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MIMIC-CXR-JPG/2.0.0/files/p15614063/s52983837/3235ea70-9d2afdc4-d795f692-072737c3-de668a3d.jpg | pa and lateral views of the chest were provided. midline sternotomy wires, dual lead pacer appear unchanged from prior with pacer leads extending to the region of the right atrium and right ventricle. there is stable mild cardiomegaly with small bilateral pleural effusions slightly decreased from prior exam. there is no evidence of pneumonia or pulmonary edema. mediastinal contour is stable. bony structures appear intact. | <unk>-year-old man with fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13649170/s59520679/7f1733c6-b8180e4e-87fa9b40-64de080b-75a93ade.jpg | lung volumes are normal. there is no focal consolidation, pleural effusion or pneumothorax. heart is top-normal in size. there is no subdiaphragmatic free air. no acute osseous abnormalities are identified. | history: <unk>f with chest pain // infiltrate or pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p14916430/s51418058/d7fd0235-4fa31c0d-3089a8db-fa85055e-0de623a1.jpg | single portable view of the chest is compared to previous exam from <unk>. right-sided picc line is seen with tip in the mid svc. an enteric tube seen coiled in the stomach and extending into the expected region of the duodenum. appearance of the lungs is not significantly changed given lower inspiratory effort on the current exam. bibasilar opacities are again seen, more extensive on the left than on the right. the cardiomediastinal silhouette is stable as are the osseous structures. | <unk>-year-old female with altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p19806884/s59160593/191cf3f3-d221a867-a401ee5f-aa11d54c-674cb37c.jpg | compared with prior radiographs on <unk>, and there is collapse of the right middle lobe, and a moderate right pleural effusion with fluid in the minor fissure. overall lung volumes are low. there is left basilar atelectasis and a probable small left pleural effusion. a left port-a-cath terminates in the mid svc. the right-sided picc line terminates in the low svc. a hepatic drain is seen below the level of the diaphragm. | <unk> year old man with advanced pancreatic adenosquamous ca, requiring o<num> and with cough and leukocytosis // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p15038651/s57788521/daca255d-8797c1af-793afce4-58bcaf36-61eb2896.jpg | the lung volumes are low. pulmonary edema is mildly improved. left lung base subsegmental atelectasis is unchanged. there is no pneumothorax. generalized osteopenia and left shoulder degenerative changes are noted. | <unk>-year-old female with shortness of breath and known chf with episode of hypotension; evaluate for infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p12614307/s57694942/372e9d97-2ee55444-42c590a3-e6c4bb68-b59f426c.jpg | compared with earlier the same day, multiple drains and tubes been removed. no pneumothorax is detected. a right ij central line tip is again seen near the svc/ra junction. cardiomediastinal silhouette is unchanged. retrocardiac opacity consistent with left lower lobe collapse and/or consolidation, patchy opacity at the right lung base, and small bilateral effusions are also similar to the prior film. <num> punctate radiodensities overlying the region of the left mainstem bronchus presumably represent postoperative changes, possibly small surgical clips. | <unk> year old man with ct removed // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p12285052/s55513903/49a1b898-ed302b4d-620d878a-1c75b0c2-136c65ee.jpg | after manipulation of the tube, the tip of the tube is seen <num> cm above the carina in appropriate position in the radiograph labeled #<num>. otherwise, the lungs are well expanded, with an area of interstitial and alveolar opacities in the right lung base. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old female status post intubation. evaluate tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p14744274/s57690970/cc74619a-88d3ff95-926b3f2b-435ffcd6-bc72c721.jpg | the lungs are mildly hypoinflated with crowding of vasculature. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are notable for mild degenerative changes of the thoracolumbar spine with anterior osteophytes. | <unk>m with ant left sided chest pain. assess for pulm cause for cp |
MIMIC-CXR-JPG/2.0.0/files/p17134261/s56753939/021cedb3-a13fd6ab-d9f36c48-6973820d-17e1c68f.jpg | pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with syncope and right shoulder pain with new atrial fibrillation. |
MIMIC-CXR-JPG/2.0.0/files/p15341255/s55209256/97d5d0df-729cac54-1b5ccac2-a7b9346c-2392b47b.jpg | in comparison to the most recent study, right, likely partially loculated pleural effusion is unchanged. underlying compressive atelectasis is again noted. focal consolidation is not excluded. the left lung is clear. | <unk>m with pleural effusion // pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p12008844/s59883692/96efda65-c0b7677d-398a9ca1-06d19d0a-920731b5.jpg | ap portable view of the chest demonstrates normal lung volumes. no pleural effusion, focal consolidation, or pneumothorax is seen. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12396855/s52907023/5c2558cd-3dd8c0e3-2e300f36-7143ce66-86f8af35.jpg | frontal and lateral views of the chest. the lungs remain clear, without focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old female with fevers and fatigue. |
