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MIMIC-CXR-JPG/2.0.0/files/p13686597/s51216207/d1bf4546-eaa9f1ca-7fab1ef7-5ee339eb-72d43c58.jpg | two views of the chest demonstrate a small left pleural effusion, with perhaps some left basilar atelectasis. the pulmonary vasculature is normal in appearance. the cardiac silhouette is normal, the mediastinal contours are normal. surgical clips are again noted in the gallbladder fossa. | <unk>-year-old male with syncope and hypotension, evaluate for pneumonia or chf. |
MIMIC-CXR-JPG/2.0.0/files/p16634427/s51125964/3c567302-1ad50dd2-bbd38046-6cc7bcd5-b7ca1ee1.jpg | compared to the prior film, inspiratory volumes are slightly lower. as before, the patient is status post sternotomy there is possible mild cardiomegaly, though this is likely accentuated by low inspiratory volumes and portable ap technique. there is upper zone redistribution, without overt chf. there is slight increase in hazy retrocardiac opacity, consistent with early left lower lobe collapse and/or consolidation. otherwise, no focal opacity identified. no effusion. no pneumothorax detected. | <unk> year old woman with heart transplant. // chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13539085/s52109309/f2a2ec7f-18a88228-b9f746a4-b16b3614-adbb7b2b.jpg | lungs are fully expanded and clear. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. | <unk> year old man with cough // please rule out pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19553650/s58330380/3a8fb1df-ba2c4221-ac7dc92f-3e6a4646-de3e9794.jpg | frontal and lateral chest radiographs were obtained. the rigth chest tube has been removed. there is now a small right apical pneumothorax. there is no evidence of tension. there is a persistent moderate hydropneumothorax adjacent to anterior right lung base. the left lung is fully expanded and clear. cardiomediastinal silhouette and hilar contours are stable. there is also increased subcutaneous gas at right lateral chest wall. | patient with right middle lobectomy status post chest tube removal, rule out pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16672237/s58554749/fd4363d3-9be3d234-7cf58d9e-7dfca0f3-0b40e9e5.jpg | there is persistent elevation of left hemidiaphragm with overlying atelectasis. cardiac silhouette remains slightly shifted to the right. no right focal consolidation is seen. no large pleural effusion or pneumothorax. cardiac silhouette size is top-normal. mediastinal contours are unremarkable. no pulmonary edema is seen. | history: <unk>m recent post mi with htn to <num>s, headache, ischemic changes on ekg // eval ? edema, effusion |
MIMIC-CXR-JPG/2.0.0/files/p14731346/s56753680/2371331f-51e6e281-1351a1ae-c51f66af-c0e8ae95.jpg | portable semi-upright radiograph of the chest demonstrates stable bilateral pleural effusions with adjacent atelectasis, left greater than right. cardiomediastinal and hilar contours are unchanged. the heart is normal in size. there is no pneumothorax or pulmonary edema. endotracheal tube ends <num> cm from the carina. a right internal jugular central venous line ends in the distal svc. nasogastric tube ends in the stomach. | <unk>-year-old female status post pea arrest with hypoxemic respiratory failure. evaluate for endotracheal tube placement and interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16892632/s53161533/df48ff02-c1d29e0d-d4401e70-55e60ec0-0928327c.jpg | left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. the heart size is normal. the mediastinal and hilar contours are unchanged and within normal limits. the pulmonary vascularity is normal. lungs are mildly hyperinflated. redemonstrated is blunting of the left costophrenic sulcus, unchanged, and may reflect minimal pleural effusion or pleural thickening. no focal consolidation or pneumothorax is present. the pulmonary vascularity is not engorged. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14861785/s57014652/a079a380-8b084b96-4f74e609-131239b5-d387eed0.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact. | elevated white count to <unk>, cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19106955/s58545958/e975f44a-0c1cdb10-dc175d9e-e27b0c41-4165fe46.jpg | a pulmonary arterial catheter, as well as its introducer, have been removed. pulmonary edema has resolved. there is persistent retrocardiac opacification which probably reflects a combination of pleural effusion and atelectasis, perhaps somewhat decreased, however. a calcified granuloma projects over the right lower lung versus nipple shadow. there is a small pleural effusion on the right. | postoperative day <num> after avr. |
MIMIC-CXR-JPG/2.0.0/files/p11154185/s50519341/abe3e6ea-740c2196-08705812-3a104273-7a9d9e4b.jpg | lung volumes are low. heart size appears mildly enlarged, not substantially changed. the mediastinal and hilar contours are normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. no displaced fractures are evident. | history: <unk>f with right face, elbow, forearm, ankle pain after a fall. // evaluate for fracture |
MIMIC-CXR-JPG/2.0.0/files/p15179052/s50302168/26a49b12-fc0c8bec-a6d2072c-e9fd9197-dc61ea7a.jpg | frontal and lateral views of the chest. poorly defined bibasilar opacities are new since <unk> including a dominant <num> cm round opacity in the left lower lobe posterior basilar segment. additionally a possible new opacity is noted in the right apex adjacent to the right clavicular head. no pleural effusion or pneumothorax is identified. the cardiac and mediastinal contours are normal. | chronic cough for <num> months and <num>lb weight loss. evalute for infection and tuberculosis. |
MIMIC-CXR-JPG/2.0.0/files/p19407059/s58144005/75d28b2e-7af6ce06-1d74ea7d-f7fc8d61-d1df8f50.jpg | increased opacities in left upper lobe correspond to the findings on the ct from the same day and are compatible with pneumonia. the right lung is clear. cardiac size is normal. there is no pleural effusion, pulmonary edema or pneumothorax. | uri symptoms and fever. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13658570/s58344527/cc7914c9-c28cfab4-9a9f5cc5-01d31e7e-b7835e3f.jpg | there is improvement of mild pulmonary edema since <unk>. no new focal consolidations are seen. the heart size is stable. an external pacemaker is seen with a transvenous lead in the right ventricle. no pneumothorax. no new focal consolidations are seen. | <unk> year old woman with aortic stenosis s/p tavr now with fevers // rule out pna |
