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MIMIC-CXR-JPG/2.0.0/files/p11980576/s52136700/b9effe2a-a48aa5e4-744234f2-335f2e0f-50a95db8.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with cough and sob // eval pneumonia, other acu |
MIMIC-CXR-JPG/2.0.0/files/p11604900/s52394462/376f6d78-f889e5c9-94bbc20c-eaccd488-c524045d.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are slightly low, which accentuates bronchovascular markings. given that, the lungs appear clear without focal consolidation. no pleural effusion or pneumothorax is seen. | <unk>f with malaise, subjective fevers // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19092032/s56465043/e9fd4960-b858c91b-944a6bc1-6d24e89a-07b36837.jpg | right internal jugular central venous catheter tip terminates in the region of the low svc. no pneumothorax is identified. there has been interval improvement in aeration of the lung bases with residual patchy bibasilar opacities, likely atelectasis. no large left pleural effusion is present. the right costophrenic angle is excluded from the field of view. cardiac and mediastinal contours are unchanged. | history: <unk>m with central line placement |
MIMIC-CXR-JPG/2.0.0/files/p15034970/s54352335/b580836b-f5cb032a-a9444602-393343fc-8faf3cd4.jpg | linear opacity at the right lung base is most suggestive of atelectasis versus scar. the lungs are otherwise clear. there is no pneumothorax or effusion. the cardiomediastinal silhouette is within normal limits. no visualized acute osseous abnormalities. surgical clips identified in the right upper quadrant suggesting prior cholecystectomy. | <unk>f with chest pain s/p fall, subxyphoid tenderness // r/o fracture of ribs, sternum |
MIMIC-CXR-JPG/2.0.0/files/p17722351/s59716545/8b7f13a2-46b47acf-152b29c5-e2f76221-fadb8910.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. | periscapular back pain. |
MIMIC-CXR-JPG/2.0.0/files/p19175407/s50486402/2234caf6-20a86f26-b2234b75-7f31aed3-6f66b600.jpg | compared to the prior study from earlier today, there is no interval change in the position of the pacemaker leads or the pacemaker generator. there is no pleural effusion. the cardiac and mediastinal contours are unchanged and the lungs are clear. | new pacemaker lead placement. |
MIMIC-CXR-JPG/2.0.0/files/p16499123/s50860282/166c1057-5146f2df-41e984f1-b2b503b6-f9e781d9.jpg | the lungs are mildly hyperinflated, which is may be due to copd or small airway obstruction. the lungs are otherwise clear. mild bibasilar atelectasis is noted. the heart is mildly enlarged. no pneumothorax, pulmonary edema, or pneumonia. | history: <unk>f with chest pain, shortness of breath. // acute process to explain chest pain or shortness of breath? |
MIMIC-CXR-JPG/2.0.0/files/p18161880/s58806985/a648576d-9f3871df-bbe8b5ca-a01bfb77-dded7a55.jpg | in comparison to the prior radiograph on <unk>, there has been worsening of the substantial left-sided pleural effusion with adjacent atelectasis. right lung is essentially clear. no evidence of pneumothorax bilaterally. severe cardiomegaly is unchanged. median sternotomy wires are intact. hemodialysis catheter terminates in the right atrium. no acute osseous abnormalities are identified. | <unk>-year-old male presenting for evaluation of shaking chills and rigors during dialysis today. |
MIMIC-CXR-JPG/2.0.0/files/p14695516/s58611160/44aae2d5-8dfce5f4-8b6ee467-a01a85ab-2a2a4ccb.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is identified. no rib fractures are seen. | right upper quadrant pain and equivocal hida over the weekend. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12472762/s53444248/6788be77-d6f88559-6099c540-893ac431-e6c1b365.jpg | frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or opacification. multiple small surgical clips are seen within the right anterior chest wall. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16635089/s52495777/4b727724-6d53c036-73284f2f-bd7e8fa7-f723f00f.jpg | the lungs are clear without focal consolidation, effusion, or edema. right chest wall central venous catheter seen with tip at the ra svc junction. no acute osseous abnormalities. | <unk>f with iddm, bka p/w ams // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p17596014/s50283221/02a5901e-6916581a-a963698a-3325f907-958c4dbf.jpg | patient is status post median sternotomy, cabg, and coronary artery stenting. heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are mildly hyperinflated but clear. no pleural effusion or pneumothorax is demonstrated. there are moderate degenerative changes seen in the thoracic spine. | history: <unk>m with atrial fibrillation presents with hemoptysis |
MIMIC-CXR-JPG/2.0.0/files/p13438225/s52489914/9cbb7574-c6e39d70-57e28242-f49b3d2f-44be700d.jpg | cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk>-year-old woman with altered mental status, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10478374/s56754229/eb00f567-3590537c-648b6c66-b7438e5a-d90bacdd.jpg | cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there is diffuse gaseous distention of the colon. no acute osseous abnormality is seen | history: <unk>f with cough |
MIMIC-CXR-JPG/2.0.0/files/p12726961/s58933270/7fd5bbdf-352c19ca-32daddc4-8c9f4a30-a46396db.jpg | the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no displaced rib fractures identified | <unk>m with chest pain s/p atv accident over weekend radiating to upper back // ? ptx or other acute traumatic injury |