MIMIC-CXR-JPG/2.0.0/files/p10024982/s50980427/423a322e-6b3d3b16-574e4030-508a365b-421f7c0c.jpg | the patient has had prior median sternotomy with cabg. coronary artery calcifications are stents are unchanged. a left pectoral dual lead pacemaker remains in place. the previous right suprahilar mass-like opacity which corresponded to a non-enhancing heterogeneously mediastinal lesion is no longer evident, suggesting that this was a now resolved hematoma. there is stable mammilation of the right hemidiaphragm. mild cardiomegaly is unchanged. bilateral pleural thickening and subsegmental atelectasis are unchanged. there is no new focal consolidations or pneumothorax. a small right pleural effusion has resolved. | <unk> year old man with dyspnea, ?hemoptysis // assess for pulmonary edema, ?mass |
MIMIC-CXR-JPG/2.0.0/files/p15092692/s50640161/128f6f30-3f78dfb6-a2a0a3c6-f4122a42-95a393d2.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> year old woman with fever and adenopathy. smoker // pls assess pulm lesion |
MIMIC-CXR-JPG/2.0.0/files/p16155134/s52338500/a04b88e6-35c3a9fc-dc2e0d1a-4ef90a07-8c68b2f1.jpg | ap upright and lateral views of the chest provided. small to moderate left effusion and small right pleural effusion noted. the heart is likely within normal limits of size. hilar congestion is noted. there is likely a component of compressive atelectasis of the left lung base. no pneumothorax is seen. the mediastinal contour is normal. there is no overt edema. bony structures are intact. | <unk>m with dm, pvd, esrd on hd referred for gangrenous foot ulcer, incidentally w/ subacute doe x several days |
MIMIC-CXR-JPG/2.0.0/files/p10947836/s52796073/21d649d7-acfbfe91-aeb17a73-15d5cde4-a4a1e2c7.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. mild hyperexpansion suggests copd. a calcified left hilar lymph node is unchanged from the prior study from <unk>. a medial left lower lobe pulmonary nodule is better evaluated by same day ct. a biliary drain projects in the expected location of the common bile duct. there is no free intra-abdominal air. | <unk>f with chest pain, epigastric abd pain, nausea, evaluate for acute cardiopulmonary process, free air. |
MIMIC-CXR-JPG/2.0.0/files/p11785856/s56520674/f1c9d762-f72fe40e-e9ec8cae-dded352c-e7bf5c56.jpg | the et tube is <num> cm above the carina. the ng tube tip is in the stomach. there remainder the appearance of the lungs are unchanged. | <unk> year old man with gib intubated for upper endoscopy // evaluation of et tube position |
MIMIC-CXR-JPG/2.0.0/files/p18708085/s59970745/43c43242-7ac1df22-6cba2461-49dcbcfb-c529dc25.jpg | the trachea is deviated to the left, stable from prior, suggestive of mass effect. the lungs are well expanded and clear. incidentally noted azygos fissure. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old male with difficulty breathing, cough, chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15403852/s51973977/90f1438d-60656f39-afb3fd55-f13a5070-32411d0c.jpg | as compared to chest radiograph from the same day, endotracheal tube, and nasogastric tube have been removed. interval decrease in lung volumes with increasing bibasilar opacities. mild pulmonary vascular congestion. no pneumothorax. probable small to moderate left effusion. | <unk> year old man s/p avr/mvr now desatting // interval change |
MIMIC-CXR-JPG/2.0.0/files/p14489110/s58922332/c4482253-c519ecef-0437780f-e3e62879-3a331d2c.jpg | frontal and lateral chest radiographdemonstrates hyperinflated lungs with flattening of the diaphragm. subtle heterogeneous right mid lung nodular opacities are similar to ct dated <unk> , consistent with patient's known bronchiolitis and diagnosis <unk> <unk>. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. | chest pain, shortness of breath. assess for chf exacerbation or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12788432/s56140295/9c670aee-c3ba7227-97ef3bfc-526ddf7e-8ffae36e.jpg | single frontal view of the chest was obtained. the heart is moderately enlarged. the pulmonary vasculature is unremarkable. left lung base opacity is more prominent compared to the prior exam. the right lung is clear. no pneumothorax. median sternotomy wires are intact. metallic clips overlie the mediastinum. there has been interval removal of a right ij sheath. osseous structures are unremarkable. | <unk>-year-old male with gi bleed. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15331128/s54113317/1cb9eafa-d997867a-955d9b7d-8fcdba77-0e9497c1.jpg | single portable view of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. lower thoracic levoscoliosis is noted. no acute osseous abnormality is identified. | <unk>-year-old female with tonic-clonic seizure. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12239697/s52230694/04e94547-356d39d1-e121e665-004e4a88-69f760f4.jpg | the et tube terminates appropriately above the carina. there is an enteric tube which extends below the diaphragm. there is a left lower lobe consolidation concerning for pneumonia. there is no pleural effusion or pneumothorax. there is a nondisplaced left <num>th rib fracture. | history of attempted subclavian line placement. please evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17603047/s50706731/29af286a-0a334b07-7c15f3d6-e1162d7d-41b2abf6.jpg | the heart is at the upper limits of normal size. the aortic arch is partly calcified. the mediastinal and hilar contours appear unchanged. a calcified nodule in the left upper lobe appears not significantly changed. areas of scarring at each lung apex are likewise stable. there is slight relative elevation of the left hemidiaphragm compared to the right that persists. there is no pleural effusion or pneumothorax. bony structures are unremarkable. | altered mental status. history of prostate cancer. |
