File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p18270650/s55387783/db6daa2b-6848f4ee-184b658d-f8267c72-622f3d64.jpg
right midlung partially linear opacity seen in on the frontal and lateral views is compatible with fluid in the fissure. this opacity abuts the right hilum. there is a probable small layering left-sided pleural effusion. calcification along the left hemidiaphragm is noted. hazy opacity seen at the right lung base. else...
<unk>m with trouble breathing // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p14189966/s51813123/6c8761bc-ab538b83-1c2d8093-1f4e39bb-29ad11f6.jpg
pa and lateral views of the chest <unk> at <time> are submitted
<unk> year old man with acute severe hepatitis, undergoing transplant w/u // transplant w/u transplant w/u
MIMIC-CXR-JPG/2.0.0/files/p15942415/s57222967/de896bf3-a9e14d8e-c82393a7-52f4ad29-7a3db49f.jpg
the heart size is mildly enlarged with left ventricular prominence. the aorta is tortuous and diffusely calcified. the hilar contours are unchanged, and the pulmonary vascular markings are not engorged. increased interstitial opacities are re- demonstrated predominantly within the lung bases, and appear chronic. there ...
fall from standing with right-sided intracranial hematoma noted.
MIMIC-CXR-JPG/2.0.0/files/p12960403/s58522178/1fccf567-5a58b08f-80491f3c-d8117496-b5467ee9.jpg
pa and lateral views of the chest provided. a again seen is an abandoned pacer lead overlying the right chest wall with lead extending to the right ventricle. there is a left chest wall pacer device with lead extending to the right ventricle. midline sternotomy wires and mediastinal clips are noted. the heart is mildly...
<unk>m with chest pain
MIMIC-CXR-JPG/2.0.0/files/p11818101/s56554602/13188c89-d10bb239-89430812-16b5039f-8fb54320.jpg
compared with the prior study, no change in the positioning of the left-sided dual lead pacer, with leads projecting to the right atrium and right ventricle. the cardiac silhouette is now mildly enlarged, due to cardiomegaly and/or pericardial effusion. no focal consolidation, pleural effusion, or pneumothorax.
<unk>m with hx abdominal surgeries now with nausea and vomiting <num> hour after meals. also with <num> days constant l sided chest pain. evaluate for focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p15129946/s58194943/85132cc2-d4ce73bf-3f3bb649-1b5b6f29-7c3a7000.jpg
ap and lateral views of the chest. there has been interval placement of a left picc with tip in the mid svc. relatively low lung volumes are seen. there is no confluent consolidation. there is a small left-sided pleural effusion, possibly minimally enlarged. cardiomediastinal silhouette is unchanged as are the osseous ...
<unk>-year-old male with recent admission, hyperkalemia and coarse lung sounds.
MIMIC-CXR-JPG/2.0.0/files/p18307935/s51820485/f8712893-16201e5b-9f58505c-21d26cb1-54c4acb0.jpg
frontal and lateral views of the chest were performed. inferior approach central line is again seen terminating within the right atrium. epicardial leads and cholecystectomy clips are unchanged. the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. there is chronic elevation o...
chills, evaluate for infection.
MIMIC-CXR-JPG/2.0.0/files/p13905725/s51778429/44acfad5-7cf22e1d-318dc5f4-1c0e816f-06f528b6.jpg
lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. streaky opacity within the left lower lobe likely reflects atelectasis. the right lung is clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m with shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p13914440/s55939414/c46ec369-bf74ff2a-c28af910-73dd5043-d29722f5.jpg
heart size is borderline or slightly enlarged. of note, there is a hazy somewhat triangular opacity centered in the anterior segment of the right upper lobe, abutting the minor fissure which appears very slightly retracted. otherwise, no focal opacity and no frank consolidation identified. this opacity partially obscur...
cough tachycardia. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10834547/s55722291/814cb9ca-f000eff9-b4757e9c-65d3ca5d-d4b05087.jpg
lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. there is minimal atelectasis at the lung bases. no pleural effusion, focal consolidation or pneumothorax is visualized. no acute osseous abnormalities are seen.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p14690121/s54865185/a632d27f-0a473811-2b9f6908-e939332b-5be50309.jpg
et tube terminates <num> cm above the carina. transesophageal tube courses below the diaphragm and out of view. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with status epilepticus now s/p ett placement // eval ett placement
MIMIC-CXR-JPG/2.0.0/files/p15545849/s59595206/eb8e4e43-a9b9e1c3-d00f3eda-fa1d499a-88d1b6ad.jpg
endotracheal tube terminates approximately <num> cm above described, stable. left subclavian line is in the lower svc. enteric tube is below the diaphragm, tip not visualized. there is persistent dense bibasilar opacities superimposed on mild pulmonary edema and bilateral pleural effusions.
