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MIMIC-CXR-JPG/2.0.0/files/p15963017/s57052640/6e6e4d2f-2a222a47-612759f5-3f308968-bcf24ebb.jpg | pa and lateral views of the chest provided. no evidence of focal consolidation. bibasilar atelectasis is unchanged from <unk>. left upper lobe platelike atelectasis is unchanged. no pleural effusion or pneumothorax. hilar contours are normal. moderate cardiomegaly is unchanged. | <unk> year old woman with see above. // patient with hypoxia, rhonchi, cough, please assess for pneumonia/pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p18510373/s55841422/a50bd3b0-ee9a25c3-c3437a79-58362486-3e991652.jpg | feeding tube tip is in the proximal stomach. mildly increased heart size. pulmonary vascularity at the upper limits are normal. mild bibasilar opacities, new since prior, likely atelectasis, consider pneumonitis in the appropriate clinical setting. possible tiny right pleural effusion. | <unk> year old man s/p l cea now npo due to dysphagia // dobhoff placement |
MIMIC-CXR-JPG/2.0.0/files/p11942786/s53403822/e26f0d70-0250b468-f708d524-673f4676-3b95efbf.jpg | there is mild bibasilar atelectasis. cardiomediastinal and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation. nasogastric tube courses into the stomach and out of the field of view. | history: <unk>m with sbo // evaluate ng tube placement |
MIMIC-CXR-JPG/2.0.0/files/p11988172/s56980081/81fa8e52-f051ee9b-180e2d3a-f81e131c-54b7d12d.jpg | there is no significant interval change compared to yesterday's radiograph. the support lines and devices are unchanged in position. et tube is <num> cm above the carina. right picc line is unchanged in position. lung volumes remain low. there is a small-to-moderate left pleural effusion, unchanged from prior. right lung base atelectasis noted. there is no pneumothorax. no evidence of pulmonary edema. stable cardiomediastinal silhouette. | <unk> year old man with hypoxic respiratory falure, intubated // interval imaging |
MIMIC-CXR-JPG/2.0.0/files/p13610411/s56486537/d7529ea9-8e61912c-39f27e4f-872c429d-41eb993c.jpg | ap and lateral views of the chest. relatively low lung volumes are seen with secondary crowding of the bronchovascular markings. there is no large confluent consolidation. no effusion. single lead left chest wall pacing device is seen. the cardiomediastinal silhouette is within normal limits. | <unk>-year-old male with generalized weakness. |
MIMIC-CXR-JPG/2.0.0/files/p15775812/s55594389/dd0e2cb7-b8f25ee8-73f279c9-e3bae609-df4cc782.jpg | lung volumes are low. the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is linear bibasilar atelectasis with otherwise clear lungs. no definite consolidation is identified. there is no pleural effusion or pneumothorax. | <unk>m with subglottic stenosis p/w acute onset dyspnea // evaluate for pna |
MIMIC-CXR-JPG/2.0.0/files/p16440395/s59347156/d6a181fd-0da44183-04ad5dda-95432e42-32a5604a.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. | <unk> year old man with transplant eval // lungs heart |
MIMIC-CXR-JPG/2.0.0/files/p13541557/s51521698/acd32f83-c87f97df-49ae9d48-2d5f3394-663cb19f.jpg | the cardiomediastinal and hilar contours are within normal limits. lung volumes are slightly low. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | <unk>m with cp pls eval for pna vs ptx |
MIMIC-CXR-JPG/2.0.0/files/p18400173/s58310155/0b54c0f6-a062e64b-f324c3b8-e5fc5e71-686f5522.jpg | lungs appear hyperinflated on the lateral view. linear bibasilar opacities only seen on the frontal view are most consistent with atelectasis. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | <unk>m with chest pain.shortness of breath // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p17330609/s57699251/46b84aad-3d754e61-2f080eb2-fc87419d-a19c1ef8.jpg | a left-sided port is seen, with the catheter terminating in the low svc or proximal right atrium. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | history: <unk>f with hx chemotherapy for breast ca; p/w <num> day hx of fever to <num>, epigastric pain; ttp mostly in llq // |
MIMIC-CXR-JPG/2.0.0/files/p19048454/s54356000/83cd48e2-26cb15cb-a5884bb0-3ac7c47c-18c586df.jpg | the lungs are well-expanded and clear. lingular atelectasis has improved. the cardiac silhouette remains top-normal in size. no pneumothorax, pleural effusion, or consolidation. no obvious evidence of intrathoracic malignancy. | <unk> year old man with iiib melanoma // melanoma surveillance |
MIMIC-CXR-JPG/2.0.0/files/p11577761/s53200644/de6e1871-353d1326-3dff6ffd-5a49d772-f3097cef.jpg | pa and lateral views of the chest. there is mild cardiomegaly. the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no evidence of pleural effusion or pneumothorax. | altered mental status, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15273135/s52488638/95169d60-67b96025-7d2e55b9-d117541d-69cd81ec.jpg | lungs are well inflated and clear bilaterally with no suspicious lesions or masses. there is no pleural effusion or pneumothorax. there is mild stable cardiomegaly without evidence of failure. the aorta is mildly tortuous and calcified. pleural surfaces are unremarkable. | <unk>-year-old female with a history of positive ppd. |
MIMIC-CXR-JPG/2.0.0/files/p10275886/s53157602/305796e7-39a66e02-db9098cd-4384c7b1-64462f55.jpg | the lungs are well inflated. the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no blunting of the costophrenic angles to suggest a pleural effusion. no areas concerning for consolidation seen. no destructive bony lesions seen. | history: <unk>m with htn, hyperlipidemia, pre-diabetic with <num> hours of baseline <unk> chest pain with intermittent <unk> sharp, stabbing pain. associated with l hand numbness no n/v, diaphoresis, shortness of breath. // intrathoracic abnormality? |
