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MIMIC-CXR-JPG/2.0.0/files/p19928323/s54641909/20899d12-09ff2ef6-36cdc972-53a9985c-d046ae63.jpg | sternotomy wires are intact. heart size is top normal and the thoracic aorta is tortuous. mild diffusely increased interstitial lung markings are likely chronic. no focal consolidation, pleural effusion, or pneumothorax. no displaced rib fracture. there is a compression deformity of a lower thoracic or upper lumbar vertebral body, likely l<num>, age indeterminate | history: <unk>f with fall from standing wtih confusion // r/o pna, rib fx |
MIMIC-CXR-JPG/2.0.0/files/p11041295/s59150289/bd0ef46d-1ca9baf1-ff7ccda6-d400c2d3-450b9d54.jpg | a single portable semi-erect chest radiograph was obtained. low lung volumes accentuate the pulmonary vasculature. moderate cardiomegaly is unchanged. the costophrenic angles are blunted. there is no focal consolidation or pneumothorax. there is no new abnormal cardiac and mediastinal contour. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p18022328/s58066054/46c46a04-2fbeece1-5e6700c3-c1525835-9cc1e7e5.jpg | the lungs are grossly clear without consolidation large effusion or vascular congestion. the cardiomediastinal silhouette is stable. posterior fixation hardware in the thoracolumbar spine is noted. | <unk>f with hypotension // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p13138475/s52186196/43e13c09-495a66b0-47e9c9d5-40fd63d2-5f664b4f.jpg | frontal upright view of the chest was obtained. a left midline catheter, previously positioned within the left subclavian vein, now terminates at the junction of the left axillary and subclavian veins. allowing for positional differences, there has been no interval change in multifocal basilar-predominant consolidations. multiple superimposed bilateral ill-defined nodular opacities are similar to prior and may be related to known vasculitis. small right and moderate left pleural effusions are unchanged. the heart size is normal. no pneumothorax. | <unk>-year-old female with wegener's and history of post-obstructive pneumonia and now with increasing shortness of breath. evaluate for pneumonia or edema. |
MIMIC-CXR-JPG/2.0.0/files/p19509298/s56055405/49fd8772-0f2882b4-dd3526ba-938b7d34-4c56e1b4.jpg | there is increased opacity at the right lung base. some of this could be due to elevation of the right hemidiaphragm although subpulmonic effusion is possible. patchy adjacent consolidation is also noted. left lung is grossly clear noting motion which obscures fine detail. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with ams, hypoxia // pna? |
MIMIC-CXR-JPG/2.0.0/files/p10578743/s59114835/31685993-3d197860-4c1b286e-13deee90-981ef7be.jpg | the heart is moderately enlarged, similar to prior. there small bilateral effusions, left greater than right. there bilateral lower lobe infiltrates that have increased compared to the prior exam. there is mild pulmonary vascular redistribution | <unk> year old man with iddm, ckd (cr <num>), cvax<num> with residual right sided weakness who presents s/p mechanical fall now s/p r hip hemiarthroplasty with new o<num> requirement. patient currently requiring increased o<num> tonight, please assess for increased pulm edema. // look for increased pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p17251355/s58022097/7f9c0acc-e12eb045-7bcf57c0-b36903c9-ba39d8e5.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are well expanded and clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with shortness of breath and chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18272443/s50039058/d2df0f33-14cd461d-550e7705-34bc4a17-082b8b1a.jpg | persisting cardiomegaly and the bilateral pulmonary edema with no significant interval change. no chest tube position of the various tubes with the et tube above the carina. the right picc line in the svc and the ng tube probably in the stomach. | <unk> year old man w/prolonged ventilator needs // eval for change |
MIMIC-CXR-JPG/2.0.0/files/p17340686/s58908940/35c92af3-ed9be418-cfa5c77f-01d6e3c7-fcb5af0a.jpg | ap and lateral views of the chest were obtained. the lateral view is suboptimal due to overlying soft tissues due to patient's inability to move right arm, secondary to chronic right humeral head deformity and severe osteoarthritis of the right glenohumeral joint. a left port-a-cath is again seen, terminating at the cavoatrial junction. the heart is moderately enlarged, as before. the lung volumes are low, and there is mild fluid overload with small bilateral pleural effusions. there is no pneumothorax or focal consolidation concerning for pneumonia. bibasilar atelectasis is present. | <unk>-year-old female with fall. evaluation for pneumonia. comparison is made to multiple prior exams including most recent radiograph of the chest from <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p19084517/s59546626/97816b66-a134b55f-523287a6-303b5c89-d10cc521.jpg | portable frontal chest radiograph demonstrate diffuse mild interstitial pulmonary edema. there is no new focal consolidation. lung volumes are mildly improved. an enteric tube is seen with its terminal tip in a nondistended stomach. the cardiomediastinal and hilar contours are stable. | <unk>-year-old male with history of dvt pe a <unk> on lovenox with new fever. |
MIMIC-CXR-JPG/2.0.0/files/p16254868/s51012912/a681565c-fbfbe46a-06736491-957db844-3b2bb11d.jpg | the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged from prior exam. the ascending aorta again demonstrates a tortuous course. | intermittent chest pain for <num> day. |
