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/p12468016/s53275932/b5837e35-56a329bc-ec516c65-d8731d52-06cbe7b2.jpg | there is mild pulmonary vascular congestion without frank pulmonary edema. no focal consolidation, pleural effusion or pneumothorax identified. the size and appearance of the cardiac silhouette is unchanged. | <unk> year old man with heart failure // evaluate for edema vs. infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11279168/s59567716/29e7a799-7f4dfbbe-de17254f-53f22942-74f4bfca.jpg | patient is status post median sternotomy and cabg. cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are unremarkable. low lung volumes are present with crowding of bronchovascular structures, but no overt pulmonary edema is present no focal consolidation, pleural effusion or pneumothorax is se... | <unk> year old man with altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p16635936/s51042825/b4e3453e-c021e69d-07a79a75-8e70d129-21a57276.jpg | cardiac silhouette size is unchanged, appearing top normal. the aorta remains tortuous with atherosclerotic calcifications noted at the aortic arch. thyroid goiter with mild mass effect upon the right trachea is re- demonstrated, better assessed on the previous ct of the cervical spine from <unk>. mild pulmonary vascul... | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p12310099/s55978160/5c51a05e-eb211214-a1071744-690c9e91-54da8ae4.jpg | the cardiomediastinal and hilar contours are within normal limits. right sided port-a-cath terminates in the lower svc. there are streacky opacities in the left lower lobe likely reflecting known bronchiectasis. there is a consolidation at the medial right lung base likely secondary to atelectasis, however a superimpos... | history of cough, currently on chemo for metastatic rectal cancer. patient with chronic bronchitis at baseline. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p17141595/s50168014/e8877974-1857acee-eb9cc579-102d115a-942d0da0.jpg | pa and lateral views of the chest. the lungs are clear of consolidation. there is, however, suggestion of a left-sided pneumothorax with pleural reflection seen somewhat paralleling the left posterior fourth rib. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old male with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14329697/s51232719/3a937329-320a0f01-3e63ca69-81df062d-48891949.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. a subtle linear opacity at the base of the left lung seen on the frontal view may reflect some minimal linear atelectasis. surgical clips in the right upper quadrant sugg... | <unk>f with central chest pain and pressure. // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10677418/s53807820/6a3acd8f-46cb9aca-858ae20c-75bd367f-404a8710.jpg | 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>f with cough, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18112598/s51696830/17fff41b-c4ffb23b-65bbf55e-9944c0f3-6a1469a0.jpg | lung volumes are low. portable semi-upright radiograph of the chest demonstrates cardiomegaly. the pulmonary vasculature is indistinct and engorged in comparison to prior examination. there is no definite pleural effusion or pneumothorax. | <unk>m with shortness of breath // eval for pna versus pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p19550378/s57310635/4cd039c1-04c77bde-1d4f9c25-5e19f6d1-5e8a2b7c.jpg | an orogastric tube courses below the diaphragm, the tip projects over the gastric body. lung volumes are decreased, accentuating the cardiac silhouette. the left costophrenic angle is not clearly visualized, could be secondary to a pleural effusion, atelectasis or could be due to patient's positioning and overlying sof... | history: <unk>f with ngt // ngt placement ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p19975044/s52200067/b20c79ea-97a455f5-94e70f52-a4e4e206-da913466.jpg | the cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. the pulmonary vascularity is not engorged. minimal patchy opacity within the left lower lobe could reflect an area of infection, best seen on the lateral view. no pleural effusion or pneumothorax is identified. bilateral pleural thicke... | fever, cough. |
MIMIC-CXR-JPG/2.0.0/files/p19283525/s53181105/9cd9aee1-cb03ad7d-cb1c8c00-61ac23ba-62d37200.jpg | pa and lateral views of the chest were obtained. compared with <unk>, i doubt significant interval change. mild hyperinflation of the lungs raises the question of background copd. the heart is at the upper limits of normal or slightly enlarged. the aorta is calcified and slightly tortuous. no chf, focal inifiltrate, or... | <unk>-year-old woman status post mvc, presenting with left shoulder pain. |
