File_Path stringlengths 94 94 | Findings stringlengths 10 1.83k | Query stringlengths 4 830 |
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MIMIC-CXR-JPG/2.0.0/files/p15825924/s56657565/aa26f283-4e1c5426-743aaedd-dff4839d-2643e39e.jpg | pa and lateral views of the chest provided. lungs are hyperinflated and clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with isolated fever // r/o infectious process |
MIMIC-CXR-JPG/2.0.0/files/p14628533/s54888841/1e93710b-cb526ea5-fca2ab4d-9c3d0170-89c984a0.jpg | compared to the prior study there is no significant interval change. | <unk> year old man pod<num> cabg // evaluate for effusion/atelectasis |
MIMIC-CXR-JPG/2.0.0/files/p16990633/s56957943/8858e384-f1b06a5b-03d19cef-7eaecb1d-e3d93839.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. anterior wedge compression deformity in the mid thoracic spine is unchanged since <unk>. | <unk> year old man with pain in the lower aspect of the left hemithorax. any abnormalities of the left hemithorax to account for pain in the lower and anterior aspect? |
MIMIC-CXR-JPG/2.0.0/files/p10427568/s56735228/4b07d4ac-ae32dc75-4a52d925-ca5699b7-ce5fad83.jpg | frontal and lateral views of the chest show a hazy opacification within the right lower lobe. there is atelectasis within the left lower lobe. there is no pleural effusion or pneumothorax. cardiac and mediastinal contours are normal. the imaged upper abdomen is unremarkable. | fevers. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18465949/s53557895/46cbf6f0-47e526a8-71ee111a-33a83cbf-4f24bcf7.jpg | mild dextroscoliosis of the thoracic spine is present. lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size normal. | history: <unk>m with weakness // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p17826385/s58519898/bd1c0004-0455e094-37886423-b00e9dd2-f6946fda.jpg | the lungs are clear. there is no effusion, pneumothorax or consolidation. cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is noted. no acute osseous abnormalities identified. | <unk>f with fall, neck pain, l upper chest/clavicle pain // eval for acute fracture |
MIMIC-CXR-JPG/2.0.0/files/p15491215/s57590990/84cc48bd-618f9db0-b7fcff78-65e2f717-dbb781fe.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits. lung volumes are low. | <unk>-year-old female with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18793880/s50771617/954260ad-590dcb3e-aa27a993-76408aa3-cdf87931.jpg | compared to the most recent study from yesterday, there has been a significant reduction in heart size and interstitial edema, suggesting resolution of decompensated congestive heart failure. there remains, however, airspace opacities within the right middle and left lower lobes which is concerning for pneumonia, possibly aspiration etiology given the location. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. | evaluate for pneumonia, aspiration, or atelectasis and patient with a resolved transient episode of hypoxia without cough or fever. |
MIMIC-CXR-JPG/2.0.0/files/p18705722/s50030267/74c782c2-6d848cc7-69aeb8ef-78033cee-dc68337f.jpg | there is stable severe enlargement of the cardiac silhouette. median sternotomy wires and mediastinal clips are in unchanged position. no focal consolidation, pleural effusion or pneumothorax. mild pulmonary vascular congestion appears stable. | history: <unk>m with sob*** warning *** multiple patients with same last name! // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p17669276/s53637827/ce079139-3dd3fe97-6c8688b6-c1ff49b1-d8b8585f.jpg | right internal jugular central line terminates in the mid svc. endotracheal tube is appropriately positioned <num> cm above the carina. a left picc terminates in the lower svc. again seen are moderate pleural effusions, similar to the previous exam. a vertical line in the right hemithorax represents a skinfold. there is no pneumothorax or focal consolidation. mild pulmonary edema is stable. cardiomegaly is unchanged. | history of duodenal ulcer bleed, question interval change. |
MIMIC-CXR-JPG/2.0.0/files/p13880916/s59469360/63389d49-5aaba451-2cfcfbca-f7d8db9c-485e54ec.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. | dehydration and bradycardia. purging and anorexia. |
MIMIC-CXR-JPG/2.0.0/files/p13073377/s54139082/897a2189-d32b8f68-e5e88bb6-747f742e-8950beb8.jpg | left port-a-cath terminates in the low svc. the lungs are normally expanded and clear. moderate cardiomegaly is unchanged since <unk>. there is mild pulmonary vascular congestion without frank pulmonary edema. there is no pleural effusion or pneumothorax. | history: <unk>f with tachycardia // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p18146957/s59193344/74e8540a-335ed5a8-1f73d7ba-351f5841-a0438dc0.jpg | the endotracheal tube terminates <num> cm from the carina. an ng tube courses into the stomach and off the view of the film. a right-sided picc line terminates in the mid svc. the patient status post median sternotomy. low lung volumes contribute to crowding of the bronchovascular structures in bibasilar atelectasis. you would given the low lung volumes, there is probably a component of fluid overload. the mediastinum is widened substantially. | history: <unk>m with intubation // ett eval //history: <unk>m with intubation |
