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MIMIC-CXR-JPG/2.0.0/files/p15499532/s59984832/20e5119f-c0c0ade2-51191f04-3cccb34c-da06088c.jpg | there is a focal consolidation in the left lower lobe containing air bronchograms. there is no pleural effusion or pneumothorax. the heart size is mildly enlarged, unchanged. the left-sided pacer leads terminate in the right atrium and ventricle. | history of cad, chf, now with four days of fever and productive cough and rhonchi over the left lung field. |
MIMIC-CXR-JPG/2.0.0/files/p16635191/s54482382/44d576e1-0e5258e0-8c412f33-0ad5580d-ac71af09.jpg | the lungs are well expanded. the bilateral hila are enlarged and indistinct. the cardiac silhouette has enlarged. there is a prominent opacity in the azygos contour. the lungs are clear without focal consolidation, effusion, or pneumothorax. | <unk>-year-old woman with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p10376494/s57413089/18861504-9ee24c2d-a2629410-575d9672-aadd64be.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 top normal. there is mild pulmonary vascular congestion, which is unchanged since prior. partially imaged upper abdomen is unremarkable. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16387844/s51439063/966c15ed-cb2e2289-44c7251f-7126c635-4bf58081.jpg | the lungs are clear. there is no effusion or pneumothorax. no definite acute osseous abnormality identified. the cardiomediastinal silhouette is within normal limits. deformity of the posterior right ninth rib suggests fracture, potentially old. | <unk>m with mcc yesterday. pain + echymosis // eval for injury |
MIMIC-CXR-JPG/2.0.0/files/p17813449/s54754608/a76e4993-50e413be-4b05c99a-2e1c5a8f-e28d62b9.jpg | the lung volumes are low and there is bibasilar atelectasis. otherwise, the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. | history: <unk>m with cp/sob // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p17175688/s56830544/ccd7ec99-5dce8889-45186642-6538f11a-484a08eb.jpg | mild to moderate enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours appear similar, with prominence of the right hilum re- demonstrated. no pulmonary edema is present. streaky opacity in the right lung base may reflect atelectasis. no pleural effusion, pneumothorax, or focal consolidation is demonstrated. no acute osseous abnormality is detected. | history: <unk>m with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p11529787/s54187540/851f7478-06673dc8-49f42932-dd5a6623-91045011.jpg | the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. mild left apical pleural thickening is noted. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is deviated to the right in the neck by a large dominant left thyroid nodule, as seen previously. | near-syncope and dyspnea, here to evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p19809627/s52045342/5011e6d7-532503a4-34a4f7e5-c35f4eb5-9cfd0003.jpg | again seen is of dense retrocardiac opacity. most compatible with left lower lobe infiltrate. there is probably a small associated pleural effusion. however there is minimal if any vascular redistribution and therefore this is felt to be more likely infectious than due to pulmonary edema. the heart continues to be severely enlarged there is a large bore right ij line with tip in the right atrium | <unk>m with pmhx of htn, hld, dm (cb retinopathy), cad (sp stent x <num>), ckd (<unk>), dvts (on ac, sp filter), systolic dysfunction (ef <unk>%) pw cough and dyspnea. // r/o acute process, assess progression of pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p12117773/s58794623/a5dc41ab-81ffa9a4-ad515a94-6dc9e278-46d99dcf.jpg | there is a new opacity in the left lower lobe concerning for pneumonia given the clinical setting. stable normal heart size with tortuosity of the thoracic aorta. no pleural effusion or pneumothorax. the right lung is clear. | <unk> year old man with multiple medical problem presetns with <num> days on cough. left basilar crackles on exam. ? pneumonia. // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19529121/s57207941/71e92451-d2760832-706025c2-6e27f033-23f882f5.jpg | compared to prior exam, the right lung volume is slightly decreased in slight increase in right mediastinal shift. the right hemidiaphragm is not as well visualized indicating a worsening right pleural effusion and worsened lower lobe atelectasis. there is an unchanged small left pleural effusion. no evidence of pulmonary vascular congestion or pulmonary edema. the cardiomediastinal contours are enlarged but stable without significant pulmonary vascular congestion. stable calcification of the aortic arch. median sternotomy wires are intact. | <unk> year old man with acute on chronic shortness of breath for <num> weeks // pulm congestion |
MIMIC-CXR-JPG/2.0.0/files/p16486158/s51625052/fcdf7b2a-bb4c1dec-94999a00-b9831e72-e03b0155.jpg | endotracheal tube tip is in standard position, terminating approximately <num> cm from the carina. cardiac and mediastinal contours remain unchanged with the heart size top-normal. there is crowding of bronchovascular structures due to low lung volumes without overt pulmonary edema. patchy bibasilar airspace opacities likely reflect atelectasis, new in the interval. no large pneumothorax or pleural effusion is detected. | history: <unk>m with endotracheal tube placement |
