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MIMIC-CXR-JPG/2.0.0/files/p14962098/s58290880/20d5f919-f324f4d9-7449399a-4e360b4a-b3a534d1.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p16346972/s59787601/d22f4e5d-d80fc3f1-b05b901f-b8e72336-95490791.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. <num> lead left-sided aicd is seen, unchanged in position. | history: <unk>m with cp // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p16057607/s58412807/7e30c2a5-01121ca8-e214d31c-a189e1ad-f1870edc.jpg | pa and lateral views of the chest provided. lungs are grossly clear. lung volumes are decreased. increased density at the lung base seen on the lateral projection likely represents a pleural or soft tissue thickening. no pneumothorax. a moderate amount of subcutaneous emphysema along the left chest wall is unchanged. a small left pleural effusion is unchanged. hilar and cardiomediastinal contours are normal. left, minimally displaced rib fractures are stable. <unk> be some extrapleural collections of hematoma along the left chest wall. | <unk> year old man with mx l rib fx's, s/p pigtail removal, +dyspnea // eval l ptx. please do standing expiratory pa film |
MIMIC-CXR-JPG/2.0.0/files/p16278720/s59838857/ef1184a9-d29e313e-877ac012-7ba8ebf5-9f154b0d.jpg | opacities in the right upper and lower lung are concerning for aspiration given history of vomiting. there is no pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. | <unk>-year-old male with altered mental status and vomiting. evaluate for intracranial hemorrhage, pneumonia or congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p18761260/s52288460/cd376ee3-dfa5cb1d-5e39a0c8-04f1e387-3bb66387.jpg | since the prior radiograph, there has been no significant interval change. again seen is unchanged prominence of the pulmonary vasculature consistent with pulmonary edema. tracheostomy tube is unchanged in position. there is stable cardiomegaly. a right picc is seen with the tip unchanged in position. | <unk>-year-old man with trach, assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p10553685/s58978992/19282b47-85dd561e-fc805010-2bda3ec4-4f4c8109.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with dyspnea // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p10556676/s58063055/69b3bf8a-ac280e89-70e02346-2751a606-5753bdc9.jpg | the lungs remain hyperinflated, suggesting copd.no focal consolidation is seen. no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with cough for a few days // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p16249475/s57150895/36ab14fc-536c8b8d-abc4cde5-ee2e2b62-c28bceca.jpg | ap single view of the lower chest was obtained in order to illustrate a dobbhoff line placement. such line is identified and seen to reach well into the body of the stomach with its metallic dense tip pointing towards the pylorus. the line is in similar position as the one identified on <unk>. clinical information indicates, however, that the line has been exchanged. previously described right internal jugular double-lumen line remains in unchanged position terminating in the mid portion of the svc at the level of the carina. | <unk>-year-old female patient with cirrhosis, now with dobbhoff replacement, confirm position of line. |
MIMIC-CXR-JPG/2.0.0/files/p19044481/s55242768/ff5934d4-7fb5684c-32f180ea-048c24df-8c5b9d1d.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.a radiopaque foreign body resembling a bullet fragment is identified overlying the upper thoracic spine, just to the left of midline. | <unk>m with paraplegia, malaise, r/o pna. eval for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11964399/s55628599/7d108b35-e4365a26-c557ecb6-f366e33f-e9d4bf6b.jpg | frontal and lateral chest radiographs were obtained. a right chest port-a-cath terminates in the mid svc. there is a loculated hydropneumothorax on the left with compressive atelectasis at the lung base. the right lung is fully expanded and clear. the heart size is moderately enlarged. mediastinal and hilar contours are stable. | patient with metastatic sarcoma, status post left vats wedge resection, check interval change. |
MIMIC-CXR-JPG/2.0.0/files/p12223437/s59398198/390d88f4-dc3437a6-8023fa41-ec40b55d-2a054422.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of dizziness. please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18602613/s50901497/060c12e5-3e986a86-5d694afd-db9f4850-f6fa2bd2.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax. | multiple myeloma. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18982574/s56799164/907b7e00-4e27e53f-b497f639-7e30a764-2a0a9202.jpg | ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. the lungs are grossly clear. no large effusion or pneumothorax. heart size is unchanged. the mediastinal contour is similar with an unfolded thoracic aorta. bony structures are grossly intact. | <unk>f with sob, cp, n/v |