MIMIC-CXR-JPG/2.0.0/files/p10404852/s55252113/a53d8507-e4a54a31-1690ef4a-a912cf81-ad5694f6.jpg | the lungs are clear without focal consolidation. relative elevation of left hemidiaphragm is unchanged. the cardiomediastinal silhouette is within normal limits given relatively low lung volumes. dense atherosclerotic calcifications are noted at the arch. there no visualized displaced fractures. surgical clips in the right upper quadrant suggest prior cholecystectomy. | <unk>f with fall and ams // acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p15180359/s56360528/75e99a80-36415bff-f08667b8-9caae649-b07f7cb0.jpg | since the prior chest radiograph performed on <unk>, the picc has been removed. lung volumes are normal. there is no consolidation, effusion or pneumothorax. heart size is normal. no subdiaphragmatic free air. | <unk> yom with dlbcl p/w confusion and ams. any intrathoracic process? // <unk> yom with dlbcl p/w confusion and ams. any intrathoracic process? |
MIMIC-CXR-JPG/2.0.0/files/p17863754/s55540298/bd7b8a0f-4994a6b5-807b80ff-37c3f097-dba35f68.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is stable given lower lung volumes on the current exam. no acute osseous abnormalities. | <unk>m with cough and poor lung exam // eval for pna, acute process |
MIMIC-CXR-JPG/2.0.0/files/p15373376/s54174423/557a4a05-8d7da82a-55b82395-c289a40a-55fd896a.jpg | the lungs are clear without focal opacities, pleural effusion or pneumothorax. the aorta is tortuous. normal heart size. | history: <unk>m with palpitations |
MIMIC-CXR-JPG/2.0.0/files/p18699421/s52530032/2340a874-94125650-12b0eb86-2387e61a-9c79db7c.jpg | the cardiac silhouette is markedly enlarged, increased from prior; underlying cardiomyopathy or pericardial effusion may be present. the aorta is calcified, indicating atherosclerosis. the mediastinal and hilar contours are normal. low lung volumes. the pulmonary vasculature is normal. there is bibasilar atelectasis. no pleural effusion or pneumothorax is seen. multilevel degenerative changes of the visualized spine. | history: <unk>m with <unk> edema // assess for chf |
MIMIC-CXR-JPG/2.0.0/files/p15571243/s57121007/aacb5af4-6d8bd67b-10453bd0-5dbd0bc2-50cd5b04.jpg | there has been interval placement of a right-sided chest tube. there is a persistent moderately large pleural effusion similar to slightly increased in size when compared to the prior study. there is a small amount of air within the pleural fluid. the right hilar mass is less clearly seen, partially obscured by a atelectasis related to the pleural fluid. the left lung appears grossly clear. the known pulmonary nodules are not clearly visualized. no pneumothorax seen. | <unk> year old woman with new right pleurex placed // r/o r ptx |
MIMIC-CXR-JPG/2.0.0/files/p15375131/s53110849/ebe5917c-4e7e40ab-5b5d06f9-1c9bdca6-51049fb7.jpg | bibasilar atelectasis and small effusions are new since <unk>. there is no pneumothorax or large nodule. moderate cardiomegally has increased since <unk>. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14416841/s53369592/8a0078cb-62df4b4f-72c4642f-aab0c80f-02f97dc6.jpg | the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18302634/s56391678/4e72171e-1e74ec13-29de833c-88c46f78-0b20032e.jpg | the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. a percutaneously placed g-tube sits just left of midline in the upper abdomen. there is no subdiaphragmatic free air. | <unk>-year-old female with shortness of breath as well as malnutrition and recent g-tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p17740852/s50275554/9d9307ef-20cd8e61-4c858d52-ddf3e172-c3734ffc.jpg | there are low lung volumes with bronchovascular crowding. bibasilar opacities likely reflect atelectasis, although aspiration or pneumonia cannot be excluded in the right clinical setting. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette unchanged from prior exam. | preop // preop |
MIMIC-CXR-JPG/2.0.0/files/p13362925/s56919078/270db310-d91bd008-f5d8ae27-33dcc1be-d1b65fe1.jpg | the cardiac silhouette is mildly enlarged. there is no focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. | <unk>-year-old female with sickle cell crisis/back pain with ecg changes. please evaluate for signs of acute chest syndrome. |
MIMIC-CXR-JPG/2.0.0/files/p11671901/s57874842/3cc30356-815e59bb-584ae044-d613d1c9-1f5ffe26.jpg | right-sided pleural effusion is again seen. there is no large left effusion. the lungs are otherwise grossly clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. | <unk> year old woman with fever, tachycardia // evaluate for pneumonia, acute process |
MIMIC-CXR-JPG/2.0.0/files/p16160008/s50106158/a182a0d8-9b699ee2-32abfbbe-1e8e82ae-8652e3ba.jpg | there is a known right juxtahilar upper lobe mass and hilar lymphadenopathy. associated fiducial markers and distal atelectasis are noted. no focal consolidation, pleural effusion or pneumothorax is seen, and the heart is normal in size. a subcentimeter opacity projecting over the left mid-lung corresponds with a left fifth rib bone island seen on the recent chest ct. | <unk> year old man with a lung mass now with hemoptysis. please evaluate for intrathoracic pathology. |