MIMIC-CXR-JPG/2.0.0/files/p14420248/s56592406/41347755-244a861b-530a6c53-b25ee6a2-f7c866b8.jpg | portable single frontal chest radiograph was obtained. there is persistent moderate diffuse interstitial edema, unchanged from prior study. there is trace left pleural effusion and a small right pleural effusion. enlargement of the cardiac silhouette is unchanged. there is no pneumothorax. | patient with ckd, asthma, pericardial effusion with crackles on exam, question pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p15938197/s58384962/aaa70089-c79f2a19-eda5986a-3bda769c-457cf3a0.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild dextroscoliosis of the thoracic spine is present. remote right-sided rib fracture is again noted. | history: <unk>f with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p17079941/s53217953/dd9575d5-92a3d96d-894885dd-a30813e7-2f8e91d1.jpg | the endotracheal tube ends <num> cm above the level of the carina. a right internal jugular central venous catheter ends in the mid-to-low svc, unchanged. an enteric catheter courses below the level of the diaphragm, curving superiorly to end in the gastric cardia. a dobbhoff tube also passes below the level of the diaphragm and out of the field of view inferiorly. an additional tube/wire projects over the right cervical region, possibly external to the patient, unchanged. widespread bilateral interstitial opacities are minimally increased, particularly within the right mid lung. bibasilar left greater than right heterogeneous opacities are likely atelectasis. there are no definite pleural effusions. no pneumothorax is seen. the heart size is top normal, unchanged. the mediastinal contours are normal. | mechanical ventilation. assess endotracheal tube position. |
MIMIC-CXR-JPG/2.0.0/files/p18569605/s57796933/372a20a9-822610ca-140bccfd-4bfd071e-0b65a662.jpg | lung volumes are low. heart size is top-normal. a small right basilar consolidation is unchanged from the ct abdomen and pelvis from <unk>. calcified, tortuous aorta and calcified mitral valve are noted. lungs are otherwise clear without focal consolidation concerning for pneumonia, effusions, or pneumothorax. | <unk> year old woman with hypoxemia. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p18529089/s55388957/dd7613af-a5fa77bf-64b8e5be-6156129b-fa873dec.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 chest pain |
MIMIC-CXR-JPG/2.0.0/files/p17422480/s52789536/0a1d9dbb-3e5b296e-50bcd2b7-519f8538-c7242e9b.jpg | heart size is top normal. mediastinal and hilar contours are unchanged. the pulmonary vascularity is normal. new small right pleural effusion is present with minimal streaky right lower lobe opacity possibly reflecting atelectasis but infection is not excluded. small left pleural effusion is also noted. left lung is otherwise clear. there is no pneumothorax. scarring within the lung apices is re- demonstrated. there are multilevel degenerative changes in the thoracic spine, similar compared to the prior exam. | weakness and cough after recent hospitalization. |
MIMIC-CXR-JPG/2.0.0/files/p18709254/s54886353/cc3cf8bf-bf242430-402f3544-bf9f7e61-a338b777.jpg | the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with sob and myalgias // sob with myalgias, ruling out other causes |
MIMIC-CXR-JPG/2.0.0/files/p17472053/s55360762/714dde96-b59a2bb6-33b90f7a-73612061-3c905a98.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture or definite sternal injury is identified. | history: <unk>m with mild sternal discomfort after mvc, with some seat belt-related ecchymosis // eval for sternal injury |
MIMIC-CXR-JPG/2.0.0/files/p19966826/s57451836/625ef248-078b7dfb-ae2e8d0e-81fa9064-66949bd5.jpg | heart size remains mildly enlarged. the aorta is tortuous. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. streaky and patchy opacities in the lung bases likely reflect areas of atelectasis, no pleural effusion or pneumothorax is present. no acutely displaced rib fractures are identified. | history: <unk>f with right hip, knee and ankle pain after a fall. |
MIMIC-CXR-JPG/2.0.0/files/p16043614/s57405854/e97ee106-21e2b75e-b8790270-32df33a7-a2e74209.jpg | lung volumes again remain low. bilateral bibasilar atelectasis is again present. pulmonary edema from <unk> has greatly resolved. cardiomediastinal silhouette and hilar contours appear grossly unremarkable. no pleural effusion is present. | <unk>-year-old man with coronary artery disease and chf, now status post sepsis and diuresis. question infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p16806736/s54748946/f099a2c8-93341054-c57fc9fd-606ab9e2-01da4f9e.jpg | the patient is status post a right upper lobe resection with stable pleural changes at the apex. radiation changes and volume loss are stable in the right mid lung zone. at the right base, there has been a slight increase in the previously seen pleural effusion with new volume loss and rightward mediastinal shift suggesting atelectasis in that region. there is a new small pleural effusion at the left base. there is no pneumothorax. a left port ends in the low svc. the cardiomediastinal silhouette is normal. | history of copd, non-small cell lung cancer, status post a right upper lobe resection, and stage iii esophageal cancer, status post radiation. new shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11800503/s51486663/11256edb-332e504e-1958eaa6-c696ddc6-a5835088.jpg | a moderate to large left pleural effusion is present. no definite pneumothorax is identified. left basilar opacification may reflect compressive atelectasis though infection or contusion is difficult to exclude. the right lung appears grossly clear. there is no pulmonary vascular congestion. heart size is difficult to determine given the presence of the left basilar opacification and pleural effusion. calcification of the aortic knob is visualized. displaced fractures of multiple left-sided posterior ribs are noted, likely the left <unk>, <unk>, and <num>th ribs. | left-sided pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12945897/s53916096/8d125cf9-17b9c662-15b7887a-923e963c-75bb21a2.