MIMIC-CXR-JPG/2.0.0/files/p15656571/s58432977/20aee7df-4797434f-91a6200a-0607f270-57de9dc0.jpg | the heart is markedly enlarged. there is moderate pulmonary vascular congestion and mild interstitial edema. no definite focal consolidation is identified. there is no pleural effusion or pneumothorax. left chest aicd leads terminate within the right ventricle and atrium, in unchanged positions. | <unk>m with dyspnea, rule out infectious process |
MIMIC-CXR-JPG/2.0.0/files/p11571040/s51735316/5f88c37a-2aaeb610-3eb4a0c5-4950edce-49b01236.jpg | the lungs are well expanded with moderate residual right basilar atelectasis. small bilateral pleural effusions are improved from <unk>. a right pleurx catheter is unchanged. no pneumothorax. mediastinal vascular pedicle and cardiac size are smaller than on <unk>. surgical clips in the right upper quadrant are consistent with prior cholecystectomy. | <unk> year old woman with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p10583349/s59375668/1a61be90-c7df1862-e7a11a5e-64687e49-83120128.jpg | frontal and lateral views of the chest are compared to previous exam from <unk>. linear opacity is again seen in the right mid lung, suggestive of atelectasis versus scar. the lungs are otherwise clear. there is no effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are again notable for degenerative changes at the right acromioclavicular joint. | <unk>-year-old female with shortness of breath and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14008509/s55483278/466eb749-2c83a496-fbecc7f4-c691efcf-351416a8.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there is s-shaped scoliosis | <unk> year old man with chronic cough // make sure lungs are clear |
MIMIC-CXR-JPG/2.0.0/files/p11429121/s52907868/f34a2d08-aef455fe-2d4fda06-75957404-1944d9af.jpg | lungs are clear of consolidation, effusion or pneumothorax. cardiomediastinal contours are normal. a spinal stimulator has been placed in the interim since <unk>, with the electrodes located between t<num> through t<num>. | history: <unk>m with recent spinal stimulator placement, lle numbness, l-shoulder/neck/back pain // evaluate placement / location / intactness of spinal stimulator |
MIMIC-CXR-JPG/2.0.0/files/p19336651/s53051905/fb145444-dcc2170e-5e06d97e-334344de-ca785fc5.jpg | cardiomegaly is obscured by adjacent pleuro parenchymal abnormalities. small bilateral effusions are grossly unchanged. retrocardiac atelectasis has improved. multifocal opacities in the right upper lung have mildly improved. left perihilar opacities are unchanged. there is no pneumothorax. component of vascular congestion has improved. right pigtail catheter has been removed. sternal wires are aligned | <unk> year old man with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p10491761/s56576514/a37912a9-fd664c47-5a9d5b50-3cbb6d73-ea230e47.jpg | as compared to the previous radiograph, there is no relevant change. the lung volumes are normal. the structure and transparency of the lung parenchyma is unremarkable. there is no evidence of pneumonia. no signs suggesting pulmonary edema. no pleural effusions. the size of the cardiac silhouette is at the upper range of normal. mild tortuosity of the thoracic aorta. no hilar or mediastinal abnormalities. | dyspnea on exertion, crackles. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15451291/s55836342/d758e391-d82bfe92-c6a10dcc-0297a8c9-a985b0d7.jpg | ap upright and lateral views of the chest provided. subtle bibasilar opacities are noted concerning for pneumonia, increased on the left. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. no acute bony abnormalities. | <unk>f with fall from standing with back pain // r/o fx, effusion |
MIMIC-CXR-JPG/2.0.0/files/p16123839/s56194078/e7aaebd0-aa77ee4a-4647ac17-46cda358-1a4f567e.jpg | right internal jugular central venous catheter tip terminates in the mid svc. heart size is mildly enlarged. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. tiny nodular opacities are again noted within both lung bases, unchanged, and compatible with chronic punctate calcifications likely the sequela of previous interstitial pneumonitis. no new focal consolidation, pleural effusion or pneumothorax is detected. there are no acute osseous abnormalities. | history: <unk>m with renal and panc transplant, fever, abdominal pain |
MIMIC-CXR-JPG/2.0.0/files/p12071000/s52148061/47494160-e06e86d1-cd7ce3ee-25a8b4ee-d12354b9.jpg | left-sided chest tube has been placed. otherwise there has been no significant change. left-sided rib fractures are observed with displacements but difficult to characterize in detail; these were better characterized in detail on the recent prior ct. | pneumothorax and multitrauma. |
MIMIC-CXR-JPG/2.0.0/files/p12158876/s53337975/45703b4f-e192bbc8-32cdba98-d97feaac-68e65ee7.jpg | patient is status post median sternotomy and cabg. mild cardiomegaly is re- demonstrated. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. minimal patchy atelectasis is seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is demonstrated. moderate degenerative changes are noted within the thoracic spine. | history: <unk>f with chest pain, history of chf |
MIMIC-CXR-JPG/2.0.0/files/p14593246/s52699066/1c1830a0-d529e3d1-5d0cb890-d194fd7a-936162e1.jpg | there is complete opacification of the right hemithorax, compatible with combination of pleural effusion and collapse. there is a new small left pleural effusion with adjacent atelectasis. a vague opacity in the right mid lung appears new. what is seen of the cardiac silhouette appears stable. no pneumothorax. | <unk>m with sob and history of metastatic renal cell carcinoma |