MIMIC-CXR-JPG/2.0.0/files/p14496232/s50324574/13f06425-114e23f3-94b95d63-95277e3f-ab9c98db.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. | left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15315531/s59978644/e36ddb39-b5bd6b28-1416bc45-ab7b8eb8-326bc5cc.jpg | the lungs are well expanded and clear with mild pulmonary vascular congestion without overt edema. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. | <unk>-year-old with new seizures, assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15672987/s50903743/85bb59e2-c141041e-1c7d58e1-f6c92df2-fb925735.jpg | the patient is intubated. the endotracheal tube terminates about <num> cm above the carinal. an orogastric tube reverses course in the distal esophagus and heads back into the hypopharynx. the cardiac, mediastinal and hilar contours appear stable including a moderate sized hiatal hernia, similar to prior findings. asid... | seizure. |
MIMIC-CXR-JPG/2.0.0/files/p16644584/s57465951/0ae40f12-8e633fe8-12dd4c57-95a2e75b-61d11e7e.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 woman with hyponatremia |
MIMIC-CXR-JPG/2.0.0/files/p15804669/s54381008/b159091d-d82f0755-db1b8184-e58ae618-329ebc70.jpg | the lungs are clear of airspace or interstitial opacity. mild hyperinflation. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes. | <unk> year old man with cough for <num> week productive of yellow/green sputum and sob. please eval for pna // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19638656/s51871253/f21dcfe0-57f68a1a-eb0b2f11-c1ef85a2-4d53b362.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. heterotopic ossification of the right shoulder suggests remote prior injury. | <unk>m with s/p syncope abdominal pain, evaluate for free air |
MIMIC-CXR-JPG/2.0.0/files/p19667420/s50141517/c364a188-ae96c773-31235440-a03d6736-9b4a6a63.jpg | compared to chest radiographs from <unk>, right-sided pleural effusion has minimally improved. left-sided pleural effusion, with fissural fluid, appears loculated and is unchanged. lungs are hyperinflated with flattening of the bilateral hemidiaphragms, suggestive of emphysema. there is mild central vascular congestion... | <unk> year old man with esrd with increased sob, cough and anorexia. // r/o pulmonary edema versus pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16058421/s58933242/e68a265c-7c02b28c-ab1c3926-c8a86616-bd91be6f.jpg | the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal. | <unk> year old woman with sob and wheezing c/w asthma exacerbation. not much improvement // eval for other etio e.g. chf, pna etc |
MIMIC-CXR-JPG/2.0.0/files/p10952982/s51950659/3c2d1855-7578ac36-7e02c454-cb820a4b-71dcf5f3.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is identified. | history: <unk>f with mvc with head strike on wheel. |
MIMIC-CXR-JPG/2.0.0/files/p17169964/s55657229/efae5694-2d627c5d-1c657244-5e9f9b81-e87943d8.jpg | ap portable upright view of the chest. overlying ekg leads are present. persistent lower lung opacities concerning for aspiration. upper lungs remain well aerated. no large effusion or pneumothorax. the cardiomediastinal silhouette appears normal. imaged bony structures are intact. given lack of resolution over many mo... | <unk>m with hypotension // eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p18429092/s50965455/5dea918c-38ea547e-a6b450dd-586dd2da-70e94695.jpg | portable ap upright chest radiograph <unk> at <time> is submitted. | <unk> year old man with respiratory failure, intubation // <unk> year old man with respiratory failure, intubation <unk> year old man with respiratory failure, intubation |
MIMIC-CXR-JPG/2.0.0/files/p17359380/s58647376/a5570dd7-b2b55f5e-887bd6f6-30850ef3-f12f3ca2.jpg | moderate enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours appear similar. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. | history: <unk>f with chest pain // ? acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p17022281/s53021516/5f8e95d3-e08bd642-2ce1d6f1-0f52c795-6c5468e9.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/p13413853/s52235306/4e964624-dc94f216-e5c71339-a92657cb-e595eb04.jpg | frontal and lateral views of the chest were obtained. there is no focal consolidation or pneumothorax. fullness in the perihilar regions in the setting of cardiomegaly and a small pleural effusions with <unk> b-lines is compatible with mild interstitial pulmonary edema. the mediastinal silhouette is stable. | lower extremity edema. |
MIMIC-CXR-JPG/2.0.0/files/p11522751/s53566818/b0f1f98d-a9353046-183309c9-a75d0471-26bfb08a.jpg | <num> views were obtained of the chest. the lungs are low in volume but clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p19722404/s57209270/31746be6-4a157ece-05ecea1f-7a0882e8-9c948243.jpg | the lungs are well expanded and clear. the cardiomediastinal silhouette and hilar contours are normal. symmetric biapical pleural scarring is unchanged. there are no focal airspace opacities to suggest pneumonia. there is no pleural effusion or pneumothorax. mildly distended loops of bowel are noted in the left upper q... | uri, cough with white sputum and chest heaviness with breathing right worse than left. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14513439/s54120142/a6c23e32-b35a0a93-aa157d00-dd42961c-39b98a64.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. mild degenerative changes of the thoracic spine noted. | chest pain. evaluate for pneumonia or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12574475/s55184218/74ecebe0-bf5ba466-b6a7523a-ef8ba511-4f919c1c.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with productive cough and sputum // eval pna |