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. there has been no significant change. | cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15974873/s58145533/66f2bf2c-78c5df2f-2409325a-3c0e296a-bce12b7e.jpg | there has been interval placement of a <unk> right chest tube at the lung base medial to the <unk> chest tube which is unchanged in position. moderate right pleural effusion is improved with remnant fissural component. a small component of right apical pneumothorax is unchanged from prior exam. left lung is clear. cardiomediastinal silhouette and hilar contours are stable. | right loculated effusion status post placement of a <unk> chest tube. rule out pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10655970/s54990572/4ca0165c-3312879f-421814e5-6c670951-60613ef9.jpg | lungs are moderately well inflated. dense left retrocardiac opacity, atelectasis versus consolidation. no pneumothorax or pleural effusion noted. stable mild cardiomegaly. aortic knuckle calcification persists. no significant interval change in the bony thorax. | <unk> year old man with subjective sob and sudden r shoulder/chest pain pod<num> from laparoscopic sigmoid resection // ?acute process |
MIMIC-CXR-JPG/2.0.0/files/p11080025/s53028500/30db991a-0172f55d-12d1556e-f67dfbcf-356f7373.jpg | lung volumes are low. the cardiac silhouette is enlarged with moderate pulmonary edema and central pulmonary vascular congestion. there are possible small bilateral pleural effusions. there is no pneumothorax. | <unk>-year-old female with diastolic congestive heart failure presenting with increased shortness of breath, orthopnea and weight gain. evaluate for pulmonary edema and consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p14098347/s57508652/e7f7f30b-24a7219a-2dc1693e-ef1c7d9a-c84b3cf4.jpg | right chest wall port catheter tip is unchanged in position. lungs are well-expanded. there is no focal consolidation, pleural effusion or pneumothorax. retrocardiac atlectasis is stable. again seen is eventration of the right hemidiaphragm. cardiomediastinal silhouette is stable. healed left rib fractures noted. imaged upper abdomen is unremarkable. | <unk> year old woman with hx of multiple myeloma presenting for fever and headaches after it depocyt therapy. |
MIMIC-CXR-JPG/2.0.0/files/p12698967/s53048594/abb210c1-01c850c9-a8245890-40adb99a-69fdcbd1.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with hypotension after orthopaedic surgery // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15151907/s50146351/d5b81905-5f433fb9-9e82828e-0e6bef49-08cd461f.jpg | the lungs are poorly inflated but do not show any focal opacities. cardiomediastinal and hilar contours are unremarkable. mild cardiomegaly is unchanged compared with <unk>. there is no pleural effusion or pneumothorax. | <unk>-year-old male with bilateral lower extremity edema. evaluate for fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p14792599/s53486964/75e290eb-a862948d-5a05ee10-50b8b82a-30b36ec1.jpg | ap view of the chest. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are stable. | anterior stab wound. status post wound exploration and packing with surgicel. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16739945/s58966832/46ff723c-a7fc4a9b-39b15dba-b1a61799-418405a6.jpg | an ng tube is present, tip extending beneath diaphragm. the tip and side-port overlie the expected site of the gastric fundus. low inspiratory volumes with bibasilar atelectasis. cardiomediastinal silhouette is prominent, but likely accentuated by low inspiratory volumes. | <unk> year old woman with ngt in place, not draining // please eval for ngt position |
MIMIC-CXR-JPG/2.0.0/files/p16200045/s58132407/7cddf5b6-6a16baa6-68b76b80-f74b024f-6abbdd9e.jpg | again seen duly left-sided aicd is stable in position. status post median sternotomy, cabg, and cardiac valve replacement. there is marked enlargement of the cardiac silhouette, possibly slightly increased as compared to the prior study. small left pleural effusion is seen with overlying atelectasis no overt pulmonary edema is seen. there is no pneumothorax. | history: <unk>m with edema on osh cxr, want to assess interval change now s/p lasix // history: <unk>m with edema on osh cxr, want to assess interval change now s/p lasix |
MIMIC-CXR-JPG/2.0.0/files/p15113309/s54075284/d094be5b-0e0b725d-79ca549c-0547df56-1cd548b1.jpg | frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. there is mild haziness of the bilateral hila, and slight cephalization of pulmonary vasculature, consistent with mild pulmonary edema. there are small bilateral pleural effusions with some adjacent atelectasis. the cardiomediastinal and hilar contours are unchanged. | history of heart failure with dyspnea and new oxygen requirement. evaluate for heart failure exacerbation. |
MIMIC-CXR-JPG/2.0.0/files/p12476737/s55046112/46d18a32-008bd33c-36002df5-bc03ee01-3078e505.jpg | since the prior study, there has been interval resolution of previously seen lingular opacity, compatible with resolution of pneumonia. discoid atelectasis is present in the right lung base, along with eventration of the right hemidiaphragm, stable compared to the prior study. the lungs remain hyperinflated, in keeping with known severe copd. no new focal opacities are identified, and there is no pneumothorax, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is unremarkable. partially visualized posterior fusion hardware in the lumbar spine a noted. degenerative changes of the bilateral glenohumeral and acromioclavicular joints are also present. | <unk> year old woman with moderate-severe asthma on chronic steroids with recent pneumonia at rehab s/p antibiotic course, now asymptomatic // <num>-week follow up to evaluation resolution |