MIMIC-CXR-JPG/2.0.0/files/p15921511/s57502016/58a3ca51-d86566b8-bb9d31b6-7eea092e-3ba0735a.jpg | the lungs are hyperinflated but clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal in size. | history: <unk>m with preop // evidence of infection |
MIMIC-CXR-JPG/2.0.0/files/p12970765/s56726940/98b7f7e1-8383691f-039dbe55-b808e87e-1038788a.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. aortic calcifications are seen. there is no pulmonary edema. | history: <unk>f with ecg changes and vomiting // eval for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p15403852/s58567062/b94bf4a6-26b571b5-58563ab2-9400321f-e22cdc04.jpg | portable upright chest radiograph <unk> at <time> is submitted. | <unk> year old man with avr/mvr // <unk> pna <unk> pna |
MIMIC-CXR-JPG/2.0.0/files/p19148044/s59194379/af5d1b9e-1db30094-f5846ee5-002eceb0-06fcbfaa.jpg | pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality identified. tubing projecting over the right chest wall is compatible with a shunt catheter. | <unk>-year-old male with vp shunt and headache, dizziness and chills. |
MIMIC-CXR-JPG/2.0.0/files/p16344412/s50153671/c98482cb-63abb596-86d4f7d9-1efcbc1a-153a345c.jpg | the tracheostomy tube appears to project over the midline trachea. again seen is extensive subcutaneous emphysema in the pectoralis muscles and cervical regions bilaterally. diffuse unchanged reticulonodular interstitial process with a more focal airspace confluent opacity at the right apex appears slightly improved compared to the prior exam. there is stable pneumoperitoneum. the previously noted pneumothorax is not well delineated on this exam. there are stable bilateral small pleural effusions. | history of pneumothorax and air leak in trach. please evaluate for progression of pneumo. |
MIMIC-CXR-JPG/2.0.0/files/p18767957/s50753069/5c8c0263-8d94687e-2a7896c8-5682bae9-6aeefbc4.jpg | the heart is mildly enlarged. the mediastinal and hilar contours are within normal limits. there is an area of increased density which projects over the left cardiac border. otherwise, remaining lungs are clear. there are no pleural effusions, pulmonary edema, or pneumothorax. | <unk>-year-old male patient with renal failure, well-controlled hiv, elevated jvp, signs of viral illness with cough. study requested to rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18531912/s56985283/f3423dee-332eed0a-530f9ca4-88ba67b1-1f0c2b7e.jpg | lungs are clear without focal consolidation, effusion, or pneumothorax. there is no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are normal. heart size is normal. | <unk> year old man with sob // r/o pulm path |
MIMIC-CXR-JPG/2.0.0/files/p10868254/s59107332/9a3d27fd-2045529f-13e7d155-489155d4-2415c704.jpg | lungs are well-expanded. on the background of coarse interstitial thickening, there is an opacity in the left lower lung which is more conspicuous than in the previous exam from <unk>. there is also a new dense retrocardiac opacity as well as opacities in the left costophrenic angle partially obscuring the left hemidiaphragm margin. layering left-sided effusion is present. there is no right sided effusion. there is no pneumothorax. the heart is not enlarged. | <unk>-year-old male with cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p17451157/s59659881/1f676ed7-a28349bc-f9ff4e59-3431f153-85a4d1f3.jpg | there is no focal consolidation, pleural effusion, or pneumothorax. heart and mediastinal contours are within normal limits. cervical spine hardware is noted on the frontal view only. | <unk>-year-old male with chest pain and hypertension. |
MIMIC-CXR-JPG/2.0.0/files/p11194247/s52671118/767937cf-26d45660-05b38a60-2cf322c5-865141c3.jpg | a pleurx catheter terminates in the right basal pleura. there has been interval improvement of a moderate to large right pleural effusion with some residual fluid still present. there is no appreciable pneumothorax. the right upper lobe is now completely collapsed. the known right upper lobe mass now looks more solid, this could be attributed to loculated pleural effusion or hemorrhage in the right upper lobe. the left lung is clear. the cardiomediastinal and hilar contours are within normal limits. a left infusion port tip terminates in the mid to lower svc. | <unk>-year-old female patient post-right-sided pleurx catheter. study requested for evaluation of pneumothorax and/or position of the tube. |
MIMIC-CXR-JPG/2.0.0/files/p18514511/s51505155/0fffa398-eed81369-73a81533-c5504063-d9b57448.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stably enlarged. imaged osseous structures are intact. presence of a bochdalek hernia is likely given the appearance of the diaphragm on the lateral radiograph. no free air below the right hemidiaphragm is seen. | <unk>m with cough // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p17414827/s51479360/4f53d1af-5d3a7b89-681f4725-50a9dae4-f4aac3ee.jpg | the heart size is normal. the hilar and mediastinal contours are normal. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable. | <unk>-year-old female with recent malaise with cough and dyspnea, who presents for evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p11577197/s52533210/8087c0ff-430cecde-5b4e2eb9-a349ce47-b7111e35.jpg | right picc is identified however the tip is not clearly delineated, it is seen to on the level of the subclavian vein. left lung apex is obscured by patient's chin. linear left basilar opacity is likely atelectasis. there is no large confluent consolidation within limitation of low lung volumes. cardiomediastinal silhouette is within normal limits. | <unk>m with lethargy // pna? |
