File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p10933609/s57290683/9d8483b4-460ba2c2-3a8322ea-4d7df3ca-e1789d06.jpg
frontal and lateral views of the chest are compared to previous exam from <unk>. again seen is biapical fibrotic changes. previously seen perihilar and right basilar opacities, have resolved. there is no effusion or new consolidation. the cardiomediastinal silhouette is stable. orthopedic hardware projects over the rig...
<unk>-year-old male with altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p11663663/s58302703/beccef81-aff4d92c-a6ac851f-80d1db5a-6364f5d9.jpg
small to moderate right pleural effusion has minimally decreased compared to prior. there is somewhat improved aeration at the right lung base with persistent right lower lobe opacity. no new consolidation, left pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal...
<unk>-year-old male with schizoaffective disorder and recent pneumonia and pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11493576/s51269137/1f950dc0-fe429a81-94d33714-5823c157-ca8132c7.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk>m with chest pain and syncope
MIMIC-CXR-JPG/2.0.0/files/p16676522/s56564177/285378ca-f864dca1-82d095f3-7830b220-a5a91552.jpg
the lungs are clear with relatively low lung volumes. the heart size is top-normal. the mediastinal silhouette, hilar contours, and pleural surfaces are normal. mild linear atelectasis is noted in the lower left lung. no pneumothorax, pulmonary edema, or pneumonia.
<unk>m with near-syncope, leukocytosis // eval for acute process, attn to pna
MIMIC-CXR-JPG/2.0.0/files/p17336595/s51863979/f3ce1e45-9e7a8d97-88561679-c20c6d48-0f431810.jpg
the lungs are clear. the cardiomediastinal silhouette is within normal limits. deviation of the trachea at the thoracic inlet to the left may be due to right-sided thyroid enlargement. no acute osseous abnormalities.
<unk>m with sudden onset lightheadedness, syncope. // heart size?
MIMIC-CXR-JPG/2.0.0/files/p10949491/s52877510/4bc30a01-10ed8cd3-03a0faee-1b448c06-9dd5c037.jpg
frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. relative hyperlucency of the upper lungs compared to lung bases suggests underlying emphysema. prominence of the bibasilar interstitium, right greater than left, may reflect chronic changes exaggerated by lower lung vol...
chest pain, evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p18259094/s51327028/4472ba35-afd2e04c-04bad5c1-37af348b-0de5d694.jpg
moderate to severe enlargement of the cardiac silhouette is re- demonstrated, similar compared to the previous exam. widening of the mediastinum is also unchanged, and attributable to the presence of mediastinal lipomatosis. aortic contour is unchanged. there is mild pulmonary edema, with right basilar opacification li...
gi bleed and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p15432760/s58589683/40d5327c-1e64c1f6-8cb07ed4-79102b69-ba0f6e86.jpg
moderate cardiomegaly is stable. the aorta is tortuous. opacities in the left lower lobe are likely atelectases less likely pneumonia in the appropriate clinical setting. scarring and tiny calcified nodules in the apices bilaterally right greater than left are unchanged. there is no pneumothorax or pleural effusion. th...
<unk> year old woman with wheeze and decreased ox sat // ? pna
MIMIC-CXR-JPG/2.0.0/files/p15122386/s55854654/82ab7496-8d51b2fd-54cb3daf-ced077e0-be8731d7.jpg
cardiomediastinal silhouette and hilar contours are unremarkable. lung volumes are low with mild bibasilar atelectasis. the lungs are otherwise clear. pleural surfaces are clear without large pleural effusion or pneumothorax. there are multiple bilateral old appearing rib fractures.
dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p11224420/s54752076/577e7c07-e72392f6-54bde5d2-810c3332-323e8212.jpg
the lung volumes are very low. bibasilar opacities likely reflect atelectasis. there is moderate cardiomegaly. median sternotomy wires appear intact. left chest wall pacer defibrillator has leads terminating in the right atrium and right ventricle. there is no large pleural effusion or pneumothorax.
history: <unk>m with altered ms // r/o infiltrate
MIMIC-CXR-JPG/2.0.0/files/p18773874/s58169828/8ec8935a-6ac44f8f-b9421ead-a4c267ab-cc15305d.jpg
moderate cardiomegaly has been stable compared to exams dated back to at least <unk>. there is pulmonary vascular congestion. there has been an interval increase in left basilar opacification. there is also an increase in small right pleural effusion. there is no evidence of a pneumothorax. nodule previously identified...
history of recent operation. please evaluate for fever.
