File_Path stringlengths 94 94 | Findings stringlengths 10 1.83k | Query stringlengths 4 830 |
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MIMIC-CXR-JPG/2.0.0/files/p11021643/s54487205/52b1be2f-a0c7791f-77c1be81-d484d626-5e328a5d.jpg | the lungs are clear without consolidation, effusion, or edema. cardiac silhouette is enlarged but similar compared to prior. coronary artery stents are identified. median sternotomy wires are noted. no acute osseous abnormalities. | <unk>f with intermittent dyspnea, hf // eval for effusion, pna |
MIMIC-CXR-JPG/2.0.0/files/p16078863/s52492449/097af340-e0bdb161-d0622a35-5bd725f7-57af51c1.jpg | the lungs are well expanded and clear. mediastinal contour, hila, and cardiac silhouette are normal. there is no pneumothorax or pleural effusion. | <unk>f with chest pain // evaluate for pneumonia, cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p18364018/s59778351/8fc71714-4069a19f-8c5c310e-cccac933-8c1064be.jpg | the lungs are well inflated and clear. there is enlargement of the central pulmonary arteries suggestive of underlying pulmonary arterial hypertension. the aorta is tortuous. the cardiac silhouette is normal in size. there is no pleural effusion or pneumothorax. | <unk>f with chest tightness and dyspnea since <unk> with associated productive cough. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p17536086/s58790077/e2bc7c5d-59c89324-28ed4219-ea2cf497-616a9806.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with sob // eval ptx |
MIMIC-CXR-JPG/2.0.0/files/p18704423/s54024370/6bfa2671-9d7b7603-c8e18d9d-7bb6c3b0-ececf191.jpg | left-sided picc and the dobhoff tube have been removed. subtle increase in bibasilar opacities, right greater than left. no pulmonary edema. no pleural effusions or pneumothorax. mild cardiomegaly. barium in the colon of the upper abdomen. | <unk> year old man coughing with po intake, ? aspiration. // <unk> year old man coughing with po intake, ? aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p19453133/s57438575/d6be8cf5-3db1e4a3-b0a0f2a6-4de78709-504168c0.jpg | the lungs are well expanded and clear. there is no focal consolidation, effusion or pneumothorax. extensive calcifications of the thoracic aorta and its branches are unchanged. a left subclavian stent is in stable position. mild cardiomegaly is stable. a previously seen right mid lung pulmonary nodule is not appreciated on this exam. | cough and <num> week of fever. |
MIMIC-CXR-JPG/2.0.0/files/p19831538/s54636422/cfddbf8d-9553cc9e-69974d16-bc6be2d5-126c395c.jpg | there is new airspace opacification in the right lung base with associated air bronchograms concerning for right lower lobe pneumonia. small bilateral pleural effusions are present on the right greater than the left. scarring of the right lung apex is unchanged. no pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size but stable. the mediastinal and hilar contours are unchanged with prominence and tortuosity of the thoracic aorta, which is unchanged. the trachea is slightly deviated from midline most likely related to patient head positioning. | cough, here to evaluate for fluid overload prior to blood transfusion. |
MIMIC-CXR-JPG/2.0.0/files/p16580466/s55599127/a412d758-94c896dd-027ef934-15f25400-89b96a07.jpg | ap upright and lateral views of the chest provided. lung volumes are markedly low which limits assessment. the heart is mildly enlarged. there is hilar congestion with probable mild interstitial edema. basilar atelectasis noted. no large effusion or pneumothorax. unfolded thoracic aorta likely accounts for prominence of the mediastinum. bony structures are intact. | <unk>f with hypoxia, productive cough, prior hx copd // eval ? pna |
MIMIC-CXR-JPG/2.0.0/files/p17385766/s54549413/3b2d91cf-511d3b07-cbaa5f18-ea29ad57-a63ff227.jpg | moderate cardiomegaly is unchanged. there is no pleural effusion. atelectasis is noted at the left lung base. lungs are otherwise clear. no pneumothorax. | history: <unk>f with cp // eval for pulm edema, ptx |
MIMIC-CXR-JPG/2.0.0/files/p14514957/s52482604/d979ddaf-a30aa32f-af31591a-d8ad1a5e-3e5c827f.jpg | frontal and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | hemoptysis. |
MIMIC-CXR-JPG/2.0.0/files/p11818101/s51312644/e0dacea0-7bb63391-5b0beda0-754b9293-1aaf9266.jpg | in comparison to the prior exam there is now mild interstitial edema with asymmetric opacity along the right heart border in the right middle lobe. the heart size is stably mildly enlarged. there is increased opacity at the left base consistent with atelectasis. | history: <unk>m with hypertrophic cardiomyopathy, afib s/p ppm, osa, copd p/w chest pain *** warning *** multiple patients with same last name! // etiology of cp |
MIMIC-CXR-JPG/2.0.0/files/p13077469/s56522061/29cb4c95-08522e63-1075805d-4571e393-091bad9e.jpg | severe cardiomegaly is re- demonstrated. the mediastinal contours are unchanged. there is persistent perihilar haziness and vascular indistinctness compatible with moderate pulmonary edema, similar compared to the previous exam. no focal consolidation, large pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. | shortness of breath, history of liver and heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p16392471/s50421978/fbe6caef-244039c6-3b8c4538-187fcd56-f32119c6.jpg | pa and lateral views of the chest were obtained. there is a large left pleural effusion with mild mediastinal shift to the right. there is mild prominence of the right hilum. there is no right pleural effusion. there is subtle nodularity in the right lung, with underlying nodules better assessed on ct. there is no pneumothorax. right-sided chest port is present with tip terminating in the cavoatrial junction. | cough and shortness of breath with history of lung cancer. |