MIMIC-CXR-JPG/2.0.0/files/p17732708/s50811246/a9d91ba9-4ed48250-c69fdac8-15beccf9-00b7bdf0.jpg | pa and lateral views of the chest demonstrates the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of focal consolidation, pleural effusion, pulmonary edema or pneumothorax. | <unk>-year-old female with cough for three months and increased lfts. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12485165/s51876363/d96d1796-6b1ccea8-09c3178c-7f803775-81720bbe.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified. | status post bicycle crash. evaluate for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p16116112/s59216688/0b051dc4-e134be23-6af617ff-a6c0fc96-01d4e0a6.jpg | pa and lateral views of the chest provided. metallic foreign body is again noted projecting over the left chest wall with adjacent tiny bullet fragments also noted in the left chest wall. the lungs are clear without focal consolidation, effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures appear intact. | <unk> year old man with l sided cp, hx of gsw to l chest // rule out acute process |
MIMIC-CXR-JPG/2.0.0/files/p10436993/s56008271/5a02f305-1ca50209-f66b8698-90d6239d-7fdea552.jpg | chest pa and lateral radiograph demonstrates a slightly prominent main pulmonary contour. hilar and cardiac contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax. no osseous abnormality is identified. | liver mass of unknown etiology, history of travel, please assess for tuberculosis. |
MIMIC-CXR-JPG/2.0.0/files/p12218128/s59784396/185abce1-11a9d5ca-fc4c55ed-d582cfd8-f17663c7.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. specifically, no displaced rib fracture. | <unk>-year-old male status post motor vehicle crash. evaluate for rib fracture or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13476745/s52319627/d9cde93f-c6341fe8-e1e0a6d2-8f758175-1eddcdf9.jpg | there is a small right apical pneumothorax. there is no mediastinal shift. there is no pleural effusion. pars right basilar atelectasis. the cardiomediastinal silhouette <num> pulmonary vasculature, and aorta are within normal limits. mild opacity in the right mid-upper lung with is consistent with biopsy site. | <unk> year old woman post lung biopsy. // evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11960904/s57242308/d32ad890-45374126-4af0a5a8-671cfa48-b7b0ad2b.jpg | low lung volumes cause crowding of the bronchovascular structures. no interstitial edema. moderate cardiomegaly. small right-sided pleural effusion with linear atelectasis. no pneumothorax. | <unk> year old man with chf and cirrhosis // pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p12362515/s50961165/46b47ffa-43e34ea0-29a496fd-69393809-d82df41c.jpg | an opacity overlying the right lower lobe could be pneumonia or rib sclerosis, best differentiated by oblique projections. lungs are otherwise clear. cardiomediastinal silhouette is normal. a small left pleural effusion may be present. there is no pneumothorax. known t<num> vertebral body compression fracture is not fully evaluated on this study. the ribs appear sclerotic and consistent with patient's history of prostate cancer. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p11042081/s50378228/9948cc6d-385c2204-4b63b7ac-4b557551-3182146c.jpg | ap and lateral views of the chest. no prior. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with shortness of breath and seizure. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13063188/s57007319/c15f6c8d-2eb74efa-3d010394-9b955f49-26200b2b.jpg | streaky atelectasis is noted at the left lung base. lungs are otherwise clear of consolidation, pleural effusion or pneumothorax. pulmonary vascular congestion is mild. mild cardiomegaly persists. aortic arch calcifications are incidental finding. | history: <unk>m with dyspnea // please evaluate for acute cp process |
MIMIC-CXR-JPG/2.0.0/files/p16270775/s59552231/64eb1c81-68f82211-e46b2797-2b340321-96c58960.jpg | a new left internal jugular central venous catheter terminates at the cavoatrial junction. there is no pneumothorax. the cardiac, mediastinal and hilar contours appear stable. the lung volumes are low. there is no pleural effusion. a left basilar opacity is less distinct but still visible compared to the earlier prior study. | status post central line placement. |
MIMIC-CXR-JPG/2.0.0/files/p14950396/s57254825/40c9f983-81368ef5-94b3d695-4a6c72b5-33e3303b.jpg | since the prior exam performed approximately <num> hours earlier, there has been <unk>decrease in the pulmonary edema. mild pulmonary edema persists. <unk>small left pleural effusion has slightly decreased in size. bilateral basilar atelectasis is stable. the thoracic aorta is and tortuous and heavily calcified, unchanged from the prior exam. the cardiac silhouette is normal. the left picc terminates in the right atirum, which appears slightly lower in positioning than in the prior exam. <unk>right internal jugular hemodialysis catheter also terminates in the right atrium. | recent respiratory distress. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p12352918/s59515420/1063f6c5-42909f00-da1dfa6b-c2463847-716c3001.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 chest pain, tachycardia, shortness of breath. current smoker on birth control. |
MIMIC-CXR-JPG/2.0.0/files/p13140362/s51769049/52b0f72e-c238182d-9eed064f-4eac813b-c02b0233.jpg | endotracheal tube is seen <num> cm above the level of the carina. a right porta cath tip is in the right atrium. <num> left-sided drains project over the left hemithorax. no unexplained radiopaque foreign body, specifically subtle linear density seen along the left upper abdomen is consistent with a bowel loop rather than radiopaque foreign body. the lungs are hypoinflated with crowding of vasculature. no pleural effusion or pneumothorax. heart size is top normal, likely accentuated due to patient positioning. mediastinal contour and hila are unremarkable. mild left basilar opacity, likely atelectasis. | in or. missing item count. |