MIMIC-CXR-JPG/2.0.0/files/p13830268/s51326432/6128f179-62839eb9-2f6a755c-977672fb-df1af170.jpg
frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. a <num> mm calcified retrocardiac nodular opacity is consistent with a small calcified granuloma. there is no ev...
chest pain, assess for cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19526163/s58460649/0a8176f5-0f34770d-f63cac0c-ee3aa66a-9c41ca9d.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. the cardiac and mediastinal silhouettes are unremarkable. pulmonary vasculature is not engorged. multilevel degenerative changes of the thoracic spine noted.
<unk> -year-old female with cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15833413/s52819223/bd85ba64-02419f6b-f2040ebd-78355115-a40ba827.jpg
since the prior exam, the diffuse reticular opacities have improved and are no longer present. there is no consolidation, pleural effusion, pulmonary edema, or pneumothorax. the right picc line terminates in the mid svc. the cardiomediastinal silhouette is normal.
status post stem cell transplant with cough.
MIMIC-CXR-JPG/2.0.0/files/p15984268/s54361356/df90a4d0-014e2e49-dc7bd506-91355d2e-e7718227.jpg
cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax. bones are grossly unremarkable.
history: <unk>m with af/rvr // eval for pulmonary edema, structural process
MIMIC-CXR-JPG/2.0.0/files/p11129224/s53564142/ee6cccd7-9cab6ce8-cf7ad702-5a281c6a-164063b0.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man after fall to chest <num> weeks ago now with intermittent shortness of breath // <unk> year old man after fall to chest <num> weeks ago now with intermittent shortness of breath eval for fracture
MIMIC-CXR-JPG/2.0.0/files/p16600050/s58063246/12d9648e-e42ddb6f-f127adfe-151a4934-5452d7b8.jpg
chest, pa and lateral. the lung bases appear dense especially on the left and on the lateral. this is unchanged from the prior study and may be related to insufficient inspiration. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary...
<unk>-year-old man with history of antiphospholipid syndrome presenting with pleuritic chest pain.
MIMIC-CXR-JPG/2.0.0/files/p19461413/s56084706/c6c040e1-2c613fe2-50faefbf-55b33447-f0d1a756.jpg
sequential images of the chest and left upper quadrant demonstrate advancement of a feeding tube into the stomach. the tip of the endotracheal tube projects over the mid thoracic trachea. a left picc line extends to the cavoatrial junction. low bilateral lung volumes with unchanged pulmonary vascular congestion and bil...
<unk> year old woman with new ng tube // please eval ng tube placement
MIMIC-CXR-JPG/2.0.0/files/p12938526/s55139192/7bd74e53-f0420a21-94e35192-5c435ea3-7c80892c.jpg
lung volumes are relatively low. left chest wall dual lead pacing device is again seen. there is no confluent consolidation, effusion or overt pulmonary edema. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications again noted at the aortic arch. no acute osseous abnormalities.
<unk>f with ?pacemaker malfunction // eval for pna and pacemaker
MIMIC-CXR-JPG/2.0.0/files/p16743399/s56977630/940e0864-1af9a12c-a1d003a9-0dd0f029-93d8135d.jpg
a single-lumen port-a-cath terminates at the low svc and is accessed. the lungs are clear. no effusions or consolidations are identified. there is no pneumothorax. the heart and mediastinal contours are normal. surgical clips project over the left axilla.
<unk>-year-old woman with neutropenic fever.
MIMIC-CXR-JPG/2.0.0/files/p15697529/s55742674/eba11594-e93a04ef-f2505a4c-4c6616ad-c9b15cac.jpg
a single portable ap chest radiograph was obtained. an intra-aortic balloon pump has been removed. mild pulmonary edema has improved since yesterday.
<unk>-year-old man with large stemi.
MIMIC-CXR-JPG/2.0.0/files/p13059823/s56405067/63f7d891-09bfe180-9943b270-2e26ff09-f6e6e38f.jpg
the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
shock, question acute process, question bleed.
MIMIC-CXR-JPG/2.0.0/files/p17727400/s59433524/ab01eebc-c93ef857-cc3bd6cb-44dda55f-04bd8f15.jpg
pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain and family history of pulmonary emboli.
MIMIC-CXR-JPG/2.0.0/files/p10692509/s56425809/2c6c011b-7f29a9c7-060d5031-2afd7608-8f312ba3.jpg
the lungs are clear of focal consolidation. there is however new nodular opacity projecting over the left upper lung not clearly seen on the previous exam. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities are identified.
<unk>m with confusion // ? pna
MIMIC-CXR-JPG/2.0.0/files/p15407803/s55244563/0f5e4b2f-71373d2a-c405e119-e078756f-5d44e4c6.jpg
the cardiomediastinal silhouette is stable and within normal limits. the hila are unremarkable. re-identified is the airspace opacity within right lower lobe which is persistent however improved in comparison to the prior study. there is no new focal lung consolidation elsewhere. there is no pulmonary vascular congesti...
