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MIMIC-CXR-JPG/2.0.0/files/p14948145/s59056762/50588760-0b7f468a-fb65dae4-f17e78d6-49a52e95.jpg | the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal consolidation. no acute osseous abnormality seen. | <unk>m with cough, evaluate for pneumonia.. |
MIMIC-CXR-JPG/2.0.0/files/p10788481/s54784236/61d44280-36870c80-a28dc98d-514742a4-80a2d02c.jpg | the cardiac silhouette is mildly enlarged. tortuous aorta. no focal opacification concerning for pneumonia evident. the bilateral costophrenic angles are not well seen; however, this is likely due to poor penetration due to body habitus rather than a definitive pleural effusion. this area could be better assessed with a lateral chest radiograph. no osseous abnormalities identified. | gi bleed, please evaluate for pneumonia or chf. |
MIMIC-CXR-JPG/2.0.0/files/p11310615/s50105123/c96c7023-5b547f9e-22494076-dffcbdb0-ae91a490.jpg | the patient has had recent right upper lobectomy with expected elevation of the right hemidiaphragm, right shift of the mediastinum/trachea and postoperative change including moderate subcutaneous emphysema along the right lateral chest wall extending into the right supraclavicular soft tissue, decreased in extent since <unk>. overall appearance of the right apex is similar to the prior exams on <unk>. expansion of the right lung is smaller from the most recent exam but similar to the exam earlier on <unk> appears related to phase of respiration. surgical clips projecting in the mediastinum are unchanged. no evidence of large pneumothorax. trace pleural effusions bilaterally are best appreciated on the lateral view. the heart is probably top normal in size, unchanged. the descending thoracic aorta is tortuous with mild atherosclerotic calcifications at the knob. multilevel degenerative changes of the thoracic spine are mild-to-moderate. slight increased density overlapping the facet joints at the lower thoracic spine on the lateral view are similar to the pa and lateral chest radiograph from <unk> and may reflect degenerative change. | <unk>-year-old man who is postop day <num> after right upper lobectomy now presenting with shortness of breath. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11133122/s56017085/4fe6d2d7-4ce07880-9bc80043-76000dca-4bbbce4e.jpg | the heart is upper limits normal in size. there are hazy areas of increased opacity at both bases. it is unclear if this is due to volume loss or early infiltrates. there is mild pulmonary vascular re-distribution, but no overt pulmonary edema. | mi with increased white count. |
MIMIC-CXR-JPG/2.0.0/files/p18133319/s57096067/0302e6ee-97a7d172-6cea5368-3d1bddac-4328b39b.jpg | the patient has been extubated. pleural drains have been removed. right internal jugular central venous catheter is in the low svc. atelectasis in the left lower lung is improving. probable small bilateral pleural effusions blunt the costophrenic sulci. there is no detectable pneumothorax. postoperative mediastinal widening is improving. | <unk> year old woman with s/p cabg- cts d/c'd // evaluate for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p14012609/s56886310/08f55db3-d3978872-549008f8-e5c92f43-1b4518d9.jpg | a mild baseline interstitial abnormality is much improved from previous radiographs; the lungs are clear of any acute abnormality. the cardiac, hilar and mediastinal contours are stable, with mild hilar prominence likely mild central adenopathy since at least <unk>.no pleural abnormality is seen. | <unk>m with elevated wbc. evaluate for pneumonia or other acute process |
MIMIC-CXR-JPG/2.0.0/files/p10347477/s54932353/cc6cb983-2a861f3d-f04f06df-759b309f-1ae14553.jpg | enteric tubes terminates in the left upper quadrant in the expected location of the stomach. right-sided port-a-cath terminates at the cavoatrial junction. no focal consolidation is seen. chain sutures are noted in the right mid chest. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable. | history: <unk>m with sbo // eval ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p13786130/s56483041/a940e691-180855f5-9290ec07-71442f44-65e55cf2.jpg | frontal and lateral radiographs of the chest demonstrate moderate enlargement of the cardiac silhouette, unchanged from prior. aortic tortuosity is also unchanged. bibasilar atelectasis is present. no pulmonary edema. no focal consolidation or pneumothorax. small bilateral pleural effusions are noted. multilevel degenerative changes of the thoracic spine have progressed compared to the prior study. | cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17856488/s52574301/03cfeff7-58156440-dc9b03cd-b4b89891-edfdbdf1.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | chest pain and palpitations after cocaine use. |