MIMIC-CXR-JPG/2.0.0/files/p16617031/s54200599/29cbae53-abbab28e-02b9ffef-e6fba0f4-9afe0c60.jpg | the heart is normal in size. the aortic arch is calcified. the aorta is also mildly tortuous. moderate elevation of the right hemidiaphragm is noted with patchy opacities in the right middle lobe, most suggestive of associated atelectasis. a possible nodular focus projects over the left mid lung measuring about <num> mm. there is no pneumothorax or pleural effusion. fissures are mildly thickened. | nausea, vomiting and dizziness. history of chronic lymphocytic leukemia. |
MIMIC-CXR-JPG/2.0.0/files/p17847069/s50456108/9fe5bdc9-06cd1ecc-b8df0b45-93064728-2dc46bb0.jpg | there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac, hila, mediastinal contours are within normal limits. the heart size is normal. | history of crohn's disease, now with cough. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18531331/s52019588/a96e4355-6cbe6b14-e14ad02b-789faab4-06b8055a.jpg | the heart is moderately enlarged. the mediastinal contours are within normal limits. vascular indistinctness and right basilar haziness likely reflect asymmetric pulmonary edema. bilateral pleural effusions are small, right greater than left. patchy opacities in the lung bases likely reflect atelectasis. more focal opacification in the right mid lung field could reflect fluid loculated within the fissure, but infection or an underlying mass lesion cannot be completely excluded. no pneumothorax is detected. there are no acute osseous abnormalities. | congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p16040458/s59459246/d28a2991-578787d9-22a23ec6-8a978b75-7cde7e07.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. in view of the larger inspiration, there is probably overall little change in the right basilar opacification. two smaller opacities in the left mid lung are likely atelectasis. no pleural effusion or pneumothorax. sclerotic bone lesions are again seen in the left humeral head and the thoracic spine. | <unk> year old man with metastatic prostate cancer, chills, cough, clear lungs on exam // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p17641905/s52561394/24f98fdd-308f4c85-d49438cb-23e8e930-5ffdbdd1.jpg | heart size is normal. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. subsegmental atelectasis is demonstrated in both lung bases. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified. | history: <unk>f with confusion // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p18179428/s59425555/49a7063b-66278527-5c8d368a-ccf23d99-b77dd011.jpg | ap view of the chest is reviewed. there is a right-sided chest tube with tip terminating in the lung apex. there is subcutaneous edema near the entry site of the chest tube. there is elevation of the right hemidiaphragm, which appears worsened compared to the prior study. there is a small right effusion with bibasilar opacities, more pronounced on the right. the cardiomediastinal and hilar contours are unremarkable. no pneumothorax grossly detected. no displaced fractures noted. | hemothorax status post chest tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11285576/s59267846/f4143a90-9d6f96ec-67d7078e-2b020a4f-2e6f85bf.jpg | portable supine chest film <unk> at <time> is submitted. | <unk> year old man with l chest surgery // ptx ptx |
MIMIC-CXR-JPG/2.0.0/files/p16446440/s53506548/92a3daf3-888a3ee6-2dde2b74-ef5501c8-d9da7712.jpg | pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. osseous structures are unremarkable. | <unk>-year-old female with fever and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14751058/s52992882/139480e8-c0ce2e34-c004a484-f73a9da5-245d8e94.jpg | lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. there is no central vascular congestion or pulmonary edema. hilar contours are stable compared to <unk> ; there are known underlying prominent lymph nodes. cardiomediastinal silhouette is normal. | <unk>m w pancreatic ca with throat pain and stomach pain // <unk>m w pancreatic ca with throat pain and stomach pain |
MIMIC-CXR-JPG/2.0.0/files/p11261162/s50824432/c2837541-68d7d039-12e63311-f312b6ac-240d5dd0.jpg | lung volumes are slightly low. heart size is top-normal. mediastinal contours are within limits. lungs are clear without focal consolidation. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. no acute osseous is detected. | history: <unk>m with chest pain and shortness breath |
MIMIC-CXR-JPG/2.0.0/files/p16275806/s58995608/15b36842-6477e590-b09b9a5d-6da70ee6-6fef72db.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. no subdiaphragmatic free air is present. | history: <unk>m with bloody emesis |
MIMIC-CXR-JPG/2.0.0/files/p12948059/s57649535/95e7d185-ba480c7b-f7c6b1e5-05e782ca-9525d82e.jpg | the heart size is within normal limits. the mediastinal and hilar contours are unremarkable. the lungs are hyperexpanded with minimal left basal atelectasis but no lobar consolidation. there is no pleural effusion or pneumothorax. | <unk>-year-old female with cholecystitis, in need of a pre-operative chest radiograph. |