<unk>-year-old man with pneumonia on broad-spectrum antibiotics, evaluate for progression or resolution.
MIMIC-CXR-JPG/2.0.0/files/p11427507/s54035213/10d60ba6-7ad43051-2bdb16fe-3c2eb78e-0e874cf1.jpg
the lungs are well expanded and clear. there is no pleural abnormality. the moderate cardiomegaly is unchanged from prior exam. the mediastinal and hilar contours are stable. median sternotomy wires and surgical clips are aligned and intact. the osseous structures are unremarkable.
history: <unk>f with chest pain // evaluate for acs
MIMIC-CXR-JPG/2.0.0/files/p17208408/s58473843/7983e12c-0c0b29a2-e4257a93-1153f445-fadfb576.jpg
frontal and lateral radiographs of the chest demonstrate hyperinflated, clear lungs. there is no evidence of emphysema or copd, so the presence of hyperinflation is not likely clinically significant. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p13558015/s52298738/518366fb-1c5f45c7-ae111456-631fd0db-c8642da0.jpg
there is a left-sided aicd device with its leads in stable and appropriate position. the lungs are hyperinflated, and no focal consolidation, pleural effusion or pulmonary edema is seen. the heart is normal in size, and the mediastinal contours are stable.
<unk>-year-old man with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14522247/s52075281/188addfc-b6abec9c-74c1a975-f21cd738-ad94153f.jpg
heart size is at the upper limits of normal or slightly enlarged. the aorta is minimally unfolded. hilar an mediastinal contours are otherwise within normal limits. no chf, focal infiltrate or effusion is identified. minimal atelectasis in the right cardiophrenic region, left lung base, and minimal scarring at the left...
history: <unk>f with shortness of breath, left shoulder pain // eval heart and lungs
MIMIC-CXR-JPG/2.0.0/files/p16086478/s59216802/447b9fdd-a0d6be07-3b6137b0-6ed18d14-0581af76.jpg
the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. previously visualized internal jugular line has since been removed. no acute fractures are identified.
hypotension.
MIMIC-CXR-JPG/2.0.0/files/p12734442/s52343277/e52a05da-2b9ae807-fa4245c2-f80804f7-099c181b.jpg
frontal and lateral chest radiographs demonstrates a large right pleural effusion with pleural air inclusions. multiple air-fluid levels are identified. thickened left sided pleura, seen previously on chest radiograph dated <unk> and unchanged. lungs are otherwise grossly clear without overt pulmonary edema. pleurx cat...
<unk>-year-old male with recurrent pleural effusion, end-stage heart failure, status post right pleurx catheter placement.
MIMIC-CXR-JPG/2.0.0/files/p13130651/s59571698/f7c3f70f-2ead296a-9bf7b139-31df7a26-1d17d3c7.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.
history: <unk>m with cough // please evaluate for acute process
MIMIC-CXR-JPG/2.0.0/files/p16228467/s56571476/13ad4a8e-8209aa03-1bccd14e-86f7722f-058699aa.jpg
frontal and lateral chest radiographs demonstrate no significant change in right upper lobe post-radiation treatment fibrosis and traction bronchiectasis with mild elevation of the right hilum. the lungs are hyperinflated with bilateral upper lobe emphysema. ovoid opacity in the right upper lobe likely represents an ar...
shortness of breath, cough, hypoxia. assess for acute process.
MIMIC-CXR-JPG/2.0.0/files/p16565695/s52840981/d03336e3-9cd1839b-18ce2f80-f988f20b-3e0ed38a.jpg
lung volumes are low, with no focal consolidation. subsegmental bibasilar atelectasis, most pronounced on the right, is minimarlly changed dating back to <unk>. the cardiomediastinal silhouette has not significantly changed. a tortuous thoracic aorta is again noted. there is no pleural effusion or pneumothorax.
<unk>m with fever, cough, evaluate for pneumonia..
MIMIC-CXR-JPG/2.0.0/files/p16115563/s53688865/e621224f-cdc09ee8-69a3da81-902ac54e-7061f74f.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 diabetic ketoacidosis.
MIMIC-CXR-JPG/2.0.0/files/p13040755/s59743204/03dbbfb6-8f37ee20-0b34731e-012cc957-52276b10.jpg
portable ap upright and lateral views of the chest <unk> at <time> are submitted. .
<unk> year old woman with pneumothorax // interval change interval change
MIMIC-CXR-JPG/2.0.0/files/p18361047/s55265097/fb50d088-a1bab2d8-ef5d0efa-bb2bfe66-66aad5ee.jpg
pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrate no acute abnormality.
<unk>-year-old female with left lower rib chest wall tenderness.