MIMIC-CXR-JPG/2.0.0/files/p19328896/s52941052/3942606c-cdb3321d-a0293df4-10ae69c7-584ee798.jpg | ap and lateral chest radiographs. pulmonary edema is mild. there is cardiomegaly. there is no pleural effusion or pneumothorax. tortuosity of the aorta is unchanged. | altered mental status. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18507022/s54524443/2f2336b5-cd5ddfdd-2c59cad5-a8e54962-c6748355.jpg | somewhat suboptimal inspiratory effort results in low lung volumes and crowding of the pulmonary vascular structures. a left-sided picc terminates in the mid svc. no consolidation, pneumothorax or pleural effusion seen. the cardiomediastinal contour is within normal limits. | <unk> year old woman with borderline neutropenia now with fever // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18901842/s55701015/c47d6cfa-fca370a0-bbf9cb4f-3b3e8104-ec895db0.jpg | an enteric tube courses inferiorly in the midline, with distal side port seen approximately <num> cm distal to the ge junction, with tip projecting over the approximate location of the gastric body in the left upper abdominal quadrant. there are low lung volumes and a suboptimal inspiratory effort. there is at least moderate cardiomegaly. there are aortic arch calcifications. the bilateral hila are within normal limits. there is bibasilar atelectasis. there may be mild pulmonary vascular congestion. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk> year old man with colonic obstruction, evaluate for preop tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p19738270/s56562034/9504c0e5-eaa4742b-2f1c40e6-243374ba-f68ffab3.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | <unk>-year-old man with chest pain. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17520485/s52634931/f84bccaf-cbe42209-e147408c-d8bba5fe-0fc12ee9.jpg | several new rounded nodules noted within the left lung. there is an ill-defined opacity in one of the lower lobes on the lateral view which is also concerning for malignancy. consider repeat chest ct. low lung volumes bilaterally. bibasilar atelectasis is noted. no pleural effusion or pneumothorax is seen. cardiomegaly stable. | <unk> year old woman with fever // pna? |
MIMIC-CXR-JPG/2.0.0/files/p14682472/s50532057/bd3fc1b7-5d1041ed-0899d76b-91007f9f-39175602.jpg | since earlier same-day chest radiographs, increase in opacities are seen in the right lower lung base concerning for aspiration pneumonia. small right pleural effusion with associated atelectasis and minimal left lower lung atelectasis is unchanged. lung volumes appear low. heart size is unchanged. an endotracheal tube is seen with tip measuring <num> cm above the carina. a feeding tube is seen heading in the region of the stomach and continues out of view. | <unk> year old woman s/p with concern for aspiration // intubated |
MIMIC-CXR-JPG/2.0.0/files/p18705722/s59113216/633f571b-2dc8668f-32c2c073-67b2d4fc-09ba5a15.jpg | patient is status post median sternotomy. marked enlargement of the cardiac silhouette persists, grossly stable.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. mediastinal contours are stable. no pulmonary edema is seen. | history: <unk>m with hx avr/cabg, asthma, p/w cough/sob as well as upper back pain // please eval for pna, effusions, ptx, mediastinal widening. |
MIMIC-CXR-JPG/2.0.0/files/p10591889/s57314209/c32136a0-d7feaf16-43dd4b30-2a4f62b3-e8bca046.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>f with chest pain, intermittent, which has worsened over the last day. no cough, no shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19859532/s54716956/1b7f8637-e6f41bb5-c78d47fe-a93a355d-45722c43.jpg | right-sided central line terminates at the cavoatrial junction.the lungs remain hyperinflated. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with recent bmt, need to check placement of central line // placement of central line |
MIMIC-CXR-JPG/2.0.0/files/p15465911/s58225877/277309ab-e18838c5-4a895d47-b6e6c590-246cde30.jpg | a left chest wall port-a-cath type catheter ends in the low svc. mild cardiomegaly is unchanged. upper zone redistribution, without overt chf. there is bibasilar atelectasis, but no focal consolidation is identified. there is no evidence of pneumothorax or pleural effusion. | <unk>m with chest pain, history of sickle cell disease, evaluate for acute chest. |
MIMIC-CXR-JPG/2.0.0/files/p16399025/s56877988/89b20499-c9b9d354-c889e347-9377cf69-6710ca5f.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. old chronic deformities of the posterior left fifth, sixth and seventh ribs are again noted. | <unk>-year-old male with cough, fever. |
MIMIC-CXR-JPG/2.0.0/files/p11818101/s53135493/73100bda-8164981f-e480af4a-ededb92f-e51e3fc1.jpg | lungs are well-expanded and clear. chronic blunting of the left costophrenic angle is not changed. cardiomediastinal and hilar contours are stable. a dual lead pacemaker device is present, with leads ending in the right atrium and right ventricle. no pneumothorax, pleural effusion, or consolidation. | history: <unk>m with sob, chest pain // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p16296962/s52848678/b3a2415a-df19a752-86089f92-63020694-4aa485e9.jpg | portable ap chest radiograph demonstrates low lung volumes. there is no focal consolidation, pleural effusions or pneumothorax. there is minimal atlectasis at the left base. cardiomediastinal silhouette appears enlarged but is likely due to technical reasons. | <unk>-year-old man with hepatic mass and perihepatic hematoma with shortness of breath, evaluate for pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p13768004/s54230122/f7a16de4-25cf000a-c20b41cf-44bfc29e-16cf7a42.jpg | single frontal view of the chest was obtained. lung volumes are very low. new ng tube terminates in the upper chest at the level of the clavicles. indistinctness of the vascular markings is compatible with pulmonary interstitial edema. increased right hilar opacity is consistent with atelectasis. atelectasis is also present at the lung bases. no pneumothorax. heart size is normal. | <unk>-year-old female with crohn's disease presenting with free air and incarcerated ventral hernia status post exploratory laparotomy with small bowel resection. assess ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p12043836/s55045316/f5bd3002-316c9134-4d9316a4-98a4fb4d-cec66ca9.jpg | there has been interval removal of the et tube. mediastinal drains are still in place. swan-ganz catheter has been removed. there is dense consolidation in the left lower lobe. the heart size continues to be moderately enlarged. there is right lower lobe volume loss, which is increased compared to the prior. there continues to be some pulmonary vascular redistribution and alveolar infiltrate involving the upper lobes. mitral valve replacement is again seen. | status post mvr, chest tube to waterseal. |