MIMIC-CXR-JPG/2.0.0/files/p12239017/s54832875/a62161a8-ddd430d8-0bbb1eda-ea3c0add-cd4ee3b7.jpg | single ap view of the chest was reviewed. cardiomediastinal and hilar contours are stable. lung volumes are low with stable bibasilar opacities. pulmonary vasculature is within normal limits. probable post traumatic changes of the left shoulder are again seen. | desaturations. |
MIMIC-CXR-JPG/2.0.0/files/p14903243/s50794127/7b7ee1d1-80011e09-94993bfe-d8209ebe-019773f6.jpg | the patient has chronic underlying fibrotic changes with reticulation and honeycombing, most pronounced at the lung bases. on this background, there is slightly increased opacification of the left mid lung field. right mid and lower lung field patchy opacification seen on the most recent prior study appears slightly improved, perhaps suggestive of slight interval improvement of mild pulmonary edema. moderate cardiomegaly is unchanged from prior. chain sutures are seen along the left upper lung field, compatible with prior wedge resection. there is no pneumothorax. small left pleural effusion is unchanged bony structures are intact. | <unk>-year-old male with history of coronary artery disease and lung cancer presenting with shortness of breath. evaluate for pneumonia versus pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p16911902/s57351069/5a1ba953-c1d2f3e2-3cc0dbe7-c4a7baf4-34ccc2ab.jpg | the lungs are clear. there is no effusion or consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy. there is no free intraperitoneal air. | <unk>m with epigastric pain // eval for free air |
MIMIC-CXR-JPG/2.0.0/files/p14498233/s58069723/c50acb9b-e953d31f-b3051727-a5f11436-78b9be94.jpg | pa and lateral views of the chest demonstrate a retrocardiac opacity in the left lower lobe, with obscuration of the left hemidiaphragm on the frontal view, raising concern for aspiration or infection in the given clinical context. small left pleural effusion is present. there is no evidence of pneumothorax. the visualized portions of the right lung are relatively clear, although the right costophrenic sulcus is excluded on the frontal view. no right pleural effusion is noted. the moderate cardiomegaly is unchanged without pulmonary vascular congestion. there is no subdiaphragmatic free air. | <unk>-year-old with altered mental status, vomiting, and urinary incontinence. evaluation for pneumonia, free air, or other acute process. |
MIMIC-CXR-JPG/2.0.0/files/p14071803/s50723635/d54b059d-73f6afa0-4d4f82a4-627e803f-0376da9b.jpg | low lung volumes cause mild bronchovascular crowding and bibasilar atelectasis. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is normal. | <unk>m with chest pain, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15833015/s57532752/83ae3dec-b90c5b9d-5d3773af-97c06582-bdc7ef57.jpg | lung volumes are normal. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are within normal limits. there is no subdiaphragmatic free air. | <unk>f with cough and sob x<num>wks |
MIMIC-CXR-JPG/2.0.0/files/p15084163/s52541498/97c71499-10a67c0d-c142f16c-0feed636-2cf72b31.jpg | the film is limited due to the patient's body habitus and underpenetration. moderate cardiomegaly is accompanied by pulmonary edema, which is slightly asymmetric right greater than left. atelectasis in the left lower lobe is stable. there are no focal consolidations that are concerning for pneumonia. no pleural effusions are appreciated. | cough, question acute process. |
MIMIC-CXR-JPG/2.0.0/files/p13230293/s51054044/a8735bf0-d6121086-5555b6da-2722e04a-92abf471.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally. there is no focal consolidation concerning for pneumonia. cardiomediastinal and hilar contours are within normal limits. biapical pleural thickening and nodularity is identified which appear symmetric. this is likely to reflect pleural parenchymal scarring. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrate no acute abnormality. no free air under the right hemidiaphragm is seen. | <unk>-year-old female with chest pain status post egd. |
MIMIC-CXR-JPG/2.0.0/files/p17737778/s50335351/e761b551-44fdd2a0-f03f89d2-fd3280fe-ab3966c6.jpg | obscuration of the left hemidiaphragmatic contour is likely secondary to overlapping soft tissues. there is no definite airspace consolidation or pleural effusion. there is mild cardiomegaly. there is no pneumothorax. pulmonary vascularity is normal. | <unk>-year-old man with possible retrocardiac opacity on portable chest radiograph. |
MIMIC-CXR-JPG/2.0.0/files/p13360143/s57343415/a9b1bf16-d73a67f4-07ea5f14-0157da19-fb90def5.jpg | the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with productive cough and fever // cough |
MIMIC-CXR-JPG/2.0.0/files/p14864294/s56049469/bca8baed-e8c31d04-51ccf83b-3f46a5a6-02aa1c09.jpg | frontal and lateral radiographs of the chest were obtained. the heart size and mediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax is present. no evidence of pulmonary edema. | cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19837636/s55961438/76c4888e-7d2248a1-2500794c-3b5959a9-ac2042ce.jpg | the cardiac, mediastinal and hilar contours appear stable. there is an increasing opacity in the right middle lobe suggesting pneumonia as well as an increased left lower lobe opacity that is best depicted on the frontal view. involvement of the right lower lobe is also possible. there are no definite pleural effusions. there is no pneumothorax. | dyspnea. recent diagnosis of right middle lobe pneumonia. also history of chronic lymphocytic leukemia. |