MIMIC-CXR-JPG/2.0.0/files/p10833307/s53841087/7fce3152-e727869c-8a10aa7b-05f1e021-41bace5b.jpg
the cardiac, mediastinal and hilar contours appear unchanged. as seen on the prior chest ct there is a mass at the left lung apex suggesting primary malignancy. upper mediastinal contours are also prominent, although unchanged since the chest ct, reflecting prominent mediastinal fat but also lymphadenopathy worrisome f...
seizure.
MIMIC-CXR-JPG/2.0.0/files/p13569099/s57803233/1829b64f-de7ead36-715c49b1-f1183595-6514b4d8.jpg
since chest radiographs obtained <unk>, there is a new, faint, hazy area of opacification within the perihilar right upper lobe. there has been interval resolution of the tiny bilateral pleural effusions. lungs are otherwise fully expanded and clear. heart size is normal. cardiomediastinal and hilar silhouettes are nor...
<unk> year old man with non-resolving productive cough, fever; lung ctab // ?pna ?acute intrapulmonary process
MIMIC-CXR-JPG/2.0.0/files/p17735110/s51974649/26c98a49-a736d430-6c83a301-38ae2026-829e6885.jpg
et tube, ng tube and right internal jugular remain in unchanged satisfactory position. compared with most recent prior radiograph, there is worsening with increasing confluence of bilateral diffuse multifocal consolidations as well as a new rounded lucency in the right mid lung, which could represent a developing cavit...
intubation for pneumonia, refractory hypoxemia, question interval change.
MIMIC-CXR-JPG/2.0.0/files/p10265482/s55147020/c0fe3d43-6ccaab07-32fea405-a2aa34c5-4abcdcfb.jpg
compared to the prior study there is no significant interval change.
<unk> year old man with respiratory failure thought d/t aspiration pna // please evaluate for interval change
MIMIC-CXR-JPG/2.0.0/files/p10718150/s51181634/6fdace99-f1c6cb78-f4ea3538-456ca526-6914a93f.jpg
heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>f with left upper quadrant pain
MIMIC-CXR-JPG/2.0.0/files/p14689761/s59058460/628073c1-5c6d1c57-d64228a7-ef628ed4-acf52378.jpg
there has been a decrease in right hilar and subcarinal fullness since that examination. however, a number of nodular foci appear increased or new in each lung; these are otherwise hard to assess in detail. the minor fissure shows new thickening. there is no pleural effusion or pneumothorax.
chest burning.
MIMIC-CXR-JPG/2.0.0/files/p17121728/s51572238/11dac959-c56d181b-e1a4eb45-c995eb61-b78f97ff.jpg
in comparison with the study of <unk>, there has been substantial decrease in the right lower lung opacification medially. moderate residual persists. the right upper to mid lung nodule has decreased in size. continued blunting of the right costophrenic angle suggests pleural thickening, since there is no filling of th...
to assess size of lung lesions.
MIMIC-CXR-JPG/2.0.0/files/p14124344/s55833355/56db7045-0f47a459-8b34e726-e55d9a09-7d92d917.jpg
portable supine chest film <unk> at <unk> is submitted.
<unk> year old man with chronic respiratory failure s/p tracheostomy, decreased o<num> saturation // evaluate for edema, infection evaluate for edema, infection
MIMIC-CXR-JPG/2.0.0/files/p18498540/s56652859/c1a797df-3497f48d-22e0c11a-e29895df-721284aa.jpg
pa and lateral chest radiographs. left-sided pectoral pacemaker leads terminate in the right atrium and ventricle. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
fall and head strike. evaluation for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14585953/s58389667/d81f9fcf-7c156255-f93d567a-11333d38-18e5de37.jpg
moderate cardiomegaly is unchanged from prior exam. there is mild tortuosity of the aorta. there is mild central vascular congestion without frank interstitial edema. trace bilateral pleural effusions are best visualized on the lateral view. there is no pneumothorax. the osseous structures are grossly unremarkable.
<unk>'s disease, presenting with visual hallucinations and dizziness.
MIMIC-CXR-JPG/2.0.0/files/p19546724/s53891677/0210cca6-16d471ea-7e494d52-51027846-17cdc883.jpg
mediastinal silhouette is normal. there is bilateral pulmonary venous congestion there is bilateral lower lobe opacities more severe than prior consistent with pneumonia. there is bilateral pleural effusion. no pneumothorax. no fractures. the right ij central venous catheter has been removed.