<unk>m w iph/sah, intubated, persistent fevers, pna, fluid overloaded being diuresed // eval interval change in pulm edema
MIMIC-CXR-JPG/2.0.0/files/p10688315/s58501179/71365d4e-346971e3-754ffa92-8e212211-ff86f50e.jpg
as compared to chest radiograph from earlier today, left-sided pleural drain has been removed. no visible pneumothorax. extensive subcutaneous emphysema has increased. bibasilar atelectasis are stable. heart size stable.
<unk> year old man s/p chest tube removal // please assess for pneumothorax, perform exam @ <unk>
MIMIC-CXR-JPG/2.0.0/files/p11297319/s50824779/916b12d7-76059c08-1268f70d-b05823a0-d42e2048.jpg
the heart continues to be moderately enlarged with surrounding numerous surgical clips and intact median sternotomy wires. bilateral interstitial markings have increased suggesting increased interstitial edema. the mediastinal contours continue to be widened.
<unk>-year-old woman with possible developing pneumonia, preop chest x-ray for procedure. evaluate for developing pneumonia in context of low oxygen saturations.
MIMIC-CXR-JPG/2.0.0/files/p11312196/s54316907/95aa44c7-84a9e211-c87351da-e9dab6eb-6234ba1a.jpg
portable upright chest film <unk> at <time> is submitted.
<unk> year old woman s/p ruptured aaa repair, failed extubation yesterday // eval for interval change eval for interval change
MIMIC-CXR-JPG/2.0.0/files/p19528617/s55601782/70dae5ad-3250cc91-311cc2d9-42c80da6-08aac060.jpg
the heart size is normal. the hilar and mediastinal contours are normal. the lungs are mildly hyperinflated, otherwise no focal consolidations concerning for pneumonia are identified. irregularity of the posterior <unk> right rib is likely secondary to a prior trauma. there is no pleural effusion or pneumothorax.
history of chronic low back pain and recent admission for chest pain attributed to pericarditis. please evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15216540/s54224629/77065477-be1670e1-636b9dd8-b0c271c1-633fc1b2.jpg
innumerable nodules of varying sizes are scattered throughout the lungs representing known metastases. no pneumothorax. no significant pleural effusions. the heart is not enlarged.
<unk> year old woman s/p tbbx on right // ?ptx
MIMIC-CXR-JPG/2.0.0/files/p13438658/s56770748/3139ae49-960eed0c-29f5cebe-08354e6b-a505caa7.jpg
pa and lateral views of the chest provided. intervally removed the endotracheal and nasogastric tubes. there is persistent large left pleural effusion with residual minimal aeration in the left upper lobe. underlying pneumonia difficult to exclude. there is mild interstitial pulmonary edema which is new from prior. car...
<unk>f with ams, fall // eval for bleed/ pna
MIMIC-CXR-JPG/2.0.0/files/p13627544/s56565162/b48a9f82-653b427e-909c7f64-e6d4c930-82c50c8c.jpg
single portable view of the chest demonstrates normal lung volumes. no pleural effusion or pneumothorax. an ill-defined right lung base opacity is noted. heart size is normal. subtle rounded bilateral lucencies, correspond to centrilobular emphysema, better demonstrated on ct exam of the same date. inferior aspect of t...
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p10622931/s54870929/98f700b9-0c4c04c2-06120161-376fa9fe-9c50f910.jpg
pa and lateral views of the chest provided. chronic elevation of the right hemidiaphragm noted. lungs are clear. 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 fever, cough, prefers do to x-ray standing due to recent back surgery
MIMIC-CXR-JPG/2.0.0/files/p14930522/s55105905/2f54472c-df492acc-d30ac36c-b1eb522a-5b680854.jpg
interval insertion of a left chest tube has a kinked appearance. no pneumothorax. there is residual small pleural effusion, has slightly decreased. there is linear opacity in the right lower lobe can be subsegmental atelectasis or re expansion edema
<unk> year old woman with unilateral pleural effusion s/p thoracentesis and chest tube placement- asses tube placement; residual fluid? ptx? // ptx? residual effusion?
MIMIC-CXR-JPG/2.0.0/files/p10514659/s51037193/68a783d1-1f7b1551-ef1c8c83-3daf901b-32061c89.jpg
ap upright and lateral views of the chest provided. the tubing again noted traversing the right hemi thorax consistent with vp shunt. lungs are clear. cardiomediastinal silhouette appears normal. no acute osseous injury. vertebroplasty changes are noted at the thoracolumbar junction and in the mid lumbar spine.
<unk>f with fall, l-spine pain // eval for acute fracture
MIMIC-CXR-JPG/2.0.0/files/p15055212/s57053425/0bada6f5-94b58f28-02a75aaa-3847846d-cee67184.jpg
no pneumonia. no features of cardiac decompensation.