MIMIC-CXR-JPG/2.0.0/files/p12085305/s58113770/47810d20-fee4f4d5-3ca86d24-80abf06d-716ace68.jpg | since the prior exam, heterogenous opacification in the left lower lobe is new partially obscuring hemidiaphragm posteriorly. no other consolidation is identified. there is mild pulmonary vascular congestion without overt pulmonary edema. there is no pneumothorax. the mediastinal contour is normal. atherosclerotic calcifications are noted along the aortic arch. the cardiac silhouette is mildly enlarged, and very slightly bigger than on the prior exam. | cough, fever, and elevated white count. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18708817/s55201330/702e6c30-d5586a89-26195d62-cd28ce11-547022d2.jpg | moderate pulmonary edema is new since <unk>. severe cardiomegaly is similar. the lungs are well expanded. there is no effusion or pneumothorax. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p19706109/s50002220/86eb3534-332025eb-0ad8a2a1-fd1fce2f-adb4d21c.jpg | the lung volumes are low, limiting assessment and accentuating the bronchovascular structures. within the limitations, there is no evidence of a focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. a vns device overlies the left mid chest. the vns device that was overlying the left upper chest has been removed. | pain, redness, and swelling around the patient's vns device. |
MIMIC-CXR-JPG/2.0.0/files/p16155910/s58589243/cc514721-17c1dbdc-04c84762-a862db2f-69a42051.jpg | ng tube is post-pyloric and off film. new mild vascular engorgement with normal heart size, mediastinal contours and hila. no focal opacities, pneumothorax, pleural effusion or pulmonary edema. no bony abnormality. | male with dysphagia. assess ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13479420/s51534022/604a9bb0-a7b5b9ba-e5b09bea-a5f0a37a-fd4b7c1e.jpg | there is new et tube with tip <num> cm above the carina. right ij line tip is in the right atrium. there has been interval increase in the hazy bilateral alveolar infiltrates. there small bilateral effusions | <unk> year old woman with hypoxia now s/p intubation // eval ett position |
MIMIC-CXR-JPG/2.0.0/files/p10318991/s50708931/5a9d7826-1a4c7443-539a9c85-52ace911-bb5252c1.jpg | the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac silhouette remains mildly enlarged. the pulmonary vasculature is normal. the mediastinal and hilar contours are unremarkable. there are no acute osseous abnormalities. the imaged upper abdomen is unremarkable. | congestive heart failure and cardiomyopathy presenting with shortness of breath. evaluate for an acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p13701625/s56790493/ee9299a8-979f7723-0d7ce6ef-17f5a90e-b0b77c01.jpg | the lungs are hyperinflated but clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. tortuosity of the thoracic aorta is noted. no acute osseous abnormalities. | <unk>m with leukocytosis, <unk> medical // pna? |
MIMIC-CXR-JPG/2.0.0/files/p18656167/s55840003/857a9c3e-d9b3f24f-a45d3eed-8793f202-4597e8d1.jpg | an enteric tube courses to the body of the stomach. there is streaky bibasilar atelectasis. otherwise no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. | history: <unk>m with chest pain // acute process |
MIMIC-CXR-JPG/2.0.0/files/p19021878/s57777666/677b7a4b-317feacd-958c332e-a4e91985-7846b6cf.jpg | since the prior study the right internal jugular central venous line is been removed. heart size appears normal and a tortuous aorta is again demonstrated. opacification of the retrocardiac region is likely secondary to the known large hiatal hernia. additional right lung base opacity could be from consolidation and a small pleural effusion. no evidence of pulmonary edema. right shoulder arthroplasty appears unremarkable. | history: <unk>f with chf and new cough and weakness // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18568661/s55598274/790b04c9-350ac570-23eacf1b-7608c54c-01ecb716.jpg | an et tube terminates <num> cm above the carina. an enteric tube extends below the diaphragm and out of view. normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. below the right hemidiaphragm there is a thin sliver of lucency laterally which may be artifactual; however, raises the possibility of free intraperitoneal air. cholecystectomy clips are noted in the right upper quadrant. there is a healing subacute fracture of the left eighth rib laterally. | history: <unk>m with intubated // confirm ett placement |
MIMIC-CXR-JPG/2.0.0/files/p14883067/s56290219/da9c385c-e7adee03-7966049c-04ac014e-cd4089c4.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. | status post motor vehicle collision. |
MIMIC-CXR-JPG/2.0.0/files/p13434085/s53964305/a3cc86f8-501cf4b7-a5a377a4-4ba0a8db-dea9714e.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 decreased right lower lobe breath sounds, fever <num>, // evaluate lungs |
MIMIC-CXR-JPG/2.0.0/files/p13623501/s50725158/c1dec338-2bab351f-a066098f-c024055a-8d468ed8.jpg | frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. the expansile lytic lesion within the right lateral seventh rib is not significantly changed compared to <unk> and likely represents a plasmacytoma in this patient with known multiple myeloma. no associated displaced pathological fracture evident. | right shoulder pain. evaluate for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p17895440/s50571858/0efe6571-efc28189-6f928a41-02db2e27-a9168cee.jpg | lung volumes are low. heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. subsegmental atelectasis is noted in the lung bases. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is present. moderate degenerative changes are noted in the thoracic spine. coils are seen within the midline upper abdomen. | history: <unk>m with fever, cough and epigastric pain, history psb and colitis |