MIMIC-CXR-JPG/2.0.0/files/p12653491/s50134149/02223790-76bb67e0-b40b076d-1be4cd61-f41692d6.jpg | the heart size is mildly enlarged, though may be due to low lung volumes. the lungs are otherwise clear. there is no significant hilar or mediastinal lymphadenopathy, which is better assessed on prior cta chest from <unk>. the mediastinal contour is otherwise unchanged. no pleural abnormality is seen. | <unk> year old <unk> <unk> woman with left ij dvt, transient rash, and pulmonary hypertension // ?hilar lad |
MIMIC-CXR-JPG/2.0.0/files/p13117944/s59926958/a7226837-20ef0a8d-3e3b323d-62382f05-90b59351.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. a small to moderate quantity of free air is noted under each hemidiaphragm. | abdominal pain and vomiting; question free air. |
MIMIC-CXR-JPG/2.0.0/files/p18965721/s50894003/c9f55efb-7a21de19-d57abc2e-4646d97d-d33836f2.jpg | right internal jugular venous catheter terminates in low svc. no pneumothorax is identified. there is no large pleural effusion. moderate cardiomegaly is stable. mild pulmonary vascular congestion is stable. | <unk>f with dyspnea, shock, sp rij // post ij |
MIMIC-CXR-JPG/2.0.0/files/p16775055/s53026160/e962d9c7-3ceac999-dd352657-1d6e9d1a-9df3b4d1.jpg | since the prior radiograph on <unk>, the diffuse pulmonary edema has significantly improved. there is still mild residual interstitial edema on today's radiograph. there is still a loculated right effusion and a small left effusion. there is also bibasilar atelectasis. no pneumothorax. mediastinum and hilar within normal limits. heart size is top normal. left picc line is unchanged in position and terminates at the lower svc. the left ij catheter has been removed. | <unk> year old woman with new onset systolic hf // pulm effusion , pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p12022236/s58562861/41c574e7-14690819-0a57abf0-b72a61b1-5484bda9.jpg | the left pleural catheter has be removed. there is expected subcutaneous emphysema. there is no pneumothorax. there is patchy opacity in the left lung base which could represent atelectasis as seen previously. the remainder of the lungs and mediastinal structures are unchanged. | <unk> year old man with spontaneous ptx, now s/p chest tube pull // s/p chest tube pull (l pigtail), interval change |
MIMIC-CXR-JPG/2.0.0/files/p12852411/s56653575/592273b2-e542286b-ac166431-ab17cad5-21c6ff4a.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. unchanged s-shaped thoracolumbar scoliosis and multilevel degenerative changes within the spine. | <unk>-year-old female with chest pain. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p13978845/s51210686/5442397f-0df06773-98b2e193-c637084c-e777bc22.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. mild degenerative changes are similar along the lower thoracic spine. there has been overall no significant change. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p16202057/s57553787/06168cc1-48cbf5e1-5e673de2-16ad6ec5-09201fbb.jpg | endotracheal tube is in expected position <num> cm above the carina. an ng tube has been placed in its tip is within the stomach below the inferior aspect of the film. the there has been improved aeration in the lungs but there is persistent, essentially unchanged, bilateral pulmonary edema with bilateral pleural effusions and basilar atelectasis. heart size is unchanged. no fracture or concerning bone findings. | <unk> year old woman with, intubated with newly placed ogt // ogt placement |
MIMIC-CXR-JPG/2.0.0/files/p19036514/s53743249/d9a8cf4d-9d81cf95-6f84ed82-eb9769fe-03d4664e.jpg | frontal and lateral radiographs of the chest demonstrate clear lungs. the cardiac and mediastinal contours are normal. no pleural effusion or pneumothorax is detected. | shortness of breath and chest pain. evaluate for chf or lung lesions. |
MIMIC-CXR-JPG/2.0.0/files/p15228038/s52347990/7898c07a-26ac79f3-69fe0b87-5e0838f9-d09e7ec8.jpg | a right port-a-cath terminates in the right atrium. a left picc line terminates in the low svc. there is central vascular congestion with mild pulmonary edema. minimal bilateral pleural effusions. mediastinal and hilar contours are normal. the heart is mildly enlarged. | <unk> year old woman with hx metastatic appendix cancer, now presents with rising lfts, s/p ercp // pls confirm picc placement |
MIMIC-CXR-JPG/2.0.0/files/p15210999/s50398862/ac43b166-78337287-42038379-699968fa-353b7b8d.jpg | bilateral upper lobe reticular and nodular opacities accompanied by upper lobe volume loss are similar to the prior radiograph of <unk>. heart size remains normal, and calcified mediastinal hilar nodes are unchanged. there is no evidence of pleural effusion or pneumothorax. | sarcoidosis. |
MIMIC-CXR-JPG/2.0.0/files/p18553599/s56727784/5ba7fc0e-1459815f-6dc75e1c-aca6a8e5-6029c751.jpg | portable ap semi-upright view of the chest were reviewed and compared to the prior studies. a pigtail catheter within the left chest is unchanged in position. opacity around the left mediastinum and loss of the left mediastinal contours is highly concerning for left lung atelectasis and/or a large left pneumothorax. opacities in the right lung have decreased, however, right low lung atelectasis persists. a right-sided internal jugular line ends in the low superior vena cava. evaluation of the cardiac and mediastinal contour is severely limited; however, they appear grossly unchanged. again left rib fractures are noted. subcutaneous air in the left hemithorax is slightly decreased. | evaluation of left-sided pneumothorax in a pedestrian struck, now with a chest tube to waterseal. |