MIMIC-CXR-JPG/2.0.0/files/p12495286/s51721853/4fbae31e-743403a1-aa8e4771-cb292c00-d4fe20d4.jpg | single portable view of the chest. minimal left basilar opacity is seen potentially due to atelectasis or prominent fat pad. the lungs are otherwise clear noting low lung volumes. cardiac silhouette is slightly enlarged but likely accentuated by pa technique and low lung volumes. the cardiomediastinal silhouette is otherwise unremarkable. no acute osseous abnormality detected. resorption of the distal right clavicle, potentially posttraumatic but old. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12662867/s54275414/336d7de9-b1d839d0-6efcc8e9-d0ec3d89-15f65e5f.jpg | the lungs are well inflated and clear bilaterally with no masses, lesions, pleural effusion or pneumothorax identified. the cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces are unremarkable. there are mild stable degenerative changes seen within the thoracic spine. | <unk>-year-old female with cough x<num> days. |
MIMIC-CXR-JPG/2.0.0/files/p14815961/s56026941/b5f6ba89-a9794f4a-28acfd3e-c52c5907-04d342f6.jpg | a portable frontal chest radiograph demonstrate a y-stent. there is no appreciable mediastinal widening and the heart is normal in size. the lungs and pleural surfaces are normal. | tracheal bronchomalacia status post y-stent placement. |
MIMIC-CXR-JPG/2.0.0/files/p11761121/s57302555/6956de89-16171b30-b26d0e9b-1bb883d2-6db6408f.jpg | the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen. a mildly displaced fracture involving the lateral right ninth rib is again noted. previously noted right posterior <unk> and possible <num>th rib fractures are not apparent on the current exam. | assault. evaluate for rib fractures. |
MIMIC-CXR-JPG/2.0.0/files/p15874882/s54973153/9da6c9c7-8f70ee9a-3ab557b6-e70bba15-21e236bc.jpg | there is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. cardiac and mediastinal contours are normal. the hilar structures are unremarkable. a pleural-based opacity in the left upper lung is unchanged and may represent a focus of pleural thickening or an extrapleural lipoma. there is no acute osseous abnormality. there has been no change from the prior exam. | persistent cough, rule out infiltrate or interstitial disease. |
MIMIC-CXR-JPG/2.0.0/files/p14720755/s52055313/a73bd485-ec9e4431-9a0d76a4-636681c3-dc682141.jpg | heart size is normal. atherosclerotic calcifications of the aortic knob are present. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p16759497/s52451816/eb67fdfa-2edd1f08-48a43879-8a1c0dc5-52018119.jpg | increased opacity in the right lower lobe is concerning for an infectious process in the correct clinical setting. the left lung is essentially clear. cardiac silhouette is normal in size. no pleural effusion or pneumothorax. | <unk>f with chest pain // acute card pulm disease |
MIMIC-CXR-JPG/2.0.0/files/p15636663/s57040668/a1577444-6e380edd-08724489-5fded4a4-e46773ce.jpg | the lungs are grossly clear. cardiac silhouette is enlarged but given differences in positioning is not significantly changed. no acute osseous abnormalities identified, degenerative changes noted shoulder on the left. | <unk>f with chest pain // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p15378749/s58415760/a95f327f-ec5fde71-a683bd55-229ca2d5-07d96d06.jpg | there has been little interval change in comparison to her prior study with no evidence of a focal consolidation, pleural effusion, or pneumothorax. heart and mediastinal structures appear normal. no acute fractures are identified. | cough with history of hiv and hcv. |
MIMIC-CXR-JPG/2.0.0/files/p19095782/s59726654/9e37da6e-8d6e3307-65e17c1d-0f7d32d1-61cad739.jpg | lungs are well-expanded and clear. unchanged <num> mm nodule in the left midlung. cardiomediastinal and hilar contours are unchanged. no pneumothorax, pleural effusion, or consolidation. | history: <unk>m with neck pain and left arm weakness x <num> days // eval for suabcute stroke, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18684109/s57434340/07d20035-f9d2b596-ee594c58-ba1a5e8c-75faa464.jpg | endotracheal tube terminates <num> cm above the carina. newly placed og tube terminates in the stomach. ekg leads overlie the chest wall. there is interval worsening of pulmonary edema and haziness in the left mid and lower zones. parenchymal hemorrhages a possibility given the history of trauma. the left pleural effusion noted. the known pneumothorax these are not clearly visualized on this single ap radiograph. | <unk> year old woman with trauma // please evaluate for known b/l ptx's, as well as position of ogt |
MIMIC-CXR-JPG/2.0.0/files/p18665489/s50639483/0754ee75-cc9b48f7-655500a6-6adadc42-b4a297a9.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. no displaced fracture is identified. | recent increased frequency of seizures, also acute episode of shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16180226/s50930010/669089f6-b0ff4487-f652652d-80e2925d-7e2b2511.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart size is normal. the aorta is tortuous and calcified. | <unk>-year-old male with hyperglycemia. |