<unk> year old woman with concern for hcap and fevers // r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11845452/s54767309/4c3c76d0-ffa18ec9-4ce248fe-5fe87900-851c9b87.jpg
frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p13607804/s54407207/2b126d6d-bf491f08-96077d17-839cb452-247fc8d1.jpg
frontal and lateral radiographs of the chest demonstrate well expanded lungs. in the left upper lung there is a somewhat spiculated appearing nodule. calcified hilar nodes are seen on the left. the cardiomediastinal contour is unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with shoulder/arm pain, new likely cervical osteo. cough for many years ? tb // please eval for infection, consolidation, acute process.
MIMIC-CXR-JPG/2.0.0/files/p19607507/s53536060/be4151a7-0a5b5bec-f7153140-f5bd599c-1b73bd20.jpg
there is again seen a left chest tube in stable position. there is stable position of left-sided picc line with distal tip projecting over the lower svc. the cardiomediastinal silhouette is unchanged in appearance. the bilateral hila are unchanged and normal in appearance. the bilateral lung parenchyma are unchanged in...
<unk> year old man with chest tube placed to waterseal // effusion
MIMIC-CXR-JPG/2.0.0/files/p17069642/s54836496/02971dc3-e609e0e6-efa2f6a6-fb596475-07254912.jpg
the patient is status post sternotomy and coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly as well as tortuosity and calcification of the thoracic aorta. a mild new interstitial abnormality suggests mild pulmonary vascular congestion. persist...
coccyx pain and weakness after a fall.
MIMIC-CXR-JPG/2.0.0/files/p19381528/s56005705/63cb4371-f8f03afc-7946261a-17aa0885-b1778ee0.jpg
endotracheal tube tip is <num> cm above carina. enteric tube tip is below diaphragm, not included on the radiograph. right ij central line tip is in the mid svc. no pneumothorax. left basilar opacity is mildly worsened, mild pleural effusion is similar. trace right pleural effusion similar. minimal right basilar atelec...
<unk> year old male with pmhx afib on rivaroxaban, diastolic chf (lvef <unk>%) , and atonic bladder with chronic indwelling foley catheter with multiple admissions for urinary tract infections/urosepsis who presented with altered mental status now transferred to the micu for hypotension and lack of responsiveness requ...
MIMIC-CXR-JPG/2.0.0/files/p18786017/s52642920/1824556d-13eadbc8-86dd81a4-cc7d2218-1580ee35.jpg
pa and lateral images of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. there is mild elevation of the right hemidiaphragm
chest pain and a fib.
MIMIC-CXR-JPG/2.0.0/files/p15853302/s57552022/767e2320-60303a82-4069e3b0-a2d9ed4e-1925f443.jpg
a right-sided central venous catheter is unchanged with the tip in the mid svc. the lung volumes are low with persistent bibasilar atelectasis and a small bilateral pleural effusions, larger on the right than the left. no new opacity is identified. there is no pulmonary edema or pneumothorax. allowing for technique, th...
pancreatitis. the antibiotics were stopped today, now the patient has a fever. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18966771/s51803181/c49d7404-d8121e95-66a1db55-0987c833-91adb2ff.jpg
the heart size is normal. the mediastinal and hilar contours are normal. no focal consolidation, pleural effusion or pneumothorax is present. minimal streaky opacity in the retrocardiac region likely reflects atelectasis. there are no acute osseous abnormalities. mild degenerative changes are seen within the thoracic s...
weakness and hypoglycemia.
MIMIC-CXR-JPG/2.0.0/files/p15848257/s56954715/161727bc-247cc0f3-fc713973-372d24c7-cc014024.jpg
pa and lateral views of the chest provided. dialysis catheter projects over the right chest with right ij access and tip in the lower svc. a left chest wall port-a-cath is unchanged with tip also in the lower svc as on prior. the heart is top-normal in size. lung volumes are low. no convincing evidence for pneumonia or...
<unk>f with cp // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p10705688/s55025955/fc9464b7-d6556a7a-4f60708c-2a8b167e-bb8e6c0e.jpg
well-expanded lungs are clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is normal. there is mild marginal spurring involving the visualized thoracolumbar spine.
<unk>-year-old female with cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16023971/s56159263/b4d42bd9-d95aecbb-7a1f2799-bbb0f5bb-0d70a28b.jpg
left-sided port-a-cath tip terminates in the low svc. cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. previously noted left lower lobe consolidation has essentially resolved. remainder of the lungs are clear. no pleural effusion or pneumothorax is present. no acute oss...
history: <unk>f with resistant ovarian cancer and recent pneumonia (<num> weeks ago) presenting with abdominal pain.
MIMIC-CXR-JPG/2.0.0/files/p15493021/s54496549/b7cb85f3-0c9f32f9-6fdd1297-f354d4f0-f11805cf.jpg
no previous images. the heart is normal in size and lungs are clear without vascular congestion or pleural effusion.
necrotic skin lesions, to assess for pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16261540/s53092987/99533597-3995a2f4-9b777d79-e3383d5a-7b36e7d7.jpg
the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old woman with difficulty swallowing.