MIMIC-CXR-JPG/2.0.0/files/p14244279/s50870253/d01c4e27-85fe1806-576bd97e-57365a4a-df93545a.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a cervical spine fixation plate is seen in the frontal view without evidence of hardware-related complication. | <unk>-year-old male with chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16907474/s56682629/b00af47f-42c27bd6-67b7f837-a6fc2aa1-bf7cf2ec.jpg | left chest wall dual-lead pacing device is again seen. the lungs where visualized remain clear. there is no effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old male with weakness. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14143731/s50295203/b5c0ac22-2162656c-effae2d3-d66416f0-d0a99da5.jpg | bilateral pleural effusions have substantially decreased since the prior exam. a left pectoral aicd remains in place. sternotomy wires are intact and aligned. moderate cardiomegaly is unchanged. a right-sided picc line ends in the mid to lower svc. there is no pneumothorax. mild pulmonary edema has improved. | <unk> year old man with bilateral effusion s/p bilateral thoracentesis; r/o pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14245674/s50931737/665cac97-7d14df13-7a3056d2-f6ec3656-23d6293c.jpg | single ap view of the chest provided. interval placement of a chest tube whose distal tip projects over the right costophrenic angle. lung volumes are low. mild bibasilar and retrocardiac atelectasis is improved. moderate right pleural effusion is significantly improved. moderate right pneumothorax. cardiomediastinal contours are normal. | <unk> year old woman with right effusion s/p chest tube placement // ? ptx |
MIMIC-CXR-JPG/2.0.0/files/p18051680/s50932303/d40ac93b-f2add6a1-0dfe8388-134b1352-26e951bd.jpg | lower lung volumes exaggerate pulmonary vascular engorgement and mild cardiomegaly, although this has improved since the prior. hiatus hernia with oral contrast seen in the upper abdomen. no acute focal consolidation. no pleural effusions or pneumothorax. | <unk> year old woman with aspiration episode and high grade av block // ?aspiration |
MIMIC-CXR-JPG/2.0.0/files/p12693747/s52960662/e23b0bcd-063abe6c-b51075c9-a2eb222a-907aa938.jpg | there is persistent blunting of the right costophrenic angle.basilar atelectasis is noted without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. calcified left hilar lymph node is re- demonstrated. | history: <unk>f with chest pain // eval for structural process |
MIMIC-CXR-JPG/2.0.0/files/p11339006/s50082707/55523968-df7e4c88-49a315ea-8585d02f-c78090e2.jpg | portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. the cardiomediastinal and hilar contours are unchanged. a tracheostomy tube is in expected position. right-sided picc line ends at the cava atrial junction. a nasogastric tube ends in the stomach. | <unk> year old woman with ngt placement // ngt position |
MIMIC-CXR-JPG/2.0.0/files/p18864852/s59540148/cf36c8b4-38d38002-197314fa-bb23e5d9-667cdcae.jpg | ap upright and lateral views of the chest provided. right chest wall port-a-cath is noted with catheter tip extending to the low svc. lungs are clear though volumes are low. cardiomediastinal silhouette is unchanged. no large effusion or pneumothorax. bony structures are intact. | <unk>m with hx of glioblastoma with confusion and malaise |
MIMIC-CXR-JPG/2.0.0/files/p17960078/s58051076/21aec045-4de65aa4-140f699c-44f2b226-2b73ab4f.jpg | ap and lateral views of the chest are compared to previous exam from <unk>. improved inspiratory effort is seen on the current exam. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is unchanged, noting a tortuous descending thoracic aorta with atherosclerotic calcifications. dual-lead pacing device is seen with lead tips in the right atrium and right ventricle. the osseous and soft tissue structures are unchanged. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13274225/s53435133/11d89fe9-c07f2874-eba2c470-fca9880c-9a982ec1.jpg | the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is mild right hilar prominence. a left-sided chest port is noted, with the tip terminating in the region of the right atrium. no definite focal consolidation is identified. there is no pleural effusion or pneumothorax. | history: <unk>m with right chest pain // please evaluate for acute process, fracture |
MIMIC-CXR-JPG/2.0.0/files/p15573773/s56388322/c768701c-459fc594-999a66de-8ed5a37d-55fa541d.jpg | frontal and lateral views of the chest were compared to previous exam from <unk>. right-sided central line is seen with tip at the ra svc junction. again noted are bibasilar regions of consolidation with more dense opacity in the lateral view seen posteriorly, potentially in the right lower lobe. superiorly, the lungs are clear. cardiac silhouette is enlarged but stable in configuration. bilateral proximal humeral hardware is again seen. multiple bilateral rib fractures are also noted as well as a mid thoracic dextroscoliosis. | <unk>-year-old female with shortness of breath, cough, right picc line. |
MIMIC-CXR-JPG/2.0.0/files/p19454512/s53757217/40f4c3a6-0032d992-8330ea58-086d32e9-fafe7d13.jpg | there is persistent marked elevation of the right hemidiaphragm with overlying atelectasis. left mid lung opacity in a relative linear configuration is seen which may be due to atelectasis however, consolidation due to infection not excluded. no large pleural effusion is seen. cardiac and mediastinal silhouettes are stable. subtle increased interstitial markings is stable to possibly slightly decreased as compared to the prior study. | history: <unk>f with cp, sob // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14392939/s51820030/2f048f4b-ef3cd4bb-82bd4c39-efb0ffa1-34de8af8.jpg | portable ap semi-upright view of the chest was reviewed. an endotracheal tube ends within <num> cm of the carina, and if pulled back <num> cm, would end in the proper location. very low lung volumes exaggerate mild pulmonary edema and normal size of cardiomediastinal silhouette, and reflect severe bibasilar atelectasis. there is no pneumothorax. | evaluation of endotracheal tube placement in a patient status post cesarean section with a concern for amniotic fluid embolism. |