MIMIC-CXR-JPG/2.0.0/files/p11559974/s56945380/eeba467a-71201fa1-acc10bb4-9948412b-3b4ddbd6.jpg | the heart is mildly enlarged with a left ventricular configuration. the mediastinal and hilar contours appear unchanged. patchy medial right basilar opacity obscuring the right cardiophrenic sulcus suggests minor atelectasis. blunting of the left costophrenic sulcus persists but is less striking than before. lungs appear hyperinflated. there is no definite pleural effusion or pneumothorax although a very small persistent left-sided effusion is hard to exclude. two calcified left lung nodules appear unchanged. streaky left mid lung opacities suggesting minor scarring are likewise unchanged. | leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p13855491/s58011315/a0309556-6bf7ca00-0b1dc96f-54bb960b-b703bbdc.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. | acute onset of chest and back pain. |
MIMIC-CXR-JPG/2.0.0/files/p13187981/s56926668/8a8ac927-3aba976f-90afb40c-95d6b505-2a4ceaf3.jpg | no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiac silhouette is enlarged. calcification of the aortic arch is noted. | <unk> year old man with fevers // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11300581/s50481251/626f7205-d6835070-de5c496e-7ed0b332-8d4abc16.jpg | there has been an increase in the bibasilar opacities consistent with atelectasis and pleural effusions. additionally, right upper lobe and left upper lobe parenchymal opacities continue to exist and are compatible with pulmonary edema. a right-sided subclavian line terminates in the right atrium. | <unk>-year-old woman with history of hodgkin's lymphoma, pulmonary fibrosis, ebv viremia and recent drainage of a large right pleural effusion. now recent hypoxic respiratory distress insult, intermittently tachypneic. please evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p19238215/s56192178/3361fd2f-1cc57ac3-ae6301eb-73efc984-88e1ca0f.jpg | as compared to chest radiograph from the same day, increasing and layering posteriorly pleural effusions, moderate on the left and small on the right. pulmonary vascular congestion also persists. worsening opacification the left lower lobe. right lower lobe atelectasis is also marginally worsened. endotracheal tube <num> cm from the carina and the first side port of the nasogastric tube remains in the proximal stomach. | <unk> year old man with altered mental status now intubated. // evaluate for ett placement. |
MIMIC-CXR-JPG/2.0.0/files/p16430935/s59284064/fb53c848-c961129b-92dac1a1-027106a7-c4c108ce.jpg | a dual-lead pacemaker/icd device is in a similar position. the heart is mildly enlarged. the aorta is calcified and mildly tortuous. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. a mild diffuse interstitial abnormality is not as prominent as on the prior study but suggests mild pulmonary vascular congestion. subpleural scarring at each lung apex is unchanged. the bones are demineralized with similar s-shaped curvature and a moderate-to-severe lower thoracic vertebral body compression deformity. mild-to-moderate degenerative changes along each shoulder are similar. | syncope. question cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p16261645/s50454351/8ad89a5c-e839c032-b0d65a8a-63ea2418-e30602a8.jpg | portable semi supine chest film <unk> at <time> is submitted. | <unk> year old man with hypoxemic respiratory failure, concern for myasthenia <unk> vs. bulbar als. // evaluate for interval changes evaluate for interval changes |
MIMIC-CXR-JPG/2.0.0/files/p19855099/s55583463/3d93c69b-20667120-e54e7850-dfd35906-9b7dfde8.jpg | right hemodialysis catheter terminates in the right atrium. median sternotomy wires appear intact. multiple clips project along the anterior left mediastinum. moderate cardiomegaly is unchanged. there are equivocal trace bilateral pleural effusions blunting the costophrenic sulci posteriorly. there is no pneumothorax. lung volumes are slightly low. there is pulmonary vascular congestion without overt edema. there is no convincing evidence of pneumonia. evaluation of the osseous structures is limited on this study, however no displaced rib fractures detected. | history: <unk>f s/p fall, hx of multiple pneumonia // rule out pneumonia, or rid fracture |
MIMIC-CXR-JPG/2.0.0/files/p14357506/s54237753/165f9eda-099634d7-3cb1ce0c-39afbdbc-2f369ae8.jpg | new moderate to large pleural effusion. pulmonary nodules partially visualized in the right upper lobe as well as in the left lower lobe are pulmonary metastases. cardiac silhouette is similar in size. no pneumothorax. | <unk> year old man with mrcc // new dyspnea on exertion, r/u worsening pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p19564054/s53639868/1af0075c-f1c9fe1e-f4dcf730-c85550e7-726f6bfe.jpg | pa and lateral views of the chest. no prior. lungs are essentially clear, noting mild bibasilar left greater than right subsegmental atelectasis. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are seen in the spine. | <unk>-year-old male with syncopal episode. |
MIMIC-CXR-JPG/2.0.0/files/p15656571/s51150293/183b532e-9e5bf934-79b84065-878036fb-8ce2079a.jpg | a dual-lead pacemaker/icd device with leads terminating in the right atrium and right ventricle, respectively, appears unchanged. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. there is a very similar pattern of mild interstitial pulmonary vascular congestion without significant change. fissures appear mildly thickened. very small persistent pleural effusions are suspected, similar to perhaps slightly decreased. | cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17839341/s56202657/754a6c54-483f12d3-d462ed9e-d6055dc2-62117ef5.jpg | a nasogastric tube courses into the stomach, where it makes a single loop and proceeds distally, its inferior extent not imaged. a right internal jugular central venous catheter terminates at the cavoatrial junction or slightly into the atrium. there is again a dual-lead pacemaker/icd device in place. the patient is status post aortic valve replacement and probably coronary artery bypass surgery. the cardiac, mediastinal and hilar contours appear unchanged. there is persistent mild perihilar congestion, but pulmonary edema has improved. pleural effusions are similar to improved bilaterally. | status post avr and cabg with leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p14494263/s55286788/75aea962-271fc3f5-1cee33ef-6ce8f422-5920f893.jpg | ap upright and lateral views of the chest provided. lung volumes are low with basilar atelectasis again noted. 