File_Path stringlengths 94 94 | Findings stringlengths 10 1.83k | Query stringlengths 4 830 |
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MIMIC-CXR-JPG/2.0.0/files/p16854150/s57025245/d706efee-188c5acf-e586ef5f-61d4993a-79b1b7cb.jpg | portable supine frontal chest radiographs demonstrate left chest wall pacing device with leads overlying the right atrium and ventricle, sternal wires, and mediastinal surgical clips, grossly unchanged in position. surgical clips also project over the lower right neck. the endotracheal tube terminates within the mid th... | evaluate endotracheal tube placement after intubation. |
MIMIC-CXR-JPG/2.0.0/files/p19139733/s51056788/997ceea1-c54f8e1b-7d219929-fcc7cefa-9d2ea329.jpg | there has been minimal progression of small to moderate right pleural effusion with a stable small left pleural effusion. right pleural thickening is again noted. upper and mid esophageal stent is unchanged in position. left infusion port with the tip terminating in this lower svc. widely disseminated micronodular show... | shortness of breath with history of malignant pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p16408991/s55481647/2ba628c8-5f603650-95dcf31f-4c9ec41a-e1743724.jpg | mild enlargement of cardiac silhouette is re- demonstrated with a moderate size hiatal hernia again noted. atherosclerotic calcifications of the aortic knob are present. mediastinal contours are otherwise unchanged, and the hilar contours are within normal limits. new focal patchy opacity is noted within the periphery ... | weakness. |
MIMIC-CXR-JPG/2.0.0/files/p14086423/s50970126/0384b015-06c16798-84e5ebfe-57084279-b6bca062.jpg | the heart is at the upper limits of normal size with a left ventricular configuration. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. slight wedging of three lower thoracic vertebral bodies appears unchanged. mild degenerative chan... | chest pain. history of coronary stents. |
MIMIC-CXR-JPG/2.0.0/files/p13071760/s54559151/9bab6161-0ffc2d1b-85397e58-00a5893a-35cae1f7.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>m with sob on exertion. // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p14074396/s53751992/77a109ba-2081a535-d7fbc6e3-12546545-74fd85c4.jpg | when compared to prior, there has been no significant interval change. large right pleural effusion is again noted with minimal residual aerated right upper lung. there is also likely underlying combination of consolidation, atelectasis and underlying mass. known nodules in the left lung are better seen on prior ct. th... | <unk>f with sob, right-sided cp // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14063628/s59335518/a603d420-e3110dc3-25971fbb-424be142-9b5d2e5f.jpg | lung volumes remain low. enteric tube the seen coursing into the stomach and continues out of view. an ett is seen terminating <num> cm above the carina. a right ij central line tip terminates in the right atrium. mild pulmonary edema is unchanged. opacities in the bilateral lung bases may represent a combination of at... | <unk>f s/p right ij placement, please eval placement // <unk>f s/p right ij placement, please eval placement |
MIMIC-CXR-JPG/2.0.0/files/p12233384/s53753981/7b2e8221-65c5448c-5e3a83c4-63d39feb-aeba84d0.jpg | pa and lateral chest radiographs. single-lead pacer is in stable position. mild cardiomegaly and interstitial fibrosis are unchaged when compared to <unk>. the pulmonary vessels are engorged compared to <unk>, but there is no evidence of edema. there is no pleural effusion or pneumothorax. | history of chf, presenting with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13489125/s57771517/60d5a758-841ec847-bbf21e5d-0875a186-fc1a1d60.jpg | ap portable upright view of the chest. cardiomegaly is again noted with pulmonary vascular congestion and severe pulmonary edema. small pleural effusion is difficult to exclude. difficult to assess for underlying pneumonia. no large pneumothorax. bony structures are intact. | <unk>m with acute respiratory failure // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12576209/s54064754/210724ee-e6fd4b14-6350cfcf-d2bfed75-7608a452.jpg | frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation. no radiopaque foreign body detected. note is made of stable left pleural thickening. | history: <unk>m with hx of strictures // eval for fb |
MIMIC-CXR-JPG/2.0.0/files/p18825771/s58390492/9783e5fd-8da7a449-e2bd036a-639e3b33-9b035293.jpg | single frontal view of the chest demonstrates catheter tubing projecting over the right upper chest. the cardiomediastinal silhouette is within normal limits. right upper lobe opacity is consistent with the known suprahilar mass. multiple additional smaller widespread pulmonary nodules are better delineated on accompan... | <unk>-year-old female presents with knee pain and right-sided crackle on exam. question infection. |
MIMIC-CXR-JPG/2.0.0/files/p12537194/s55537165/0c77a86c-15531580-f25f328d-8a44a437-cc97d0bc.jpg | there is complete opacification of the right hemi thorax with leftward deviation of mediastinal structures compatible with a large right pleural effusion. the heart size is difficult to assess, but appears to be mildly enlarged. left lung is hyperinflated without focal consolidation. there appears to be tiny nodular op... | history: <unk>m with cough, dyspnea, tachypnea x months, now worse |