MIMIC-CXR-JPG/2.0.0/files/p13771318/s59969149/b1928846-7c820957-3885c716-2abcc18e-634e26bc.jpg | the heart is at the upper limits of normal size. the aorta again shows moderate unfolding with calcifications seen along the aortic arch. the mediastinal and hilar contours appear unchanged. minimal residual left lingular atelectasis persists but has decreased. the lungs appear otherwise clear. there is no pleural effusion or pneumothorax. mild-to-moderate degenerative changes are similar along the thoracic spine. | intermittent labored breathing and decreased breath sounds at the right lung base. |
MIMIC-CXR-JPG/2.0.0/files/p15625104/s59096911/d337372c-08d9240d-e49df9b9-d305df07-94804e94.jpg | there is persistent opacification of the left hemithorax with leftward mediastinal shift suggesting collapse of the left lower lobe. a large left pleural effusion is unchanged. compared with the immediate prior study of <unk> at <time>, there is slightly improved aeration of the left mainstem bronchus as well as slightly increased air in the left lung field. however, the partially visualized left-sided airways appear abnormal, suggesting widespread bronchiectasis. the pulmonary edema in the right lung appears slightly improved, but there abnormal opacities throughout the right lung, suggesting underlying chronic pulmonary disease. if no cross-sectional imaging has been performed to date (none is available for review at this time), ct is recommended for further evaluation of any underlying parenchymal process. the endotracheal tube and enteric tube are in unchanged standard position. there are multilevel age indeterminate vertebral compression fractures of the visualized thoracic spine. | <unk> year old man with copd, chronic left lung collapse and recurrent pna s/p bronchoscopy and suction of seretions // improvement of l lung collapse |
MIMIC-CXR-JPG/2.0.0/files/p12603111/s56423639/c2d713f2-b2f54d0d-d859d5e6-6e48c906-d9350248.jpg | evidence of bilateral calcified pleural plaques are again seen, consistent with prior asbestos exposure. prominence and indistinctness of the hila may be due to pulmonary vascular engorgement/congestion. patchy bilateral mid lung opacities may relate to pulmonary vascular congestion and overlying pleural plaques although underlying consolidation not excluded. the cardiac and mediastinal silhouettes are stable. the lower left lateral hemithorax is not fully included on the image, however, difficult to exclude nondisplaced fractures involving the lateral left <unk> and <num>th ribs. | status post fall with head injury, question loss of consciousness, also with left lateral chest wall pain. |
MIMIC-CXR-JPG/2.0.0/files/p11590181/s54999639/91b4d7b8-7a94dd2c-24c836c1-588e2903-ff39c95f.jpg | there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. bones are intact. | new onset partial seizures, evaluate for admission. |
MIMIC-CXR-JPG/2.0.0/files/p18189327/s52950181/d62197a8-4300166e-5bf509ef-305a4a91-5b9dfa0a.jpg | portable semi-upright radiograph of the chest demonstrates hyperexpanded lungs with interval improvement in bibasilar atelectasis. cardiomediastinal and hilar contours are unchanged. the nasogastric tube ends in the stomach. no pneumothorax or overt pulmonary edema. | <unk> year old woman with respiratory distress // ? pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p13143090/s52003714/2baf1dc3-1febb4a7-8eebaa2f-c1967416-d57fad14.jpg | pa and lateral views of the chest. the lungs are clear without consolidation or pneumothorax. cardiomediastinal silhouette is normal. surgical clips in the right upper quadrant suggest prior cholecystectomy. no acute osseous abnormalities. | <unk>-year-old female with chest pain and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p17848858/s52675073/3d49daf2-9391d627-0cc7e616-2f483196-119c57f0.jpg | low volumes are low. bibasilar opacities could represent atelectasis, pneumonia, or aspiration. there is no effusion or pneumothorax. the mediastinum is widened. pulmonary arteries are enlarged. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. et tube tip is approximately <num> cm above the carina. side port of the ng tube is near the ge junction. | history: <unk>f with altered mental status*** warning *** multiple patients with same last name! // eval for intracranial bleed, pulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p10028480/s52781231/342c6ec8-cfb43c4d-c26c98c1-21b81145-1a08e499.jpg | there is moderate interstitial edema bilaterally and trace fluid along the fissures. heart size is enlarged, stable since <unk>. mediastinal contours are normal. no large pleural effusion. no pneumothorax. osseous structures are intact. | <unk>f with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18044092/s56428938/03c45aed-6a92d5ca-c35e86cb-4c27ae33-279f9c9d.jpg | ap and lateral views of the chest. low lung volumes areseen. right-sided dual-lumen central venous catheter seen in unchanged position. the lungs are clear without consolidation, effusion are in pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits given low inspiratory effort. possible hiatal hernia identified on lateral view. no acute osseous abnormality identified. degenerative changes again seen at the acromioclavicular joint. | <unk>-year-old male with fever on dialysis. |