MIMIC-CXR-JPG/2.0.0/files/p13852361/s54887957/c70cadc6-0da6341e-3d90e910-e340b037-6518ff0e.jpg | frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. | <unk>-year-old female with chills, cough, and shortness of breath for <num> days. |
MIMIC-CXR-JPG/2.0.0/files/p18187258/s56893194/9b949c45-111c86f3-e6accbed-083f689c-9a2345a6.jpg | the heart is mildly enlarged. calcifications are seen in the aortic arch, patchy areas of volume loss in both lower lung, but no focal infiltrate. the upper lungs are clear. | right mca stroke, question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p18460963/s56461597/fc4dbe46-605b2232-5e7b21c2-c17d4560-8da7c0a6.jpg | as compared to chest radiograph from earlier today, right-sided pigtail catheter has been removed. small right apical pneumothorax unchanged. right lower lobe opacity is also unchanged. retrocardiac opacity and small left effusion also unchanged. mediastinal widening is comparable. | <unk> y/o m w/ r ptx, now s/p r ct pull // interval change since ct pulled- please obtain at <time> |
MIMIC-CXR-JPG/2.0.0/files/p16024666/s58261299/e82c8697-09b37a1d-2515cc8b-6de66aad-7436f4a0.jpg | the lateral view is limited due to the patient's inability to position his arms above his head. the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized. | trauma and pain. |
MIMIC-CXR-JPG/2.0.0/files/p11374079/s57367203/9a6794e6-f7debb23-23c537d5-550c10a1-d99c7320.jpg | et tube is in good position roughly <num> cm from the carina. upper alimentary tube courses below the diaphragm with tip off the film. there is also an abdominal drain in place. cardiomediastinal and hilar contours are normal. the lungs are well expanded and clear. there is no pulmonary edema, pleural effusion or pneumothorax. | <unk>-year-old man with recent intubation. |
MIMIC-CXR-JPG/2.0.0/files/p19049935/s51947103/c369595f-730eb505-f72038ba-8be9c4bb-b1dd4d68.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. | <unk> year old woman with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19011488/s50787402/3e3bb8f6-6fb31a03-ba743c2f-fb90678c-77254a5d.jpg | mild enlargement of the cardiac silhouette is unchanged. the aortic knob is calcified. the mediastinal contours are stable. mild pulmonary edema is present. prominent left epicardial fat pad is noted, as seen on prior exams, though a small left pleural effusion cannot be excluded. bibasilar opacities may reflect atelectasis though infection is not excluded. there is no pneumothorax. evaluation the lateral view is limited due to the patient's inability to raise her arms. | hypotension. |
MIMIC-CXR-JPG/2.0.0/files/p18730144/s55208917/76257311-7b461f41-696a1f15-79286a92-9cf9fce5.jpg | the patient has been extubated, and a tracheostomy tube has been placed. the right ij central line and nasogastric tube remain in satisfactory position. there is no pneumothorax. the lungs remain. the heart and mediastinum are within normal limits despite the projection. | <unk> year old woman with sah and l mca stroke // please evaluate interval change |
MIMIC-CXR-JPG/2.0.0/files/p18916626/s59965828/8af1b21c-869ef73b-653172cd-5b1f9b55-17244ecd.jpg | the heart is normal in size. the mediastinal and hilar contours appear stable. mild prominence of each hilum likely reflects mildly prominent bilateral lymph nodes, as seen on the prior ct from <unk>. the radiographic appearance is stable. the lungs show mild hyperinflation. there is similar slight blunting of the right posterior costophrenic sulcus, but no definite pleural effusions. mild rightward convex curvature is centered along the lower thoracic spine. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p13889575/s52506129/b631b2b0-cb15368a-f85bb2c9-5bc96700-167e617a.jpg | lung volumes are low which least bronchovascular crowding. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no free air under the diaphragm. | <unk>-year-old male with gunshot wound, evaluate for trauma. |
MIMIC-CXR-JPG/2.0.0/files/p14382143/s57129727/37f40f29-a803fc18-51fd2cdc-434a414f-7a0c4b93.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. | sudden onset of neurological deficit. |
MIMIC-CXR-JPG/2.0.0/files/p13299566/s58855283/9178be9a-6ae56e00-594b8011-e0c80270-d39e9410.jpg | the cardiac, mediastinal and hilar contours appear stable, including persistent, but somewhat decreased, right middle lobe opacity as well as enlarged lobular contours of the mediastinum most consistent with lymphadenopathy, which is not significantly changed. there is, in addition to right middle lobe opacity, unchanged streaky left basilar opacities probably due to scarring without clear change. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19758044/s52813918/3ce00bfe-4c67aba3-c40aa373-6df34e33-1b0df434.jpg | loculated posterior right apical pleural fluid is seen now with likely associated air-fluid level, which may relate to recent drainage. there is persistent blunting of the right costophrenic angle overlying atelectasis there may be a trace right pleural effusion. the left lung is clear. cardiac and mediastinal silhouettes are stable. there has been interval removal of a right-sided picc. | history: <unk>f with fever, chest pain // eval for worsening lung abscess/empyema |
MIMIC-CXR-JPG/2.0.0/files/p17333150/s59669050/7e7d8450-f4de863d-0331b484-293ae13d-ddb2b224.jpg | ap portable upright view of the chest. there is near complete opacification of the left hemi thorax sparing the left apex minimally. the right lung is notable for mild pulmonary edema. heart size cannot be assessed. no shift of midline structures. | <unk>f with ams, pna |