MIMIC-CXR-JPG/2.0.0/files/p16151261/s54479128/0c8b20b4-f79be99c-320c2e25-e687f1f1-39c1a740.jpg | the ett appears in appropriate positioning. there is a right picc line, which terminates in the cavoatrial junction. there has been interval resolution of the right upper lobe atelectasis. the left lower lobe atelectasis has worsened. there is now new right lower lobe atelectasis. heart size is stable. the mediastinal ... | <unk> year old man s/p mcc on ventilator with multiple secretions found on bronch. ? interval improvement in cxr after bronch // interval improvement s/p bronch |
MIMIC-CXR-JPG/2.0.0/files/p10999395/s53951204/96fcebda-21cb1b8e-97d03677-34d51284-fc0823a6.jpg | the lung volumes are low. there is no lobar consolidation. minimal perihilar and left lower lobe linear atelectasis is noted. there is no pulmonary edema. no pleural effusions. right-sided central venous catheter terminates at the cavoatrial junction. ekg leads overlie the chest wall. | <unk> year old woman with hypotension s/p line pull also s/p d/c of crrt // ptx? worsening effusion |
MIMIC-CXR-JPG/2.0.0/files/p10511391/s56829170/51ef637b-d947203c-b5846ccb-b4b7ead2-b744c31b.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> year old man with bibasilar crackles // ? cause of crackles |
MIMIC-CXR-JPG/2.0.0/files/p11493670/s54280109/dbad51f1-78fb807b-86b669cb-beb82547-b584d01f.jpg | since the chest radiograph obtained <num> day prior, there has been interval removal of an ng tube and placement of the dobhoff tube, which terminates in the expected location of the gastric body. lung volumes are low, but otherwise clear without focal consolidation. heart size and cardiomediastinal borders are unchang... | <unk> year old man with cirrhosis // ?s/p dubhoff placement |
MIMIC-CXR-JPG/2.0.0/files/p12648153/s50176090/fab4271f-59838c32-64aeeea4-a836449a-dbf77bd5.jpg | a single sternotomy wire is fractured. mediastinal clips and cervical clips are present. the heart is top-normal in size but unchanged. minimally increased interstitial markings appear chronic. no pleural effusion, pneumothorax or focal airspace consolidation. mediastinal and hilar contours are unchanged. | confusion. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19809627/s55658612/25620f68-6a5f1999-094340be-173c2169-7cbe4b97.jpg | the heart is moderately enlarged. the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. new opacification of the left lung base is concerning for pneumonia and are probably a small coinciding left pleural effusion. there is no evidence for pulmonary edema. | cough. question chf or pneumonia. history of chf. |
MIMIC-CXR-JPG/2.0.0/files/p14848461/s51766992/11e418e3-573774b0-f2feefa7-ebe8e35b-6a7dc823.jpg | pa and lateral views of the chest provided. a partially calcified nodule is again noted at the right apex. prominence of the mediastinum is reflective of a paramediastinal mass. opacity at the left lateral lung base also reflect site of known metastasis. no convincing signs of pneumonia or active infection. | <unk>m on chemotherapy for metastatic melanoma with a fever <unk>f. +chronic cough |
MIMIC-CXR-JPG/2.0.0/files/p10077298/s50389495/a48a71dd-dc7235c3-40824c59-1e19782a-98cf123a.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 focal l upper back pain // ?rib fracture |
MIMIC-CXR-JPG/2.0.0/files/p15110754/s57036203/792a76c3-f7e44344-47bf8292-d0b1e5c1-725b2326.jpg | left chest wall pacing leads again terminating in the right atrium and right ventricle. the lungs are normally expanded and clear. severe cardiomegaly is unchanged. there is no pleural effusion or pneumothorax. there is no pulmonary edema. moderate degenerate changes are again seen throughout the right glenohumeral joi... | history: <unk>f with ams // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15143312/s59703213/b1a111d8-8d8ae77c-dd0157ff-8e2660b4-5390c2ff.jpg | multi focal opacities are identified in the lungs, specifically with perihilar and retrocardiac opacities on the left. right basilar opacity is also noted, potentially in the lower lobe based on lateral view. superiorly the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormal... | <unk>m with cough, fevers // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12396611/s58912785/9f35889d-2e017683-6c6ce662-995bd481-8e47805f.jpg | pa and lateral views of the chest. the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old male with right-sided facial pain in the setting of immunocompromised state. |
MIMIC-CXR-JPG/2.0.0/files/p13056974/s57177986/20c05107-c10c2805-e7012a1d-fdff130e-0e49961d.jpg | pa and lateral views of the chest. the lungs are clear without effusion, consolidation, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old female with shortness of breath and chest fullness. question pneumonia or pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p19710787/s55213644/2269b91c-b090b35d-5e93f8ed-0b79c918-209b55be.jpg | there has been placement of a dobbhoff tube which is in appropriate position within the stomach. otherwise, there has been no significant change since the most recent prior radiograph. the visualized portions of the lungs demonstrate no new parenchymal opacities. cardiomediastinal silhouette is unremarkable. | <unk>-year-old man with trach and new dobbhoff, please evaluate dobbhoff placement. |