MIMIC-CXR-JPG/2.0.0/files/p11357031/s52666244/a1382731-4b161f07-f3f20450-6b427ad7-647d2b40.jpg | linear opacities at bilateral lung bases are consistent with platelike atelectasis. there is mild pulmonary vascular congestion and mild associated interstitial pulmonary edema. there is no pleural effusion or, pneumothorax, or focal consolidation. the cardiomediastinal silhouette, including mild cardiomegaly and a tortuous descending aorta, is unchanged. | <unk>m with shortness of breath, evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p17914007/s53572014/2886a811-fc80ae52-691c763b-5153425d-896c64a6.jpg | ng tube with tip in the first part of the duodenum. no change in positioning of right upper quadrant catheter. stable bilateral small pleural effusions with extension of right pleural effusion into the major fissure. minimal left lower lobe atelectasis. no pneumothorax. heart size is top normal with normal mediastinal and hilar contours. | male with pleural effusions. assess progression. |
MIMIC-CXR-JPG/2.0.0/files/p19338803/s55843425/af8317d8-bdad0c18-93b6b078-7147b0f2-26f317a0.jpg | pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. lungs are clear. no pneumothorax evident. minimal though less apparent left hemidiaphragm elevation again noted. minimal blunting of the costophrenic angle is likely related to atelectasis and scarring. | left pneumothorax. please assess for interval change , chest tube of waterseal. |
MIMIC-CXR-JPG/2.0.0/files/p14376463/s52898298/ecfdd1bf-dae0fecb-db06fb2c-ec2f850e-e8420d36.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p19506938/s54916676/15982325-ecc3b047-0dc88f42-7b61087e-b21c3251.jpg | pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. there is minimal atelectasis of the right middle lobe. the cardiomediastinal silhouette is stable. the bones are intact. | history of cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13323674/s57985813/f4f4ff46-840f73b8-ef12dbba-7f5b14d3-e9150dc0.jpg | pa and lateral views of the chest were viewed. top normal heart size is chronic. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. pulmonary vasculature is within normal limits. | shortness of breath, chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18168140/s52550909/44c68a55-172df03f-d68c178c-d5c9bf6a-f64fb6e0.jpg | right middle lobe opacity is worrisome for pneumonia. patchy left base opacity could be due to atelectasis or pneumonia. right hilar mass and pulmonary nodules better delineated on prior ct. slight blunting of the left posterior costophrenic angle may be due to pleural thickening, atelectasis, or a trace pleural effusion. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with sob // sob |
MIMIC-CXR-JPG/2.0.0/files/p11805396/s51486636/0d55fea3-a78727fd-d6d7ff48-2b93e1a6-2eb78574.jpg | pa and lateral chest radiographs are provided. lungs are well expanded. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged upper abdomen is unremarkable. | history of palpitations and left arm pain, evaluate for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p10164309/s50064814/5cde0952-f7347286-0f79ea99-3e275e79-f5b1e7eb.jpg | frontal and lateral views of the chest. the right-sided tunneled venous catheter is seen with tip projecting over the mid right clavicle. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. osseous structures are unremarkable. | <unk>-year-old female with recent tunneled catheter dislodgement. question pneumothorax or hemothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17091240/s57488874/3b4a124f-79dc0fd2-fff41f25-0726042e-9d8562f0.jpg | lungs are clear without consolidation or effusion. nipple shadows project over the lung bases bilaterally. the cardiomediastinal silhouette is normal. no acute osseous abnormalities. | <unk>m with chest pain shortness of breath // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12564274/s51396930/9f637c82-f2d53722-a4fe69bc-f3f5d62e-9d2bc2cb.jpg | pa and lateral images of the chest were obtained with the patient in the upright position. the lungs are well expanded and clear. previously visualized pleural effusions have now resolved. there is no pneumothorax. the heart is of normal size and the cardiomediastinal silhouette is unremarkable. there is no evidence for acute thoracic process. orthopedic hardware is noted in the cervical spine, unchanged from previous exam. sternotomy wires appear unchanged from previous exam. the other visualized osseous structures are unremarkable. | <unk>-year-old male with shortness of breath and persistent chest wall pain. |
MIMIC-CXR-JPG/2.0.0/files/p12210749/s54388199/0e4bc86a-fa844b3b-d783fcea-5d05146d-c5cf6691.jpg | the right lower hemithorax is more dense than previously and there is increased pleural thickening at the right costophrenic angle. the cardiomediastinal silhouette appears increased in size in comparison to the prior study. the lungs are without a focal consolidation or effusion. | bilateral lower extremity swelling. |