MIMIC-CXR-JPG/2.0.0/files/p12206709/s54206188/79bb0710-538fcf51-3851b2b6-789e82e4-4d6a9fb6.jpg | ap and lateral views of the chest. no prior. there is a moderate-sized right-sided pleural effusion with possible underlying atelectasis versus possible consolidation. there is some pleural thickening seen laterally at the left lung base without definite consolidation or evidence of pulmonary vascular redistribution. cardiomediastinal silhouette is within normal limits. surgical chain sutures seen at the left hilum compatible with history of left upper lobectomy. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with worsening shortness of breath. question effusion. history of sarcoidosis, status post left upper lobectomy. |
MIMIC-CXR-JPG/2.0.0/files/p10682162/s54146638/81f0de85-c9fda4ee-8895059c-d857c9a1-e0a1f1ec.jpg | lung volume is low. mild bibasilar opacities likely reflect atelectasis. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal size. | history: <unk>m with ams // infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15838259/s57909431/cb52bc71-c6cc0783-49fa220e-f2ebd9b3-f3d22e1d.jpg | moderate cardiomegaly is stable. calcifications and tortuosity of the aorta are again seen. the underlying mediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with palpitations // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p16181200/s51878931/7ac7a99f-a57a4eeb-de17b7e2-d9bace7d-53687943.jpg | lungs are clear. cardiomediastinal silhouette is normal. hilar are unremarkable. no pneumothorax, edema, or focal consolidation. bowel gas pattern is nonspecific. no acute osseous abnormality. | history: <unk>m with fever and cough. // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p10580148/s51340067/b720f852-bd295cd0-7e4a8349-d353e853-99b29a0b.jpg | feeding tube tip is in the mid stomach. otherwise stable exam | <unk> year old man with new dobhoff tube, advanced from previous location at the ge junction // please assess dobhoff tube position |
MIMIC-CXR-JPG/2.0.0/files/p16420717/s51547033/63d820a1-43d77e69-7c05fc5f-57ab94e1-99ac28eb.jpg | given slightly low lung volumes and a large amount of soft tissue attenuation, the lungs appear clear aside from minimal right basilar atelectasis. the cardiac size is within normal limits. there is no pleural effusion. there is no pneumothorax. mediastinal contours are within normal limits. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15511142/s59115676/0dfd07a4-9a1a58e0-ec5c268d-3ce0f18a-4f576de0.jpg | in comparison with chest radiograph from a few hours earlier, there has been interval placement of an endotracheal tube that terminates approximately <num> cm above the carina. there is pulmonary vascular congestion with moderate pulmonary edema. left retrocardiac opacity, consistent with atelectasis, is unchanged. no enteric tube is visualized on current study. | <unk> year old man with <unk> on ckd, respiratory failure, phtn s/p intubation // ett and ogt placement |
MIMIC-CXR-JPG/2.0.0/files/p17675880/s54465305/e09fece9-675d23e3-46991559-5dde1161-b39b24a4.jpg | a dual-lead pacemaker/icd device appears unchanged. the heart is mild to moderately enlarged. the aortic arch is calcified. the mediastinal and hilar contours appear unchanged. there is a mild background interstitial abnormality, possibly due to slight chronic congestion, but improved somewhat since the prior examination. a new right basilar opacity is present. an increasing pleural effusion, potentially with a degree of loculation, is noted on the right, now probably small to moderate in size associated with increasing posterior opacity. a trace pleural effusion is difficult to exclude on the left. there is no pneumothorax. moderate degenerative changes are noted along the mid to lower thoracic spine. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17530911/s56246880/ca45b02b-23f35c2b-45ee0f97-751887ff-84cfb981.jpg | the cardiomediastinal contour is normal. the lungs are clear. no pneumothorax seen. no rib fractures seen. there is degenerative disk disease noted in the mid thoracic spine. there are <num> lower thoracic vertebral bodies which demonstrate mild collapse, correlation with any clinical history of back pain recommended. a skin marker was placed over the site of the patient's discomfort corresponds to the posterior lateral ribs. moderate degenerative change in the right acromioclavicular joint. | <unk> year old man with pleuritic right low dorsal chest pain. // cause of pain? |
MIMIC-CXR-JPG/2.0.0/files/p17685708/s52327108/117c01b0-4ab4b767-ef4bebe9-4879ea3c-96507eeb.jpg | new pneumoperitoneum is severe; pneumomediastinum is small, if any. the left lung is almost entirely collapsed. right lung is well expanded and grossly clear. an endotracheal tube projects off the midline at an acute angle more than <num> cm from the carina. a right internal jugular line ends in the low svc. there is no pneumothorax. heart is normal size and there is no edema. | <unk>-year-old male with possible recurrent cholangitis status post ercp with concern for perforation. |
MIMIC-CXR-JPG/2.0.0/files/p16747881/s54491008/c7133a30-0eb6bc8d-a1846700-3a425733-ccc30165.jpg | as compared to prior chest radiograph from <unk>, a new opacity is seen on the left, predominantly within the perihilar region. there has been interval worsening of right-sided edema. no new consolidations are noted on the right. endotracheal tube terminates <num> cm above the carina. enteric tube terminates within gastric fundus. cardiomegaly is unchanged. | <unk>-year-old male patient status post vf arrest, currently intubated. study requested to confirm et tube and og tube placement and assess for interval change in pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15620117/s55194892/48e802f8-6e81c0df-30ca6359-98c6a2c3-860fe089.jpg | assessment is limited by kyphotic positioning and low lung volumes. heart size appears mild to moderately enlarged. mediastinal contour is unremarkable. there is crowding of bronchovascular structures without overt pulmonary edema. mild atelectasis is noted in the lung bases. no large pleural effusion, focal consolidation or pneumothorax is identified however assessment of the lung apices is obscured by the patient's chin and neck projecting over this area. no acute osseous abnormalities seen. | history: <unk>m with o<num> requirment |