MIMIC-CXR-JPG/2.0.0/files/p12189736/s58978248/9a82cf6f-46cbf4b2-5c8021e1-d3043c60-20bac633.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. minimal scattered atelectasis is seen in the presence of low lung volumes. heart and mediastinal contours are within normal limits. | <unk>-year-old female with alcoholic hepatitis, now with fever. |
MIMIC-CXR-JPG/2.0.0/files/p19476301/s51816585/70bf7407-e58d0493-8a17e6cc-d2aaca44-7e9c5089.jpg | patient is status post median sternotomy and cabg. heart size is mildly enlarged. prominence of the hila bilaterally is unchanged and is concerning for pulmonary arterial hypertension. there is mild pulmonary vascular congestion without overt pulmonary edema. lungs are hyperinflated with mild emphysematous changes again noted. no focal consolidation, pleural effusion or pneumothorax is detected. vascular calcifications are noted projecting over both lung apices. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13402588/s50871118/70c34ae9-58458ed5-bcf23875-d23fea05-cf3a02ce.jpg | patient's condition required examination in sitting semi-upright position using ap frontal and left lateral views. on the frontal view, the heart appears to be borderline in size without typical configurational abnormality. unremarkable appearance of thoracic aorta with some calcium deposits in the wall at the level of the arch. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax is identified in apical area. in the right shoulder area, exists evidence of previous surgical intervention with several metallic plugs. no other gross skeletal abnormalities within the thoracic area. our records do not include a previous chest examination available for comparison. | <unk>-year-old female patient with increased white blood count, nausea and vomiting, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15903977/s52535296/7327072e-769f4c15-1654bcf6-64ae9887-c8967cb4.jpg | there is abnormal opacity with lack of clear delineation of the right cardiac margin and as well as curvilinear lucency in the same region. heart is likely enlarged. dense mitral annular calcifications are noted. superiorly the lungs are clear. atherosclerotic calcifications noted in the thoracic aorta. | <unk>f with s/p fall with r sided pain // evaluate for traumatic injuries |
MIMIC-CXR-JPG/2.0.0/files/p11163750/s56547307/fb3a6753-7ac817a6-f508fd27-69d598d8-2cba95ff.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. marked cardiomegaly persists. the aorta is tortuous and calcified. | <unk>-year-old female with episode of blood in her mouth. |
MIMIC-CXR-JPG/2.0.0/files/p16180157/s57046634/0e977528-62674bb6-5623ea34-b9164aeb-6d14bd72.jpg | portable ap upright chest radiograph was provided. the lungs are clear. no definite pleural effusion or pneumothorax is seen. cardiomediastinal silhouette appears normal. bony structures are intact. | <unk>m with chest discomfort. |
MIMIC-CXR-JPG/2.0.0/files/p15576684/s55443610/0e9f1b1f-a0c32837-c87b397e-e69038ee-43d60a8d.jpg | no significant change from the prior exam. the lungs are well-expanded and clear. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the opacity in the right lower hemithorax is unchanged since <unk>, suggesting benignity. the descending aorta is tortuous, but unchanged. the heart size is normal. stable appearance of the mediastinal and cardiac contours. unremarkable hila and pleura. stable mild-to-moderate degenerative changes in the visualized thoracic vertebrae. | <unk> year old man sp extended radical whipple procedure in <unk> <unk> for mucinous non-cystic (colloid) carcinoma, arising in association with an intraductal papillary mucinous neoplasm (ipmn) with moderate dysplasia. <num> month surveillance scan. // evaluate for intrathoracic abnormalities. |
MIMIC-CXR-JPG/2.0.0/files/p15785992/s57634623/26f09fc5-39ee7be1-b994520f-2372dbf5-17fe5f20.jpg | lung volumes are relatively low. there is no large effusion or visualized pneumothorax based on this supine film. prominence of the cardiac silhouette is likely accentuated by ap supine technique with possible underlying mild cardiomegaly. left lateral rib fractures are better seen on concurrent torso ct. | <unk>m s/p fall // please eval for acute injury |
MIMIC-CXR-JPG/2.0.0/files/p17400716/s58240990/d5125428-e9e79196-584afb90-6118e535-c873fab1.jpg | moderate cardiomegaly is re- demonstrated. the aorta is diffusely calcified. there is persistent moderate pulmonary edema, not substantially changed from the previous exam. left basilar opacity may reflect atelectasis. small bilateral pleural effusions are re- demonstrated. no pneumothorax is seen. | history: <unk>f with fevers |
MIMIC-CXR-JPG/2.0.0/files/p11941187/s53702310/fb22af88-064a0094-5aee60d3-b8225b2b-bc9351e6.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 fever, cough, pleuritic chest pain // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p19663837/s59660617/02457fe0-e7d406b4-043f86cf-7b907c81-c0ad40e0.jpg | the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. again noted is an ascending aortic aneurysm, stable in comparison to prior study. cardiomediastinal silhouette is otherwise within normal limits. no acute fractures are identified. extensive degenerative changes are noted at both glenohumeral joints. | weakness and cough. |
MIMIC-CXR-JPG/2.0.0/files/p10262844/s55118348/4f140869-f68cf8e8-df461544-e22cfd5d-b285d9f4.jpg | the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. | history: <unk>m with chest pain // acute cardiopulm disease |