MIMIC-CXR-JPG/2.0.0/files/p14908132/s54007174/4e921136-df437a6c-81dd8df5-28c85ca2-2e9474bd.jpg | in comparison to the most recent prior study, there is increased opacification of the right mid and lower lung zones compatible with a large pleural effusion. known hilar and mediastinal lymphadenopathy is better characterized on pet-ct of <unk>. the left lung is relatively clear with stable areas of parenchymal scarri... | history of lung cancer with right pleural effusion and plan for thoracentesis, now with severe shortness of breath, here to evaluate for worsening pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p19131048/s50392461/3d95ce2b-de51e98e-d7dc3eea-71968da3-c00ac07d.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with brady, desat, now improved // please eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p18581612/s50129776/94c0dc83-068f939c-90aafd06-879a2c68-820280c8.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16257260/s56705020/99a3cae6-db0a564d-bea071c6-58d6e0c9-b0ce33cc.jpg | the heart is top size is normal. there is minimal bibasilar atelectasis. again seen is a right paratracheal opacity, which is unchanged since <unk> and shows no mass effect upon the trachea, likely due to tortuosity of the vessels. there is no large pleural effusion or pneumothorax. again seen are surgical clips in the... | <unk>f with ams // cause ams? head bleed or pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p11966699/s53741654/e220c4d7-720f3754-c9ecdb2a-0aa6e98e-3881bc59.jpg | pa and lateral chest radiographs were obtained. cardiomegaly is moderate. minmal interstitial edema is present. there is a small right effusion. there is no consolidation, pneumothorax. peribronchial biventricular pacing leads are in expected position. post cabg changes are noted. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17740146/s58849330/a26afb54-9cf7bea0-2a2a6448-4449fe3a-91fef2fc.jpg | heart size is normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. | left anterior chest wall pain. |
MIMIC-CXR-JPG/2.0.0/files/p19584791/s52126736/7c708f03-b6e426a9-754dcd6d-c4363523-2d32c326.jpg | a right lower lobe opacity is concerning for pneumonia. a rounded density projecting over the anterior right second rib was not seen on <unk>. osseous structures are unremarkable. the cardiomediastinal silhouette is unremarkable. there is no pneumothorax. | history: <unk>m with diffuse wheezes, sob // pna |
MIMIC-CXR-JPG/2.0.0/files/p14227640/s50634120/0df4aeb8-5d2d9a14-41ad23fe-a1b0d188-fdbd28e6.jpg | biventricular icd projects over the left pectoral region with lead tip in the right atrial appendage, left ventricular lead that enters coronary sinus with the tip adjacent to left ventricle, and right ventricle with more anterior posterior change in positioning. lead wire, likely left ventricular wire, is looped and p... | male with cardiomyopathy status post biventricular icd placement via left axilla. assess for pneumothorax and lead position. |
MIMIC-CXR-JPG/2.0.0/files/p13349564/s59282929/b118e4ce-7c4c48dc-504babea-dff0572b-5d9d4f57.jpg | linear markings within the left lower lobe and left mid lung are likely secondary to scarring. the lungs are otherwise clear without any focal opacities, pleural effusions, pulmonary edema, or pneumothorax. the heart and mediastinal contours are normal. | shortness of breath, evaluate for pneumonia or heart failure. evaluate for evidence of copd. |
MIMIC-CXR-JPG/2.0.0/files/p18969857/s53882348/cabfc0a6-2395620a-6726b2b4-e7cb6797-7eb12abf.jpg | compared to the most recent prior radiograph of <unk>, the right lung lesion in the vicinity of the right hilus has slightly increased in size, now measuring <num> x <num> cm, previously <num> x <num> cm. this could be partially positional. no evidence of focal consolidation or pleural effusion is noted. there is no pn... | <unk>-year-old woman with prior lung cancer and slowly growing right lung mass noted on <unk>, assess for significant change in size of lesion. |
MIMIC-CXR-JPG/2.0.0/files/p13176268/s52157549/c111051f-5e92a1be-ad4c88e5-fff4123c-faf4ccf1.jpg | compared to chest radiographs from <unk>, new opacification in the left mid and lower lung could represent aspiration or asymmetric pulmonary edema. increasing retrocardiac opacity is most consistent with atelectasis, though aspiration cannot be excluded. the heart is moderately enlarged, increased from prior. no appre... | <unk> year old man with post-op hypoxia // ?atelectasis vs pna |