MIMIC-CXR-JPG/2.0.0/files/p13515075/s51128909/0ae6a3ae-32c41d39-7a8c6bd1-8b24c6ac-f783026b.jpg | single portable radiograph of the chest. compared to prior radiograph, there has been interval extubation which could explain the bibasilar consolidations, which are also concerning for developing bilateral pneumonia. cardiac silhouette is unchanged. the trachea is mildly leftward deviated, which in a patient with recent neck surgeries, raises the concern for possible neck hematoma. | pneumonia. evaluate pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12170931/s57365931/b60c4127-09f20217-235ecf2e-bfa75bd3-6a46357e.jpg | the et tube terminates approximately <num> cm above the carina. enteric tube traverses below the diaphragm with the tip out of view of this film. the bases of the lungs demonstrate mild atelectasis otherwise no focal consolidations, pleural effusions or pneumothoraces are seen. heart size is normal. apparent widening of the mediastinum is secondary to mediastinal fat as seen on the ct. note is made of a subtle nondisplaced fracture of the right lateral <num>th rib, better evaluated on the recent ct. | history of trauma. please evaluate for any pathology. |
MIMIC-CXR-JPG/2.0.0/files/p15543940/s59057462/e11c2355-9954129e-cbc050e1-6f1323fc-86bd459c.jpg | the cardiac silhouette is borderline enlarged. the mediastinal contours and pulmonary vasculature are similar to the prior examination. previously seen right basilar opacity has resolved. no new focal consolidation is identified. there is no pleural effusion or pneumothorax. old healed right posterolateral rib fracture is noted. | <unk>m with ams and hx of cirrhosis // ?infection |
MIMIC-CXR-JPG/2.0.0/files/p11626571/s52317238/4db3a6fd-a518cd54-33a14f96-ad97634b-46ed85fc.jpg | pa and lateral views of the chest provided. lungs appear hyperinflated and hyperlucent consistent with emphysema. there is blunted left cp angle consistent with small left effusion as seen on recent ct pet. heart is mildly enlarged. no definite signs of pneumonia or edema. no pneumothorax. bony structures appear intact. | <unk>f with dysphagia <unk> esophageal stricture with inability to manage secretions/solids/liquids, history of breast cancer. |
MIMIC-CXR-JPG/2.0.0/files/p10967062/s59206524/a642b571-7e668990-ed93fcf8-a5972d70-36fa941a.jpg | frontal and lateral views of the chest demonstrate well expanded and clear lungs. there is elevation of the left hemidiaphragm with no adjacent atelectasis to suggest volume loss. the apparent elevation may be secondary to dextroscoliosis. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pleural surfaces are unremarkable. | chronic bronchitis with <num> weeks of cough, mostly nonproductive, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16582235/s53457595/15952a07-1559f7c6-5f459639-b6bf8850-bfd887f4.jpg | the lungs are well expanded. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact. | history of fever, rule out acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18887130/s55814566/4084fddf-5fce0698-695fd0cf-3f117041-c998ffd9.jpg | frontal and lateral chest radiographs demonstrate well-expanded and clear lungs. widened upper mediastinum is stable since <unk>. there is no pleural effusion or pneumothorax. indwelling right-sided internal jugular double-lumen catheter identified with its tip terminating in the mid superior vena cava. | <unk>-year-old female with lymphoma and new fever. |
MIMIC-CXR-JPG/2.0.0/files/p16296993/s55931575/27d9921e-56ec41cf-e85dfc61-7e2d1a2e-d237116e.jpg | there are relatively low lung volumes and mild vascular congestion. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mild to moderately enlarged. compression of a vertebral body at the thoracolumbar junction is again noted. | history: <unk>f with copd, acute onset dyspnea today // ?infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17821903/s51683284/dd38bfd7-be318471-a465820c-4cd4629f-355d7646.jpg | pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. hypertrophic changes are seen in the spine with mild vertebral body loss of a mid thoracic vertebral body which may be old. | <unk>-year-old male with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15263212/s59134146/a9147847-21db2efb-21ce7a53-4ff913f3-eea29349.jpg | frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. small opacity in the lower left lung corresponds to opacity projecting over the lower thoracic spine on the lateral view. blunting of the right costophrenic angle is consistent with pleural thickening or a small right pleural effusion. no pneumothorax. | right pleuritic chest pain with decreased breath sounds on the right. |
MIMIC-CXR-JPG/2.0.0/files/p10743678/s54525833/6e7da94b-dfe7e7bc-7493a11d-5425c997-d328b179.jpg | the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal with the heart at the upper limits of normal. no acute fractures are identified with evidence of old healed right posterior rib fractures. mild degenerative changes noted throughout the thoracic spine. | severe chronic obstructive asthma, evaluation for infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p16031945/s50552094/2455941f-5c07346a-21fea23b-d6de4cd4-adce05f8.jpg | heart size is normal. the aorta is unfolded. pulmonary vasculature is normal. linear opacity in the left lung base again may reflect atelectasis or scarring. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected. | history: <unk>f with cough |