MIMIC-CXR-JPG/2.0.0/files/p11257115/s57041629/3f787ff9-0175ddb8-fdf24399-ddd07d56-a0401a19.jpg | mediastinal drains and left chest tube is been removed. there is no pneumothorax. the appearance of the lungs is unchanged. the et tube and right ij cordis and ng tube are unchanged. | <unk> year old woman with s/p cardiac surgery, cts d/c'd // evaluate for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p12677246/s58946272/56cda957-4f4c3aab-581040c7-edcd938e-f50275ff.jpg | left bronchial stents are again seen and in unchanged position. postoperative changes are seen within the mediastinum. the heart is mildly enlarged. new bilateral opacities at the lung bases are likely related to atelectasis. there is no focal consolidation or pneumothorax. | <unk> year old woman s/p tracheal resection // check interval change. |
MIMIC-CXR-JPG/2.0.0/files/p19412784/s56560369/013019bf-eb13c331-5847b20a-639d4a46-4185ac62.jpg | there is focal increased opacity in the left retrocardiac area. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified. | chest pain and fever. |
MIMIC-CXR-JPG/2.0.0/files/p16510555/s59450170/ca64992c-1e65ede6-10e97413-f5d3b3ec-4f679184.jpg | there is mid left lung parenchymal opacity. the right lung parenchyma is unremarkable. there is no pleural effusion or pneumothorax. heart size is again mildly enlarged. there is heavy calcification of the aortic knob. | history: <unk>f with cough, hypoxia // pna? |
MIMIC-CXR-JPG/2.0.0/files/p17925930/s53440365/edc8af1e-41f94b8e-aa61d1c3-2a62119f-86f115c1.jpg | there is mild bibasilar atelectasis with no evidence of a focal consolidation. the lungs appear hyperexpanded and lucent suggestive of underlying chronic obstructive pulmonary disease. there is no pleural or pericardial effusion. the heart appears mildly enlarged. a large hiatal hernia is again noted. | cough and wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p19076862/s59094639/102d5b1c-42c4690f-fe082051-54fc9845-77015b3d.jpg | portable upright chest radiograph <unk> at <time> is submitted | <unk>f h/o sbr with primary anastomosis <unk> yrs ago in fl, p/w complete sbo, transition point at prior anastomosis s/p ex lap sbr of previous strictured anastamosis // assess for pulmonary edema/effusion assess for pulmonary edema/effusion |
MIMIC-CXR-JPG/2.0.0/files/p18878464/s53468473/e8f49f3f-9b269529-79823419-27caf07c-af78edbf.jpg | the lungs are clear. there is no pneumothorax. the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. surgical clips in the right upper quadrant suggest prior cholecystectomy. | <unk>f with intermittent chest discomfort, fall // ?ptx |
MIMIC-CXR-JPG/2.0.0/files/p18998394/s54289309/44a41c15-ff5879c9-6f4832e8-6b3389a0-1c0793fd.jpg | a left chest wall pacer and multiple leads are in stable, expected position. the heart is enlarged, but stable in size from the prior examination. the aorta is tortuous and shows mural calcification. a new retrocardiac opacity is identified and is suggestive of atelectasis however infection should be considered. there is no pulmonary vascular engorgement or pulmonary edema. the right lung appears clear. there are no large pleural effusions or pneumothorax identified. | <unk> year old woman with chf and pna eih persistent cough // eval for change |
MIMIC-CXR-JPG/2.0.0/files/p19166723/s51429041/7719424b-b539bd62-04ae33ee-f1cfbbf4-dcba52bc.jpg | the lungs are well inflated and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old female with chest pain after cocaine use. evaluate for evidence of pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13436096/s55217476/12b5a78c-15aaabc1-de879c18-718b7b45-d83c280b.jpg | since <unk>, the small right apical pneumothorax has completely resolved. a new small right pleural effusion has developed in the interim. no focal consolidation or pulmonary edema. the cardiomediastinal silhouette and hila are unchanged. the right port-a-cath appears intact and unchanged in position. | <unk>-year-old woman status post thoracoscopy. evaluate for residual pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14589477/s57911883/e2fb3c38-d7574946-183992e5-bc5f73a8-cd80d075.jpg | cardiac and mediastinal silhouettes are stable. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. no acute displaced fracture seen. clinical concern for spinal fracture persists, cross-sectional imaging is more sensitive. | history: <unk>f with known cirrhosis presents with fever, ruq and back pain s/p fall. // patient has known cirrhosis. any evidence of new hepatic or gallbladder pathology? any evidence of spinal fracture? |
MIMIC-CXR-JPG/2.0.0/files/p10577868/s59056356/d8b09d0f-b4346312-eabfcd32-91c0fad4-4c2ec0fe.jpg | ap and lateral views of the chest provided. there are nodular opacities in the right lower lobe concerning for pneumonia. there is no pleural effusion or pneumothorax. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with sob and mid back pain ?pna // <unk>f with sob and mid back pain ?pna |
MIMIC-CXR-JPG/2.0.0/files/p11230841/s59860566/4cb997fc-99e88039-f39e1215-bc17bb7f-f6abbac3.jpg | patient is status post an esophagectomy with gastric pull-through. there is persistent atelectasis at both lung bases. no pleural effusion or pneumothorax. there is no evidence for interstitial lung disease as result of amiodarone usage. moderate cardiomegaly is unchanged from at least <unk>. no pulmonary edema. hilar contours are unremarkable. | atrial fibrillation on amiodarone. evaluate for amiodarone toxicity. |