MIMIC-CXR-JPG/2.0.0/files/p10684181/s55801391/915764f7-52a456ca-605b6773-1a58758a-65e52f54.jpg | pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. midthoracic dextroscoliosis again noted. | <unk>-year-old female with recurrent seizure. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17897366/s54600396/4c46aa4f-1383a96b-e3d7bf0e-30b5b029-1f98e5cc.jpg | the lungs are clear focal consolidation, effusion, or pneumothorax. the cardiac silhouette is top normal in size. no acute osseous abnormalities identified. | <unk>m with chest pain // cardiopulmonary process? |
MIMIC-CXR-JPG/2.0.0/files/p18837031/s54228969/5042b4f2-0494fb32-3390be5d-e1c8d48d-e4663384.jpg | mild central pulmonary vascular congestion. no focal consolidation to pneumonia. no pleural effusion. the heart is moderately enlarged. the descending thoracic aorta is tortuous. patient has had prior median sternotomy valve replacement which appear intact. no pneumothorax. mediastinum is not widened. no acute osseous ... | <unk>-year-old man with stroke. |
MIMIC-CXR-JPG/2.0.0/files/p18303550/s52083204/4a11a086-64ee23f8-82dc6d15-d7213d1b-f7f0d1ee.jpg | there is a catheter the left lung base, though it is difficult to trace beyond the chest wall due to increased opacification. however, there has been interval considerable interval decrease the size of the large left pleural effusion. the left upper zone is no aerated. a relatively large effusion remains present, with ... | <unk> year old woman with metastatic rcc w/ left pleural effusion s/p pleurex placement // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p17350534/s56734538/c2850af8-2e332319-454a73f2-86687f57-f8f39bc2.jpg | pa and lateral views of the chest. the lungs are clear. there is no consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. surgical clips identified in the right upper quadrant. | <unk>-year-old female with chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13575070/s52476127/8782d2ac-bbaa5ac8-ac5828f0-7bd37d76-c29e39af.jpg | a single portable ap upright view of the chest demonstrates hyperinflated lungs. there is no focal consolidation. heart is normal in size and cardiomediastinal contour is stable. there is no pleural effusion or pneumothorax. | <unk>-year-old female with hypoxia, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19826828/s59562461/419fa104-90544ff0-9c4c9632-06992952-f61ba3c4.jpg | more densely consolidated retrocardiac opacity with scattered nodular opacities bilaterally is concerning for multifocal pneumonia or aspiration in the proper clinical setting. there is no pneumothorax. mild prominence of the hila may be due to vascular engorgement, can not exclude underlying lymphadenopathy. there may... | <unk>m with chest pain radiating to back, pleuritic, with history pe, evaluate for dissection or pe. |
MIMIC-CXR-JPG/2.0.0/files/p11539477/s50436821/26dfb8fd-d7c65d77-0635dfc7-878b9e81-cb1b04bd.jpg | there is patchy consolidation at the left lung base localizing to the lower lobe on the lateral view. elsewhere, lungs are clear. the cardiomediastinal silhouette is within normal limits. | <unk>f with cough and shortness of breath // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17662996/s57306914/a959c584-c74749c0-f6b83c6f-9d4edf6d-d96a6398.jpg | cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. new patchy opacities are seen within both lung bases and mid lung fields, concerning for multifocal pneumonia. linear scarring in the left lung base is unchanged. no pleural effusion or pneumothor... | history: <unk>m with hypoxia, cough |
MIMIC-CXR-JPG/2.0.0/files/p13810570/s59770829/39bf13c1-3ec8e296-7e02f58e-c68b1bd5-e2141af2.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. median sternotomy wires are again noted. the osseous and soft tissue structures are otherwise unremarkable. | <unk>-year-old with past medical history of aortic valve repair x<num> with perioperative stroke and mi presents with three weeks of productive cough and malaise, one day of chest heaviness. |
MIMIC-CXR-JPG/2.0.0/files/p13668847/s53919233/3ca67fd5-bdaa12f3-1aaaf5df-7ce78338-f83034ea.jpg | ap and lateral chest radiographs were provided. there is a right chest wall port with the catheter tip terminating in the deep right atrium. there is no focal consolidation or pneumothorax. there are small bilateral effusions. linear opacities at the left lung base are likely atelectasis however aspiration is also poss... | <unk>-year-old female with confusion status post fall downstairs. evaluate for intracranial injury or infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p17209154/s59295739/9ec15943-0810e0d8-df55dc35-0cc2f79f-d620e620.jpg | left-sided cardiac pacing device with dual leads following their expected courses to the right atrium and ventricle. there is no pneumothorax or pneumomediastinum. mediastinal and hilar contours are normal. heart size is normal. subcentimeter nodular opacity at the right base is unchanged since the prior chest radiogra... | <unk> year old woman with new dual chamber ppm // assess lead position |