MIMIC-CXR-JPG/2.0.0/files/p19299811/s53068315/52bad9cb-653d26c3-25d2824a-81ca16b5-a3184ebf.jpg | as compared to <unk>, mild interstitial pulmonary edema has improved, however there is increased central vascular enlargement. there is also persistent left retrocardiac atelectasis. bilateral small pleural effusions are also stable. the heart is mildly enlarged. | <unk> year old man with chf and hypoxia // ?please evaluate for worsening pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p17787251/s59671636/1f412803-7d611172-7ff8e571-e5887f54-2b44a485.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. there may be tiny bilateral pleural effusions. no pneumothorax is seen. there are no acute osseous abnormalities. | <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13050725/s54918255/a891877b-5cc06d93-6e582f78-ce1c945a-bef2fcbb.jpg | there is mild bibasilar atelectasis, greater in the left base than the right. otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is at the upper limits of normal. the aorta appears somewhat tortuous. cerclage wires are again noted overlying the posterior neck. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18083893/s58129155/e73b47aa-680fea53-e3546c3d-0592f6e3-8ff60157.jpg | the endotracheal tube has been withdrawn and is now appropriately positioned approximately <num> cm above the level of the carina. as compared to the prior examination performed <unk> min earlier, there has been no relevant interval change. all remaining lines and tubes are in unchanged locations. | history: <unk>f s/p repositioning of chest tube // repeat cxr for chest tube placement s/p pull back |
MIMIC-CXR-JPG/2.0.0/files/p13575285/s59568633/5982a67a-678481af-d5fe1e94-92960733-5e97a92f.jpg | 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. | history: <unk>f with cp // pna? |
MIMIC-CXR-JPG/2.0.0/files/p10094496/s55325996/fe8d4a29-14e7df77-1fa81d66-e26232ad-cf9ecc07.jpg | the lungs are hyperinflated suggesting a chronic obstructive pulmonary disease. there is no evidence of a focal consolidation, effusion, or pneumothorax.the cardiomediastinal silhouette is normal. extensive costal cartilage calcifications are noted. no acute fractures are identified. pectus excavatum deformity is noted. | evaluation of patient with altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p17224335/s59853515/ec882dca-9b16742b-273f3878-80165f5b-44f105f7.jpg | since the prior chest radiograph performed earlier on the same date, there has been interval placement of an endotracheal tube that terminates <num> cm above the carina. enteric tube courses the body of the stomach. a swan-ganz catheter terminates in the main pulmonary trunk. median sternotomy wires are intact. there is no new consolidation. left retrocardiac opacity likely represents atelectasis. layering bilateral pleural effusions are similar to the prior study, accounting for is slight differences in technique. there is no pneumothorax. stable cardiomegaly. | <unk> year old woman s/p intubation // eval for ett position |
MIMIC-CXR-JPG/2.0.0/files/p14660168/s56317711/67b027af-e0c974b1-b0c492be-57b4b791-8d0a62d9.jpg | the lungs are well expanded. a flask shaped opacity in the right lower lobe is compatible with a large hiatal hernia. there is no consolidation, effusion, or pneumothorax. cardiomegaly is mild. aortic arch calcifications are mild. diffuse demineralization of the osseous structures is noted with mild loss of height of multiple thoracic vertebral bodies. heterotopic ossifications vs. loose bodies are noted in the left shoulder. | poor oral intake and functional decline |
MIMIC-CXR-JPG/2.0.0/files/p15919853/s51488463/bd61d89e-fd1fcb55-19bac7d0-1e2cd91e-54d30d7f.jpg | frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is top normal. a coronary artery stent is again noted. mediastinal silhouette and hilar contours are normal. no displaced rib fracture is seen. | chest pain and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p17006872/s54189022/c530b46c-3be7e3c6-28f91990-b9152ec4-2f61ea52.jpg | the right chest tube is in stable position. there is continued decrease in the size of the right pneumothorax which now measures less than <num> mm at the apex. there is no focal consolidation or pleural effusion. the cardiomediastinal silhouette is normal. | shortening of chest tube and changed to pneumostat prior to transfer home. evaluation for stability of pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14178903/s56050173/e0225bd6-4601e1f9-a5459d41-0f6a2130-2cc7c5be.jpg | portable chest radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. lungs are clear. no pleural effusion or pneumothorax evident. no osseous abnormality identified. | altered mental status, hypoglycemia. please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17467916/s53169475/17b98166-0ffe2752-4747aaed-a8c2f378-ed7aec06.jpg | pa and lateral views of the chest are <unk> at <time> are submitted. | <unk> year old woman with <num>lb weight loss // mass? mass? |
MIMIC-CXR-JPG/2.0.0/files/p17928623/s53616503/3f816359-b0c43c12-fe75ebcb-d110e85b-437e8b54.jpg | lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no mediastinal widening is seen. | history: <unk>m with chesrt pain // presence of mediastinal widening, ptx, infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13322350/s57435429/98d6b5fe-b17542ae-ef88b1b9-3de6cb62-3651f76e.jpg | pa and lateral views of the chest provided. right ij access dialysis catheter is noted with tip in the low svc/cavoatrial junction. the heart is mildly enlarged. no focal consolidation, effusion or pneumothorax is seen. no overt edema though mild cephalization is suggested. mediastinal contour is unremarkable. bony structures are intact. | <unk>m with shortness of breath and palpitations. |