MIMIC-CXR-JPG/2.0.0/files/p13342032/s57591238/fb0e8a56-6649854d-207b31d8-2b153049-441aeb82.jpg | ap upright and lateral views of the chest provided. lung volumes are low though allowing for this the lungs appear clear without focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm. | <unk>f with fall, ams // evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p18044722/s50602719/7fb65bae-e10fcbfb-63e54661-c4e6d86e-61c7924b.jpg | there has been interval removal of the enteric tube and left ij central line. the heart is top-normal in size. compared with the prior radiographs, residual airspace opacities in the right lower lung zone may reflect pneumonia. there is diffuse right lung bronchial wall thickening. the left lower lobe opacities are however improved. there are small bilateral pleural effusions, best appreciated on the lateral view. no evidence of pneumothorax. partially imaged air-filled loops of bowel project over the upper abdomen. | <unk>-year-old man with suspected bilateral pneumonia. evaluate for consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p14451136/s55426717/26d8d3b4-ba06d14a-509efe5a-bd5aa0fb-0563f341.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. mild right convex scoliosis of the lower thoracic spine is noted. | <unk> year old woman with cough and pleuritic cp. also with leg swelling. // eval etiology of cough. ? pna. ?fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p16615356/s59226182/65b4beea-b8a07364-adaea146-f9d2c0e0-6752d9fe.jpg | the heart appears borderline in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. a streaky posterior lower lobe opacity is unchanged and most consistent with minor atelectasis. compared to prior radiograph, there has also been no significant change, including asymmetric mild-to-moderate widening of the right acromioclavicular joint, which may be post-traumatic. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p17688201/s57492661/30eabf7b-34f1d298-12a8c5ec-853bef9c-470f77ca.jpg | hazy basilar opacity is seen and infection is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old man with fever chills // cough fever chills |
MIMIC-CXR-JPG/2.0.0/files/p18633403/s53485764/7cd3cbd5-a4b68fbc-4d7c3016-aed4e51d-78ab74c9.jpg | pa and lateral views of the chest demonstrate normal lung volumes. no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. | severe weight loss. assess for mass. |
MIMIC-CXR-JPG/2.0.0/files/p12720451/s59092405/ebaca150-317d60ab-80b718a5-6740417c-41353c6e.jpg | the heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen. | generalized weakness, tachycardia, decreased ambulation. |
MIMIC-CXR-JPG/2.0.0/files/p12903508/s55241530/afb721a8-011bdad7-1d33e52a-a87cd073-f5125264.jpg | right-sided picc catheter is seen in unchanged position terminating within the right atrium. tracheostomy tube is seen in unchanged position with no obvious signs of cuff hyperinflation. there has been increase in right pleural effusion with likely superimposed right-sided edema. there has been decrease in the observed left-sided effusion. apparent shift in pleural effusion is most likely related to patient positioning. there is stable cardiomegaly. sternotomy wires are seen in unchanged position, aligned along the midline with no evidence of failure. aortic valve prosthesis is seen unchanged in position within the heart. | <unk>-year-old female with tracheostomy and recently placed picc. |
MIMIC-CXR-JPG/2.0.0/files/p15967175/s53002015/6a330bd2-3b3abb1a-f7735ed1-97ed4cd4-1a6d63b6.jpg | heart size is normal. cardiomediastinal silhouette is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. | cough with sputum production. |
MIMIC-CXR-JPG/2.0.0/files/p11300581/s59525865/21b07ba1-9107ce65-4e6fed43-7e040f1c-f6d8309a.jpg | right-sided port-a-cath tip terminates in the proximal right atrium, unchanged. lung volumes are low. small right pleural effusion appears relatively unchanged compared to the prior exam. there are diffuse coarse interstitial markings within both lungs compatible with known chronic interstitial lung disease. there is likely mild pulmonary vascular engorgement. no pneumothorax is identified. right basilar opacification is unchanged, and could reflect a combination of atelectasis and chronic interstitial lung disease. | left upper quadrant pain, known systemic cmv with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15452566/s53982248/4a22776b-d5abdeea-5d33f87b-f9b9ab29-8b8d8182.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs volumes are slightly low however the lungs are clear. no pleural effusion or pneumothorax is seen. | <unk> year old woman with recent stroke // ?infection |
MIMIC-CXR-JPG/2.0.0/files/p10204908/s59501290/a5d823b2-69b558ee-0bc60ec1-c08999d8-fbf8313f.jpg | there is a moderate right pneumothorax which is slightly larger than on the prior exam. right upper lobe pigtail catheter is again visualized. left-sided pigtail catheter is also seen. the pneumothorax on the left is less apparent. there is pneumomediastinum and marked subcutaneous emphysema left greater than right. et tube and ng tube are unchanged. | bilateral chest tubes. |