MIMIC-CXR-JPG/2.0.0/files/p18252484/s57408287/60db506f-ccd042f2-64197b93-fca6ef16-d95107f5.jpg | mild enlargement of cardiac silhouette is re- demonstrated. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. apart from minimal retrocardiac atelectasis, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. no acute osseous abn... | history: <unk>f with history of dm type <num>, presents with hyperglycemia, two days of being bed bound |
MIMIC-CXR-JPG/2.0.0/files/p17585185/s51791933/bbdca865-5c61e76a-f34969d9-450a565f-ab42c872.jpg | cardiac size is top normal. the lungs are clear. nodules reported in the prior ct are below the resolution of these radiograph. there is no pneumothorax or pleural effusion. | <unk> year old woman with persistent wheezing and pleuritic right sided chest pain // ? pulmonary infarct, ? new pulmonary infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12557602/s57065297/bf154ea2-f328cb00-8f75af5a-a92617ae-f8040593.jpg | a right-sided chest tube remains unchanged. there is no definite pneumothorax on this study. left basilar atelectasis is improved. | evaluation of pneumothorax requested. |
MIMIC-CXR-JPG/2.0.0/files/p18169224/s54214952/91a8dde6-f1570917-cb322764-1dee6db2-363fe2df.jpg | heterogeneous opacities with air bronchograms are new in the right lower lobe and persistent in the right middle, compared to <unk>. there is minimal left perihilar opacification, that could represent early contralateral pneumonia. heart size is normal. the mediastinal contours are normal. there are no pleural abnormal... | question pneumonia on recent chest radiograph. now presenting with fevers. evaluate for acute cardiac or pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p11653931/s50891989/6201d7d0-438d6909-82e83700-efef790e-b2aa8948.jpg | the hemidiaphragms are mildly elevated and the lung volumes are low, resulting and artificial magnification of the heart and mediastinum, as well as left lung base subsegmental atelectasis. there is no pneumothorax or pleural effusion. regional bones and soft tissues are unremarkable. | <unk>-year-old female status post panniculectomy; evaluate for cause of new tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p10991474/s55788998/4ae0ddcd-72e1c059-a623e003-e87bb6e1-32a20150.jpg | the cardiomediastinal silhouette is normal. the hila and pleura are unremarkable. on lateral view there is increased opacification in the retrocardiac region not appreciated on frontal view which could likely represent crowding secondary to low lung volumes on the right clinical setting pneumonia cannot be excluded. th... | <unk> year old man with suboptimal o<num> sats and cough // r/o cap |
MIMIC-CXR-JPG/2.0.0/files/p19634960/s58212011/2818fbd8-54c2fc87-ff598659-534aa900-0ad6959b.jpg | compared to the recent scout view, there is fairly little, if any, change. multiple circumscribed cavities and ill-defined opacities with thickening of the left lung apex appear very similar. discussed in the prior ct report the appearance is worrisome for a superimposed infectious process involving cavity formation, i... | non-small cell lung cancer presenting with nausea, vomiting, shortness of breath and elevated white cell count. |
MIMIC-CXR-JPG/2.0.0/files/p18817644/s50105714/130913b5-861ec39d-e5cb0a9e-2b809feb-c0e6487a.jpg | there is mild right basal atelectasis. otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified. | asthma with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p10889238/s52447173/756e4e42-077c3163-e86e204c-f9547fad-e2b2a47d.jpg | the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. postoperative changes of resection of the medial right clavicle and first rib are again noted. callus formation seen at the anterior right second rib in the region of prior fracture. | <unk>m pre-op workup |
MIMIC-CXR-JPG/2.0.0/files/p12376118/s58102835/7e023971-29be3e8c-322b2330-807446f6-32df4fef.jpg | single frontal view of the chest was obtained. lung volumes remain very low. increased left lung base opacity may represent either edema or pneumonia. no pneumothorax. round calcification overlying the left heart is consistent with a left ventricular aneurysm. heart size and cardiomediastinal contours are stable. | <unk>-year-old female with desaturation. |
MIMIC-CXR-JPG/2.0.0/files/p10078072/s59824734/fe9b7fdf-20a74238-66ee54f5-3d04ef1b-ca366707.jpg | the left pigtail catheter, right chest port and aicd leads are in unchanged position. a lucency along the left mediastinum could represent medial pneumothorax, not significantly changed from earlier exam. otherwise, no significant change in bilateral pleural effusions. no focal consolidation is present. no evidence of ... | evaluate for the pneumothorax, pigtail catheter connected to pleurovac now with leak. |
MIMIC-CXR-JPG/2.0.0/files/p19906947/s54757645/cdc1e0d7-f71ea3ac-ce6c0c06-682b25cc-f6c05b64.jpg | frontal and lateral views of the chest demonstrate moderate dextroconvex thoracic scoliosis. allowing for such, the cardiomediastinal silhouette is within normal limits. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. | <unk>-year-old female with hypertension. question acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15867187/s55776715/0498e633-1a8ffe20-1867e2bd-ef831f66-9f46700b.jpg | 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> year old man with uri sx, r/o pna. // assess for pna |