MIMIC-CXR-JPG/2.0.0/files/p18182430/s56242692/a38b0407-19375964-95877c99-d69926f9-a6d032b7.jpg | new large left-sided pleural effusion. heart size cannot be reliably assessed but there is at least moderate cardiomegaly. calcifications of the aortic knob. left hilar contour cannot be evaluated. right hilar contour is not well evaluated. there may be mass effect from a large pleural effusion with rightward mediastinal shift. lungs demonstrate pulmonary vascular congestion and mild edema. bones are diffusely demineralized. severe degenerative changes of bilateral glenohumeral joints are partially imaged. | shortness of breath. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16416795/s51057907/5f6b119c-572e8153-aa726ce8-9eb474cd-4e718315.jpg | portable semi-erect chest radiograph <unk> at <time> is submitted. | <unk> year old man with bacteremia, right hip and knee septic arthritis, metabolic acidosis i/s/o infection with increased resp effort // infectious vs. volume overload infectious vs. volume overload |
MIMIC-CXR-JPG/2.0.0/files/p16220748/s51812044/faacc148-41103cf7-42ae8be4-bb6dd01a-076f7323.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | history: <unk>m with cough and chills // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p17825043/s53427940/e2376296-942bf39d-9e018725-e20e734f-d0b2f5ef.jpg | heart size is normal. mediastinal and hilar contours are unchanged with prominence of the superior mediastinum compatible with lipomatosis as seen on the previous cta chest. lungs are clear and the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities present. | history: <unk>m with intermittent substernal chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17557195/s57234332/46a260ef-f758e5f3-43a0cb27-6d47179d-ffa56288.jpg | no focal consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. | <unk>-year-old woman with dyspnea on exertion, rule out infection. |
MIMIC-CXR-JPG/2.0.0/files/p10877420/s55078986/e2a11a8f-cafce8ba-69df8721-83b56f36-e9cf1edf.jpg | pa and lateral chest radiographs demonstrate spinal stimulator wires in the midline. the lungs are clear and the cardiac, mediastinal, and hilar contours are normal. no pleural abnormality is seen. | left lower lobe nodularity seen on recent fluoroscopic procedure. evaluate for left lower lobe mass. |
MIMIC-CXR-JPG/2.0.0/files/p14340505/s56926892/9dc34d35-ba403d4f-8711f66a-2837124c-84e2f4f9.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. multiple clips are noted within the right upper quadrant of the abdomen. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15547338/s51854810/0e17956d-fda49341-7e3a1a90-433e0ad9-bdc08ad6.jpg | decreased volume of the right lung and right upper lobe scarring re- demonstrated. multiple pulmonary nodules better assessed on recent chest ct from <unk>. extensive hilar and mediastinal adenopathy seen on ct was better assessed on ct. new since the prior study is opacity projecting over the left lung, centered in the left mid lung but also involving the left lower lung and the inferior left upper lung, worrisome for infection or aspiration, new/increased since <num> days prior. more focal irregular appearing opacity also seen in the lateral left upper lobe, not well seen on the prior study, may be an additional site of infection. persistent blunting of the right costophrenic angle is seen, possibly due to trace pleural effusion. there is also slight blunting of the left costophrenic angle. cardiac and mediastinal silhouettes are stable. | history: <unk>m with disconj gaze and rales // acute process |
MIMIC-CXR-JPG/2.0.0/files/p12908530/s59084112/57c2ff80-8413fa89-ff646c91-96a56c4a-d88d46ac.jpg | the cardiac, mediastinal and hilar contours appear stable for aside from some increase in the size of the heart, which is probably borderline in size, allowing for pectus excavatum. there is no pleural effusion or pneumothorax. the bones are probably demineralized. no fracture is identified. | status post fall with rib tenderness. |
MIMIC-CXR-JPG/2.0.0/files/p12542205/s52215731/e38280ad-db8e4eb8-cc7dba7b-caf1c9c8-5309424c.jpg | pa and lateral views of the chest were reviewed and compared to the prior studies. elevation of the minor fissure, hazy perifissural opacity and increased size of the right hilus have all been stable since <unk>, likely the result of prior granulomatous infection also responsible for calcified lymph nodes in the right hilus and ap window. calcification in the mitral annulus and aortic knob are unchanged, but heart size is normal. | cough, mild shortness of breath and right basilar crackles. |
MIMIC-CXR-JPG/2.0.0/files/p18173974/s56757236/677549e6-f83faae7-3142d67a-4747c3e1-16dfad43.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is a moderately large hiatal hernia. | <unk>f with l shoulder pain, evaluate for infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p18891030/s58791071/4faedf4d-069cdeef-2207c159-c4b4f088-7683390d.jpg | there is further elevation of the right hemidiaphragm. and increased pulmonary vascular congestion in the right lung. there left lung congestion has improved. et tube is above the carina. ng tube is in the stomach. | <unk> year old woman unable to wean from vent // continued hypoxemic respiratory failure |