<unk> year old woman with as above // pre op for cabg surg: <unk> (cabg)
MIMIC-CXR-JPG/2.0.0/files/p18340010/s52021300/841fdb1d-3ac0b691-bd01121f-bbccd196-789b410c.jpg
frontal and lateral radiographs of the chest demonstrate leftward rotation, which limits interpretation of the exam. streaky opacity of the left base likely represents atelectasis. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or focal consolidation.
history of multiple sclerosis now with increased secretions. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13655979/s59375790/58bcbb69-8e013c99-c6e16f9a-ae259e15-f44d35ac.jpg
there is new opacification at the right upper lobe. there is persistent and stable opacification of the right lower lobe. heart size is stable. trach tube remains in good position about <num> cm from the carina. other support devices remain in unchanged position.
<unk>-year-old with subarachnoid hemorrhage, evaluate interval change.
MIMIC-CXR-JPG/2.0.0/files/p12514721/s54859886/33b30eb3-1afcf786-4d182688-f2602c0a-b32f034c.jpg
the heart is normal in size. the aortic arch is calcified. a moderate hiatal hernia projects over the lower mediastinum, not significantly changed. more generally, the cardiac, mediastinal, and hilar contours are stable. the lungs appear clear. there are no pleural effusions or pneumothorax. the chest is hyperinflated....
increasing shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p10382431/s57562366/c8b76fc2-262a8eb8-92bb0947-6b9f12d1-fb370569.jpg
lung volumes are low. a focal patchy opacity overlying the lung bases posteriorly best seen on lateral view may represent atelectasis given the low lung volumes, however pneumonia cannot be excluded. no pleural effusion or pneumothorax. doubt chf. right hemidiaphragm is elevated, similar to <unk>. no free air seen bene...
history: <unk>f with diffuse myalgias, recent liver biopsy // eval for pna or acute process, eval for free air
MIMIC-CXR-JPG/2.0.0/files/p13443402/s59747299/ed44f71c-9e7398b9-b79fb868-322a2321-ecb44aa7.jpg
the lungs are clear bilaterally. there are no focal consolidations, pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. mild calcification of the aortic arch. moderate to large hiatal hernia is unchanged in appearance since <unk>. patient is status post left mastectomy. no acute oss...
<unk> year old woman with <num> weeks of coughing // r/o infiltrate
MIMIC-CXR-JPG/2.0.0/files/p10799337/s56380402/fe9b0384-16d94305-ab681b62-62c6c50c-607ddd9f.jpg
<num> views were obtained of the chest. the lungs are hyperexpanded but clear without pleural effusion or pneumothorax. a rounded nodular density projecting over the right lower lung reflects the nipple. the heart is normal in size with normal cardiomediastinal contours.
dyspnea, assess for pneumonia or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10426710/s53390164/29f1b2af-fee40dcc-5e9a09a2-66650351-e605197f.jpg
there has been i marked nterval decrease in the the left-sided pleural effusion. there continues to be volume loss at both bases and a patchy alveolar infiltrate on the right. there is a right ij swan-ganz catheter with tip in the right main pulmonary artery. there small bilateral pleural effusions. the ng tube tip is ...
<unk> year old woman with open abdomen // morning rounds interval change
MIMIC-CXR-JPG/2.0.0/files/p18180329/s59823048/96506c53-2a94f94b-33a3c40d-0d5fa003-46b88914.jpg
normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. minimal linear opacities at the bilateral lung bases likely reflect atelectasis.
history: <unk>m with ruq pain, pleuritic chest pain after prostate surgery // acute process? free air?
MIMIC-CXR-JPG/2.0.0/files/p19760514/s52258118/052aa212-a72de05a-d62db62f-8129cb36-809bbd2a.jpg
midline sternotomy wires are unchanged. the heart size is at the upper limits of normal. the mediastinal and hilar contours appear unremarkable. opacity at the right lung base is compatible with components of atelectasis of the anterior-basal segment of the right lower lobe as well as a small right pleural effusion. mi...
<unk>-year-old male with decreased breath sounds and clinical concern for rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p15991467/s54472554/5f912510-e328a1cd-7ddb7006-0e8dd0bc-4e18f1dd.jpg
ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding portable supine chest examination obtained <num> hours earlier during the same day. on this portable frontal view, the patient is intubated. the ett is seen to ...
<unk>-year-old female patient intubated, status post inyubation, assess ett position.
MIMIC-CXR-JPG/2.0.0/files/p18230098/s59981642/0715d647-a7849a9c-ba4cf3eb-4875c4bb-3b36543f.jpg
frontal and lateral chest radiographs again demonstrate moderate cardiomegaly. calcifications are noted in the aortic arch. cardiomediastinal contours otherwise unremarkable. lungs are clear without focal areas of consolidation. there is no large pleural effusion. there is no pneumothorax.
extensive coronary history and known pericardial effusion with new pleuritic chest pain, evaluate for source.
MIMIC-CXR-JPG/2.0.0/files/p17865089/s50453231/cdf498f8-97c892e8-d1523e57-24a0bcea-0983c357.jpg
the ng tube is in the proximal esophagus with proximal port at the thoracic inlet. right ij cordis with tip in the svc and left subclavian line with tip in the distal svc are again seen. there are bilateral pleural effusions layering posteriorly and volume loss at both bases with dense retrocardiac opacity. there is no...
ng tube replaced.