MIMIC-CXR-JPG/2.0.0/files/p15035611/s57917958/dc958e9c-644712f6-f656741f-b41cec23-ec9f603b.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the left acromioclavicular interval is at the upper limits of normal. the right acromioclavicular joint appears narrowed. there is no evidence for fracture, dislocation or bone destruction. | status post fall with scapular pain on the right. question pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18513809/s54948797/1ae9d2a5-22141440-2db9876d-146330e1-d30b521e.jpg | lung volumes are slightly low. heart size appears mildly enlarged but unchanged. mediastinal and hilar contours are within normal limits. punctate calcified granuloma in the right upper lobe is unchanged. no focal consolidation, pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized. new moderate to severe wedge compression deformity of the t<num> vertebral body is present. compression deformities of the t<num> and l<num> vertebral bodies appear unchanged from the most recent ct. mild superior endplate compression deformities of t<num> and t<num> are also unchanged. | history: <unk>f with abdominal pain |
MIMIC-CXR-JPG/2.0.0/files/p14928790/s58958185/c5ac5cb3-32c59d77-5e57c2af-89d6a3cb-aa89a97c.jpg | the patient is status post median sternotomy and cabg. left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. heart size is normal. mediastinal and hilar contours are unremarkable. previous pattern of pulmonary edema has resolved. small bilateral pleural effusions are noted, left greater than right. streaky opacities in the left lung base likely reflect atelectasis. no pneumothorax is identified. old bilateral rib fractures are noted. | abnormal ekg. |
MIMIC-CXR-JPG/2.0.0/files/p16312859/s56904404/6107ba7a-ab33caa0-10e4761b-6028a493-f05e9306.jpg | lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. note is made of mild diffuse bronchial wall thickening, which may relate to bronchitis. | history: <unk>f with lupus, splenectomy on immunosuppressants. // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18408427/s57343186/d56ec13f-3fe3f117-6b11abb3-4cb39cf6-67273b67.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar chest examination <unk> <unk>. heart size remains within normal limits. no typical configurational abnormality is identified. thoracic aorta is unchanged and unremarkable. pulmonary vasculature is not congested and there is no evidence of pneumothorax on the frontal view in the apical area. the patient is rather heavyset and able to elevate the arms on the lateral view (allegedly related to shoulder discomfort). the pulmonary vasculature is not congested. the lateral and posterior pleural sinuses are free from any fluid accumulation. no acute pulmonary parenchymal infiltrates can be identified. mild degree of degenerative changes are noted in the thoracic spine but appear unchanged in comparison with the previous study of <unk>. | <unk>-year-old female patient with wheezing. no history of smoking. evaluate for pneumonia versus reactive airway disease. |
MIMIC-CXR-JPG/2.0.0/files/p10951230/s57488431/c68c77e8-14d89f98-b26f97ff-f636771b-4946b28d.jpg | right-sided port-a-cath tip terminates in the low svc. the cardiac, mediastinal and hilar contours are unremarkable, with the heart size within normal limits. no radiopaque foreign bodies are demonstrated. apart from subsegmental atelectasis in the left lung base, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is mild scarring within the lung apices. diffuse demineralization of the osseous structures is re- demonstrated. compression deformity of a low thoracic vertebral body appears similar. | history: <unk>m with possible esophageal foreign body |
MIMIC-CXR-JPG/2.0.0/files/p19436163/s53641949/6ef82ff0-5b7f1927-076da7ea-4a88346a-04bf9107.jpg | since the prior exam, the right chest tube has been removed. no pneumothorax is identified. the lung volumes have slightly improved, though there is persistent retrocardiac atelectasis. there is no new opacity or pulmonary edema. probable small bilateral pleural effusions are present. the cardiomediastinal silhouette is unchanged with an expected post-operative appearance. a right internal jugular central venous catheter is present with the tip in the low svc. | status post cabg. evaluate for pneumothorax after removal of the chest tube. |
MIMIC-CXR-JPG/2.0.0/files/p11631709/s57338920/bf97872b-94f721aa-b12619ee-87456575-082d10dc.jpg | a single lead pacemaker is in unchanged position. normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. | history: <unk>m with l chest pain, pleuritic // evaluate for acute process, attn. to ptx |
MIMIC-CXR-JPG/2.0.0/files/p13923565/s50787944/3dac3158-f3a01368-edc6115a-8b11a70f-0a69e477.jpg | portable ap upright chest film dated <unk> at <time> is submitted. | <unk> year old man with new pancreatic mass, acute renal failure, new onset rapid afib with cough. // determine etiology of cough. determine etiology of cough. |
MIMIC-CXR-JPG/2.0.0/files/p16508811/s54723356/cf48760b-bc0b549d-17be5069-3e7b5248-e5f62e37.jpg | a picc line has been removed. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. | hypotension of unclear etiology. |