MIMIC-CXR-JPG/2.0.0/files/p10627650/s58021032/e9cbc92d-1d44ab29-7fec12be-a7790cd4-c03259d3.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. | history: <unk>m with esrd on hd with chest pain today // eval pna, effusion |
MIMIC-CXR-JPG/2.0.0/files/p10318338/s56254720/6afa1f29-b135463f-dca1c8c9-4987b2f0-0114eafc.jpg | lungs are fully expanded and clear without consolidations or effusions. heart size is normal. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal. | <unk> year old woman with productive cough, h/o copd, infreq tobacco // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p16705973/s55415914/29f9fb10-ba5f3b27-4a3de0a4-9e99ab61-9b435277.jpg | the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history: <unk>f with palpitations and chest pain. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p18567332/s52093626/f7dcb6d7-f4aeae9e-e3137654-a3ae2497-0c1baa99.jpg | the patient is status post sternotomy. the heart is at the upper limits of normal size. there is moderate unfolding of the thoracic aorta. the lungs appear clear. there are no pleural effusions or pneumothorax. mild degenerative changes involve the lower thoracic spine. | chest pain and ekg changes. |
MIMIC-CXR-JPG/2.0.0/files/p11967908/s52579902/8cb7d337-71f857da-13b48c88-502f79c7-7956b580.jpg | pleural drain projecting over the right hemi thorax and heart is in different configuration compared to the study of <unk>, however there is no evidence of pneumothorax. scarring at the right apex is unchanged. there is no large pleural effusion. heart size is normal. the mediastinal and hilar contours are unchanged. there is no evidence of new focal airspace opacity to suggest pneumonia or pulmonary edema. | history: <unk>f with increased dyspnea and nausea on oral abx for pnx // r/o chf vs progression of pnx |
MIMIC-CXR-JPG/2.0.0/files/p10655970/s56940487/b04ec57e-862d76d4-f5492cf2-6fb1067d-0c517cc4.jpg | pa and lateral views of the chest provided. there is no focal consolidation. pulmonary vasculature is normal. heart size is normal. there are no pleural effusions. | <unk> year old man with persistent cough |
MIMIC-CXR-JPG/2.0.0/files/p18991142/s53931321/cf1881f4-585bcc35-4d033285-646b682e-aee185c5.jpg | right pectoral infusion port terminates at mid svc. multiple pulmonary nodules are similar compared to <unk>. opacity in the retrocardiac region on lateral view which may be due to atelectasis however pneumonia is possible. there is no pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | <unk> year old woman with decreased breath sounds, persistent fevers, neutropenia // infection? |
MIMIC-CXR-JPG/2.0.0/files/p17876909/s52949541/dff6adc2-fef27426-63b8694d-87a29a84-9f1223a2.jpg | there is increased volume loss/ infiltrate in the right lower lobe. there remainder the appearance of the chest is unchanged | <unk> year old man s/p tavr new pna // acute processes |
MIMIC-CXR-JPG/2.0.0/files/p14196815/s58227823/94aa6fcb-d6dda078-5729329f-5174df48-fa26ce89.jpg | pa and lateral views of the chest. no prior. correlation is made to chest ct from <unk>. the lungs are clear. there is no effusion. cardiomediastinal silhouette is normal, noting mildly tortuous aorta. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with weakness. |
MIMIC-CXR-JPG/2.0.0/files/p14820219/s57954411/73577bd2-9f59968e-b15af626-aaf2d476-5ce3127f.jpg | there is increased density in the right lower lung, concerning for pneumonia. small right pleural effusion is present, as seen on recent ct. innumerable bilateral pulmonary nodules are better seen on ct. lung volumes are low, exaggerating pulmonary vasculature, which is mildly prominent. heart size is top normal but may be exaggerated by low lung volumes and ap technique. right hilar fullness may correspond to adenopathy or known malignancy. sclerosis of the left <num>th rib is unchanged, compatible with metastasis. | <unk>-year-old male with question of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17675016/s56319977/224d0a28-87f9a1b4-6e20b741-d91988e4-f6749eaa.jpg | a dobbhoff tube is seen coiled in the upper esophagus. tracheostomy tube remains in unchanged location. stable pulmonary edema with associated small bilateral pleural effusions. the mediastinal veins are dilated. mild, left lower lobe atelectasis is noted. stable, moderate cardiomegaly. unchanged post-thoracotomy changes in the right upper ribs. no pneumothorax. stable mediastinal contours. | evaluate placement of dobbhoff tube. |
MIMIC-CXR-JPG/2.0.0/files/p11628624/s58052598/ef74b229-dc58a9f5-fde227f8-143ef2a2-52e78aa3.jpg | the heart remains moderately enlarged. there is no new focal consolidation, appreciable pleural effusion or pneumothorax. there is moderate pulmonary edema, which is stable since the prior examination. | history: <unk>m with chf, <unk> edema, <num>lb weight gain // eval for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p19167364/s50523176/77fa6d59-d3f39db5-5fcfac75-08860c55-fee36988.jpg | moderate cardiomegaly is unchanged. the mediastinal and hilar contours are stable. there is slight worsening of right basilar opacity. previous vascular congestion is improved. there is no large pleural effusion or pneumothorax. | <unk> year old woman with likely aspiration event, hr to the <num>s // eval for aspiration |