MIMIC-CXR-JPG/2.0.0/files/p16430675/s53871372/ac142103-e9f65996-de8ac3fc-0b3d249d-92e16f13.jpg | frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. left hemidiaphragmatic elevation is unchanged since at least <unk>. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p14167244/s54923778/7f39417f-72ce7a1b-38e5c6a7-b8766081-c32d4387.jpg | mildly hyperinflated lungs suggest obstructive disease. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. healed right rib fractures are unchanged. | <unk> year old woman with cough and fever in patient with splenctomy // rule out pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18436903/s50150726/8c7295ce-3922e454-f4f20805-874e1349-a5a42324.jpg | the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. | history: <unk>m with palps // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p18531583/s54531293/387ea432-d314263b-710e31a4-05f2776b-090642c2.jpg | the lungs are well expanded. no definite pneumonia on this single view. the left lung is clear. no large pleural effusion. no pneumothorax. cardiomediastinal silhouette is overall unchanged and within normal limits. aortic knob calcifications are unchanged. left-sided cardiac device is unchanged. | <unk>-year-old female presenting with dyspnea. evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p14496947/s51712336/604bab2e-c2f2ca18-ae59ce04-2f4b7ee5-0fce17f9.jpg | there is a small area of opacity in the right costophrenic angle that is increased compared to prior an on the lateral is most compatible with a small effusion. otherwise, compared to the prior study there is no significant interval change. | <unk> year old man with post op fever // acute process |
MIMIC-CXR-JPG/2.0.0/files/p19493318/s54090326/7564cb04-49b57c16-065d902d-e9103820-cb57625d.jpg | no previous images. the cardiac silhouette is within normal limits, and lungs are clear without vascular congestion or pleural effusions. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p16993562/s53703910/a1d692b6-25bffe48-cee3fc75-c958f52a-7808aebb.jpg | there is an interval placement of a right-sided chest tube with persistent though slightly improved right pleural effusion layering posteriorly and tracking along right minor fissure. evaluation of right lung apex is obscured due to overlying medical devices, though there appears to be a small pneumothorax. increased opacification in the left lower lung may be due to worsening atelectasis, possibly small left pleural effusion. mediastinal and hilar contours are unremarkable. left-sided dual-lumen catheter with one distal tip terminating in the right atrium. dobbhoff tube is coiled within the stomach. | patient with air leak after right pigtail placement, please evaluate for residual pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18696565/s58548023/2e7785ea-fb6cf89a-f3cd0f7a-9ce6d1c6-1eb51ce7.jpg | frontal and lateral radiographs of the chest demonstrate relatively low lung volumes with clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | <unk>f with cp associated with cough/sob/wheezing // eval for bronchitis/pmn/asthma |
MIMIC-CXR-JPG/2.0.0/files/p11241014/s50899583/3a7fa942-02d306dd-11af9079-f0c1f745-0453f593.jpg | there is improved aeration at the left lung base which is now clear besides minimal linear opacity which is likely atelectasis. there is no focal consolidation, effusion, or edema. there is mild cardiomegaly. median sternotomy wires are noted. surgical clips project over the right axilla. no acute osseous abnormality. | <unk>m with fevers s/p cardiac surgery // widened mediastinum, |
MIMIC-CXR-JPG/2.0.0/files/p17822730/s58507383/f8a9bdbc-ba4b1ac1-3df48616-318218da-6f7c6b4f.jpg | the central line tip is now at the cavoatrial junction. the appearance of the lungs are unchanged. | <unk> year old woman, line was pulled back approximately <num>cm // eval for line placement |
MIMIC-CXR-JPG/2.0.0/files/p19057052/s52547832/cbc4a0bf-b2cbfb70-973db0a1-874fae09-7ed0e94d.jpg | there are new dense areas of volume loss most marked in the right mid to upper lung and left lower lung. there is also right lower lobe alveolar infiltrate. et tube and right-sided picc line and cervical spine fixation devices are unchanged. og tube tip is off the film. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p14714706/s54937022/e10fc967-b7c274f6-37d0416d-8305cb95-c57e2386.jpg | interval removal of the ett tube, ng tube, swan-ganz catheter, and mediastinal drains. expected increased bilateral mild atelectasis and lower lung volumes status-post extubation. mild pulmonary vascular congestion is also within the expected range after extubation. stable moderate cardiomegaly. stable mediastinal contours and appearance of the hila. no focal consolidation, pulmonary edema, pneumothorax, or pleural effusion. median sternotomy wires appear intact and aligned. the right ij introductory catheter sheath appears in place. | <unk>-year-old woman status post removal of a chest tube. recent avr and cabg. |
MIMIC-CXR-JPG/2.0.0/files/p19778376/s51489261/991dd330-3564cae7-a05e5e4e-e81ce0b8-1b7e6940.jpg | pa and lateral upright chest radiograph demonstrates no focal opacity convincing for pneumonia. cardiomediastinal and hilar contours are within normal limits. there is no evidence of overt pulmonary edema. there is no pleural effusion or pneumothorax. osseous structures demonstrate no acute abnormality. | <unk>-year-old female with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13916795/s53376247/3d2aa593-4e275748-f991194e-eb8c9751-c7f81a83.jpg | frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12124802/s59433254/ac90f0bb-ebde1084-05a0bde4-4ec436eb-b6f80e05.jpg | the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. | <unk> year old woman with bilateral pleuritic pain. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p17481338/s51209885/fa4d520c-5db34fe1-8937dd39-e9ac85ce-5ccecce1.jpg | portable upright chest film <unk> at <time> is submitted | <unk> w/ chf and possible pna. // interval change, edema, effusions, pna? interval change, edema, effusions, pna? |