MIMIC-CXR-JPG/2.0.0/files/p11068487/s58499428/be355e1d-84c758ca-7241617e-822a1096-32410621.jpg | pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old female with history of hyperthyroidism (graves' disease) and kidney stones recently started on methimazole and propranolol, presenting with acute abdominal pain and tachycardia. question infection versus thyroid storm. question cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p12252107/s50472221/450854ee-692577d0-474c72bc-37e3d2dd-b8f6e617.jpg | the lungs are clear where not obscured by overlying cardiac leads and wires. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. median sternotomy wires are seen with a fracture through the superior most wire. no acute osseous abnormality is identified. | <unk>f with stroke symptoms/dizziness // rule-out cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p12729910/s52144172/5923531e-5e37491d-43d0ed8c-303b0a50-54135d57.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | palpitations and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17652373/s50239218/6e8d028c-073be906-15796cd4-14376de7-91ff7025.jpg | pa and lateral views of the chest. the lungs are clear of consolidation or effusion. incidental note is made again of an azygos fissure. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old male with crohn's and psoriatic arthritis, on humira, who presents with blood in sputum. |
MIMIC-CXR-JPG/2.0.0/files/p10921049/s58080349/2dd5fb76-09200305-3b6f1e95-3728adfd-5864dd7f.jpg | endotracheal tube has been removed. enteric tube tip below diaphragm, not included on the radiograph. central line tip in the upper svc. pulmonary vascularity has increased, and there is more prominent interstitial markings, suggesting edema. stable opacity in the lingula, left lower lobe. increased right basilar opacity, may represent atelectasis. new small right pleural effusion. increased heart size is stable. | <unk> year old man admitted s/p cardiac arrest w/hypoxemic respiratory failure, now s/p extubation and desatting. // ?interval change |
MIMIC-CXR-JPG/2.0.0/files/p13730972/s58555980/14a4237c-bcaecbba-52b689e4-d8125f72-647b8553.jpg | compared to exam from earlier the same day, there has been no significant interval change. dense left basilar opacity is noted compatible with moderate pleural effusion with possible underlying consolidation. minimal blunting of the right posterior costophrenic angle may be a small effusion. given silhouetting of the left cardiac silhouette, cardiac size is difficult to assess but is likely enlarged. no acute osseous abnormalities | <unk>f with pericard and pleural effusion ,pls eval for inc pleur effus |
MIMIC-CXR-JPG/2.0.0/files/p19766337/s50520024/a04ad78f-edf45c47-89cd2a05-2572689b-594221b3.jpg | lung volumes are low. this slightly limits assessment of the lung bases. hazy ill-defined opacity within the right lung base is suspicious for an area of infection. a streaky opacity in the left lung base likely reflects atelectasis. there is no pleural effusion or pneumothorax. heart size is top normal, and the mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. | cough and pain. |
MIMIC-CXR-JPG/2.0.0/files/p14725771/s54783266/aa3e59e4-7d8bf5ed-0015cdeb-f6a44715-b6f08668.jpg | single lead left-sided aicd is stable in position. the cardiac and mediastinal silhouettes are grossly stable. bilateral interstitial opacities are re- demonstrated, which may be due to underlying chronic lung disease, asymmetric pulmonary edema, infectious process not excluded in the appropriate clinical setting. as mentioned on the prior chest radiograph, nonurgent chest ct may be helpful to ed evaluate for interstitial lung disease. small left pleural effusion may continue to be present. | history: <unk>m with reports shortness of breathe // ?infectious process |
MIMIC-CXR-JPG/2.0.0/files/p10367718/s59285507/28f86a62-c112a970-d77e4097-e078f992-a1907ab3.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with chest pain // assess for pna |
MIMIC-CXR-JPG/2.0.0/files/p13635436/s52450333/5c52c29d-3bcd6a4a-730a4588-605a4710-0cb3641b.jpg | there are low lung volumes, but the lungs are clear. slightly enlarged-appearing heart likely due to magnification from ap projection. cardiomediastinal silhouette is otherwise unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable. | <unk>-year-old female with shortness breath. |
MIMIC-CXR-JPG/2.0.0/files/p17586417/s56570530/04615b24-d7e6367b-4a449e3f-86fcb151-d41a93cf.jpg | again seen is an et tube terminating approximately <num> cm from the carina. there has been interval repositioning of the left subclavian line with tip terminating in the cavoatrial junction. an enteric tube is seen with tip off the film. there are new bilateral pleural effusions, partly obscuring the cardiac silhouette. the mediastinal and hilar contours are stable. there is no focal consolidation concerning for pneumonia. | status post large volume resuscitation after decompressive laparotomy for necrotizing pancreatitis. |
MIMIC-CXR-JPG/2.0.0/files/p18497141/s54568174/2bfa6776-82006387-b68fd945-7e9c35e7-88ca7aa3.jpg | the cardiomediastinal and hilar contours are stable with moderate cardiomegaly and calcification of the aortic knob. there is no pneumothorax. small bilateral pleural effusions are worsened compared to the prior study. bibasilar opacities have also progressed, consistent with aspiration or pneumonia. mild-to-moderate pulmonary edema is present. | respiratory distress and concern for bibasilar pneumonia versus aspiration, assess interval change. |