MIMIC-CXR-JPG/2.0.0/files/p13509865/s54688389/5853ef98-16649278-50d8b7fb-3d0e54e6-7161699f.jpg | portable supine view of the chest was reviewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded without focal consolidation. height loss in an upper thoracic vertebral body as well as multiple bilateral rib fractures are better assessed on outside hospital chest ct. | rib fractures. |
MIMIC-CXR-JPG/2.0.0/files/p15017747/s58641067/e7fab621-d0553070-203f1c40-cc6b94f1-bcbf9ffb.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. | <unk>-year-old male with left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15010038/s56836887/11914fbb-47a2779f-074385e6-9ef684c3-d320a226.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with fever // eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p12582294/s58663235/60938897-40f9eac0-587d2e21-1286ed0b-5c716f9b.jpg | the lungs are well expanded and clear. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is seen. the visualized osseous structures are unremarkable. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12502386/s58318196/324be286-92634790-f881d4f8-947f9cab-3d3e99c2.jpg | cardiac silhouette is mildly enlarged. mediastinal contour is normal. there is no radiographic evidence of enlarged lymph nodes. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk>-year-old woman with <num>lb weight loss x <num> months, night sweats, moderate pericardial effusion found at <unk> echo lab today |
MIMIC-CXR-JPG/2.0.0/files/p19554899/s54104896/3dcd850f-0454fe40-2c91c7ae-cb7a5050-af8267b1.jpg | frontal and lateral views of the chest. the lungs remain hyperinflated but clear without consolidation or pulmonary vascular congestion. there is no effusion. cardiomediastinal silhouette is stable. no acute osseous abnormality is identified. | <unk>-year-old female with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p16039388/s54366939/a16e2147-872a367c-05a9fc4e-e919bee0-2dedf0a7.jpg | right picc tip in low svc. no pneumothorax. tiny left effusion low lung volumes compatible with bilateral lower lobe sepsis atelectasis. | <unk> year old woman with s/p picc placement. radiology requires formal chest xray // post picc placement |
MIMIC-CXR-JPG/2.0.0/files/p15852712/s59940542/a6a61bf2-41bfb636-4993a50d-1659bb4d-770bbfea.jpg | the lung volumes are low, which exaggerates the heart size as well as ap projection which also exaggerates the heart size. retrocardiac atelectasis is present. pulmonary vasculature is prominent. no large pleural effusion or pneumothorax is seen. subdiaphragmatic drains are present as is an endo-intestinal tube with its side port below the diaphragmatic hiatus. | <unk>-year-old male with a history of gastric cancer, now status post total gastrectomy, in need of post-operative interval change. |
MIMIC-CXR-JPG/2.0.0/files/p15262628/s54305059/df7856b5-b4bee0c2-8d4a6396-cd3b44c8-d45bab62.jpg | lateral view is suboptimal due to patient's overlying arm and underpenetration. patchy basilar opacities are seen which could relate to pulmonary vascular congestion or infection or aspiration depending on the clinical scenario. no large pleural effusions are seen. there is no evidence of pneumothorax. the cardiac silhouette remains mildly enlarged. mediastinal contours are grossly unremarkable. | history: <unk>m with ams // eval for infection/mass |
MIMIC-CXR-JPG/2.0.0/files/p17531495/s52373657/2c5e7938-6aadfca9-b3d682db-92cb6222-39239470.jpg | ap and lateral upright views of the chest were obtained. compared to the prior examination, there is improved lung expansion as well as interval decrease in bilateral pulmonary opacities. retrocardiac opacification remains and could be due to aspiration, pneumonia or atelectasis. left lower lung linear opacities likely represent atelectasis. the bones and soft tissues are unremarkable. | evaluation for pulmonary congestion in a pedestrian struck by a motor vehicle, initially with a left pneumothorax and intubated. now extubated. |
MIMIC-CXR-JPG/2.0.0/files/p16893112/s52724352/b6a88ec7-beda965e-a0f5f7f4-93521a6b-4a10c6ee.jpg | patient is slightly rotated to the right which limits assessment. the lungs are well expanded and clear without evidence of lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. mild left basilar atelectasis is noted. allowing for patient rotation, the cardiomediastinal silhouette is within normal limits. | <unk>f with altered mental status, cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16603183/s51875936/763ab25d-7c0e8188-d0c47308-84e5d860-9ea33aa3.jpg | heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax. no acute osseous abnormality is visualized. | history: <unk>f with asthma exacerbation, chest tightness |
MIMIC-CXR-JPG/2.0.0/files/p18569328/s51039346/98a9721d-d7eaf325-0d52542d-0ca3a3aa-3aa5b53d.jpg | low bilateral lung volumes with unchanged blunting of the left costophrenic angle. no focal consolidation or pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged. orthopedic spinal hardware projects over the upper thoracic spine. the tip of the left picc line extends to the superior cavoatrial junction. | <unk> year old man with weakness lethargy // r/o infection and check picc placement |
MIMIC-CXR-JPG/2.0.0/files/p18187460/s54304698/692c46fa-e2ee75d4-4d9dc0c4-db8d007f-8355781c.jpg | the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. hilar and pleural surfaces are normal. | <unk>f with sob // evidence of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10850433/s50054525/5b192cd7-7155aeb3-44fc16d2-e3ccff87-81c13be5.jpg | the left pleural effusion has significantly increased in size and is now large with associated mass effect with the rightward shift of the mediastinum. an old right rib fractures again noted. the right lung is clear with no significant pleural effusion. no pneumothorax | <unk> year old man with hepatic hydrothorax s/p tips // eval for interval progression |