MIMIC-CXR-JPG/2.0.0/files/p15355395/s57476987/9916414a-b53c3cdb-c5652921-7bc61afb-233af970.jpg
a dual-lead pacemaker/icd device has leads terminating in the right atrium and ventricle, respectively. the heart is normal in size. the right upper mediastinal border has a smooth convex appearance which is usually due to tortuosity of the great vessels. a moderate hiatal hernia is distended with air. there is no pleu...
confusion, weakness, and recent falls.
MIMIC-CXR-JPG/2.0.0/files/p18969313/s57573935/ad2e3c36-76553a18-3162ef82-b39c6784-401fa4d8.jpg
a moderate right pneumothorax with associated without mediastinal shift is seen. right axillary subcutaneous air is also noted. right lower lung hazy opacity which could represent complicated fluid on this portable film. cardiomediastinal silhouette is otherwise unremarkable. a right picc line is seen terminating in th...
<unk> year old man with desat // interval change, fluid overload interval change, fluid overload
MIMIC-CXR-JPG/2.0.0/files/p10041918/s54120088/a19b1699-8591b8f3-d8b767be-ceac08b8-2bc547ca.jpg
lungs are slightly low in volume but clear. no focal consolidation, pleural effusion or pneumothorax is identified. the heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old male with chest pain, assess for pneumonia or acute process.
MIMIC-CXR-JPG/2.0.0/files/p17217213/s50412222/35f7aba3-0a69b049-f54eba3a-3ac25d5d-58ef0c9a.jpg
the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. lung volumes are low which causes crowding of the bronchovascular structures. no overt pulmonary edema is demonstrated. linear opacity in the left mid lung field likely reflects subsegmental atelectasis or scarring, unc...
history: <unk>f with weakness and multiple falls
MIMIC-CXR-JPG/2.0.0/files/p15783356/s52561788/33d4fa2f-c1042079-1b1500c0-2d4b632f-ebb997e4.jpg
left basilar opacity has increased in size since the prior study yesterday at <time>. there is a small amount of loculated pneumothorax. the right lung is clear. cardiac silhouette is widened by then known mass and pericardial effusion. the mediastinal structures are shifted rightward by the left lower lobe density.
left upper lobe biopsy.
MIMIC-CXR-JPG/2.0.0/files/p11082528/s51494143/79b7d913-5bb2bd39-fb0d496b-66633eea-038bd9ec.jpg
the cardiac silhouette is normal. the mediastinal silhouette is unremarkable. the hilar contours are normal. peaking of the left diaphragm with postoperative changes in the adjacent inferior lingula with associated pleural and parenchymal scarring. no focal opacities, pleural effusions, or pneumothorax seen. direct com...
<unk> year old woman with h/o ild and <unk> bwh should xray showing a ? of a focal opacity at the r lung apex // please further eval
MIMIC-CXR-JPG/2.0.0/files/p19015552/s52764367/503fe996-208eefe1-fb89529c-6ebb552f-2169db30.jpg
pa and lateral views of the chest. in the right lower lobe, there is a vague opacity concerning for pneumonia. there is no pleural effusion or pneumothorax. the remainder of the lungs is clear. the cardiomediastinal silhouette is normal.
fever and sore throat, evaluate for acute infectious process.
MIMIC-CXR-JPG/2.0.0/files/p18620666/s56338225/a1e48be9-5d0b2673-4188005e-016da79e-7bb881e9.jpg
the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with headache, nausea. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12183945/s53968763/8ed61046-b2e1b1e0-94dc85b6-0d21f32e-2fa9e69a.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
cellulitis.
MIMIC-CXR-JPG/2.0.0/files/p12292520/s51945645/68e4c884-d09b9aef-ec23532d-f86730a3-dc0051ec.jpg
again, there is a calcified lesion projecting over the right breast. this is unchanged from the prior radiograph. there is no pulmonary edema or focal airspace consolidation. the right pleural effusion appears slightly larger in comparison to prior exam. the right hemidiaphragm remains slightly elevated in comparison t...
palpitations.
MIMIC-CXR-JPG/2.0.0/files/p12641056/s55075430/a66f2e4d-c86b9d13-b693a3ee-66bc3612-2177035e.jpg
the lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
cough with wheezing and rhonchi in the upper lung fields, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13050559/s51066996/5c5ff4db-c8d3a319-96b39f70-c56dac6e-b1f3d226.jpg
no significant interval change from the study earlier today other than interval removal of the right chest tube. stable appearance of the right paratracheal convexity contributing to widening of the right mediastinum. overall stable small right apical pneumothorax. expected post-surgical changes in the right hemithorax...
<unk>-year-old man with mediastinal b cell lymphoma, status-post recent right thoracotomy and right upper lobectomy with handsewn bronchus closure and intercostal flap overlay. status-post recent chest tube removal. concern of increased right paratracheal convexity on cxr earlier this morning; evaluate for interval ch...