MIMIC-CXR-JPG/2.0.0/files/p15353817/s57049661/2674091e-9408291b-703a7b27-725e477f-514ec16d.jpg | a nasogastric tube is in-situ, the tip is in the left upper quadrant. a right internal jugular catheter is in-situ, the tip is in the distal svc. lung volumes remain low, unchanged compared to the prior study. left basilar atelectasis versus consolidation is also unchanged. between the projection and the low lung volumes, it is difficult to evaluate the heart size however it is grossly unchanged compared to the prior study. probable small left pleural effusion. | <unk> year old man s/p ngt placement // eval positioning |
MIMIC-CXR-JPG/2.0.0/files/p14459053/s50910468/2719da94-60d5ccf9-2d2564cb-8bfe0dd3-70ab14c6.jpg | ap portable upright view of the chest. a right-sided ij catheter has been pulled back, now terminating at the lower svc. a nasogastric or orogastric tube terminates within the stomach. a vp shunt is present. the lung volumes are low, however, there is no pneumothorax, focal consolidation, or pleural effusion. the heart size remains normal. an ivc filter is present. | <unk> year old woman with ij being pulled back // line placement |
MIMIC-CXR-JPG/2.0.0/files/p15558165/s57325470/b156f57f-b5c26db7-31daee8f-abdc93ce-f5ae3cc4.jpg | the right apical pneumothorax has improved since <unk>, but is worsening compared to the most recent cxr performed yesterday evening. no evidence of tension. right chest tube and epigastric drain are unchanged in position. left subclavian line terminates in the mid-svc. the mediastinum, hila and heart are within normal limits. no acute osseous abnormalities. | <unk> year old man with chest tube to waterseal, diaphragmatic injury at time of liver transplant, persistent pneumothorax // please assess status of pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p18944791/s59464227/98caf93a-33387e74-a82e7258-80e3bfd3-2a74b543.jpg | portable ap chest radiograph. ett and ngt are in satisfactory position. the lungs are clear and there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | seizures after drug overdose. concern for aspiration pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13798219/s58516060/c967fa1c-c546a0fe-c65e048d-51b2c242-dc587c98.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | <unk>m with new onset afib with rvr. |
MIMIC-CXR-JPG/2.0.0/files/p15655938/s52019765/2a16757c-e2bedd4a-5058a2b7-6b7be328-14480fdd.jpg | new right ij central catheter terminates at the superior cavoatrial junction or the superior right atrium. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. previously seen bibasilar atelectasis has improved. no pleural effusion or pneumothorax. osseous structures are unremarkable. | new right ij central catheter. rule out pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19431252/s52800542/7842feb4-e99f084c-72d0d26f-5bb13701-7dc57fe5.jpg | the patient is status post median sternotomy. a right lower lobe opacity reflects a fat containing bochdalek's hernia as seen on the reference chest ct. there are bibasilar opacities, possibly reflecting atelectasis. no pleural effusion or overt pulmonary edema is noted. the heart is normal in size, and the thoracic aorta is enlarged as noted on the prior chest ct. | <unk>-year-old female with pulmonary embolism on heparin. please evaluate for pulmonary effusion. |
MIMIC-CXR-JPG/2.0.0/files/p18001760/s56657954/4c5015da-078613e2-3d4fe3e1-7e12e067-26230734.jpg | pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the heart is mildly enlarged, unchanged since the prior study, with suggestion of a small pericardial effusion, particulary on the lateral view. there is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity. there is no subdiaphragmatic free air. | <unk>-year-old man with right-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11267564/s55591304/02a5272c-0c2568a9-9a8300cc-5c0fc85a-259980ad.jpg | endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube courses below the left hemidiaphragm with tip off the inferior borders of the film, and side port at the level the gastroesophageal junction. lung volumes are low. heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. mild pulmonary edema is present. no large pleural effusion, focal consolidation or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with endotracheal tube placement |
MIMIC-CXR-JPG/2.0.0/files/p17711762/s56892181/ba7513c7-66b74416-49e93496-05cc3851-0591b337.jpg | there is a small heterogeneous area of opacity at the right lung base, which could reflect pneumonia at an early stage. there is no effusion or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. | <unk> year old man with productive cough, r upper, middle, lower lobe crackles // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p18929280/s59596537/a20d166a-28532078-e4d48b41-43290a8c-d9d04094.jpg | endotracheal tube is seen terminating at least <num> cm from the carina; however, neck is in flexion and position probably represents lowest point at expiration. right-sided large caliber catheter sheath is seen entering the right ij and terminating within the upper svc; there is severe kinking at its proximal end. there are low lung volumes bilaterally, with bronchovascular crowding and diffuse haziness with perihilar fullness consistent with mild pulmonary edema. the cardiac silhouette is top normal in size. no pleural effusion is appreciated. there is no pneumothorax. | <unk>-year-old male with active upper gi bleed requiring intubation and central venous line placement. |