MIMIC-CXR-JPG/2.0.0/files/p18107967/s58403913/db555847-56911937-55af0e81-73175124-92ce2032.jpg | frontal and lateral views of the chest. there are two calcific densities projecting over the right lung, potentially within the overlying soft tissues or costochondral region or in association with the right breast implant. left breast implant is also seen. the lungs are otherwise clear. there is no pneumothorax. the c... | <unk>-year-old female with epigastric pain episode and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10591267/s50662376/30b2a7e4-7ab2fbea-13885bbf-682da18f-d648dbfe.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 altered mental status. evaluate for pneumonia, infiltrate, mass. |
MIMIC-CXR-JPG/2.0.0/files/p15704219/s59709053/4f019135-b959d1b5-0f67c1f4-e7ee9b62-82c10ebe.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15625104/s54213209/2475719f-2ee58312-96eaceeb-364aee35-2905f003.jpg | the appearance of the left lung is unchanged. left subclavian line is unchanged. there is some slight increase in the nodular opacity in the right upper lung that may represent venous engorgement. this is minimally improved on <unk> has a similar appearance today compared to <unk> | <unk> year old man with complete consolidation of left lung thought <unk> chronic lll collapse (<unk> bronchial obstruction) with superimposed pna vs increased extent of left lung collapse. // ? interval change in consolidations |
MIMIC-CXR-JPG/2.0.0/files/p16672810/s54821887/0aad428b-90f35d2a-67d6f3c1-edcb8855-a64c2c45.jpg | there is a right-sided dialysis catheter terminating in the low svc. there are no new focal consolidations concerning for infection. there is a small left pleural effusion with adjacent atelectasis. there is no pneumothorax. the heart size is normal. the hilar and mediastinal contours are normal. visualized osseous str... | <unk>-year-old man with end-stage renal disease on hemodialysis who presents for evaluation of hematemesis. |
MIMIC-CXR-JPG/2.0.0/files/p13516147/s56358527/23e5723e-b2f75446-6eaeb40b-95980fee-7d3a4ba9.jpg | frontal and lateral views of the chest. bilateral pleural effusions have decreased since <unk> and are now small. bilateral lower lobe consolidations have improved and are likely atelectasis given that the initial pathologic process was pericarditis. moderate enlargement of the cardiac silhouette is stable. | pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p16742247/s56503118/873835c7-7e28e06d-1354c592-e94547ba-56e7f1fc.jpg | the cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. the lungs are clear. there is no pleural effusion. there has been placement of a right internal jugular line with tip terminating in the low superior vena cava. there is no pneumothorax. visualized osseous structures are unrema... | <unk> year old man with hx of aml, s/p allo with right sided hickman line that is not working. please assess placement. // <unk> year old man with hx of aml, s/p allo with right sided hickman line that is not working. please assess placement. <unk> year old man with hx of aml, s/p allo with right sided hi |
MIMIC-CXR-JPG/2.0.0/files/p16392827/s58490078/13ec0235-c5ae9d25-d130f7a1-8c597f38-0af0878e.jpg | the right lower lobe has collapsed, best seen on lateral views. mild pulmonary edema has resolved. the cardiomediastinal silhouette is enlarged but unchanged. interval worsening of left pleural effusion, now moderate in volume. in comparison to prior chest radiograph, the right picc line position is unchanged terminati... | <unk> year old man with aml, chf, afib. now s/p induction chemo, with improving volume overload on exam. also with new cough overnight. // eval for migration of picc line. also eval for consolidation, edema. |
MIMIC-CXR-JPG/2.0.0/files/p15748140/s59149681/46396f33-bbdbff48-c251aa96-4fc0d8a9-06ac6b1e.jpg | rounded opacity at the right lung base does not silhouette out the diaphragm and corresponds to the right lower lobe on the lateral projection, most likely a right lower lobe pneumonia. given the position, pulmonary infarction should be considered as well, and clinical correlation is advised. there is a suggestion ther... | <unk>f with sob for <num> days, can't take a deep breath, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12681995/s54382680/b07ee262-76d57a5b-73df4555-da1136bb-13a35e30.jpg | pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. the cardiac, hilar, and mediastinal contours are normal. | cough and wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p15107621/s50965100/5962314c-3b07e28d-44a4cb3a-739d8105-e0f2c260.jpg | there is a new left lung base opacity, obscuring the hemidiaphragm posteriorly. a spiration or pneumonia cannot be excluded in the appropriate clinical setting. the right lung is essentially clear. no pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. an enteric tube ter... | <unk>f w/ stage iv endometriosis c/b recurrent sbo, now with sbo s/p ex lap, loa, ileocecectomy // atelectasis vs. pna |