MIMIC-CXR-JPG/2.0.0/files/p14482239/s51855133/be601d27-572bfe9e-1bb526b7-43ac276d-1d66f3a9.jpg | subcentimeter calcified nodules in the right lower lung indicate prior granulomatous infection; some of the lesions could be in the right breast instead. a <num> mm opacity overlying the lower thoracic spine on the lateral view is concerning for a non-calcified pulmonary nodule. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old woman with lung nodules // assess lung nodules |
MIMIC-CXR-JPG/2.0.0/files/p15223781/s57295071/0ff15bcc-23de2247-81ea380f-ff2fcb4f-0468d708.jpg | small bilateral pleural effusions are new since <unk>. the lungs are clear without focal opacity, pulmonary edema, or pneumothorax. the cardiac and mediastinal contours are normal. | <unk> year old woman with swelling and sob with activity // fluid, infection |
MIMIC-CXR-JPG/2.0.0/files/p17452392/s57581107/a4a08938-5f930e79-a38b0f63-17987e0b-eabdbb6b.jpg | streaky bibasilar opacities are noted which are likely atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are seen at the arch. no acute osseous abnormalities. | <unk>m with abnormal stress test. // cardiomegaly, pulm edema? |
MIMIC-CXR-JPG/2.0.0/files/p13600109/s53062100/53a31af5-82674689-b1cdf1ec-85d3493f-4bacc679.jpg | single frontal chest radiograph demonstrates clear lungs, and no pleural effusion or pneumothorax and a normal cardiomediastinal silhouette. | history: <unk>f with asthma exacerbation. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14181616/s54456908/1ec8845f-3a023f17-076598ae-4bab58c9-4f36d953.jpg | portable semi-erect chest radiograph <unk> at <time> is submitted. | <unk>f s/p bil salpingo-oophrectomy for nonmalignant symptomatic cysts on <unk> on coumadin for pe presenting to ed as transfer from osh with abdominal pain and ct concerning for pelvic hematoma now s/p ir gel foam/coil embolization of branch of r internal iliac artery. intubated in setting of hemorrhagic shock, now unable to wean from vent. intermittently febrile, unrevealing infectious w/u. // please evaluate interval change please evaluate interval change |
MIMIC-CXR-JPG/2.0.0/files/p17576736/s53138956/3541628f-402968fa-418f8df7-e27ddb2d-3093d56e.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. bibasilar atelectasis, although minimal, appears somewhat increased compared to the previous study. no focal consolidation is present. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with chest pain. evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p13027405/s54286266/d8f38de5-69810c86-6f9030a9-e95ba68e-ced287cc.jpg | previously visualized right subpulmonic effusion has almost entirely resolved. there is a small small residual right pleural effusion. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with weakness, vomiting, hx of cirrhoisis // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17389098/s57485463/28edc60b-2327c430-90e27ed5-a14671e8-73e0ca05.jpg | there is diffuse bilateral interstitial thickening, which in the setting of immunosuppression may represent an atypical bacterial, viral or fungal infection. there is a focal consolidation at the right hilum, which may represent a superimposed bacterial pneumonia, however and underlying mass cannot be excluded. the linear opacity within the right mid lung likely represents atelectasis. heart size is normal. the mediastinal and hilar contours are normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old woman with significant left vulvar abscess, immunosuppressed, also with cough // please eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15656571/s54161952/986f5e83-65d69f24-b196e2e5-ae5fb9b1-37755da0.jpg | ap portable upright view of the chest. dual lead pacemaker appears unchanged. there is persistent mild cardiomegaly with mild pulmonary edema which is similar to prior exam. no large effusion is seen though the right cp angle is excluded. no pneumothorax. no focal consolidation suggestive of pneumonia. bony structures are intact. | <unk>m with chf cad s/p stenting dm htn hld, several days incr. dyspn, <num> hrs chest heaviness // ?chf exacerbation vs. other acute process |
MIMIC-CXR-JPG/2.0.0/files/p14010624/s50656013/93a1329c-55ee382d-79288cac-9d0efd0b-b48897fa.jpg | the lungs remain hyperinflated. linear opacity in the right lower lung likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax. stable cardiomediastinal contours. | history: <unk>f with hx of htn, dm ii, prior admission for stroke, reported asthma comes in with cough and sob // evaluate for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17221850/s56364958/3b1f35e1-5bec0908-c8c7ba28-fc7db61a-98cde2e6.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 right upper chest pain // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p11325919/s54353931/b17ab6ae-e7193454-32dfc355-2655be6d-c02a3942.jpg | the pa catheter has been removed and there is now a right ij sheath terminating in the mid svc. the mediastinal drains have also been removed. the sternotomy wires appear intact and appropriately aligned. there is no evidence of pneumothorax. there are no focal consolidations. the pulmonary vasculature is normal. there is a stable postoperative appearance of the cardiomediastinal silhouette. there is a stable small left pleural effusion. | <unk> year old woman s/p ct removal // r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p14135313/s52255910/01bbe92a-2d7dd869-6a5cb5ec-2d6f47b4-d5baa878.jpg | the heart is of normal size with normal cardiomediastinal contours. a right pleural tube enters the right lateral chest wall and appears somewhat kinked along its upper curvature. no obvious pneumothorax. patchy right lung opacities are compatible with pulmonary contusion or potentially hemorrhage. numerous fractures, including right distal clavicle, several right ribs, and right scapula are seen, described in detail on same-day ct torso. extensive right lateral chest wall subcutaneous emphysema. | <unk>-year-old male with right pneumothorax status post chest tube placement. evaluate chest tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p17964477/s58762267/2e96dc75-e17422a9-8b21f46b-0e48304f-a0ebd6e5.