MIMIC-CXR-JPG/2.0.0/files/p12801663/s50677252/19ba98ac-e1e7ae73-0a39db55-10b2b7a1-77157ece.jpg | a portable ap radiograph of the chest is provided. the radiograph was repeated due to positioning of the patient's left hand over the lower chest. the patient is rotated. there is a tracheostomy tube within the midtrachea. the cuff is inflated such that it distends the trachea. the lungs are clear. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. of note, in the first view, the left hemidiaphragm is elevated raised, and on the subsequent radiograph it has descended. there has been no motion of the right hemidiaphragm. there is a left internal jugular central venous line terminating in the mid svc. | <unk>-year-old man with hematemesis or hemoptysis. evaluate for aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p14920515/s53678534/9db066f4-6d1ae7ae-53639232-495a1d70-3cf17845.jpg | the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. no acute fractures are identified. two radiopaque foreign bodies are noted overlying the right and left side of the neck may be foreign bodies external to the patient. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p12962644/s51491518/b7c2738b-b3e8a56b-43309bff-dc7e3dd8-3730697e.jpg | frontal upright and lateral radiographs of the chest were obtained. evaluation is somewhat limited by overlying soft tissue. the heart size and mediastinal contours are unchanged. no focal consolidation, pleural effusion or pneumothorax is present. | confusion, malaise and chest pressure for <num> day. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16868685/s55116256/f891559a-6db462a4-ee92770b-209737a2-1a9c6b5f.jpg | frontal and lateral radiographs of the chest demonstrate clear lungs. the cardiac and mediastinal contours are normal. no pleural abnormality is detected. | cough and fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17096173/s51642950/ae870319-0e5c6325-25c4d8c9-0c4ea72d-5a017f71.jpg | pa and lateral views of the chest provided. hilar congestion is noted with mild interstitial edema. there is increased opacity in the right middle lobe region which may represent atelectasis, less likely pneumonia. mild blunting of the cp angles likely indicates tiny pleural effusions. heart size is mildly enlarged. the mediastinal contour is normal aside from a unfolded thoracic aorta. bony structures are intact with demineralization noted. | <unk>f with htn, afib on amiodarone who presents with sob |
MIMIC-CXR-JPG/2.0.0/files/p16936322/s59529674/ec26ff96-7e71644a-7f54a01f-659f406e-45f40469.jpg | single portale view of the chest. there is suggestion of a left-sided pneumothorax seen with what appears to be a pleural line inferolaterally and superolaterally as well. there is lack of clear lung markings seen distal to this area. if amenable, repeat with patient in the radiology department is suggested to confirm. there is increased opacity at the left lung base potentially due to atelectasis, although infection cannot be entirely excluded. the right lung is grossly clear. the cardiomediastinal silhouette is within normal limits. tortuous thoracic aorta is identified. | <unk>-year-old male with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14482820/s51222003/4b6ce9a4-dac125b5-896d3f40-992de147-21d01a2b.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. subtle deformity projecting over the anterior right fourth rib rib may be artifactual however, correlate with site of pain for possible nondisplaced subacute rib fracture. | history: <unk>f with cad, type <num>dm presents s/p fall // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p17385766/s53373082/c64f81c7-1b40f7f5-17de2781-d0975708-2d337758.jpg | endotracheal tube terminates approximately <num> cm above the level of the carina. there is severe pulmonary emphysema. more confluent opacity in the right mid to lower lung most likely relates to pulmonary edema although infectious process or aspiration is not excluded in the appropriate clinical setting. the costophrenic angles are not fully included on the image. no pneumothorax is seen. the cardiac silhouette is likely accentuated by supine, ap technique. aortic knob calcification is seen. | history: <unk>f with ett and pul edema pls eval placement // history: <unk>f with ett and pul edema pls eval placement |
MIMIC-CXR-JPG/2.0.0/files/p19685907/s50767485/1224e13b-63017943-64ab5653-3d1aedef-c973f352.jpg | heart is mildly enlarged. no pleural effusions or pneumothorax. no focal consolidations. the cardiomediastinal and hilar contours are normal. | history: <unk>m with altered mental status // acute cardiopulm disease |
MIMIC-CXR-JPG/2.0.0/files/p16367769/s52906617/cec07865-d5b604f7-93d54f36-e70fc5b7-1498553f.jpg | compared to the prior study, lung volumes are low and there is now a small left pleural effusion. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is unremarkable. a g-tube is partially imaged. bony structures are intact. | <unk>-year-old man with c. diff sepsis, status post volume resuscitation, evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p12530421/s57551831/8fb31738-63ca916d-f8299d9c-f1bf7b51-316a40c0.jpg | ap and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. there is minimal streaky left basilar atelectasis. the cardiomediastinal and hilar contours are normal. there is slight irregularity to <num>th rib on the left posteriorly. | tenderness to palpation over the left chest wall, status post fall, evaluate for rib fracture or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p15211528/s57202541/7d905562-d8b48f2c-cedd6110-ab2a555a-e481db50.jpg | cardiomegaly is stable. pacer leads are in standard position. patient is status post avr. pulmonary edema has almost completely resolved. there is no pneumothorax. if any there is a small left effusion. sternal wires are aligned degenerative changes in the thoracic spine | follow-up a pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16473098/s54308875/e8abf2db-76bf4568-0d9121e4-2d661fea-b58e4a0d.jpg | frontal and lateral views of the chest were performed. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac silhouette is normal in size. the mediastinal and hilar contours are normal. there are no pleural abnormalities appreciated. there is no displaced rib fracture. | hypotension status post fall with chest pain under right breast. evaluate for pneumonia are rib fractures. |