MIMIC-CXR-JPG/2.0.0/files/p16742247/s56981342/11064d2c-3219244e-4eba537a-fd575054-44a788e0.jpg
there is a right subclavian, which terminates in the mid svc. the multifocal bilateral airspace opacities have improved slightly, however they are persistent. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are ...
<unk> year old man with aml, now new onset hypotension // any acute process to explain acute hypotension?
MIMIC-CXR-JPG/2.0.0/files/p10766043/s51579692/d07de2cf-783d8f01-60170fdb-ba26dfe7-a3aa2a3c.jpg
the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p18001523/s53676202/f6c3e917-715e1a0f-78eb878a-4a1a154e-43d00a05.jpg
the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures. a metallic surgical anchor device is seen in the left humeral head. degenerative changes are seen in the lower thoracic spine.
history: <unk>m with chest pain // acute cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p18898820/s57599899/51fdc5cd-0d446daf-1b28ef1d-793a0d48-397eef84.jpg
et tube is approximately <num> cm above the carina. the nasogastric tube passes below the diaphragm with tip not in the field of view. cardiac, mediastinal and hilar contours are unchanged from the prior exam. mild pulmonary edema is slightly increased from the prior examination. no focal consolidation or pneumothorax
evaluate for ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p18127649/s54155082/8e10ec41-c9d33927-6d172f51-cd605b48-b52d976f.jpg
frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10785320/s54184057/1345701e-d71e8f0a-d5f36d2e-359dcb6d-c58c38fd.jpg
there is a left-sided pacemaker. an ng tube is appropriately positioned in the stomach. bilateral diffuse pulmonary opacities have improved since the prior exam and there are no new consolidations. there is a stable persistent left-sided pleural effusion. previously seen right-sided pleural effusion has resolved. there...
<unk>-year-old woman with pulmonary congestion, cough and fever, evaluate for pneumonia or pulmonary congestion.
MIMIC-CXR-JPG/2.0.0/files/p11028246/s58052333/1cc6e5af-ae0b5cb9-a191daf2-e05991fd-89db2a7f.jpg
pa and lateral views of the chest provided. limited evaluation to the lower lungs given overlying breast tissue. allowing for this, there is no convincing evidence for pneumonia, edema, effusion or pneumothorax. the heart size is normal. mediastinal contours unremarkable. bony structures are intact. mild elevation of t...
<unk>f with <num> weeks of cough // eval for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p13695905/s52440039/f7feb2be-16eba7f4-6ac92f30-dd9d0300-6427597e.jpg
frontal and lateral radiographs of the chest demonstrate well-expanded lungs. a chest tube projects over the right hemithorax. there is elevation of the right hemidiaphragm. there is minimal right-sided pleural effusion. the previously noted consolidation in the right upper lobe is slightly less dense as compared to th...
<unk>-year-old female with pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17054499/s59248746/4de01c80-b6b76fc7-b034b0f2-b8dbb714-e8929638.jpg
the heart is mildly enlarged, likely secondary to technique and to decreased lung volumes. there is mild atelectasis at the right lung base. there is no focal consolidation, pleural effusion or pneumothorax. vp shunt courses inferiorly along the right midclavicular line, not completely imaged.
history: <unk>f with ams // evidence of pneumonia
MIMIC-CXR-JPG/2.0.0/files/p15257559/s54692843/ad08cd90-0057dcec-448b70f5-d9731ba0-f419fa8b.jpg
the tip of the right internal jugular central venous catheter extends to the right atrium. low bilateral lung volumes. new retrocardiac opacity likely reflects a combination of atelectasis and pleural fluid. there is mild pulmonary interstitial edema. no pneumothorax identified. the size of the cardiac silhouette is en...
<unk> year old woman with desaturation // interval eval
MIMIC-CXR-JPG/2.0.0/files/p16968751/s54664956/e9442838-bab704de-c1a0aec8-30a0b62e-3352fb5b.jpg
subtle patchy right basilar opacity most likely relates to atelectasis. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal hilar contours are unremarkable. degenerative changes are noted at the acromioclavicular joints. no acute fract...
syncopal episode, head strike.
MIMIC-CXR-JPG/2.0.0/files/p12093819/s57948393/cdb4f9b3-b604e3ae-51b29f9d-d5f14b4d-f202f41a.jpg
the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. there is no pulmonary vascular congestion. the lungs are clear. there is no pneumothorax or pleural effusion
<unk>f with neuro workup, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17385589/s52027522/26a082f9-8b27d3fa-5bf5e5a2-6f847d49-be84e4b1.jpg
there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. the previously seen small opacity in the right lower lung is no longer apparent on this study with better inspiration, this may have represented focal atelectasis due to lower lung volumes.
history: <unk>f with abnormal cxr // infiltrate? rib fx?