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | shortness of breath and chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12298456/s52304343/9201c6be-d03882a5-6bd093ba-26a5839d-a1e8a56d.jpg | minimal bibasilar subsegmental atelectasis/scarring is unchanged from multiple prior exams. there is no new consolidation, pleural effusion, pulmonary edema or pneumothorax identified. the lungs are hyperinflated, but unchanged in appearance. the cardiomediastinal and hilar contours are within normal limits. | history: <unk>m with chest pain, recent imaging c/f copd not diagnosed, rhonchi r base > l base // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p10458324/s56452679/5200ce49-9850de9c-b4cac092-aecd8f03-8fd892bf.jpg | frontal and lateral chest radiographdemonstrates mildly hyperinflated clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. | cough and wheeze. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13352405/s58706366/070f93aa-7df509e4-46a2fbc2-f2a690e7-32eb3db9.jpg | cardiac silhouette size is top normal. mediastinal and hilar contours are unchanged. there is no pulmonary vascular congestion. there is a small right pleural effusion with chronic elevation of the right hemidiaphragm, unchanged compared to the previous exam. right basilar atelectasis is again demonstrated. no left-sided pleural effusion or pneumothorax is present. there are multiple old left-sided rib fractures. multilevel degenerative changes are visualized in the thoracic spine. chronic left ac joint dislocation is re- demonstrated. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15389763/s50860890/9fa4c051-073cc2ef-d8e37303-00ffb840-cec869c6.jpg | the lungs are well expanded and clear. no pleural abnormality is seen. the heart size is normal. the mediastinum and hilar contour are unremarkable. | <unk> year old man with uri sx/diarrhea of <num> days duration, with advent of productive cough x <num> hours; subtle l posterior rales on examination. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18779408/s55958354/2ab357f0-7b06eaa4-8a641e76-d2e81657-f7dac180.jpg | shallower inspiration compared with the prior exam. worsened right perihilar, left perihilar and basilar opacities, may represent edema, pneumonitis or aspiration, with possible component of atelectasis. linear band of atelectasis at the right lung base is stable. shallow inspiration accentuates heart size, pulmonary vascularity. there is significant gastric distention. | <unk> year old woman with pod<num> panniculectomy and hernia repair with sbr, previous respiratory distress and icu admission, vomited earlier today // desats --> ?aspiration |
MIMIC-CXR-JPG/2.0.0/files/p16740111/s54786218/4513e0f4-976cd7a9-12f1fd3f-d2a5b626-cfd3ab12.jpg | cardiac silhouette size appears unchanged, mildly enlarged. mediastinal and hilar contours are stable. pulmonary vasculature is normal. patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. severe s-shaped thoracolumbar scoliosis is present. | history: <unk>m with decreased breath sounds on right |
MIMIC-CXR-JPG/2.0.0/files/p16789054/s58511582/e05d8355-c7cbb0ec-48e3b892-89645cd6-25138730.jpg | the heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged with rightward deviation of the trachea again noted. diffuse chronic interstitial lung disease with fibrosis, honeycombing, and architectural distortion is again noted, not substantially changed in the interval. no definite new focal consolidation, pleural effusion or pneumothorax is seen. no pulmonary edema is clearly identified. there are no acute osseous abnormalities. multilevel degenerative changes are seen in the thoracic spine. | history: <unk>f with history of copd with dyspnea and left chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16622171/s52672154/715cc087-25eef207-af939cf9-80722bbf-d7e44f20.jpg | ill-defined airspace opacities throughout the right lung may represent early pneumonia, potentially an atypical organism. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits with mild cardiomegaly and a tortuous descending aorta. the surgical clip in the left neck suggests prior hemithyroidectomy. | <unk> year old woman with cough x <num> days, evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18246027/s57906473/d2f99179-0b205d29-6028069f-5e34257e-3c774643.jpg | the patient is status post coronary artery bypass graft surgery. a vascular stent projects along the aortopulmonary window. there is also a vascular stent projecting immediately above the aorta, perhaps along the course of the left carotid artery. chain suture material projects along the right costophrenic sulcus. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. minimal atelectasis is noted at the left base. mild degenerative changes are noted along the mid-to-lower thoracic spine. | coronary artery disease with prior stents and coronary bypass graft surgery, presenting with unsteady gait, altered mental status and dizziness. |
MIMIC-CXR-JPG/2.0.0/files/p19176727/s56541695/76593b31-25ff923b-5488e581-942b2be7-bf0eb458.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. | history: <unk>f with cough, fever |