MIMIC-CXR-JPG/2.0.0/files/p13210315/s50115161/de13cc1e-f760ee6b-be518647-477e3918-1382b07b.jpg | no focal consolidation is seen. nipple shadows are noted projecting over the lower chest bilaterally. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with weakness // pna? |
MIMIC-CXR-JPG/2.0.0/files/p14915616/s50557686/5081cfcc-ceb00819-968d2da5-3604e83f-06dad6e4.jpg | right hemidiaphragm appears more elevated. bilateral low lung volumes. bibasilar atelectasis right greater than left. no vascular congestion. no pneumothorax. no pleural effusions. cardiomediastinal contours are unchanged. | <unk> year old man with chf exacerbation // interval change |
MIMIC-CXR-JPG/2.0.0/files/p19796013/s59284430/249c0848-cead3e6b-ba6c1a53-b59f6ce9-b72a1893.jpg | single frontal view of the chest. tracheostomy is in stable position. heart size and upper mediastinal contours are stable. widening of the upper mediastinum is likely a combination of lymphadenopathy and azyos engorgement. right lung multifocal consolidation and pleural thickening have slightly increased since the prior exam with increased fluid in the right major fissure. less severe consolidations in the left lung are similar to prior. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p10604385/s59200622/bb0d1348-39d23c0e-9a93ec33-09ebbc65-c7a061d4.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. there has been no significant change. | new presentation of diabetes. |
MIMIC-CXR-JPG/2.0.0/files/p12235033/s50129604/4c3e8d00-19c2148e-f4dfa68a-c3616b94-68d9931c.jpg | ap portable upright view of the chest. there is no evidence of pneumomediastinum. no radiopaque foreign body is seen. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. | <unk>m with ?fb in throat // ?pneumomediastimum |
MIMIC-CXR-JPG/2.0.0/files/p16339847/s55461260/7afbdaa7-6e284d74-515933ea-09776715-dc78893d.jpg | lung fields are well inflated and clear. there is no pleural effusion. cardiac silhouette is normal. the aorta is mildly elongated. | .<unk> year old woman with + ppd needing assessment of cxr for active tb signs, asymptomatic |
MIMIC-CXR-JPG/2.0.0/files/p19961925/s56801712/c4d50ce2-5819704c-f66121a0-ed6a96ee-2c2239c6.jpg | ap upright and lateral views of the chest provided. low lung volumes limits the evaluation. the patient's chin also obscures the superior mediastinum and portions of the lung apices. there are bibasilar opacities which may reflect atelectasis and small effusions. there is hilar engorgement and mild congestion noted. heart size appears mildly enlarged. the mediastinal contour is stable. the imaged bony structures appear intact. | <unk>m with hx of cp, hx pericarditis // eval for effusion |
MIMIC-CXR-JPG/2.0.0/files/p18273212/s52470978/b73a4a8c-d5c418c5-b371eeed-afa9f3e1-7d1b094b.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 tachycardia, cough, pls eval for pna // history: <unk>f with tachycardia, cough, pls eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p17472823/s55824200/a1dacb5b-4abda8fd-d0316c7e-491f87f8-253bf241.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | <unk>m with fevers, chills, hiv + with unknown cd<num>. evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p16917070/s52881632/9e57db8a-80290211-e70f3404-7e90d0ac-2971b083.jpg | pa and lateral views of the chest provided. lung volumes are low. bibasilar mild atelectasis is present. there is no convincing evidence for pneumonia, pleural 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 chest pain, syncope // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg | right chest wall triple lead pacing device is again seen as well as a dual lumen right-sided central venous catheter. prosthetic mitral valve is noted. degree of cardiomegaly is unchanged. persistent mild pulmonary edema is again noted. retrocardiac opacity may be accentuated by portable technique, grossly unchanged from prior. there is no large effusion. old healed left lateral rib fractures identified. | <unk>f with recent prolonged hospitalization now presenting wtih fever. // evaluate for pna |
MIMIC-CXR-JPG/2.0.0/files/p19210266/s55877322/6f695b0e-661fa606-97dae3a7-e045ab8a-0372bfff.jpg | ap upright and lateral views of the chest provided. hyperinflation with prominent retrosternal clear space suggests copd. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no overt signs of edema. cardiomediastinal silhouette appears normal. bony structures are intact. no free air is seen below the right hemidiaphragm. | <unk>m with cough, copd // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16352556/s56061275/a874c9b4-492c9aac-9d66dec6-4a82a7e9-4b6c55a5.jpg | pericardial leads are present terminating overlying the anterior right ventricle and a second more posteriorly. lungs are well expanded and clear. no pleural effusion or pneumothorax. small diameter sternotomy wires are consistent with history of congenital heart history, the most inferior of which is fractured. a lobulated contour of the right heart border and middle mediastinum is of unclear significance without priors for comparison, likely due to congenital history. the left hemidiaphragm is elevated. | <unk> year old man with congenital heart history // eval for lead and generator |