MIMIC-CXR-JPG/2.0.0/files/p11372885/s52083297/458dc7c5-aa61cd99-35ed6ad0-9036d360-cdbb86fa.jpg | the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. | <unk> year old woman with asthma who presents w/ flare, was diagnosed w/ presumed pneumonia at outside urgent care center but didn't improve w/ doxycycline // eval for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16097384/s54326576/97573cd6-6f4bd2ab-b5f21f0f-41b7a9e0-4cd08d57.jpg | 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: <unk>f with cough // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p11729508/s53959276/a958d317-f863a553-18fae1c8-b43ac782-73632a5b.jpg | previous bilateral airspace opacities have improved. the patient is rotated. cardiomegaly despite the projection is unchanged. there is no min pneumothorax or pleural effusion. | <unk> year old woman s/p stroke, ? recent pna // effusions? pulm edema? pna? |
MIMIC-CXR-JPG/2.0.0/files/p19241228/s55675180/bbaefdfa-bb464c8d-c25e622b-149858e9-7fcb6c4f.jpg | the cardiac silhouette is mildly enlarged. the hilar and mediastinal contours are stable. there is mild bibasilar. there is no pulmonary edema. there is no focal consolidation, pleural effusion or pneumothorax. | history: <unk>m with whipple <unk> now presenting after <num> wk at rehab for sepsis, now mild incr o<num> requirement // eval ? interval changes, edema |
MIMIC-CXR-JPG/2.0.0/files/p12796151/s59815496/34cd860b-116a67c2-78b0ce1e-b33f377d-531f59dd.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the diaphragms. | history: <unk>m with <unk> pain, ? ulcer/perf // ? free air under diaphragm |
MIMIC-CXR-JPG/2.0.0/files/p14939850/s57813136/32baff62-f30a25b7-9200573f-2a4bc06a-83cb9539.jpg | the previously seen left lower lobe pneumonia has mostly resolved. there is no new focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous structures are unremarkable. | <unk>-year-old woman with cough and prior pneumonia. evaluate for resolution. |
MIMIC-CXR-JPG/2.0.0/files/p15480653/s57676307/c728a7b2-22843a18-9778ae99-09392a48-70cc61d7.jpg | frontal and lateral radiographs of the chest. the lungs are clear and mildly hyperexpanded. there are no focal opacities concerning for infectious process. the cardiac and mediastinal contours are normal. apical thickening bilaterally. no pleural effusion or pneumothorax. | cop/boop, on long term low-dose steroids. assess for recurrence of opacities. |
MIMIC-CXR-JPG/2.0.0/files/p10286521/s56859430/c4ac3a87-20894bac-cb5f0840-716903a9-61bb5cc1.jpg | compared to the prior study there is no significant interval change. there continues to be a small left apical pneumothorax with left chest tube in place in left subcutaneous emphysema. there are small left greater than right pleural effusion | <unk> year old woman with pneumothorax s/p endobronchial coiling. left chest tube in place // pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p12069169/s50893845/686fc557-446def8c-e506d787-cc6014c2-83fbed01.jpg | upright frontal and lateral views of the chest show no free air under the diaphragm. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart is normal in size. the mediastinum and hilar structures are unremarkable. there is no pneumomediastinum. | epigastric and chest pain with frequent emesis. evaluate for free air. |
MIMIC-CXR-JPG/2.0.0/files/p19924356/s56028620/2b9fdc20-2f5816ed-29c40798-eaf8eb6e-ee988b76.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. several clips are noted at the gastroesophageal junction. | history: <unk>m with anxiety |
MIMIC-CXR-JPG/2.0.0/files/p15140537/s59980982/b7804e85-7b69bcc0-5944609e-4b009048-0c794594.jpg | heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. calcified mediastinal and hilar lymph nodes indicate prior granulomatous disease. lungs are hyperinflated with flattening of the diaphragms suggestive of underlying copd. no focal consolidation, pleural effusion or pneumothorax is seen. the pulmonary vasculature is normal. there are mild degenerative changes in the thoracic spine. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p10454455/s58928697/02b34cf1-7523ff12-277d2754-55c0c774-65c5bf50.jpg | significant interval reduction in the size of the right pneumothorax after action. interval re-expansion of the, right upper and middle lung, now with a small-to-moderate sized apical right pneumothorax extending to about the <unk> posterior rib. no evidence of tension. associated slight re-expansion of the right lower lung, although substantial atelectasis remains. no pleural effusion. stable moderate subcutaneous emphysema in the right chest wall and supraclavicular region. the right chest tube appears unchanged in position. the left lung is clear. stable cardiomediastinal silhouette and hila. | <unk> year old woman with ptx and bp fistula // interval change ptx on suction. |
MIMIC-CXR-JPG/2.0.0/files/p16149982/s54489651/23ce0711-12f9568b-56d75939-73625f7a-3b30793b.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fracture is identified. | <unk>-year-old female with motor vehicle accident presenting with neck pain and sternal pain with deep breath. evaluate for injury. |
MIMIC-CXR-JPG/2.0.0/files/p13931815/s56107141/cc74ad75-b17e2def-ae9fdd0d-58ee8191-11722b2a.jpg | moderate to severe cardiomegaly is stable. there is no evidence of pleural effusion, pneumonia, pulmonary edema or pneumothorax. | history: <unk>f with concern for tia/stroke // evidence of infection |
MIMIC-CXR-JPG/2.0.0/files/p17556194/s58497090/9bfcef40-4a3787dc-f3ca7ef2-453380bf-0426619f.jpg | portable semi-upright radiograph of the chest demonstrates a stable midline tracheostomy tube. again seen is partially calcified right lower lobe pleural and parenchymal opacity, similar to the prior examinations, and more fully characterized on concurrent abdominal ct lung images of the same date. no definite new focal consolidation is identified. blunting of the right costophrenic angle is chronic and unchanged. there is no pneumothorax. a right-sided central catheter terminates in the mid svc. the cardiomediastinal contours are stable. | history: <unk>f with trach collar and picc p/w leukocytosis and stage <num> decub // eval picc placement |