MIMIC-CXR-JPG/2.0.0/files/p14539710/s54254148/98026114-f325a529-fea9004d-c69a9c40-fe731aa0.jpg
on the left, again seen is extensive subcutaneous emphysema. the presence of a tiny left apical pneumothorax would be difficult to exclude. left-sided chest tube and pigtail catheter again noted, similar in configuration. streaky vertical linear lucency along the left heart border is again noted. the cardiomediastinal ...
<unk> year old man with pneumothorax. // ?interval
MIMIC-CXR-JPG/2.0.0/files/p10632377/s50248804/20e57a28-481df8f7-cc2ad774-31ccdd20-53f51a1c.jpg
the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits.
<unk>m with ili // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p15805011/s57881197/935c3833-b5b4972b-539d79b2-2121fe41-c5e5fabd.jpg
there is mild bibasilar atelectasis. otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p19654837/s58570137/a181f735-636a3681-0715d6ad-368c0578-9b67f765.jpg
post-surgical changes are again visualized throughout the left lung with <unk> and clips. a left subclavian picc remains stable with the tip at the superior cavoatrial junction. however, there is improved aeration of the left lung with the previously visualized left upper lobe opacity appearing less confluent. furtherm...
evaluation of patient with history of recent pericardial window and left upper lobectomy for interval change.
MIMIC-CXR-JPG/2.0.0/files/p14829515/s52483463/515a3f7a-49dc550f-242e3b41-039d94de-21c4a98d.jpg
there are <num> left chest tubes. right picc line tip is near cavoatrial junction. heart is enlarged. pulmonary edema has improved. stable left basilar consolidation. small left pleural effusion, stable. no pneumothorax. stable postoperative changes.
<unk>f s/p lap esophageal diverticulum resection with dor fundoplication w/ l ptx post-op s/p pigtail, now w/ hcap and esophageal leak now s/p vats decort, j-tube placement // ?interval change, ?airspace
MIMIC-CXR-JPG/2.0.0/files/p19176226/s50487021/083cb8f1-08349c06-bb5c51dd-fb2ed941-9ea4e2a8.jpg
heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
motor vehicle collision.
MIMIC-CXR-JPG/2.0.0/files/p15222998/s51411125/b3614d39-fbd87e18-4c19aba3-defc4615-8f0dffdb.jpg
pa and lateral views of the chest are provided. the lungs appear clear. no pleural effusion or pneumothorax. mediastinal and hilar contours are unremarkable. bones appear intact.
<unk>-year-old man with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p12953693/s52176310/d85b0b57-b917bb76-a866463e-365fde85-aca749c8.jpg
the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain // ? acute cardipulm procss
MIMIC-CXR-JPG/2.0.0/files/p12627432/s50476109/c2d83f51-4b4f3e37-8b51cf5f-812950cd-56dd5153.jpg
the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
cough, nausea and vomiting.
MIMIC-CXR-JPG/2.0.0/files/p13870027/s57070312/a87f3a76-96e92f19-dbe5f35d-0d9d100c-9a4bf8a6.jpg
there is persistent elevation of the right hemidiaphragm with overlying atelectasis. no focal consolidation is seen. there is no pleural effusion or pneumothorax. lingular atelectasis may be present appear the cardiac and mediastinal silhouettes are stable.
history: <unk>f with sob // eval pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18044793/s56243315/d16a7c68-d2881a35-97ec9c65-a9c6b974-2c106d65.jpg
there has been interval placement of a right thoracostomy tube. no pneumothorax is detected. there is extensive subcutaneous emphysema overlying the right chest wall, also seen on the prior study. a right central venous catheter terminates at the mid svc. an endotracheal tube and orogastric tube are unchanged in positi...
right thoracostomy tube.
MIMIC-CXR-JPG/2.0.0/files/p10600660/s52675565/ed299c33-afdf2c30-aa4f6e20-bf393684-438a3ee6.jpg
tracheostomy is in place. the upper trachea again deviates toward the left, as before. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13709719/s50460540/85dcdc61-f1d34a4b-8f3d1e13-f846ab33-c3c7aee6.jpg
no focal consolidation is seen. ct is more sensitive. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is identified, although the left lateral chest wall is not fully included on the image.
history: <unk>f with high speed mvc with early consolidation on ct // eval for pulm contusion
MIMIC-CXR-JPG/2.0.0/files/p10597833/s55740260/43111c1c-602c6260-94a8ddce-13c9978a-afe7fdc6.jpg
the patient has been intubated. the endotracheal tube terminates approximately <num> cm above the carina. vascular pedicle seems widened which is probably due to some degree of fluid overload. marked opacification of each mid to upper lung is suggestive of pulmonary edema. differential diagnoses include acute respirato...