MIMIC-CXR-JPG/2.0.0/files/p11549602/s51113748/36283d0c-215252a4-0b79adfc-70604f25-4f5d6cc2.jpg | a left pneumothorax, suggested by the deep sulcus sign on recent chest radiograph, is not convincingly shown on this ap upright projection. endotracheal tube remains at the level of the clavicular heads. right sided internal jugular catheter tip terminates in the low svc. bibasilar atelectasis and small right effusion ... | <unk>-year-old man with prior pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10550508/s55806402/33128a4b-9248eb29-96a30681-343d2b2c-104865b7.jpg | the patient is s/p right upper lobectomy, better evaluated in prior chest ct. the lungs are well expanded, without focal opacities. cardiomediastinal and hilar contours are unremarkable. mild cardiomegaly is present. a slight prominence of the aortic knob represents an aortic nipple, likely from a traversing vessel, be... | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16333114/s55486495/a50a3883-e5b1978a-1df226ba-c846febd-d6d9637f.jpg | single frontal and lateral chest radiograph demonstrates unremarkable mediastinal and hilar contours. heart size is top normal. lungs are clear. no pleural effusion or pneumothorax present. mild indentation of right tracheal contour may be due to enlarged thyroid. | chest pain or palpitations. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13972415/s56925478/442aa669-657fa71d-afeac9f0-d5ecb155-370f484a.jpg | there is patchy opacification of the right base, which may reflect atelectasis, but is concerning for pneumonia. linear opacities within the left mid to lower lung likely reflect atelectasis. no additional focal consolidations. no pulmonary edema. stable appearance of the cardiomediastinal silhouette. no large pleural ... | history: <unk>f with dyspnjea // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p11119441/s54071490/772a5d7a-e525da15-7a07f3b4-265dad26-e814ba99.jpg | lung volumes are low. heart size is unchanged and within normal limits. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. minimal patchy opacity within the the lung bases could reflect atelectasis but infection cannot be excluded. no pleural effusion, focal consolidation or pne... | multiple myeloma with persistent cough and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16108772/s56744779/ed1da4ff-52dd8d64-f0328788-d3a82333-288d413a.jpg | upright view of the chest provided. right lower lobe opacity may represent aspiration. there is no effusion or pneumothorax. there is moderate pulmonary vascular congestion, right greater than left. cardiomegaly is mild. tortuous aorta is similar to prior. imaged osseous structures are intact. severe scoliosis is simil... | history: <unk>m with dyspnea, chest pain // evidence of infiltrate, effusion, or pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p12208737/s56458796/25afe12e-86b75b23-79cc8072-16ffff6c-23c3bb73.jpg | radiation fibrosis is unchanged in the right upper and right middle lobes extending to the pleural surface. volume loss with elevation of the right hemidiaphragm and rightward mediastinal shift is unchanged. there is no consolidation, edema, pleural effusion, or pneumothorax. the size of the cardiomediastinal silhouett... | lung cancer. |
MIMIC-CXR-JPG/2.0.0/files/p15928733/s52144285/23fc6130-fc9ac5b2-be10ac91-de64f484-5d3327db.jpg | no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no pulmonary edema is seen. no displaced fracture is seen. | syncope and chest pain x. |
MIMIC-CXR-JPG/2.0.0/files/p18282595/s50563356/a794a99a-b54ea4a8-1e4fdc1b-feedd8d2-084aba5a.jpg | the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. a coronary stent projects over the left heart border. the ascending aorta may be slightly tortuous or ectatic, difficult to fully assess on this frontal only view. no acute osseous abnormality t... | <unk>-year-old woman with a history of <num> stents in <num> days of left-sided chest tightness. evaluate for pneumothorax or cause of chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18108905/s59154299/6f836d60-226d2487-183c9756-f98f2f2c-ba4d50fd.jpg | a portable frontal chest radiograph demonstrates a nasogastric tube coiled in the stomach. there is increasing atelectasis, with a nearly collapsed left lung, and a large left pleural effusion which is secondary to atelectasis. the right base opacity slightly improved and there is likely moderate right pleural effusion... | status post nasogastric tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p16639088/s59655168/1ed68c92-e18fa637-5bdb3197-f446a093-d6fced17.jpg | frontal and lateral views of the chest. the lungs are clear. there is no consolidation, pneumothorax, or effusion. the cardiomediastinal silhouette is normal. no displaced fracture is identified. cervicothoracic anterior spinal hardware is identified. | <unk>-year-old female with history of falls. |