MIMIC-CXR-JPG/2.0.0/files/p11535902/s56180797/e698f7b6-179e7794-10e9c6ea-8df88ae3-e239474e.jpg | the lungs are hyperinflated but clear. there is no pneumothorax. the heart and mediastinum are not enlarged, and likely displaced by a moderate hiatal hernia. moderate levoscoliosis of the thoracic spine has increased since <unk>, along with extensive spinal degenerative changes. age-indeterminate compression deformities of at least two lower thoracic vertebrae are suspected. | <unk>-year-old female with osteoporosis and witnessed aspiration. evaluate for pneumonitis versus pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15808118/s55438329/c9a548ac-a86eeb01-826bd8a5-996eb633-3f9da6e1.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. <unk> rods are again noted in the thoracic spine with a new component involving the upper t-spine. no free air below the right hemidiaphragm is seen. | history: <unk>m with need for psychiatric*** warning *** multiple patients with same last name! // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p10923152/s57263032/df78f33d-1f558cd4-3da958da-58918c37-b464b6e0.jpg | single frontal view of the chest. endotracheal tube terminates <num> mm above the carina and should be withdrawn by <num>-<num> cm for more appropriate position. right upper lobe collapse and left upper lobe atelectasis are similar to prior. small left pleural effusion is similar to prior. no pneumothorax. heart size is stable. | chf with lung collapse and code blue in the pacu. |
MIMIC-CXR-JPG/2.0.0/files/p19159693/s57944369/dca345b0-5b645e1b-5885e792-53e59672-f2753b13.jpg | the heart is top normal in size, and at baseline. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. there are no granulomas or cavitary lesions. | <unk> year old woman with + ppd at <unk> medical examiner // r/o tb |
MIMIC-CXR-JPG/2.0.0/files/p14964445/s58361312/85ba2591-3a2020ff-1a2ee2a9-822c7fde-f1a751d0.jpg | there are low lung volumes. there is mild cardiomegaly. the aorta is tortuous. nodular dense opacities in the right hilum could represent adenopathy. aside from bibasilar atelectasis, the lungs are clear. there is no evidence of pneumonia or pulmonary edema. there is no pneumothorax or pleural effusion. there is kyphosis, mild degenerative changes in the thoracic spine and a compression fracture in a lower thoracic vertebral body | <unk> year old woman with weight loss // r/o path |
MIMIC-CXR-JPG/2.0.0/files/p15641478/s50523937/e580ecf4-b6b37632-e245cc31-9950e898-1e986284.jpg | ap and lateral views of the chest. no prior. there is retrocardiac opacity, which silhouettes the hemidiaphragm. this is compatible with pneumonia in the proper clinical setting. superiorly, the left lung is clear as is the right lung. there is no effusion noting that the inferior most aspect of the costophrenic angle is excluded from the field of view. cardiomediastinal silhouette is within normal limits for technique, positioning and relatively low lung volumes. atherosclerotic calcifications are noted at the arch. osseous and soft tissue structures are grossly unremarkable. | <unk>-year-old male with one-week of cough productive of yellow sputum. |
MIMIC-CXR-JPG/2.0.0/files/p19674244/s51965871/dd0ff99a-d468dc28-3f4ecb05-d3026152-3adaf67f.jpg | as compared to chest radiograph from <num> day earlier, slight interval improvement of widespread multifocal airspace opacities, more pronounced in the right lung. central pulmonary vascular congestion persists. bilateral moderate pleural effusions are stable. moderate to severe cardiomegaly persists. | <unk> year old man with chronic hypoxic respiratory failure w/ hcap and rising wbc count // interval change |
MIMIC-CXR-JPG/2.0.0/files/p11214852/s51562839/b6bf6904-d46dd433-7dd3a489-f86d614f-cb47fb56.jpg | the lungs are clear. there is no pneumothorax. the cardiac silhouette and mediastinal contours are within normal limits for technique. there are no concerning bone findings. there is no evidence of free air under the diaphragm. there is no significant change. | please assess for free air--> please extend cxr to include the upper abdomen, thank you! |
MIMIC-CXR-JPG/2.0.0/files/p12284996/s57336605/69c7eabc-873ab028-e95dd6e6-33089d2a-2611505c.jpg | lungs are hyperinflated.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. lower cervical spine hardware is noted. no evidence of free air is seen beneath the diaphragms. | history: <unk>f with abd pain s/p ercp // please eval for free air under diaphragm |
MIMIC-CXR-JPG/2.0.0/files/p12801959/s57260119/cc9b547b-4f5bcb23-2a38ba4f-7bd4bc30-56394109.jpg | the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes. | <unk> year old woman with cough x <num> weeks // pneumonia evaluation |
MIMIC-CXR-JPG/2.0.0/files/p13352386/s54500809/33447d95-d02f7291-a04b36fb-96e6ff15-1b642b98.jpg | pa and lateral views of the chest provided. hilar engorgement is noted with streaky perihilar opacities concerning for atypical pulmonary infection. underlying edema difficult to exclude. no large effusion or pneumothorax. background emphysema noted. heart size is normal. mediastinal contour unremarkable. bony structures are intact. | <unk>f with dyspnea // eval for copd, pna, ptx |
MIMIC-CXR-JPG/2.0.0/files/p18818975/s53826749/1d775b90-8c722674-7a8f35bc-f0a48cdb-72a41faf.jpg | compared with earlier the same day, i doubt gross change again seen are fractures of the right first and second ribs and ? right fifth rib. these findings are better delineated on a ct from <unk>. there is a relative paucity of lung markings at the right lung apex and, although no demarcating lung edge is identified, the possibility of a subtle pneumothorax in this area cannot be excluded. there is also obscuration of a portion of the right lung apex by the patient's tracheostomy mask. similarly, at the right lung base, there is a relative paucity of lung markings, but no well demarcated pneumothorax is identified. there is, however, some lucency along the medial border of the right lung, at its interface with the right mediastinum, similar to the most recent prior film, that likely represents a small portion of the pneumothorax. a tiny pneumomediastinum in this area is considered less likely. minimal bibasilar atelectasis again noted. again seen is a left picc line, with tip over distal svc. tracheostomy tube, g-tube, and spinal fixation hardware again noted. | <unk> year old man with r lung barotrauma with persistent ptx // compare to prior |