MIMIC-CXR-JPG/2.0.0/files/p11668175/s57695884/fd00a7fb-190e159a-6c66d9ff-7eba3243-77c3ac68.jpg | pa and lateral views of chest were provided. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded with mild interstitial prominence, which may be related to mild pulmonary edema or chronic pulmonary disease. there is no focal consolidation. | dizziness. |
MIMIC-CXR-JPG/2.0.0/files/p16898052/s53989226/0d44d9d4-4bb69fd8-1f1ec932-3d973f5c-b14e642e.jpg | moderate to large right pneumothorax is demonstrated without evidence of leftward shift of mediastinal structures to suggest tension. there is atelectasis of the right lung. left lung is clear. pulmonary vasculature is normal. heart size is top normal. mediastinal and hilar contours are unremarkable. no pleural effusion is demonstrated. no acute osseous abnormality is identified. | history: <unk>m with pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p11082479/s50180803/c74286ee-561798e8-c02f94b7-38c3c1a2-105c63e0.jpg | mild opacity in the lingula likely chronic atelectasis, similar to previous imaging. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged with stable cardiomegaly. surgical clips again noted in left anterior breast. interval placement of a single lead left pectoral pacemaker with lead placement in right ventricle. | <unk> year old woman with cough. history of pneumonia // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p16712623/s57555478/a0b05450-2fe3aa81-2379aa20-28c80fec-3ede6967.jpg | a left port-a-cath terminates in the low superior vena cava. an esophageal catheter courses into the stomach and into the right upper quadrant with acute curvature of the tip, suggesting placement in the proximal duodenum or looping within the gastric antrum. mild bibasilar atelectasis is seen in the setting of low lung volumes. heart and mediastinal contours are stable with top normal heart size. no pleural effusion or pneumothorax is detected on this frontal view. | <unk>-year-old male with port-a-cath, placement confirmation prior to use. |
MIMIC-CXR-JPG/2.0.0/files/p17241424/s59836134/f8ba7a8d-72b0a321-3d1ddf2d-6586e9ea-cb983492.jpg | bilateral areas of opacification and consolidation are essentially unchanged from the prior study of <unk>. the endotracheal tube ends <num> cm from the carina, and the right-sided picc line ends in the low svc. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is mildly enlarged. | <unk> year old man with tbi and spine fracture with pneumonia // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14507731/s51396192/e5f50fda-d76d3f42-4f5ad2d5-e321def7-1c4f6301.jpg | normal heart size. mild engorgement of pulmonary vasculature. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. | history: <unk>m with fevers, acidosis // fevers, acidosis |
MIMIC-CXR-JPG/2.0.0/files/p12183689/s54894011/72e3a363-3bf4f0a3-eed63f7a-095ab136-879e8ccf.jpg | the endotracheal tube is in satisfactory position, <num> cm from the carina. an enteric tube is present with the tip curled within the stomach. a right internal jugular central venous catheter is unchanged, with the tip in the low svc. the lung volumes are low with a small amount of right basilar atelectasis. the lungs are otherwise clear without evidence of focal airspace consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | stroke. the og tube has been replaced. evaluate positioning. |
MIMIC-CXR-JPG/2.0.0/files/p11988172/s59471073/6e704727-f31cdb90-970530d0-b91e58b6-a259f1e4.jpg | lung volumes are low. this accentuates the size of the cardiac silhouette which is top normal. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. patchy opacities in the lung bases are slightly progressed and likely reflect atelectasis. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen. | decreased mental status. |
MIMIC-CXR-JPG/2.0.0/files/p12838416/s58657244/19463129-c15d5225-0b62da48-c420e8b1-983b1312.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with h/o metastatic nsclc, now being treated for hcap and pcp pn<unk> // interval change |
MIMIC-CXR-JPG/2.0.0/files/p13960137/s56402787/3b6a87b6-6a3f4c03-82ddf603-bbdd0538-20498ae2.jpg | the lungs are well aerated and clear. the cardiomediastinal silhouette is normal. no pleural effusion or pneumothorax. osseous structures are intact. | <unk>/f pod <num> from rt total knee arthroplasty who developed sustained svt this am // evaluate for source of intermittent fever |
MIMIC-CXR-JPG/2.0.0/files/p16007214/s58487951/421346fb-f56b164c-baf1b2db-cd46e532-bf059b52.jpg | median sternotomy sutures appear intact. a left chest wall pacer/defibrillator is stable in positioning and with contiguous leads. surgical clips related to prior coronary artery bypass evident. there is stable moderate-to-severe cardiomegaly. bibasilar streaky opacifications, similar in appearance to prior examinations and likely due to atelectasis in the setting of low lung volumes. no overt pulmonary edema evident. no pleural effusion is present. | chest pain, evaluate for cardiac disease or infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p10358580/s52868955/42f2c577-9f9ed8d7-9068a0bd-01f96abf-62ec4642.jpg | a left pectoral dual-lead pacemaker is unchanged in position with two leads terminating in the right atrium and right ventricle as before. there has been interval removal of a right picc line from the most recent prior chest radiographs. the inspiratory lung volumes are decreased from the most recent prior study. an opacity at the right lung apex is unchanged. there