MIMIC-CXR-JPG/2.0.0/files/p19230406/s55011716/a85412ad-2b588f50-a5d7393a-fa0bc7da-d2cd2d2a.jpg | compared to the prior radiograph, very subtle increase in pulmonary vascular markings may be due to mild pulmonary vascular congestion. otherwise, the heart size, mediastinal, and hilar contours are normal, except for enlarged ascending aorta. the lungs are clear without pleural effusion, focal consolidation, or pneumo... | <unk>f with low o<num> sat. eval for pna. |
MIMIC-CXR-JPG/2.0.0/files/p14186607/s59062713/1c36b7dc-52b3c8f5-a3ec93db-f9012a59-b557ddf6.jpg | pa and lateral views of the chest were reviewed. the cardiomediastinal 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. | chest pain, query infection or cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p10207476/s58378968/c01300be-6b457f37-591d2204-512c2d72-30d965a5.jpg | two views of the chest were obtained. irregular new parenchymal opacities are seen in the right upper lobe, concerning for new infection. left base is likely clear without correlate findings on lateral view. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours... | <unk>-year-old woman <unk> years status post bmt with chronic graft-versus-host of the lungs and skin on prednisone, presenting with shaking chills and low-grade temperature, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18453679/s50833190/d6731937-816c78d3-fb3afa9c-03191d87-f46bd030.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits. | <unk>-year-old female with rheumatic fever, now with three days of chills, sweats, and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12335138/s58759956/c283e567-e9623821-c4eee2d0-31bcc007-dc73d753.jpg | as compared to chest radiograph from the same day, mild pulmonary vascular congestion has not substantially changed. slight increase in right basilar opacity, can be increasing atelectasis. retrocardiac opacity is unchanged. small left pleural effusion. right-sided ij catheter in similar position. | <unk> year old man s/p open ccy now found to be less responsive // please evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p15719070/s58490673/32807bd2-2cb20d03-b7ffbecf-d09151c5-e97bbe7a.jpg | the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable, allowing for technique. the hila are mildly prominent. there is no pneumothorax. small bilateral pleural effusions are likely. the lungs are well-expanded with increased number and indistinctness of interstitial markings, consistent with ... | <unk>f with sob for <num>hrs. |
MIMIC-CXR-JPG/2.0.0/files/p10260379/s54043696/9e18cb58-bad24ded-acc90bad-08810fbc-4a90f43f.jpg | lung volumes are low, with left lower lobe atelectasis. there are patchy opacities extending into the left mid lung, suspicious for superimposed infection. the right lung appears grossly clear. a right internal jugular port-a-cath terminates in the right atrium, unchanged in position. a nasogastric tube terminates in t... | <unk>-year-old woman with met cholangiocarcinoma with new o<num> requirement. // please eval for aspiration vs. pna |
MIMIC-CXR-JPG/2.0.0/files/p13157621/s56649003/449de9bf-bd6d3e8d-a85fd13e-ad23de60-004d5ae2.jpg | a portable view of the chest shows no significant interval change compared to prior. an endotracheal tube, left subclavian line, and enteric tube are unchanged in position. the appearance of the lungs and cardiomediastinal silhouette is stable. there is no pneumothorax. | status post liver transplant and intubated, interval assessment. |
MIMIC-CXR-JPG/2.0.0/files/p14061482/s57826196/59625e85-84f565aa-d5861a8d-a0f11d9a-79a073c1.jpg | lung volumes are slightly low. the cardiomediastinal silhouette and pulmonary vasculature are stable since the prior examination and unremarkable. no definite focal consolidation is identified. there is no pleural effusion or pneumothorax. | <unk> y.o. man with aml being evaluated for bmt and myeloid sarcoma presenting with fever and lethargy. // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p10866278/s54858020/02c5af46-b2a33f7c-2f0c328a-ee1cdaf6-d6f54af8.jpg | despite improved inspiration compared to the most recent prior study, increased interstitial markings are indicative of worsening pulmonary edema. small bilateral pleural effusions are not worsened compared to prior. there is no pneumothorax. the cardiomediastinal and hilar contours remain stable. again seen are multip... | multiple myeloma, query pulmonary congestion, effusion or infection. |
MIMIC-CXR-JPG/2.0.0/files/p12247387/s58802196/9f668a45-ad8c25b4-7c9a064e-50d39f64-6bceda21.jpg | right basilar opacity is likely atelectasis, but superimposed infection cannot be excluded. the cardiomediastinal silhouette is normal. no large focal consolidation, pleural effusion, or pneumothorax. | <unk> year old man with abdominal pain. evaluate for consolidation causing referred pain. |