MIMIC-CXR-JPG/2.0.0/files/p10505248/s50920008/5bc953c4-92399599-2585539c-3e7c4438-aa3afd13.jpg | frontal and lateral views of the chest are compared to previous exam from <unk> and chest ct from <unk>. the lungs are clear. cardiomediastinal silhouette is normal. there is a bone island identified on the lateral view in one of the mid thoracic vertebral bodies, unchanged from prior ct scan. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with lightheadedness. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17427105/s56206279/c25869df-295d5698-5a9a73ab-75d8a4bf-7e57f089.jpg | cardiomediastinal silhouette is stable. slight increase in lung markings in the right base could represent an early infiltrate. there is no focal consolidation, pleural effusion, or pneumothorax. | history: <unk>m with ams // evidence of infection |
MIMIC-CXR-JPG/2.0.0/files/p16426569/s59283591/afe22dd4-944776e4-e40c63e8-cf6e1e94-8791063b.jpg | lungs are clear. the right pectoral pacemaker is seen with transvenous leads in the right atrium, right ventricle, and left coronary vein. the tip of the left-sided port is seen in the mid svc. mild cardiomegaly is stable. no pneumothorax, pleural effusion, pulmonary edema, or pneumonia. | <unk> year old woman with lymphoma // assess port placement. |
MIMIC-CXR-JPG/2.0.0/files/p16166519/s55135078/3df20759-b9d2f456-2d408f31-754c2bc9-0f1291c0.jpg | the right ventricular pacemaker lead is in a rather high position in the right ventricle. the right atrial lead appears to be in appropriate position. no evidence of pneumonia or pneumothorax. the elevated left hemidiaphragm, pleural thickening, and blunting of the left costophrenic angle is chronic and unchanged. the cardiac, mediastinal, and hilar contours are normal. right lung is clear. | chest pain, evaluate for acute cardiothoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p16265635/s52928992/ac111bbd-a9a30fd1-4992e12d-fc6c89cb-93ae3a9d.jpg | the heart is mildly enlarged. the main pulmonary artery contour is again mildly prominent. the mediastinal and hilar contours appear unchanged. streaky right infrahilar opacity is similar and appears most suggestive of atelectasis associated with large epicardial fat pad, seen on the prior ct. smooth opacity also appears similar in the left costophrenic sulcus. there is no pneumothorax. an old right posterolateral sixth rib fracture appears unchanged. | agitation and confusion. |
MIMIC-CXR-JPG/2.0.0/files/p13546682/s53151059/cc742022-e32c6a7b-661b5a79-a5e66ed0-fb200c2d.jpg | no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old man with prod cough, fever and r sided chest pain // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p17650844/s56868045/f6c0c448-397cc921-ba5c7f08-ba32ff91-a71d8b56.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is no pulmonary edema. | history: <unk>f with tachycardia // eval for consoldiation |
MIMIC-CXR-JPG/2.0.0/files/p13307894/s54138139/48342892-82d5acb4-667c4320-fc816e10-26abc51a.jpg | heart size remains mildly enlarged. the mediastinal contour is unremarkable. hilar contours are normal. there is minimal vascular indistinctness and haziness within the left perihilar region, which could suggest mild asymmetric pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is demonstrated. multiple calcified granuloma are seen within the right lung and left lower lobe. | history: <unk>f with chronic kidney disease, right crackles |
MIMIC-CXR-JPG/2.0.0/files/p14597978/s51818031/32a8c8bd-8121c593-548f4e73-ccfadd3f-c40af4e9.jpg | lines and tubes: newly placed right-sided picc extends into the right internal jugular vein and needs to be repositioned. lungs: well inflated and clear. pleura: there is no pleural effusion or pneumothorax. right costophrenic angle has not been included on this radiograph. mediastinum: there is no cardiomegaly. mediastinal silhouette is within normal limits. stable aortic knob calcification. bony thorax: unchanged compared to the prior exam. | <unk> year old man with malpositionedc picc, s/p power flush // assess for change in position |
MIMIC-CXR-JPG/2.0.0/files/p14279051/s50337660/0118da13-d6fce0b1-e4f3fabb-b30d2b91-a8874006.jpg | increased interstitial markings are unchanged from prior exams dating back to <unk>. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. endotracheal tube ends <num> cm from the carina, and an enteric tube is coiled within the decompressed stomach. a small bone island is noted in the posterior right sixth rib. old posterior rib fractures of the right sixth and left fifth, sixth, and seventh ribs are noted. | <unk> year old man with pontine hemorrhage, intubated, w foul secretions // interval change |
MIMIC-CXR-JPG/2.0.0/files/p13716770/s57134341/1842bcdc-48bec809-89d9899e-cd9a6795-d23433bb.jpg | the heart is normal in size. the mediastinal and hilar contours are unremarkable. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. | productive cough and subjective fever and chills; history of cirrhosis. |
MIMIC-CXR-JPG/2.0.0/files/p10410872/s56408557/ce2e3d3c-38da4d66-fda4fe99-a94225ea-01f7e6e9.jpg | lower spinal fusion hardware is intact. metallic densities projecting over the humeral heads likely reflect prior rotator cuff repair. distension of the azygos vein, borderline cardiomegaly, and pulmonary vascular congestion reflect volume overload. retrocardiac opacity reflects left lower lobe atelectasis. gas bubble overlying the left heart is of unclear etiology, and may reflect hiatal hernia, loculated pleural air collection, or air within the lung parenchyma. recommend obtaining a lateral view when feasible for further evaluation. small left pleural effusion. normal hilar contours. no pneumothorax. | <unk>-year-old woman status post chest tube removal. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11888962/s56596240/0243e6c9-3937a83b-5dd3379b-fa23744a-c42407b7.jpg | there has been interval placement of a endotracheal tube which terminates <num> cm above the level the carina. an enteric tube terminates in the proximal stomach. the patient is status post median sternotomy and aortic valve replacement. there are bibasilar opacities, larger on the right, concerning for aspiration or developing pneumonia. | <unk>-year-old male with head bleed. evaluate for endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p18413775/s56411425/65b2536e-7ba25e7f-df20a28e-55509384-c3affe7a.jpg | the lungs are hyperinflated but clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>-year-old female with fever. |