MIMIC-CXR-JPG/2.0.0/files/p17894379/s59807849/6422fb41-69f52433-c25c236a-12c8a43b-b6571c46.jpg | frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or vascular congestion. the cardiac silhouette is enlarged but stable. enlargement of the thoracic aorta is unchanged. median sternotomy wires and mediastinal clips are again seen. | <unk>-year-old male with history of afib with recent episodes of rapid ventricular rate at dialysis. |
MIMIC-CXR-JPG/2.0.0/files/p10233650/s55585846/cb4474de-12f2669a-9bf6302b-a823af12-bead9ecf.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with diffuse severe abd pain, hx pan-colitis |
MIMIC-CXR-JPG/2.0.0/files/p11047741/s54474316/aff47afb-d271844e-22c375f2-4c77d741-95bd2df2.jpg | compared to prior, the upper lobes are clear without evidence of pulmonary edema. mild decreased cardiomediastinal silhouette is likely due to positioning. small right pleural effusion and right basal atelectasis are unchanged compared to prior. there is stable appearance of retrocardiac opacity, likely combination of left basal atelectasis and small pleural effusion. monitoring and support lines are unchanged in position, including esophageal probe coiling in the cervical esophagus with its tip in the oropharynx since <unk>. on the mediastinal anatomy wires are aligned is intact. abandoned pacer leads project over the left lung. | <unk> year old woman with heart failure, intubated s/p arrest // interval change? |
MIMIC-CXR-JPG/2.0.0/files/p12488581/s53816731/366f2c28-76e25eff-76e69895-4904c7d9-a3bc6bcf.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with left sided chest/back pain |
MIMIC-CXR-JPG/2.0.0/files/p14575347/s56831043/cfde6cc9-f979a825-e33b90bf-10406e96-9331adbd.jpg | the heart size is mild to moderately enlarged. the aorta is tortuous. mild emphysematous changes are noted, and there is mild interstitial pulmonary edema. streaky opacity within the left lung base likely reflects atelectasis. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities seen. | altered mental status, slurred speech, right-sided weakness, intoxicated. |
MIMIC-CXR-JPG/2.0.0/files/p12739299/s50035513/84199923-8466aa3a-7aca0481-fbad48a2-1bf7ce21.jpg | there is interval placement of dobhoff tube with a guidewire still in place. this tube terminating well in the stomach. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lung volumes are low, but there is no focal consolidation concerning for pneumonia. bibasilar atelectasis is mild. the upper abdomen is unremarkable in appearance. | <unk> year old man s/p ng tube placment // evaluate placement |
MIMIC-CXR-JPG/2.0.0/files/p13173710/s53423694/3f38a941-35a5140a-9c04d8ca-8c8445bf-b1722aff.jpg | there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities. no subdiaphragmatic free air. | <unk>-year-old female with congestive heart failure and increasing shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p12953903/s50262150/5d1c7eb7-8daa49e3-0d900d73-3e1253d6-2a497b06.jpg | frontal and lateral views of the chest demonstrate no focal consolidations, effusions, pneumothoraces. no signs of overt failure. heart size is again top normal. degenerative changes are seen in the spine. | <num> weeks of cough. |
MIMIC-CXR-JPG/2.0.0/files/p17769329/s58414651/a473c297-09fa85b3-38b97862-55acdd53-8b3d622c.jpg | pa and lateral chest radiographs were obtained. heart is normal in size, and cardiomediastinal contours are unremarkable. there is wide linear density overlying the left apex, likely representing braded hair overlying that region. lungs are clear with no evidence of focal consolidation to suggest pneumonia. no pleural effusions and no pneumothorax. | <unk>-year-old woman with productive cough, shortness of breath, and history of bronchiectasis and swallow disorder, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10345452/s59828182/2cec2acc-c2520dd8-7a34ecb0-6f3877dd-19ed5741.jpg | lung volumes are low. heart size is at least mildly enlarged. the aorta is unfolded. there is crowding of the bronchovascular structures with possible mild pulmonary vascular congestion, but no overt pulmonary edema is present. bibasilar airspace opacities likely reflect the patient's known of fibrosing nsip, as seen on the prior chest ct. blunting of the left costophrenic angle could suggest a small left pleural effusion. no pneumothorax is identified. no acute osseous abnormalities are visualized. | worsening cough, shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17234374/s56142189/2ea49caf-60098573-ecd66a34-51189caa-c3cb2e1d.jpg | pa and lateral views of the chest provided. a right paramediastinal mass is again seen with convex bulging of the right paratracheal stripe as on prior exam. there may be interval increase in size of this mass as compared with prior exam though this can be further assessed on ct. lungs remain relatively clear. heart size is stable. bony structures appear intact. no free air below the right hemidiaphragm. | <unk>m with cough, history of lung a cancer. |
MIMIC-CXR-JPG/2.0.0/files/p18845114/s56442670/b41e2e6a-364dd592-30b7c4f9-6c414e60-2c33e579.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 |
MIMIC-CXR-JPG/2.0.0/files/p12503324/s52523044/31879925-d6eefc52-963b6013-b10c28ee-13df8e2f.jpg | a right picc is in unchanged position with the tip in the mid svc. the lung volumes are low. again, there are moderate bilateral pleural effusions which appear marginally increased in size. bibasilar atelectasis appears stable. there is new interstitial prominence, suggestive of mild edema. there is no pneumothorax. the cardiomediastinal silhouette is stable. | right hand swelling. evaluate picc line. |