cancer with hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p12139817/s53483635/01b2fd99-0df6b345-a8878885-a0a6620e-5a035496.jpg
pa and lateral views of the chest provided. lung volumes are low. allowing for this, 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 hx of breast cancer s/p l lumpectomy presenting with r and l sided chest pain
MIMIC-CXR-JPG/2.0.0/files/p12464244/s56227986/d3b8c836-c5fbea7a-7fda50bd-571b64eb-4647c8b9.jpg
an opacity in the left costophrenic angle on the frontal view but not well seen on the lateral view may represent an early pneumonia or atelectasis. otherwise there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
history: <unk>f with chills // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p14883673/s57836760/448b99e8-074a3423-880b586f-d1872820-13a04434.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with s/p cholecystectomy with ruq pain and tenderness. // ruq pain --- cbd stone? pna?
MIMIC-CXR-JPG/2.0.0/files/p15672432/s55983343/0811b7a5-eed5dca8-54bb7134-231e9c91-b45f93ec.jpg
the cardiomediastinal silhouette is unchanged, suggestive of mild cardiomegaly. median sternotomy wires and mediastinal surgical clips are re- demonstrated. the hila are within normal limits. there is central prominence of the pulmonary interstitium and pulmonary vasculature, suggestive of pulmonary vascular congestion...
<unk>-year-old man with a history of cabg here with cough and dyspnea, evaluate for left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10708671/s59016465/22a87c18-b130ebaf-c1bb1f52-6479e2bc-2addb5e8.jpg
the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no large pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>f with fall // eval trauma
MIMIC-CXR-JPG/2.0.0/files/p17970081/s59783189/1b23e251-2c3f5ea9-7f164ce6-c87ff2a1-a0bb3e0e.jpg
cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. upper lobe predominant mild emphysema is again demonstrated without focal consolidation. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.
history: <unk>f with palpitations
MIMIC-CXR-JPG/2.0.0/files/p15177630/s58059379/0fd991aa-e7519b67-6a26fd00-bfc05197-5099cb7c.jpg
no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. lungs are mildly hyperinflated. heart and mediastinal contours are within normal limits.
<unk>-year-old male with left-sided chest pain for <num> days.
MIMIC-CXR-JPG/2.0.0/files/p12185490/s54271620/4f2da93f-9a4f2795-0ddabc1d-6a63ac7b-172a6812.jpg
ap portable upright view of the chest. cardiomegaly is again noted. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. chronic right rib deformities are again noted. no free air below the right hemidiaphragm peer
<unk>f with acute abdomen
MIMIC-CXR-JPG/2.0.0/files/p19580750/s53527021/e58282c4-fc8a5bed-aab4317b-f3dff9c8-40e5c04c.jpg
a left chest wall pacemaker generator and leads are unchanged. the lungs are clear.the cardiac, hilar and mediastinal contours are stable, and the heart size is top normal.no pleural abnormality is seen.
<unk> year old man with hx stage iv melanoma, now <unk> years after ipilimumab therapy with complete response noted. evaluate for metastatic disease.
MIMIC-CXR-JPG/2.0.0/files/p13994738/s56292289/415617d5-c7c03bdf-73a33630-3244fcbe-14b193ba.jpg
the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. linear opacity within the lingula is compatible with subsegmental atelectasis or scarring. ill-defined focal opacity within the right mid lung field is not well localized on the lateral view, and could reflect an area of atelectasi...
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14539710/s55383723/9bce5f5d-7d5045a9-0ef2a270-b3a902cb-8297cf31.jpg
a left chest tube is present. no discrete pneumothorax is identified. pneumomediastinum still however persists. small left pleural effusion with adjacent atelectasis. no focal consolidation, pleural effusion or pneumothorax identified in the right lung. the size of the cardiomediastinal silhouette is within normal limi...
<unk> year old man with pneumothorax // interval change
MIMIC-CXR-JPG/2.0.0/files/p18081075/s53163509/ce933bdf-3675e870-7f76d819-6439667c-48975edb.jpg
frontal and lateral views of the chest demonstrate new consolidation in the posterior right lower lobe, compatible with pneumonia. the lung volume is decreased on the right. there is no large pleural effusion. the heart is top normal in size. the mediastinal and hilar contours are within normal limits. there is no pulm...
<unk>-year-old male with diabetes, end-stage renal disease, presents with shortness of breath, increased pedal edema, and abdominal girth as well as decreased breath sounds in the right base. question congestive heart failure.