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. | history: <unk>m with palpitations // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18910060/s55875738/7ac1bfd6-5b0337f5-8659072a-1ce34696-40096b17.jpg | compared to the prior study there is no significant interval change. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11260884/s59535336/55ba8d4b-a90e56a6-4209b8bf-e6950992-a13cab93.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. degenerative changes are noted in the thoracolumbar spine. | <unk>-year-old male with fever, sputum and shortness of breath. evaluate for focal consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p13662737/s57534435/5127996e-b0ecb983-7ed960c5-47f68558-937b1396.jpg | small-to-moderate left pleural effusion is similar in appearance to the recent comparison. mild pulmonary edema appears new or increased. the heart size is top normal with normal cardiomediastinal contours. | <unk>-year-old woman with tachypnea, assess for effusion or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18314937/s54054954/d1d74698-5ecf50a6-122bd664-f18a34fb-9b7d1211.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. | <unk> year old woman with fever // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16598272/s57777250/0c1aece1-b4b759a4-5781a229-87aee274-5dc985ec.jpg | there is mild cardiomegaly, slightly increased compared to the prior study. the hila also slightly more prominent. there is no pneumothorax. small bilateral pleural effusions are present. lungs are well-expanded without focal consolidation concerning for pneumonia. left basilar atelectasis is present. there is mild pulmonary vascular congestion. a left axillary device is again noted with leads in stable positions. | history: <unk>m with chf, weight gain // eval for volume status |
MIMIC-CXR-JPG/2.0.0/files/p13798667/s53924987/a9132eab-5fec20aa-39e3b20f-f65314cf-476710af.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> year old woman with hx of pna // f/u |
MIMIC-CXR-JPG/2.0.0/files/p12415079/s57980567/1b4b91fd-ae030c9b-7057c668-62f444b5-a8ad659f.jpg | the heart is top-normal in size, with re- demonstration of aortic arch calcifications and tortuous descending thoracic aorta. the lungs are grossly clear, with streaky left lower lobe opacities compatible with atelectasis. no pneumothorax, pleural effusion, or pulmonary edema is present. | history: <unk>f with weakness // r/o infection |
MIMIC-CXR-JPG/2.0.0/files/p19040738/s50295522/be1a8268-5fa5add1-c90a7773-de989114-c1d4dcc3.jpg | the lungs are clear besides streaky right basilar atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with altered ms // ? pneumonia or other acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p13115546/s50050186/f86ae23b-ea5f7510-b470106d-bc4fa28a-dacf8012.jpg | heart size and cardiomediastinal contours are stable. bibasilar opacities may represent atelectasis or aspiration. no pleural effusion or pneumothorax. | history: <unk>f with wheezing after possible fb aspiration // ? aspiration pneumonitis |
MIMIC-CXR-JPG/2.0.0/files/p12084001/s53695544/0d11b8f5-d56941d2-2eebf159-7b8d72bf-9a4d91f6.jpg | there is moderate to severe enlargement of the cardiac silhouette, new since the prior study, including a prominent left atrium. a wide mediastinum and a prominent right and left main pulmonary arteries are also new since the prior study. no focal opacities concerning for infection. small bilateral pleural effusions. no pneumothorax. | history: <unk>m with dyspnea // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13537167/s57403548/d2aff5cb-b207e17c-affe3cad-4e4751f4-d70047e5.jpg | there has been interval endotracheal intubation. the endotracheal tube terminates about <num> cm above the carina. a pacemaker lead again terminates in the right ventricle. the heart is again enlarged. calcification is noted along the left apical cardiac margins, as before. the mediastinal and hilar contours appear stable. the lungs appear clear. there are no pleural effusions or pneumothorax. | status post endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11636284/s59208918/b6d74c1f-f33afea0-36c57d9d-f22e322a-dc06b71d.jpg | this patient is status post median sternotomy, mitral and aortic valve replacements. heart size is normal. mediastinal and hilar contours are within normal limits. minimal scarring is seen within the right mid lung field. the lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is detected. there are no acute osseous abnormalities. two clips project over the region of the right neck. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p14432338/s52331045/634f9262-f9693b2f-c13e7e05-8bedb740-4926b080.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pulmonary edema, or pneumothorax. imaged upper abdomen is unremarkable. | history: <unk>f with dyspnea, productive cough // ? acute cardiouplm process |
MIMIC-CXR-JPG/2.0.0/files/p18802305/s52564163/6ea92d23-8ae17803-c89a2478-cec0951b-3ab20072.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. | history: <unk>f with left calf pain and intermittent sob and cp // pe workup and other causes of sob and cp |