MIMIC-CXR-JPG/2.0.0/files/p14785541/s54324652/0111edad-d0a845cc-f93d28ad-99fe29b7-1e148cfb.jpg | pa and lateral images of the chest demonstrate well-expanded lungs which are clear. there is some hyperinflation of the lungs seen. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable. | <unk>-year-old female with copd, weight loss, and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19286498/s52378573/26393998-3ed9913f-01f9effe-eab1283b-47d07e8c.jpg | pa and lateral radiographs of the chest once again depict volume loss in the right lung consistent with right middle lobectomy, as well as surgical clips in the right hilum. the small layering right pleural effusion has resolved, and there is an expected collection of fluid occupying the right middle lobe resection bed, with possible pleural thickening at this location. aside from tortuosity of the aorta, the hilar and mediastinal contours are normal. there is no pneumothorax, and the pulmonary vascularity is normal, without edema. | evaluate for interval change in a patient status post vats, right thoracotomy, and right middle lobectomy. |
MIMIC-CXR-JPG/2.0.0/files/p10008304/s52686646/2f26335a-35bee0b8-229d5c1d-8e179102-18cd625a.jpg | lung volumes are slightly low. this accentuates the size of the cardiac silhouette which is likely top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine. | history: <unk>m with fever, cough |
MIMIC-CXR-JPG/2.0.0/files/p18478557/s52742392/19a059a0-758bebde-b700ac38-2e7c8e47-0de76e84.jpg | other than left basilar atelectasis, greater than right, the lungs are clear with no focal opacities concerning for pneumonia. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. the pulmonary vascularity is normal. | a <unk>-year-old male with cirrhotic liver, now presenting with persistent cough. evaluate for focal liver lesions. |
MIMIC-CXR-JPG/2.0.0/files/p14796094/s50722071/25e3c3cd-d7a866ec-b8235615-37120b8f-8ae2adb3.jpg | the left chest pigtail catheter been removed. there is a small left apical pneumothorax, which has decreased in size when compared to prior studies. there is no evidence of focal consolidation,pleural effusion,or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is mild dextroscoliosis of the thoracic spine. | <unk> year old man with spontaneous pneumothorax // pneumothorax, chest tube pulled <time>am |
MIMIC-CXR-JPG/2.0.0/files/p10706664/s50012932/a6bf93f2-e871fba4-9d08d6f7-bcc2a84a-0d67ea2b.jpg | ap single view of the chest has been obtained with patient in semi-upright position. comparison is made to the next preceding similar examination obtained two and a half hours earlier. the previously described left-sided apical pneumothorax appears completely unchanged in size. no new pulmonary parenchymal abnormalities beyond those described earlier. no significant mediastinal shift has occurred. right hemithorax is unremarkable as before. | <unk>-year-old female patient with pneumothorax following radiofrequency ablation to left lung lesion. patient in pacu fifth floor, followup examination. |
MIMIC-CXR-JPG/2.0.0/files/p11040347/s50361224/27d9d709-2a888df5-0f1920d1-ab00bced-123c527c.jpg | the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal. | <unk> year old woman with right arm paresthesias and axillary pain // rule out mass |
MIMIC-CXR-JPG/2.0.0/files/p16853834/s52585636/330bffb5-7cd4d36d-d040e9b7-e85ef1ae-a6329519.jpg | pa and lateral views of the chest provided. interval removal of the right upper extremity picc line. there is mild right basal platelike atelectasis. the heart is mildly enlarged. mediastinal contour is normal. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no signs of congestion or edema. bony structures are intact. a biliary stent projects over the upper abdomen. | <unk>f with cholangiocarcinoma here with fever |
MIMIC-CXR-JPG/2.0.0/files/p18902344/s59771089/0b10614a-98248756-93f80d74-b0ab0365-c18464b9.jpg | exam is limited due to underpenetration. lungs are hyperinflated. there is mild central vascular engorgement without overt pulmonary edema. there is no focal consolidation, pleural effusion or pneumothorax. mild bibasilar atelectasis, unchanged from prior study. right-sided pleural fat is again noted. mediastinal and hilar contours are stable. heart size is normal. | history: <unk>m with doe, orthopnea // pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p13894867/s57149084/64cc7a34-c8d2e536-3bda04bb-6b2cc2b6-5b42d174.jpg | pa and lateral views of the chest were obtained. the heart is top normal in size, and cardiomediastinal silhouette is stable. lungs are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old man with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14537726/s52528519/26582afb-4e0e23fe-07ae4c83-d9b93d6f-e2394e93.jpg | pa and lateral views of the chest provided. increased interstitial opacities, right greater than left noted which could represent asymmetric pulmonary edema though clinical correlation is advised. there is no focal opacity concerning for pneumonia. no effusion or pneumothorax is seen. the heart size appears normal. mediastinal contour is unremarkable. there is irregularity of the right <unk> posterior rib arch, could represent an old injury. otherwise the bony structures are intact. | <unk>m with tachycardia, rapid afib |
MIMIC-CXR-JPG/2.0.0/files/p11438173/s56528966/3a7d4a12-8d71c280-c9f0c150-0dbe14d3-502dee23.jpg | frontal and lateral views of the chest are compared to previous exam from earlier the same day at an outside institution and chest x-ray from <unk> and thoracolumbar spine ct from <unk>. there are increased interstitial markings, particularly at the bases and at the right mid lung. there is no large confluent consolidation or effusion. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are again noted. osseous and soft tissue structures are otherwise notable for mild compression deformity in the lower thoracic spine which had been subacute on ct scan from <unk>. | <unk>-year-old male with syncope. |