MIMIC-CXR-JPG/2.0.0/files/p18755351/s53160607/8c8d7435-6c56f321-f7f8674c-af7939e2-4e13b2a7.jpg | the cardiac silhouette is increased in size, now severely enlarged. there is a left pectoral cardiac device with its leads in unchanged position projecting over the right atrium and ventricle. the patient is status post median sternotomy and coronary artery bypass. there is mild central vascular congestion without overt pulmonary edema. there is no pleural effusion or pneumothorax. | <unk>-year-old female with increasing dyspnea. evaluate for pulmonary edema and congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p18312580/s56735769/01b0b5fe-6a0f2d79-db0db83e-4311c407-74ae389b.jpg | stable mild pulmonary edema with top normal heart size. stable chronic blunting of bilateral costophrenic angles without pleural effusion. no new focal opacity or pneumothorax. mediastinal contour and hila are normal. no bony abnormality. | male with copd and acute decompensation and worsening hypoxemia. assess for pneumonia or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p11308133/s52460251/5d483dff-875292b3-d7b69079-496c53ca-57249aa8.jpg | two frontal images of the chest demonstrate improvement in the bibasilar lung opacities since previous imaging with complete resolution. there is no pleural effusion visualized, but the left costophrenic angle is not completely imaged. there is no pneumothorax. cardiomediastinal silhouette is unchanged from prior imaging. | <unk>-year-old male with high oxygen requirement. |
MIMIC-CXR-JPG/2.0.0/files/p15853302/s50829414/34279338-d5704ba6-a5489065-531e352f-2febf1dd.jpg | pa and lateral views of the chest provided. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged with an unfolded thoracic aorta. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m w/ weakness, tremor. on peritoneal dialysis. ?cardiopulm change |
MIMIC-CXR-JPG/2.0.0/files/p17741296/s59939453/cb659e90-aa872e91-78f6ff66-0867b9fd-0034dc11.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lung volumes are low. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. | history: <unk>f with cough, wheezing |
MIMIC-CXR-JPG/2.0.0/files/p11747893/s58035483/395f6676-949b5fe2-55dfe822-4fdd7383-a3fb5a56.jpg | portable ap upright chest radiograph <unk> at <time> is submitted. | <unk> year old man with history of hcv cirrhosis s/p olt <unk> coming in with neutropenia and sob, concern for infectious etiology // evidence of pna? evidence of pna? |
MIMIC-CXR-JPG/2.0.0/files/p13866602/s59918937/3f2a9d6f-002808a9-37828927-37079603-f2abe00f.jpg | pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. the heart size is unchanged and the configuration is unremarkable. normal appearance of thoracic aorta and mediastinal structures. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the pleural spaces are free. no evidence of pneumothorax in the apical area on the frontal view. skeletal structures grossly unremarkable. | healthy <unk>-year-old female patient with productive cough, clear lungs on physical, is there evidence of pneumonia?. |
MIMIC-CXR-JPG/2.0.0/files/p17038950/s57286650/7ff0cf4a-f68b5ccc-c883086f-d836b06f-f6d6c5be.jpg | single portable view of the chest is compared to previous exam from <unk>. lower lung volumes are seen on the current exam. dual-lumen central venous catheter via right subclavian vein is in stable position. new left ij line is seen with tip projecting slightly superiorly, potentially within the azygos vein. there is thin sliver of lucency at the left lung apex which could be projectional and due to overlying sheet however small pneumothorax is not completely excluded and repeat exam is suggested. cardiomediastinal silhouette is stable notable for dense mitral annular calcifications. osseous structures are stable noting degenerative changes at the left shoulder. | <unk>-year-old female with hypotension. |
MIMIC-CXR-JPG/2.0.0/files/p14508231/s52480238/5e309aeb-1118632d-e4d1ba1f-a3ba28bb-6c3004ab.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. bony structures are unremarkable. | shortness of breath. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14269696/s54416899/63672fd0-75ad6be2-ebf95a04-6dddcf95-c250b19e.jpg | atrial biventricular pacer defibrillator leads follow there expected courses from the left pectoral generator. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. mild cardiomegaly is unchanged. | <unk> year old man s/p biv-icd. // assess leads placement and r/o ptx. |
MIMIC-CXR-JPG/2.0.0/files/p19576807/s59197583/bed55f3f-bcce48ed-d15eb7d0-5fdc13d1-86de257e.jpg | an endotracheal tube is present in standard position approximately <num> cm above the carina. an enteric tube is present with the distal tip overlying the stomach. cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there is a new small patchy opacity at the right lung base, which may represent atelectasis or aspiration. | reintubation. |