is no new consolidation, pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged but stable. the mediastinal contour is unchanged with tortuosity and calcification of the aortic arch. | fever and altered mental status, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19765303/s52894089/6201cb7c-ed7cc253-383fd51f-160df6e9-349879c4.jpg | since the radiographs obtained <unk>, pulmonary vascular congestion and edema have resolved. moderate cardiomegaly is unchanged and there are no pleural effusions. there is prominent calcification of the mitral annulus. lungs are fully expanded and clear without consolidations. cardiomediastinal and hilar silhouettes are normal. multilevel compression fractures appear grossly unchanged since ct chest dated <unk>. | <unk> year old woman with diastolic hf and atrial fibrillation with crackles right base and increased weight // assess for chf |
MIMIC-CXR-JPG/2.0.0/files/p11900721/s52224551/f86e49bd-1d59ea6d-3f2b9ba5-6c3e79b1-3e396257.jpg | ap view of the chest provided. ng tube has turned in the mid esophagus and courses cephalad, terminating likely in the oropharynx. endotracheal tube and hemodialysis line are in unchanged positions. the left hemidiaphgram is obscured, likely from atelectasis. there is hazy opacity overlying the hemidiaphragm, reflective of layering pleural effusion and loss of lung volume. mild pulmonary vascular congestion is again seen. a heart size is stably enlarged. | <unk> year old woman with new ngt |
MIMIC-CXR-JPG/2.0.0/files/p15310341/s56489958/e13bce21-9cd76d00-09b54acb-697b7458-7af15513.jpg | ap and lateral views of the chest. the lungs are clear without consolidation or definite effusion noting that the right posterior costophrenic angle is excluded from the field of view. the cardiomediastinal silhouette is within normal limits for technique. no displaced fractures identified. | <unk>-year-old male with elevated inr, status post fall. |
MIMIC-CXR-JPG/2.0.0/files/p14138449/s52942450/dd5abcf9-575427c2-7f391622-cfc708b5-7dd54dc4.jpg | both lungs are well expanded and without any opacities concerning for aspiration or pneumonia or pulmonary edema. a single drain is seen at the level of the upper trachea in the midline. cardiomediastinal silhouette is unremarkable. there is no widening of the upper mediastinum. heart size is normal. there is no pleural abnormality. | patient with recent tracheal resection, to look for interval changes. |
MIMIC-CXR-JPG/2.0.0/files/p13688556/s57146592/ca1ee85f-8af2eb7f-d93b4121-7f625854-d3dbf6a4.jpg | as compared to the prior exam, there has been no relevant interval change. the lungs are hyperinflated. 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 chest pain, r arm pain // pneumothorax, effusion? |
MIMIC-CXR-JPG/2.0.0/files/p16187793/s58011352/503c5a7d-ee1fa784-de074867-b3f1530c-71aa51a0.jpg | there increased interstitial markings in the lungs bilaterally similar to prior. there is some more confluent left basilar opacity projecting posteriorly on the lateral view. there is no large pleural effusion. cardiomediastinal silhouette is grossly unchanged. aortic core valve device and median sternotomy wires are unremarkable. | <unk>m with productive cough // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16625825/s58465913/d1d9b651-2fdc6cb4-011c78e5-3315df5e-20b8f193.jpg | the heart size and mediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax. | <unk> year old woman with right deltoid lymph node, smoker // lesions? |
MIMIC-CXR-JPG/2.0.0/files/p16047379/s53064238/eaf647eb-f4b2dca0-d5e6089a-4d067f3f-bc058281.jpg | the lungs are clear. there is no pneumothorax visualized based on this supine film. the cardiomediastinal silhouette is within normal limits. no visualized subcutaneous gas. | <unk>m with stab to neck // ? ptx |
MIMIC-CXR-JPG/2.0.0/files/p16066728/s56533978/4b13b264-31bebfd4-448eae2b-19a97790-d7502453.jpg | the heart is normal in size. the mediastinal and hilar contours appear stable. blunting of posterior costophrenic sulci suggests a trace pleural effusion, at least on the right side, but possibly bilateral. mild pleural thickening at each lung apex appears unchanged. the lungs appear otherwise clear. bony structures are unremarkable. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12895214/s53482543/e9b0b969-755ebf2e-fcc2d567-82fc904b-435b6de6.jpg | dual lead pacemaker is in unchanged position with leads in the expected position of the right ventricle and right atrium. a right internal jugular central venous catheter terminates in the region of the cavoatrial junction. there is new left pleural effusion and retrocardiac opacity likely reflecting atelectasis. | <unk> year old woman with recent ppm placement // please eval ppm for lead placement and presence of pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p19664531/s56467723/3143c203-bb080ec8-8dc0123d-88fe04c1-e673e1b5.jpg | in comparison to <unk> radiograph, heart is increased in size and is accompanied by a new pulmonary vascular congestion, as well as new heterogeneous opacities in the right lung with both alveolar and interstitial features. small bilateral pleural effusions are also new. known intrathoracic lymphadenopathy is seen to better detail on prior pet-ct of <unk>. | <unk>-year-old man with hodgkin's lymphoma fever and lethargy. evaluate for infiltrates. |
MIMIC-CXR-JPG/2.0.0/files/p13716770/s53917131/a6f83f6e-10e2195b-b63ca967-914bb4aa-7987a14a.jpg | the right pleural catheter is been removed and there is a moderate amount of air in the subcutaneous tissues of the right chest wall and right neck. there is a small right pneumothorax, slightly smaller than the prior study. no significant right pleural effusion. left lung is clear. | <unk> year old man with hep c cirrhosis c/b hydrothorax s/p drainage, ptx, now with trapped lung. // interval change? |