MIMIC-CXR-JPG/2.0.0/files/p15990164/s54882139/7fb5a7d0-aaccb514-cea36968-d7fc58c5-c61a9e4f.jpg | low bilateral lung volumes. small left and trace right pleural effusions with overlying atelectasis. no pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged. | <unk> year old man with pod <unk> s/p open aaa w/ chest pain // cardio pulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p12592398/s55578121/c1c7aab1-8e61c2bc-d36fe47c-ec83bb5c-39316879.jpg | the cardiac silhouette is mildly enlarged with mild tortuosity of the thoracic aorta. the hilar contours are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax. the osseous structures are grossly unremarkable. | hypertension. |
MIMIC-CXR-JPG/2.0.0/files/p16650418/s55910303/5ecb2f6c-a4517dc3-1bb3d632-b5c444eb-bc821e8f.jpg | an endotracheal tube terminates <num> cm above the carina. an orogastric tube terminates within the stomach. there is worsening of a right basilar opacity, reflecting worsening consolidation and/or atelectasis, in comparison to the <unk> examination. a new left retrocardiac opacity is also present. there is no pneumothorax. | hypoxic respiratory failure. |
MIMIC-CXR-JPG/2.0.0/files/p14440714/s58441353/a17e372d-15e9eb39-c54a4c8c-0b71f99c-72c12d6c.jpg | as compared to prior examinations, the cavitated right upper lobe lesion appears essentially unchanged. right upper lobe air fluid levels; however, are better visualized on today's examination. the remaining right lung parenchyma is hyperinflated. previously identified consolidation in the lingula has completely resolved. left lung is clear. no new focal consolidation concerning for pneumonia is identified. there is no pneumothorax. the heart is normal in size. there is mild tortuosity of the aorta. | <unk>-year-old female patient with known stage iv lung cancer and worsening shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15682814/s57820606/e28ec783-f19e6da2-753e39d6-fb2a0238-fec0fe0c.jpg | the cardiac silhouette is top-normal to mildly enlarged. the aorta is calcified. left base opacity is seen which could be due to pneumonia. there is slight blunting of the costophrenic angles and small pleural effusions may be present. there is central pulmonary vascular engorgement without overt pulmonary edema. gaseous distention of the stomach is seen along with coarse calcifications of the splenic artery. | chest pain, shortness of breath, cough. |
MIMIC-CXR-JPG/2.0.0/files/p17926427/s50213455/3c0a4d92-6b2e6e3d-a019506f-a6078606-f037136f.jpg | lung volumes are normal. there is perihilar vascular prominence compatible with mild pulmonary vascular congestion. there is also mild pulmonary interstitial edema. there is no focal consolidation, pneumothorax, or pleural effusion. there is cardiomegaly. a pacemaker generator projects over the right hemithorax with a lead that terminates overlying the expected location of the right ventricle. surgical clips overlie the left axilla. | <unk>f with fall // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p11298819/s50684017/6b0eee7e-9aface56-012acd14-593cfc90-180e8d84.jpg | the lungs are well expanded, without focal opacities. there is nearly total opacification of the left lower lung field likely from a combination of a left-sided pleural effusion and cardiomegaly. there is a small right-sided effusion which appears unchanged compared with prior exam. the left-sided effusion is difficult to assess but also appears stable. the aorta is tortuous. sternotomy wires are intact. there has been interval removal of a right-sided ij line. surgical clips adjacent to the right coracoid process are unchanged in appearance. | <unk>-year-old female status post type a dissection repair with ascending aortic graft. evaluate for pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p13092065/s59575108/87ed3a1e-ee9fc4b7-bd3b93f9-4096dc80-f954d770.jpg | the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. dense calcifications are noted in the aortic arch. there is no pleural effusion, pneumothorax, or focal consolidation. multilevel thoracic vertebral compressions deformities are unchanged. severe degenerative changes in the shoulders are again noted. | <unk>f with falls // r/o ich, fracture |
MIMIC-CXR-JPG/2.0.0/files/p10771731/s58957089/16c91688-bbd79f64-f51ff385-1649a7b7-85300a11.jpg | lung volumes are low, which leads to bronchovascular crowding. no focal consolidation is seen. the cardiomediastinal silhouette and hilar contours are within normal limits. there is no pneumothorax or pleural effusion. there is no free air under the diaphragm. | <unk>f with seizure. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p10653589/s53061867/c64d81f7-f6376e36-cfc5143f-d69019d1-c42f07ec.jpg | a right pleural effusion is moderate in size with fluid tracking into the minor fissure. extensive, bilateral diffuse, ill-defined airspace opacities have developed in the interim, consistent with multifocal pneumonia. new left pleural effusion, if present is small. extensive aortic knob calcifications are unchanged. single lead left cardiac pacer device is unchanged. the mediastinal contours are unchanged. the heart remains enlarged. | <unk> year old woman with history of afib, ckd, htnand severe aortic stenosis, <unk> <<num> cm sq/pg <unk> mmhg/mg <unk>mmhg/pv <num>.<unk> m/sec, moderate-severe mitral regurgitation,preserved ef, sss s/p ppm deemed to be high risk for savr, now s/p cath with concern for left main injury. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14641484/s51130746/593ef3f0-c9e7cd18-31c91a90-1f1b0a34-d382270a.jpg | ap portable upright chest radiograph. lungs are clear. cardiomediastinal silhouette appears normal. no large effusion or pneumothorax. bony structures appear intact. numerous overlying ekg leads are present somewhat limiting assessment. | <unk>m with fall/headstrike, chest pain, on coumadin. assess for ptx, rib fx/ head/c-spine ct to rule-out bleed, c-spine injury s/p fall |