MIMIC-CXR-JPG/2.0.0/files/p11784202/s59228538/96b6d898-7a40f432-ffdffbd9-7bce8840-100a0936.jpg | the lungs are relatively well-expanded and clear. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. a right chest wall port-a-cath terminates in the low svc. a partially visualized spinal catheter is noted. | history: <unk>f with chest pain // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p14177219/s57812270/efff7e71-8fb08183-a867eeaa-1bf8c237-82103b3e.jpg | there is a right-sided picc line which ends in the mid svc. there has been interval increase in pulmonary vascular congestion without frank interstitial edema. no focal consolidations are identified. there is a small right-sided pleural effusion. the heart size is unchanged. the hilar and mediastinal contours are stable. there is no pneumothorax. | <unk>-year-old male, status post failed renal transplant, who presents for evaluation of shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17736009/s57455361/d62a4a5d-2752a4e3-d460555a-f7449430-d71a5a41.jpg | cardiomegaly is mild. the questioned opacity projecting over the right upper lobe appears to represent degenerative change at a costovertebral joint. the lung fields are otherwise clear. | <unk> year old man with chf, old nodule // r/o abnormality |
MIMIC-CXR-JPG/2.0.0/files/p16864587/s51971093/55a7e993-e1258205-8594a006-6058f9e4-75bc2f7f.jpg | a left picc terminates in the upper svc. in comparison with the prior exam, it appears to be slightly pulled back. a small metallic density overlies the left apex and appears to be within the subcutaneous tissue on the lateral view. it is unchanged. cervical spine hardware is partially imaged, and unchanged. the lung volumes are low. the lungs are clear without a focal airspace consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the osseous structures are unremarkable; specifically, vertebral body height is maintained in the thoracic spine. | worsening low back pain. has a history of l<num>-<num> epidural and retroperitoneal abscess, status post surgery. |
MIMIC-CXR-JPG/2.0.0/files/p13573314/s56077469/4574008b-572b8aca-5b8784db-86cc1120-acd48b30.jpg | cardiac silhouette size remains mildly enlarged but unchanged. the mediastinal and hilar contours are similar with tortuosity of the thoracic aorta again noted. mild pulmonary vascular congestion appears slightly worse in the interval. no focal consolidation, pleural effusion or pneumothorax is only demonstrated. eventration of the left hemidiaphragm posteriorly is re- demonstrated. s-shaped scoliosis of the thoracic spine with multilevel moderate degenerative changes is again noted. | history: <unk>f with weakness |
MIMIC-CXR-JPG/2.0.0/files/p10655970/s58503591/5f05acc1-9b8a85f1-0f6c11a8-fdc5ee01-006087e9.jpg | the heart is mildly enlarged, but stable. there is mild atelectasis at the right lung base. there is no focal consolidation, pleural effusion or pneumothorax. there is moderate amount of pneumoperitoneum. | history: <unk>m with acute peritoneal abd pain // eval for pneumoperitoneum |
MIMIC-CXR-JPG/2.0.0/files/p16190725/s50923138/60966524-a20ba564-417cae26-0bfa1dcb-49f450f9.jpg | the ett terminates approximately <num> cm above the carina. enteric tube terminates just distal to the ge junction. right ij introducer is unchanged in position. mediastinal drains have been removed. no chest tubes are present. lung volumes are low. bibasilar opacities likely due to pleural effusion with adjacent atelectasis, not significantly changed since yesterday. no pneumothorax. patient has a widened mediastinum, unchanged from prior. stable cardiomegaly. | <unk> year old woman with s/p ao.dissection, post pull // eval ptx |
MIMIC-CXR-JPG/2.0.0/files/p16454913/s56858300/703c8e79-d0147141-8f128fe5-e0055884-a217f4db.jpg | moderate cardiac enlargement appears similar. prominent mediastinal contours are also unchanged. background prominence of the pulmonary vascularity is also quite similar to the prior study. there is probably minimal right basilar atelectasis, but otherwise the lungs appear clear. there is no pleural effusion or pneumothorax. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p15044918/s52070353/af6aabb8-748f2334-4f54623b-1a5d5b6b-401e3ffd.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with pmh ms presenting with b/l <unk> weakness, ruling out infectious etiologies. // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p18266518/s51199141/d929924f-f97d7deb-53516a19-1f315371-7a0baffd.jpg | the lungs are hyperinflated. chronic changes including scarring identified at the left upper lung as well as increased interstitial markings throughout the lungs. there is no new consolidation no are effusion. cardiomediastinal silhouette is mildly enlarged as on prior. no acute osseous abnormalities identified. | <unk>f with speech difficulty, cough // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18423190/s51640692/6dba15e1-4ce611e8-4cd69927-e215740d-c36ef404.jpg | patient is status post median sternotomy and ascending thoracic aorta dissection repair with similar appearance of the superior mediastinal contour. lung volumes are low. moderate enlargement of the cardiac silhouette is re- demonstrated. there is crowding of bronchovascular structures with probable mild pulmonary vascular congestion. a small left pleural effusion is noted. there is atelectasis at the lung bases without focal consolidation. assessment of the left apex is obscured by the patient's neck and chin projecting over this area. no acute osseous abnormalities seen. | history: <unk>m with dyspnea, altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p19783125/s53186211/4c8e8674-5b72a1de-10f4bd42-d3ab12be-ef37f745.jpg | frontal and lateral radiographs of the chest demonstrate severe thoracic spine kyphosis. small bilateral pleural effusions are seen, right greater than left. the cardiac contour is enlarged. there is prominence of the azygos vein resulting in fullness of the right mediastinum. no focal consolidation concerning for pneumonia is seen. no pneumothorax is appreciated. surgical clips are noted overlying the right breast. | crackles and congestive heart failure. evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p11828414/s57840925/9367903c-e21fbd8d-e9425f1e-26b6788e-08f2f6f4.