MIMIC-CXR-JPG/2.0.0/files/p15549843/s58937731/8f097717-eb6db712-098d871c-1bd38866-a9e7125f.jpg | lung volumes are low. heart size remains mildly enlarged. the aorta is tortuous. mediastinal contour is unchanged. there is crowding of the bronchovascular structures without overt pulmonary edema. bibasilar airspace opacities are worse compared to the previous chest radiograph, and the left basilar opacity appears to be new compared to the previous ct. a small left pleural effusion may be present. no pneumothorax is demonstrated. previously demonstrated ill-defined nodular opacities in the right upper lobe on ct are likely still present on the current radiograph. diffuse demineralization of the osseous structures is re- demonstrated. degenerative changes of both shoulders are again noted along with narrowed acromial humeral intervals suggestive of rotator cuff disease. | history: <unk>f with hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p10909916/s55321568/56b27c80-f0c4dc5e-4be2d77d-ebae5f1d-cd117c4f.jpg | interval increase in cardiac diameter with pulmonary vascular congestion and interstitial thickening suggest cardiogenic pulmonary edema. no areas of confluent airspace consolidation. no pneumothorax. no large pleural effusion. right-sided central line in situ with the tip in the mid svc. spondylotic changes of the thoracic spine. | <unk>f w/ aplas (c/b dvt/pe on lovenox), t<num>dm, cva (patent pfo), flt<num>+ aml (s/p <num>+<num> w/ residual dz, <num> cycles decitabine, now in cr<num>) admitted for nonmyeloablative cord sct with flu/mel/atg (day <num> <unk>). // concern for flash pulm edema. |
MIMIC-CXR-JPG/2.0.0/files/p11336923/s58110490/feee58ff-3c7abe8a-b4829b39-fdcc63d2-6f81330c.jpg | frontal and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unchanged. aortic arch calcifications are noted. heart size is normal. there is mild interstitial pulmonary edema, new since prior. compression deformities of the mid thoracic vertebral bodies are stable. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14901858/s54515707/d1dcfd6c-c682144f-a95b140b-25123c5f-02a97504.jpg | large left pleural effusion and adjacent atelectasis of the left lower lobe. no pneumothorax. the right lung and left upper lobe are well expanded and clear. no right pleural effusion. | <unk> year old man status post-op laparoscopic adrenalectomy at <unk>-? pleural effusions??? // surg: <unk> (laparoscopic left adrenalectomy) |
MIMIC-CXR-JPG/2.0.0/files/p19509694/s55430621/2d57c1a2-21bcf8ae-c4dd3c5f-fc4a8c7e-76b57a31.jpg | the heart is again mild-to-moderately enlarged.there is new confluent opacification in the left upper lobe, particularly near the apex with lesser involvement elsewhere. to a lesser degree, there is also new right apical opacification. a right lower lung opacity is similar to improved, however. the lungs are hyperinflated. there is no pleural effusion or pneumothorax. bony structures are unremarkable. | cough and body ache. |
MIMIC-CXR-JPG/2.0.0/files/p11460066/s55842470/a512f3e5-3cb607b8-b9e37532-17d76809-621d23dd.jpg | in comparison to the chest radiograph obtained <num> days prior, there has been interval removal of left-sided chest tube. a small left basilar pneumothorax persists. small, bilateral pleural effusions and bibasilar atelectasis have increased. mild cardiomegaly is unchanged. no pulmonary vascular congestion and pulmonary edema. | <unk> year old woman s/p l vats pericardial window. // r/o ptx post ct removal |
MIMIC-CXR-JPG/2.0.0/files/p10526151/s58890916/5fd9a880-ec5c0125-4acd6a18-d1e9fe32-1bdfa517.jpg | pa and lateral chest radiographs provided. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there are old right-sided healing rib fractures. a minimally displaced sternal fracture demonstrates no appreciable callus formation. | history of sternal fracture, evaluate for evidence of instability or healing. |
MIMIC-CXR-JPG/2.0.0/files/p14671796/s53340396/a496dd57-2b41b173-e5254ad2-b5423d14-058b1876.jpg | upright and lateral radiographs of the chest are provided. there is airspace opacity in the right middle lobe, obscuring the right cardiac border and in the left lower lobe overlying the hemidiaphragmatic contour.. there are a small number of air bronchograms. the heart size is normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | evaluate for acute process in a patient presenting with fever and leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p14014950/s59106868/6e5ef5ce-9ec3480d-5e5b4ba7-c3ac0a14-cc5498ac.jpg | the cardiomediastinal and hilar contours are stable. there is no pneumothorax. previously noted right pleural effusion is no longer apparent. a small to moderate left pleural effusion is decreased in size compared to prior. the lungs are well-expanded without focal consolidation concerning for pneumonia. post cabg changes are noted. pacemaker leads are in unchanged position. | <unk>f with sob |
MIMIC-CXR-JPG/2.0.0/files/p19843082/s56901714/ae69fc25-a8902541-4a454464-e25ea0ff-542957a4.jpg | pa and lateral views of the chest were provided. linear basilar opacities are most compatible with atelectasis. there is no definite sign of pneumonia or chf. no large effusion or pneumothorax is seen. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm is seen. | <unk>-year-old female with cough, shortness of breath x<num> days. |