MIMIC-CXR-JPG/2.0.0/files/p17327802/s54453468/ed211ad7-cfa55e87-add0e70d-9589201d-6efd4539.jpg | the patient is status post median sternotomy and aortic valve replacement. the heart is mildly enlarged with mild interstitial edema noted. there is no focal consolidation, pleural effusion or pneumothorax noted. | <unk>-year-old female with shortness of breath and dyspnea on exertion. please evaluate for pneumonia or congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p11738518/s50636783/8a826f9c-575c7ecc-5ab49575-8a3bd626-5ab768da.jpg | the lungs are hyperinflated without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. mild to moderate cardiomegaly is unchanged. the aorta is tortuous and calcified. upper abdominal stent is again noted. | <unk>-year-old female with copd, now with cough, not responsive to antibiotics. |
MIMIC-CXR-JPG/2.0.0/files/p16986843/s59674243/6fefb047-dda180e7-3984bfb1-4d8b2436-229dfcd6.jpg | pa and lateral views of the chest provided. there is a retrocardiac opacity which is concerning for pneumonia, less likely hiatal hernia. right lung is clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with cough. evaluate for pna. |
MIMIC-CXR-JPG/2.0.0/files/p19193156/s51961900/8cb61254-73c9034e-8d716f58-a2133686-d70be3a6.jpg | there is a swan-ganz catheter appropriately positioned. the endotracheal tube and nasogastric tube have been removed. bibasilar chest tubes have also been removed. no pneumothorax is appreciated. there is mild vascular congestion as well as small bilateral pleural effusions greater on the left. | removal of chest tubes |
MIMIC-CXR-JPG/2.0.0/files/p17379189/s55467615/3bcadaa6-20cb4218-0ce26604-3c727fa4-ee270760.jpg | frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. lung volumes are low bilaterally with linear atelectasis projecting over the right mid lung. no focal opacification concerning for pneumonia. no pleural effusion or pneumothorax. old fracture deformity of the right proximal humerus is noted. | fatigue and vomiting; evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p19486724/s51593659/08c54302-8b4efffa-4305128c-c907f06f-c540d8c3.jpg | low lung volumes accentuate heart size which is top-normal, unchanged dating back to <unk>. increased opacity at the right base that may be related to atelectasis from low lung volumes; however, consolidation is also possible. no pleural effusion or pneumothorax. | chest pain. question cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg | single frontal view of the chest. heart size and mediastinal contours are stable. left lower lobe atelectasis persists. pulmonary vascular markings have increased and the hila appear indistinct and hazy, findings consistent with interval worsening of pulmonary edema. in addition, multiple widely distributed small rounded opacities were not seen on <unk> and, given the short time interval, likely represent vascular structures. | crackles at bases and fever. |
MIMIC-CXR-JPG/2.0.0/files/p16893042/s58927403/6a5b76a3-4610e84e-fc76249d-14f0a588-4018bed9.jpg | portable semi-erect chest film <unk> at <time> is submitted. | <unk> year old man pulled dobhoff // placement placement |
MIMIC-CXR-JPG/2.0.0/files/p19774387/s52415450/028221c2-363f352f-fb9aa9b9-7b6e389e-431d315e.jpg | ap view of the chest provided. since prior study from <num> day ago, bibasilar opacities have decreased. cardiomediastinal and hilar structures are otherwise stable. there are no pleural effusions. | <unk> year old man with resp failure, asp event // infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19961152/s58239220/aa03ff0a-89ed42fa-721fef3d-8ec24ae2-d66b8f1b.jpg | interval insertion of bilateral chest tubes, appear low. heart is moderately enlarged. mild pulmonary edema unchanged. most of the abnormalities due to persistence of the pleural effusions and left lower lobe atelectasis. there is no pneumothorax. atrioventricular pacer leads follow their expected courses, continuous from the left pectoral generator. no pneumothorax. | <unk> year old man with bilateral newly placed chest tubes // r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p14540590/s57947551/8bab35a1-8014b4f3-88419caf-e4b1be25-f91b8a83.jpg | underinflation of the lungs makes it difficult to say whether interstitial abnormality is present. there is no mediastinal venous engorgement, cardiomegaly, or pleural effusion so i doubt that pulmonary edema is present. the mediastinal, and hilar contours are normal. | history: <unk>f with chest pain // eval ptx/pna, aortic contour |
MIMIC-CXR-JPG/2.0.0/files/p16035844/s58904539/e05797aa-3c75874d-0c97fd5a-dd1d36ce-8cc83948.jpg | a dual-lead pacemaker device has leads terminating in the right atrium and ventricle, respectively. the lung volumes are low. the heart appears mild-to-moderately enlarged. allowing for differences in technique, the mediastinal and hilar contours appear unchanged. perihilar fullness and a mild-to-moderate interstitial abnormality are very similar to the prior examination, so there has been no acute change but findings suggest mild-to-moderate interstitial pulmonary edema. what is new on this study is a patchy new left basilar opacity, but not specific. pneumonia could be considered, but the location and context are typical for atelectasis. small pleural effusions appear new. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p11662302/s51048001/bd117765-f4992faa-191a2e5b-ce76e0df-c8e1165c.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is mildly enlarged. the mediastinal contours are normal. | <unk>-year-old male with syncope and atrial fibrillation. |