MIMIC-CXR-JPG/2.0.0/files/p15803381/s59612926/2419a301-14fa3dae-e589e088-9ba3dc20-7025a285.jpg | there is a moderate left pleural effusion, similar to multiple recent studies. left basilar opacification is similar to the prior exam, likely atelectasis, but infection cannot be excluded. there is mild pulmonary vascular congestion and cardiomegaly. there is no pneumothorax. | dyspnea, hypoxia, and weakness. |
MIMIC-CXR-JPG/2.0.0/files/p16639088/s59772753/0e05615b-10d5f105-e8302760-1de7ae0c-49c3517b.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. elevation right hemidiaphragm is chronic. there are no acute osseous abnormalities. cervical spinal fusion hardware is incompletely assessed. | history: <unk>f with cough |
MIMIC-CXR-JPG/2.0.0/files/p15593773/s54672245/f72135a8-016de031-d2899f4a-fd7792d3-776c22de.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>m with prod cough // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10679138/s50358098/9f01bd40-2082c40e-6d7b4257-de519827-10b887a4.jpg | heart size remains moderately enlarged. the aorta demonstrates diffuse atherosclerotic calcifications. mediastinal and hilar contours are unchanged. mild pulmonary vascular congestion is perhaps minimally improved compared to the previous exam. no focal consolidation, pleural effusion or pneumothorax is present. multilevel mild degenerative changes are noted throughout the thoracic spine. | history: <unk>f with recent influenza and chf with worsening cough and shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p16232773/s55244305/3d9175c8-9eba1fa0-68aa880c-f6e70db9-1ae52e12.jpg | compared with the prior radiograph, the pulmonary edema is slightly improved, however not significantly changed. moderate cardiomegaly and a tortuous aorta are stable. lung volumes continue to be low. no evidence of pneumothorax or new focal consolidation. bilateral effusions are greater on the right, unchanged. | <unk> year old woman with hx of remote gastric lymphoma s/p abdominal surgery admitted for possible acute leukemia, receiving fluids, with persistent oxygen requirement. evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p13020869/s53952484/e2a8bf1d-b810637b-d1a8d04b-38736ddb-94f11601.jpg | there is hazy opacity in the left hemithorax likely in part to layering effusion. right lung is grossly clear. there is possibly pulmonary vascular congestion but without overt edema. cardiomediastinal silhouette is grossly within normal limits. right chest wall port seen with catheter tip in the right atrium. no acute osseous abnormalities. surgical clips project over the left chest. | <unk>f with gi bleed, ca, now receiving large amt blood products // r/o pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p19288750/s51405285/12d44f90-7ae726d7-f424fcd3-dbee3e22-078a8c5c.jpg | frontal and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. biapical scarring is again noted. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old male with generalized weakness. |
MIMIC-CXR-JPG/2.0.0/files/p19695893/s59922165/496ebcb7-9301e90b-7a78eb70-c4524beb-0b253e2a.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with cp, sob // pna? |
MIMIC-CXR-JPG/2.0.0/files/p17685971/s50904574/790af970-52b71c70-a430de53-8d7d2e9a-66403f15.jpg | the lungs are clear of consolidation. increased interstitial markings are seen although these appear chronic. there is moderate cardiomegaly which is unchanged. atherosclerotic calcifications are noted at the aortic arch. leftward deviation of the trachea at the thoracic inlet is due to known right-sided thyroid enlargement. old left posterior ninth rib fracture again identified. | <unk>f with dyspnea // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p10159049/s57437648/d0e9c939-4b219ee4-14eb1d48-90aab504-ccacf9d0.jpg | ap upright and lateral chest radiographs demonstrate low lung volumes. there is subsequent atelectasis at the bases. there is no pneumothorax or pleural effusion. no evidence of pulmonary edema. heart size is probably within normal limits, its size exaggerated by ap technique and low lung volumes. suboptimal evaluation for rib fracture, if clinical concern, ct is more sensitive. mild anterior wedging of at least <num> lower thoracic vertebral bodies is of indeterminate age, but could be degenerative. | history: <unk>m with dementia, s/p fall // please evaluate for acute injury |
MIMIC-CXR-JPG/2.0.0/files/p14474865/s53066902/2eab61d2-e5e32844-f63aaea5-c6855693-b35e21fa.jpg | the large hiatal hernia is unchanged. bilateral pleural effusions are small, if present at all. there is no pulmonary vascular congestion, pulmonary edema, focal consolidation, or pneumothorax. cardiomegaly is mild. | <unk> year old man with h/o of syncope, rhabdo, dyspneic on fluids. // volume overload volume overload |
MIMIC-CXR-JPG/2.0.0/files/p17664313/s57863603/c00f1099-b2ab48e3-8c6b5572-af79a5ab-fabd8958.jpg | single portable view of the chest. the patient is rotated to the left. the lungs remain clear. et tube, enteric tube and right picc are no longer visualized. the cardiomediastinal silhouette is unchanged. no acute osseous abnormalities detected. | <unk>-year-old female with recent basal ganglia hemorrhage with increasing left-sided weakness for <num> day. |
MIMIC-CXR-JPG/2.0.0/files/p15228243/s50425515/af7a74dd-136ebdd7-17549948-53c8bbf7-890d9ed0.jpg | cardiac size is top normal. the lungs are grossly clear. there is no pneumothorax or pleural effusion. | <unk> year old man with cll with fever // rule out infection |