MIMIC-CXR-JPG/2.0.0/files/p16010561/s51543700/9814b265-6bddb71e-73eb4991-0d7848bf-325e7e2b.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | right-sided chest pain with deep breathing. right upper quadrant pain. |
MIMIC-CXR-JPG/2.0.0/files/p11129409/s54761059/eca98edd-daccf8ae-0064cda6-10dbd324-03595922.jpg | ap view of the chest provided. there is a small left apical pneumothorax, which is similar in degree to the <unk> <time> exam. there is no mediastinal shift. left-sided pigtail catheter position is unchanged. right lung is clear. | <unk> year old man with l spontaneous ptx **please do at <num>am** // ct on clamp trial <num> hours |
MIMIC-CXR-JPG/2.0.0/files/p15731226/s51934104/ce89c4d4-3471c910-9ee32ec2-dadbbab1-5e1c6909.jpg | portable frontal ap chest film dated to <unk> at <time> is submitted. | interval change |
MIMIC-CXR-JPG/2.0.0/files/p15782061/s58494217/b7c8c5c6-65ef0e40-27815351-462090e8-98b4e45e.jpg | the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality, no visualized acute fracture. | <unk>f with s/p mvc. midline c-spine tenderness. mild t-spine pain. sternal pain. // ?fracture |
MIMIC-CXR-JPG/2.0.0/files/p10629685/s53426287/b1d27623-71fcc5ea-baf91c5c-f7d5371b-38e9bdb6.jpg | the lungs are clear other than a small calcified granuloma projecting over the right mid-upper lung, unchanged. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. it descending thoracic aorta is tortuous, unchanged. median sternotomy wires and clips are unchanged. | <unk>-year-old man with fevers. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12689880/s58167866/b1844685-6b2dcdc1-aef26683-96ad9c5c-2bd67ce6.jpg | single portable view of the chest is compared to previous exam from <unk>. there are predominantly perihilar parenchymal opacities, right greater than left likely dur to pulmonary edema. mild blunting is seen at the left costophrenic angle which is new from prior. cardiac silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with desaturation, question pneumonia or chf. |
MIMIC-CXR-JPG/2.0.0/files/p19693863/s50272791/8645899e-7d6d6e83-08df43df-ba0c72d2-8791a2a7.jpg | heart size is top normal with mildly tortuous thoracic aortic arch. hilar contours are unchanged. again identified is a widespread ground-glass opacity involving most of the right upper lobe and right middle lobe and left lung base, similar compared to a ct examination from one day prior given difference in technique. again appreciated is small right-sided pleural effusion. again identified is a roughly <num> cm left upper lobe nodule as seen on recent ct examination. the remainder of the left lung field is otherwise clear. there is no pneumothorax. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p16237106/s51058494/c29314bd-8cb77687-a5c82024-1c642201-29c66faa.jpg | in comparison to the recent ct chest, no significant changes are appreciated. substantial peritracheal and hilar soft tissue densities correspond to comparable bulky lymphadenopathy better appreciated on ct chest dated <unk>. the lungs are otherwise fully expanded and clear without focal consolidation or suspicious pulmonary nodules. heart size is normal. no pulmonary vascular congestion. no pleural abnormalities. | <unk> year old man with metastatic rccbaseline assessment prior to start of new treatment // grant <unk>assessment of tumor burden prior to start of therapy |
MIMIC-CXR-JPG/2.0.0/files/p18948084/s57048195/37224361-bfb8c52a-4959b3ad-d2d87b9e-a50c5db7.jpg | improved aeration of the lungs bilaterally, particularly on the right. heart is normal in size and configuration and cardiomediastinal borders are unremarkable. there is interval removal of one of the chest tubes, the other remains stable in its position. the pleural effusion on the right has somewhat decreased in size and there is better expansion of the right lower lobe. the left lung remains unchanged. no pneumothorax. there is also an area of pleural thickening adjacent to the right lower lobe, which appears to be unchanged as well. | <unk>-year-old man with pleural effusions, evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p19622209/s58025402/efe0e82f-94828625-cb3466c4-406b5ba4-5a3ec3ea.jpg | the heart is top-normal in size. there is no pleural effusion or pneumothorax. there is little if any vascular congestion without pulmonary edema. there is no focal consolidation. surgical clips along the right neck are demonstrated. | <unk> year old woman with crackles and lower saturdation on ra s/p anesthesia // ? aspiration |
MIMIC-CXR-JPG/2.0.0/files/p11981211/s58647509/58f8be5a-a359e660-8d7e3fed-c47583ff-cf0ebeb2.jpg | there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac, mediastinal and hilar structures are unremarkable. | weakness. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p18161880/s54265360/e20d9924-9282bbe7-c540f776-0f15c61e-66d6af19.jpg | left basal pleural drainage to is in similar position. left small apical pneumothorax is unchanged. median sternotomy wires remain intact and tunneled dialysis catheter in the right atrium. mild interstitial edema has not significantly changed when compared to the prior examination. there remains moderate to severe cardiomegaly with retrocardiac opacity and small effusion. | <unk> year old man with pleural effusion, s/p chest tube placement, with new pneumothorax // change in pneumothorax |
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