MIMIC-CXR-JPG/2.0.0/files/p14982898/s56782555/c7e5bd44-635392d5-869d37d5-cb1a2ce3-3593c3bd.jpg | portable chest radiograph demonstrates stable mild-to-moderate cardiomegaly with unremarkable mediastinal and hilar contours. bibasilar atelectasis is identified. possibly trace bilateral pleural effusions are unchanged. no focal opacifications identified. | extensive left mca stroke with low-grade temps, decreased breath sounds at both bases, and crackles on the left; please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13207656/s53560983/063e25e9-54009936-2b14d836-0e54d39f-d0690bbe.jpg | no significant change in small right pneumothorax compared with <num> hours prior. no evidence of tension. | right pneumothorax. follow up pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17707269/s53470741/018345cc-937d01fb-8ff591c9-6fb5b81f-21800f4e.jpg | pa and lateral views of the chest. compared to prior study, there is an increase in opacities in the superior portion of the right lower lobe and the left lower lobe, as well as possibly in the medial portion of the right lower lobe. no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are stable. | severe bronchiectasis, cough, sputum for <num> weeks, evaluate for change in known chronic bronchiectasis. |
MIMIC-CXR-JPG/2.0.0/files/p13993571/s51462329/1391251e-3669acb3-4e1f5a9b-f22d6fa5-ec4b4c35.jpg | patient is status post median sternotomy and cabg.patchy left base opacity is re- demonstrated, similar on the frontal view and has been present since at least <unk>, however, finding may be slightly increased on the lateral view and underlying atelectasis or subtle superimposed consolidation not excluded. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with pmh of iddm and choledocholithiasis presents to the ed via ambulance c/o diffuse abd pain, fever, and chills. // does he have any infiltrates on his cxr? |
MIMIC-CXR-JPG/2.0.0/files/p12411995/s51993442/b413ff46-69caa335-9689fd8e-b7515bf4-d22b5df8.jpg | the heart size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. apart from mild atelectasis in the lung bases seen, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. moderate degenerative changes are re- demonstrated in the thoracic spine. | new onset atrial fibrillation, history of obstructive sleep apnea |
MIMIC-CXR-JPG/2.0.0/files/p14020496/s50682032/63eef817-2f21af88-08550e2f-2fbc1a4d-b6e91dbf.jpg | mild bibasilar opacities are likely atelectasis. there is no pneumothorax or pleural effusion. cardiomediastinal and hilar silhouettes are normal size. | history: <unk>f with epigastric abd pain // eval for acute process, free air |
MIMIC-CXR-JPG/2.0.0/files/p12263113/s59759218/3af4c386-4cd4476c-060dd87f-3b440f12-e4deb690.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. minimal patchy and linear opacities are seen within the right lower lobe, most in keeping with atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected. | <unk>f with cough and chills |
MIMIC-CXR-JPG/2.0.0/files/p12374129/s56382340/20ad59c2-fe81e66f-bf71365e-a2ad2cd5-f7bdc5ff.jpg | ap and lateral views of the chest. there is elevation of the right hemidiaphragm. linear opacity at the left lung base is suggestive of atelectasis versus scarring. there is no focal consolidation. no effusion. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. median sternotomy wires are identified. no acute osseous abnormalities detected. tubing from patient's ventriculoperitoneal shunt is seen to course along the right anterior chest wall. | <unk>-year-old male with altered mental status and cough. |
MIMIC-CXR-JPG/2.0.0/files/p18569886/s59391149/a490d83b-8cfca4b4-33d1f6a7-db16c1ef-2eb12527.jpg | the cardiac conduction device projects over the left chest and is contiguous with leads terminate in the right atrium and right ventricle. the cardiomediastinal silhouette is upper limits of normal. the lung fields are clear. there is no pneumothorax. no pleural effusion. | history: <unk>f with palpitations // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16479007/s54193540/d41b87da-44c4af1d-05fc7451-0f2bb2dc-ff5edbad.jpg | the lungs appear clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance. there is no evidence of displaced rib fracture. no free intraperitoneal air. | <unk>m w/right chest wall pain, please eval for right rib fx // <unk>m w/right chest wall pain, please eval for right rib fx |