MIMIC-CXR-JPG/2.0.0/files/p11179257/s52222812/a0b85df9-7675c833-8611cbca-af31f50d-dc527e24.jpg | pa and lateral views of the chest provided. ill-defined ground-glass opacity projects over bilateral upper lungs at the apices, as on prior. remainder of the lungs appear clear, though hyperinflated. left nipple shadow is noted. no pleural fusion, no pneumothorax, no edema. cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with? hx of pcp pn<unk>. |
MIMIC-CXR-JPG/2.0.0/files/p12101142/s53828919/0d794440-30d9cac1-2e258fcc-12328fa1-e592a0b8.jpg | there is no consolidation, pleural effusion or pneumothorax. borderline cardiomegaly is unchanged. there is old healed displaced right clavicular fracture. | <unk> year old man with ongoing tachypnea, hypoxia post op // r/o chf, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17763551/s58610712/6d474be0-59577f1e-807ef892-8fb8a55c-143c9d51.jpg | a right thoracostomy tube is unchanged in position. there is no pneumothorax. the patient is post cabg. the lung volumes are low. a small left pleural effusion and adjacent atelectasis are stable since the <unk> study. there has been interval removal of a right ij sheath. | post cabg. |
MIMIC-CXR-JPG/2.0.0/files/p11826223/s54886212/ac25b066-7a0d8369-825d92a8-0fc988d2-85c41b7e.jpg | pa and lateral views of the chest demonstrates the lungs are well expanded and there has been interval improvement in bibasilar atelectasis and small bilateral pleural effusions. no focal consolidation is seen. the cardiomediastinal silhouette is unremarkable. there is no evidence of pulmonary edema or pneumothorax. | hypoglycemia. evaluation for pneumonia or chf. |
MIMIC-CXR-JPG/2.0.0/files/p11821951/s52763490/08a6d999-fd3635f2-97175624-fe6b92ae-1169f64c.jpg | the lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | <unk> year old woman with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p13752571/s51153407/2811a964-d9d469f7-73cb036b-77a7094a-8589dc73.jpg | pa, lateral, and apical views of the chest provided. the previously seen increased opacity on shoulder radiograph is likely reflecting a small apical consolidation, which was also previously characterized on chest ct from <unk>. this opacity is barely seen in this current chest radiograph. otherwise, lungs are clear. heart size is normal. there is no pleural effusion. | <unk> year old man with ra, right shoulder pain, ?rt. apical abnormality // ?abnormality in rt. apex - per report of shoulder xray <unk> |
MIMIC-CXR-JPG/2.0.0/files/p17778237/s58531081/c9d2d112-0623407f-ab5fb89d-9ab3dcb7-66c5d286.jpg | ap portable upright view of the chest. limited due to motion artifact. mild opacities in the lower lungs in the setting of motion artifact difficult to interpret though likely represents atelectasis. no large effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures appear grossly intact. | <unk>m with resp distress // eval for fluid, pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p14871009/s54557849/a67ae9cb-1875bd72-e3187804-fbb04ea4-4987379f.jpg | in comparison with the study of <unk>, the endotracheal tube is at the orifice of the right main stem bronchus and must be pulled back. there are low lung volumes with continued enlargement of the cardiac silhouette and elevated pulmonary venous pressure with bilateral pleural effusions and compressive basilar atelectasis. | cardiac arrest and pneumonia, on ventilator. |
MIMIC-CXR-JPG/2.0.0/files/p12489621/s50471689/78370050-495cf743-dedfb619-f29943fd-23edb123.jpg | mild cardiomegaly is re- demonstrated. aortic knob calcifications are present. mediastinal and hilar contours are unchanged. mild pulmonary edema is re- demonstrated, not substantially changed in the interval. low lung volumes with patchy opacities the lung bases may reflect atelectasis. small bilateral pleural effusions are re- demonstrated, unchanged. no pneumothorax is present. | history: <unk>f with chf |
MIMIC-CXR-JPG/2.0.0/files/p15215096/s57066804/0ef37993-5a6209aa-35336ce1-b82d1a3b-ff6d5900.jpg | the lungs are clear. cardiac silhouette is normal in size. there is no pleural effusion, pneumothorax or pulmonary edema. mediastinum is unremarkable. hilar contours are normal. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16391106/s59119386/afd77773-60759f97-285c238e-1b6a9ce2-fb6a027b.jpg | the heart remains stably enlarged. the aorta is tortuous. there is no focal consolidation, pneumothorax, or effusion. the pulmonary vasculature is normal. the lungs are mildly hyperinflated. there also moderate degenerative changes of the thoracic spine. | <num> month of chest tightness with history of copd |
MIMIC-CXR-JPG/2.0.0/files/p15672432/s59413776/0aa3d1d2-45cedfd4-245f8607-f03633a2-e6a15d2a.jpg | lungs remain hyperinflated. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable. | history: <unk>m with cp, sob // ? effusion, ptx |