MIMIC-CXR-JPG/2.0.0/files/p14105969/s57027034/8f7e391e-d09d9185-386016b0-6e043040-326a1df5.jpg
frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. small nodular opacity in the right upper lobe is equivocal. the lungs are otherwise clear. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with upper abdominal pain.
MIMIC-CXR-JPG/2.0.0/files/p13552058/s59344123/6062b98a-0811ba12-4655caf4-356830e4-aab4fa0b.jpg
as compared to prior chest radiograph from <unk>, lung volumes have decreased and there is bibasilar atelectasis. there is no pleural effusion, focal consolidation or pneumothorax. a left chest pacemaker with leads terminating in the right atrium and right ventricle is seen. the cardiomediastinal and hilar contours are...
left sided chest pain. rule out effusion.
MIMIC-CXR-JPG/2.0.0/files/p14924200/s51868871/fa382cfa-22b7cecd-d673849a-9d905d39-568e3e4f.jpg
the heart size is mildly enlarged. the patient is rotated toward the left somewhat limiting assessment of the mediastinal contours. hilar fullness is appreciated bilaterally. additionally opacity in the retrocardiac region is present. there is no large pleural effusion or pneumothorax.
<unk>-year-old female with right-sided chest pain.
MIMIC-CXR-JPG/2.0.0/files/p17363674/s53767756/c1ef5f14-f16d48fe-d7410425-4e96cc14-2bea848c.jpg
left loculated pleural effusion has slightly increased since the prior examination. there is also increasing atelectasis. left clavicular fractures stable. the left lung remains clear. the right-sided port is in similar position.
<unk> year old woman with pleural effusion // eval
MIMIC-CXR-JPG/2.0.0/files/p10611854/s57321749/8e816f13-7af0c9e4-94ed2497-f50142f8-962d9327.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the chest appears mildly hyperinflated. the lungs appear clear. bony structures appear unremarkable.
altered mental status and hypoglycemia.
MIMIC-CXR-JPG/2.0.0/files/p17030818/s54878577/d8985be7-811f316d-8495e492-a1030b4f-d0cc9f97.jpg
portable semi upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. the patient is status post cabg with expected postoperative cardiac silhouette. there is bibasilar atelectasis, left greater than right, with small bilateral pleural effusions. there has been interval re...
<unk> year old man with s/p cabg, cts d/c'd // evaluate for pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p19180828/s53818616/9d1fa00b-66d88349-c259da86-ce4c65a4-b334e09d.jpg
the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
fevers and chills.
MIMIC-CXR-JPG/2.0.0/files/p15385925/s51928456/10e05fff-9beb2ab6-e56105ac-c84361e3-0228b0bb.jpg
there is prominence of the pulmonary vasculature and interstitial markings, consistent with mild pulmonary edema. the heart remains markedly enlarged. there are no definite pleural effusions or pneumothorax. right chest wall pacemaker is present with the lead in the right ventricle. feeding tube can be followed up to t...
<unk>-year-old woman with shortness of breath, status post umbilical hernia repair, question pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19601036/s55254225/87fe4146-2515d366-ee2b7650-c2ac2c69-2b6cc1c0.jpg
portable ap chest film <unk> <time> is submitted.
<unk> year old woman with chylothorax s/p bilater chest tubes. acute left lung white out over night, no s/p new left chest tube. // improvement in left lung inflation/ptx improvement in left lung inflation/ptx
MIMIC-CXR-JPG/2.0.0/files/p18477137/s58315993/620a4afd-1da7c471-5d0133e9-e0b3c906-5fc74105.jpg
a left-sided pacemaker is seen with leads projecting over the right ventricle and left ventricle and unchanged in position from prior radiograph. there is no focal consolidation, pleural effusion or pneumothorax. cardiac silhouette is enlarged but stable.
<unk>-year-old man with chf, ivcd presents for a left lv lead revision.
MIMIC-CXR-JPG/2.0.0/files/p17406178/s57357580/0eec6f5a-19f52cf7-f05cc4e7-80cb8adc-bd6512da.jpg
pa and lateral views of the chest show clear well-expanded lungs with no nodules or areas of focal consolidation. heart mediastinal contours are within normal limits in size and shape and no focal suspicious bony abnormality is seen.
<unk> year old man with renal cell carcinoma // evaluate for mets or other abnormalities
MIMIC-CXR-JPG/2.0.0/files/p12178049/s57514229/adb46877-9da13da8-f32930b8-0bc0686e-79c87fba.jpg
the heart is normal in size. there is mild elevation of the left hemidiaphragm with streaky opacity suggesting atelectasis and volume loss. there is no pleural effusion or pneumothorax. the chest is hyperinflated. the lungs appear otherwise clear. bony structures are unremarkable. projecting over the left upper quadran...
reported swallowing of <num> mm dental tool.