MIMIC-CXR-JPG/2.0.0/files/p13559144/s58497216/9cf7626d-b1c4770b-0af078e8-964153b8-29f67d87.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | chest pain and dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p14066902/s50290474/643ef77f-baeb810b-b7cd0121-24de2fb4-dae693d0.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with cough, fever // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p16577428/s54694666/a1962aa1-10e96c35-6ee9ecad-d3df427b-12513cd6.jpg | frontal and lateral views of the chest show a right mediport terminating within the right atrium. there is no pleural effusion, pneumothorax or focal airspace consolidation. the known pulmonary nodules are too small to be seen on this study. the cardiac, mediastinal and hilar structures are unremarkable. | anal cancer with recent chemo and radiation presenting with fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18631431/s54242631/dd986fe9-0af47bde-4111538d-1e0e9e4a-744b4cc3.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14023402/s55744365/ba0ca005-68223d40-a5f9c06c-a5a1cf31-9a9ff47c.jpg | no focal consolidation, pleural effusion or pneumothorax is seen. pulmonary nodular opacities seen on prior ct are better assessed on ct. the cardiac and mediastinal silhouettes are unremarkable and stable. | history: <unk>f with chest pain // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12940614/s58740623/f06b5b56-f4232c10-796fb2be-7ebf6eda-3f755389.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. no acute displaced rib fractures are identified. | history: <unk>m with pain, s/p assault // acute traumatic process |
MIMIC-CXR-JPG/2.0.0/files/p17194842/s53754407/1d8db0dc-f05c4c37-d18063f0-aba2d97b-9f727308.jpg | the lung volumes are low. the heart is probably enlarged to a mild extent. the left lung base is opacified, involving basilar left lower lobe and lingular consolidations or extensive atelectasis with patchy appearance and possibly a pleural effusion. there is a small pleural effusion on the right. | dyspnea, chest pain, and hypoxia after fall. |
MIMIC-CXR-JPG/2.0.0/files/p14860633/s52800467/9e6ae956-98f5ed5d-36afa5f1-ca62517a-37bba74a.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal and hilar contours are stable. there may be minimal left base atelectasis. | cough, shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14217853/s52388697/ea4bef08-aeb956c9-ba61f248-116828cb-d9fe672c.jpg | frontal and lateral views of the chest demonstrate no focal consolidation to suggest pneumonia. cardiomediastinal and hilar contours are stable. there is no pleural effusion. right lateral pleural thickening and blunting of the right costophrenic angle are stable. | <unk> year old woman with history of pleural tb with mild chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15159308/s54504804/e8a56280-5220f146-58712401-8d8f2961-692beb46.jpg | cardiomegaly is a stable. widened mediastinum is unchanged. vascular congestion has improved. no pneumothorax, pleural effusion or evidence of pneumonia | <unk> year old man with likely pna and foot infection // please eval for pna or other pulm process |
MIMIC-CXR-JPG/2.0.0/files/p10379185/s59779875/50dc6443-48d72cfa-04c3c813-89c0bdfc-47896220.jpg | heart size is mildly enlarged but unchanged. the aorta is tortuous. mediastinal and hilar contours are otherwise stable with enlargement of the pulmonary arteries suggestive of underlying pulmonary arterial hypertension. pulmonary vasculature is not engorged. patchy opacities are demonstrated within the left lung base, similar compared to the previous exam. calcified granuloma within the right lower lobe is unchanged. curvilinear opacity within the right upper lobe is also unchanged, with no pleural effusion or pneumothorax identified. no acute osseous abnormalities seen. | history: <unk>m with confusion |
MIMIC-CXR-JPG/2.0.0/files/p16289299/s57384817/9c7bad08-de65e8e9-dd74e0fc-d9a07f7b-006d05c0.jpg | increased interstitial markings are seen throughout the lungs suggesting pulmonary vascular congestion. there is no overt edema or effusion. linear right basilar opacity suggests atelectasis or scarring. cardiomediastinal silhouette is stable. | <unk>f with back pain // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p14576545/s56506516/96cb1d60-bf7d1b54-0a41b281-d445b395-cf464874.jpg | heart size is mildly enlarged. the aortic arch is calcified. there is mild interstitial pulmonary edema. no pleural effusion, pneumothorax, or focal consolidation is present. scarring is seen symmetrically within the apices. there are no acute osseous abnormalities. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p12460718/s51975419/4b2ccb23-d2491305-75daefcd-bd1b67e5-d500d91d.jpg | portable ap chest radiograph. ett, ngt, right ij catheter and pectoral pacer leads are in stable position. lung volumes remain low, but the vascular pedicle has widened and moderate interstitial edema has developed. moderate bilateral pleural effusions have also increased. there is no pneumothorax. | sepsis in the setting of strangulated parastomal hernia. |
MIMIC-CXR-JPG/2.0.0/files/p17300029/s59933682/e01ce7cf-597d9dea-77b284d2-ee932f83-97b517aa.jpg | lungs remain hyperinflated.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with dyspnea on exertion // evaluate for acs |
MIMIC-CXR-JPG/2.0.0/files/p19509694/s52505425/6b9adbc5-5a5ea850-592d464a-16c98641-b2e91c33.jpg | severe cardiomegaly with tortuosity of the aorta is unchanged from prior study. hilar contours are unremarkable. again appreciated are moderate increased interstitial lung markings with lower zone predominance, similar to prior examination given difference of technique. there is no focal consolidation. there is no pleural effusion or pneumothorax. | chf with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p19990563/s59272769/218e560b-0e8cc034-fbe4dedd-53626633-c86f7b19.jpg | pa and lateral views of the chest provided. there is airspace consolidation which is new in the medial aspect of the right middle lobe concerning for pneumonia. background emphysema is present. there is similar appearance of calcified granuloma projecting over the left upper lung. cardiomediastinal silhouette is stable. no large effusion or pneumothorax. bony structures are intact. | <unk>m with fever to <num> // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15015008/s59455009/1a908677-c91f4227-84309a7b-74aa3582-e4e0fee6.jpg | the et tube terminates in the standard position. the right internal jugular catheter still terminates in the right atrium. the ng tube terminates near the diaphragm and the side hole is clearly above the diaphragm. there is no change in cardiomegaly and bilateral pleural effusions. | cardiac arrest, currently intubated. evaluation of et tube placement |