MIMIC-CXR-JPG/2.0.0/files/p14286871/s57428275/f6a01c7b-38a10a0f-5cb4c44a-9e0f997c-9a40ba99.jpg | endotracheal tube and enteric tubes are no longer visualized. lung volumes are lower with linear bibasilar opacities which are likely atelectasis. lungs are otherwise clear without consolidation or obvious effusion based on a semi supine film. cardiomediastinal silhouette is within normal limits. no acute osseous abnor... | <unk> year old woman with unknown past medical history, found unresponsive with elevated etoh level, question of aspiration prior to intubation // please evaluate for evidence of aspiration pneumonia, as well as placement of et tube and og tube |
MIMIC-CXR-JPG/2.0.0/files/p11975614/s58687482/7ca0482f-f2f5ed7a-20d31ab7-449b9b18-4454c014.jpg | tracheostomy. shallow inspiration. bilateral pleural effusions, worsened. stable right basilar opacity. new left lower lobe consolidation, likely atelectasis. | <unk> year old man with persistent fevers // eval for worsening pna |
MIMIC-CXR-JPG/2.0.0/files/p19711710/s59762868/6ab343b5-c680d61c-a1e58358-78f418ef-bca00153.jpg | the cardiomediastinal and hilar contours are within normal limits. an opacity at the right lung base is concerning for pneumonia. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. | history: <unk>m with cough/ili symptoms*** warning *** multiple patients with same last name! // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p19325531/s50806819/25e6653c-6bb37291-f5036501-531a7bf3-3e303f92.jpg | lung volumes are low, resulting in bronchovascular crowding. there is bibasilar atelectasis. cardiomediastinal and hilar contours are unremarkable. no pneumothorax or pleural effusion. there is gaseous distention of loops of bowel in the upper abdomen. mediastinum is not widened. | history: <unk>f with tonsillectomy today p/w dyspnea // ?acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p10141577/s57173218/0714ae9b-a829c149-d4dbe64f-49908e64-05fb1091.jpg | sternotomy wires are intact and mitral valve replacement noted. interval decrease in left lower lobe atelectasis and left pleural effusion with no interval change in small right pleural effusion. no new focal opacity, pneumothorax or pulmonary edema. heart size is top normal with normal mediastinal contour and hila. no... | female status post mitral valve replacement. assess for effusion or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12250460/s51938773/001526e1-0d0b8a2d-87e74f7e-72646210-c635fee4.jpg | the cardiac, mediastinal and hilar contours appear within normal limits. the lungs are clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. there has been no significant change. there is no free air. | epigastric pain. |
MIMIC-CXR-JPG/2.0.0/files/p10101585/s51388829/a1be1f71-8d091274-fc47d4f6-98374723-beb8fbfb.jpg | the heart is mild to moderately enlarged. the aortic arch is partly calcified. the mediastinal and hilar contours are otherwise unremarkable. there is no cephalization of pulmonary vascularity. upper lung fields appear clear. there is a fine reticular abnormality which is fairly widespread in both visualized lower lobe... | lower extremity swelling. |
MIMIC-CXR-JPG/2.0.0/files/p15874882/s53294200/dca96770-19cc51f8-74a8415a-cf25fa48-9f9945c0.jpg | pa and lateral views of the chest. again seen is a pleural-based opacity abutting the left upper lung laterally. the lungs are clear without consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected. | <unk>-year-old male with cough and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10591484/s52157308/a8254c8d-ed48f5b2-c24a986c-57cc3d7b-e5860769.jpg | lung volumes are low. heart size is mildly enlarged. mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. pulmonary vasculature is normal. lungs are clear. previously demonstrated nodular opacities on ct are not well assessed on this exam. no pleural effusion or pneumothorax i... | history: <unk>f with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p13080738/s53224345/126f5f07-98a230e1-cbb9104d-73baaf57-427e2aa1.jpg | patient is status post median sternotomy and cardiac valve replacement. right-sided port-a-cath is seen with catheter terminating in the low svc/ cavoatrial junction. patchy right base opacity is seen, which may be chronic, could be due to atelectasis, consolidation, but overall appears less extensive as compared to th... | history: <unk>f with fever s/p bmt for non-hodkgin's lymphoma // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16449983/s57271119/7ad85922-db3c4652-7ac41a10-e6b31630-c86533bc.jpg | patient's clinical condition required examination semi-upright sitting position. ap frontal and left lateral views were obtained. comparison can be made with the next preceding portable chest examination of <unk>. the previous portable chest examination suggested heart size at the upper limit of normal variation. this ... | <unk>-year-old female patient admitted for sepsis likely from colitis, now with persistent hypoxia, ? volume overload versus pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10192644/s50310613/19ae447a-df6cdec0-e6dad58a-d19c1de1-a8f6c164.jpg | the left hemidiaphragm continues to be markedly elevated. there is a left effusion and dense retrocardiac opacity consistent with volume loss/infiltrate. the heart continues to be severely enlarged. there is pulmonary vascular redistribution | elevated white count, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14538785/s59353043/22c48c26-86ccf6d3-a2d66583-b8d182fa-a633c23a.jpg | right picc is again seen with tip overlying the upper svc. left pigtail catheter is no longer visualized. there is near complete opacification of the left hemi thorax. there is no pneumothorax. the right lung is grossly unremarkable noting mild blunting of the right lateral costophrenic angle potentially due to small e... | <unk>m with hx l pelural effusion s/p chest tube pulled yesterday // eval for pleural effusion ptx pna |