MIMIC-CXR-JPG/2.0.0/files/p15942111/s59169840/fcdaaa82-64eba63b-c1140835-c28563c0-d0b59258.jpg | pa lateral views of the chest <unk> at <time> is submitted. | <unk> year old man with pulmonary sarcodosis and dlbcl now with wheezing and cough. // eval for pneumonia eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11818101/s53753956/16016b3d-9bfe122c-a0e1fc52-fe296d8b-4f58fc71.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. a left-sided pacemaker is unchanged with leads in the right atrium and right ventricle. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14787989/s54336077/61de399b-d3e9c297-d161fa1b-5b6e45b7-d14acb8d.jpg | a left supraclavicular approach central venous catheter is in place with the tip terminating at the superior svc. the course of the line is unremarkable without evidence of pneumothorax. mild bibasilar atelectasis is noted. there is blunting of the left costophrenic angle, which may represent a small amount of pleural fluid. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is mildly enlarged but stable. the mediastinal and hilar contours are within normal limits and unchanged. mild calcification of the aortic knob is noted. | history of end-stage renal disease, on hemodialysis, now with acute altered mental status, here to evaluate position of recent central line. |
MIMIC-CXR-JPG/2.0.0/files/p14083248/s53721154/453a4821-c1352256-bd7f7691-98b3d4a3-40b1f31f.jpg | there is increased bronchovascular markings bilaterally. no consolidation. the heart size is enlarged. the mediastinum is normal. no pleural effusion. no pneumothorax. no fractures. | <unk> year old woman pre op for right cea // pre op surg: <unk> (cea) |
MIMIC-CXR-JPG/2.0.0/files/p18858771/s52014589/f24f4f05-d188a02a-cf5338fc-bb8546b9-8f20b2ee.jpg | frontal and lateral radiographs of the chest were acquired. heterogeneous opacities in the left lower lobe are slightly decreased compared to the prior study from <unk>, possibly related to atelectasis, although infection could have an identical appearance. previously noted heterogeneous right lower lung opacities have resolved. the heart and mediastinal contours are not significantly changed. small bilateral pleural effusions are likely present, although were not seen on ct from <unk>. there is no pneumothorax. | wheezing on exam and prior chest radiograph suggesting a left lower lobe process. evaluate for any consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p17038950/s52488038/65ae3f5a-854574c2-8d55c9c0-05ec4ade-e16304e8.jpg | dialysis catheter projects with tip in the right atrium. left ij catheter has been removed. lungs are very low in volume without focal consolidation, pleural effusion, or pneumothorax. no free intraperitoneal air is seen. | <unk>-year-old female with chest pain and vomiting, assess for acute process or free air. |
MIMIC-CXR-JPG/2.0.0/files/p16484690/s55601750/6b1d7162-43ca4255-d19d7b33-c5babdc4-95798080.jpg | lung volume is low. left lower lobe opacity is likely atelectasis. there is no pleural effusion or pneumothorax. substantially enlarged cardiac silhouette is similar to before. there is pulmonary vascular congestion. | history: <unk>f with ruq and r shoulder pain // eval pneumonia, other acute process |
MIMIC-CXR-JPG/2.0.0/files/p13573221/s57031584/58efc976-5ed644d7-cf30c9dd-e1a97791-c2cc26ed.jpg | there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. osseous structures are intact. | left arm pain and chest discomfort, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11293517/s55831566/157c4099-34b42e61-710b038b-f6b80531-75d80abd.jpg | frontal and lateral chest radiographs demonstrate mediastinal and hilar contours are unremarkable. stable mild cardiomegaly identified. mild interstitial edema noted no pleural effusion or pneumothorax. no osseous abnormality identified. stable positioning of atrioventricular icd leads. abandoned leads again noted in the right chest wall. surgical clips project over the upper mediastinum. | cough. please evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p12293923/s50666941/a36004de-3c45584b-77b6a119-64b67761-adc41e77.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with history of iv drug use, traumatic brain injury, and cerebral aneurysm presenting with shortness of breath, chest pain, and sudden onset of right head/neck pain immediately on injection |
MIMIC-CXR-JPG/2.0.0/files/p16081055/s59933077/b7ef716e-4050cdbe-ea1ea7e9-8ae03050-c21dbe5e.jpg | the lungs are normally expanded and clear. the heart size is top normal. the hilar and mediastinal contours are normal. there is no pleural effusion or pneumothorax. | history: <unk>f on chemo p/w fever // assess for pna |
MIMIC-CXR-JPG/2.0.0/files/p13954367/s58887470/1e2982a6-7c4171fb-7fcca8c7-42ea7e91-779150cb.jpg | pa and lateral views of the chest provided. cardiomegaly is mild. no congestion or edema. no focal consolidation to suggest pneumonia. no pleural effusion or pneumothorax. there is likely underlying emphysema. bony structures are intact. | <unk>f with chest pain // eval for pneumothorax, wide mediastinum |
MIMIC-CXR-JPG/2.0.0/files/p18238066/s51503118/559dc36e-c5a6171c-45dc4a7e-86f9c3c6-75fafbaf.jpg | there is interval placement of an ng tube that is coiled in the stomach. right chest tube and et tube are unchanged in position. interstitial changes which are due to pre-existing interstitial lung disease, now appear slightly less prominent; the decreased prominence is likely due to decreased vascular congestion. no definite pleural effusion is seen. moderate cardiomegaly is seen. | <unk> year old woman with ild s/p vats, intubated, now with og tube // determine position of og tube determine position of og tube |
MIMIC-CXR-JPG/2.0.0/files/p16049244/s52458837/edac71bd-5b945889-4901fa0d-44fdf082-78365dc2.jpg | status post median sternotomy. there has been interval removal of the right internal jugular central venous catheter. retrocardiac capacity reflects a combination of a small pleural effusion and atelectasis. the trace right pleural effusion is also present. no pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged. | <unk> year old man with cabg // r/o inf, eff |