MIMIC-CXR-JPG/2.0.0/files/p15376758/s56761862/c5e7d702-a808d190-1e9bde8a-b646b167-1e9ff7e9.jpg
single frontal radiograph of the chest. no pneumothorax is present. otherwise no significant change in the mildly enlarged cardiac silhouette and left basilar atelectasis.
status post right subclavian attempts. evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18674891/s53826942/519b3c44-80140ce7-8a74c59d-1c9ec4c4-dc9aa3ab.jpg
pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old female with cough.
MIMIC-CXR-JPG/2.0.0/files/p11977019/s57465769/5748c0d3-f404310b-52cfcbf1-a8973d21-c7e34156.jpg
ap view of the chest provided. there is new right basilar opacity, likely local hemorrhage, with a small amount of pleural air. in addition, there is new left base opacity, concerning for possible aspiration. bilateral mid-upper lobe pulmonary vessels appear slightly engorged but there is no overt edema. chronic modera...
<unk> year old woman with lung nodule s/p wedge resection // eval post op change
MIMIC-CXR-JPG/2.0.0/files/p17800953/s54358439/be5c3847-02c5581e-48f9438f-86079403-7f1f0604.jpg
there is opacity within the right lower lobe concerning for pneumonia. there is slight downward migration of the right hilus given the resulting volume loss. no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
fevers and cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19849930/s54507117/fd88d33e-6976a635-e16f3e60-f848171f-21fa38ba.jpg
patient is status post median sternotomy and cabg. dual lead left-sided pacer device is stable in position. bibasilar atelectasis is seen without definite focal consolidation. there may be minimal vascular congestion. there is no large pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enl...
history: <unk>m with r chest pain after cough // rib fx?
MIMIC-CXR-JPG/2.0.0/files/p18754359/s56969918/fb95ab3e-65c993cf-e5de2867-2dd8045e-4ecad60e.jpg
frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. mild tortuosity of the descending aorta is noted. heart size is normal. there is no pulmonary edema.
vomiting.
MIMIC-CXR-JPG/2.0.0/files/p19508577/s51365201/cb575feb-279e939f-e81ad6e4-e1fb671e-7fcb1c58.jpg
the left hemidiaphragm is elevated. there is bibasilar atelectasis. at the left base, there is blunting of the costophrenic angle and the possibility of early hazy opacity cannot be excluded. there is mild upper zone redistribution, without overt chf. no gross effusion or pneumothorax detected. possible mild cardiomega...
<unk> year old woman with bacteremia // eval for acute pulmonary abnormality
MIMIC-CXR-JPG/2.0.0/files/p13531580/s50233263/78050476-0b1c1d3f-c793e71b-3d44c3e0-b661f362.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 altered mental status
MIMIC-CXR-JPG/2.0.0/files/p13875177/s56191471/ce8a05ed-9e337431-10b6c860-d90e7bd5-2d3f31a8.jpg
prominence of the cardiac silhouette and vasculature may be related to technique. there is bibasilar opacities. no large pleural effusion or pneumothorax.
history: <unk>f with cough // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18981638/s55198559/13b56428-e2a5d612-b5ed22f8-451317f3-8d6618e1.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
chest pain and cough.
MIMIC-CXR-JPG/2.0.0/files/p18712598/s50135047/20170579-5024ec8d-99af5bc9-689dfd12-d27f39f6.jpg
pa and lateral views of the chest. there is no focal consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal contours are normal.
<unk>-year-old female with tenderness to palpation, question of sbo, assess for acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15290047/s58907628/0ef3f46d-0dc66601-a0596006-1b852e2a-91bd2c06.jpg
since <unk>, moderate asymmetric pulmonary edema appears unchanged with improved aeration of the right lung base, bilateral pleural effusions, right greater than left, are unchanged, and associated atelectasis is improved on the right and worse on the left. lung volumes remain low. the tip of an endotracheal tube is se...
<unk> year old woman with pulmonary edema // pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p14373210/s56025085/00010923-3e9327ed-01db276b-5872bf82-5c844e7f.jpg
ng tube coils probably in the gastric fundus before descending at the field of view. et tube remains in good position about <num> cm above the chronic poor inspiratory effort. visualized lung parenchyma shows some minimal improvement in the right lower lung zone. left lower lung zone atelectasis has improved.
<unk> year old man with pneumonia s/p intubation // eval for worsening pna
MIMIC-CXR-JPG/2.0.0/files/p15278572/s54254069/7b2cf252-d9862007-fd180f17-e7de997c-1fdf75fd.jpg
stable post treatment changes, left mid lung opacity. stable adjacent posterior rib fragmentation and calcification. surgical clips in place. there is tiny right pleural effusion, which has improved. . there are emphysematous changes in the upper lungs. . there is stable atelectasis in the lingula, right middle lobe
<unk> year old woman with perforated diverticulitis and significant cardiac, copd hx // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p16198568/s56843861/ec4eb06e-162e53d8-49272a00-6e8a8ff4-ae9b481d.jpg
no focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal hilar contours are unremarkable. while there may be minimal vascular congestion, no overt pulmonary edema is seen.