MIMIC-CXR-JPG/2.0.0/files/p16969166/s53321248/b10dd94a-468ce9c3-7ecdb9fa-2c095856-e9372dba.jpg | no previous images. the heart is normal in size and the lungs are clear without vascular congestion or pleural effusion. | nausea and vomiting with fever. |
MIMIC-CXR-JPG/2.0.0/files/p18780736/s59791461/d24dc73c-c99409ea-8f3ca30b-10977c04-c81b36e5.jpg | a port-a-cath terminates in the upper superior vena cava, as before. lung volumes have decreased. there are new opacities at the medial lung bases, more extensive on the left than right. there are also small but increased bilateral pleural effusions, again larger on the left than right. more superiorly, bilateral opacities are suggestive of atelectasis. mid to upper lungs remain clear. | pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p18370569/s58103822/8e0371df-445f72c7-a9ff45e4-d162561e-ee364822.jpg | an endotracheal tube terminates in the thoracic inlet, <num> cm above the carina. an orogastric tube courses below the diaphragm, the tip is seen in the gastric fundus. the cardiomediastinal and hilar contours are within normal limits. linear bibasilar densities likely reflect atelectasis or aspration. there is no pneumothorax or pnemomediastinum. | intubated, neck trauma. rule out pneumothorax, evaluate et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p14267880/s51255733/d5f83d59-e817f04c-0554dd8d-13e73e19-b8cb5cca.jpg | there is mild cardiomegaly. the cardiomediastinal silhouette is unchanged. there is no concerning parenchymal consolidation. there is no pleural effusion or pneumothorax. | <unk>m with coronary artery disease and dyspnea on exertion with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19190385/s54085219/06d5a4e1-e142f343-952bd43a-c5c3efd3-1242f6f2.jpg | pa and lateral views of the chest are compared to previous exams from <unk>. the lungs remain clear. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted. osseous and soft tissue structures are otherwise unremarkable. | <unk>-year-old female with cough. |
MIMIC-CXR-JPG/2.0.0/files/p14799353/s56663708/c0ff1890-43fb472b-8710eb36-68edeb95-2561eb9c.jpg | lungs are clear of consolidation, effusion or pneumothorax. heart size is mildly enlarged. mediastinal and hilar contours are normal. no free air under the right hemidiaphragm. several right-sided rib fractures are chronic. | <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p12474949/s56973185/8037d4e2-f1857284-8ea249aa-4b4c679a-2593c847.jpg | pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | <unk>-year-old woman with shortness of breath for one month and new-onset right-sided pleuritic chest pain. evaluate for pneumonia. at this time, the patient has no leukocytosis or fever. |
MIMIC-CXR-JPG/2.0.0/files/p18715578/s52792882/63d4a596-170383ed-1f4050bc-b9caaed2-d200edc5.jpg | very shallow inspiration. bibasilar opacities, likely atelectasis. consider pneumonitis in the appropriate clinical setting. | <unk> year old woman cirrhosis and with encephalopathy r/o infection // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p11558834/s58151835/24b90141-08e4c932-01bfb952-ce08201d-9aa67618.jpg | ap view of the chest provided. compared to prior study, the degree of pulmonary edema is unchanged. there is however increased retrocardiac opacity, which likely reflects atelectasis +/- effusion, however in appropriate clinical setting developing pneumonia cannot be excluded. there is interval increase pleural fluid on the right. moderate cardiomegaly is stable. | <unk> year old woman with tachypnea. // rule out pneumonia, aspiration |
MIMIC-CXR-JPG/2.0.0/files/p11390987/s56164618/6bd4a880-72e428f8-a1df8d04-ac6304a6-77c32c78.jpg | severe enlargement of the cardiac silhouette is re- demonstrated, with dense atherosclerotic calcification of the aortic arch again noted. the mediastinal and hilar contours are otherwise stable with dilatation of the ascending aorta and tortuosity of the thoracic aorta. the pulmonary vasculature is not engorged. emphysematous changes are again noted within the upper lobes. patchy retrocardiac opacity likely reflects atelectasis, but infection cannot be completely excluded. scarring within the lung apices is stable. linear opacities within the right mid lung field also appear relatively unchanged and appear compatible with scarring/post radiation changes. there may be trace bilateral pleural effusions. no pneumothorax is present. multilevel degenerative changes are again seen within the thoracic spine, without an acute osseous abnormality seen. clips are noted within the right chest wall, compatible with prior lumpectomy. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p15574516/s58767593/b10d5c43-935f494c-d045afee-a464c256-628bcab3.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion, pulmonary edema or pneumothorax. | history: <unk>f with chest pain // eval for infiltrate, ptx |
MIMIC-CXR-JPG/2.0.0/files/p13294541/s55499732/157e583e-d039b98f-b4c7b5a1-2a0b5823-ad89b18f.jpg | there are low lung volumes, which accentuate the bronchovascular markings. given this, <unk> subcentimeter calcifications noted in the right mid lung likely represent calcified granulomas and are stable. there is a biapical scarring again seen. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. surgical clips are noted in the upper abdomen. | right-sided chest pain. |
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