MIMIC-CXR-JPG/2.0.0/files/p18676703/s53293283/5c651b37-aaae18ff-27a8e4a0-907eb9cf-785d31d1.jpg | the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. | hypertensive urgency and type <num> diabetes. cough. |
MIMIC-CXR-JPG/2.0.0/files/p11098660/s58252225/6946c33a-abb30971-83b87056-a616dbd1-5a6feb6b.jpg | there is a right-sided picc line which terminates within the brachiocephalic vein. the heart size continues to be at the upper limits of normal. the patient is status post median sternotomy and mitral valve replacement. there is mild vascular congestion and small bilateral pleural effusions, right greater the left. | <unk> year old man with status post bental // eval picc placement |
MIMIC-CXR-JPG/2.0.0/files/p14702963/s59783487/acc8e32c-ef614733-c78a7ccc-5d0b28f6-aeff23bd.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old woman with copd who p/w sob // concern for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14630468/s53585855/3a0ddd6b-6f512843-37b729b9-290c845e-f528a646.jpg | single ap view of the chest. tracheostomy tube remains in place. the lungs are grossly clear noting limitation due to positioning. the cardiomediastinal silhouette is within normal limits. | <unk>-year-old female with history of laryngeal cancer, presenting with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14968857/s57581347/ec728f5a-44b7e97e-941169ff-0ca080e0-cbeae20d.jpg | cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. there are no diaphragmatic lesions or subdiaphragmatic free air. | hiccups for four days. |
MIMIC-CXR-JPG/2.0.0/files/p17507176/s59074655/dc12643b-0defbb36-4d6ff615-f013ba6e-632271b7.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 right lower quadrant pain. please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13582085/s54051421/c87410a6-466f6987-94a610e9-44a72b5f-b4b650f5.jpg | the et tube terminates at the level of the carina. the tip of the og tube projects over the expected location of the stomach, however, the side port is most likely in the esophagus and should be advanced. a right subclavian central venous catheter terminates in the upper-to-mid svc. poor penetration somewhat limits evaluation; however, there is no significant change in pulmonary congestion and mild-to-moderate cardiomegaly. there is no evidence of pneumothorax. small pleural effusions may be present, but are not evident on this single ap radiograph. | patient with rhabdomyolysis who was just intubated. please evaluate et tube placement and og tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p16031945/s56513768/65b9b4b4-af5202d8-401d62c1-d7776ebe-0c8a2001.jpg | the cardiomediastinal and hilar contours are within normal limits. a focal opacity at the left lung base could represent atelectasis or scarring. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for an infectious process. | chest pain, cough, afib with rvr. question acute cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p19682215/s57868866/9c97f6da-94c99917-008c05b1-7e780f62-36ca2f3b.jpg | an endotracheal tube ends in the right mainstem bronchus. an enteric tube courses below the level of the diaphragm. lung volumes are low with mild bibasilar atelectasis. a right ij line ends in the right atrium. | history: <unk>f with resp. distress // ? tube placement |
MIMIC-CXR-JPG/2.0.0/files/p18521703/s53096917/a9b5cb52-f55335ba-42636d95-9a9d6d9a-a38b2407.jpg | frontal and lateral chest radiographs demonstrate well-expanded lungs. the cardiomediastinal contours are within normal limits. the lungs are clear. there is no pleural effusion and no pneumothorax. bony structures are grossly intact. | chest tenderness after trauma. rule out fracture. |
MIMIC-CXR-JPG/2.0.0/files/p14323347/s56568856/1642b1a7-6c1d03b5-def22c73-fc4df9b6-7d1b58b6.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with <num> week uri symtpoms, productive cough p/w throat blisters // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15268828/s59151095/c644ab91-08b440bc-f6d8f436-c699a850-f2813bbf.jpg | in comparison with the study of <unk>, there is little overall change in the appearance of the right pleural effusion with compressive atelectasis at the base. mild indistinctness of pulmonary vessels raises the possibility of some elevated pulmonary venous pressure. mild enlargement of the cardiac silhouette is again seen. | right effusion, to assess for possible thoracentesis. |
MIMIC-CXR-JPG/2.0.0/files/p13483200/s53882861/46958103-8c4f4615-0e8e254b-46546a1f-b464c31d.jpg | the endotracheal tube terminates approximately <num> cm from the carina. there has been interval placement of an enteric tube although the tip courses out of the field of view of this exam. a catheter is again seen projecting over the mediastinum, presumably a vp shunt. bibasilar atelectasis is unchanged since the prior study, as is a small left pleural effusion. the right costophrenic angle was not included on this exam. visualized upper abdomen is unremarkable. metallic objects projecting over the right shoulder, presumably shrapnel, are unchanged. | intubated patient with hypoxia, evaluate for cause of hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p17497790/s54063509/c2c93ba6-75e6c901-6f0ff3a8-7127d68d-a64b740a.jpg | there is profound dextro convex scoliosis of the thoracic spine with resultant alteration of the normal mediastinal and cardiac contours, but this has been stable since <unk>. the lungs are clear and there is no opacity concerning for pneumonia. | <unk> year old woman with expiratory wheezes // r/o pulm path |