MIMIC-CXR-JPG/2.0.0/files/p19588064/s53098846/c93ac84c-87af67ab-91817e98-b270e41e-edbe757a.jpg | single frontal view of the chest demonstrates stable cardiomegaly. new consolidation in the upper lobes and right lower lobe is most likely pneumonia. there is also retrocardiac opacity which could represent dependent atelectasis versus additional site of consolidation. trace effusions cannot be excluded. there is no pneumothorax or vascular congestion. | <unk>-year-old female with history of congestive heart failure. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15206519/s54516548/af48a0b4-12098c0a-2fd30c50-a191f370-604692a8.jpg | patient is status post median sternotomy.the lungs are clear without focal consolidation. slight blunting of the posterior left costophrenic angle may be due to atelectasis or versus a trace pleural effusion. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with sob // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p18902442/s52305148/7efd1291-6afdb976-481edfdc-c10f7e55-6b9faf60.jpg | frontal and lateral chest radiographs demonstrate moderate bilateral pleural effusions, right greater than left, with associated atelectasis. markedly improved but persistent mild pulmonary edema. mild cardiomegaly, stable. the mediastinum is widened but unchanged since <unk>. a right-sided central line is seen terminating in the low superior vena cava. no pneumothorax. | <unk>-year-old male status post endovascular aortic repair for ruptured aortic aneurysm. now with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17391196/s54729553/49fac3fd-7eec5a7e-5ac5a091-e33659f5-3246ecbe.jpg | patient is status post cabg. there has been interval removal of a swan-ganz catheter, endotracheal tube, orogastric tube, mediastinal drain and left-sided chest tube. lung volumes are decreased, accentuating the bronchovascular structures and cardiac silhouette. despite this, the heart is enlarged. there is bibasilar atelectasis. no significant pneumothorax identified in this portable chest radiograph. no large pleural effusion identified. surgical sutures are seen in the right upper lobe. | <unk> year old man s/p cabg // eval for pneumothorax s/p chest tube removal. |
MIMIC-CXR-JPG/2.0.0/files/p11408815/s51673114/f7fa98d4-f35798b6-fc54e2fa-f94e2403-d87fb999.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p10516278/s55222733/630e4ec1-2776cf9f-396a7c6a-66295ffa-5dab5399.jpg | the cardiomediastinal silhouettes are unchanged and normal in appearance. there is interval increase in bilateral hilar prominence, which probably represents hilar lymphadenopathy given prior ct exam findings from <unk>. the previously seen right parahilar opacification has resolved. in comparison to prior radiograph from <unk>, there is stable appearance of increased bilateral interstitial prominence. there is also now seen a right infrahilar opacification which could reflect an area of consolidation of new lung nodule. it is recommended to obtain repeat chest ct for further evaluation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or effusion. | <unk> year old man with nk cell deficiency, ebv viremia who has had cough with some sputum for last <num> months // etiology of cough |
MIMIC-CXR-JPG/2.0.0/files/p14281249/s57854060/01e56b68-0ff2880f-92998e29-13b527b4-fd847e42.jpg | there are persistent coarse reticular bibasilar opacities which given differences in inspiratory effort are unchanged. known pulmonary nodules seen on prior ct are not clearly delineated. there is no confluent consolidation or effusion. cardiomediastinal silhouette is stable. tortuosity of the descending thoracic aorta is again noted. old healed left lateral rib fractures are noted. there is no acute osseous abnormality. | <unk>m with ams // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13281196/s50366383/ab93fac9-ae7c1481-83a697e4-23258c4a-bbbae687.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 l sided cp and wheezing // assess for cause of lll wheezing |
MIMIC-CXR-JPG/2.0.0/files/p13717854/s55238823/bb1b3fd9-121753da-89222614-1d16eadf-5d8f0f9b.jpg | again seen is a right port with tip in the upper svc. new heterogeneous bibasilar, right greater than left opacities. no pleural effusion or pneumothorax. mild cardiomegaly is stable. mediastinal contour and hila are unremarkable. | <unk>m with dizziness. port placement. |
MIMIC-CXR-JPG/2.0.0/files/p19469998/s50293374/aa6447a3-b8e489ee-8c5ea721-dc2553a8-686fe60c.jpg | pa and lateral chest radiographs are provided. there is no focal consolidation, pleural effusion, or pneumothorax. there is mild lower lobe atelectasis. cardiomediastinal silhouette is normal. | history of chest pain, evaluate for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p15388943/s56088078/9ecf9dc9-da50516c-0b57e37d-38e61ed5-41ec0905.jpg | single erect portable view of the chest demonstrates no evidence of focal opacity. increase in interstitial markings bilaterally at the bases was present on prior radiographs. cardiac size is normal. no large pleural effusion or pneumothorax. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18507022/s50256989/fb5822c7-1d2e98b8-d22d89bc-021c51c8-35891bcc.jpg | right venous access catheter terminates in the mid-to-low svc, unchanged since at least <unk>. the catheter demonstrates a smooth course with no kinks. the cardiomediastinal and hilar contours are within normal limits. the lungs are clear. there are no new focal consolidations, pleural effusions or pneumothoraces. the right first rib is hypoplastic. | <unk>-year-old woman with history of all with right-sided port who can hear port when she turns her head to the right. please assess port placement. |