MIMIC-CXR-JPG/2.0.0/files/p13736592/s50549885/ccdbd95e-6fcc2153-fd52e83d-ce83191d-525a34f9.jpg | a tracheostomy and right-sided picc are unchanged in position. preexisting parenchymal opacities, right greater than left are not significantly changed from the prior exam. there is likely a small right pleural effusion. there is no evidence of pneumothorax. | <unk> year old man with respiratory failure, trached; attempting diuresis // interval change |
MIMIC-CXR-JPG/2.0.0/files/p17675016/s51348631/a188f5ec-2d14680a-552036b4-ac51a5f9-b9e33908.jpg | the patient has a tracheostomy tube in place, as well as a right-sided picc line, again terminating in the superior vena cava. a pigtail catheter is partly visualized over the right hemithorax, although it may have been retracted somewhat noting that the pigtail appears partly uncoiled. persistent confluent left retrocardiac opacification. the right costophrenic sulcus is partly excluded, but it appears that aeration is better at the visualized right lung base. severe degenerative changes involves the left glenohumeral joint. | bilateral pleural effusions and tracheobronchomalacia. |
MIMIC-CXR-JPG/2.0.0/files/p17118083/s59288343/2ca5045b-30030fd0-c30acc4b-c887aabf-e4451af0.jpg | lung volumes are slightly low. bibasilar atelectasis is noted. superimposed infection cannot be definitely excluded. no pleural effusions. no pneumothorax seen. the cardiomediastinal contour is within normal limits. no free air under the diaphragm. old fracture of the distal left clavicle, deformity of the glenoid and left proximal humerus also likely reflects a chronic fracture. deformity of the distal right clavicle consistent with an old fracture. | <unk> year old man with alcohol dependence / withdrawal, tachycardia, fever // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p19047887/s50504648/5491adbc-61a2d9e2-a19dde8f-382edf57-29bf13c8.jpg | the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. congenital rib anomaly or postsurgical change at the first rib, stable, is noted. | <unk>-year-old woman with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12052446/s56081525/e67ce6c4-0b9421f7-344320b6-7a2de2ad-996526ef.jpg | no consolidation, pleural effusion or pulmonary edema is seen. mild cardiomegaly continues to be seen, and a tortuous aorta is seen. | <unk>-year-old with pneumonia and persistent fever. evaluate for lesions. |
MIMIC-CXR-JPG/2.0.0/files/p19055229/s51608413/39720a07-e4f09065-aac18f88-ea5b9604-c9019291.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged. . mediastinal contours are unremarkable. hilar contours are stable and unremarkable. | history: <unk>m with fever, chest pain // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14196421/s50436924/97e4f4ee-57c8ba37-859ab24b-bad7e017-d6346947.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. postoperative changes of median sternotomy wires and mediastinal clips are again noted. osseous and soft tissue structures are otherwise unremarkable. | <unk>-year-old male with substernal chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17487765/s57436248/9a336ab0-fc60ddd3-dba56ac2-e461e6db-82d8a97f.jpg | lung volumes are low, which results in bronchovascular crowding. cardiomediastinal and hilar contours are stable. post median sternotomy and cardiac surgery changes are seen. note is made of fracture of the inferior-most sternal wire, which is new from <unk>. there is no pneumothorax, pleural effusion, or consolidation. no pneumomediastinum. | history: <unk>m referred for possible prevertebral abscess // eval for pneumomediastinum |
MIMIC-CXR-JPG/2.0.0/files/p16196589/s51509148/1f2e061b-34d3a945-243a6114-48e19da2-af1a2d20.jpg | cardiac size cannot be evaluated. large left pleural effusion is new. small right effusion is new. the upper lungs are clear. right lower lobe opacities are better seen in prior ct. there is no pneumothorax. there are mild degenerative changes in the thoracic spine | <unk> year old woman with ?pleural effusion // ?pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p11646202/s56029583/c1d192b4-d8ad4f89-7e9c249e-1cc9c6d7-bc29749e.jpg | pa and lateral views of the chest provided. compared to prior study, the right lung base appears more clear. there are no new areas suspicious for pneumonia. heart size is normal. there is no pleural effusion. | <unk> year old woman with recent pneumonia, now with recurrent cough, chills, malaise |
MIMIC-CXR-JPG/2.0.0/files/p19155768/s50903045/054a5384-4a2ae6d0-45590763-ff0dbff4-0ff513f0.jpg | moderate cardiomegaly has been stable compared to the exam from <unk>. there has been interval worsening of moderate pulmonary edema, as well as interval development of an asymmetric right perihilar opacity. mild bibasilar atelectasis is persistent. there are small bilateral pleural effusions. there is no pneumothorax. the visualized osseous structures are unremarkable. | history of dyspnea. please evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p15131736/s52718973/de92b434-5ef9d4ce-61d1d2b2-1b3efd95-949c6123.jpg | re- demonstrated is enlargement of the cardiomediastinal silhouette. there is elevation of the right hemidiaphragm. evaluation of the left lung base is less than optimal due to underpenetration from overlying body habitus although no definite focal consolidation is seen. pulmonary edema persists. no large pleural effusion seen. | history: <unk>f with ams // ?pneumonia |
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