MIMIC-CXR-JPG/2.0.0/files/p13294123/s59617669/9e6a83ae-a0af4907-9b733c6b-e504bb9f-9d4f7e48.jpg | the cardiomediastinal silhouette is stable, reflective of mild cardiomegaly. lung volumes are slightly low. the hila are unremarkable. opacity at the medial right lung base is unchanged and likely reflects atelectasis. also re- demonstrated is opacity at the left lung base appearing to involve the lingula, likely reflecting atelectasis. there is no new superimposed focal lung consolidation. there is no pulmonary edema. there is no pneumothorax or sizable pleural effusion. cervical spinal fusion hardware is partially imaged. | <unk>m with sob concerning of pe, chf // pe chf pna? |
MIMIC-CXR-JPG/2.0.0/files/p16685470/s54141242/3f688739-a2082925-99751c27-83b91abd-c673b292.jpg | left perihilar airspace opacity is worrisome for pneumonia. there is a small to moderate left pleural effusion with overlying atelectasis. a trace right pleural effusion is also present. minimal interstitial edema is noted. the cardiac and mediastinal silhouettes are grossly stable. no pneumothorax is seen. | history: <unk>m with sob, chest heaviness // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p15260041/s56138462/92349573-b8bd77df-e451a218-36fd80f4-149a88b5.jpg | ap and lateral views of the chest. there is an approximate <num> cm nodule identified at the left lung base not clearly seen on the prior. the lungs are otherwise clear without consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. note is made of a probable hiatal hernia. degenerative changes are noted in the spine. there is also a wedge deformity in the upper lumbar spine, age indeterminate. osseous and soft tissue structures are otherwise unremarkable. | <unk>-year-old female with back pain. |
MIMIC-CXR-JPG/2.0.0/files/p13610088/s55773075/8c5a6b42-03988dd0-22ad81ea-5cdc848c-0951ad30.jpg | there is moderate pulmonary edema, increased from the prior study. moderate bilateral pleural effusions are seen with overlying atelectasis. basilar consolidation is difficult to exclude. there is enlargement of the cardiomediastinal silhouette. no pneumothorax is seen. | history: <unk>m with weakness and sob // eval pneumonia vs chf |
MIMIC-CXR-JPG/2.0.0/files/p18546548/s50609276/0e32ef27-4084390e-5a11f8d0-b64a6454-975af03c.jpg | heart size is normal. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. moderate degenerative changes are noted in the thoracic spine with anterior osteophyte formation. no subdiaphragmatic free air is present. | history: <unk>m with right upper quadrant pain |
MIMIC-CXR-JPG/2.0.0/files/p19421690/s52466926/d0bef55c-aa592f61-139bdaba-05eca501-ea4d9df6.jpg | there is increased size of the left pneumothorax which is seen both laterally and medially. this is superimposed on the diffuse lung disease previously described. there is increased subcutaneous emphysema. bilateral chest tubes, left central line, et tube, and ng tube are unchanged at the time of dictating this study followup films had already been obtained | <unk> year old man with respiratory failure thought secondary to pcp pna, with bl ptxes and pneumomediastinum with sudden rise in peak pressure on cmv. // interval change accounting for newly rising peak pressures |
MIMIC-CXR-JPG/2.0.0/files/p10697483/s57514652/66cdd4c8-968dd9bd-e5fa88d5-6ca54f07-8c1575a1.jpg | pa and lateral views of the chest provided. retrocardiac opacity with associated volume loss may reflect atelectasis. no large effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette appears normal. bony structures are intact. | <unk>m with recent aspiration of water, now fevers, chest pain cough // signs of pna |
MIMIC-CXR-JPG/2.0.0/files/p15684838/s51037710/c53bea3f-4ef91a60-b38fd9ae-5f123df4-ea4749a7.jpg | the right picc ends in the right atrium. markedly low lung volumes, bibasilar atelectasis, pulmonary edema and moderate cardiomegaly are unchanged. no pneumothorax is identified. | <unk> year old woman with picc pulled back <num>cm, had been in right atrium. |
MIMIC-CXR-JPG/2.0.0/files/p14929790/s54431376/c2337e0d-1dcb232a-44b2afc1-b41c1b9d-5ee3f90b.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with cough, fever // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14786549/s55399640/b1dffc33-26ce722d-bb9755de-41c20343-d4a001df.jpg | ap portable upright view of the chest. cardiomegaly is again noted with hilar congestion and mild interstitial edema. no large effusion is seen. no pneumothorax. mediastinal contour unchanged. bony structures are intact. | <unk>m with shortness of breath, hypoxia, hd patient |
MIMIC-CXR-JPG/2.0.0/files/p16934854/s53669324/646a4c05-f129094d-17012954-268b57a7-445e59f6.jpg | the lungs are hyperinflated with finding suggestive of underlying emphysema/copd. no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is identified on this single frontal view. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits and stable. calcification at the aortic knob is redemonstrated. | lethargy. here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17636556/s54570448/11f75bdf-4f0d9c8e-4062caa1-d21e8f2f-524d4d84.jpg | frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>m with chest pain // r/o infiltrate, pna, ptx |
MIMIC-CXR-JPG/2.0.0/files/p10706185/s56433120/0ffdac13-26283539-9da9595c-2702dd79-802baf9a.jpg | ap upright and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. the lungs are clear without focal consolidation, effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures are intact. no free air below the right hemidiaphragm. | <unk>m with sob // veal acute process |