MIMIC-CXR-JPG/2.0.0/files/p19671670/s55973577/7d73cf7c-6ed535ff-d165acdf-b12da43f-772d0414.jpg | pa and lateral chest radiographs are provided. there is a patchy opacity in the left lower lobe on both the frontal and lateral views, new since the prior radiograph and consistent with pneumonia. the right lung is predominantly clear. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is un... | shortness of breath, hypoxia and chills, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16268804/s56668472/de495fd8-17d27f01-92ab0a95-8ea098a2-4f88429b.jpg | right ij central line tip low svc. endotracheal tube tip <num> cm above carina. enteric tube not well seen distally. increased heart size, pulmonary vascularity, worsened. worsened bilateral perihilar opacities, likely edema,. there are mild-to-moderate bilateral pleural effusions, which have increased. increased right... | <unk> year old man with renal failure and respiratory failure with worsening hypoxia // edema? new consolidation? |
MIMIC-CXR-JPG/2.0.0/files/p17666325/s50341454/200de61d-5158d5e6-ae31672e-b77f1682-ec64b268.jpg | pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there are no displaced fractures. there is no free air under the hemidiaphragm. | <unk>-year-old female status post mvc with pain on inspiration. rule out fracture. |
MIMIC-CXR-JPG/2.0.0/files/p12284340/s54383691/2427ccc1-4b25c329-27dce06b-abea6c61-607f20d2.jpg | newly placed right internal jugular venous catheter sheath ends in the upper svc. newly placed ett in standard position. an enteric tube traverses the diaphragm and its tip is not seen. right-sided dual lead cardiac pacemaker device appears intact and unchanged in position with <num> lead ending in the right atrium and... | <unk> s/p tevar intubated; evaluate endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p15585348/s59439942/8eabd546-84f2d90b-c20fd016-0b64cf7f-47c3f960.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with high lactate // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16648037/s53215641/169327e1-c69f97d8-d5d04018-62a7ef23-28ace0cd.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>m with chest pain, left side // eval for pna, cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p11622111/s57867086/de10e597-6c1184a9-355b32f8-2eb2ddd5-98475be6.jpg | mild increase in moderate-to-severe pulmonary edema with increased moderate-sized bilateral pleural effusions, mediastinal vein dilatation and mildly enlarged heart. no pneumothorax or additional focal opacity. mediastinal contour is otherwise normal. | <unk>-year-old female with aspiration, new pulmonary edema. assess for focal pneumonia or interval changes. |
MIMIC-CXR-JPG/2.0.0/files/p18932705/s51445558/88b56195-b4350fa7-e26a6824-c71cb500-0091d527.jpg | increased interstitial markings bilaterally and increased caliber of the central pulmonary vasculature is suggestive of mild pulmonary vascular congestion and mild associated interstitial edema. the right upper lobe mass consistent with patient's known non-small-cell lung cancer is unchanged. there is no focal consolid... | <unk>f with cough and dyspnea, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18095401/s50477092/25049467-90aa19b2-368454a8-2145cf3e-47c92e9b.jpg | there has been interval placement of a right internal jugular central venous catheter which terminates at the brachiocephalic/svc junction/proximal svc without evidence of pneumothorax. lungs remain hyperinflated. no focal consolidation is seen. there is no new pleural effusion. cardiac and mediastinal silhouettes are ... | history: <unk>f with s/p lij // cvl placement |
MIMIC-CXR-JPG/2.0.0/files/p10780669/s56362503/61c8bcce-4ebdd152-4d0a1ca7-8aeb6a59-1881dc81.jpg | lung volumes are adequate with minimal basilar atelectasis. mild pulmonary vascular congestion. no focal opacity. no pleural effusion or pneumothorax. cardiomediastinal send to is overall unchanged. mild edema. multiple contiguous, mildly displaced right <unk> posterior rib fractures are again noted. | <unk> year old man with pulm contusion // interval change |
MIMIC-CXR-JPG/2.0.0/files/p11121324/s50352691/fb437c58-be6831f9-ef31f7f9-e8e91be4-8a95a991.jpg | there are low inspiratory volumes. allowing for technical differences, there is no definite change compared with <unk>. again seen is the right central line with tip over cavoatrial junction. no pneumothorax is detected. the cardiomediastinal silhouette is not appreciably changed. upper zone redistribution is likely ac... | <unk> year old man with lymphoma now short of breath // evaluate for cause of dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p13819923/s57313267/3b6a93e5-093116fa-f57b2931-c22ccf03-f4b662b3.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is left basilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> -year-old woman with left calf swelling and shortness of breath. evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19826437/s54845999/1a4caf66-960b075b-2ae9f94e-57209af1-827a5847.jpg | the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>m with n/v and hematemesis with brb // r/o perforation, pneumomediastinum |