MIMIC-CXR-JPG/2.0.0/files/p14350079/s52668899/a59f3fa6-75d7a3f5-6d769ba3-574a4e40-752b0274.jpg | the lungs are well-inflated and clear. the heart is top-normal in size. the mediastinal contours are stable. there is no pleural effusion, pneumothorax, pulmonary edema, or evidence of pneumonia. mild anterior wedging of lower thoracic vertebral bodies is unchanged, along with flowing anterior osteophytes, compatible w... | history: <unk>m with cp // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p16892349/s56258255/1fb845d3-ff0154a0-d6722921-9f3609a4-4f6e2876.jpg | cardiac silhouette is at least moderately enlarged. a left pacer remains in place with leads in the right atrium and right ventricle. an endotracheal tube is in appropriate position with the tip projecting <num> cm cranial to the carina. a right internal jugular central venous catheter is in place with the tip terminat... | ards. |
MIMIC-CXR-JPG/2.0.0/files/p13606080/s58322350/8def42b2-d146e304-178e32b0-1e607f3d-96dc9c31.jpg | ap portable upright view of the chest. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. | <unk>m with asthma/copd w/ difficulty breathing |
MIMIC-CXR-JPG/2.0.0/files/p12493283/s58522016/134bea1d-4337a12f-d8435530-37625dc3-489a9c3b.jpg | pa and lateral views of the chest provided. low lung volumes. 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> year old thin male with left chest pain |
MIMIC-CXR-JPG/2.0.0/files/p12804066/s57756179/6e477a4f-157a500a-b2b7a49d-72f188f2-6df50798.jpg | portable upright chest radiograph <unk> at <time> is submitted. | <unk> year old man s/p gsw r chest, ptx, s/p ct placement. // assess for ptx assess for ptx |
MIMIC-CXR-JPG/2.0.0/files/p18869899/s53147122/859ae0fc-4cc90c03-27772c20-436e8ef6-d490c64c.jpg | as compared to prior chest radiograph from <unk>, there has been interval increase of right-sided basilar atelectasis. the left lung volume has increased. there are no new focal consolidations. mild cardiomegaly is stable. right picc line is unchanged in position. | <unk>-year-old female patient status post sternal debridement. study requested for assessment of infiltrates. |
MIMIC-CXR-JPG/2.0.0/files/p10773491/s50988140/466b595f-e8cb06d8-6d678aab-61dd1716-9f5e6c1d.jpg | median sternotomy wires intact and aligned. endotracheal tube terminates <num> cm above the carina. ng tube terminates in the stomach, but could be advanced by <num> cm in order for the side ports to be contained within the stomach. right ij large-bore introducer catheter terminates in the upper svc. stable, moderate c... | <unk>-year-old woman with a history of aortic valve replacement, mitral valve replacement, and cabg, now with increased secretions. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17756418/s59539620/c9e4d506-0e26abbf-9346d4c6-be2cd3ea-75a4bdce.jpg | portable semi-upright frontal radiograph of the chest. since the next most recent study, there has been slight improvement in bibasilar opacities. persistent blunting of the left costophrenic sulcus likely represents small pleural effusion and atalectasis. persistent left retrocardiac opacity may reflect atelectasis; h... | fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13714231/s52998255/9d026436-ae1e73f4-a10659ea-a62ed61c-0046fdd5.jpg | the cardiac, mediastinal and hilar contours appear stable. there has been some improvement in the extent of volume loss and opacification of the right middle lobe but to a large extent the lobe remains collapsed. there has also been mild improvement in posterior basilar opacities. | bronchiectasis. assess for progression of right middle lobe collapse. |
MIMIC-CXR-JPG/2.0.0/files/p16912036/s50155129/6ff1ef24-b449a2d1-ed52bbd0-035c6795-cc7c8383.jpg | single frontal chest radiograph demonstrates engorgement of the azygos vein and enlarged cardiac silhouette. there is haziness of the central pulmonary vasculature. blunting of the bilateral left greater than right costophrenic angle suggests small effusion. no focal opacification concerning for pneumonia evident. | altered mental status, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14894642/s59340196/51051662-ded7e7f7-d5667648-595baecb-a668be16.jpg | pa and lateral views of the chest provided. cardiomegaly again noted with hilar congestion and mild pulmonary edema. areas of scarring noted likely related to underlying emphysema. no large effusion or pneumothorax. chronic right rib cage deformity. aortic calcification noted. | <unk>m with cp/sob // acute process |
MIMIC-CXR-JPG/2.0.0/files/p12042031/s57275922/1ad757d8-bbaafe5d-1cfec6e3-25189611-2108d202.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | history: <unk>f with left-sided chest burning. |
MIMIC-CXR-JPG/2.0.0/files/p11439357/s50961793/34c7a0cf-9ba58ac2-6ab32528-be57fff7-2f1c38f1.jpg | there is a large hiatal hernia with an air-fluid level. the cardiac, mediastinal and hilar contours are stable. there is again pleural effusion or thickening on the left side which is probably unchanged since the most recent study. mild spurring appears stable at each lung apex. aside from minimal atelectasis at the le... | weakness and history of hiatal hernia. |
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