<unk> year old man with right partial amputation <unk> digit // acute cardriopulm diseaase surg: <unk> (reconstruction)
MIMIC-CXR-JPG/2.0.0/files/p10932783/s55791621/aa6a080b-542a3d22-ce9b329d-fed64755-18d50881.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.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14637324/s51632836/c8ea69b2-959015da-94d35e42-2ad5f211-58758adf.jpg
patient is status post right mastectomy. there are surgical clips in the right axilla. heart size is top-normal. the mediastinal and hilar contours are normal. the aorta is unfolded. there is no pleural effusion or pneumothorax. the lungs are clear.
history: <unk>f s/p chemotherapy for breast cancer, <num> weeks of cough and <num> days of body ache, no fever // rule out pneumonia, or acute cardiopulmonary changes
MIMIC-CXR-JPG/2.0.0/files/p17890530/s59119694/23c28e0d-10ce9c38-c9b95652-f0426b49-27064abd.jpg
the heart is moderately enlarged. the mediastinal and hilar contours appear within normal limits. a trace pleural effusion on the right is difficult to exclude, noting similar posterior blunting of the costophrenic sulcus. there is again upper zone redistribution of pulmonary vasculature, mild interstitial abnormality,...
shortness of breath and chest pain. question congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p18111516/s54485736/b419e4d1-bdd75550-52539614-480579c1-2ddaa53c.jpg
ap and lateral views of the chest. prior right picc and left internal jugular central line are no longer visualized. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality noted. surgical clips in the right upper quadrant suggest prior cholec...
<unk>-year-old female with vomiting. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11617629/s52481021/60d04e46-9a05ac0d-ae3d55ee-d52b50a6-3e456199.jpg
the tip of the balloon pump overlies the inferior edge of the aortic arch, slightly high. a right ij swan-ganz catheter is present, tip over proximal right pulmonary artery. heart size is unchanged. the vascular congestion and moderate pulmonary edema appears slightly worse in comparison to the prior exam. there is pro...
<unk> year old man in cardiogenic shock s/p aortic balloon pump placement. // is balloon pump in appropriate position?
MIMIC-CXR-JPG/2.0.0/files/p15145615/s54119416/0ab142b1-413c29a8-b722cad6-7121aaab-05611977.jpg
the et tube is <num> cm above the carina. og tube tip is in the stomach. lung volumes are low with compressive changes at the bases. there is vascular plethora and pulmonary vascular redistribution compatible with fluid overload that is increased compared to the prior exam
<unk> year old woman s/p fall, intubated // cxr to confirm ogt placement
MIMIC-CXR-JPG/2.0.0/files/p18557285/s55864879/7bc6ce44-6ba4b1a0-aa7b3de9-ce1e1b9c-74edf25d.jpg
lungs are clear in appear hyperinflated. cardiomediastinal contours are unremarkable. no pleural effusion or pneumothorax. heart size normal. no acute cardiopulmonary process.
<unk> year old woman with s.o.b // s.o.b
MIMIC-CXR-JPG/2.0.0/files/p18128582/s56919651/055ce925-4c7a506d-89264c1b-8f834e3f-e26163f7.jpg
frontal radiograph of the chest demonstrates no pneumothorax. post procedural change is noted in the right upper lobe lesion which is better characterized on recent ct of the chest. otherwise, the cardiac and mediastinal contours are normal and the lungs are clear. no pleural abnormality is detected.
status post bronch with transbronchial biopsy. evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19799021/s57151585/f39c25d0-d85fa7f0-f2dc71e3-16d7a7a0-b029e13d.jpg
the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is elongation of the descending aorta. no pulmonary edema, pleural effusions, or pneumothorax. no focal consolidations are seen.
<unk> year old woman with cough, fever r/o infiltrate // cough, fever r/o infiltrate
MIMIC-CXR-JPG/2.0.0/files/p13174810/s52695205/a72472bf-c980073a-9f2793ce-ad1e4b91-c6a42eca.jpg
a trace left pneumothorax is now present. bilateral chest tubes, endotracheal tube, right central venous line and endotracheal tubes are in unchanged position. large right contusion is stable. a displaced left first rib fracture has increased.
<unk>-year-old man with trauma and worsening left pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11099330/s59354584/aaed973d-5df5a83c-72264828-bc1deccd-e4463438.jpg
ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. degenerative changes of the ac joint again noted.
<unk>f with hypoxia
MIMIC-CXR-JPG/2.0.0/files/p15443439/s54894542/0b0ab5fb-f7edab0a-c6084635-6beefe20-1f4d1cb6.jpg
there is a large hiatal hernia. the lungs are clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. resorption of the distal right clavicle may be posttraumatic or postsurgical in nature. no acute osseous abnormalities.