MIMIC-CXR-JPG/2.0.0/files/p18721510/s58547175/ebed8550-903b4b1c-cbfcaf31-a288fc59-d38f53c2.jpg | an endotracheal tube ends in the mid thoracic trachea. an enteric tube courses below the diaphragm. cardiomegaly is moderate. bibasilar, retrocardiac consolidations are noted. probable small left pleural effusion. no pneumothorax. | history: <unk>m with knee injury // ? patellar injury |
MIMIC-CXR-JPG/2.0.0/files/p13557753/s50005118/e671a1ca-a4bd4030-81234308-1c2747ee-c55f5589.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. | transient left upper quadrant pain. |
MIMIC-CXR-JPG/2.0.0/files/p10225793/s53680172/16b8328d-4e6d0638-e46263b2-96696a05-08637f8d.jpg | pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of focal pneumonia, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is unremarkable. cholecystectomy clips are present in the right upper quadrant. | <unk>-year-old female with history of cirrhosis. now presenting with fever. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14074196/s54059071/ddc663d6-4a585f5a-d2321729-10d9a44d-c3d6a1d9.jpg | frontal and lateral views of the chest were obtained. mild cardiomegaly is similar to prior. the contour of the main pulmonary artery is prominent, similar to prior, and likely reflective of pulmonary arterial hypertension. lungs are clear without focal or diffuse abnormality. no pneumothorax or pleural effusion. no ra... | chest and arm pain. rule out infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p14928242/s52029489/29852029-ec40ba18-6d808f12-80522170-e3913f88.jpg | lung volumes are low. heart size is top normal. mild tortuosity of thoracic aorta is again noted. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. patchy opacities in the left lung base likely reflect areas of atelectasis, without focal consolidation. no pleural effusion... | history: <unk>m with new onset atrial fibrillation |
MIMIC-CXR-JPG/2.0.0/files/p14995912/s52191199/d90dfb94-9e4edfab-6c4bfe1e-4456b7ad-653ae5ae.jpg | pa and lateral chest radiographs. the lungs are clear. there is no pulmonary nodule, pleural effusion, or pneumothorax. the cardiac, hilar, and mediastinal contours are normal. | history of melanoma. |
MIMIC-CXR-JPG/2.0.0/files/p17958758/s53587906/08523602-cb1a244c-d268a0c5-f68e052e-9ff689be.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 ped struck. l periorbital ecchymosis/swelling. l shoulder ecchymosis and tenderness |
MIMIC-CXR-JPG/2.0.0/files/p13651997/s57232659/749822e3-e84266c0-2d65a1b4-1565a52e-1835b2ff.jpg | an <num> mm right upper lung nodule is again identified. a rounded <num> cm opacity at the left hemidiaphragm could represent diaphragm eventration or pleural/parenchymal nodule. right picc line remains unchanged in the mid svc. lung parenchyma is unchanged from prior. cardiomediastinal silhouette is unchanged. median ... | <unk> year old man with l knee septic arthritis, with wheezing and crackles on exam, evidence of volume overload on exam. |
MIMIC-CXR-JPG/2.0.0/files/p17342469/s55635859/82e8cb69-5c14c33f-147689ef-a9980952-d02622f8.jpg | note is again made of hyperinflated lungs with mild flattening of the hemidiaphragms and bi apical hyperlucency compatible with copd. no focal consolidation concerning for pneumonia is detected. there is no significant pleural effusion or pneumothorax. a large calcified thyroid goiter is re- demonstrated with retroster... | chest pain, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14534251/s55382788/1e5eeb22-ba7fcf17-afd754c9-7c625c45-689b992b.jpg | the heart size is borderline enlarged. the mediastinal and hilar contours are unremarkable. focal opacity within the left mid lung field, likely within the superior segment of the left lower lobe, is concerning for pneumonia. the right lung is clear. no pleural effusion or pneumothorax is identified. there are no acute... | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11644052/s51062850/9c3bd364-736161e2-815e2eb7-ee39219f-e58ac756.jpg | left for deviation of the trachea with associated coronal narrowing above the level of the thoracic inlet is consistent with known right thyroid enlargement. cardiomediastinal contours are remarkable for increased distension of the azygos vein since <unk> radiograph. linear opacities are present in the left mid and low... | <unk> year old woman s/p renal transplant here with fever, ulcer, difficulty swallowing. // intrathoracic process |