MIMIC-CXR-JPG/2.0.0/files/p12374715/s50830439/62b8407d-b31fd4ae-3cab1a53-40ecc8bd-dc7eb8e6.jpg | frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. | chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16033661/s59811420/4f1b9ea1-c4594e87-a55807b1-debc0515-66177f3c.jpg | ap upright view of the chest provided. overlying ekg leads are present. lung volumes are low. no lobar consolidation, effusion or pneumothorax is seen. no signs of edema. cardiomediastinal silhouette appears grossly unremarkable. bony structures are intact. | cough, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16817859/s53996957/50550bb1-df281351-c6185fdf-16189fde-79441f0e.jpg | pa and lateral views of the chest were obtained. heart is normal size and cardiomediastinal contour is stable. lungs are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old woman with type <num> diabetes, asthma, hypertension, presenting with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12293804/s58707202/636d8666-9c9b6c46-0c321df7-3c71a5b0-c3f85ae4.jpg | patient is status post median sternotomy and cabg. moderate enlargement of the cardiac silhouette is unchanged. aortic knob calcifications are re- demonstrated. widening of the mediastinal contour at the level of the vascular pedicle is re- demonstrated compatible with elevated central venous pressures. there is also mild pulmonary vascular congestion. probable small bilateral pleural effusions are demonstrated. patchy opacification within the left lung base may reflect atelectasis. no pneumothorax is present. there are moderate multilevel degenerative changes in the thoracic spine. | history: <unk>f with dyspnea on exertion |
MIMIC-CXR-JPG/2.0.0/files/p11106524/s51251306/4ff34f72-d106805a-414a84da-e18c55e3-ff3125ae.jpg | ap portable upright view of the chest. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. vascular calcifications are noted in the upper arms bilaterally. | <unk>m with hypotension recent sepsis |
MIMIC-CXR-JPG/2.0.0/files/p16765532/s57435198/b4979395-5cd2eb8d-db9b6cac-10d08743-f366a602.jpg | the lungs are well inflated with mild vascular congestion. no focal opacity. no pleural effusion pneumothorax. heart size, mediastinal contour, and hila are unremarkable. | <unk>m with fever, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13220248/s59893886/e05143f0-ee3582fe-746de311-5cee6f50-330f64e5.jpg | frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no displaced rib fractures. | history: <unk>m with mvc // eval for rib fractures, ptx |
MIMIC-CXR-JPG/2.0.0/files/p19774163/s58753570/a2212511-518016f2-5565443e-14f03252-12c867d1.jpg | ap upright and lateral views of the chest provided. there is a large right pleural effusion with associated atelectasis in the right lower lung. please note, pneumonia difficult to exclude. lung volumes are low. no convincing signs of pneumonia in the left lung. heart size is difficult to assess. mediastinal contour is unchanged. bony structures are intact. | <unk>m with dyspnea, hypoxia // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p10087588/s52746329/eed3fffb-f831dd0f-20bac023-f2e3629b-05fb020b.jpg | pa and lateral views of the chest provided. no radiopaque foreign body is seen. 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 likely esophageal food impaction // eval for food bolus/impaction |
MIMIC-CXR-JPG/2.0.0/files/p19826426/s59159797/81fb0211-f289279e-9a12b477-2308f05b-d1b9d109.jpg | frontal and lateral views of the chest. there is no large confluent consolidation identified nor effusion. indistinct pulmonary vascular markings are seen throughout with somewhat more prominent bibasilar markings potentially due to scarring given persistence over time. the cardiomediastinal silhouette is unchanged. multiple old healed posterior left rib fractures are again seen. | <unk>-year-old female with headache, confusion and flat affect. |
MIMIC-CXR-JPG/2.0.0/files/p12137444/s59635738/70c41bb6-63db5f8f-1e922f6c-6d9e4d18-d8820053.jpg | vp shunt catheter is noted. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk>-year-old woman with fever and right upper quadrant pain, evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16895736/s58020327/0bc7821e-2e3e8bbb-3bc0f9f3-4a320f5d-1f29d9ff.jpg | ap and lateral views of the chest. the lungs are clear without consolidation or visualized pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with bike versus car. |
MIMIC-CXR-JPG/2.0.0/files/p11579639/s55636587/b4bd356e-02e3b6bf-ad5a0dec-e31cfd5a-c9263ad4.jpg | cardiac silhouette size remains mildly enlarged, unchanged. mediastinal contours are similar with atherosclerotic calcifications noted at the aortic arch. pulmonary vasculature is normal. calcified pleural plaques within the left hemi thorax are re- demonstrated as are multiple left axillary clips. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. multilevel degenerative changes are seen in the thoracic spine. | history: <unk>f with dyspnea on exertion |
MIMIC-CXR-JPG/2.0.0/files/p12939295/s58559884/08b13e62-0ab0c0b7-d103547f-8545a362-5fe40006.jpg | the cardiomediastinal silhouette is within normal limits. the pulmonary vasculature is normal. there is no definite focal consolidation, pneumothorax, or pleural effusion. some increased markings at the lung bases medially are suspected to reflect vessels. | worsening chest pain |