MIMIC-CXR-JPG/2.0.0/files/p14661115/s58431768/eb0d2957-0e6ba66b-ac9adb84-564a2c41-6b2a1103.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | history: <unk>m with fever // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p17429794/s59168156/dc761961-90cd52e7-e7a075be-731a3ba4-e57bd43f.jpg | lordotic positioning. even allowing for this, the cardiomediastinal silhouette appears enlarged, but similar to the prior study. there is diffuse vascular plethora and vascular blurring, consistent with chf. there is patchy opacity in the right mid and lower zones. a right pleural effusion is again seen, possibly slightly smaller. there is underlying collapse and/or consolidation at the right lung base. there is atelectasis at left lung base and increased retrocardiac density, unchanged. no left pleural effusion. right picc line tip overlies distal svc near cavoatrial junction, unchanged. | <unk>m w/ pvd multiple vascular procedures s/p thoracentesis for pleural effusion several days ago now with slowly progressive pulmonary symptoms (cough, mild sob, o<num> requirement) // question increase in effusion |
MIMIC-CXR-JPG/2.0.0/files/p17204052/s55506637/1b9c4fab-00b875d4-3f4367f9-78d46e41-391e7cc9.jpg | pa and lateral views of the chest provided. as seen previously, there is the unchanged right upper lobe with scarring which is stable in appearance. there is a small right pleural effusion which is unchanged. the left lung is clear. hyperinflated lungs reflect underlying copd. there is no superimposed pulmonary edema or new opacity. the cardiomediastinal silhouette is stable. old left rib deformities are noted. bones appear demineralized diffusely. | history: <unk>m with hx lung ca, chf, presenting with worsening dyspnea, history of lung cancer. // infection/pulmonary edema? |
MIMIC-CXR-JPG/2.0.0/files/p12597711/s51946008/9597951e-e12602ae-5dfb4c7b-ce22ee29-e199d3e5.jpg | patchy left basilar opacity raises concern for underlying pneumonia. no pleural effusion or pneumothorax is seen. the cardiac silhouette remains top-normal to mildly enlarged. there is slight prominence of the pulmonary arteries which may be due to a component of underlying pulmonary arterial hypertension. surgical clips are noted overlying the mediastinum. | history: <unk>f with chest pain // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p15841939/s58996865/9b9f08a7-37ace69f-ff174be9-6fd9577f-15f72054.jpg | there are low inspiratory volumes, with rotated positioning. no central line is detected on the current study. no obvious pneumothorax is detected. there are low inspiratory volumes. the cardiomediastinal silhouette is slightly prominent. the right hemidiaphragm is elevated, similar prior. there is increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation, and a probable small left effusion. pleural fluid is seen tracking along the right chest wall into the right lung apex. there is upper zone redistribution. allowing for low inspiratory volumes, no definite chf, though thickening of the minor fissure is noted. | <unk> year old man s/p failed portacath placement // eval ptx . review of o prior studies indicates a history of metastatic lung cancer. |
MIMIC-CXR-JPG/2.0.0/files/p11245831/s57118259/db46cb69-25bb513a-c6b61714-8e6229a5-99d3d6dc.jpg | the heart size is within normal limits. mediastinal and hilar contours are normal and unchanged from prior exams. the lungs are clear of consolidation and no masses, specifically apical masses are present. hyperexpansion of the lungs suggests emphysema. mild apical scarring is present. there is no pleural effusion or pneumothorax. mild s-shaped scoliosis of the thoracolumbar spine is demonstrated. | <unk>-year-old female with proximal muscle weakness. |
MIMIC-CXR-JPG/2.0.0/files/p13947439/s52649560/73cfe69f-5d4a6f78-7ea42711-83ffeb4f-2afc5933.jpg | pa and lateral views of the chest provided. linear density at the right lung base is most compatible with scarring given stable appearance from prior. otherwise, the lungs are clear without 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 epigastric discomfort, please capture diaphragm to eval free air // eval infiltrate, free air |
MIMIC-CXR-JPG/2.0.0/files/p12990153/s58328960/cf0efdf1-c87af79a-f784356c-d97a4a1a-092278b9.jpg | right chest wall port-a-cath is seen with tip in the right atrium. left chest wall dual lead pacing device is noted. large right greater than left pleural effusions are noted. catheter projects over the right lung base with tip projecting adjacent to the spine. reported left-sided chest tube is faintly visualized but its course cannot be delineated. suspected tiny biapical pneumothoraces. cardiac silhouette cannot be assessed. superiorly the lungs are clear. osseous structures are unremarkable. | <unk>f with new bilat chest tubes // eval chest tube placement |