MIMIC-CXR-JPG/2.0.0/files/p19291358/s53686774/cf30f92a-1b531aa2-a5bd8f45-d30c3272-bbd67a00.jpg | et tube remains in good position. there is an upper alimentary tube whose tip is not seen, but appears to be coiled towards its distal end. bilateral diffuse airspace opacities are much improved on this study, but slight increased markings in the bilateral upper lobes and the right lower lobe are still present. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are normal. | <unk>-year-old with multiple comorbidities presenting with ventricular tachycardia. assess interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16222336/s51875988/40b95b6d-e551f956-55085900-4ef91ffb-92873d11.jpg | patchy right middle lobe opacity on the frontal view is not well substantiated on the lateral view may be due to atelectasis. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13625172/s54047161/e562eda6-94e3ef86-26d3ab9d-b15281d3-9b8b0309.jpg | the lungs are well expanded. opacities associated with a prior treated lung mass appear unchanged in the left mid lung, consistent with known treated lung cancer. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette again demonstrates moderate enlargement. | history: <unk>m with fall // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p13342374/s59096010/4ba7a726-7b3f73b2-dd860cf6-03fab13b-c4117a4c.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with new diffuse wheezing, desaturations on ambulation. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p15155381/s52962380/e4859375-d6c0761d-fa5d7ae3-4deb9381-82ebfa25.jpg | the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. there is no free air beneath the hemidiaphragms. an air-filled stomach and loop of nondilated colon is seen in the left upper quadrant. | <unk>f with chest pain // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p14196009/s54278627/9cde6a1f-5256951c-1c8fce96-f0990665-08de7b5b.jpg | portable semi-upright radiograph of the chest demonstrates small residual right-sided pleural effusion with a small streak of linear atelectasis in the right perihilar region. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax. | <unk>-year-old man status post thoracentesis. evaluate for pneumothorax and residual fluid. |
MIMIC-CXR-JPG/2.0.0/files/p19284475/s55184479/1892e279-19bd4a49-bdf13d6a-5cc023bb-22e596d4.jpg | heart size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. moderate degenerative changes of the thoracic spine with bridging anterior osteophytes are re- demonstrated. | history: <unk>m with weakness |
MIMIC-CXR-JPG/2.0.0/files/p10851976/s53149875/108a5732-27f4cc88-1df07cac-2a9a8a39-48cfbca6.jpg | the lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is present. the cardiomediastinal and hilar contours are within normal limits. note is made of moderate dextroconvex scoliosis of the mid to lower thoracic spine. no acute osseous abnormality is detected. | generalized weakness, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15999575/s58106603/64ababd6-0fd53876-dd542248-c8004424-2c7715fc.jpg | the lungs are clear without focal opacity, overt pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. old bilateral healed rib fractures are identified. | <unk>m with chest pain, doe x<num> month, esrd not on dialysis. |
MIMIC-CXR-JPG/2.0.0/files/p12577993/s55193500/ca4f5d51-fa99fa32-fad28f12-2d0dd0e5-44dbb772.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>f with cough, fever, tachycardia // evidence of pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p17093400/s51508497/7c095e61-42d8a49e-35ec2c5c-627d5922-767f335c.jpg | pa and lateral views of the chest. the lungs are hyperinflated and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p13848507/s59410163/f5a9fcec-a0aaec22-3c5ff192-f9b0cbb6-625556d1.jpg | lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. | history: <unk>f with cp // ptx |
MIMIC-CXR-JPG/2.0.0/files/p17516316/s55091147/aaa6cadc-f6e7a4e2-3b6bdb9c-8440e5b8-da890755.jpg | stable, mild cardiomegaly. the cardiomediastinal silhouette is unchanged and normal. the left hilum is prominent, but stable since <unk>. the lungs are clear. there is no evidence of pleural effusion or pneumothorax. there is leftward deviation of the trachea, unchanged from the prior study. there is dextroscoliosis and kyphosis, unchanged | <unk> year old woman with increased doe. previous cxr from <unk> showed "increased prominence of the left hilum concerning for mild adenopathy versus vascular enlargement" // r/o underlying pathology. please compare left hilum to prior cxr |
MIMIC-CXR-JPG/2.0.0/files/p19422802/s53959233/feff2659-37b08f47-37741193-1beae6cf-a2e5b28b.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. surgical clips project over the upper abdomen anteriorly. | <unk>m with cough // eval heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p19534625/s52525993/ad76bd92-09bc8cf4-d51c6a44-069b3c77-5b1fd518.jpg | endotracheal tube has been withdrawn with tip now in standard position, terminating approximately <num> cm from the carina. enteric tube tip remains within the stomach. lung volumes remain persistently low. patchy and linear opacities are noted in the lung bases compatible with atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. | history: <unk>f with trauma // eval et tube position |
