airways.
elevated leukocytosis.
MIMIC-CXR-JPG/2.0.0/files/p19599279/s53821274/e360f787-7dc94db6-b56c70c1-f02b6d4c-a007184c.jpg
since the prior radiograph, there has been improvement in pulmonary edema. lung volumes are low and there is mild bilateral atelectasis. heart size is top-normal. there is no evidence of pneumonia or pleural effusion.
history: <unk>m with ams // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p14270780/s55236917/5449d703-f23f9748-bff7c813-1792fe8d-3a3d72a5.jpg
pa and lateral chest radiographs. small left pleural effusion is new with associated atelectasis. the right lung is clear. there is no pneumothorax. the cardiomediastinal silhouette is normal. subtle air fluid levels in the upper abdomen are non-specific.
productive cough and chills. concern for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12476587/s53882176/1255a090-dad8c341-80659b05-ca09f18a-8c3d067c.jpg
there has been no substantial interval change in the appearance of the chest compared to the radiograph obtained <num> day earlier. cardiac and mediastinal contours are unchanged, with known mediastinal lymphadenopathy better seen on the recent ct. hilar contours are also unchanged and remain enlarged compatible with k...
metastatic squamous cell carcinoma and history of pleural effusions with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11875731/s58930983/238fc506-0913d191-86bfe4d8-2390162d-bdc5856c.jpg
right-sided dual-lumen central venous catheter is now seen with distal tip at the ra svc junction. there is no pneumothorax. the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with new chest pain. dialysis catheter recently pulled partially out // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p17198200/s50592030/51746ff3-45c2e827-aca4cb4c-2b973d8e-3e849e5f.jpg
the lungs are well expanded and clear. postoperative mediastinum, hila, and cardiac borders are normal. no pleural effusion or pneumothorax. stable trace bilateral lower lobe scarring.
<unk> year old woman with aspiration of a piece of corn on <unk> and persistent stridor/wheezing // evaluate for pneumonitis, aspiration pna