MIMIC-CXR-JPG/2.0.0/files/p17033028/s58907059/ae8cbc13-12d77974-c49c9e42-bdc4135a-5ded0715.jpg | the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | <unk> yo f with ha, cp, and possible hemoptysis // pe? |
MIMIC-CXR-JPG/2.0.0/files/p18931099/s50647885/86edd6c3-573c7ae9-5111a87a-52e797d1-1003c8d8.jpg | ap portable upright chest radiograph. numerous right rib fractures are seen, minimally displaced. there is opacification of the right mid to lower chest which is concerning for a hemothorax. no definite pneumothorax is seen. atelectasis and aspiration difficult to exclude at the right lung base. left lung is largely clear. heart size cannot be assessed. mediastinal contour is widened likely reflecting unfolded thoracic aorta. an old deformity of the left humeral neck is noted. | <unk>m with fall, on warfarin, hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p15837552/s51928269/b0404ab9-0d864902-764d99db-03ffb376-ebaa5532.jpg | a left pectoral pacemaker with single lead terminating in the right ventricle is unchanged. the patient is status post median sternotomy with multiple intact appearing wires. mediastinal surgical clips are compatible with prior cabg surgery. the cardiac silhouette remains enlarged but stable. the right mediastinal contour is prominent in part related to unfolding of the thoracic aorta, which is unchanged. there is calcification of the aortic knob. there is decreased engorgement of the pulmonary vasculature and improved ground-glass opacities throughout the lungs suggesting resolving chf. no significant pleural effusion or pneumothorax is detected. | history of cad, ischemic cardiomyopathy, systolic congestive heart failure (ef=<unk>%), and a fib s/p cabg who presents with worsening lower extremity edema and doe much improved, but with persistent cough, wheezes and rhonchi on lung exam. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p10450519/s58715150/31dc4634-9313c2e8-40b2fb43-12f73ba6-a0db5037.jpg | one portable ap upright view of the chest. there is moderate pulmonary edema, pulmonary vascular engorgement and small bilateral pleural effusions consistent with moderate congestive heart failure. no evidence of pneumonia. lung apices are clear. no pneumothorax. heart size is either unchanged or slightly bigger compared to most recent study. | hypoxia and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13891700/s53452598/13b9f20d-3994d381-903f9f49-031fad68-89f43595.jpg | cardiomegaly appears similar compared to prior. pulmonary vascular congestion has decreased. the pulmonary arteries are enlarged, suggestive of pulmonary arterial hypertension. no pleural effusion or pneumothorax is seen. cardiac pacing hardware appears similarly positioned. | <unk>-year-old male with epigastric pain; history of cardiomyopathy and congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p10267699/s51395650/c1223917-ab49968e-b207b255-834750d0-dd514137.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old female with cough for three weeks. evaluate for evidence of infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p14018231/s57362399/7511618f-97c0f8a1-204c052f-799096c9-1320e82f.jpg | the right pleural effusion and atelectasis noted on the prior study are much improved on today's study. the heart size is borderline enlarged. the mediastinal and hilar silhouettes appear normal. there is no pleural effusion on the left. the lungs are clear. | <unk>-year-old with history of pneumonia three weeks ago, now presenting with right lower back pain and decreased breath sounds at the right base. |
MIMIC-CXR-JPG/2.0.0/files/p19240000/s52554454/0dd7a338-46e5ec5f-7e4f18b8-a50e25a2-a7827db7.jpg | the inspiratory lung volumes are slightly improved from the most recent prior study. patchy bibasilar airspace opacities likely reflect atelectasis. no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. dense calcification of the aortic knob is re-demonstrated. deformity at the right lateral fourth rib is compatible with healed prior fracture. no acute displaced rib fractures are detected. | altered mental status, status post fall, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14847429/s53290681/d604e12b-d26fef23-253c1beb-649f9987-bfe9f3d1.jpg | the patient is intubated. the endotracheal tube terminates approximately <num> cm above the carina. a right vascular introducer sheath terminates near the junction between the right internal jugular and subclavian veins. a left subclavian central venous catheter terminates in the lower superior vena cava. an orogastric tube terminates in the stomach. the cardiac, mediastinal and hilar contours appear unchanged. the aortic arch is calcified. although the right lung appears clear, there is opacification of the left lower hemithorax suggesting, most likely, a combination of atelectasis and pleural effusion, although not specific. there is no pneumothorax. | status post repair of leaking aortic graft. |
MIMIC-CXR-JPG/2.0.0/files/p14090353/s53990293/ec138487-a1521ff9-8290f7e5-133814d4-c5d81482.jpg | compared to the prior film, the overall appearance is similar. again seen is the tracheostomy. heart size is probably unchanged. patchy density the left base consistent with collapse and/or consolidation is again noted, overall similar. the possibility of a small left effusion would be difficult to exclude. the right lung and costophrenic sulcus are grossly clear. no overt chf. balloon related to g tube noted. old healed right clavicular fracture again noted. | <unk> year old man with s/p or for evd, ett placmeent // <unk> year old man with s/p or for evd, ett placmeent |
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