MIMIC-CXR-JPG/2.0.0/files/p12700221/s52886777/c23bef4a-b96a1785-a6b576b8-60f9abf7-2e1679f3.jpg | the heart is enlarged. the lungs are clear and well expanded. no focal opacities. no pleural effusion or pneumothorax. left picc line in upper to mid svc et tube above the carina. ng tube in the stomach. | <unk> year old woman with vent dependence // interval scan |
MIMIC-CXR-JPG/2.0.0/files/p19765086/s59992045/be90fb0e-2e9d87bc-e2be0672-78d8ae74-4d534651.jpg | bilateral chest tubes and the left mediastinal drain remain unchanged in position. left subclavian line terminates at the low svc. tip of the enteric tube is seen in the stomach. endotracheal tube terminates <num> cm above the carina. bilateral pleural effusions continue to improve. specifically, the loculated right pleural effusion is significantly better compared to yesterday's radiograph at <time>, and mildly improved since the radiograph at <time>. there is no pneumothorax. cardiomediastinal silhouette is stable. | <unk>m w/ perforated/necrotic esophagus s/p b/l chest tubes // ? interval change, please do on am icu rounds |
MIMIC-CXR-JPG/2.0.0/files/p14886080/s51158151/b1965362-63d9cda4-1530cad7-4c24a59c-ea5de673.jpg | as compared to chest radiograph from the same day. new right-sided pigtail catheter. note the right apex is not completely included in this radiograph. subtle lucency of the right base, could be possible tiny basal pneumothorax. right upper lobe opacity has marginally improved. moderate left-sided effusion and dependent opacities have not substantially changed. dobhoff tube and left-sided picc in similar position. | <unk> year old man with recent r thoracentesis// any pneumothorax on right? |
MIMIC-CXR-JPG/2.0.0/files/p16603104/s50903147/fabdc05a-6fa1dda2-c7485ae5-aef3f0c6-8488d6d3.jpg | there is suggestion of abnormal anterior mediastinal soft tissue which is new from the prior exam from <unk>. otherwise, the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | <unk> year old woman with new onset vasculitis evaluate for pulmonary involvement. |
MIMIC-CXR-JPG/2.0.0/files/p12405648/s53074981/78bcafac-b7a3bd96-81385d71-df3bf91a-05ed53a8.jpg | ap portable upright view of the chest. the endotracheal tube is positioned with its tip <num> cm above the carina. an ng tube courses into the upper abdomen just beyond the ge junction. cardiomediastinal silhouette is prominent likely due to supine portable technique. the lung volumes are markedly low with possible mild bibasilar atelectasis. no supine evidence for a pneumothorax or large effusion. | <unk>f with sepsis |
MIMIC-CXR-JPG/2.0.0/files/p16139118/s51244558/48595f3d-e5159462-790c4509-80a0a095-4b48fb1d.jpg | pa and lateral views of the chest provided. on the lateral view there is subtle increased opacity projecting over the spine without correlate opacity on the frontal projection, likely due to prominent body habitus. no convincing signs of pneumonia. 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 sudden onset chest pain. // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p14145436/s51435962/836aa778-2ac58984-5e160a13-10eb96a4-485cecc1.jpg | heart size is normal. the aorta is slightly unfolded. the pulmonary vasculature is normal. hilar contours are normal. subsegmental atelectasis is noted in the right lung base. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected. | history: <unk>m with tachycardia, near syncope // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p15493947/s56524238/744dc7eb-1e1dd117-0f2a3c88-fb712ae5-ea69ac49.jpg | linear lower lung densities best appreciated on the lateral view may represent atelectasis or early bronchitis. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. an accessed right pectoral port-a-cath catheter tip terminates in the low svc. a left pectoral dual-chamber pacemaker and its leads project in unchanged location. the cardiomediastinal silhouette is within normal limits. | <unk>m with fever, evaluate for infection |
MIMIC-CXR-JPG/2.0.0/files/p12271405/s56198674/c2b52cd8-9bac9807-f79fc597-e4588db2-b007b41d.jpg | extremely low lung volumes are seen with crowding of the bronchovascular markings. there is no confluent consolidation or large effusion. cardiomediastinal silhouette is accentuated by technique and low inspiratory effort. | <unk>m with fuo // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p10440337/s57945263/b4d34911-fcc68e8f-b6c78c06-dd069520-488a3bfc.jpg | the lungs are well-expanded. bronchial wall thickening is a mild, and may relate to acute bronchial inflammation. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>m with cp and cough // eval for cause of cp |
MIMIC-CXR-JPG/2.0.0/files/p14222981/s52320439/e28a5570-e33983d1-2ce02b78-3837cd68-8cca3fc9.jpg | severe mediastinal widening is slightly improved. moderate right pleural effusion is stable. left base atelectasis is stable. there is no pneumothorax. the swan-ganz catheter terminates in the main pulmonary artery. a left ij catheter terminates in the distal svc. an enteric tube terminates in the stomach. an et tube is appropriately positioned. surgical <unk> are again seen in the right axilla. the ecmo canula terminates in the cavoatrial junction. | <unk> year old woman with vv ecmo // eval for effusion |
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