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. no air under the right hemidiaphragm is seen. | history: <unk>f with fever, cough // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p15680945/s53554272/60a8dad1-3346fa29-1dada01a-ad8686b3-c8646f1f.jpg | the left lung is well expanded with minimal linear left basal opacity most likely due to atelectasis or scarring, unchanged from prior studies. left-sided port-a-cath terminates in the distal svc. persistent right apical pleural thickening and scarring with volume loss is unchanged with persistent elevation of the left hemidiaphragm. gastrostomy tube and surgical clips are seen in the upper abdomen. the cardiac size and silhouette is unchanged. left bronchial stent is noted. | cough and prior lung transplant, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16638318/s50092893/ec92e3f8-285188a4-bb43aee6-96ebf39c-80a231de.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is bandlike subsegmental atelectasis at the base of the left lung. no pleural effusion or pneumothorax is seen. | <unk> year old woman with <num> weeks cough // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10312715/s54990354/674f1b98-bca52731-650f357b-67f7f331-4f1493bf.jpg | heart size is top normal, unchanged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is seen. there is no subdiaphragmatic free air. | history: <unk>m with vomiting, heartburn, slight hematemesis |
MIMIC-CXR-JPG/2.0.0/files/p14539710/s57349291/13678800-19dde7b5-1e9c53c3-df309bb0-f395d59d.jpg | lordotic positioning. again seen is a left chest tube and left-sided pigtail catheter, similar in configuration. also again seen is considerable left-sided subcutaneous emphysema. no gross left-sided pneumothorax is detected. however, linear air is seen in close proximity there the aorta and cardiac border raising the question of a small amount of pneumothorax air along the medial side of the lung versus a small pneumomediastinum. the cardiac silhouette itself is grossly unchanged. <num> small metallic densities overlie the cardiac silhouette -- these appear to correspond to endobronchial valves seen in left lower lobe bronchi on the ct from <unk>. minimal increased retrocardiac density could reflect atelectasis. no gross left effusion. again seen is relative lucency at the right lung base, which likely reflects emphysematous change. no convincing right-sided pneumothorax. minimal platelike atelectasis again seen in the right mid zone, but no frank infiltrate. no right-sided effusion. upper zone redistribution, without overt chf. | <unk> year old man with pneumothoax // ?interval |
MIMIC-CXR-JPG/2.0.0/files/p18839030/s55492152/6b8bff46-3cb8e945-ddbd1302-639b3f79-086a89bd.jpg | pa and lateral chest radiographs. there are new interstitial opacities particularly in the lingula but also the right lower lung, seen best on the frontal view. mild bronchial wall thickening is also apparent in the left hilum. there is no pleural effusion or pneumothorax. the heart size is top normal and this is likely accentuated compared to prior radiographs due to differences in inspiration. | four weeks of cough and pleuritic chest pain. no symptoms of chf, though the patient does have a history of coronary artery disease. |
MIMIC-CXR-JPG/2.0.0/files/p10687144/s50845507/76cee6ec-55a8b82e-34f5dffd-7ecfcd81-0be0101f.jpg | frontal and lateral chest radiographs demonstrate low lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding, specifically in both lower lobes. no definite consolidation identified. there is no pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable. visualized bones are unremarkable. | evaluate for pneumonia, in a patient with a headache. |
MIMIC-CXR-JPG/2.0.0/files/p19318303/s59225081/05590ec8-6f456b64-878b8016-88ee276d-be4bd951.jpg | there has been interval placement of a dobbhoff tube; however, the tip is coiled within the distal esophagus. the left subclavian line is unchanged in appearance. otherwise, there are no significant changes in the lungs or the cardiomediastinal silhouette compared to <unk>. | <unk> year old woman s/p meningioma resection with inability to swallow. // please evaluate for position of dobhoff. |
MIMIC-CXR-JPG/2.0.0/files/p16168308/s55398869/cd7a2469-c6836946-cac8ece3-6d8758c6-9ee8cac0.jpg | interval insertion of a left-sided defibrillator with the tip in the right ventricle. moderate cardiomegaly. no pneumothorax or pleural effusion. chronic elevation of the right hemidiaphragm. | <unk> year old man with status post icd // eval for pneumothorax and lead placement |
MIMIC-CXR-JPG/2.0.0/files/p11274035/s58814544/2fa93368-72c0e6df-6774682a-aa32f65e-3a3b5a0a.jpg | cardiac silhouette size is normal. the aorta is tortuous. lungs are hyperinflated with streaky linear opacity in the lingula compatible with subsegmental atelectasis. blunting of the right costophrenic angle suggests a small right pleural effusion. no focal consolidation or pneumothorax is demonstrated. multilevel mild degenerative changes are noted in the thoracic spine along with s-shaped scoliosis. | history: <unk>m with cough |
MIMIC-CXR-JPG/2.0.0/files/p13103745/s51942602/35594ba8-6a504a78-ed240e45-32be2455-09412067.jpg | in comparison to the prior chest radiograph from yesterday morning, the right-sided chest tube has been removed. there is now a <num> cm air collection in the right apex, which is new since the chest tube has been removed. there is also expected volume loss as suggested by the tenting of the right hemidiaphragm. no other significant interval changes. left lung is essentially clear. | <unk>m w h/o hcv cirrhosis/hcc/pv thrombosis s/p liver transplant, with pv thrombus on coumadin until <unk>, now s/p vats right upper lobectomy on <unk> for squamous cell carcinoma stage <num>c now s/p chest tube removal. // assess for ptx following removal of chest tube |
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