MIMIC-CXR-JPG/2.0.0/files/p14663288/s57975488/5a987640-15c88352-66460af4-19698b67-178997b7.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. | <unk>m with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13936839/s55797792/c2a816e5-b93f9418-b077fec6-d4bea005-0b135d24.jpg | patient is again significantly rotated. indistinctness of the diaphragm and haziness of the bilateral lung bases is new, possibly positional for related to atelectasis or pleural fluid. no pneumothorax. heart size is normal. large hiatal hernia is poorly evaluated given patient positioning. an endotracheal tube terminates <num> cm above the carina. | <unk> year old woman with ett, unable to extubate // acute process |
MIMIC-CXR-JPG/2.0.0/files/p10650537/s50296920/7a3248e9-c988acd5-c68802db-31946e0a-517228ac.jpg | endotracheal tube tip terminates approximately <num> cm from the carina. an orogastric tube tip is within the stomach. heart size is mildly enlarged. aortic knob is calcified. perihilar opacities with vascular indistinctness is compatible with mild to moderate pulmonary edema. focal opacities in the lung bases may suggest superimposed infection or aspiration. small left pleural effusion is likely present. no large pneumothorax is identified. a catheter is seen coursing from the left axilla, crossing the midline of the chest, with its tip appearing to project over the right apex of the lung. | known intracranial hemorrhage with clinical deterioration. |
MIMIC-CXR-JPG/2.0.0/files/p19532801/s50407449/df233877-3c8365ba-bbc95dc0-9012ae47-92c53b82.jpg | pa and lateral views of the chest. there is stable elevation of the right hemidiaphragm. there is no focal consolidation. there is no pleural effusion. no pneumothorax. the cardiomediastinal contours are normal. | gi bleed, abdominal pain, question acute intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p12605741/s59595412/93a1454c-f154abd8-aecaa8ca-93225779-3bea5e76.jpg | the heart is mildly enlarged. lung volumes are low, causing crowding of bronchovascular structures. patchy opacities in the bilateral lower lungs may be due to atelectasis, aspiration, or infection, in the appropriate clinical setting. apical nodularity in the right upper lung is unchanged since <unk> and therefore benign. prominence of the right heart border is in keeping with the known ascending aortic aneurysm. no new focal consolidation, pneumothorax, or pleural effusions are identified. | <unk>m with hypoxia. eval for volume status. |
MIMIC-CXR-JPG/2.0.0/files/p19131048/s51928254/cfc8da8c-2c14ee28-bd4a5560-ecb8aca7-5233d0a9.jpg | there has been significant interval improvement in the layering right-sided pleural effusion which has now nearly completely resolved. there is residual a atelectasis in the right lung base, superimposed infection cannot be excluded. a small left pleural effusion persists. the degree of atelectasis has improved slightly at the left base. a left-sided picc terminates in the mid svc. no pneumothorax seen. a tracheostomy is unchanged in appearance compared to the prior study. | <unk> year old woman s/p gastrectomy, increasing wbc // ?intrapulm process |
MIMIC-CXR-JPG/2.0.0/files/p13177245/s54333483/dd6de341-d267dc18-10a8ac2a-870d4a9a-b6633201.jpg | mild enlargement of the cardiac silhouette persists. the mediastinal and hilar contours are similar. pulmonary vasculature is normal. lungs remain hyperinflated with emphysematous changes re- demonstrated. patchy ill-defined opacities are seen in both lung bases, more so on the left, are concerning for infection. no pleural effusion or pneumothorax is present. there are mild degenerative changes noted in the thoracic spine. | history: <unk>m with chest pain, dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p16650418/s58578965/fe4f2661-7878dc62-a7f09fdb-863acdc9-4d66b515.jpg | a right lower lobe consolidation is new since the <unk>. the heart size is top-normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax or pleural effusion. | cough and sepsis. |
MIMIC-CXR-JPG/2.0.0/files/p19439952/s52687812/09a39164-13dc5380-c494a518-71dcd4f1-beded925.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 cough , ex heavy smoker // r/o any abnormality |
MIMIC-CXR-JPG/2.0.0/files/p19769235/s59292459/e45c9677-484fa99b-5b7ab652-ff49ee0a-6145f06a.jpg | the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. there may be a small left pleural effusion. mild compression deformity of a mid-thoracic vertebral body is of indeterminate age. | <unk>-year-old woman with acute on chronic pancreatitis. now with crackles on exam. question pulmonary edema or acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11053554/s57010419/c36c929a-69902e08-daefd9fe-ee69e034-79e2015b.jpg | single frontal view of the chest was obtained. the heart is of normal size with normal cardiomediastinal contours. diffuse interstitial lung disease with bronchiectasis in the setting of reported sarcoid is similar to prior with bronchial wall thickening and scattered nodular opacities in both lungs. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body. | <unk>-year-old male with decreased breath sounds. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12680868/s57170784/2698f98c-72131e46-b4d42be8-3949bd4e-b8e469a5.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear. pulmonary vasculature is within normal limits. | syncope, diaphoresis. |
MIMIC-CXR-JPG/2.0.0/files/p17256511/s50133288/829874b1-4d313a29-3fc31d25-dbaea249-b416ef50.jpg | semi erect frontal portable chest radiograph shows stable chronic severe cardiomegaly. the lungs are grossly clear. no evidence of pneumothorax. a transvenous left subclavian pacer is identified with its tip in standard position. a swan-ganz catheter is in place with its tip projecting over the proximal right pulmonary artery. there is an ill defined opacity which projects above the right hilum and possibly corresponds to opacity identified on chest ct dated <unk> and partially seen on ct dated <unk>. would recommend repeat ct to exlude possibility that this may represent neoplastic lesion. | <unk>-year-old female with congestive heart failure. evaluate line placement. |