MIMIC-CXR-JPG/2.0.0/files/p11289818/s59929160/1a958d16-2ae74502-8ab95f34-a046fa41-efdf2e04.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 midsternal chest tightness, eval for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p11253678/s56400800/47a8d60f-28d7d947-3d02830b-b0612638-1c4328c1.jpg | pa and lateral views of the chest provided. clips in the right upper quadrant noted. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. mild aortic atherosclerosis noted. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with palpitations, cough/dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p16095232/s50504050/875e0b20-02b2a72d-770fc3b3-648b2c1e-b1be38b7.jpg | previously seen left-sided picc has been removed in the interval. descending thoracic aortic stent graft is stable in position. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen. no displaced fracture is seen. | chest pain status post endovascular thoracic aortic aneurysm repair in <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p19920125/s59069578/6fb0faad-bd7a89e2-85f09385-3999118f-28c2cbf5.jpg | the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. | <unk>-year-old woman with cough for <num> days. evaluate for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p14637100/s53324804/32f019b7-039c0fc5-60e84ef3-5a7e5b45-f0a6ab46.jpg | the lungs are clear of consolidation or effusion. when compared to prior, the degree of pulmonary edema has improved and is now mild. moderate cardiomegaly is again noted as well as mitral annular calcifications. tortuosity of the descending thoracic aorta with atherosclerotic calcifications throughout its course again noted. s-shaped thoracolumbar scoliosis is noted. | <unk>f dialysis patient, with altered ms and lethargy // lethargy |
MIMIC-CXR-JPG/2.0.0/files/p16729933/s56859357/b5ec637a-7f5b487c-6bb5f70a-3f0ef0b7-f3cc3b9f.jpg | heart size is normal. the mediastinal and hilar contours are remarkable for unchanged mild tortuosity of the thoracic aorta. the pulmonary vasculature is normal. lungs are clear except for minimal linear bibasilar atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old woman with pain s/p fall // rule out ptx |
MIMIC-CXR-JPG/2.0.0/files/p18797768/s53560842/05be4d17-fcce1127-245e742d-5ba0171d-442b091c.jpg | a dobbhoff tube has been advanced, though still in relatively high position with the tip just beyond the gastroesophageal junction and could be advanced for more optimal placement. the remainder of the examination is unchanged. the lungs are grossly clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is within normal limits. | <unk>-year-old female with dobbhoff. after adjustment. for further evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p17539975/s56772626/bc67f7dc-d5c55e51-e2bf62d9-891b20ae-ee61d810.jpg | pulmonary vascular congestion with slightly more prominent interstitial markings may reflect pulmonary interstitial edema. no pleural effusion or pneumothorax. the size of the cardiac silhouette is enlarged but unchanged. degenerative changes of both shoulders. | <unk> year old man with tachypnea, hypoxia // pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p17557505/s55261199/349cdfbd-7fa9f3e0-027da8db-6a0b316a-08f8b657.jpg | moderate to severe cardiomegaly is stable. widening mediastinum has improved. bilateral effusions are small. opacities in the lower lobes bilaterally larger on the left side are likely atelectasis, superimposed infection cannot be totally excluded. there is no evident pneumothorax. sternal wires are aligned. degenerative changes in the thoracic spine are mild. there is mild vascular congestion. bilateral healed rib fractures are again noted | <unk> year old woman s/p cabg with rising wbc // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15689523/s56460497/ca7d98c2-08421e08-b0c731ac-c4df36f6-a7c578cf.jpg | a right internal jugular loss catheter is unchanged in appearance compared to the prior study. interval removal right-sided chest tube. there is a small right pleural effusion with a true atelectasis. no pneumothorax seen. airspace opacity in the left mid lung likely reflects pulmonary edema but infection cannot be excluded. calcified lymph nodes and in the mediastinum. <unk> tube noted in the stomach. | <unk> year old man with previous chest tube now s/p removal // ptx |
MIMIC-CXR-JPG/2.0.0/files/p16974624/s56467376/d236c7ee-903c71e9-7e876bf1-ed8fcef1-cea7656e.jpg | two portable chest radiographs were obtained. endotracheal tube remains in the mid airway. a left-sided subclavian line terminates in the mid svc. enteric catheter projects over the stomach. two left pleural drains are in unchanged positions. a disconnected atrial cardiac lead is stable. extensive bilateral pulmonary opacities have not changed in the preceding <num> hours. small bilateral effusions are similar. previously seen small pneumothoraces are not apparent. no new consolidation or pneumothorax is present. | <unk>-year-old man with esophageal perforation status post repair. |
MIMIC-CXR-JPG/2.0.0/files/p18101273/s53171487/477ef741-fabc6260-784fd052-472c17cd-f264edf6.jpg | frontal and lateral views of the chest demonstrate normal lung volumes without focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is top normal. biapical scarring is again noted. | patient with smoking history, now with unexplained weight loss, assess for a mass. |
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