MIMIC-CXR-JPG/2.0.0/files/p17758383/s59008184/709147cc-cea50972-14a80e0c-f2cb9b6e-dfd99f6f.jpg | ap and lateral views the chest were reviewed. right picc line is seen with tip terminating the low svc. cardiomediastinal and hilar contours are stable. there is no pneumothorax. there is a small left pleural effusion. the lungs are well expanded with mild bibasilar atelectasis. the left lower lobe remains partly non-aerated. there is no focal consolidation. posterior thoracic fixation rods and screws are noted. a left posterior rib resection is noted. | confusion. |
MIMIC-CXR-JPG/2.0.0/files/p18754895/s55765389/20e5dc15-a4758f32-026fd6a9-1dcce544-c84119a1.jpg | cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. chronic elevation of the right hemidiaphragm is noted. lungs are clear. there is no pulmonary edema. vertebral body heights and alignment are maintained. there is no nondisplaced rib fracture. | fall. |
MIMIC-CXR-JPG/2.0.0/files/p17767787/s57366898/9c0aa100-031720f9-f5b73fa8-8637acbf-79cf1ff2.jpg | moderate to severe cardiomegaly is similar to the prior study with slightly increased mild pulmonary vascular congestion without frank pulmonary edema. there is no pleural effusion, focal consolidation, or pneumothorax. a cardiac device projects over the left chest with a lead ending in the region of the svc, unchanged. | <unk> m pmhx chf (ef <unk>%), esrd on hd, htn, t<num>dm, bladder cancer, recurrent hip dislocations in the setting of thr p/w recurrent hip dislocation and concern for infected joint with hospital course complicated by lethargy, ascites, and difficult to control blood sugars evaluate for volume overload. |
MIMIC-CXR-JPG/2.0.0/files/p16858077/s59612643/ba6bd992-c8dcda9b-872ce3cf-f9103215-8fe2d863.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | increased seizure frequency. |
MIMIC-CXR-JPG/2.0.0/files/p16283494/s53806524/2ffca3c0-cfe0c461-5ff82039-4bbe15eb-96a3116c.jpg | cardiac silhouette size remains moderately enlarged. the aorta is tortuous. mediastinal and hilar contours are unchanged. moderate emphysema is re- demonstrated. ill-defined focal opacity within the peripheral aspect of the right upper lobe appears grossly unchanged. new ill-defined opacity is seen within the lingula. no pleural effusion or pneumothorax is demonstrated. moderate multilevel degenerative changes are noted in the thoracic spine. multiple clips are again seen in the region of the gastroesophageal junction. | <unk>m with confusion states he has "pneumonia" |
MIMIC-CXR-JPG/2.0.0/files/p15808515/s52723465/6d769077-39ac3564-415c3a47-23188dc1-40372a5c.jpg | in comparison with chest radiograph from <unk>, pulmonary edema is mildly improved and is now mild-to-moderate. there is no new focal consolidation or pneumothorax. small bilateral effusions, left greater than right. bullous change in the right apex is seen. mediastinal and hilar contours are stable. heart size is top-normal. | <unk> year old man with <unk> with cr <unk>.<num>, pna, new onset atrial fibrillation // please assess for interval change pna; chf; pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p13937831/s54363503/f47a820c-33b4c937-ed397498-7ff67830-4921c4ef.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. a catheter is visualized overlying the spine, unchanged from prior. there are surgical clips overlying the right breast. | <unk> year old woman with fever, cough and sob // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14470386/s53497850/e859b889-79f30dc4-29ca7454-d0b46cb1-0405701f.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with edh // interval change |
MIMIC-CXR-JPG/2.0.0/files/p11815394/s54352607/214e00d2-5ea0d415-774b07ef-0504d473-c02d530b.jpg | pa and lateral views of the chest demonstrate a <num> mm nodule in the right lower lobe and and a small nodule in the left lower lobe which are unchanged since the prior ct from <unk>. no focal consolidation, pleural effusion, pulmonary edema or pneumothorax is present. the cardiomediastinal silhouette is stable. no new nodules or masses are identified. | history of lung nodules. evaluation for evidence of lung mass or change in nodules. |
MIMIC-CXR-JPG/2.0.0/files/p12144619/s56855991/3f8ed506-f151b916-db700533-59d2885b-3a4cebe3.jpg | as compared to the prior examination, there has been little overall change. redemonstrated is a confluent opacification of the right middle and right lower lobes, most likely representing an area of atelectasis. as compared to the prior examination, there has been interval improvement in the opacification of the left lower lobe. bilateral, small pleural effusions are noted. the upper lung fields are grossly unremarkable. no pneumothorax or pulmonary edema is identified. there is stable, moderate cardiomegaly. mediastinal contours are normal. | recent right-sided pneumonia, history of amyloidosis. now with cough. |
MIMIC-CXR-JPG/2.0.0/files/p16971820/s56903587/c3a7bbc2-86f2c55b-52a6e653-a4905b56-9a521988.jpg | frontal and lateral view of the chest demonstrates heterogeneous opacity in the right middle lobe obscuring right cardiac border. there is no pleural effusion, pneumothorax or pulmonary edema. hilar and mediastinal silhouettes are unremarkable. heart size is normal. port-a-cath tip projects over mid svc. | patient with metastatic colorectal cancer, now presents with six weeks of productive cough. assess for pneumonia. |
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