MIMIC-CXR-JPG/2.0.0/files/p17957958/s51052162/77d6c322-32db8b0f-2483f96a-3e6817f2-0ec8207b.jpg | there is slight eventration of the right anterior hemidiaphragm. the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. anterior and posterior cervical spinal fixation hardware is noted. few surgical clips are noted in the right axilla. | <unk> year-old woman with vision change and headache, here to evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p15206548/s54667979/5658b601-2e4b9872-54462f83-04b85d75-a4e76a73.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are similar to scout image from outside hospital chest ct from <unk>. lower paratracheal soft tissue likely relates to lymphadenopathy | history: <unk>f with hodgkin's lymphoma who presents with cp and temp <unk>.<num> // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11289321/s55408274/4abd4f76-995b6687-c78e2172-209cfdfb-1a1bb75a.jpg | endotracheal tube terminates <num> cm above the carina. ng tube terminates below the diaphragm. heart size and cardiomediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax. the left costophrenic angle is excluded from this film. | <unk>m with intubation |
MIMIC-CXR-JPG/2.0.0/files/p10124807/s58162418/dd485aae-785d6958-2e82be58-f08295a4-d08ab305.jpg | compared with prior radiographs on <unk>, there is no significant change in bibasilar atelectasis and small bilateral pleural effusions, right greater than left. there is no new focal consolidation or pneumothorax. the right pleural drain is stable in position. cardiomediastinal silhouette is unchanged. | <unk> year old man s/p <unk> esophagectomy // check interval change |
MIMIC-CXR-JPG/2.0.0/files/p10220107/s58997660/bccd7cab-0d901305-e995da42-6b519425-08c0a09e.jpg | two pa and <num> lateral chest radiograph were obtained. a right lobe perivascular ground-glass opacity partially clears on the repeat pa view. the small left pleural effusion has slightly increased since <unk>. there is a small effusion in the right minor fissure. left lower lobe atelectasis and bilateral horizontal plate-like atelectasis are unchanged. median sternotomy wires are intact. | weakness. |
MIMIC-CXR-JPG/2.0.0/files/p17421856/s52038944/014f9d10-98f03316-06eee172-ca30cb59-97779085.jpg | single upright portable view of the chest demonstrates the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation concerning for pneumonia. a probable azygous fissure is noted along the right upper mediastinum. | <unk>-year-old male with tachycardia. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17135687/s56078872/fdea417d-cf04bcf1-3d0d0dac-9531cf86-f6fa828e.jpg | tracheostomy and chest tubes are unchanged in position. since prior, there has been interval decrease in a now small right pneumothorax. nasoenteric tube ends in the proximal stomach. retrocardiac atelectasis is present. hazy left basilar opacity is unchanged, likely representing layering pleural fluid. the cardiomediastinal silhouette is unchanged. multiple bullet fragments are unchanged in position. | <unk> year old man with chest tubes, respiratory distress, interval change.. |
MIMIC-CXR-JPG/2.0.0/files/p17399295/s57084136/11169e39-5cc883be-7e561754-8d49aa1e-e7f8eadf.jpg | there is a right mid to lower lateral consolidation, slightly improved from recent prior. right pleural effusion is again noted. there may also be trace left pleural effusion. the left lung is otherwise grossly clear and there is no pulmonary edema. the cardiomediastinal silhouette is stable. calcified mediastinal and supraclavicular nodes on the left are again noted. cardiomediastinal silhouette is within normal limits. vascular stent projects over the right upper extremity. | <unk>m w/hx of esrd, lll removal, presenting with hypotension, bibasilar crackles, please eval for occult pna |
MIMIC-CXR-JPG/2.0.0/files/p16203314/s58917642/be1e17bc-12cd3b63-f92c93b5-7ef88e0c-15e25571.jpg | the heart is mild to moderately enlarged. there is similar unfolding and calcification along the aorta. allowing for differences in technique, the cardiac, mediastinal and hilar contours appear unchanged. there is again a moderate eventration involving the anterior right hemidiaphragm. what is new on this examination is patchy opacity in the posterior right lower lobe with suspected bilateral pleural effusions on each side. the appearance includes slight fluid or thickening of the minor fissure on the right which is new. streaky left basilar opacities are nonspecific but could be seen with minor atelectasis. degenerative changes are similar along the thoracic spine. bony demineralization is suspected. | confusion. |
MIMIC-CXR-JPG/2.0.0/files/p11878137/s56208948/e91ca175-09866e19-1d07b829-4930bbc5-2aa8f1cd.jpg | the patient is status post mitral valve replacement. the cardiac, mediastinal and hilar contours appear stable, including borderline cardiomegaly. there are new small-to-moderate sized bilateral pleural effusions with patchy parenchymal densities and low lung volumes, a setting suggestive that opacities are probably due to associated atelectasis. | atrial fibrillation and new left leg weakness. |
MIMIC-CXR-JPG/2.0.0/files/p13066975/s53865667/c3bf38ab-54e1178e-e3ce5c75-7d0137c6-62430e17.jpg | right upper lobe consolidation is unchanged. asymmetric pulmonary edema more prominent on the right is unchanged. there is likely a small right pleural effusion. left hemidiaphragm is mildly elevated. streaky opacities at the left base likely atelectasis versus edema however pneumonia cannot be excluded. heart size is normal. hilar and mediastinal contours are normal. the et tube is in standard position. right ij catheter terminates in the mid svc. enteric tube enters into the stomach and out of view. | <unk> year old woman with hiv, p/w shock multisystem organ failure likely <unk> pneumonia // interval change lobar pneumonia |
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