MIMIC-CXR-JPG/2.0.0/files/p18417736/s57015569/6cb9a579-cf3a2af0-2cc78963-2f597b1e-3ebe5f80.jpg | prominence of the interstitial markings and indistinctness of the hila consistent with mild to moderate pulmonary edema. the cardiac silhouette does not appear enlarged. median sternotomy wires are intact. no pneumothorax or pleural effusion. | history: <unk>m with hypoxia // chf? |
MIMIC-CXR-JPG/2.0.0/files/p15407803/s51412457/e3ace8eb-ae55fa97-8cd981e1-f11d866a-ff73f26c.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>m with nausea, weakness // pna |
MIMIC-CXR-JPG/2.0.0/files/p16633236/s52730564/49ead45e-e0867f41-d2546fae-19cfcc76-873599c8.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 and feeling unwell. |
MIMIC-CXR-JPG/2.0.0/files/p14978114/s58895225/2233209a-18baf1ab-91c01c00-da0ccb43-5f20fa91.jpg | the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. a mitral valve replacement is noted. patient is status post median sternotomy. no pneumothorax, pleural effusion, pulmonary edema, or pneumonia. | history: <unk>f with hx of mitral valve replacement presents with cp, sob // any e/o pna, pleural effusion/edema, acute change? |
MIMIC-CXR-JPG/2.0.0/files/p18929765/s55086242/0c4d4d3a-11161029-e341e6db-c59448c8-6e75725d.jpg | left-sided dual-chamber pacemaker device with leads terminating in the right atrium and right ventricle are in unchanged positions. heart size is borderline enlarged. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. | history: <unk>f with chest |
MIMIC-CXR-JPG/2.0.0/files/p10066415/s51058270/415c06ea-3998d2cd-92af6799-3a6c5ff1-9dd7bd92.jpg | patient is status post median sternotomy, cabg, and coronary artery stenting. mild cardiomegaly is re- demonstrated. atherosclerotic calcifications are noted <unk> the aortic knob. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is visualized. | history: <unk>m with altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p14838068/s52999816/b5219dde-2a9a90b2-7d39b1c9-8ca88cdf-bff9be1f.jpg | the heart is moderately enlarged and there is pulmonary vascular redistribution that is increased compared to the prior study there is also patchy alveolar infiltrate in the right lower lobe that is increased. this is on the background of increased interstitial markings as seen on the prior ct | <unk>-year-old female who was found down and hypoxia. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18190665/s54170973/942a53e8-2f0d2854-681841f3-98ace786-c8bd17f4.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. | upper r. pleuritic back pain and shortness of breath // any ptx, pleural effusion, etc |
MIMIC-CXR-JPG/2.0.0/files/p17594732/s56788300/2e55f44c-35edb909-5b98ad15-4be78688-7c1cf3d4.jpg | pa and lateral chest radiograph demonstrate low lung volumes. no convincing opacity is identified concerning for pneumonia. cardiomediastinal contours are within normal limits. there is no pleural effusion. flowing anterior osteophytes is suggestive of diffuse idiopathic skeletal hyperostosis. no acute osseous abnormality is identified. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10996799/s56335683/c6fe3497-84bd28ee-54730614-c82b935d-47321e11.jpg | chronic right basilar opacity is similar in appearance as compared to the prior study as well as compared to <unk>. no definite new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with asthma exacerbation // ? process |
MIMIC-CXR-JPG/2.0.0/files/p19737741/s55352999/c794ad9d-678a8ab4-a2dbef56-2187e83f-3bd22e0a.jpg | the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. mild eventration of the right hemidiaphragm is stable. | <unk>m with fever // evidence of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13122325/s51788848/dbc3b3c8-19b86e2e-3606010b-0421e4b4-b1d54a8e.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with fever // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14264541/s57591922/d6989466-e345107f-381ece7a-53dc3cb7-b6ff7199.jpg | pa and lateral radiographs of the chest demonstrate interval improvement in the right lower lobe atelectasis seen on the prior study. the lungs are hyperinflated and there is increased anterior-posterior diameter of the chest, consistent with copd. there is no pneumothorax or pleural effusion. the lungs are clear. the hila and cardiomediastinal contours are normal. pulmonary vascularity is normal. | persistent cough and wheeze in a patient with recently treated copd exacerbation. |
MIMIC-CXR-JPG/2.0.0/files/p12238455/s53638799/2ff3bbb7-85002d7d-4992c6dc-30e46f1e-3f02b2d1.jpg | there are low lung volumes with bilateral perihilar opacities likely reflecting atelectasis. there is no focal consolidation or pleural effusion. heart size and mediastinal contours are normal. osseous structures are intact. | <unk>m with ams // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16112144/s56601696/3c288109-3e24eda3-3d38ebc0-989ae655-f9b311d3.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | multiple syncopal episodes, end-stage renal disease status post transplant. evaluate for acute changes/injury. |
MIMIC-CXR-JPG/2.0.0/files/p18624683/s53407385/22f69d11-5c49e8b5-76f59691-dcb5a2e8-b6340e41.jpg | compared with <unk>, there has been interval removal of a endotracheal tube, with decrease in lung volumes. bibasilar opacities likely represent atelectasis given overall lung volumes. there is a small left pleural effusion. no pneumothorax. a right-sided picc line and terminates in the low svc. | <unk> year old man being managed for seizures presents with altered mental status this am. concern for infection // ?pneumonia |
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