MIMIC-CXR-JPG/2.0.0/files/p19900111/s55350458/110ed2e9-f0938d83-addefe5b-646a51a3-8ed04a71.jpg | pa and lateral chest radiographs. pneumoperitoneum below both hemidiaphragms was present on pet-ct from three days prior. this is most likely from the patient's peg tube placement. the hd dialysis catheter has been removed. there is no focal consolidation, pleural effusion, or pneumothorax. the lungs are expanded but c... | leukocytosis. peg tube placed on <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p19330158/s56170751/c130ba2f-26753d05-47f6ccbe-c955421b-969ead30.jpg | the cardiomediastinal and hilar contours are within normal limits. note is made of free air in the right upper quadrant, below the diaphragm. there is minimal left midlung opacity in the region of prior consolidation, likely related to scarring. no new focal consolidation or large pleural effusion is seen. note is made... | vomiting. rule out free air. |
MIMIC-CXR-JPG/2.0.0/files/p15100878/s52466188/73560838-5d16368b-69df62db-11843d32-dd1be2ec.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without acute abnormality. no air under the right hemidiaphragm is visualized. | <unk>-year-old female with right flank pain. |
MIMIC-CXR-JPG/2.0.0/files/p15689523/s52161620/42ae6847-469710af-8b17ffef-6b642ea1-7daef8ad.jpg | the contour abnormality in the left mediastinum obscuring the main pulmonary artery and descending thoracic aorta is again noted but slightly less prominent. as previously stated this could reflect a mediastinal fluid collection or pseudoaneurysm. there is mild pulmonary edema decreased compared to prior study and a si... | <unk> year old man with pericardiectomy // r/o inf, eff |
MIMIC-CXR-JPG/2.0.0/files/p14451193/s55932153/e0be53f1-77f055c4-e3811312-15401b92-1dfa8bc1.jpg | ap and lateral radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. rounded density projecting over the midline over the heart shadow is likely the hiatal hernia as seen on prior ct. there are degenerative changes in the thoracic... | <unk>-year-old female with afib on coumadin, status post fall with head strike, complains of pain in her right shoulder, cough x<num> days. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18097775/s55931977/a076b04e-e2267307-93310f0b-6c6ebe15-73cc9074.jpg | pa and lateral chest radiographs are provided. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette is mildly enlarged, unchanged from the prior exam. a left chest wall pacemaker is present with leads in the right atrium and right ventricle. there are no acute fractures or traumati... | <unk>-year-old man with shortness of breath, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14588689/s54319080/3bd05b5b-1661c838-98431326-d45fa0f6-2fd2b82a.jpg | lung volumes are relatively low and the patient is rotated. within these limitations, lungs are grossly clear. there is no obvious consolidation nor effusion. cardiac silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. there is is origin of the distal right clavicle | <unk>m with c/f dka, eval for infectious source // eval for pna or acute process |
MIMIC-CXR-JPG/2.0.0/files/p14573771/s54188563/8cec15db-f293b427-2a804882-7313319c-1d748c6f.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | <unk>m with dyspnea, chest pain, // eval cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p15383698/s54550940/ca347ae7-1de56529-1ed7a622-0a5a41d9-b726a3c2.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19280016/s54203876/caa46e19-1292034e-4a2a4106-e2d35cca-651054d5.jpg | the cardiac, mediastinal and hilar contours appear stable including mild cardiomegaly and a large hiatal hernia. there is no pleural effusion or pneumothorax. slight blunting at the right costophrenic sulcus is probably due to minor scarring. the lungs appear clear. | copd exacerbation. |
MIMIC-CXR-JPG/2.0.0/files/p11908889/s51809778/bd656021-0013e42f-58dd10e1-9392741c-dd97ac68.jpg | diffusely increased interstitial markings are likely secondary to the patient is emphysema. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. | <unk>-year-old man with a history of atrial fibrillation, with sudden onset dyspnea, palpitations, lightheadedness, nausea, and jaw pain. |
MIMIC-CXR-JPG/2.0.0/files/p16294656/s57882881/4862b6ea-cc9cacb0-24941ad1-2c4f5920-9d29d706.jpg | mild enlargement of the cardiac silhouette with normal mediastinal and hilar contours. no pleural effusion, focal consolidation mild pulmonary edema or pneumothorax. | <unk> year old woman with hx. chf, afib presenting with worsening sob // evaluation for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p11770872/s52050268/2a8c643d-b984d9cd-1af27ab9-1584c4f0-f8d3eb8b.jpg | the lungs are clear without consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. there is tortuosity of the thoracic aorta with dense atherosclerotic calcifications. surgical clips project over the right chest wall. no acute osseous abnormalities. | <unk>f w/facial droop please eval for mediastinal widening // <unk>f w/facial droop please eval for mediastinal widening |
MIMIC-CXR-JPG/2.0.0/files/p19732106/s53426143/c49e1357-03adcdbf-c3d5463b-c7167afb-c11de0f6.jpg | known left upper lobe spiculated mass is partially visualized. nipple shadows project over the lung bases bilaterally. lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with cough, confusion // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p18953514/s53240063/a8d86079-00ef9649-01f01696-6ef2d18a-b67dd9be.jpg | no focal consolidation is identified. lungs appear hyperlucent which may reflect emphysema. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. | <unk>-year-old male with chest pain, dyspnea, evaluate for acute cardiopulmonary abnormality. |