<unk>f with fevers and recent procedure // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p10269064/s53915304/60253f7f-cf8b7649-79bfed96-8e2e0281-e4205f8c.jpg
low lung volumes are seen on the current exam. within this limitation however they are grossly clear. there is no effusion. the cardiomediastinal silhouette is normal as are the osseous and soft tissue structures.
<unk>-year-old male with fever and cough.
MIMIC-CXR-JPG/2.0.0/files/p14203967/s58712237/4db6aae6-26c7353c-63c78f74-4a880a1b-0644154e.jpg
lung volumes are relatively low but the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cough productive of yellow sputum // ? infectious process
MIMIC-CXR-JPG/2.0.0/files/p16810793/s57439273/d1800e68-7f87f6f7-24cb9398-c0c7231c-10c2124c.jpg
the lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.
<unk>m w/copd presenting with dyspnea, please eval for pna // <unk>m w/copd presenting with dyspnea, please eval for pna
MIMIC-CXR-JPG/2.0.0/files/p13383991/s52562434/4dd70982-d34035d3-ca66d59d-8bd2fd77-a4691ed9.jpg
the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
hyperglycemia.
MIMIC-CXR-JPG/2.0.0/files/p11087814/s56853223/6b1410ba-56a5c4c9-d7abdb1e-4ff4aaea-75660c62.jpg
pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with increased frequency of seizures and sick contacts at daycare.
MIMIC-CXR-JPG/2.0.0/files/p11109478/s52143176/559f41dd-b5d13027-357dd0f2-de128059-448fae56.jpg
the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old man with dyspnea, increased wob on exam // effusion, consolidation
MIMIC-CXR-JPG/2.0.0/files/p14527133/s58008959/b2eee12c-44bc00fd-0e11d7e1-a4967542-7dafe5ee.jpg
lung volumes are low. the cardiac silhouette appears unchanged in size as are the mediastinal contours. continued opacification of the left lung base likely reflects a combination of a small left pleural effusion and atelectasis. size of the pleural effusion appears unchanged. right lung is grossly clear. no pneumothor...
abdominal pain after chest tube placement and removal.
MIMIC-CXR-JPG/2.0.0/files/p19145704/s51473306/9b475907-9cc78e83-50578fa5-4d669b99-22050e3e.jpg
there has been interval placement of a right internal jugular line, which appears to be in appropriate position. the heart size is top normal. aside from mild pulmonary edema, and mild pulmonary vascular congestion, the hilar and mediastinal contours are unremarkable. ill-defined opacities at the lung bases bilaterally...
history right ij placement. please evaluate.
MIMIC-CXR-JPG/2.0.0/files/p19263843/s53414619/4584b493-82f9676e-989547bf-cb9264e5-24b4596d.jpg
there appears to be medial right upper lung/paramediastinal scarring. no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. aortic knob calcification is seen. the lungs are relatively hyperinflated. right apical pleural thickening noted.
history: <unk>f with hyponatremia, dizziness // ? pna
MIMIC-CXR-JPG/2.0.0/files/p11535886/s57931214/4a251cb6-331a944e-cf473033-96b57947-8f0ef1a8.jpg
heart size is mildly enlarged. the aorta is diffusely calcified. mild interstitial pulmonary edema is re- demonstrated. mild atelectasis is also noted at the lung bases. no focal consolidation, pleural effusion or pneumothorax is identified. moderate multilevel degenerative changes are seen in the thoracic spine. multi...
history: <unk>f with atrial fibrillation with bradycardia
MIMIC-CXR-JPG/2.0.0/files/p19238062/s57128994/2af97e14-29daa0f1-eba332b1-86205385-6017cf56.jpg
the lungs are well-inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. included upper abdomen is unremarkable. osseous structures are grossly intact.
<unk>m with acute onset cp x several days, evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p15748140/s51962496/573d9847-6c343f88-13e2bb65-f02cd051-471105df.jpg
further interval improvement in the right lower lobe and lingular opacity. no new acute focal consolidation. no interstitial edema. the heart is not enlarged. a small left pleural effusion is seen.
<unk> year old woman with cryptogenic organising pneumonia // interval improvement
MIMIC-CXR-JPG/2.0.0/files/p10278344/s54844001/4892b9f1-8f294a96-3bda3689-6489421b-852893a3.jpg
ap portable upright view of the chest. there has been interval placement of a right ij central venous catheter with its tip seen terminating in the mid svc region. there is persistent cardiomegaly with congestion and mild edema which appears essentially unchanged.
<unk>m with s/p cvl placement // eval cvl placement
MIMIC-CXR-JPG/2.0.0/files/p12337553/s59172632/7f7ec58d-d9d60c98-306dd473-b6588c7d-1de9b1b0.jpg
the lungs are hyperexpanded. the aorta is tortuous. hila and cardiac silhouette are normal. the lungs are clear. there is no pneumothorax or pleural effusion. cervical spinal hardware again noted.
<unk>m with cp // eval for ptx