MIMIC-CXR-JPG/2.0.0/files/p11230841/s54414211/07b44c1d-e358263d-6252aa2b-592292a3-26c56f55.jpg | there is no consolidation, pleural effusion, or pneumothorax. the soft tissue opacity in the posterior mediastinum on the right is consistent with a neoesophagus. cardiomediastinal silhouette is similar to prior. multiple surgical clips are noted in the mediastinum. | eval for pna <unk> year old man with scc and rml crackles on exam and cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14015841/s53298043/4fc170f5-b0d7e844-6dac44b2-e25324d8-9df8e412.jpg | et tube terminates <num> cm above carina. enteric tube extends to the stomach beyond lower aspect of the image. right ij sheath and left ij cvc terminate in the distal svc. fluffy bilateral alveolar opacities are overall similar to prior, likely reflecting pulmonary edema. slightly decreased blunting of the left costop... | ms. <unk> is a <unk> year old female, with past history of cirrhosis <unk> etoh, presnting with septic shock with mods characterized as hypoxemic respiratory failure likely ards, with now oliguria now s/p cvl placement // eval cvl |
MIMIC-CXR-JPG/2.0.0/files/p19118986/s59403590/a0dffe6f-20b02b69-94afb9e2-6e45332f-8fb388e9.jpg | the heart size at the upper limits of normal. there is mild interval increase in the size of the azygos vein, vascular pedicle and mild increase in size of the upper lobe blood vessels. no overt pulmonary edema. no large pleural effusion. no airspace consolidation to suggest pneumonia. no pneumothorax. | <unk> year old man with new reduced ef of <num> %, cough // effusion, pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p15950904/s57495329/61e47f62-22364b82-88fefcb6-19abb4a9-fe574e7d.jpg | frontal and lateral chest radiographdemonstrates moderately well expanded and clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. | s/p fall on <unk> presenting with altered mental status as per nursing home and daughter. <unk> for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19379530/s51558138/366bf3ba-adf9b21b-42f19509-9d821497-9397d5dd.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. clips are noted in the right upper quadrant of the abdomen compatible with prior cholecystectomy. | history: <unk>f with cough |
MIMIC-CXR-JPG/2.0.0/files/p12491671/s55281865/21404edd-a4558363-72079808-badf2f02-36ae5d3e.jpg | compared to the prior study there is no significant interval change. | <unk> year old man s/p esophagectomy // am pod<num> rounds |
MIMIC-CXR-JPG/2.0.0/files/p13188963/s50487460/bf1bad48-c8d946f2-2d256c5c-8c4332bd-8ef81199.jpg | right upper lobe peripheral opacity slightly improved since the prior. moderate right-sided pleural effusion has increased. small left-sided pleural effusion is stable. moderate cardiomegaly with prior median sternotomy, cabg and mitral annular calcifications. | <unk> year old man with pleural effusions and pna // please evaluate for interval change in pleural effusions and/or pna |
MIMIC-CXR-JPG/2.0.0/files/p10750676/s57222110/93cb0a34-6acf7518-df05be75-811b404b-ec1c1354.jpg | the patient is severely rotated to the left, resulting in on folding of the mediastinum. surgical clips are noted in the vicinity of the aortic arch and posterior spine, respectively. . there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. a large hiatal hernia is noted. | history: <unk>f with neutrapenia // evidence of infection |
MIMIC-CXR-JPG/2.0.0/files/p14726060/s53192073/bbe070e1-d6f75420-f7d8a53b-bd799780-6f8cab2c.jpg | lung volumes are low. heart size is mildly enlarged. the mediastinal contours are unremarkable. there is crowding of the bronchovascular structures but no overt pulmonary edema is seen. streaky opacities in the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. t... | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p14306557/s51356692/1515365b-24d5e3ce-6fb8c6da-fbe02a5f-72b37037.jpg | there is new volume loss and infiltrate involving the right upper lobe and right lower lobe. there is subsegmental atelectasis in the left lower lobe. the left subclavian line with tip at the cavoatrial junction is unchanged. the right ij line has been removed. there is an effusion layering posteriorly on the right. | worsened. pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10190973/s59677944/50a048a4-55d5d795-2382a6b8-0b1c10d2-a4e05acd.jpg | the endotracheal tube ends <num> cm above the carina, as before, but without knowing the position of the head and neck, it is not possible to determine whether this needs repositioning. the enteric tube courses below the diaphragm and curves to the right of the spine, likely in the distal stomach. the patient is status... | history of copd with recent pneumonia and failure to extubate. |
MIMIC-CXR-JPG/2.0.0/files/p13472341/s59383786/b3cd7d12-c2031b01-33d6ce94-8f363567-3c66af4d.jpg | frontal and lateral chest radiographs demonstrate well expanded lungs. previously identified linear retrocardiac opacity unchanged, likely minimal atelectasis. mildly dilated or tortuous descending aorta. pulmonary vasculature otherwise unremarkable. minimal right pleural effusion best seen on lateral view. mildly enla... | <unk>-year-old female with productive cough. |
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